Of all cancers, probably breast cancer is one of the most emotive. Inc reasingly patients with breast cancer are participating in the surgica l and/or medical decisions about their treatment. This involvement rai ses ethical issues about the rights of patients and their ability to g ive an informed consent, concerns about the process of communication b etween the medical staff and the patient, and also issues about the ps ychology of not only the woman with breast cancer, but also the doctor . This book addresses these issues relating to shared decision making and in particular those areas...
Of all cancers, probably breast cancer is one of the most emotive. Inc reasingly patients with breast cancer are participating in the surgica l and/or...
This book addresses key questions about the need for palliative care, the current provision of services and the evidence for the effectivene ss of a range of alternative models of organisation in pallitaive care . A broad approach is taken to include the needs of both cancer patien ts and patients with other terminal diseases and the relationship betw een palliative care and other aspects of health care services. The boo k is based on a comprehensive and detailed review of the international scientific literature on evaluation of palliative care, providing an essential evidence base for policy...
This book addresses key questions about the need for palliative care, the current provision of services and the evidence for the effectivene ss of a r...
Although it has been known for 100 years that cognitive functioning is impaired in schizophrenia, the implications of this impairment have o nly recently been clearly understood. While in the past, cognitive def icits were thought to be the result of other aspects of the illness, s uch as poor co-operation, or as a result of the treatment of the illne ss, it is now known that these factors exert only a very minor influen ce on cognitive deficit. This book, with contributions from the major international names in the field, reviews the most recent research on the impairment of cognitive...
Although it has been known for 100 years that cognitive functioning is impaired in schizophrenia, the implications of this impairment have o nly recen...
Obstetrics can be a particularly daunting prospect for those starting out. This book is designed for interns and medical students doing their obstetrics rotations who find that they need a small, practical guide to dealing with the many and varied problems they will face. The chapters are arranged chronologically, starting with early pregnancy. Following chapters chart the course of the pregnancy and labor through to the post-natal visit. Throughout the book, Dr. Neuberg stresses the importance of the Confidential Enquiries into Maternal Deaths and emphasizes the intensive nature of much of...
Obstetrics can be a particularly daunting prospect for those starting out. This book is designed for interns and medical students doing their obstetri...
There has been an explosion of knowledge and enormous progress in the fundamental understanding of the biology of cancer in recent years. This has included the realisation that cancer occurs when normal cellular functions are disturbed leading to a malignant phenotype. Much research has focused on understanding the types of disturbances that can occur, the contribution that these abnormalities can make to the development and behavior of particular cancers and more recently, the recognition that these cellular and genetic abnormalities can provide rational targets for new therapeutic...
There has been an explosion of knowledge and enormous progress in the fundamental understanding of the biology of cancer in recent years. This has inc...
Since the first edition was published in 1993 there have been major ad vances in all the subject areas covered in the book. As a consequence much of the original material is now out of date and the book has been extensively re-written. Additional chapters have been added on system atic vasculities and Paget's disease and much more attention has been given to neck and upper limb pain disorders as well as chronic widespr ead pain and fibromyalgia. In addition a new chapter has been provided reviewing population studies as a whole of musculosketal morbidity. T he authors have also taken the...
Since the first edition was published in 1993 there have been major ad vances in all the subject areas covered in the book. As a consequence much of t...
Stroke is one of the most common causes of death and subcortical stroke accounts for 20-30% of all cerebrovascular infarcts. Our understanding of stroke processes in general, and subcortical stroke in particular, has advanced considerably in recent years. Research findings from the fields of neurochemistry, imaging and genetics have provided insight and input to our understanding of this condition, and this new edition provides an opportunity to describe these advances, and to relate the findings to the clinical expression, neural mechanism, prognosis and treatment of subcortical stroke. In...
Stroke is one of the most common causes of death and subcortical stroke accounts for 20-30% of all cerebrovascular infarcts. Our understanding of stro...
A Guide to Effective Care in Pregnancy and Childbirth is a clearly wri tten review of the important research evidence pn the effects of the v arious care practices carried out during pregnancy, childbirth, and th e early days after birth. In addition to the details provided in the t ext, the book concludes with valuable tables that list the practices w hich are beneficial, those of unknown effectiveness, and thoses likely to be ineffective or harmful.
A Guide to Effective Care in Pregnancy and Childbirth is a clearly wri tten review of the important research evidence pn the effects of the v arious c...
Poverty, inequality and health: an international perspective raises new and critical issues about health inequalities. It is unique in that it provides that first truly international perspective on this problem, with contributions from the developed and developing world. The outcome of a Public Health Forum organized by the London School of Hygeine and Tropical Medicine, this book brings together material from internationally recognized contributors from a wide range of disciplines and countries. The chapters reflect this diversity, ranging from the micro- to the macro-level, from aetiology...
Poverty, inequality and health: an international perspective raises new and critical issues about health inequalities. It is unique in that it provide...
Medical decisions are usually thought to follow from evidence-based sc ience, but this is an oversimplified view. The book investigates the c omplex nature of evidence in medicine, makes a case for the centrality of clinical judgement, and indentifies the elements of good judgement in decisions made in the clinic, in public health, and in resource ma nagement.
Medical decisions are usually thought to follow from evidence-based sc ience, but this is an oversimplified view. The book investigates the c omplex n...