Clinical intervention

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  • THIS second edition, like the first, is intended to serve as a comprehensive resource tool. Because of the positive response to the organization of the original text, the format has remained the same. The Therapist's Guide to Clinical Intervention is divided into four sections: Treatment Planning, Special Assessment, Skill-Building Resources, and Clinical/ Business Forms. The handbook concept has evolved and expanded, building on the strong foundation of the first edition.

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  • Viruses present a more difficult problem of chemotherapy than do higher organisms, e.g. bacteria, for they are intracellular parasites that use the metabolism of host cells. Highly selective toxicity is, therefore, harder to achieve. Identification of differences between viral and human metabolism has led to the development of effective antiviral agents, whose roles are increasingly well defined.

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  • Follow-Up Care after Testing Depending on the nature of the genetic disorder, posttest interventions may include (1) cautious surveillance and appropriate health care screening, (2) specific medical interventions, (3) chemoprevention, (4) risk avoidance, and (5) referral to support services. For example, patients with known pathologic mutations in BRCA1 or BRCA2 are offered intensive screening as well as the option of prophylactic mastectomy and oophorectomy.

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  • This book is based upon our combined experiences of working together in the treatment of patients with dental implant prostheses at Guy's Hospital and in private practice over the last 10 years. While the chapters are not attributed to specific authors, the surgical chapters are mainly the work of Richard and Paul Palmer; the implant denture chapters, Brian Smith; and the fixed prosthodontics, Leslie Howe. Our initial experiences were with the Brånemark system, which established a benchmark in implant treatment, with high success rates using meticulous techniques.

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  • Clinical Practice Guidelines According to the 1990 Institute of Medicine definition, clinical practice guidelines are "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances." This definition provides emphasis to several crucial features of modern guideline development. First, guidelines are created using the tools of EBM. In particular, the core of the development process is a systematic literature search followed by a review of the relevant peer-reviewed literature.

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  • Therapeutic Interventions Based on Genetic Risk for Disease Specific treatments are now available for an increasing number of genetic disorders, whether identified through population-based screening or directed testing (Table 64-2). Although the strategies for therapeutic interventions are best developed for childhood hereditary metabolic diseases, these principles are making their way into the diagnosis and management of adult-onset disorders. Hereditary hemochromatosis illustrates many of the issues raised by the availability of genetic screening in the adult population.

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  • Advances in the diagnosis, prevention, treatment and cure of neurological diseases are based upon scientific discovery. The journey from discovery to treatment is often arduous and involves both basic and clinical science. Over the ages, multiple intertwined paths of discovery connect the recognition of distinct diseases of the nervous system to exquisite diagnostic descriptions, which, when coupled with the scientific understanding of the disease, have allowed the development of effective treatments and interventions...

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  • Preventive measures and therapeutic interventions are not restricted to metabolic disorders. Identification of familial forms of long QT syndrome, associated with ventricular arrhythmias, allows early electrocardiographic testing and the use of prophylactic antiarrhythmic therapy, overdrive pacemakers, or defibrillators (Chap. 226). Individuals with familial hypertrophic cardiomyopathy can be screened by ultrasound, treated with beta blockers or other drugs, and counseled about the importance of avoiding strenuous exercise and dehydration (Chap. 231).

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  • Tailoring an intervention to the context and system redesign related to the intervention: A case study of implementing shared medical appointments for diabetes Susan R Kirsh*1,2, Renée H Lawrence1 and David C Aron1,2 Address: 1Center for Quality Improvement Research, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio, USA and 2School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA Email: Susan R Kirsh* - susan.kirsh@va.gov; Renée H Lawrence - renee.lawrence2@va.gov; David C Aron - david.aron@va.gov * Corresponding author...

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  • The perfect cardiac catheterization technique, including good diagnostic and therapeutic qualities, without risk and with no recovery time for the patient, does not exist. Obtaining initial access to the arterial circulation is the first and most frequent catheterization difficulty encountered by the interventional cardiologist during the procedure. Often, it is also the only difficult part of the exam for the patient because it may cause a vagal reaction or painful spasm.

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  • This book represents a condensed version of the 20 topics dealing with imaging diagnosis and interventional therapies in musculoskeletal diseases. The disease-oriented topics encompass all the relevant imaging modalities including X-rays technology, nuclear medicine, ultrasound and magnetic resonance, as well as image-guided interventional techniques.

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  • (BQ) Part 2 book "Textbook of clinical echocardiography" presents the following contents: Pericardial disease, valvular stenosis, valvular regurgitation, prosthetic valves, endocarditis, cardiac masses and potential cardiac source of embolus, diseases of the great arteries, the adult with congenital heart disease, intraoperative and interventional echocardiography.

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  • STD care and management begin with risk assessment and proceed to clinical assessment, diagnostic testing or screening, treatment, and prevention. Indeed, the routine care of any patient begins with risk assessment (e.g., for risk of heart disease, cancer). STD/HIV risk assessment is important in primary care, urgent care, and emergency care settings as well as in specialty clinics providing adolescent, prenatal, and family planning services.

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  • The overarching thesis of this book is that the prevailing biomolecular model of disease is too restricted for clinical use. It took me many years to come to that conclusion. I was pushed to come to that view through my experiences with patients who did not fit the narrow model. Too many exceptions forced me to find an expanded model of disease. These are the stories of those patients and my interaction with them as a physician over a fiftyyear period.

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  • As image-guided spine interventions have increasingly become a primary strategy for managing back pain, the tools and capabilities available to practitioners have grown significantly. This fully revised edition of Image-Guided Spine Interventions presents the latest procedures available to physicians who perform minimally invasive spine interventions. The comprehensive text covers the fundamentals—such as spine anatomy, procedural materials, and pharmacological requirements—along with

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  • (BQ) Part 2 book "Grossman and Baim's cardiac catheterization, angiography, and intervention" presents the following contents: Evaluation of cardiac function, special catheter techniques, interventional techniques, clinical profiles.

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  • This volume broadens the scope of Trauma and Disaster: The Structure of Human Chaos to include an expanded focus on a special type of disaster, terrorism. Terrorism seeks to achieve political, ideological, or theological goals through a threat or action that creates extreme fear or horror.Many believe that terrorism (and torture) produce the highest rates of psychiatric sequelae amongst all types of disasters.

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  • (BQ) Part 2 book "Prevention of cardiovascular diseases from current evidence to clinical practice" presents the following contents: Chagas disease - A neglected disease; prevention and control of cardiovascular diseases - Policies, strategies and interventions; prevention and control of cardiovascular diseases focusing on low and middle ­income countries; posttraumatic stress disorder and cardiovascular disease,...

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  • (BQ) Part 2 book "Clinically oriented pulmonary imaging" presents the following contents: Imaging of pulmonary hypertension, obstructive pulmonary diseases, imaging of airway disease, idiopathic interstitial pneumonias, occupational lung disease, hemoptysis, image guided thoracic interventions,...

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  • (BQ) Part 1 book "Diagnostic breast imaging - Mammography, sonography, magnetic resonance imaging and interventional procedures" presents the following contents: Patient history and communication with the patient, clinical findings, mammography, magnetic resonance imaging, percutaneous biopsy,...

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