Violence within the family, whether directed against children, partners or elders, profoundly disturbs our notions of what the relationship between the family and the discipline of general practice should be. GPs are doctors to whole families and yet their relationships with patients are individual ones, drawing their strength from the principles of confidentiality, mutual trust and positive regard. Violence and abuse within families necessarily challenges all of these, creating a profusion of ethical, interpersonal and practical difficulties and dilemmas. At the same time the nature of...

The purposes of this book is to give an overview of controversies that orthopaedic surgeons might have to consider when carrying out all levels of hip surgery.NL Contributions cover such important paediatric problems such as developmental dysplasia of the hip, Perthes disease, slipped capital femoral epiphysis and hip problems associated with neurological diseases. Traumatic conditions of the hip, including acetabular fractures and femoral neck fractures are covered in detail. Considerable emphasis is given to the field of both primarily and revision total hip replacement, with special...

Trauma, be it as a result of road traffic accident, domestic incident, deliberate violent act, or war, is a leading contributor to the global burden of disease, is a major issue for public health generally, and has significant impact on the economics of healthcare provision. This book provides a unique and comprehensive overview of the field, covering a wide range of non-orthopaedic trauma, as well as the more prevalent musculoskeletal injuries. After an introductory section defining the scale of the problem, the book describes the initial management and stabilization of the patient. There...

Delirium is a cognitive disorder consisting of deficits of attention, arousal, consciousness, memory, orientation, perception, speech and language. It represents the most frequent complication of hospitalisation in the older population. Despite its importance in terms of clinical, economic and social considerations, and despite considerable advances in the past decade, it remains a relatively misunderstood and mis-diagnosed condition. DEGREESNL This book provides a state -of-the-art update of delirium research, covering its history, conceptualisation, measurement, epidemiology,...

Is jealousy eliminable? If so, at what cost? What are the connections between pride the sin and the pride insisted on by identity politics? How can one question an individual's understanding of their own happiness or override a society's account of its own rituals? What makes a sexual desire "perverse," or particular sexual relations (such as incestuous ones) undesirable or even unthinkable? These and other questions about what sustains and threatens our identity are pursued using the resources of philosophy, psychoanalysis, and other disciplines. The discussion throughout is informed and...

What are the boundary zones between normal aging and Alzheimer's disease (AD)? Are many elderly people whom we regard as normal actually in the early stages of AD? Alzheimer's disease does not develop overnight; the early phases may last for years or even decades. Recently, clinical investigators have identified a transitional condition between normal aging and and very early Alzheimer's disease that they have called mild cognitive impairment, or MCI. This term typically refers to memory impairment beyond what one would expect in individuals of a given age whose other abilities to function in...

Palliative care is rapidly evolving as a multidimensional therapeutic model devoted to improving the quality of life of all patientswith life-threatening illness. Symptom control, management of psychosocial and spiritual concerns, decision making consistent with values and goals, and care of the imminently dying that is appropriate and sensitive to the unique needs of the individual and the family--these are among the critical issues addressed through pallaitive care. As this discipline has evolved, the need for research in all these areas has become widely acknowledged. Issues in Palliative...

In 74 chapters, Gastrointestinal Oncology brings together a diverse group of specialists to provide the most authoritative, up-to-date and encyclopedic volume currently available on the subject. The first part of this text introduces a series of concepts and topics taht are important to gastrointestinal malignancies in general. These topics include epidemiologic principles, prevention, screening, familial GI cancers, developmental and molecular biology, pathobiology, general therapeutic principles, emerging therapies, and palliative care. The second part of the book covers each of...

This is the first textbook to focus on environmental threats to child health. It will interest professionals and graduate students in public health, pediatrics, environmental health, epidemiology, and toxicology. The first three chapters provide overviews of key children's environmental health issues as well as the role of environmental epidemiology and risk assessment in child health protection. Overarching themes are the susceptibility of the rapidly developing fetus and infant to environmental toxicants, the importance of modifying factors(e.g. poverty, genetic traits, nutrition), the role...

This is the first single-authored book to attempt to bridge the gap between aphasia research and the rehabilitation of patients with this language disorder. Studies of the deficits underlying aphasia and the practice of aphasia rehabilitation have often diverged, and the relationship between theory and practice in aphasiology is loose. The goal of this book is to help close this gap by making explicit the relationship between what is to be rehabilitated and how to rehabilitate it.
Early chapters cover the history of aphasia and its therapy from Broca's discoveries to the...