This book presents theoretical underpinnings of perinatal and pediatric bereavement, chapters on dimensions of perinatal and pediatric loss that have been of interest recently, and clinical interventions derived from research. It is divided into two sections. The first section has 10 chapters focusing on aspects of perinatal loss. It presents background content on various grief theories developed in the past five decades. These theories have expanded our understanding of the processes of death, dying, and bereavement. Grief after pregnancy loss can be more complicated for certain groups. The book provides a comprehensive overview of perinatal grief among lesbian couples and an overview of perinatal loss in adolescents, discussing normal adolescent growth and development, and using Sanders’s integrated theory of bereavement to discuss the common physical, emotional, social, and cognitive reactions to loss. The second section has eight chapters focusing on various aspects of caring for families whose children are dying or who have died, and caring for children who are grieving. Sometimes, the death of a child can occur under traumatic circumstances, setting the stage for very intense psychological responses. The book focuses on the impact of the cause of the death on posttraumatic stress responses and overall parental health after the traumatic loss of a child and describes supportive interventions for bereaved parents. Suicide is one of the most traumatic losses a family can experience. Finally, the book presents the importance of creating and capturing meaningful moments in the time leading up to and after the death of a child, focusing on the importance of relationships among families and professionals as they prepare for the child’s death.
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Creativity must represent something different, new, or innovative. It has to be different and also be appropriate to the task at hand. The first chapter of the book deals with the Four-Criterion Construct of Creativity, which attempts to integrate both Western and Eastern conceptions of creativity. This is followed by a chapter which addresses how creativity operates on individual and social/environmental levels, and the effects and outcomes of the creative mind. Chapter 3 discusses the structure of creativity. A key work on creative domains is that of Carson, Peterson, and Higgins, who devised the creativity achievement questionnaire (CAQ) to assess 10 domains. The fourth chapter discusses measures of creativity and divergent thinking tests, Torrance Tests, Evaluation of Potential Creativity (EPOC) and Finke Creative Invention Task. Some popular personality measures use different theories, such as Eysenck’s Personality Questionnaire, which looks at extraversion, neuroticism and psychoticism. Chapter 6 focuses on a key issue, intrinsic versus extrinsic motivation and their relationship to creativity. While the seventh chapter deals with the relationship between creativity and intelligence, the eighth chapter describes three ’classic’ studies of creativity and mental illness which focus on the connection between bipolar disorder and creativity, usage of structured interviews and utilization of historiometric technique. One school admissions area that already uses creativity is gifted admissions—which students are chosen to enter gifted classes, programs, or after-school activities. The book also talks about creative perceptions and dwells upon the question whether creativity is good or bad.
This book presents the best short introduction to genius to be found. It is a valuable resource for all students of psychology and anyone interested in the field. The book examines the many definitions of “genius”, and the multiple domains in which it appears, including art, science, music, business, literature, and the media. The term genius is peculiar. It can be precisely defined or loosely defined. It can be applied to a diversity of phenomena or confined to just one or two. It all depends on how you use the term. The tremendous range in usage reflects the fact that genius is both a humanistic concept with a long history and a scientific concept with a much shorter history. There are two principal ways to assess degrees of genius. One is historiometric, and the other is psychometric. Whatever the actual association between historiometric and psychometric genius, we have a strong inclination to associate the two concepts. This connection was demonstrated in a recent survey of college students at both U.S. and Canadian universities. The book also examines three alternative positions on the nature of cognitive ability: unified intellect, diverse intellects and hierarchical intellect. Whether intelligence is unified or multiple, all budding geniuses must go through some sort of apprenticeship period in which they acquire the expertise that will enable them to make original and exemplary contributions to their chosen domain of achievement. The book further explains what psychologists have said about problem-solving research in cognitive psychology.
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).
This book explores a set of key topics that have shaped research and given us a much better understanding of how language processing works. The study of language involves examining sounds, structure, and meaning, and the book covers the aspects of language in each of these areas that are most relevant to psycholinguistics. The book then covers relatively low-tech methods that simply involve pencil and paper as well as very high-tech methods like functional magnetic resonance imaging (fMRI) that use advanced technology to determine brain activity in response to language and discusses a topic that has dominated the field for over two decades how people handle ambiguity in language. It describes how language is represented, both in the brain itself and in how multiple languages interact, which parts of the brain are critical for the basics of language, and how language ability can be disrupted when the brain is damaged. The book further talks about progressive language disorders like semantic dementia and what the study of disordered language can tell us about the neurological basis of language. Finally, it looks at sign language research to see if and how sign language processing differs from speech and a relatively new hypothesis that has emerged: most previous work has taken for granted that comprehenders (and speakers) fully process language, that is that we try to build complete representations of what we hear, read, or produce.
The purpose of this book is to dispel many of the myths about the gifted, define the term in a nonelitist manner, explore how it manifests in individuals, describe why it is important, consider its origins, examine its psychological implications, and provide guidelines for its recognition, assessment, and development. It provides a cohesive conception of the psychology and development of a group with special needs. This perspective was shaped through 50 years of concentrated study and is informed by the author’s experience as a teacher of gifted elementary students, a counselor of gifted adolescents, a teacher educator of graduate students in gifted education, a psychologist specializing in the assessment of giftedness, a clinician with gifted clients, the creator of a refereed psychological journal on adult giftedness, and a researcher. In humanistic psychology, optimal development has been conceptualized differently. Self-realization can be understood in terms of Maslow’s self-actualization, Dabrowski’s secondary integration, Jung’s individuation, or other theoretical perspectives of human development. Families, educators, and psychologists can support inner development or they can act as agents of socialization, exhorting the gifted to "work harder" to attain external trappings of success.
The goal of this book is to teach the ability to form an autonomous and clinically useful opinion about any 12-lead electrocardiogram (EKG). It introduces basic principles of anatomy and physiology, including a review of the heart’s electrical system. The heart has an intricate electrical system, made up of highly specialized cells, that is responsible for generating each heart beat. The heart’s electrical system consists of five structures: the sinoatrial (SA node), the atrioventricular (AV node), the bundle of His, the right and left bundle branches, and the Purkinje fibers. One of the most basic yet important pieces of information the EKG provides is the heart rate (HR). The most accurate way to measure heart rate is by measuring the R-R interval. Learning the normal electrical direction of forces in the heart provides a simple and scientific way of understanding and interpreting an EKG. The book also discusses vital elements of cardiology, such as atrial and ventricular arrhythmias, conduction abnormalities and heart block, ischemic and nonischemic disorders, and more. It explains various types of heart blocks such as premature atrial contraction, sinus arrest and asystole, and various types of pacemakers such as ventricular pacemaker and artrial pacemakers. Drug effects and toxicities, electrolyte imbalances, trauma, pericardial diseases, lung disease, cancer, cardiomyopathies, and systemic diseases are conditions that can cause specific changes on the EKG.
This book is a response that fosters education, practice development, and professionalism. The bachelor of science in nursing (BSN) is the essential educational foundation to give nurses the knowledge to improve health outcomes and provide the highest quality care. It provides the essentials of nursing theory and the importance of having a philosophy of nursing that informs our professional role. The book is written to assist with the transition from the role of the LPN to the baccalaureate-prepared registered nurse (RN). Licensed practical nurses (LPNs) who enter a university to advance their education through seeking a baccalaureate of nursing degree often find the experience of socializing into the new professional role challenging. The book analyzes the change process, discusses Benner’s stages of clinical competence, examines the philosophy of nursing and describes stress reduction measures. The terms leadership and management are described, and the role of the baccalaureate-prepared nurse as leader and manager is explored. Finally the book talks about the Skill Competencies required for the Baccalaureate-Prepared Nurse-electronic health records (EHRs); the Technology Informatics Guiding Education Reform (TIGER) Movement; Simulated E-Health Delivery System (SEEDS) and Nursing Informatics Education Model (NIEM). The Quality and Safety Education for Nurses (QSEN) program was created in 2005 by an expert panel of nursing educators with the aim of preparing future nurses to continuously advance the quality and safety of the health care system in which they practice. The group developed six core competencies to be incorporated into nursing curricula: client-centered care; teamwork and collaboration; evidence-based practice; quality improvement; safety; and informatics.
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 describes innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy, medical, financial, and operational considerations necessary for successfully opening and operating nurse-led health facilities. With the mission to dramatically expand access to primary and preventive health care, these clinics provide a full range of services including primary care, health promotion, disease prevention, and behavioral health care to residents of underserved communities throughout the United States. The book provides a historical perspective on nurse-managed health centers (NMHCs), includes chapters on the practical aspects of starting and operating NMHCs, combined with case studies that illustrate the challenges, lessons learned, and successes of NMHCs, and deals with an assessment of the current status of NMHCs and a vision for their future. The book delivers a wealth of comprehensive information for nurses who are considering opening their own clinics. Reinforced with best-practice models and case studies, it discusses what it takes to successfully start and run a nurse-managed health center. The book addresses the history and growth of nurse-led clinics and describes the nurse-led paradigm of care. It identifies the different types of nurse-led clinics (primary care, school based, wellness, and more) and the clinical services offered within them. Also discussed are the requirements and mind-set of potential consumers and strategies for sustainability along with the role of the collaborative team. The pros and cons of a variety of business and operations models are examined along with quality metrics and initiatives. The book also covers various state and federal policy challenges and opportunities and explores the future of nurse-led care in view of ongoing health care reform.
Stereo electroencephalography (
EEG) has become the predominant method across the world to invasively explore patients with focal epilepsy who are potential candidates for resective surgery. This required many epilepsy centers to introduce major workflow adaptations, investment in surgical and imaging technologies, and seek training in placement and interpretation of depth electrodes recordings. It became evident that a comprehensive, practical textbook outlining the different steps and nuances of the methodology was missing. This book covers all practical aspects of stereo EEGand is a quintessential staple for anybody learning and working in the field of epilepsy surgery, including adult and pediatric epileptologists and neurophysiologists, functional neurosurgeons, technologists, and trainees in these areas. The book is a complete and practical guide to thinking and doing stereoelectroencephalography ( SEEG) which will be a solid reference to practitioners around the world. Almost all chapters feature illustrative cases to explain specific aspects and key concepts of the SEEGmethodology. The section covering the practical approach to specific epilepsy syndromes includes voice-over slide presentations demonstrating the process of a systematic patient discussion, hypothesis generation, and electrode planning followed by data interpretation and delineation of surgical resection. The book starts with the historical background and principles of stereo EEGand discusses the role of the noninvasive evaluation and patient selection. It describes technical aspects of electrodes, multimodal data coregistration, and guidelines for invasive monitoring. The book then presents the conceptual framework of stereo EEGfollowed by surgical aspects of stereo EEGelectrode placement covering robotic and frame-based approaches, specific pediatric aspects, and potential complications. It describes data interpretation of physiologic, interictal, and ictal epileptic activity, and outlines conceptual and methodological aspects of electrical stimulation mapping. The book ends with discussing surgical procedures to remove the epileptogenic zone and a review of seizure and cognitive outcome with stereo EEG.
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.
As the field of intensive care unit (
ICU) electroencephalogram ( EEG) monitoring evolves, the use of continuous EEGmonitoring ( cEEG) is expanding beyond seizure detection. EEGprovides continuous and noninvasive monitoring of brain function and, coupled with quantitative EEG, enables clinicians to monitor for signs of acute and evolving cerebral injury. Early identification of these electroencephalographic biomarkers may, in turn, offer targets for therapeutic neuroprotective interventions. This book provides a contemporary and concise summary of important principles ranging from seizure identification and encephalopathy grading to advanced techniques of quantitative EEGand multimodality monitoring. These principles are important for current clinical care and advancement of the field. It includes 12 core chapters, each of which begins with text, tables, and figures and ends with a series of EEGimages illustrating the concepts and principles discussed in the text. Each chapter is written by experts in the field. In addition, case-based approaches to common scenarios focus on EEGpattern recognition, diagnostic evaluation, and management. The cases not only build upon EEGskills learned in the chapters but also cover additional diagnostic and management principles. The book also includes chapter-based board-style multiple-choice questions and videos available online to elucidate important concepts. This atlas will benefit an audience ranging from novices to experts in the fields of neurology, epilepsy, neurophysiology, neurocritical care, neonatology, and cardiac and pediatric critical care medicine.
As incredible it is to us to consider how far the ketogenic diet has come in 100 years, it is equally amazing to realize that this Ketogenic Diets book is now in its seventh edition, 25 years after its first publication by Demos Health. This edition continues the recent tradition of updating us every five years on what’s new and noteworthy in the use of ketogenic diets, and the authors appreciate many comments from parents and patients that this book has become a “gold standard” guide. The author’s intention is to continue to make this book helpful for everyone on the ketogenic journey: parents, patients, caregivers for sure, but also physicians, dietitians, scientists, nurses, and social workers. They consider it a success if it helped make ketogenic diet therapies more approachable and effective for you, your family, and/or your ketogenic diet center. Now, with over 10 years of experience, this seventh edition includes all-new material and guidance for adults starting dietary therapies, including information from a recent international expert guideline publication. For children, the 2009 pediatric ketogenic diet consensus statement was recently revised in 2018; details and changes from this important paper will be seen throughout this book. New chapters include exogenous ketones, a fifth ketogenic diet entitled the “modified ketogenic diet”, intermittent fasting, the influence of ketogenic diets on the gut microbiome, and expanded use for infants. Much of the final editing of this edition occurred during the COVID-19 pandemic, and the authors included information learned about how to manage ketogenic diet therapies in a crisis/pandemic situation. Finally, as ketogenic diets continue to be used by more countries every year, this book highlights some of the international recipes, cultures, and even scientific initiatives of this worldwide expansion.
This book provides us with what we need to sleep well. It provides the tools and techniques to reverse insomnia and improve sleep long-term. Insomnia, persistent trouble getting to sleep or staying asleep, affects our daytime functioning and wellbeing. The book breaks down the principles of cognitive behavioral therapy for insomnia (
CBT-I), the sleep program considered first-line treatment in the clinic, into a step-by-step and reader friendly program that can be easily followed at home. Written by a clinical psychologist and researcher who has worked in the sleep field for 40 years, the book uses data from a real patient to illustrate each step of the process. The book is complete with detailed sleep diaries, worksheets, and more, all of which are also available online to download and use on your own journey to sleeping better now and into the future. Guiding readers through this self-directed sleep therapy program, the book features updated information and new scientific findings on key topics for patients and health care providers including: tried-and-true CBT-Imethods of sleep management; successful cognitive therapy methods to deal with racing thoughts at bedtime; different sleep needs for women and men through life and health conditions; influence of nutrition, exercise, and sex on sleep in a brand-new chapter; depression, anxiety, and traumatic stress and how they intersect with sleep; and prescribed and non-prescribed medications, herbal remedies, and cannabis for sleep.
Botulinum toxin (
BoNT) therapy involves as much art as it does science. Prescription and injection of a BoNTproduct 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 BoNTproducts 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 BoNTdosage information for each of these BoNTproducts 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 BoNTproduct 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.
This edition of the Handbook of
EEGInterpretation promises to be the best iteration yet. Each chapter is written by a professor of neurology subspecializing in the field of epilepsy. As in any field of medicine, the best quality of care evolves and is reflected by new knowledge borne by the practitioner. In the case of electroencephalography ( EEG), this knowledge is a function of exposure and of experience. Hence, the book hopes to fill a void that exists by providing quick and easy access to topics in EEGin the hopes of ultimately providing better patient care. The book reviews abnormal nonepileptiform EEG. In addition to the chapter on abnormal epileptiform EEG, these are foundational chapters necessary to provide an accurate clinical correlation and facilitate appropriate patient management of patients with seizures and neurological illnesses that may have management decisions predicated upon interpretation of EEG. The book summarizes pediatric seizures and the role of ambulatory EEG, in addition to video- EEGand adult seizures, new chapters to emphasize the increasing role of event recording with EEG. The chapter on sleep provides a focus on and correlation of patients with sleep disorders and epilepsy. The chapter on neurointensive intraoperative monitoring, adds very instructive information to performing a variety of monitoring techniques in the operating room, in addition to a chapter on electrocorticography, to expand on examples that involve patients with epilepsy, brain tumor, vascular malformations, and other diseases of the cerebrum. The excellent final chapter, magnetoencephalography, includes examples to illustrate the powerful source localizing capability of this technique. With completion of the third edition of the handbook, it is the authors hope that it will continue to serve clinicians young and old, experienced and novice, physician and technologist alike.
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
CPHexam 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 CPHcertified 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.
Fast Facts for the Antepartum and Postpartum Nurse:A Nursing Orientation and Care Guide in a Nutshell
This book provides a basic reference for nurses caring for women and their families during the antepartum and postpartum periods. It encompasses evidence-based practice guidelines and clinical recommendations for routine antepartum assessment and nursing care, care of women with pre-existing conditions prior to pregnancy or complications of pregnancy, routine postpartum assessment and care, postpartum complications, and care of special populations. Chapters are organized systematically to include assessment and management guidelines, health promotion and teaching recommendations, routine laboratory and ultrasound tests, and holistic evidence-based nursing care practices. A separate section addresses special populations and outlines care components specific to these women and their families. They include culturally diverse families, women on each end of the age spectrum, women with fetuses or newborns diagnosed with adverse outcomes, women who have a history of being victimized, and those with deployed partners. While targeted to hospital-based nurses and new nurses in hospital orientation and their preceptors, it is also a helpful resource for nurses who practice in a great variety of related settings, as well as nurse midwifery students. Appendices include a skills checklist, a list of commonly used medications, abbreviations, and lab values.
This book is a study guide/self-evaluation tool to prepare for the ABPN exam and MOC exam in vascular neurology. It is representative of the areas tested on the exam, including the standard clinical and basic science of stroke and some of the esoterica that appear on the exam. The book serves as a study guide for any neurologist, internist, or family practitioner interested in expanding his or her knowledge in this important field. The practice exam question-and-answer format is an effective and engaging study method, as opposed to a didactic review or summary reader. It is useful also to identify areas of weakness that require further study. The book has over 600 questions divided across fifteen sections. The fifteen sections are as follows: Basic Science; Vascular and Brain Anatomy; Clinical Pathology; Pharmacology and Pharmacokinetics; Epidemiology, Genetics, Primary Prevention; Ischemic Disease of the Brain and Spinal Cord; Hemorrhagic Disease of the Brain and Spinal Cord; Neuro-Ophthalmology; Cardiovascular Disease; Hematology; Pediatric Cerebrovascular Disease; Neurovascular Imaging; Clinical Trials and Ethics; Recovery and Rehabilitation; and Case Studies in Cerebrovascular Disease. The questions include cytotoxic edema following cerebral ischemia, internal carotid artery; cavernous malformations; thiazide diuretics; fibromuscular dysplasia; transient global amnesia; spinal epidural hematomas; ischemic optic neuropathy; atrial fibrillation; Von Willebrand disease; Perinatal ischemic stroke; cerebral microbleeds; modified Rankin scale; botulinum toxin and so on. Explanatory answers with appropriate references are included to facilitate learning. Most of the references are relatively recent, but for certain topics, the classic references, such as Niels Lassen’s work on incomplete cerebral ischemia and Anthony Furlan’s classic description of retinal ischemia presenting as visual change in bright light have been included.
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.
Continuous EEG monitoring is an important tool for assessing brain functions and allows clinicians to identify malignant EEG patterns quickly and provide more effective care. This book presents the wide range of technical and clinical issues encountered in successful critical care EEG. It focuses on the challenges of EEG interpretation that are unique to EEG monitoring in the ICU. The book is organized into five parts containing forty chapters. The first part describes technical issues such as EEG acquisition equipment, electrodes and montages, networking, remote monitoring and data storage, and staffing an ICU monitoring unit. The second part presents various indications for continuous EEG monitoring such as status epilepticus, ischemic stroke, subarachnoid hemorrhage, intracranial hemorrhage, infectious and inflammatory conditions, traumatic brain injury, and cardiac arrest. The third part focuses on EEG Interpretation and presents an overview of standardized critical care EEG terminology. Part four describes treatment of generalized convulsive status epilepticus, non-convulsive status epilepticus in adults, and status epilepticus in the pediatric population. It also discusses alternative treatments for refractory status epilepticus, and prophylaxis of seizures in the ICU population. The final part presents neonatal ICU EEG guidelines, American Clinical Neurophysiology Society (ACNS) consensus statement for pediatrics and adults, billing and coding for ICU EEG monitoring, report generation and communication with the ICU team, multimodality monitoring, and future directions for EEG monitoring in the ICU.
Inherited metabolic epilepsies represent a diverse group of disorders of inborn errors of metabolism in which epilepsy is a clinically significant component. This book, organized into six parts containing 43 chapters, is based on a sequential exposition of general principles, basic science, clinical science, small molecule disorders, large molecule disorders, and conclusions. Part I describe recognition, scope, and implications of inherited metabolic epilepsies and provides an overview of metabolic disease. Part II covers principles and mechanisms of metabolic epilepsies, metabolic energetics, an approach to molecular pathways with emphasis on the ubiquitous mechanistic target of rapamycin (mTOR) pathway that governs cellular proliferation and has implications from central nervous system (CNS) development to degeneration, excitatory/inhibitory imbalance that is at the heart of epilepsy, chaperone proteins representing a novel approach to metabolism, and neurophysiologic studies aimed at measuring neurotransmission. Part III explores neuroimaging including spectroscopy, electroencephalography, neuropathology, genomic technology, and use of the ketogenic diet in metabolic epilepsies. Individual disorders are categorized with the small versus large molecule format, with special emphasis given to certain metabolic disorders to highlight their unique characteristics. Part IV describes small molecule diseases such as amino and organic acid disorders, urea cycle disorders, pyridoxamine 5´-phosphate oxidase (PNPO) deficiency, disorders of GABA metabolism, DEND syndrome, Lesch-Nyhan disease to name a few. Part V presents large molecule diseases such as congenital disorders of glycosylation, lysosomal storage diseases, peroxisomal diseases, and leukodystrophies. The conclusion part covers diagnostic and therapeutic approaches, genetic counseling, family resources, and an algorithmic clinical approach to inherited metabolic epilepsies. The book will educate physicians, particularly specialists and trainees in pediatric and adult neurology, neurodevelopmental disabilities, epilepsy, and genetics, while caring for patients with inherited metabolic epilepsies, as well as spur further research into basic mechanisms and clinical trials in this group of maladies.
Women have unique biopsychosocial factors that make them more vulnerable to mental illness. Many of these mental illnesses can elicit enormous physical, emotional, financial, and social barriers. This is books serves as a quick-access clinical guide to the range of mental health issues and diagnoses that commonly affect women across the life span. The book is divided into four sections. The first section deals with the role of cultural competence in mental health and the various types of violence such as sexual assault, rape and stalking perpetrated on women. It emphasizes key stressors specific to women that are precursors to mental illness. The second section looks at the mental disorders affecting special populations among women including girl children and adolescent females, and aged women. Disorders for other unique populations such as disabled women, lesbian and transgendered women, female veterans, women with forensic health concerns, and women who have been the object of violence are also discussed here. In the third section, chapters address childbearing issues, including menstruation-related problems, infertility and its psychological implications, and antepartum, intrapartum, and postpartum psychological disorders. The final section of the book is devoted to the discussion of the various psychiatric issues common to women: anxiety disorders; mood disorders; eating disorders; personality disorders; psychotic disorders; sleep disorders; substance abuse disorders; grief and loss; schizophrenia; and sexual dysfunction.
Play is central in the development of the child's identity and the process of self-definition. In the safety of the parent—child relationship, play emerges as a powerful self-shaping force. Through play, infants and children begin to experience others, supporting the brain in its transformation into a social structure. This book marks an important historic moment in recognition of therapeutic and intentional play as a crucial and essential component that is interwoven within the eight phases of eye movement desensitization and reprocessing (
EMDR) therapy with children. The play themes of traumatized children are full of cognitive, emotional, somatic, and behavioral elements that are reminiscent of the traumatic events they experienced as well as the legacy of what these experiences did to their neurobiological systems. The book offers enormous alternatives and ingenious ways of using the playroom to provide a fertile ground where the child can play out explicit material as well as implicit urges. It integrates EMDRand play therapy to create a powerful method for treating children suffering from trauma. It also includes contributions from dually credentialled EMDRclinicians and registered play therapists, art therapists, and sand tray practitioners. The book offers a fully integrated approach to EMDRand play therapy faithful to the eight phases of standard EMDRprotocol and play therapy principles. It includes a chapter on culturally sensitive EMDRand play using Latinx culture as the lens describes how traditional play therapy creates an emotionally safe space for trauma work for children. The book provides hands-on play therapy interventions for each EMDRphase in quick reference format and delivers multiple interventions with rationale, step-by-step directions, materials required, case examples, and visual aids.
This book is the first resource fully dedicated to quantitative
EEG( QEEG) analysis, tailored for physicians or EEGtechnologists who work with critically ill patients. With the rise of continuous EEGmonitoring in intensive care, clinicians are increasingly called on to make real-time clinical judgments with little formal guidance on how to interpret QEEG. The book is configured to meet daily practice challenges. It addresses not only technical fundamentals, but also provides numerous examples of signature QEEGpatterns and artifacts to instruct both untrained and experienced eyes. The book walks the reader from essential principles all the way through to practical pattern recognition. With full-page reference samples pairing raw EEGwith quantitative EEGspectrograms, brief clinical vignettes, and explanatory captions noting significant features, it provides a roadmap for understanding and applying QEEGdata in critically ill patients. The book contains more than 400 full-page vivid color QEEGexamples paired with raw EEGto build interpretive skills and enhance clinical decision-making. It presents thorough discussions of both normal and abnormal findings and QEEGartifacts that set the standard for effective use of quantitative electroencephalography and trend analysis in the ICU. The book is organized into three sections. Section one presents the principles of quantitative electroencephalography. Section two discusses the clinical practice of quantitative electroencephalography. Section three describes the artifacts in quantitative electroencephalography. Complete with a broad range of patterns and page after page of full-color samples, the book is designed to be the authoritative QEEGreference for neurologists, intensivists, technologists, and trainees working in critical care settings.
This book addresses the role of neuromonitoring in neurocritical care. It discusses current utilization, benefits, and concerns for each commercially available neuromonitoring device and describes basic strategies for neuromonitoring implementation and analysis. Topics covered in the book include: intracranial pressure (ICP) monitoring, transcranial Doppler (TCD) monitoring, continuous electroencephalography (EEG) monitoring, cerebral oxygenation, brain-tissue perfusion monitoring and cerebral microdialysis. The roles of ICP monitoring and control are both unique and vital to neurocritical care. There are four main locations within the brain where ICP monitoring devices are frequently placed: fluid filled ventricle, brain parenchyma, subarachnoid, and epidural space. The decision of which location and device to use is based on the clinical scenario, appearance of the head computed tomography (CT) (i.e., size of cerebral lateral ventricles) and operator experience. Patients with brain injuries may have impaired cerebral autoregulation. Continuous monitoring of cerebral autoregulation is feasible in neurocritical care. In patients with brain injury, conservation of cerebral autoregulation is related to prognosis. Monitoring of cerebral autoregulation is useful for optimizing and individualizing the therapeutic management of patients with brain injury. The book also focuses on strategies for successful training of the neurocritical care nurse and the role of the nurse in neuromonitoring. The responsibility of the advanced practice nurse (APN) in developing a successful neuromonitoring unit is also addressed. Finally, the book focuses on the current benefits, misunderstandings, limitations, and unjustified expectations surrounding multimodal monitoring (MMM).
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.
Clinical Neurophysiology in Pediatrics:A Practical Approach to Neurodiagnostic Testing and Management
This book serves as an excellent reference for the clinical provider as well as for trainees and technologists in gaining greater knowledge in the various subspecialty areas of clinical neurophysiology (CNP). Each chapter emphasizes a different focused area of neurophysiology and brings together the clinical and technical information needed for understanding. Chapters are devoted to pediatric sleep disorders, epilepsy, febrile seizures, and nonepileptic paroxysmal disorders. Other chapters are devoted to pediatric muscular dystrophies, electromyography (EMG), brachial plexopathies, and peripheral neuropathy. A chapter devoted to intraoperative monitoring is included along with other chapters on evoked potentials and autonomic disorders. In several chapters, multiple authors have contributed, each providing aspects related to their research or area of unique expertise. The future role of CNP in pediatric (and adult) neurologic diseases will most certainly evolve from where it is today. Advances in neuroimaging and molecular and genetic testing have allowed much more specific diagnoses than allowed by CNP procedures. This coupled with advances in technology and the availability of new procedures is making the future of CNP more exciting than its past was. The book discusses some ways in which CNP will evolve and the factors responsible for it.
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.
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.
Clinical case studies have long been recognized as a useful adjunct to problem-based learning and continuing professional development. This book collects over 90 of the most memorable and challenging movement disorder cases from the world’s leading authorities in this specialty. It presents case vignettes covering the entire phenomenology of movement disorders and walks the reader through the diagnostic process - much like being in the examining room with a master clinician. The movement disorders discussed in the book include: Parkinson’s Disease, tremors, chorea, dystonia, ataxia, tics, stereotypies, myoclonus syndrome, startle syndrome, and psychogenic movement disorder. Each case follows a set format consisting of four sections: The Case; The Approach; The Lesson; Reference and Suggested Readings. Imaging findings and other illustrations amplify the discussion where pertinent. The book is designed to help hone diagnostic skills and inform treatment decisions for the full spectrum of movement disorders. The lessons learned need not be all scientific, such as describing the first case on a new genetic disorder. More often, the lessons are that about human frailty, medical intuition, a caregiver’s strength, a doctor’s uncertainty, or a patient’s determination and will to survive. The book and its collection of cases, is as much about the art and the compassion, as it is about the science of our profession. Each case will invoke a lesson on persistence or practicality, thoroughness or focused observation, objectivity or intuition, and professionalism or empathy.
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 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.
In the last decade, several professional societies have published guidelines on various aspects of monitoring, and other publications have further documented the utility of neurophysiologic intraoperative monitoring (NIOM). This book covers basic aspects of monitoring, provides details of monitoring specific types of surgeries, along with technical requirements and addresses the administrative aspects of running an NIOM service. The book is divided into three parts. Part I introduces the reader to the operating room environment and discusses all the basic NIOM modalities such as somatosensory, motor and brainstem auditory evoked potentials, electroencephalography (EEG) and electromyography (EMG), with each modality being discussed in a separate chapter. A chapter detailing anesthetic effects on NIOM is also in this part. The second part on clinical methods, reviews the use of NIOM in various types of surgeries including that of vertebral column, spinal cord, tethered cord, peripheral nerve and brainstem. The chapters present the basics of anatomy, physiology and surgery of the various procedures. Details of the monitoring modalities and their interpretative criteria are presented. Technical sections in each chapter review practical information about the logistics of monitoring a particular type of surgery. Part III, focusing on administrative issues, provides a lot of useful practical information, such as technical aspects of NIOM machines and remote monitoring. Other chapters discuss billing, ethical and legal issues. A separate chapter is dedicated to the requirement for training interpreting physicians and technologists.
Today, owing to advances in biochemistry and next generation sequencing, we know more about the specific causes of early life epilepsies associated with encephalopathy than ever before. This book is a highly practical but sophisticated guide to the care of children with pediatric epilepsy. The first two sections of the book deal with the basic mechanisms including pathophysiology of seizures and epidemiology, etiology and diagnosis of pediatric epilepsy. Section III of this book on age-related syndromes, groups the epilepsies in a novel way; looking at epilepsies from the perspective of an electroencephalographer. There are the familial epilepsies with focal seizures, the genetic generalized epilepsies, the self-limited epilepsies, the epilepsies with encephalopathy, and the epilepsies related to focal structural lesions. The book includes a discussion of those issues of particular relevance to the female patient beyond just teratogenesis, including polycystic ovary syndrome and catamenial epilepsy. Several antieplieptic drugs such as Barbiturate, Primidone and Benzodiazepine, and the ketogenic diet and alternative and anti-inflammatory therapies are covered in the Section V of the book. The penultimate section discusses epilepsy surgery and neurostimulation. The book ends with an expanded discussion of the epilepsy spectrum, illustrating that epilepsy is more than just a susceptibility to seizures by focusing on quality of life, psychiatric comorbodities of childhood epilepsy, and behavioral and cognitive side-effects of anti-epileptic drugs.
The practice of neonatal electroencephalography (EEG) combines clinical medicine and biomedical technology. This book consists of chapters concerning the approach to visual analysis, techniques of recording, artifacts of noncerebral origin, age-dependent normal findings, patterns of uncertain diagnostic significance, age-dependent abnormal EEG findings, and seizures. Chapters consist of explanatory text, tables, a list of figures, and the sample EEGs themselves with their legends. In presenting samples, the authors have emphasized specific components of the neonatal EEG. The basic principles of visual analysis and interpretation of the electroencephalogram (EEG) that applies to older patients also generally apply to neonates, although with some additional special considerations. The general principles of recording the EEG apply to the recording of the EEG in neonates with some important additions and exceptions. The differentiation of true brain electrical activity from extraneous artifacts is critical to the interpretation of neonatal EEG. Visual analysis of the neonatal EEG requires the recognition of the conceptional age-dependent features characteristic of specific epochs of development. The book electrographic features in four different formats: a table that lists specific elements, a narrative that describes the continuum of development, and a summary by epoch of conceptional age (CA) of the expected elements. A number of waveforms and patterns have not been reported to occur in normal infants. Sharp waves or sharp-and-slow-wave complexes are commonly recorded from the midtemporal region during sleep in apparently normal premature and term infants. Temporal sharp waves classified as normal are usually mono- or diphasic. The book also discusses disordered maturational development, maturational abnormalities and neonatal seizures.
This book demonstrates a logical approach to the nervous system that should serve the student throughout medical school rotations, postgraduate residency training, and medical practice during the lifelong learning task of evaluating patients with neurological problems. After a brief introduction to the concept of localization, Chapter 2 of the book deals with the brain and spinal cord of the central nervous system (CNS). The brain includes the cerebrum, cerebellum, and brainstem, and is organized into the four lobes of each cerebral hemisphere, plus the basal ganglia, thalamus and hypothalamus (diencephalon), brainstem, and cerebellum. Chapter 3 discusses the function of peripheral nerves and cardinal signs of peripheral nerve disease such as weakness, wasting and areflexia, and reviews the anatomical organization of peripheral nervous system (PNS). The fourth chapter includes special applications of neuro-logic covering coma, epilepsy, movement, vertigo, cord compression, and autonomics. The autonomic nervous system (ANS) enables, modulates, and controls the automatic functions we take for granted during day-to-day life until something goes awry. Chapter 6 focuses on the frontal lobe and associated subcortical structures that are the areas most involved in the pathogenesis of many psychiatric syndromes. The neurological examination is designed to assist with the localization of a patient’s disturbance affecting the nervous system. The exam consists of examination of mental status, cranial nerves, and that of other elements, namely motor, sensory and reflexes.
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.
Courses in epilepsy and EEG education are available through several national and international societies. However, there are few textbooks available for those interested in obtaining a well-rounded education in this discipline. This book contains enough information to provide an excellent foundation for understanding epilepsy and is concise enough to be read cover-to-cover. For easy readability, the book is divided into four parts. Part I covers the clinical aspects such as pathophysiology, genetics, epidemiology, etiology and differential diagnosis as well as epileptic seizures, epilepsy syndromes and neonatal seizures. The second part is devoted to various diagnostic procedures in a variety of settings. These include normal EEG, ambulatory EEG, EEG in an ICU, seizure semiology, scalp video and intracranial EEG, brain mapping, structural and functional neuroimaging, the Wada test, and epilepsy surgery and neuropsychological evaluation. Treatment aspects are dealt with in Part III. Chapters cover the first-, second- and third-generation antiepileptic drugs (AEDs) as well as the newest antiepileptic drugs and drugs in development. Epilepsy surgery and stimulation and dietary therapies are also examined. A separate chapter looks at alternative therapies including mindfulness meditation, yoga, Reiki and healing touch. The last part on special situations includes chapters on metabolic epilepsies, bone health, headaches, and the sudden unexpected death in epilepsy (SUDEP).
The ability to properly interpret and develop independence and proficiency in neuroradiological studies is crucial for all neurologists. A visual memory of a clinical case is retained and absorbed in a way traditional text readings are not. In this book, each topic is introduced with a brief clinical scenario to reinforce this connection, and the text is populated with a broad array of neuroimages, including
CT, MRI, MRA, and angiography. Every topic begins with a brief case scenario and image-based diagnosis, and is followed by a short introduction to the disorder, clinical presentation, radiographic appearance, diagnostic hallmarks, differential diagnosis, and treatment. The abundantly illustrated book covers the following major areas of neurology: ischemia including ischemic stroke and brainstem stroke syndromes; hemorrhage including amyloid beta related angiitis ( ABRA) and cerebral amyloid angiopathy ( CAA); arteriovenous malformations; neoplastic diseases such as primary central nervous system neoplasm; pituitary disorders; cystic lesions; demyelinating diseases such as multiple sclerosis ( MS) and optic neuritis ( ON); epilepsy including frontal and temporal lobe epilepsies and limbic encephalitis ( LE); infectious diseases such as HIVdementia complex; neurodegenerative diseases including Alzheimer’s disease ( AD), Huntington’s disease and Parkinson’s disease; toxic and metabolic disorders such as central pontine myelinolysis ( CPM) and cyclosporine toxicity; pediatric neurological diseases including acute cerebellar ataxia, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ( MELAS), and septo-optic dysplasia; neurocutaneous syndromes; trauma; and some miscellaneous diseases such as Behcet’s disease.
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.
Ambulatory electroencephalography (aEEG) monitoring is not limited to the home environment. It is a useful diagnostic test to evaluate an individual in whom seizures or seizure-like episodes are suspected in their natural environment wherever that may be. This book reviews some of the background distinctions for the technique of aEEG and instrumentation and polygraphic aEEG recording. aEEG monitoring often yields information in the evaluation of epilepsy and in the differential diagnosis of other conditions that mimic epilepsy including psychogenic nonepileptic seizures (PNES), syncope, cardiogenic etiologies, parasomnias, migraine, and transient ischemic attacks. The book discusses the yield of aEEG and compares it with other short- and long-term monitoring techniques in epilepsy. It then provides a thorough assessment of ambulatory sleep studies. Chronic intracranial aEEG monitoring is covered with a new type of aEEG monitoring to provide not only electrocorticography but also encompass treatment using neuromodulation. The book also delivers an inside look at aEEG in the future with development of “wearables” that will allow us to learn new information that involves not only detection but prediction. The practical implications of aEEG involved in proper coding and billing are also reviewed. Case histories are included of patients evaluated with aEEG to underscore key points of practical value.
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 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.
Contemporary research has found that memory is much more than the process for recalling information that has been learned and retained. Memory is central to all human endeavors. Memory is the sine qua non of human psychology. How humans process, store, retrieve, and use memory is intrinsically interesting. This book is about human memory: how it works, how it sometimes does not work, why it is important, and why it is interesting. It describes the major structural and functional theories that guide our understanding of memory. The modal model has three memory buffers: sensory information store, short-term memory and long-term memory. The book focuses on everyday functions of memory, including memorizing things, remembering to do things (prospective memory), and recalling how to do things, such as skills, procedures, and navigation. Disorders of memory including Alzheimer’s and amnesia are examined along with exceptional memory skills, such as the phenomenon of individuals with highly superior autobiographical memory. The book also addresses the intriguing and controversial topics of repressed and recovered memories, the validity of memory in courtroom testimony, and the effects of remembering traumatic events.
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.
This book provides a highly accessible introduction to the many facets of human intelligence, with careful presentation of the wide range of theories and perspectives. Written by a team of renowned scholars, it discusses the long history of the study of intelligence, which in many ways parallels the founding and growth of psychology itself. Structure of Intellect (SOI) model represents a very different approach to theories of intelligence. Recent technological advances have encouraged explorations into the relationship between brain function and specific types of cognitive functioning. The book differentiates intelligence and related constructs such as creativity and intellectual giftedness, which helps people to better understand each construct. Sternberg proposed a way to classify the various approaches to studying the intelligence-creativity relationship. The exponentially increasing development of technology will continue to influence both research and interventions involving intelligence. Neurological studies of intelligence that were in the realm of science fiction only a generation ago have become commonplace. Brain imaging studies are also becoming more relevant to intelligence research. Improvements in Magnetic Resonance Imaging (MRI) technology, which uses superconducting magnets and radio waves to create 3-D images of the brain, will help future researchers look at the morphology of distinct brain regions and systems, and possibly come to firm conclusions about the relationship between the size or function of distinct brain regions and differences in intelligent human behavior.
This book is designed for nurses who are beginning to work field of pediatrics, and can be a great asset to the novice nurse who is orienting to the unit, or even to the student nurse who is beginning a clinical rotation in the specialized area of pediatric nursing. It presents suggestions on how to communicate and work with children using age-appropriate techniques. The book is divided into three parts. Part I deals with the pediatric principles with chapters highlighting the tips for working with children, discussing immunizations, preventive care and anticipatory guidance for the well child care. Physical examination and reporting child abuse are also described. The role of the pediatric nurse is focused in the second part, which discusses health care delivery and hospitalization. The nurse’s role in medical administration is also explained in this section. Part III reviews the common pediatric disorders such as emotional or behavioural disorders, neurologic and chromosomal disorders, skin disorders, respiratory disorders, cardiovascular disorders, blood and lymphatic disorders, gastrointestinal disorders, genitourinary disorders and muscoskeletal disorders. The book ends with a discussion on communical diseases of childhood.
This book is meant to educate and assist any healthcare professional who has the privilege of caring for patients with acute stroke. Although it is particularly helpful for clinicians who are involved with critical decision making, practitioners at all levels of training can use the book as a guide. The practice of stroke medicine has become quite complex over the past two decades. Fortunately, this is for good reasons. The intricacies associated with management of ischemic and hemorrhagic strokes reflect improved understanding of the disease process, advances in neuroimaging, and development of novel treatment options. In the first 24 to 72 hours of hospitalization, stroke patients are susceptible to a whole host of cerebral (neurological) and extracerebral (medical) complications. Being familiar with these complications and having the knowledge to properly identify and manage them can reduce length of hospital stay, adverse functional outcomes, and mortality. This book hopes that practitioners will appreciate acute stroke management as a dynamic process and understand the uniqueness of acute stroke as a clinical entity with its potential for complications that may be a direct or indirect consequence of the initial brain injury. The book consists of fifteen chapters. Chapter one provides an introduction to complications of acute stroke. Chapter two discusses cerebral ischemic infarction. Next three chapters focus on expansion of intracerebral hemorrhage; cerebral edema in stroke; and post-thrombolysis hemorrhage and hemorrhagic transformation of cerebral infarction. Chapters six and seven discuss endovascular and postprocedural complications and reperfusion injury in ischemic stroke. The next two chapters focus on stroke-related seizures, rebleeding, vasospasm, and hydrocephalus after subarachnoid Hemorrhage. Chapter ten describes the complications of cerebral venous thrombosis. The following four chapters discuss complications after stroke such as delirium, cardiac complications, pulmonary complications, and metabolic complications. The last chapter briefly describes poststroke infections.
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 NABlicensure exams, and include best answer rationales to enhance self-assessment and further learning. This Q&Areview 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.
Neuromuscular Disorders, 4th Edition:A Symptoms and Signs Approach to Differential Diagnosis and Treatment
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 EMGsthat 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 EMGtechnique 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.
Electromyography (EMG) is an extension of the neurologic examination, and it should be performed only after a focused history and examination. Every EMG should be individualized and based on the clinical scenario under which the EMG is being conducted. This book serves as a practical guide for clinicians for performing EMG. It is divided into three sections. Section I starts with a brief introduction to clinical EMG followed by several chapters that summarize the approach to different clinical problems encountered in the EMG laboratory. These problems include carpal tunnel syndrome and other entrapment neuropathies, radiculopathy, plexopathy, polyneuropathy, motor neuron diseases, and neuromuscular junction disorders. The second section highlights technical aspects and potential pitfalls of sensory and motor nerve conduction studies (NCSs). The proper placements of recording and stimulation electrodes for common NCSs are illustrated with black and white photographs. The section also includes instructions for performing cervical root stimulation to help guide more experienced electromyographers. Section III begins with an introduction to needle EMG examination, and is followed by a pictorial guide for the proper placement of needle electrodes into different muscles. The technique of muscle localization is emphasized by palpation while the patient alternately contracts and relaxes the target muscle. At times, lines were drawn on the patient’s skin to highlight anatomic landmarks or the borders of individual muscles.
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.
This book contains over 800 questions with answers and detailed explanations covering all areas of the complex subspecialty of clinical neurophysiology. It is divided into eight chapters covering anatomy and physiology, electronics and instrumentation, nerve conduction studies and electromyography, electroencephalography (
EEG), evoked potentials and intraoperative monitoring, sleep studies, ethics and safety, and advanced topics including quantitative EEG, magnetoencephalography, transcranial electrical stimulation, autonomic testing, and more. Liberal use of image-based questions illustrating the full spectrum of neurophysiologic tests and findings build interpretive skills. Questions are randomized and include both case-related questions in series and stand-alone items to familiarize candidates with the question types and formats they will find on the exam. This book is recommended for its intended audience and candidates for board certification in a field of clinical neurophysiology. It can be a useful resource for fellows during their training. The book is in a Q&A format with answers and detailed rationales to facilitate recall of must-know information and help identify knowledge gaps for further study. The book provides case-based questions in series to simulate full range of board question types. It includes numerous state-of-the-art digital images to ensure familiarity with studies and findings that form a significant part of any certifying exam and contains a unique Pearls for Passing chapter, Chapter 9, for quick review of key facts.
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 EMGcase 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 EMGstudies 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 NCSand needle EMGmeasurements made, their meaning, and the EDXmanifestations 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 EDXcase studies collected from the authors' EMGlaboratories 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.
Everyone loves animals. We learn about them in zoos and aquariums, rehabilitate them when they’re sick, observe their habits and abilities, and treat them as members of our families. One theme that is intentionally woven throughout the book is the importance of knowing a species’ natural history before making assumptions or drawing conclusions about an animal’s behavior. The book consists of eight chapters. All chapters include an “Animal Spotlight” and “Human Application” section. The book is divided into one history chapter, one theory and methods chapter, five content chapters, and a final chapter on future directions. In addition, it pays special attention to describing the different ways that researchers set up their studies to arrive at their conclusions. Chapter one and two discusses the history and methodology of animal cognition. Chapter three discusses animal consciousness. It takes an in-depth look at how philosophers and scientists have defined consciousness, specific cognitive abilities that might signal consciousness, and which animals can be said to have them, or a version of them. The main topics covered include theory of mind, self-awareness, and emotions. Chapter four focuses on communication. It addresses many different ways that animals communicate with each other, including vocal, gestural, and olfactory. Social cognition is featured in Chapter five. Social cognition involves the many complex ways in which animals engage socially among themselves. Chapter six addresses the overall flexibility of the animal mind. For centuries, there have been those who believe animals are mindless behaving machines. Finally, Chapter seven reminds that despite the fact research findings teaches what species on the whole can do, not all animals within a species are the same; individual differences exist. The final chapter eight brings everything together.
Infusion therapy can be delivered safely and effectively in the home setting. Successful home care agencies provide knowledgeable and qualified home care nurses and have structures and processes in place to ensure quality patient care. As an invaluable resource, this book can provide the framework for an effective home infusion therapy program that ensures optimal outcomes and patient safety. The first part of the book addresses the foundations of home infusion therapy. It describes the author’s model for safe infusion therapy, which provides a framework for the subsequent chapters. This model predicts that positive outcomes, including the absence of infusion therapy-related complications, patient satisfaction, and health care provider satisfaction, are maximized when four aspects of care are addressed during the home care planning process and during the process of providing care. The part discusses the importance of patient education. The role that patients and caregivers play in home infusion therapy is what makes home care unique. The nurse’s skill in teaching patients is equally important to any infusion administration skills. The part also describes concepts in infection prevention, an important goal of infusion therapy in all health care settings. The second part of the book addresses access devices and methods, including peripheral catheters, the growing use of midline catheters, and central vascular access devices, as well as subcutaneous infusion and intrathecal catheters. The final part of the book includes a chapter on infusion methods and issues followed by infusion therapy-specific chapters. Each of these chapters follows a similar format based upon the author’s model.
Leading Systems Change in Public Health is the first resource written by public health professionals for public health professionals on how to improve public health by utilizing a systems change lens. Edited by leaders from the de Beaumont Foundation and the University of Illinois Chicago School of Public Health with chapters written by a diverse array of public health leaders, the book provides an evidence-based framework with practical strategies, processes, and tools for enacting meaningful change. It provides a common language for practitioners to discuss systems thinking and leading systems change and offers key principles for systems change leadership and delivers a framework for individuals and organizations who want to lead systems change. The book also includes public health examples and practical exercises, practices, and tools to engage in leading systems change. The book’s chapters are organized into four sections. Section I shows how to place racial justice and power-sharing at the heart of any systems change leadership work. Section II begins with an overview of the different levels of systems change work on which to focus to ensure the best possible community-based work and community and population outcomes. It also presents a process to develop meaningful interpersonal relationships. Section III addresses the important role of community partnership in leading systems changes and describes the process for identifying the root challenges associated with the complex public health challenges. It considers issues related to planning for systems change, managing the implementation of the change, and building in a process to learn and adapt. Section IV provides real-world examples and a strong sense of the range of systems change leadership actions at national, state, local, and community levels.
This book provides the reader a unique opportunity to learn the complex anatomy of the human brain in the context of multiple different neuroimaging modalities. In medical school, human brain anatomy is first taught through dissection labs and lectures. The book presents the color enhanced medical illustrations and virtually all of the cutting edge imaging modalities currently used to visualize the human brain. This includes standard computed tomography (CT), including multiplanar reformatted CT images and 3D volume rendered CT imaging, standard magnetic resonance imaging (MRI) images, diffusion tensor MR imaging (DTI), MR spectroscopy (MRS), functional MRI (fMRI), vascular imaging using magnetic resonance angiography (MRA), CT angiography (CTA), conventional 2D catheter angiography, 3D rotational catheter angiography, and ultrasound of the neonatal brain. The book considers cadaver dissections with the brain removed from the cranial vault with preservation of the cisternal segments of the CN and their relationships to the dural surfaces and skull base foramina. The original cross-sectional images from the MRI were loaded into the scene as background references to ensure accuracy at every step. The cortical surface model was adjusted and refined, the skull model was modified to fit the MRI derived brain, and models of the midbrain and cerebellum were painstakingly handsculpted. The cranial nerve illustrations were derived from the hand-sculpted models using Boolean operators to segment the midbrain into slices at multiple levels. The cranial nerve nuclei were then modeled and placed into their appropriate locations after comparison with microscopic atlases. The book demonstrates targeted, focused imaging of a variety of interesting, and important anatomic sites that are of particular clinical relevance. Sites of illustrated anatomy includes pituitary gland, orbits, liliequist’s membrane, hippocampal formation, H-shaped orbital frontal sulci, insular anatomy, subthalamic nucleus, subcallosal region, internal auditory canals (IAC) and virchow-robin spaces.
This book explains the subtleties of the spine that may not be commonly covered in radiological anatomy textbooks. It presents radiological anatomy in multiple imaging modalities, including plain radiographs, fluoroscopy, myelography, computed tomography, and magnetic resonance imaging. The configuration and composition of the spine presents unique challenges to conventional imaging studies. The book provides a collection of computed tomographic and magnetic resonance images displaying the anatomy of the paraspinal musculature. In order to understand the common anatomic variations that occur at the craniocervical junction, a basic overview of embryology is needed. As the primitive streak is regressing, the paraxial mesoderm segments into somites. At the fourth week of gestation, there are four occipital and eight cervical somites. The somites will eventually differentiate into sclerotomes, myotomes, and dermatomes, which will eventually form the vertebrae, rib cartilage, muscles, tendons, ligaments, and skin of the back. The craniocervical junction is ultimately derived from the four occipital sclerotomes and the first three cervical sclerotomes. The book discusses the developmental anatomy of the subaxial cervical spine and multimodality atlas images of the subaxial cervical cpine. The blood supply to the cervical subaxial segments is primarily derived from the vertebral arteries. The lumbar spine is the most intensively investigated of the spinal regions, owing to the JL ubiquity of low back pain in adults. Similar to the cervical and thoracic spine, lumbar segments are formed from a centrum and neural arches on both sides of the midline. The thoracic and sacral kyphotic curves are considered to be the primary curves of the spine.
Clostridium Botulinum is a spore-forming gram-positive rod that is commonly found in soil and water. It produces a toxin called botulinum neurotoxin (
BoNT) which is one of the most potent toxins known to mankind. Christian Andreas Justinus Kerner published the first case of botulism in 1817 and called it “sausage poison”. He noted that it paralyzed the skeletal muscle function and the parasympathetic nervous system and proposed its use as a therapeutic agent in neurological diseases characterized by involuntary movements. This book is intended to be used as a quick and accessible reference for injectors during the course of their clinical practice. As practitioners of chemodenervation themselves, the authors have been looking for an up-to-date, uniform resource in a convenient format which is ultimately what lead them to writing this pocketbook. The inclusion of visual and textual information for executing injection localization and suggested dosing for the four commercially-available toxins makes this book a unique, one-stop resource. The author’s goal is that both novice and experienced injectors may use this pocketbook as a practical and evidence-based tool in the course of planning and executing injections As educators, this book will serve as a visual adjunct to bedside teaching. The authors of this book are all directly involved in educating medical trainees in the evaluation and management of spasticity. Despite a robust spasticity curriculum and hands-on experience, we still felt a need for a physical resource to help residents and fellows during the course of their training and as they started their careers. For novice injectors and medical trainees, performing botulinum toxin injections can seem daunting. The authors hope is, that with the use of this book, knowledge can be consolidated into an accessible format, allowing providers to reinforce and sharpen previously learned skills.
The years that encompass the period of adolescence are largely socially constructed and dependent upon the norms, beliefs, and behaviors of society. Adults interacting with teens, whether in their personal or professional lives, know the rewards, challenges, and sometimes the mysteries of these experiences. This book is designed to assist nursing and health care professionals to understand and to be successful in these interactions, to have positive impacts on teens, and to advocate effectively for youth. Teen development is an ongoing process of engagement with friends, adults, and institutions, and teens’ own perspectives that frame their individual responses, thoughts, and actions. Knowledge of brain development helps us to understand some aspects of teen behavior characteristic of early, middle, and late adolescence. Adolescent development, factors affecting teen health, suggestions for working and communicating with teens, and issues impacting adolescents in six holistic health domains, namely physical, intellectual, emotional, spiritual, sexual, and relational are addressed in the book. Selected issues facing teens with acute and chronic illness, matters associated with teens and technology, legal and ethical issues, and the marginalization of youth challenge readers to ponder their perceptions about adolescents.
This book shows the continuity and advancements in our understanding of human life-span development. It helps understand the many reasons people are aging more successfully. The book provides the vocabulary to understand the aging process and how it affects our physiological systems. It also describes effects on quality of life, memory, mental health, and personality. Successful aging depends not only on medical care, but is also influenced by successful coping with stress, social support, and adherence to a healthy lifestyle. The book helps to interpret contemporary research and offers a solid foundation for exploring the art and science of successful aging. The book also presents an instructor’s manual. This supplement includes basic constructs and definitions, problems for additional classroom discussion, PowerPoints for use by the instructor, and examination questions. The book’s purpose is to provide an interdisciplinary understanding of the factors that affect aging. It proposes that many theories and studies of aging can be understood under the rubric of aging accelerators and decelerators-factors that increase and those that decrease the rate at which we age. The book is organized into four sections. Section I provides a general overview of demographic, theoretical, and methodological issues such as demography and theories of aging, and understanding change in aging research. Section II examines the aging of the skin and musculoskeletal system, cardiovascular system, respiratory system, gastrointestinal system, renal/urinary system, sensory system, nervous system, endocrine system, and immune system. Section III, centers on the psychosocial factors that affect physical health such as mental health, stress, coping, social support, morbidity, mortality, and caregiving. The final Section examines the sociostructural contexts that influence aging, and reviews theories of optimal aging. The book serves as a bridge between the biological and psychosocial gerontology communities and promotes a more holistic understanding of the aging process.
The goals of this book are: to establish elder abuse as a public health problem, stressing that primary, secondary, and tertiary preventions of the problem are well within the scope of work performed by public health professionals; to address major public policy/public health initiatives because they relate to elder mistreatment and abuse; to frame elder abuse as a global and human rights issue; and to provide a text that supports the development of core competencies for public health work to prevent elder abuse and mistreatment. The book comprises of nine chapters, which frame elder abuse as a public health problem, situate elder abuse and mistreatment within the core functions of public health, and explain elder abuse and the role of public health law and health services administration. It explores elder abuse in the context of topical issues and groups addressed by public health (e.g., intimate partner violence, Native American tribes) and suggest alliances with nontraditional partners. The book highlights successful campaigns and model programs that have intersections with public health as well as how elder abuse and public health can and should work on the global stage. It makes the argument that public health brings unique and important competencies to address the problem of elder mistreatment. The book serves as a useful and reliable resource for those studying and teaching and for those involved in healthcare and public health and human and social services programs. Similarly, practitioners, policy and decision makers, advocates, community leaders families, and older adults themselves may benefit from the book.
This book arises from two core beliefs: (1) law is one of the most significant determinants of health; and, (2) a basic understanding of law—as the foundation for public health practice and as an interventional tool—is vital for the effective practice of public health in the 21st century. There is no public health without the law. The book makes law less scary and empowers students, public health practitioners, and researchers to see law as simply another tool in their toolbox—just like epidemiology, surveillance, biostatistics, and other traditional public health tools. It addresses major topics in public health law and provides a diversity of learners (from beginners to experienced public health practitioners and researchers) with a practice-based overview of the field. The book also provides students and public health professionals with context and essential concepts in law across a selection of public health topics. It can help students, practitioners, and researchers develop the vocabulary and savvy necessary to engage in productive conversations with their peers, the public, policymakers, partners, and lawyers about laws impacting individual wellbeing and public health. The book is organized into three parts. Part I covers key legal concepts undergirding the practice of public health and discusses the origins and nature of the law as it relates to public health. Part II features chapters focused on topics most prevalent in academic public health program areas and many that are addressed in national public health strategies. Part III has five chapters exploring the transdisciplinary and multi-sectoral nature of the practice and implementation of public health law and includes discussions of law and public health decision-making, law as a social determinant of health, health in all policies, and legal epidemiology.
This book emphasizes the importance of sleep across states of health, health care settings, and at all stages of human development. It uses an evidence-based approach to synthesize and integrate nursing and interdisciplinary research on sleep to serve as a foundation for curriculum, teaching, practice, and researchactivities. The book is divided into four units. Unit I addresses aspects of normal sleep, including normal sleep physiology and behavior and developmental and gender aspects. In Unit II, the book provides an overview of the importance of sleep and its consequences from an epidemiological perspective, extant sleep-related nosologies, and a guide to sleep assessment. Unit II also discusses the epidemiology, consequences, assessment, and treatment of the sleep disorders such as insomnia, sleep-related breathing disorders including central sleep apnea (CSA), parasomnias, narcolepsy and circadian rhythm disorders (CRD), and psychaitric and pediatric disorders, the health disparities associated with sleep disorders, and provides an overview of complementary and alternative therapies for sleep. Unit III focuses on integration of the clinical research on sleep into specific settings where many nurses work (occupational health, primary care, acute care, long-term care, psychiatric settings, pediatric primary care, pediatric acute care, and maternal-child health). In Unit IV, the book presents suggestions about ways to integrate sleep and sleep disorders into pre-licensure and graduate nursing education, ideas about the future of nursing practice related to sleep, and proposed directions for future research.
Since its recognition as a subspecialty in 2005, the neurocritical care community has significantly grown. An increasing number of hospitals across the United States provide subspecialized neurocritical care, and fellowship-trained neurointensivists are in demand more than ever. This book is intended to be a comprehensive study guide and self-assessment tool for candidates sitting for both initial certification and recertification in neurocritical care. In addition, trainees taking the surgical or medicine critical care boards will also find it useful as it covers the neurocritical care component of their board curriculums. The book is an easy-to-read, concise yet comprehensive, and portable learning resource not only for board preparation, but also for medical students, residents, and fellows rotating in the neurocritical care unit. Nurses, advance practice providers, and non-neurointensivist physicians who participate in the care of neurocritical care patients will also find this book to be an easy guide to the management of many frequently encountered issues, with case examples and imaging to further guide their education. The chapters are named and arranged in a similar format to the board curriculum to allow for easy review and organization when studying for the boards. The question-and-answer (Q&A) format allows the reader to perform thorough self-assessment prior to taking the exam. The answers are detailed and cover the majority of the board syllabus with updated references for additional reading. The book covers the key topics pertinent to (and found on) neurocritical care boards, and is organized according to the exam core curriculum outline. The questions address both neuroscience critical care (general neurology, neurotrauma, neurovascular and neurosurgical problems) and general critical care topics (systems trauma, cardiovascular, infectious disease, pulmonary and renal issues, and hemodynamic monitoring).
Multiple Sclerosis and Related Disorders, 2nd Edition:Clinical Guide to Diagnosis, Medical Management, and Rehabilitation
This book focuses on key elements a healthcare practitioner needs to know to evaluate and manage multiple sclerosis (MS)and related neuroimmunological disorders. Information on disease history, pathophysiology, and biology are included to provide clinicians with a framework for understanding current diagnosis, monitoring, and treatment strategies for these disorders. In addition to reviewing disease-modifying treatments, the book focuses on frequent symptoms of MS and their treatment options. Assessment tools and treatment options for symptom management and rehabilitation have also evolved and become increasingly complex. Wellness promotion and patient-centered care are among the growing care strategies than can and should be applied to the management of MS. The goal of the book is to put together in one readily readable volume the core information that guides day-to-day care in an MS center. Each chapter is an amalgam of evidence-based data with experience-based guidance, combining the science and art of MS and related disease management. The authors present the approaches to care that they use in their centers. Where applicable, the authors provide lists of “Key Points” for clinicians as well as “Key Points” for patients and families. These highlights make the “gist” of each chapter clear and immediately available, and also provide a short summary that can be shared with patients. Critical-to-know information and management pearls are pulled out from the text and boxed for quick reference throughout the book. Illustrative cases are included in chapters where appropriate to amplify clinical recommendations. The authors made every effort to update the most recent medication changes, recognizing that this is a very fast changing field and we anticipate new medications in the near future. With this edition they have completed revised chapters on disease-modifying therapies, since there has been tremendous progress in this area.
This book provides contemporary information about clinical evoked potentials, and is divided into five chapters. The first chapter discusses the basics of acquisition and interpretation. Evoked potentials are named according to the neural pathway that is stimulated. The type of stimulus used to obtain evoked potentials depends on the type of evoked potential being performed. A light flash or patterned stimulus is used for visual evoked potential (VEP), auditory clicks are used for brainstem auditory evoked potential (BAEP), and electrical stimuli are used for somatosensory evoked potential (SEP). The methods used for recording evoked potentials vary to some degree depending on the evoked potential type. However, there are many aspects of recording that are similar, such as recording electrodes, averaging, and postacquisition signal processing. Interpretation of evoked potentials involves a detailed evaluation of the presence, morphology, latency, amplitude, and several other features of waveforms. Following this, three chapters review VEPs, BAEPs, and SEPs. Each of these chapters has an initial section that discusses the basics of the modality with examples to show how things should and should not be done. This is followed by examples from patients with discussions about how to interpret them. Each example highlights a particular aspect of normalcy or pathology. Imaging correlates are provided to emphasize certain points and provide perspective. The final chapter is an overview of the use of evoked potentials during surgery. This section also has examples, discussions, and imaging correlations to introduce the reader to this very important use of evoked potentials. The book is useful for neurologists and clinical neurophysiologists, technologies and others performing and interpreting evoked potential studies, professionals involved in neurophysiologic intraoperative monitoring, and neurophysiology laboratory managers.
This book is meant to be a practice resource for a medical-surgical nurse and guides the nurse through the most common conditions seen on the medical-surgical unit. It covers assessment, key clinical skills/procedures, and documentation of care in an easily digestible, bulleted format. Clinical chapters organized by body system for easy reference present common conditions seen in medical-surgical nursing and unit emergencies, along with focused assessments and PQRST system, lab work overview, related procedures and skills, a documentation guide, and common medications including those for pain management. The medical conditions and emergencies and their treatments discussed in the book are: neurological deficits, cardiac events, respiratory emergencies, gastrointestinal conditions, genitourinary alterations, wound infection, hip fracture, and endocrine disorders. Chapters also cover pre-operative and post-operative care for all conditions. Evaluation of level of consciousness (LOC) and mentation are the most important parts of the neurological exam. The final chapter is a must-have resource guide, including common pain scales; calculation guides; documentation scales for blood pressure, edema, and pulse; intramuscular technique hints; fall and restraint reduction guides; prevention of central line infection; syringe-size guides; intravenous solution review; intake and output guide.
The field of intraoperative neurophysiologic monitoring and mapping (IOM) continues to grow and attract more and more neurologists and clinical neurophysiologists. Brain mapping techniques are being developed to identify not only primary eloquent regions but also supplementary and associative areas with role in initiation, modulation, integration and adaptation of different functions. The book is organized into six parts comprising twenty chapters. Chapter one discusses neurophysiologic tests in the operating room. Chapter two presents an overview on how the most commonly used anesthetics will impact different neurophysiologic tests used in IOM. Chapter three details technical troubleshooting within the specific context of the IOM methods used and of the surgical procedure, as well as, in more general terms. Chapter four describes electroencephalogram monitoring during carotid endarterectomy. Chapter five addresses the specifics and challenges of neurophysiologic monitoring in cardiac and thoracic aorta surgery performed. The next two chapters discuss electrocorticography in epilepsy and nonepilepsy surgeries. Chapter eight presents an introduction to functional mapping and describes mapping and monitoring of motor and primary somatosensory functions, language and parietal functions, and visual pathways. Chapter nine examines the general surgical approach and the role of neuromonitoring in surgical clipping of cerebral aneurysms. Chapter ten addresses deep brain stimulation. Chapter eleven describes neurophysiologic mapping and monitoring of cranial nerves and brainstem. The next two chapters discuss resection of intramedullary and intradural extramedullary spinal cord tumors. Chapters fourteen and fifteen describe decompressive surgery of the spine and spine deformity surgery. Chapter sixteen examines intraoperative neurophysiologic monitoring in thoracoabdominal aneurysm repair. Chapter seventeen addresses intraoperative neurophysiology in peripheral nerve surgery. Chapter eighteen explores intraoperative neurophysiologic monitoring and mapping in pediatric population. Chapter nineteen discusses preoperative functional mapping for epilepsy surgery. The final chapter presents questions and answers on the various topics covered in the book.
This book focuses on common mental illnesses and weaves both the psychodynamic and neurobiological concepts into evidence-based strategies for nursing interventions. It provides information on descriptive psychiatric diagnoses, quality and safety education for nurses (QSEN) criteria, and NANDA-based care plans, case scenarios, evidence-based practice, patient and family education tips, drug summary lists, and complementary and alternative therapy approaches. The book also provides new information on psychopharmacology, compassion fatigue and a recovery model, use of informed consent, and cognitive behavioral therapy. Psychiatric-mental health nursing care is practiced in multiple settings across the health care continuum. Patients of all ages in need of psychiatric-mental health nursing care can be found in hospitals, community agencies, and residential settings. Critical thinking and clinical decision making are crucial elements to ensure that the patient’s needs are assessed, relevant problems are identified, and therapeutic nursing interventions are planned, implemented, and evaluated. Clinical decision making based on critical thinking is similar across all clinical settings. One unique dimension of critical thinking in psychiatric-mental health nursing is the importance of the interpersonal relationship as a major healing factor in delivering psychiatric nursing care. The book focuses on how psychiatric nurses integrate the concepts of critical thinking, clinical decision making, and the nursing process within the interpersonal relationship to address patient needs and delivery of nursing care.
Policy and Program Planning for Older Adults and People With Disabilities, 2nd Edition:Practice Realities and Visions
This book attempts to build students’ understanding of policy development through a critical analysis and review of policy frameworks, and the policy implementation process. The book is organized into four parts comprising twenty-one chapters. Part one of this book lays out a background as to the current and future demographic trends of older adults and makes the case for the reader that there are a variety of philosophical, political, economic, and social factors that affect public policy development. The chapters help the reader to explore a range of perspectives that define, shape, and impact the development and implementation of public policy. It intends to prepare the reader to critically analyze public policies related to aging. Part two provides an overview to major federal policies and programs that impact older adults and people with disabilities. It examines some historical developments leading up to the actual development and implementation of the policies. Policies include social security, medicare, the Older Americans Act, and the Americans with Disabilities Act, the Community Mental Health Centers Act, and Freedom Initiative. The last part of the book outlines specific programmatic areas that flow from aging policies, and specific components that flow from federally mandated policies. Each chapter contains same basic outline: an overview of the programs, specific features and strengths of the programs, gaps and areas for development, and challenges for the future.
The goal of this book is to develop competencies in the use of quantitative and qualitative analysis as well as 3D Maps—all within Excel! This book works through real-world examples based on healthcare datasets. Developed from the standpoint of active learning and engagement in the real world, this textbook includes supplementary health datasets such as, Hospital Compare Assessment of Healthcare Providers and Systems (
HCAHPS), historical and current National Health Expenditure, and Community Health Rankings. In addition, the book also includes a select list of categorized sources of healthcare data. This categorized list was developed as part of a Digital Humanities Seed Grant Through the Center for Faculty Development at Seton Hall University. Since tests of hypotheses are based on sample data, a brief overview of sampling and research design is included. In a first of its kind, this book provides a hands-on approach to analyzing hypothetical qualitative hospital review comments through the MeaningCloud Add-in. This qualitative analysis includes text categorization, sentiment analysis, and topic extraction. The book uses a competency-based, application-oriented approach through a conversational style. Each chapter starts with a short vignette to motivate the content and uses screen captures together with step-by-step commentary to explain the procedures undertaken in Excel. There is minimal use of statistical formulae and jargon and no appendices in this book—since the focus is on application and interpretation. To make the most of this book, make sure to use the supplementary datasets to work along with the examples in the text and complete the practice problems found at the end of specific chapters.
This book was designed to be a high-speed review – a last-minute gut check before the Pediatric Nursing Certification Board (
PNCB) and American Nurses Credentialing Center ( ANCC) exam day. The authors created this review, which is a quick summary of the key topics one'll encounter on the exam, to supplement their certification preparation studies. They encourages the reader to use it in conjunction with other study aids to ensure the readers are as prepared as possible for the exam. This book follows the most recent exam content outlines from the PNCBand ANCC, and uses a succinct, bulleted format to highlight what one need to know. The aim of this book is to help the readers solidify their retention of information in the month or so leading up to their exam. It is written by certified pediatric nurses who are familiar with the exam and the content one need to know. Special features appear throughout the book to call out important information, including: Complications: Problems that can arise with certain disease states or procedures; Nursing Pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations or when to transfer care; Pop Quizzes: Critical-thinking questions to test one’s ability to synthesize what one learned; and List of Abbreviations: A useful appendix to help guide you through the alphabet soup of clinical terms.
This book has been designed to be a high-speed review—a last-minute gut check before the C-EFM® exam day. The authors created this review, which is a quick summary of the key topics one”ll encounter on the exam, to supplement their certification preparation studies. They encourage the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book follows the National Certification Corporation’s (
NCC) most recent exam content outline. It uses a succinct, bulleted format with sample electronic fetal monitoring ( EFM) tracings to highlight essential knowledge. The aim of the book is to help the readers solidify their retention of information in the month or so leading up to their exam. It is written by certified nurse practitioners who are familiar with the exam and the content one need to know. Special features appear throughout the book to call out important information, including the following: Complications: Problems that can arise with certain patient conditions or procedures; Nursing Pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations or when to transfer care; Pop Quizzes: Critical thinking questions to test ones’ ability to synthesize what they learned; and List of Abbreviations: A useful appendix to help guide us through the alphabet soup of clinical terms. Chapters cover maternal and fetal physiology, internal and external fetal monitoring equipment, fetal assessment methods, EFMpattern recognition, fetal and maternal complications, ethical and legal issues, and more.
This book was designed to be a high-speed review—a last-minute gut check before the exam day. The authors created this review, which is a quick summary of the key topics one’ll encounter on the exam, to supplement to their certification preparation studies. They encourages the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book, written by certified critical care nurses, follows the American Association of Critical-Care Nurses’ (
AACN®) most recent exam content outline, and uses a succinct, bulleted format to highlight what one need to know. It will help the readers solidify their retention of information in the month or so leading up to their exam. Special features appear throughout the book to call out important information, including: complications: Problems that can arise with certain disease states or procedures; pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations; pop quizzes: Critical-thinking questions to test your ability to synthesize what you learned; medication tables: Handy tables at the end of each body system chapter highlighting the indications, mechanisms of action, contraindications, and adverse effects of commonly administered medications; and list of abbreviations: A useful appendix to help guide us through the alphabet soup of clinical terms. We know life is busy. Being able to prepare for our exam efficiently and effectively is paramount, which is why the authors created this book. One have come to the right place as they continue on their path of professional growth and development. The stakes are high, and the authors want to help us succeed.
This book was designed to be a high-speed review—a last-minute gut check before the exam day. The authors created this review, which is a quick summary of the key topics one’ll encounter on the exam, to supplement to their certification preparation studies. They encourages the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book, written by certified critical care nurses, follows the American Association of Critical-Care Nurses’ (
AACN®) most recent exam content outline, and uses a succinct, bulleted format to highlight what one need to know. It will help the readers solidify their retention of information in the month or so leading up to their exam. Special features appear throughout the book to call out important information, including: complications: Problems that can arise with certain disease states or procedures; pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations; pop quizzes: Critical-thinking questions to test your ability to synthesize what you learned; medication tables: Handy tables at the end of each body system chapter highlighting the indications, mechanisms of action, contraindications, and adverse effects of commonly administered medications; and list of abbreviations: A useful appendix to help guide you through the alphabet soup of clinical terms. We know life is busy. Being able to prepare for our exam efficiently and effectively is paramount, which is why the authors created this book. One have come to the right place as they continue on their path of professional growth and development. The stakes are high, and the authors want to help us succeed.
This book was designed to be a high-speed review —a last-minute gut check before the exam day. The authors created this review, which is a quick summary of the key topics one’ll encounter on the exam, to supplement to their certification preparation studies. They encourages the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book follows Competency & Credentialing Institute’s (
CCI®) most recent exam content outlines, and uses a succinct, bulleted format to highlight what one need to know. The aim of this book is to help one solidify their retention of information in the month or so leading up to their exam. It is written by certified perioperative nurses who are familiar with the exam and the content one need to know. Special features appear throughout the book to call out important information, including: complications: problems that can arise with certain disease states or procedures; pearls: additional patient care insights and strategies for knowledge retention; alerts: need-to-know details on how to handle emergency situations or when to transfer care; pop quizzes: critical-thinking questions to test our ability to synthesize what we learned; unfolding scenarios: case studies that develop over the course of the chapter to challenge our critical -thinking skills; and list of abbreviations: a useful appendix to help guide us through the alphabet soup of clinical terms. We know life is busy. Being able xto prepare for our exam efficiently and effectively is paramount, which is why the authors created this book. One have come to the right place as they continue on their path of professional growth and development. The stakes are high, and the authors want to help us succeed.
This book provides the reader, with the practical guidance required to design, deliver, and evaluate physical activity (PA) interventions across a range of settings and populations. The book is divided into four parts. The book reviews the state of the evidence around PA and chronic disease. It explores the different methods for measuring PA along with their strengths and weaknesses, and the important milestones in the field including the evolution of PA guidelines. The book looks at how to increase the value of PA for different stakeholders. It examines what needs to happen before one launches an intervention. The book explores the steps taken to develop policy and environmental interventions. It examines how to build and maintain a coalition. No one is the expert in everything. Coalitions support the bringing together of people with similar goals but different jobs and expertise to create a comprehensive campaign. The book details the process of developing a PA plan. It examines how policies actually move into action. The book examines implementing interventions in specific communities and populations. There are important considerations in developing interventions across diverse areas and varied populations. Settings explored in this part include worksites, faith based organizations, healthcare, schools, out-of-school areas, and parks and recreation. Populations examined include families, older adults, individuals with disabilities, and urban and rural populations. The book has chapters devoted to evaluating interventions. It explores implementation monitoring and describes outcome and impact evaluation as well as cost effectiveness. The book helps to answer questions such as: Did your intervention work? Did it actually change health? How much did it cost relative to how effective it was?
The complexity of current practice in pediatric neurology can be daunting to individuals who are new to the field. Within the last several years, clinical neuroscience has progressed at a staggering pace with more and more sophisticated brain imaging and physiological monitoring techniques, a deeper understanding of the genetics and molecular mechanisms of many diseases, and increasingly specific treatment options for many disorders. We are now able to effectively diagnose and treat many diseases that until recently would have been beyond our reach. Such exciting developments call for an accessible review of this complex topic. Pediatric Neurology: Clinical Assessment and Management is designed for trainees and nonspecialists looking for concise and targeted information on diagnosis and treatment of neurological conditions in children. The book provides an introduction to clinical pediatric neurology and neuroscience with chapters written by pediatric neurologists from top national institutions, many of whom have made major contributions to the development of the field. The chapters emphasize key information and patient care concepts for novice learners to provide a broad window on the primary neurological disorders of children and current approaches to recognition and management. This book is not intended to be a comprehensive text, but rather a starting point for individuals who wish to delve into this exciting area and for practitioners in other disciplines who need to know basic concepts.
Ultrasound Evaluation of Peripheral Nerves and Focal Neuropathies, 2nd Edition:Correlation With Electrodiagnosis
A noticeable evolution of the nature of the literature and education in recent years is that the emphasis has changed from simply attempting to demonstrate that peripheral nerve sonography has value, to more intricate nuances of medical precision. With the progression of understanding, improvements have been made with peripheral nerves in terms of identification of normal anatomy of even very small nerves, diagnostic acumen in pathologic conditions, safety and efficacy of anesthetic blocks, and even improved visualization and innovation for ultrasound-guided therapeutic procedures. The importance of combining anatomic information with physiologic testing for neuromuscular disorders has become increasingly more evident and ultrasound has found its way into electrodiagnostic laboratories throughout the world. As a result, there is now widespread production of combined instrumentation with capabilities of both electrophysiologic testing and sonographic imaging. It can be argued that what was once termed electromyography and nerve conduction testing should now be considered electromyography, nerve conduction studies and ultrasound. This book adds new chapters on the evaluation of muscle and ultrasound-guided peripheral nerve procedures. Many of the existing chapters have significant additions of imaging of more challenging nerves and smaller nerve segments, which are new to this edition. The addition of ultra-high frequency sonography allows unprecedented visualization of peripheral nerves. Most of the original images in the book were replaced, and the addition of so many new normal peripheral nerve images has led to the addition of “Peripheral Nerves” to the book title. There are also over 420 videos presented for instruction in dynamic visualization. Additionally, all of the case presentations that demonstrate the clinical approach of various focal neuropathies through the use of ultrasound are new to this text.
This book focuses on a unique body of knowledge known as population health management (
PHM). Population health, an approach closely aligned with many public health strategies, enjoys strong general awareness and popularity among health professionals. Although population health books are abundant, a smaller number of population health management texts exist, and these vary considerably depending on the writers’ background, field of expertise, and perspective. It is not easy to bridge concepts from community, public, and global health, and then align them with the essential applications of health management. Combining these interrelated perspectives is the primary goal for the textbook. By melding together fundamental strategies, approaches, and tools from these diverse health-related disciplines, students learn to provide quality care, efficient health services, and produce successful outcomes that are sensitive to the needs of diverse populations. The book is divided into four sections and each section integrates a scaffolding framework that begins with PHMfundamentals and introductions to innovative strategies/tools, moves to problem-based applications, and culminates with integrated skill outcomes. Written by experts in their respective disciplines, each chapter is relatable for students from diverse health related programs such as health management, public health, social work, clinical degrees, and other health professions. As major Population Health Management transformations continue to evolve in the workplace, health management educators recognize the immediate need to design curriculums, introduce new skill-building approaches and tools, and enhance student competencies to meet the challenges and find solutions for a future healthscape that achieves the quadruple aim of access, cost, quality, and patient experience. The book provides students with the knowledge, skills, intentional mind-set to jettison the past in order to transition successfully for today and transform the future of population health management.
This atlas serves as a comprehensive working reference for a wide range of clinicians practicing in the field of clinical neurophysiology (CNP). It highlights the traps and pitfalls associated with artifact when interpreting studies involving CNP. Various forms of neurophysiological procedures are performed routinely at local CNP laboratories throughout the world. They are interpreted by neurologists and neurophysiologists including studies involving electroencephalography (EEG); electromyography (EMG); and nerve conductions studies (NCS), sleep, autonomic neurophysiology, evoked potentials (EP); and magnetoencephalography (MEG). It illustrates common and rare types of artifacts that may be encountered by the clinical practitioner during the course of performing CNP studies. The book provides an explanatory text with samples of artifact that emphasize essential principals existing within individual fields of CNP. It is developed in atlas form to facilitate easy interpretation for the busy clinician practitioner. The book comprises of 14 chapters. Chapter one provides an overview of CNP. Chapter two focuses on an explanation of analog recording concepts and provides explanation of important digital recording concepts. Chapter three illustrates the impact of artifact in pediatric studies involving the peripheral nervous system. Chapter four describes artifacts of neuromonitoring. Chapter five addresses continuous EEG monitoring in ICU patients. Next two chapters discuss artifacts in pediatric and adult electroencephalography. Chapter eight addresses pediatric and adult magnetoencephalography. Chapter nine reviews the difficulties encountered with artifact involved when performing EMG and NCS. Chapters ten through thirteen address artifacts in autonomic neurophysiology studies, polysomnography, evoked potential recordings, and neurophysiologic intraoperative monitoring. The final chapter discusses the most common techniques for artifact reduction.
At no time in recent memory has the practice of public health leadership been more challenging. This book, and its accompanying set of diverse and accessible learning experiences (interviews with notable leaders, case studies, self-assessments, reflection exercises, and the like), provides a solid foundation for the practice of leadership in organizations focusing on such leadership topics as strategic leadership, systems thinking, team leadership, change leadership, and the development of others. Further, the book exposes readers to the challenges, actions, and lessons learned from the
COVID-19 pandemic and other public health and healthcare crises—from after-action reviews to interviews and insights from those on the front lines—culminating in the development of a leadership framework to inform leadership practice. The intended audience for this textbook includes candidates for MHA, DrPH, and MPH degrees, as well as leaders in healthcare, health administration, and public health seeking to further develop their leadership practice. Although key leadership theories will be explored and integrated, the primary focus of this book is on the practice of leadership. The key differentiating feature of the book is that it gives voice to those who practice leadership and have the credibility to discuss the popular as well as the academic literature on a topic—building on a solid foundation of theory, skills, behaviors, and lessons about the challenges leaders face and the contexts in which they must succeed. The book also provides a wide and rich array of learning experiences that incorporate lessons and insights from public health and healthcare leaders. It is organized into four parts. Part I details leadership basics. Part II focuses on key leadership theories and their application. Part III discusses the context and challenges of leadership practice. The final part focuses more specifically on the practice of leadership.
This book supports the missions of various outstanding organizations devoted to the growing field of public health nutrition to promote optimal health and well-being of communities and populations through nutrition-related services, program planning, interventions, and policy, environmental, and systems change. These include the Association of State Public Health Nutritionists, the World Public Health Nutrition Association, the Academy of Nutrition and Dietetics, the Food and Nutrition working group of the American Public Health Association, the Association of Graduate Programs in Public Health Nutrition, and the Southeastern University Consortium on Hunger, Poverty and Nutrition, among others. The book is organized into four main parts. Part one includes history and principles of public health nutrition, introduction to nutritional epidemiology, behavioral aspects of public health nutrition, and an overview of food policy. Part two includes cultural aspects of nutrition, health promotion within communities, and a focus on interprofessional practice in rural, urban, and global public health nutrition settings. Part three includes methods of community nutrition assessment, program planning, and public health nutrition intervention delivery and evaluation. Part four includes current nutrition-related health issues, professional development needs and strategies, sustainability concerns, food systems and environmental health trends, and opportunities. Each chapter provides learning objectives, key concepts, a glossary of terms, and a variety of learning resources including case studies, reflective questions, suggestions for learning activities, and resources for further study. It is the sincere hope of the editors and authors that this book will be an effective tool for training and inspiring future public health nutrition professionals to engage in transformative practice everywhere in the world to nourish the physical, emotional, and spiritual dimensions of all human beings.
Our nation has embarked on an ambitious attempt to reshape how we go about taking care of the health concerns of our population and, with a new administration, faces scrutiny and attempts to dismantle and defund the Patient Protection and Affordable Care Act. On the one hand, there is a renewed energy to develop initiatives that focus on keeping people healthy. On the other hand, there is a great deal of experimenting with the organization of the care system that addresses the needs of people who have medical problems associated with injuries and disease. The aim of this experimentation is to improve the quality of health and medical care and to bring costs in line with what Americans can afford and want to spend on the health sector. This book lays out the evidence of what has and has not worked in health care, and where the challenges lie ahead. It helps readers become more knowledgeable about how the health system works and explains why it is so complicated to make the system work better. The book describes the current status of the U.S. health care system and explains the complicated public policy process that has so much influence on the way health care is delivered and financed in this country. It addresses both the challenge of keeping people healthy and the challenge of delivering efficient medical care that helps people recover from medical conditions that do occur. The book ends with a consideration of where the health system might be headed in the years to come and what forces will shape it over time. Each chapter provides a list of the learning objectives, a list of key words that are central to the chapter’s focus, an outline of what is to come, and a list of discussion questions.
This book describes the health care system in the United States today—the settings for health care delivery, the health care workforce, the medical products needed for diagnosis and treatment, the leadership and governance, the financing organizations and mechanisms, and the evaluation of system performance and the role of information technology. The focus of this book is the U.S. health care system, with some comparisons to certain peer industrialized countries, including Western European nations, Canada, Australia, and Japan. The book discusses the past and how it has shaped the present including values and traditions underlying the current U.S. system of health care delivery; and the history of major efforts to reform the system, particularly the most recent reform—the Affordable Care Act (
ACA) or Obamacare. Themes in the book are the significance of the private–public nature of the U.S. health care system; the importance of data as the basis of evidence-based decision-making; the difficulty of bringing about change; and the complexity of the U.S. health care system and attempts to simplify. The book discusses clinical outcomes research and evidence-based medicine, as well as the organizations that have been in the forefront of this movement to improve the quality of health care. In addition, it briefly discusses population health orientation and its indicators of health care quality. The book ends with a discussion of expectations for the future of the system.
Public health aspires to create a world where we can all live our healthiest possible life, to realize our full human potential. This book aims to serve as an introduction to public health for anyone who is interested in this ideal. It is designed to introduce the reader to the fundamentals that they will need either to build a career in public health, or simply to know enough about public health to inform a career in other sectors. Population health science helps us understand how health is generated in populations. Population health science is the foundation of public health practice that takes that understanding and makes populations healthier. Therefore, the book serves as an introduction to the science of population health, leading directly to the practice of public health. It starts from one fundamental premise: our health is generated throughout our lives and by the world around us. Once we understand that, we can then understand the work of public health through the study of two types of factors: eco-social perspective and life course perspective. The book is organized such that the reader is introduced to these factors in sequence, learning first about the influences across eco-social levels, and then about how health is generated throughout the life course. It then discusses the foundational concepts of public health, including the central roles of prevention, health equity, quantitative methods, how we have to think of population health as a complex system to guide intervention, and how those interventions must engage communities to be effective. The authors have recorded 15 podcasts to illustrate the key points of each chapter. These podcasts are narrated by graduate students of public health and feature case studies pertinent to the chapter themes, most of which appear in the chapter text.
This book presents information on research methods in a way that is complementary to other public health coursework. Epidemiology digs deep into specific methods for identifying distribution and determinants of health issues. An understanding of basic research methods serves as a foundation for mastery of epidemiology. Biostatistics is another component of public health preparation. The basic statistical concepts covered in research methods can supplement more advanced learning. In addition, skills such as efficiently reading and understanding research articles come in handy for many classes in undergraduate and graduate study. The book is unique in many ways. First, each chapter aligns with the Council on Education for Public Health (
CEPH) Master of Public Health Competencies. These competencies were recently revised, and accredited programs have to demonstrate how their courses prepare students to meet them. New to the competencies are skills such as budgeting and emphasis is placed on translating evidence and communicating public health information. For many public health professionals, these skills are lacking. Another unique feature of the book is its broad coverage of qualitative research. The updated CEPHcompetencies also require students to have qualitative (as well as quantitative) skills. Three chapters are dedicated to qualitative study design, data collection, and analysis. Even though the topic of each chapter could fill an entire book, the material presented is thorough, yet concise. Each chapter provides enough information for students to confidently plan and conduct a basic research project, often a requirement of research methods courses. Additional resources and examples are provided throughout the book to help guide students through their own research exploration. The chapters also include ancillary information and examples relevant to each topic.
This book serves as a clinical guide to assist clinicians in prescribing psychotropic medications to address mental health conditions. It is used to assist clinicians to understand the key aspects of psychopharmacology. This is the first practical guide for novice and experienced nurse practitioners for explaining and choosing appropriate psychiatric medications. This clinical reference is ideal for students and all clinically oriented healthcare professionals since it provides concise, bulleted-style text for easy access to pertinent information. The book offers readers a broad understanding of the key aspects of psychotropic medications used in general psychiatry and primary-care settings and includes strategies to ease medication decision-making and evidence-based best practices to select and manage psychotropic medications. It is organized into two parts. Part I begins with an overview of general pharmacological principles and a brief overview of neurotransmitters, and covers the rationale for medication use and the risks and benefits of the major classes of psychotropic medications. Part II includes medications across drug classes that are divided by age population and includes practice management strategies, safety considerations, drug interactions, identification of side effects and adverse reactions, basic laboratory test recommendations, treatment options, and self-management strategies. The book ends with important concepts for patient and/or caregiver education and advocacy. It is intended for clinical healthcare providers, including physicians, nurses,
APRNs, and other healthcare clinicians who need a practice guide, test review, or clinical resource guide that is easy to access and use.
This textbook provides a unique case study approach to public health emergencies through the combined perspective of both the 2020 10 Essential Public Health Services and the 2021 Master of Public Health Foundational Competencies. For the ease of the reader to approach learning about the roles that they may be called upon to play in addressing public health emergencies, this book is logically arranged into three parts. In the first part, “Fundamentals of Public Health Emergency Preparedness”, the reader gains an overall perspective of public health emergencies. The second part, “Lessons Learned from Actual Incidents”, is the “heart” of the book in the sense that it provides case studies that clearly demonstrate the application of the Essential Public Health Services using Foundational Competencies through activities undertaken by public health workers at different levels; namely, frontline staff, program managers and supervisors, and executive directors and leaders. By the articulation of specific activities to address disasters using the competencies needed to prepare and respond to actual public health emergencies in the case studies, the reader can gain knowledge and insights and then incorporate the lessons learned into their own learning. In the future, when they are working in public health settings and confronted with public health disasters, readers will be able to better respond knowing the vocabulary, incident command structure, and approaches best suited to the public health emergency. The third part of the book, “Special Considerations”, provides the reader with some of the cross-cutting issues confronting public health workers in disaster settings. Public health law, for example, serves as the basis for public health action and supports public health officers in issuing health officer orders for quarantine, isolation, travel restrictions, curtailment or limitation of business and restaurant operations, and vaccination prioritization all of which have been used in the COVID-19 pandemic.