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Brain maldevelopment or injury in utero can cause life-long disability. Focussing on improvements in imaging methods, therapeutics, and perinatal care that can help to identify, prevent, or treat brain problems in the fetus and newborn, this new edition brings the reader fully up to date with recent advances in clinical management and outcome assessment. Updated material includes protective strategies for pre-term and term infants, ways of promoting of brain development in the neonatal intensive care unit, resuscitation, and immediate care after resuscitation (golden hour care), and parental perspectives, particularly strategies for communicating with families. An outstanding international team of highly experienced neonatologists and maternal-fetal medicine clinicians have produced a practical and authoritative clinical text offering clear management advice to all clinicians involved in the treatment of the fetus and newborn.
Offering a concise yet comprehensive overview, this textbook explains the fundamental concepts and frameworks that underpin the field of public health. Chapters define key terms and cover topics such as measuring health, technology, equity, leadership, health systems and reform. Real-world health issues, including COVID-19, obesity, HIV/AIDS and climate change, are used to make abstract ideas more easily digestible. Designed for students and professionals interested in public health, it includes learning objectives, illustrative examples, summaries of key takeaways, and comprehension and discussion questions to aid navigation and learning. An instructor manual and test bank are available as supplementary resources.
This groundbreaking book delves into the origins and evolution of caring for the neurocritically ill. From the early pioneers like Galen and Charcot to the modern advancements in understanding acute brain injury, this narrative weaves together historical insights and clinical observations. Explore the unique challenges and breakthroughs that shaped acute neurology into the specialized field it is today. Through a meticulous exploration of primary sources and historical findings, this book sheds light on the trajectory of thought and the continuity of development in acute neurosciences. Aimed at neurointensivists, neurosurgeons, and clinicians across various specialties, Fixed and Dilated offers a fresh perspective on the past while connecting it to the present and future of neurocritical care. Uncover the untold stories that have shaped our understanding of acute neurological conditions.
An essential, accessible introduction to Dialectical Behaviour Therapy (DBT) for reducing self-harm, suicidal behaviours, and other major problems associated with emotional dysregulation. It breaks the treatment down into user-friendly steps for novice clinicians while refreshing knowledge for more experienced practitioners. Covering all modes of DBT, chapters also span case formulation, recent research, the DBT suicide crisis protocol, case studies, running standalone DBT skills training, and implementing a DBT programme. Authored by accredited DBT therapists and supervisors who are all senior members of the British Isles DBT National Training Team which has seeded 650+ DBT teams in the UK and across Europe since 1997, this practical textbook is packed with rich, everyday clinical examples and useful ideas for practice. Part of the Cambridge Guides to the Psychological Therapies series, offering all the latest scientifically rigorous, and practical information on a range of key, evidence-based psychological interventions for clinicians.
This comprehensive guide presents a data science approach to healthcare quality measurement and provider profiling for policymakers, regulators, hospital quality leaders, clinicians, and researchers. Two volumes encompass basic and advanced statistical techniques and diverse practical applications. Volume 1 begins with a historical review followed by core concepts including measure types and attributes (bias, validity, reliability, power, sample size); data sources; target conditions and procedures; patient and provider observation periods; attribution level; risk modeling; social risk factors; outlier classification; data presentation; public reporting; and graphical approaches. Volume 2 introduces causal inference for provider profiling, focusing on hierarchical regression models. These models appropriately partition systematic and random variation in observations, accounting for within-provider clustering. Item Response Theory models are introduced for linking multiple categorical quality metrics to underlying quality constructs. Computational strategies are discussed, followed by various approaches to inference. Finally, methods to assess and compare model fit are presented.
This comprehensive guide presents a data science approach to healthcare quality measurement and provider profiling for policymakers, regulators, hospital quality leaders, clinicians, and researchers. Two volumes encompass basic and advanced statistical techniques and diverse practical applications. Volume 1 begins with a historical review followed by core concepts including measure types and attributes (bias, validity, reliability, power, sample size); data sources; target conditions and procedures; patient and provider observation periods; attribution level; risk modeling; social risk factors; outlier classification; data presentation; public reporting; and graphical approaches. Volume 2 introduces causal inference for provider profiling, focusing on hierarchical regression models. These models appropriately partition systematic and random variation in observations, accounting for within-provider clustering. Item Response Theory models are introduced for linking multiple categorical quality metrics to underlying quality constructs. Computational strategies are discussed, followed by various approaches to inference. Finally, methods to assess and compare model fit are presented.
There is a growing need for academic enquiry acknowledging the challenges surrounding successful prescribing for mental health. This book focuses on the act and skills of psychiatric prescribing and its psychosocial context, bringing together differing views on prescribing, assessing the challenges, and identifying useful principles and guidelines together. Covering a multitude of topics including interpreting and handling uncertainty in the clinical evidence, accounting for phases of illness and natural course, collaborating with allied professionals, addressing the meaning of medications, minimising structural barriers to medications; accounting for interactive effects of dietary factors, supplements and alternative remedies, and shared decision-making approaches. Case vignettes and accompanying analysis frame the issues relevant for psychiatric prescribers and offering an approach that strikes a balance between the biological, psychological and social elements of prescribing. For psychiatrists, clinical psychologists and all those involved with the care of patients with mental health conditions.
Surrogacy is a rapidly evolving global phenomenon that raises profound legal, ethical, and social questions. This book offers a pioneering Rights-Based Pyramid Approach, balancing adults' rights through liberty, equality, and vulnerability, to secure the best interests of children at the centre. Drawing on extensive empirical research in Sri Lanka, alongside comparative analysis of India and the UK, it provides a uniquely context-sensitive perspective on how surrogacy laws can and should respond to real-world challenges. A distinctive feature of this book is its examination of how one country's laws impact surrogacy both within and beyond national borders, shaping practices, markets, and policy responses across regions. Written in clear, accessible language, the book bridges academic and practical debates, making it essential reading for students, researchers, and professionals in law, bioethics, gender studies, social policy, sociology, psychology, and public health, as well as policymakers and practitioners seeking a comprehensive yet practical guide.
As a psychiatrist, you may be the only medically qualified person available to manage the physical healthcare of a patient in a mental health setting. Do you know how to: Recognise sepsis? Diagnose headache disorders? Manage Type 1 Diabetes? Written by leading experts in medicine, surgery, pharmacy, physiotherapy, primary care, disease prevention and the law, this book contains a wealth of information specifically for psychiatrists about physical healthcare. With full-colour illustrations, there is information about the management of acute illness, infectious diseases, cardiac, respiratory and neurological emergencies, and long-term conditions e.g., endocrine, renal and gastrointestinal disorders. Whether you are an experienced psychiatrist or a trainee or GP, you will find practical guidance about making the 'first response', delivery of routine physical healthcare and referral to colleagues. This book is essential reading to help update your knowledge, help you to make the right decisions, and avoid traps for the unwary.
An updated second edition of the popular 'red book' revision aid, developed specifically for those preparing for the Final FFICM structured oral examination. Written and edited by three consultant intensivists and designed in the style of the viva, it provides model answers which feature summaries of the relevant evidence to guide trainees in their preparation for the exam. The 98 topics and questions specifically tackle clinical aspects of the exam and each chapter is structured to facilitate productive revision. Core concepts are expanded to ensure detailed explanations, and enhanced by figures and tables to promote visual learning. Now featuring seven new chapters, this text is an invaluable revision aid to those studying for the Final FFICM and, more widely, trainees revising for the Final FRCA, as it covers popular and commonly occurring ICM topics featuring in the anaesthetic fellowship exams.
Recreational drugs that were once proscribed are now being explored as new pharmacotherapies. This topical book provides a balanced guide to new and far-reaching changes in our health system and our drug laws. Written by leading scientists, practitioners and researchers, it examines the evidence, discusses the history and context, and describes the pharmacology of recreational drugs that are being repurposed as medical treatments as well as recreational drugs that are currently being investigated. Amongst the drugs covered are psilocybin, cannabis, ketamine, MDMA, amphetamine and methylphenidate. Where known, the mechanisms of action, pharmacokinetics, putative indications, and safety and tolerability are described for each agent. Drugs used by indigenous communities for ritual purposes, currently being considered for treatment by the mainstream medical establishment, are also investigated. This is an up-to-date evidence-based resource for all people interested in the medical use of recreational drugs.
This essential new edition study guide includes in-depth coverage of past FFICM exam material, offering an invaluable resource for trainees preparing for the OSCE examination in intensive care medicine. The structured layout gives the reader clear and convenient access to a wealth of model questions and answers ideal for both quick-fire practice or more detailed study. Featuring over 100 completely new questions, the book covers data interpretation, equipment, imaging, ECG, ethics and communication and simulation. Questions are matched to the curriculum and a sample marking scheme is provided to assist with exam preparation. This enhanced edition focuses on key topics, realistic question formats and exam technique with new simulation, ECG and imaging scenarios. Written in a style that allows the reader to quickly pick out salient points but also with sufficient background material to enhance the learning experience and save valuable revision time.
Women's health, and particularly the impact of hormones, menopause, and contraception on mental health, has long been poorly understood and under-addressed in clinical practice. This pioneering guide offers mental health professionals a vital resource to assess, formulate, and manage the psychological effects of gynaecological hormonal conditions. Drawing on current evidence, UK clinical guidelines, and powerful testimony from experts by experience, the book explores the scientific foundations of hormonal influences on mental wellbeing. It highlights areas where research is lacking and reflects the realities of working within NHS services. Designed for professionals supporting women with menstrual disorders, hormonal contraception use, or peri/post-menopausal symptoms, this guide equips readers to deliver informed, compassionate care. It also addresses healthcare inequalities, particularly for women with severe mental illness who face barriers to accessing sexual health services. Practical, evidence-based, and deeply insightful, this is an essential reference for anyone committed to improving clinical outcomes in women's mental health.
Conquer the postgraduate exam with this expertly designed question bank from a consultant-mentor with twnety-five years of global ICU leadership experience. Featuring over 1,000 evidence-based MCQs mapped to the official curriculum, the book is structured into organ-system chapters that progress from Foundation to Challenge level. Each question includes detailed explanations referencing landmark trials, COVID-era guidelines, and essential literature to accelerate high-yield learning. Realistic case vignettes, pacing strategies, and alerts for common pitfalls are all included alongside relevant background information and references for further reading. Featuring three full mock papers with corresponding answer sheets which simulate authentic testing conditions, supporting both long-term preparation and last-minute review. Covering the entire syllabus, this compact resource delivers clinical insight and exam agility for confident performance. Perfect for trainee intensivists and anaesthetists worldwide preparing for examinations in intensive care medicine.
When faced with a cancer diagnosis, navigating the maze of emotions and decisions can be overwhelming. In this inspiring and deeply personal memoir, Michael Handford – a professor of intercultural communication – shares his experience of a stage-4 throat cancer diagnosis at the age of 42 while living and working in Japan and the UK. Weaving together his professional insights and personal experiences, and through vivid storytelling, Handford examines how communication – whether with doctors, loved ones, or oneself – can shape the cancer experience. He shows that creating meaning and agency in the face of illness can provide a sense of control amidst the chaos. This book is not just about surviving cancer but about reframing it as part of a quest for connection, resilience, and understanding. Poignant, and at times brutally funny, Lump in My Throat offers guidance, hope, and tools to navigate the toughest of times with dignity and strength.
This practical guide to Interpersonal Psychotherapy (IPT) covers the history and supporting theory, through to the most recent empirical evidence and practical aspects of delivery. The structure of IPT is covered in detail, allowing practitioners to use the book as a thorough guide to delivering therapy in their clinical practice. Numerous case studies are included to help readers learn through examples, as well as the key applications of IPT to a variety of disorders, including perinatal depression, social anxiety, bipolar disorder and eating disorders. An overview of various adaptations of the therapy for applications in different populations and settings is also covered, allowing the clinician to tailor therapy to different settings. Part of the Cambridge Guides to the Psychological Therapies series, offering all the latest scientifically rigorous and practical information on a range of key, evidence-based psychological interventions for clinicians.
Spirituality in Mind offers a unique, personal, and critical perspective on the complex entanglements between psychiatry, spirituality, religion, and theology. Drawing on over four decades of experience, the author explores how spirituality, despite often being overlooked or undervalued, is central to holistic, patient-centred psychiatric care. Through compelling case studies and interdisciplinary insights, the book challenges conventional symptom-focused models and advocates for a shift toward meaningful recovery. It engages with the concept of “clinical theology,” highlighting the ordinary theological concerns of patients and the need for psychiatry to be more spiritually attentive. By integrating perspectives from the critical medical humanities, this book demonstrates that spirituality is not an optional extra but a core concern of psychiatry, psychiatrists, and patients alike. Spirituality in Mind raises vital questions about the nature and purpose of psychiatric practice, offering a new vision for mental health care.
Critical Review for the MRCPsych is a practical and exam-focused resource to support preparation for the MRCPsych Critical Review paper. Written by the exam panel chair, this essential guide makes research methods and statistics accessible through clinically relevant examples. Complex concepts are explained in plain language and reinforced with psychiatry-focused examples, clear graphs, and easy-to-follow tables, making this ideal for readers without a formal research background. Each chapter is aligned with the MRCPsych Critical Review syllabus and concludes with concise summaries for quick revision. Practice multiple-choice questions throughout the book enable readers to test knowledge, sharpen exam technique, and build confidence. Combining clarity, accessibility, and exam relevance, it is an essential companion for mastering one of the most challenging areas of psychiatric training.
Despite rising life expectancies and growing attention to the increasing proportion of older persons in rich democracies, we still know surprisingly little about how people develop after 60. This book proposes an integrative approach to development in older age that expands sociocultural psychology across the life course. It shows that people develop into older age while acting, feeling, remembering, imagining, and moving in the spaces where they live and interact with others. The diversity and singularity of ageing trajectories is also studied, highlighting how deeply the environment can guide and support as well as expand upon or offer resources to older persons. The author demonstrates the role of carefully designed social and institutional settings and well-planned ageing policies in fostering 'ageing in place'. By exploring housing, formal and informal care networks, and everyday arrangements that help older persons live meaningful lives, this volume speaks to anyone concerned with ageing.