This book provides a multidisciplinary compendium of research pertaining to aging among diverse racial and ethnic populations in the United States. It focuses on paramount public health, social, behavioral, and biological concerns as they relate to the needs of older minorities. The book is divided into four parts covering psychology, public health/biology, social work, and sociology of minority gang. The book focuses on the needs of four major race and ethnic groups: Asian/Pacific Islander, Hispanic/Latino, black/African American, and Native American. It also includes both inter- and intra-race and ethnic group research for insights regarding minority aging. The chapters focus on an array of subject areas that are recognized as being critical to understanding the well-being of minority elders. These include psychology (cognition, stress, mental health, personality, sexuality, religion, neuroscience, discrimination); medicine/nursing/public health (mortality and morbidity, disability, health disparities, long-term care, genetics, nutritional status, health interventions, physical functioning); social work (aging, caregiving, housing, social services, end-of-life care); and sociology (Medicare, socioeconomic status (SES), work and retirement, social networks, context/neighborhood, ethnography, gender, demographics).

The growing public awareness of bias and discrimination and the disproportionate involvement of minority populations, especially based on race, class, and gender, have affected the social work profession with a call to fulfill its long-forgotten mission to respond and advocate for justice reform and health and public safety. Forensic social workers practice far and wide where issues of justice and fairness are found. This book emphasizes on the diversity of populations and settings, social workers would best serve their clients adding a forensic or legal lens to their practice. It targets the important and emerging practice specialization of forensic social work, a practice specialization that speaks to the heart, head, and hands (i.e., knowledge, values, and skills) of social work using a human rights and social justice approach integrated with a forensic lens. The book defines forensic social work to include not only a narrow group of people who are victims or convicted of crimes and subsequently involved in the juvenile justice and criminal justice settings, but broadly all the individuals and families involved with family and social services, education, child welfare, mental health, and behavioral health or other programs, in which they are affected by human rights and social justice issues, or federal and state laws and policies. Practitioners who read this book will learn and apply a human rights legal framework and social justice and empowerment theories to guide multilevel prevention, psychosocial assessments, and interventions with historically underserved individuals, families, and communities, especially using the life course systems power analysis strategy and family televisiting. The book fills a critical gap in the knowledge, values, and skills for human rights and social justice–focused social work education and training.

This book guides readers through the process of developing a policy analysis. It illustrates questions to be addressed by using general policy issues as well as childhood obesity as a specific example. The book discusses specific areas of politics, policy, health, policy analysis, data, and analytical studies that will be important as readers work their way through the text. The statement of the policy issue is a very precise statement that narrows the focus of their area of concern to a specific area and geopolitical unit. The book deals with the importance of understanding the role of values in the political process. It explains the importance of coalitions, advocacy, and compromise in the political process and deals with the criteria for success, laying the foundation for policy evaluation and developing specific and measurable goals for their policy to achieve. The book further covers the systematic review of policy options within the framework. It discusses the various issues that readers will confront in evaluating one alternative versus another. It discusses the strengths and weaknesses of incrementalism and the role of evidence-based policy. Finally, the book deals with two different parts of the framework: recommendation and strategies. The most important element in terms of strategy is to gain a sense from policy makers how much political capital they are willing to expend to make this proposal a reality.

This book provides a state-of-the-art overview of the principles of cancer care and best practices for restoring function and quality of life to cancer survivors. Cancer rehabilitation interventions including physical, occupational, or speech therapy; exercise training; psychosocial and cognitive interventions; and physician-directed diagnostic imaging, injections, and pharmacologic symptom management have the potential to treat many impairments from cancer treatment, thereby improving functioning and quality of life. Multimodal rehabilitation interventions have also been shown to improve return to work compared to usual care. The chapters of the book review the latest evidence about which interventions should be used to treat specific impairments thereby constituting the most comprehensive and up-to-date reference on this topic. The book is organized into nine parts comprising 90 chapters. Part one presents history of cancer rehabilitation, cancer statistics, and principles of cancer care. Part two discusses various cancer types, which includes breast cancer, gastrointestinal malignancies, head and neck cancer, pediatric cancers, and primary bone tumors and their assessment and management. Parts three through six describe cancer pain, medical complications, neurological and neuromuscular complications, and musculoskeletal complications of cancer such as radiculopathy, plexopathy, autonomic dysfunction, and bone metastases and their management. Part seven discusses general topics related to cancer rehabilitation, which includes physical and occupational therapy, therapeutic modalities in cancer, therapeutic exercise in cancer, nutritional care of the cancer patient, sexuality issues, and distress and other psychiatric considerations in cancer rehabilitation. Part eight thoroughly explores the identification, evaluation, and treatment of specific impairments and disabilities that result from cancer and the treatment of cancer such as balance and gait dysfunction, cancer related fatigue, radiation fibrosis syndrome, and bowel dysfunction. Part nine discusses functional measurement in patients with cancer, health maintenance and screening in cancer survivors, research issues, barriers to accessing cancer rehabilitation, and building a cancer rehabilitation program.

Many social service leaders with only a focus on promoting social justice had become increasingly aware that to grow, they needed to incorporate more financial and business management practices into their nonprofit organizations. Leaders in the for-profit world are becoming more concerned about the need for social responsibility and promoting programs that not only made a profit but also reflected a social justice perspective. This book explicitly integrates social justice principles into the management of a nonprofit organization. The book discusses the history of the development of nonprofit management up to the present day. It addresses legal and ethical considerations, organizational planning and staff management, finance, public relations, fundraising, public advocacy and volunteerism, program design and grant development, governance and board development, developing an international nonprofit, information technology, career development, and creating a nonprofit/social entrepreneurship organization. Additional chapters address quality improvement, mentoring, and proposal writing. The text is ideal for students and faculty in social service administration, human service leadership, social work management, public and community health, public administration, and health care administration and management.

This book helps social workers ensure they maintain the highest professional standards by raising awareness of both the strengths and challenges of the immigrant community. The book first explores the changing demographics of immigrant newcomers and legal classifications of immigrants. It seeks to help social workers better understand the legal meaning of terms such as nonimmigrant, immigrant, Green Card holder, and citizen. Then, the book explores theories of cultural competency and social work practice and describes the intersection of immigration and health, mental health, criminal justice issues, and employment. Issues of particular interest to immigrant communities, such as the exploitation of immigrant workers (and appropriate legal remedies), immigrant access to health services and public benefits, the triple mental health trauma many refugees and asylees face, and the issue of newcomers as victims of crime as well as the immigration consequences of criminal conviction are discussed. The book also deals with family groups, which, although inherently strong, are made vulnerable because of their immigrant status in the United States. It concludes by urging practitioners to expand their strategies and advocate not only for individual clients (at the micro level), but to advocate as well for change at the organizational/agency level (mezzo level), and at the federal, state, and local levels (macro level).

This book is intended to introduce the exciting, challenging, stimulating, and inspiring world of behavioral intervention research. It is about the science and state-of-the-art practices in designing, evaluating, and then translating, implementing, and disseminating novel behavioral interventions for maximum impact on the health and well-being of individuals, families, and their communities. Each chapter tackles critical considerations in behavioral intervention research. The approach is to be as broad and inclusive as possible of the many nuances, intricacies, and issues in this form of inquiry. The book covers a wide range of topics including examining the heart of the matter or strategies for developing behavioral interventions including the pipeline for advancing interventions, the role of theory, intervention delivery characteristics, standardizing treatments, and use of technology. This is followed by evaluative considerations including selecting control groups; identifying recruitment, retention, and fidelity strategies; using mixed methodologies; and ethical challenges. Then the book examines outcome measures and analytic considerations including economic evaluations for maximizing the yield of trial data, and how implementation science can inform the development and advancement of behavioral interventions. Finally, the book explores a host of professional issues unique to this form of inquiry including challenges in staffing behavioral interventionist studies, how to obtain funding for developing and evaluating an intervention, and what, when, and where to publish. Case examples from successful behavioral intervention trials are used throughout each chapter to illustrate key concepts.

This book provides leaders and managers of nonprofit organizations with theoretical and conceptual frameworks, approaches, and strategies that will enable them to manage organizations that are financially sustainable. The book aims to equip students and nonprofit leaders with the information and conceptual frameworks needed to do financial analyses, manage budgets, and conduct various operations for organizational and financial sustainability. People have a tendency to think of financial sustainability almost exclusively in financial terms. The book argues that financial sustainability involves both financial and nonfinancial facets. To that end it provides a systemic conceptual framework. The chapters are articulated around four sections. The first part introduces the concepts of nonprofit organizations and financial sustainability. The second part is about key aspects of organization and planning for sustainability in a nonprofit organization. The third part discusses issues that are vital to the financial sustainability of a nonprofit organization. The last part emphasizes the contributions of management and leadership practices to the financial sustainability of nonprofit organizations. The book may serve as an introductory textbook for future leaders of nonprofit organizations, as well as students in schools or programs of nonprofit leadership, human service leadership, social work, public and community health, organization management, public administration, education, and other similar fields.

This book concentrates on board-related concepts in the field of Rehabilitation Medicine. It will appeal to medical students, residents, and practicing physiatrists. Residents will find the book essential in preparing for Part I and Part II of the Physical Medicine and Rehabilitation (PM&R) Board Certification because it is one of the only books of its kind with major focus on board-related material giving a synopsis of up-to-date PM&R orthopedic, neurologic, and general medical information all in one place. Over 500 diagrams simplify material that is board pertinent. The topics are divided into major subspecialty areas such as stroke, traumatic brain injury, musculoskeletal medicine, electrodiagnostic medicine, prosthetics and orthotics, spinal cord injuries, physical modalities, pulmonary, cardiac, and cancer rehabilitation, pediatric rehabilitation, and pain medicine. All chapters are authored by physicians with special interests and clinical expertise in the respective subjects. Board pearls are highlighted with an open-book icon throughout the text. These pearls are aimed at stressing the clinical and board-eligible aspects of the topics. The content is modeled after the topic selection of the American Academy of Physical Medicine and Rehabilitation Self-Assessment Examination for Residents (SAE-R) Content Outline. This was done specifically to help all residents, post graduates in yearly preparation and carryover from the SAE preparation to board exam preparation. Practicing physiatrists should also find this book helpful in preparation for the recertifying exam.

Social work has a long-standing commitment to healthcare and the recognition of the inextricable link to quality of life and well-being across the lifespan. This book emphasizes the critical importance of health for all members of society and the significant role of social work in the field. It presents essential information about health and social work critical to understanding today’s complex health care systems and policies. The book is intended as a core text for masters of social work (MSW) and advanced bachelor of social work (BSW) courses on health and social work, social work and health care, health and wellness, social work practice in health care, and integrative behavioral health taught in social work, public health, and gerontology. The book is organized into three parts containing 18 chapters. The first chapter describes the role of social work in healthcare. The second chapter discusses ethics and values in healthcare social work. The next three chapters present social determinants of health, intersectionality, and social work assessment. Chapter six discusses health promotion and public health. Chapter seven presents integrated behavioral healthcare. Chapter eight describes substance misuse, abuse, and substance-related disorders. Chapters nine and ten discuss palliative care, end-of-life care, correctional healthcare, and psychosocial care. Chapter 11 describes children and family health. Chapter 12 explores healthcare and work with older adults and their caregivers. Chapters 13 to 15 delve on immigrants and refugee health, health and HIV/AIDS, and LGBTQ health. Chapters 16 and 17 describe healthcare and disability, and healthcare and serving veterans. The final chapter discusses future direction of healthcare and social work.

While there are several comprehensive textbooks on movement disorders, all are lengthy, thick, hardbound books and thus are less useful for the busy, practicing clinician who often needs a quick guide on the diagnostic approach and therapy for various movement disorders. There are a few practical, therapeutic handbooks on Parkinson disease but there are none for other types of movement disorders (chorea, dystonia, myoclonus, ataxia, etc). The ever busy clinician will also benefit from a “primer” on DBS—its new device types, indications, identification of ideal and non-ideal candidates, and trouble-shooting. This third edition is a practical yet authoritative guide to the diagnosis and work up, and the pharmacological, non-pharmacological and surgical treatments of all types of movement disorders for the clinician-intraining and the practicing clinician. The authors used an “expanded outline bullet point” format, with liberal use of flow charts, algorithms and tables, with emphasis on clinical presentation, work-up and management, rather than pathophysiology and disease mechanism. In summary, this book should provide a comprehensive and practical approach to the neurological, behavioral, and surgical treatment of movement disorders. Because the authors anticipate that clinicians may be reading this book comprehensively, from start to finish; or, using it “on demand” by quickly surveying specific chapters related to the phenomenology of a challenging patient—content overlap has been intentional, to emphasize concepts and principles in diagnosis and management. Several movement disorders can present with different phenomenologies, thus several disorders will reappear in various chapters. From the first to this latest edition, the authors aim has always been to empower the modern clinician with the necessary skills in making the evaluation of movement disorders less intimidating and more rewarding.

The practice of Pediatric Rehabilitation Medicine (PM&R) is diverse from one country to another, one region to another, one medical center to another and one provider to another. This book covers these diverse areas of practice, whether the care is provided to patients in a large metropolitan tertiary care center, a smaller medical referral center in a less-populated city, or a truly rural practice where the pediatric physiatrist is often the first specialty physician to encounter the child with a disability. The textbook is intended for use by medical providers of all types and especially students, residents, fellows, and busy practicing clinicians within or in close quarters of our specialty of PM&R. The sixth edition of the book provides eight new chapters devoted to Brachial Plexus Palsy, Oncology, Robotics, Genetics, Spasticity Management, Rheumatology, Burns, and Advocacy and significantly expanded coverage of Acquired Brain Injury. These chapters reflect the growth and expansion of the field as medical science evolves, new diagnoses appear, and technology advances at an astounding pace. The thought of powered orthotics and exoskeletons with robotic arms and legs would have been almost impossible to conceive even a decade ago. The book brings in new ideas, many new authors and chapters, and updated material to reflect current evidence-based thinking and practice.

The ambulatory practice is the backbone of the United States health care system. Ambulatory practices exist in many forms – from solo, private, family medicine practices to the multispecialty, outpatient clinic enterprise of a large health system. The ambulatory practice offers many opportunities to enhance the care delivery process. Two of the more fundamental opportunities, which in the current environment are of import for future healthcare leaders, include cost and convenience. An ambulatory practice can be structured to provide high quality healthcare services with much reduced overhead from the traditional inpatient setting. The ambulatory practice setting is cost-effective, aligning well with one of the Triple Aim’s goal of lowering per capita expenditures, thus, creating an opportunity for societal benefit. Ambulatory care provides patients with choice and convenience given the ability to locate services proximate to patient demand. These qualities of the ambulatory practice among the others described in the book require a fundamentally different approach to management compared to the inpatient setting. As value-based reimbursement propels services to the lowest cost settings and patients’ expectations for convenient, accessible, affordable healthcare rise, a well-managed ambulatory practice is a necessary and vital component of an effective and efficient healthcare delivery system. This book provides current and future leaders with a thorough understanding of the foundations of a well-managed ambulatory practice. Commencing with the storied history of ambulatory care in the United States, The Well-Managed Ambulatory Practice takes readers on an evidence-informed journey designed to expand their knowledge about the unique aspects of ambulatory practice personnel; finances; quality, safety, and experience; organization; strategy; and operations. With the accelerating pace of ambulatory practice development and complexity, the book serves as an excellent source of contemporary knowledge and skills specific to leading and managing in the ambulatory setting.

Death and Dying courses in social work; nursing; counseling psychology; and medicine traditionally focused on topics such as the experience of dying; the delivery of health care during the end of life; and the experience of mourning after a death. The book includes neurobiological aspects of development and grieving for the students to understand these aspects of biology if they are to claim a bio-psycho-social-spiritual perspective in the 21st century. It talks about the spiritual development in each life phase and also on the special considerations in risk and resilience to describe aspects of marginalization that may affect development. The book explains the factors that promote resilience; maintaining our strengths-based approach to all of this material. It continues with the identification of maturational losses; incorporating these non-death losses into a section renamed living losses found in each life phase chapter. The book defines the chapters by developmental tasks that are tackled at more or less predictable ages to which the chapters are loosely bound. It reviews research on specific responses to loss situations and discuss intervention strategies supported by practice wisdom and empirical research. The book has ancillary materials available to qualified instructors that include outlines; PowerPoint; and activities for each chapter as well as the readings from the earlier editions. This edition of the book will help each reader feel prepared to help grievers of all ages and types.

Botulinum toxin (BoNT) therapy involves as much art as it does science. Prescription and injection of a BoNT product requires that clinicians be familiar with the unique properties of each product, including its dosage range for a seemingly ever-expanding list of approved or published medical indications. This quick reference guide provides detailed dosage information for the four BoNT products available in the USA (abobotulinumtoxinA, incobotulinumtoxinA, onabotulinumtoxinA, and rimabotulinumtoxinB) which are approved for both cosmetic and medical indications. Included in this abbreviated manual are updated regulatory agency approved medical indications for both adults and children and recommended dosage ranges in the USA (Food and Drug Administration), Canada (Health Canada), the United Kingdom (Medicines & Healthcare products Regulatory Agency), and the European Union (European Medicines Agency). Detailed BoNT dosage information for each of these BoNT products is presented in an easy-to-navigate table format. The tables are organized by clinical indication along with each agency-approved dosage where available and the published dosage ranges per treatment session and per structure injected. Providing this information in a single reference manual allows clinicians to quickly calculate the dosage of a given BoNT product for a given indication and/or structure. The anatomical illustrations provided in this manual serve as a reference guide for clinicians to enhance the localization of muscles and other target structures during the injection planning process. The authors hope this information will be useful for clinicians and for the patients to whom they provide care.

Bone stress injury (BSI) represent an overuse injury to bone seen in athletes and active individuals. Despite being a common injury seen in clinical practice, there exists confusion on multiple aspects of this injury, including appropriate terminology. For example, “stress fracture” is often used interchangeably with “stress reaction” or “stress response”. Recent scientific discoveries on the topic of bone stress injury have advanced our understanding of risk factors for injury. Rarely can the injury be attributed solely to training errors. While training volume, intensity, and frequency do influence bone remodeling, most BSI are multifactorial and involve a combination of biological, anatomical, and biomechanical risk factors for injury. Recognizing risk factors for BSI may help to develop a comprehensive treatment plan to address each injury. Further, the goal of treating the injury should focus on methods to optimize bone health and develop strategies for future injury prevention. This book is organized to address aspects of clinical diagnosis, rehabilitation, and prevention. The authors invited experts across a range of topics to provide a more complete understanding of the full spectrum in BSI treatment. Initial chapters focus on evaluating injury, including the role of the clinical examination and imaging to guide treatment. Recognition of risk factors for BSI are separated into biological and biomechanical risk factors, including gender, age, and anatomical location. The book reviews methods to optimize treatment in each section by anatomical location, and reviews strategies for refractory injuries in designated chapters on medications, emerging technologies, and interventions. Further, the authors identify what is known about future injury prevention and methods to optimize bone strength. The goal of this book is to provide a comprehensive understanding of BSI that improves clinical outcomes and provides a patient-centered treatment program.

This book makes a timely and essential contribution to professional training and is a welcome resource for those dedicated to improving long-term care services for older adults. It reflects the way society views the growing elderly population and the implications of this demographic trend for the field of long-term care. Long-term care continues to be the fastest growing segment of the healthcare industry; there is a critical need to educate and train a core of professional personnel with the knowledge and skills to address the complex issues in aging, health, and human services. The book aims to provide a useful reference of content information, effective practices, and model programs in elder care related to assisted living/residential care (AL/RC) administration. Similar to the first edition, this book is based on the core competencies required to operate assisted living communities. It contains five parts; each part focuses on a core competency in assisted living administration such as organizational management, human resources management, business and financial management, environmental management, and resident care management. The book embraces chapter features such as useful learning objectives, case studies, effective practices, and model programs in elder care that are relevant to assisted living communities. New chapters in this edition address topics such as inter-professional practice; home- and community-based services; information and communication technology; LGBTQ and other diverse groups; memory care; and palliative and hospice care. Importantly, the book is based on core competencies required to operate assisted living communities, and each of its five parts focuses on a core competency (i.e., domain of practice). The book serves as a useful reference for professionals who are associated with AL/RC organizations. It can also function as a primary textbook for undergraduate and graduate courses in gerontology, health administration, and long-term care administration that focus on assisted living/residential care administration.

This book differs greatly from earlier versions because of two main changes. The first is the adoption of an intersectional approach in working with families. It underlines the importance of an intersectional approach to working with families that, in addition to culture and ethnicity, also considers socioeconomic class, gender, age, religion, immigration status, and sexual orientation as important factors. Additionally, the text expands its direct-practice view with the addition of four new chapters written by psychologists, plus a new chapter on health issues in multicultural families and access to health services. The book is updated with the latest knowledge and research, along with new and revised case vignettes demonstrating culturally competent practice. It provides a new intersectional approach to assessment and treatment and adds the perspectives of psychologists in four completely new chapters. The book includes a new chapter on the Diagnostic and Statistical Manual of Mental Disorders, fifth edition from a multicultural perspective, plus new chapters on health and access to health services and offer the most up-to-date knowledge and research. It provides new and updated case vignettes and reflects changes in the family unit over the last quarter century and how it impacts treatment. The book addresses distinct sociopolitical issues affecting immigrants and undocumented families and focuses on the most important emerging issues of multicultural families. It covers multicultural mental health across the lifespan and encompasses the distinct perspectives of different ethnic and racial groups, and those of lesbian, gay, bisexual, and transgender families. The book also discusses domestic violence and substance abuse in regard to multicultural families and delineates the most effective treatment methods. It examines the culturagram as a useful assessment and treatment planning modality and addresses ethical issues including the National Association of Social Workers code of ethics.

This book provides the ultimate resource for all students and practitioners seeking the professional credential and committed to lifelong learning and career growth in public health. Chapters are organized by all ten core competency domain areas, beginning with Evidence-Based Approaches to Public Health and including chapters on Communication, Leadership, Law and Ethics, Public Health Biology and Human Disease Risk, Collaboration and Partnerships, Program Planning and Evaluation, Program Management, and Policy in Public Health, before concluding with Health Equity and Social Justice. Covering over 150 topic areas, each chapter introduces the core objectives of each domain area to frame the goals of the CPH exam and highlight the complete content outline featured on the exam. Chapters include the fundamental information public health professionals must learn to be effective workers in the field followed by approximately 600 practice questions with detailed rationales for correct answers at the end of each chapter. Using this method, the number of practice questions are divided equally among each domain area for comprehensive study and exam preparation. Written by a CPH certified educational leader in public health and containing over three exams’ worth of questions, this book is the most useful and thorough exam review resource on the market, great for on-the-go study and preparation.

This book describes the function of planning and why it is important to decision making in healthcare organizations. It explains the origins of planning, application to healthcare, and types of plans, and reviews the practical advantages and disadvantages of planning. The book provides an overview of the strategic planning process, including fundamental steps in the process, the influence of leadership, and the impact of quality improvement. It describes each of the steps in the strategic planning process, organizational purpose and the importance of an organization's mission to its planning and operational activities. The book also introduces the importance of a situational analysis to inform future direction and plans and describes the importance of setting objectives and why there might be resistance to setting organizational objectives. It explains how to accomplish objectives through the development and implementation of strategies and operational plans. The book also presents the relationship of strategies to objectives, methods for evaluating an organization's products and services, and the role of budgeting. It describes the feedback loop in the strategic planning processs—evaluation and control. The book finally discusses the importance of viewing strategic planning as a continuous process and common tools that are used to evaluate and improve plans.

An aging population is one where the number and proportion of older people increases over time. This is referred to as demographic aging or population aging. Demographic changes since the second half of the last century have led to a global aging population resulting in important economic and social concerns worldwide. The main causes of aging populations are declining fertility rates and increasing life expectancy. This review book compares and contrasts the five domains of practice to the four domains identified in the National Association of Long Term Care Administrator Boards (NAB) criteria effective 2022. Except for NAB's realignment from five to four domains of practice, the content information, knowledge base and tasks are equivalent. Each of the five parts of this Review Book focuses sequentially on the five domains of practice resulting from this comparative analysis. It is evident that this Review Book has retained the initial knowledge areas or domains of practice; the Review Book also reflects the Second Edition of Assisted Living Administration and Management: Effective Practices and Model Programs in Elder Care upon which it is based. Part One covers Domain of Practice 1, organizational management; Part Two explores Domain of Practice 2, human resources management; Part Three focuses on Domain of Practice 3, business and financial management; Part Four includes Domain of Practice 4, Environmental management; and Part Five involves Domain of practice 5, Resident care management. Aspiring residential care/assisted living administrators must identify a particular path to fulfill their professional goal and obtain a career in long-term care administration. While there are different options for students and practitioners, the review book explores possible steps to becoming a residential care/assisted living administrator.

This fourth edition of the book covers basic and advanced concepts related to the delivery of social work services in health care settings. When health care is responsive to those in need, the provision of services must be equitable, safe, timely, efficient, effective, evidence-based, and patient-centered while simultaneously exemplifying best practices for all. As pressure for quality services continues to increase, however, the equitable distribution and availability of affordable health care has changed. This has left many providers and patients alike filled with expectation and speculation as to what constitutes essential health care service delivery. The book advocates a proactive stance for health care social workers and is designed to serve as a practical guide for understanding and addressing the philosophy of practice in our current health care environment. Suggestions are made for achieving ethical time-limited, evidence-based social work practice in these settings. At the end of each chapter, a “Summary and Future Directions” section is provided that will help social workers to understand what can be expected and how to prepare for the practice changes needed in order to remain viable clinical practitioners. The book is designed as a practical guide to help social workers understand the roots of social work practice, stressing the importance of the person-in-environment and person-in-situation while utilizing strength’s perspective employing this information as a foundation for embracing the changes to come. As a skilled professional, the incorporation of evidence-based social work practice will need to serve as the cornerstone of all we do while always taking into account the uniqueness and situation-based strategy needed to help each individual patient/client/consumer.

Considering the various comments the authors received from a variety of readers of the past editions, it was clear that this text needed to keep the format and hold the place in the sports medicine review category of thorough, yet succinct, texts. This third edition has kept true to the sports medicine board examination content outline in order to cover all topics testable on the examination. Even the length of each chapter is designed according to how much that topic is weighted on the examination. The authors have also kept the easy-to-read outline format as well as the reference lists at the end of each chapter, which can be used for more in-depth study of the topics. The book is divided into three primary sections: General Topics; Health Promotion and Injury Prevention; and Diagnosis and Treatment of Sports Injuries and Conditions. The third section is divided into the following four subsections: Musculoskeletal Injuries and Conditions; Medical, Neurological, and Psychological Conditions; Special Populations; and Hot Topics in Sports Medicine. The authors have added a new chapter to the Hot Topics subsection on exercise as medicine to supplement existing chapters on sports ultrasound and regenerative medicine. For this third edition, they have added rationales with detailed explanations of why one answer is correct and the others are not. The book is meant to be used as a study guide for primary care sports medicine physicians (family medicine, emergency medicine, internal medicine, pediatrics, and physical medicine and rehabilitation) and orthopedic sports medicine physicians preparing to take the sports medicine subspecialty examination for initial certification or recertification. It also can serve as a sports medicine reference for other medical professionals such as athletic trainers, physical therapists, chiropractors, advanced practice providers, physicians in training (i.e., interns, residents, and fellows), and other physicians interested in sports medicine.

This book addresses new treatment pathways, outcomes, and economics of spasticity care within the larger context of the rapidly changing health care environment. Divided into four sections, the book is intended to provide both clinicians and researchers up-to-date access on the latest comprehensive treatment of spasticity. The first part of the book includes a general overview with four chapters highlighting why spasticity is important, epidemiology of spasticity and other signs of the upper motor neuron syndrome, and finally ancillary findings associated with caring for the patient with spasticity. The second part of the book focuses on the assessment tools in diagnosis and management of spasticity. It includes an outline of general overview measurement tools, specific techniques and scales, assessment of the upper and lower extremity, and setting realistic goals for treatment. The third part of the book explains the role of the physical and occupational therapist in spasticity management, the use of ultrasound in guidance of botulinum toxin management, and emerging technologies in the treatment of spasticity. The final part of the book is devoted to individual diseases involving spasticity and treatment within the context of these conditions. In addition to updated chapters on evaluation, genetics, and spasticity in adults and children with spinal cord injury, multiple sclerosis, stroke, traumatic brain injury, and cerebral palsy, the book include new chapters on more specialized areas including spasticity in patients with cancer, treatment of spasticity in patients in long-term care facilities, and the economics of spasticity treatment.

This book introduces emerging research methods that will assist community health researchers interested in effectively addressing the complex health issues faced by communities today. It also introduces readers to several research methods particularly appropriate for addressing the context of health issues, translating research into action, and engaging community and relevant stakeholders. Use of these methods will lead to advancements in the field of community health and ultimately to improvements in community health. The book illustrates how community health researchers must move beyond the rigid distinction between qualitative and quantitative methods to adopt new integrated research methods to understand health as a community system. Within the discipline of public health, community health is an important and evolving subdiscipline that specifically emphasizes disease prevention and early intervention for members of a given community. The book includes spatial analysis, agent-based models, community-network analysis and realist reviews and addresses system dynamics, concept mapping, visual voices and media analysis. Integration of qualitative and quantitative data is key to generating unique insights into the mechanisms linking complex community health issues and to providing critical guidance regarding the pathways toward effective intervention and prevention. Institutional pilot funding, often available to researchers based at academic institutions, is a good option to garner support for innovative community health research projects. Partnering with other researchers and community members to learn and apply new and innovative research methods is a necessary steps toward more effectively addressing and improving the health of communities.

This book addresses key health literacy issues as they affect the health and well-being of the aging population. It emphasizes increasing health literacy among older adults through the use of technological tools and features, the most current research, and evidence-based programs and practices. It provides expansive coverage of the intersection of technology and health literacy, highlighting innovative approaches and discussing how to use technology with resource-limited groups. The book focuses on rural, impoverished, culturally diverse, and low literacy elders and presents gold standard intervention programs and models. Individual chapters discuss interpretation of lab results, how the family physician can explain the diagnosis and treatment regimen to older patients, how the Explanatory Model can facilitate communication between the physical therapist and the patient and how health literacy fits into the public health domain. Occupational therapy (OT) professionals advocate for the well-being of the clients they serve and promote higher levels of independence among older adults. The book also has a chapter explaining the different modalities located within the radiology department and what can be expected as part of the examination process for the geriatric patient population.

This book addresses strategies for community-oriented health services, including those that arise from systemic influences such as environmental and social injustices. It seeks to present an imperative transdisciplinary shift in thinking about health services toward understanding communities as resources for their own health improvement. Applying a transdisciplinary approach, this book seeks to bridge the discourses between environmental justice, public health, community well-being, and service development, which are rarely considered together in spite of their mutual interdependence. The book is intended for use by senior undergraduate and graduate students in public or population health sciences, including rehabilitation counseling, community psychology, counseling psychology, public health, medical anthropology, social policy, and related disciplines. Health policy and service providers in the private and public sectors and international aid agencies will find the book an invaluable resource for their health promotion and development programs in global communities. The individual chapters of the book aim to present as comprehensive a coverage of the specific themes as possible. Each chapter addresses community-oriented health from a variety of health conditions and traditions. Each chapter also addresses pertinent health policy aspects in the context of national, federal, or international conventions to highlight the importance of the community-oriented health concepts being discussed.

This book presents a research-driven, competency-based approach for the health and human service professionals who work with older rural residents. It discusses both the problems facing older adults and their families and evidence-based solutions regarding policy and best practices. The book contains 13 chapters, organized into five parts. The first part provides an introduction to aging in rural places, including the overwhelming task of defining what is meant by “rural” and presenting demographics, descriptions, and the diversity of rural communities. It offers a picture of persons aging in rural areas, including their challenges and strengths, with special consideration for social and ethnic minorities within this population. Whereas the second part focuses on the health status and the specific health and human service needs and opportunities of rural older adults and their focuses on needs and opportunities, the third part moves toward addressing these issues with health and human services available to rural older adults and their families. The fourth part examines the role of health and human service professionals who work with rural older adults and their families in these programs and services, with attention to interdisciplinary practice and professional competency. In addition to the aforementioned content, the book offers several unique features, including the following: case examples, professional competencies, useful websites, suggested activities and exercises, discussion questions, PowerPoint slides, and instructors manual with test question bank.

Long-term care (LTC) involves a continuum of care required to meet the differential needs of older adults. This book provides multifaceted insights to address the ever-changing world of the LTC industry, and contains effective practices and quality programs in eldercare. It provides the necessary tools and tips to maximize the quality of care and quality of life for older adults living in LTC communities. The book covers the most crucial aspects of management, including federal and/or state regulations overseeing the operation of LTC facilities. It offers advice on care at home, naturally occurring retirement communities, and continuing-care retirement communities; client care, staff retention, preventing elder abuse and neglect, and anticipating and managing litigation and arbitration in LTC; aging and human diversity, Alzheimer’s disease, palliative care, and care transitions; and much more. This book consists of 3 parts and 18 chapters. Each chapter includes helpful pedagogical features such as learning objectives, an introduction, case studies, effective practices, and/or model programs in eldercare that are useful in the administration of LTC communities, as well as a chapter summary and references. Figures and/or tables are used when warranted. The book will serve as a helpful reference for professionals who are associated with Leading Age California, the American College of Healthcare Administrators, the American Society of Aging, the Association for Gerontology in Higher Education, the Gerontological Society of America, and other aging and LTC administration organizations.

This book describes the public health system in broad strokes in order to focus the reader on basic public health goals, principles, structures, and practices. Public health shares with the clinical professions a fundamental caring for humanity through concern for health. For these reasons, public health is sometimes viewed as a type of clinical profession. Primary prevention intends to prevent the development of disease and the occurrence of injury, and thus, to reduce their incidence in the population. The central focus of clinical professions is to restore health or prevent exacerbation of health problems. The health care system undoubtedly has its smallest impact on primary prevention, once again that group of interventions that focus on preventing disease, illness, and injury from occurring. The control of an infectious disease outbreak is an example of the promise of public health collective action that prevents the occurrence of disease, disability, and premature death by assuring conditions in which people can be healthy. Among the programs administered by the National Center for Chronic Disease Prevention and Health Promotion is the Preventive Health and Health Services Block Grant program, which provides funds to state-level agencies to support both public health agency capacity development and chronic disease prevention programs. The Agency for Healthcare Research and Quality (AHRQ) is the lead federal agency charged with improving the quality, safety, efficiency, and effectiveness of health care for all Americans. Unintentional injuries are a leading cause of death in the United States among all age, race, and ethnic groups, and motor vehicle accidents are the foremost cause of unintentional injuries. Good leadership is essential for the well-being of any organization, including public health.

This book for undergraduate and graduate survey courses encompasses a wide range of key issues in occupational health psychology (OHP) from a North American perspective. It draws from the domains of psychology, public health, preventive medicine, nursing, industrial engineering, law, and epidemiology to focus on the theory and practice of protecting and promoting the health, well-being, and safety of individuals in the workplace and improving the quality of work life. The book addresses key psychosocial work issues that are often related to mental and physical health problems, including psychological distress, burnout, depression, accidental injury, obesity, and cardiovascular disease. It examines leadership styles as they impact organizational culture and provides specific recommendations for reducing employee-related stress through improved leader practices. Also addressed is the relationship between adverse psychosocial working conditions and harmful health behaviors, along with interventions aimed at improving the work environment and maximizing effectiveness. Additionally, the book discusses how scientists and practitioners in OHP conduct research and other important concerns such as workplace violence, work/life balance, and safety.

This book serves as a practical resource to physiatrists who are providing daily inpatient care or who are sharing call on inpatients. It focuses on the most common medical complications for major rehabilitation diagnoses in adults who we see in a large rehabilitation hospital. The book covers the major topics including musculoskeletal disorders, spinal cord injury, multiple trauma and burns, stroke, traumatic brain injury, neurological and rheumatological disorders, cancer rehabilitation, and amputations written by physiatrists. It discusses the diagnosis and management of the majority of medical complications written by acute care specialists. The book also focuses on total hip arthroplasty (THA) and knee arthroplasty (TKA), and discusses any differences the practitioner might encounter while treating these patients after surgery in the inpatient unit. TKA goals are to facilitate the rapid recovery of the knee range of motion (ROM), strengthen the knee and hip musculature, and return to functional independence. Medical complications are common among patients undergoing inpatient rehabilitation, so the rehabilitation specialists need to be aware of them, know their treatments and prevention strategies. The complications can be direct or indirect. Those that might require transfer would more likely be as a result of indirect complications such as pneumonia, DVT with pulmonary embolism (PE), urinary tract infections (UTIs) that become systemic, hip fracture from fall, and gastrointestinal (GI) ulcer. Rehabilitation inpatient facilities host a heterogeneous group of patients. The age of such patients varies widely as does the range of their conditions, which includes neuromuscular diseases, brain injuries, stroke, spinal cord injuries, burns, fractures, prosthetic joint replacement, organ transplants, and conditioning following long-term hospitalizations. Special considerations are required in the evaluation of fevers since different patient groups may exhibit atypical symptoms of infection and the etiology of fever includes noninfectious causes.

This book is a guide to the values and traits, knowledge, and competencies needed by public health professionals to mobilize people, organizations, and communities to effectively tackle tough public health challenges. This competency-based leadership book is designed specifically for students and practitioners in public health, highlighting those aspects of leadership unique to this field. The book is divided into four parts. The first part of the book deals with the call for public health leadership. It introduces a framework for the book based on the values, traits, knowledge base, and competencies of effective public health leaders. The framework builds on four complementary perspectives on leadership: servant leadership, complexity leadership, integrative leadership, and adaptive leadership. The second part is devoted to preparing for public health leadership. Chapters here survey the values, traits, and knowledge base of effective public health leaders. Seven values of public health leaders are particularly critical for their effectiveness: social justice, reliance on evidence, interdependence, respect, community self-determination, transparency, and the requisite role of government. Along with behavioural skills, these values, traits, and knowledge base are the foundation for mastering the competencies. The competencies for public health leadership are discussed in Part III. The five competency sets are invigorating bold(er) pursuit of population health; engaging diverse others; effectively wielding power; preparing for surprise; and driving for execution and continuous improvement. Each chapter highlights the public health leadership values, traits, and knowledge that contribute particularly to effective performance of the competency set. Then, each of the five competencies in the competency set is examined in turn. The last part of the book provides guidance for intentional actions to improve leadership competencies and to sustain effectiveness.

This book focuses on the full spectrum of long-term care settings ranging from family and community based care through supportive housing options to a variety of institutional long-term care alternatives. Integrating theory and practice, the book features the perspectives of diverse fields regarding current long-term care options and new directions for the future. The book is organized in five parts: the context of long-term care, community-based long-term care, transitional long-term care, facility-based long-term care, and contemporary issues in long-term care. It describes ethical considerations in the provision of long-term care and decision-making in long-term care. It also explains fluidity and transitions in long-term care. The book further presents case studies as exemplars of three very different long-term care situations: a fairly typical family-supported trajectory of community-based care, the care of a person with Down syndrome, and the story of an increasingly common scenario of caregiving from a distance. The three vignettes provide a context for defining long-term care, explanation of the demographic processes that have resulted in the current situation of demand for long-term care, and description of the general characteristics of persons requiring long-term care and those who care for them.

Modern-day research has tapped into a deeper and more complex understanding of cytokine- and cell-based regeneration theory that translates well into the clinical paradigm of regenerative medicine. Regenerative medicine is fundamentally a modern-day method of enhancing the human capabilities of healing. Today’s standard treatment options in orthopedics and sports medicine are being replaced by regenerative medicine interventions. This book presents nonsurgical treatment options offering a new paradigm that enhances the natural healing of injuries and degenerative pathologies such as meniscal and rotator cuff tears. It is intended as a working reference for practitioners, offering a concise, evidence-based rationale for regenerative medicine in the world of sports medicine. The book is divided into fourteen chapters. The first chapter focuses on current concepts in the pathophysiology of orthopedic conditions affecting treatment. The second chapter introduces the reader to common terminology used in regenerative medicine. The third chapter deals with regulatory issues regarding the clinical use of regenerative treatments. Chapter 4 discusses the clinical and administrative considerations in performing regenerative procedures. Chapter 5 explores regenerative medicine in the canine. Chapters 6 and 7 present the principles of Platelet-Rich Plasma (PRP) and stem cells, and scientific evidence of PRP for orthopedic conditions. Chapter 8 reviews the application of PRP to enhance the outcomes of various orthopedic surgical procedures. Chapter 9 review several emerging areas in regenerative medicine for orthopedic conditions: amniotic and umbilical cord products, interleukin-1 receptor antagonist protein, and alpha-2 macro-globulin. Chapter 10 describes the setup and procedures for performing PRP injections. Chapter 11 presents the basic science and rationale for using stem cells for orthopedic conditions. Chapters 12 and 13 describe harvesting techniques of bone marrow and adipose for stem cell procedures, and techniques for performing regenerative procedures for orthopedic conditions. The final chapter presents physical therapy considerations following regenerative medicine interventions.

Image-guided interventions for pain management have evolved since being performed with palpation guidance. The utilization of fluoroscopic guided interventions for pain management has emerged in treating painful spinal conditions. During residency or fellowship, the trainee often has limited experience in standard of care and broad interventional pain management techniques. The goal of this book is to provide a rapid and accurate reference for interventional pain management physicians, allow dynamic teaching of interventional procedures, and understanding and visualizing interventional techniques for commonly performed interventional pain management procedures. It also describes etiology, physical examination techniques, and treatment plans of common painful conditions treated by an interventional pain management physician. The book consists of 9 chapters. The first chapter discusses the anatomy of spine and spinal cord for pain procedures. The second chapter provides an overview of C-arm and covers radiation safety, biologic effects of x-rays, radiographic contrast agents, needle anatomy and techniques of C-arm. The third chapter discusses pharmacotherapy in pain management. The fourth, fifth and sixth chapter describes disorders and commonly performed procedures of cervical spine, thoracic spine and lumbar spine. The seventh chapter discusses sympathetic blocks such as stellate ganglion block, celiac plexus block, lumbar sympathetic block, superior hypogastric block, ganglion impar block, and complex regional pain syndrome. The eighth chapter describes the mechanism of action, indications, screening, equipment, procedure planning, trial technique, and complications of spinal cord stimulation. It also presents current companies offering spinal cord stimulation. The final chapter lists common pain diagnosis and ICD codes.

This book provides an up-to-date practical clinical guide to evidence-based stroke recovery and rehabilitation built on a foundation of basic neurophysiology, neuroscience, and psychological science. It provides in-depth information on the assessment and management of all acute and long-term stroke-related impairments and complications including cognitive dysfunctions, musculoskeletal pain, and psychological issues. The book examines risk factors, epidemiology, prevention, and neurophysiology as well as complementary and alternative therapies, functional assessments, care systems, ethical issues, and community and psychosocial reintegration. It features expanded coverage of key issues such as the role of robotics and virtual reality in rehabilitation. Chapters have been incorporated to cover fields of recent exploration including transcranial magnetic stimulation, biomarkers, and genetics of recovery as well as essentials like the use of medication and the survivor’s perspective. The up-to-date presentation of scientific underpinnings and multi-specialty clinical perspectives from physical medicine and rehabilitation, neurology, physical therapy, occupational therapy, speech and language pathology, and nursing ensures that the book will continue to serve as an invaluable reference for every health care professional working to restore function and help stroke survivors achieve their maximum potential.

This book establishes a standard in practice, education, and training with the introduction of a coordinated competency-based approach to shape the future of physiatric patient care. It is divided into two parts. In Part I, foundations for the core competencies are provided with some basic principles for application toward competency-centric practice entwined with professional education strategies. Part II focuses on the major physiatric areas of practice with information specific to each area organized in the context of the six Accreditation Council of Graduate Medical Education (ACGME)/American Board of Medical Specialties (ABMS) core competencies and quality metrics. Each practice chapter includes goals and objectives for the six competencies, a case study with open-ended discussion questions, and self-examination questions and answers for self-assessment. The physiatric areas of practice covered in the second part include extremity limb loss and amputation, cardiopulmonary and cancer rehabilitation, stroke, traumatic brain injuries, spinal cord injury, Parkinson’s disease and multiple sclerosis, neuromuscular and musculoskeletal diseases, osteoarthritis and rheumatoid arthritis, and lumbar spine disorders. In addition, pediatric traumatic brain injury and juvenile idiopathic arthritis are also discussed. The book can be used independently to build essential skills for patient-centered care or as part of a physical medicine and rehabilitation resident training curriculum as a useful adjunct during clinical rotations.

The use of high frequency ultrasound as an imaging modality for the musculoskeletal system has expanded dramatically in the past decade. Despite its growth, standardized training for use of this modality is not yet available in the majority of residency training programs. This book illustrates and teaches the basic components of many of the skills and knowledge needed to begin incorporating the use of ultrasound in a musculoskeletal practice. The goal is provide a simplified approach for those getting started in musculoskeletal ultrasound. This includes developing understanding in use of the controls and function of the ultrasound machine, commonly used terminology, obtaining and optimizing the image, and proper scanning technique and the ergonomics involved. The book is also designed to instruct in the recognition of the appearance of various musculoskeletal tissue, commonly seen artifacts, foreign bodies and masses, and understanding basics of interventional ultrasound. It also provides an understanding of the basic physics used in ultrasound. Principles of further advancement of skills and initiating a practice are discussed. Doppler imaging helps to identify certain vascular structures, gives an indication of vascular flow, and can also be used to assess for increased vascularity in pathologic conditions. Separate chapters cover imaging of tendons, muscles, and nerves. Ultrasound allows visualization of both the needle and soft tissue target in real time. This improves accuracy of needle placement for both injection and aspiration procedures.

This book is designed to assist and guide healthcare professionals in prescribing home exercise programs in an efficient and easy to follow format. With patient handouts that are comprehensive and customizable, this manual is intended for the busy practitioner in any medical specialty who prescribes exercise for musculoskeletal injuries and conditions.

The most central aspect of any therapeutic exercise program is the patient’s ability to perform the exercises effectively and routinely at home. This book is organized by major body regions from neck to foot and covers the breadth of home exercises for problems in each area based on the current literature. Each chapter begins with a brief introduction to the rehabilitation issues surrounding the types of injuries that can occur and general exercise objectives with desired outcomes, followed by a concise review of the specific conditions and a list of recommended exercises. The remainder of the chapter is a visual presentation of the exercises with high-quality photographs and step-by-step instructions for performing them accurately. The most fundamental exercises to the rehabilitation of each specific region are presented first as the essential building blocks, followed then by condition-specific exercises that advance throughout the chapter. Using this section, the healthcare practitioner can provide patients with handouts that require little to no explanation and can customize the program and modify instructions to fit individual patient needs and abilities—with confidence the handouts will be a valuable tool to help patients recover successfully from musculoskeletal and sports injuries.

This book seeks to launch a new field of equity in health, as a new global approach to inequities in health. The goal is to shift the discourse toward a focus on moving from InEquity in Health to Equity In Health and spur a global movement in response to the major civil rights issue of the twenty-first century involving injustice in health. The book is intended for policy makers, funders, providers, researchers, interventionists, educators, and community members. It identifies the forces driving and embodied within a new field of equity in health while also identifying these as the thirteen guiding principles for the new field. The book is organized into eight parts. Part I introduces new theory, paradigms, and perspectives, starting with challenges in eliminating health disparities. Part II introduces new procedures and policies deemed vital for a new field of equity in health, specifying some of the implications for funders, researchers, and policy makers. Part III reviews the legacy and role of racism in contributing to disparities, while also discussing the implications and recommendations for research and practice. Part IV covers the key role of collaborations, partnerships, and community-based participatory research in the field of equity in health. Part V presents new Internet technology for use in achieving wide dissemination of health information, interventions, and training that attains a global reach. Part VI covers the training of community health workers and peer educators, suggesting how they play a vital role in the field of equity in health. Part VII, attention is turned to other special populations also considered the most vulnerable and what it will take to close gaps in health. The final part covers the task of closing the education and health gaps by addressing these dual inter-related disparities through effective engagement.

This book is intended for public health practitioners, researchers, students, and other professionals who work in rural settings or who are interested in learning more about the unique aspects of public health in rural areas. It first presents some of the best-established challenges in rural public health, including medical care barriers, workforce issues, and ethics, followed by some of the specific rural-focused solutions that have been developed through faith-based initiatives and integrated care efforts. By recognizing the socioeconomic and cultural factors unique to rural areas as not only contributing to health disparities (e.g., higher smoking rates) but also as providing avenues for addressing them (e.g., faith-based initiatives), rural public health practitioners can begin to make long-needed progress in protecting the health of one fifth of the U.S. population. The book then discusses both the scope and state of prevention for specific health issues in rural settings, including mental health, substance abuse, heart disease, obesity, diabetes, HIV, environmental health, minority health, migrant farmworker health, and elderly health. The book then concludes with a summary of the future directions in rural public health to serve as a road map for moving forward.

The purpose of this book is to make R readily accessible, on a hands-on level, to all future epidemiologists for research, data processing, and presentation. The book is essentially about learning R with an emphasis on applications to epidemiology, public health, and preventive medicine. The book is systematically organized into seven chapters, each with a number of main sections covering the spectrum of applicable R codes for biostatistical applications in epidemiology and public health. It first introduces interactional relationships among medicine, preventive medicine, public health, epidemiology, and biostatistics in general, as well as special concepts that have been (and are being) developed to address quantitative problems in epidemiology and public health in particular. A review of the basic elements in the theory of probability is presented to introduce or reinforce readers’ ability to handle this important basic concept. Then, the book covers simple data handling using R programming and presents the graphics capabilities available in R. Following these initial forays into R, the book gives an overview of the theory of probability and mathematical statistics, which is necessary because both of these areas have become integral parts of biostatistical applications in epidemiology. Finally, the book shows how R may be effectively used to handle classical problems in case-control studies and cohort investigations in epidemiology. Similarly, survival analysis, the backbone of much epidemiologic research, finds excellent support in the R environment.

The field of senior care is changing in a variety of ways predicated by demographic shifts, consumer preferences, available resources, government policies and other factors. In the senior care space, the National Association of Long-Term Care Administrator Boards (NAB) conducts a professional practice analysis about every five to seven years to determine the knowledge and skills a person should possess to lead a senior care organization, referred to as its “Domains of Practice”. NAB’s “Health Services Executive™” (HSE) qualification is a credential that allows individuals to practice along the continuum of health services and supports and enhances the portability of their administrator license. This book provides a comprehensive and practical study tool for all students and professionals seeking HSE™ qualification. It helps an individual assess his or her knowledge and competency in a variety of established areas and across the post-acute continuum of care and services. Divided into two parts, this resource allows readers to test their knowledge in each area covered by the HSE™ exam established by the NAB. Part One features multiple choice, single-best answer questions grouped by domain of practice with rationales accompanying each “best” answer. Part Two simulates the Core Knowledge Exam, offering a separate exam for the core content and each of the three lines of service – Nursing Home Administration, Residential Care/Assisted Living, and Home- and Community-Based Service. These exams are structured to model the current content blueprint of the NAB licensure exams, and include best answer rationales to enhance self-assessment and further learning. This Q&A review is one of the most authoritative and comprehensive available. It contains over 470 questions with best-answer rationales. It is a “must-have” supplemental resource for leaders in the field, whether taking their initial licensure exams or completing the remaining lines of service exams.

Sports medicine practitioners' primary responsibility is to provide optimal medical care for athletes on and off the field. The care continuum for the athlete includes injury/illness prevention, diagnosis, treatment, rehabilitation, and return to sport. Prompt evaluation of an injured athlete on the field can expedite the diagnostic process, management, rehabilitation, and return to sport, frequently the most important outcome measure. The understanding of basic concepts related to sports coverage will help the practitioner provide high level care. This handbook provides a unified resource that covers the knowledge gaps that may be present when providing sports coverage. It is divided into several sections. The Introductory section covers common topics that apply to all sports medicine practitioners providing sideline or event coverage independent of level of experience. For example: the role of the team medical provider; what to have in the medical bag; factors to consider when traveling with a team; medicolegal issues specific to the medical team member; how to assess and manage common medical emergencies; nutrition and hydration recommendations for pre-, during, and post-training or competition; preparticipation physicals; general concepts of adaptive sports; and lastly, general concepts of doping in sports. The further sections dive into sport-specific coverage divided by contact, limited-contact, or no-ncontact sport classification. The book also covers summer and winter Olympic sports and other popular sports that are practiced worldwide. It provides information on the history, participants, rules and regulations, equipment needed and/or required, medical coverage logistics, emergencies, medical bag essentials, epidemiology, and a brief discussion of common injuries for each individual sport. The book will serve as an excellent resource for physicians in training or seasoned veterans from all specialties, athletic trainers, physical therapists, and any other healthcare providers who want to provide on-field, sideline, or event sports coverage.

This book is a novel and valuable resource for both neurologists and generalists. It is intended for medical students, mid-level practitioners, residents, and fellows in neuromuscular medicine. Chapters of the book are divided into global presentations that should be familiar to neurologists and other healthcare providers. It provides guidance well beyond the spectrum of neuromuscular disorders. Signs, for instance, are examined from the perspective of both central and peripheral nervous system causes, with etiologies succinctly outlined for quick review by the provider. Clinical pearls are offered to refine both history-taking and examination skills. Key features of neuromuscular disorders that present with the symptoms and signs discussed earlier in each chapter are summarized in tables, at times with guidance on laboratory testing to help narrow the differential diagnosis. Finally, there are brief overviews of treatment and management. The book is divided into nine chapters. The first chapter is devoted to interpretation of diagnostic testing used in neuromuscular disorders. The next three chapters discuss acute generalized weakness, subacutely developing weakness, and chronically developing weakness. The fifth chapter presents the different ways that episodic weakness and exercise intolerance might manifest, as well as which findings on the physical, electro diagnostic, and other assessments can point to different etiologies. The sixth chapter discusses the symptoms and signs of ocular and bulbar muscle weakness in the context of disorders of the peripheral nervous system. The seventh chapter covers the presenting complaints and physical examination findings in patients with neuromuscular respiratory failure as well as diagnostic studies commonly used in the workup of such patients. The penultimate chapter concentrates on sensory loss and neuropathic pain. The final chapter addresses limb pain, a common complaint evaluated by neurologists.

This book provides a practical and concise text for electromyography (EMG) rotations and is a great companion to the larger reference texts that successful electrodiagnosticians also need. It provides more of the practical information on EMGs that made the first edition so successful. In addition, it includes pictures, text, clinical pearls, questions, and tables and provided novel chapters such as the use of ultrasound in electrodiagnostics. These chapters are written by some of the foremost and experienced authorities in the field. This book includes 35 chapters. These chapters are organized into six sections. Section I consists of Chapters 1–3. It provides introduction to electrodiagnosis, instrumentation and systematic approach to learning and performing nerve conduction studies. Section II consists of Chapters 4–9. It discusses motor and sensory studies of upper limb and lower limb. Section II also discusses the F-waves and H-reflexes. Section III consists of Chapters 10–13. It provides basic approach to EMG technique and waveform recognition. Section III also describes motor unit action potential analysis and recruitment. Section IV consists of Chapters 14–17. It discusses orthodromic and antidromic nerve conduction studies; temporal dispersion and phase cancellation; interpreting studies; and common anomalies. Section V consists of Chapters 18–33. It discusses carpal tunnel syndrome; neuropathy of ulnar and radial; anterior interosseous nerve lesion; fibular and tibial neuropathy; lumbosacral and cervical radiculopathy; facial nerve and blink studies; repetitive stimulation and neuromuscular junction disorders; peripheral neuropathy; brachial plexopathy; motor neuron disease; myopathy; and the use of ultrasound with electrodiagnosis. Section VI includes Chapters 34 and 35 which include study checklists and the answers to the multiple choice questions located within the chapters.

This is a comprehensive textbook that illustrates existing conditions of health disparities across a range of populations in the United States, positions those disparities within the broader sociopolitical framework that leads to their existence, and most importantly presents specific ways in which health equity solutions can be designed and implemented. Presenting current theoretical foundations, cultural context, and evidence-based models and interventions all in one, this textbook provides students with the basis to achieve greater health equity in their communities. Edited by award-winning authors and featuring contributions from diverse experts in public health, sociology, psychology, and medicine, this groundbreaking text goes beyond a traditional approach to risk factors and disparities and emphasizes the central role health equity initiatives must play in public health research and practice. The book is divided into three sections. Section one focuses on providing the context of health equity research and practice. Chapters are structured in a way that both new and experienced students in the field will develop a deeper understanding of topics such as prejudice and discrimination; frameworks and theories; and research and collaboration approaches. Section two addresses current knowledge about specific populations impacted by issues related to health equity, including African American, Latino and Hispanic, Asian, American Indian and Alaska Native, Native Hawaiian and Pacific Islander, LGBTQ, Veteran, People with Disabilities, and many more. The chapters summarize how health disparities impact the group, ongoing population-specific models of disparities and equity, and emerging programs for achieving health equity and covers the most relevant aspects of intersectionality. Section three highlights the role of cultural humility in achieving health equity. With its solutions-focused and community-affirming approach, the book provides graduate and undergraduate students of public health with evidence-based models to help advance health through diversity, inclusion, and social justice.

The goal of the electromyographer is to localize lesions and to characterize them. In order to accomplish these goals, a minimum core of knowledge in neuroscience is required. This book discusses that core of neuroscientific knowledge as a stepping stone to lesion localization and characterization. Following this, it demonstrates how this information is actually utilized in the electromyography (EMG) laboratory using a case study approach. Although several excellent EMG case study-based textbooks are available, the book is unique in that it offers a step-by-step analysis of the nerve conduction studies (NCS) and needle EMG studies as they are collected, including a discussion of the initial studies required based on the presenting clinical features, an interpretation of those initial studies, and the indications for subsequent studies based on that interpretation. This step-by-step analysis continues until the lesion has been fully localized and characterized. The book is extensive and explains the important principles and concepts underlying electrodiagnosis (EDX) medicine. It reviews the anatomy and physiology of the peripheral neuromuscular system, basic principles of NCS, specific concepts pertinent to each type of NCS (motor, sensory, and mixed NCS, as well as repetitive nerve stimulation studies), and the basic principles of needle EMG. Following this, it discusses the NCS and needle EMG measurements made, their meaning, and the EDX manifestations of the various neuromuscular disorders. It also includes a discussion of the various types of nerve injuries and a review of reinnervation. It focuses on lesion localization and the characterization of the lesion, including its pathology, pathophysiology, severity, and temporal features. The book demonstrates the application of the principles and concepts through 60 EDX case studies collected from the authors' EMG laboratories using a step-by-step analysis format.

Few would disagree that the past 25 years have been transformative in the lives of gender and sexual minority (GSM) people living in the United States. The lesbian, gay, bisexual, and transgender (LGBT) community is diverse yet united, in need yet strong, and oppressed yet resilient. This book will serve simultaneously as a reference, a call to action, and a guide for change in addressing the multitude of health challenges described in here. The book is organized into four sections containing twenty-three chapters. The first section gives an overview of the history, current status, and terminology associated with the health of gender and sexual minority groups, as well as discussion of some overarching themes that are relevant to health topics such as sociocultural and systemic barriers to health and health risk behaviors. The second section explores a multitude of individual health outcomes such as obesity, cancer, chronic illness, reproductive health, intimate partner violence, mental health, suicide and self-injury, substance use, and HIV and other sexually transmitted infections in GSM groups. It also describes what is currently known, what remains to be discovered, and what avenues there are to improve the outcome. The third section examines the specific factors impacting the health of particular GSM groups, such as gender minority populations and GSM veterans. The final section concludes with a discussion of evidence-based interventions for improving GSM health, recommendations for health care providers for providing competent care to GSM Individuals, and future directions for GSM health research.