Medical

This book highlights views on responsive, participatory and democratic approaches to evaluation from an ethos of care. It critically scrutinizes and discusses the invisibility of care in our contemporary Western societies and evaluation practices that aim to measure practices by external standards. Alternatively, the book proposes several foci for evaluators who work from a care perspective or wish to encourage a caring society. This is a society that sees evaluation and care as a continuously unfolding relational practice of moral-political learning contributing to life-sustaining webs.

‘At one level is the evaluator’s immediately responsive and interpersonal encounter with the personal troubles of social actors, most visible, as Mills originally pointed out, in an individual’s biography and in those social settings directly open to the individual’s lived experience. (...) At another level, the sociological and political level, the evaluator operates at what Mills called the arena of public issues where immediate personal troubles are seen not only as problems encountered by individuals but as the result of structural and political arrangements in society (...) evaluation for a caring society is thought to operate at both levels’ (Thomas A. Schwandt, Professor Emeritus, University of Illinois at Urbana-Champaign).

‘The intricate relationship between evaluation and care is hardly addressed by evaluators or caregivers. This book fills a gap, as it focuses on the relationship between evaluation and care and provides a multitude of examples of evaluation as a caring practice (...) the book can serve as an antidote to the present-day haste in social practices, and contribute, in form and content, to developing an evaluation practice which may foster a caring society’ (Guy Widdershoven, Professor of Philosophy and Ethics of Medicine and head of the Department of Medical Humanities at VU University Medical Center, VU University Amsterdam).

The book deals with current issues, pertinent every healthcare relationship. Changes in medicine as well as some constant aspects over time arise within a cultural ground and generate new questions and issues that are not only purely medical, but also bioethical, social, political, economic and psychological of course.

On the one hand, changes in medicine generate new questions for society, on the other hand, the society poses new questions to the medicine, new challenges, and in some cases they can conflict with consolidated models and practices. Never the progress of Western medicine and its therapeutic practices have been as significant as in the last decades but the increase of specific competence and effectiveness of medical treatments are not linearly translated into an increase of consensus, dialogue and alliance between medicine and society. How does psychology take on a position of interlocutor towards medicine and its transformations? How does Cultural Psychology, Health Psychology, Clinical Psychology confront themselves with the processes of meaning making generated by medicine?

The interest of the book is aimed to grasp the construction of processes of cultural, relational and subjective meaning in the dialogical encounter between medicine and society, between doctor and patient. The book intends to focus in particular on two specific plans: on the one hand, to present a reflection and analysis on contemporary medicine and its on-going transformations of the healthcare relationship; on the other hand, to present and discuss experiences of intervention and possible models of intervention addressed to healthcare and doctor-patient relationships during its crucial steps (consultation, formulation and communication of diagnosis, therapy, conclusion). The book’s purposes are aimed to discuss crucial and current issues on the borders between medicine and psychology: consensus and sharing, decision-making and autonomy, subjectivity and narration, emotions and affectivity, medical semeiotics and cultural semiotics, training of physicians, and epistemological, theoretical and methodological issues.

The concept of health is a challenge of great complexity in terms of theoretical, methodological and intervention within the idiographic frame.

Health cannot be considered an abstract condition, but a means, a resource aimed at achieving objectives that relate to the ability of people to lead their lives in a productive way - individually, socially, and economically. Health is a process that is not based on the definition of standards and categories on the basis of which typifying the states of health. Rather, it has to be considered a process, on a large scale and on many entangled levels, aimed at generating a culture of the health as a resource for individuals and communities and to promote skills needed to transform these resources into developmental goals.

The notion of health, indeed, defined and interpreted in terms of "state" and not of process, meets the immediate paradox of being an indicator of normativity by reason of which we risk a proliferation of new and potentially infinite forms of "deviation". The approach of the idiographic sciences (see previous volumes of the Yearbook Idiographic Science Series, by same publisher IAP) considers that every psychological process (but in general every process, from organic to the social and cultural ones) is characterized by a contextual, situated and contingent dynamics. That dynamics is always characterized by a never-ending opening of its cycles and great variability. Conditions of stagnation and hypostatization are characteristic of all forms of disease (physical, mental and social) that sclerotize relational links between people and their environments. Health is therefore a process that presents oscillation in the same way of any developmental process that has moments of crisis and rupture in order to re-organize new forms of relationship with the social and cultural environment.

This book represent a fruitful way to deep many cogent issues and to dialogue with an idiographic perspective in order to discuss the concept of health, to define its cultural meanings and possible polysemy (e.g., wellness, care, hygiene, quality of life, resilience, prevention, healing, deviation/normality, subjective potentiality for development, etc.), its areas of pertinence and intervention (somatic, psychological, social) trying to offer possible alternatives to the "normalization" of health and creating new incentives for the reflection.

Marketing in Healthcare-Related Industries captures the concepts and complexities of marketing healthcare in today’s environment. The book provides detailed conceptual and practical insights that will be of great benefit to healthcare scholars and practitioners. Topics on healthcare marketing have been carefully selected to provide wide coverage and are illustrated by mini-cases with a highly practical marketing tool kit for healthcare managers included.

The healthcare sector in the 21st century face a multiplicity of challenges, which include changing disease patterns, more technology-driven health interventions, a more assertive and quality conscious clientele, as well as a rapidly growing for-profit segment of the industry. This places more responsibilities on healthcare service providers in both the public and private sectors, to deliver value-for-money services at competitive costs. To respond to the changing business environment, a carefully crafted marketing approach is needed by all players in the industry to create value and sustain the confidence of clientele and stakeholders.

In this volume, Hugo Letiche tackles the all-important question, is there “care” in healthcare? If, as Klaus Krippendorff(2006) argues, “meaning is a structured space, a network of expected senses, a set of possibilities…[that] emerges in the use of language,” then within the healthcare systems of today, the meaning of “care” has been defined to be the eradication of a problem. We must recognize that patients do not wish to regarded merely as a problem requiring eradication.

Letiche is opposed to the very idea that complexity reduction can address the humanity of each individual healthcare situation. He argues that, through narratives and through complexity based social theory, the complexity of each individual situation must be transcended through mindful listening and engaged dialogue. Letiche suggests that in the absence of such mindfulness, the lack of time for true listening, and the inability of providers and systems to allow for patients and family to engage in dialogue lies both the roots of the problem and the potential for its solution. If complexity theory has a role in the analysis understanding and betterment of social systems, then approaches such as the one Letiche undertakes herein will become essential tools of the trade.

As a result of the AIDS epidemic, many nations around the world have faced the demands of caring for a particularly vulnerable population of children, the orphans of parents who have died of AIDS or whose caregivers are terminally ill from the disease. Overcoming AIDS: Lessons Learned from Uganda offers an in-depth exploration of this global issue and provides a broad focus on evolving a constructive response to the HIV/AIDS epidemic.

This collaborative resource is the fourth in the Research in Global Child Advocacy book series, and it offers readers a glimpse into the experience of HIV/AIDS infected and affected people from the perspective of researchers, policy makers, and professionals who diligently work toward crafting a framework for action that is integrated across disciplines. Despite the enormity and intensity of the problem, chapter authors share a commitment to advocate for a better world in which social and economic disparities do not preclude children from experiencing a future that is bright with potential opportunities and hope.

In a world saturated with the “how tos” of OD, there is a void of evidence-based resources for both organizational leaders and OD scholar-practitioners to use as a guide while navigating the complex and chaotic environment of healthcare. This handbook has been created to fill this space and provide a resource for this vital audience at a time of great change and greater potential in the healthcare arena.

The handbook will focus on the critical nature of OD in healthcare and how it applies in this unique environment; examining its broad use from hospitals to corporate offices and from small systems to multinational corporations. The book will provide research-based, practical processes and methods, while sharing compelling cases of how the compassion and care associated with healthcare is wound tightly with the OD work it encompasses.The handbook will also offer a comprehensive look at the role OD plays in the critical issues and significant changes facing healthcare today.

The handbook overall is a small part history and a small part predictions surrounding very practical and applicable uses of OD In healthcare. Through the sharing of engagement processes, revealing outcomes and connecting each concept to a living case of how OD has impacted the healthcare field, this handbook provides a unique resource for OD and HR professionals, healthcare executives, MHA students and the academic community.

The purpose of this book is to convince administrators and providers of health care that scientific research has produced numerous tools, techniques, and approaches for managing health services that are most effective and most efficient. Convincing the managers and administrators of this fact is accomplished by presenting numerous easy-to-understand summaries of the research reported in the scientific research journals available at University and main city libraries.

This book is intended for four intersecting groups of readers. If you are a philosopher, closet or sanctioned, then you cannot ponder the nature of being without due consideration for vision, and cannot contemplate the role of seeing in our lives without listening to the stories of those who are blind. The tales within this text are particularly contemporaneous because they are contextualized by the cyber-phenomena of online learning. This segues to the second group of readers, as the described empirical research was originally intended to bring greater depth and breadth of understanding to the field of educational technology, particularly as it intersects with disability studies. There is a paucity of published literature that has inquired into disabled online learners, and this research study responds to that call. Third, this book may be used as a textbook on approaches to interpretive empirical research. It is as close as one may come to a recipe, walking students through a specific example.

Because it is situated in actual empirical research, the intention was that it avoid the trap of being prescriptive or formulaic. Finally, the text is intended for readers interested in the field of blindness. The text reviews some of the seminal and contemporary research on blindness, and then presents an elaborated example of what we can and should expect to emerge in the knowledge production industry, changing what it means to be blind.

Transformative Learning in Healthcare and Helping Professions Education: Building Resilient Professional Identities is a co-edited book (Carter, Boden, and Peno) with invited chapters from educators who share our passion for learning in healthcare and the helping professions. The purpose of the book is to introduce professional learners (students, residents, and others in professional training) to transformative learning for building resilient professional identities amid practice environments that include widespread burnout and compassion fatigue. With a diverse set of authors engaged in clinical and educational practice in academic medicine, nursing, dentistry, physical therapy, mental health counseling, science education, psychology, social work, and inter-professional collaborative practice, we offer strategies for building resilience throughout the years of professional training and into professional practice. We do so through the experiences of authors involved in healthcare and the helping professions to illustrate how some are coping with the challenges of burnout and compassion fatigue through learning that can be transformative.

This book explores the nature of professional identity formation by examining ways that professionals in training can thrive amid the challenges of today’s stressful practice environments. First-hand stories of resilience illustrate how learners, as well as educators in these professions, are addressing adversity, career decision-making, service to the underserved, and the self-care needed to provide excellent care for others. The prominence of transformative learning within adult learning theory is illustrated for its potential to revise the meaning that learners make of their experiences and open up new possibilities for renewed vitality in professional education and practice environments.

The book has two primary audiences: professional learners in healthcare and helping professions education, and their educators who are often professional practitioners themselves. These educators have a significant role in influencing the next generation of professionals by serving as mentors, role models, and teachers. The importance of fostering learning that is transformative has never been more important than it is today for those who will work in these demanding professions. We invite readers to discover experiences and strategies for achieving individual wellbeing, as well as opportunities for building a culture within professional education and practice settings that will foster resilience.

Healthcare and technology are at a convergence point where significant changes are poised to take place. The vast and complex requirements of medical record keeping, coupled with stringent patient privacy laws, create an incredibly unwieldy maze of health data needs. While the past decade has seen giant leaps in AI, machine learning, wearable technologies, and data mining capacities that have enabled quantities of data to be accumulated, processed, and shared around the globe. Transforming Healthcare with Big Data and AI examines the crossroads of these two fields and looks to the future of leveraging advanced technologies and developing data ecosystems to the healthcare field.

This book is the product of the Transforming Healthcare with Data conference, held at the University of Southern California. Many speakers and digital healthcare industry leaders contributed multidisciplinary expertise to chapters in this work. Authors’ backgrounds range from data scientists, healthcare experts, university professors, and digital healthcare entrepreneurs. If you have an understanding of data technologies and are interested in the future of Big Data and A.I. in healthcare, this book will provide a wealth of insights into the new landscape of healthcare.

It’s Not What You’re Thinking by Dr. Rick van Pelt addresses the deep-rooted crises in healthcare—escalating costs, persistent safety issues, and the overwhelming burnout of caregivers. In this groundbreaking work, van Pelt introduces "Precision Problem Solving," a fresh, no-hypothesis approach that reveals how entrenched problem-solving methods have failed to transform the healthcare landscape. His methodology rejects conventional thinking and instead focuses on addressing conflict to create safe learning conditions, objective observation, and sustained solutions through comprehensive understanding of core functional problems.

With over thirty years of clinical experience, van Pelt outlines practical solutions for navigating the chaotic intricacies of healthcare. For example, he discusses how misaligned approaches to patient safety have hindered progress and why fragmented management systems continue to exacerbate burnout. He also explores the importance of interprofessional collaboration, offering insights into how healthcare systems can foster empowerment and ownership by eliminating conflict and focusing on comprehensive understanding.

This book offers a much-needed alternative for healthcare leaders, professionals, and administrators seeking to enact lasting, transformative change. It provides a methodology along with tools designed for practical implementation in complex environments where the stakes are high. It’s Not What You’re Thinking is essential reading for anyone ready to challenge the status quo and build a more reliable, sustainable system.

Dieses Buch ist eine Schritt-für-Schritt-Anleitung zur evidenzbasierten Durchführung von Interventionen an der Wirbelsäule. Es unterstützt beim gesamten Vorgehen: von der Anamnese über die Diagnostik bis zur klaren Beschreibung der einzelnen Pathologie und der Injektionstechniken in der Hals-, Brust- und Lendenwirbelsäule sowie am Iliosakralgelenk. Die Techniken werden ausführlich dargestellt mit Durchleuchtungskontrolle und mit Ultraschall.

Beschrieben wird auch der grundlegende Umgang mit dem C-Bogen, Nutzen und Risiko der notwendigen Medikamente sowie Risiken und Komplikationen und das Notfallmanagement. Schwerpunkt des Buches ist die farblich hervorgehobene Schritt-für-Schritt Anleitung, welche sich direkt im Kurs und im Alltag umsetzen lässt.

In der zweiten Auflage wurden alle Kapitel überarbeitet, neue Evidenzen wurden eingefügt und sehr viele Abbildungen wurden verbessert. Es gibt nun einen eigenen Teil zu Injektionen mit Ultraschall sowie ein Kapitel zu Risiken und Komplikationen und ein Kapitel über Radiofrequenzdenervationen.

Komplikationen und die daraus oftmals resultierenden Vorwürfe eines Behandlungsfehlers sind unbestreitbar Teil des unfallchirurgischen Alltags. Umso wichtiger ist es, diese schnell zu erkennen und optimal zu behandeln, um sekundäre Schäden zu minimieren.

Zugeschnitten auf die speziellen Herausforderungen der Unfallchirurgie im Rahmen des Komplikationsmanagements bietet dieses Buch Antworten auf häufige Fragen: Was ist überhaupt eine Komplikation, was ein Behandlungsfehler? Wie kläre ich meine Patienten optimal auf? Was muss ich tun, wenn ein Haftungsfall eingetreten ist, wie kann ich mich absichern? Im speziellen Teil werden die relevanten Komplikationen anhand von zahlreichen Fallbeispielen beschrieben – von der falschen Indikation und missverstandenen Aufklärung über verbliebene Fremdkörper, Fehlstellungen oder übersehenen Frakturen bis hin zu Wundinfekten und Nachbetreuung – jeweils mit medizinischer Einschätzung und haftungsrechtlicher Bewertung. Im Fokus sind konkrete Entscheidungshilfen und praktische Anleitungen, die direkt im Alltag umgesetzt werden können.

Für eine reproduzierbare Schnittführung und sichere Interpretation der Befunde bei der Sonografie des Bewegungsapparates sind standardisierte Schnittebenenen unerlässlich. Doch wo genau setze ich den Schallkopf? Wie sieht ein Normalbefund in der jeweiligen Schnittebene aus, und wie stellt sich mein Befund dar? Dieses Buch bietet praktische Hilfestellung bei der Darstellung der Standardebenen, die von der Deutschen Gesellschaft für Ultraschall in der Medizin (DEGUM) empfohlen werden. Zu jedem Standardschnitt wird gezeigt, wo genau abgetastet und der Schallkopf angesetzt werden sollte. Repräsentative sonografische Schnittbilder helfen bei der Einschätzung des eigenen Befundes. Magnetresonanztomografische Vergleichsbilder runden die Darstellung ab.

Rückenschmerzen nachhaltig behandeln? Dieses Buch beschreibt anwendungsorientiert die multimodale Therapie und stellt ausführlich die interdisziplinäre Diagnostik und Therapie von Menschen mit Rückenschmerzen anhand zahlreicher Beispiele aus dem klinischen Behandlungsalltag vor. Die Forderung nach Interdisziplinarität ist nicht neu, ihre Umsetzung im Behandlungsalltag aber bisher kaum konkret beschrieben. Schwerpunkte und Vorgehen der unterschiedlichen Disziplinen - Medizin, Physiotherapie, Psychologie und Sportwissenschaft - innerhalb einer Tagesklinik werden detailliert dargestellt. Das Hauptaugenmerk liegt auf der fachübergreifenden Kommunikation und der Gestaltung des auf Aktivierung und Hilfe zur Selbsthilfe ausgerichteten Behandlungsansatzes. Die Autoren, sämtlich Therapeuten mit langjähriger praktischer Erfahrung, skizzieren Möglichkeiten zur Vernetzung der Module als den wesentlichen Qualitätssprung der interdisziplinären Schmerztherapie. Das gibt, auch nicht in einem Team arbeitenden Kollegen, Anregungen, für andere Disziplinen „mitzudenken" und den eigenen Behandlungsansatz weiterzuentwickeln.

In diesem Buch wird erstmals die multimodale interdisziplinäre Komplexbehandlung der ANOA (Arbeitsgemeinschaft nicht operativer orthopädischer manualmedizinischer Akutkliniken) umfassend dargestellt. In den ANOA-Kliniken arbeitet ein interdisziplinäres Ärzte-, Psychologen- und Therapeutenteam, um Schmerzerkrankungen des Bewegungssystems multimodal zu diagnostizieren und zu behandeln. Das Therapiekonzept ist ausgerichtet auf die Behandlung akuter Schmerzen und Funktionsstörungen und dem Aufbau medizinischer, psychologischer und sozialer Hilfen zur Bewältigung der Erkrankung und zur Verbesserung der Lebensqualität.

Im Zentrum des Buches stehen die Diagnostik (morphologisch, funktionell und psychologisch) sowie die Therapie, für die eigene Behandlungspfade entwickelt wurden. Die Autoren präsentieren strukturelle Voraussetzungen, Team und Teamwork, Behandlungsqualität und Abrechnung und stellen die bisherige wissenschaftliche Datenlage vor.

Dieses Fachbuch enthält die Grundlagen für die Erstellung von Kausalitätsgutachten auf dem Gebiet der Erkrankungen, Verletzungen und Überlastungsschäden am Bewegungsapparat. Es erscheint in Form von mehreren eigenständigen Bänden. Dieser Band behandelt die Bereiche Femoropatellargelenk, Wertigkeit der histopathologischen Diagnostik, Neurologie, Psychiatrie.

Neu ist der interdisziplinäre Ansatz mit der Integration von Anatomie, Pathogenese, Histopathologie, Radiologie und Klinik. Besonderer Wert wird auf die Begründung und Defi nition von einheitlichen und gleichzeitig verständlichen Bezeichnungen gelegt.

What does it mean to oppose AIDS, to be at odds with AIDS? What kind of rupture with history does AIDS represent? How does AIDS and what is said about AIDS relate to gay identity? How does AIDS relate to thinking and acting, particularly deconstructive thinking? The author confronts these questions from a broad philosophical background that ranges from Kant, Nietzsche, Kierkegaard, and Heidegger to contemporary thought concerning gay activism and AIDS research, all brought together in an effort to find a philosophical language capable of doing justice to the singularity of lived experience in the shadow of AIDS.

In examining what AIDS reveals about the conditions of existence, García Düttmann develops the idea of the “dis-unity” or “at-odds-ness” of existence, of the “non-belonging” that characterizes the marginalized, outcast, or abandoned, and exposes human existence itself. He analyzes what AIDS reveals about the character of history through two intertwined issues. First, he examines arguments bearing on the epochal significance of AIDS, the idea that AIDS reveals something uniquely characteristic of our time, hence that the epidemic marks a historical caesura. Second, he develops a theory of historical witnessing suggesting that the phenomena of historical event and bearing witness are not at all separate, but instead are co-originary, inhering in the same complex.

Volume VIII in the Ben cao gang mu series offers a complete translation of chapters 38 through 46, devoted to clothes, utensils, worms, insects, amphibians, animals with scales, and animals with shells.

The Ben cao gang mu is a sixteenth-century Chinese encyclopedia of medical matter and natural history by Li Shizhen (1518–1593). The culmination of a sixteen-hundred-year history of Chinese medical and pharmaceutical literature, it is considered the most important and comprehensive book ever written in the history of Chinese medicine and remains an invaluable resource for researchers and practitioners. This nine-volume series reveals an almost two-millennia-long panorama of wide-ranging observations and sophisticated interpretations, ingenious manipulations, and practical applications of natural substances for the benefit of human health. Paul Unschuld's annotated translation of the Ben cao gang mu, presented here with the original Chinese text, opens a rare window into viewing the people and culture of China's past.