Medical

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.

Strategic management of HR in health care is important in delivering high-quality patient care. Given that salary and wages constitute about 65 to 80% of the total operating budget in a typical health care organization and also the fact that people play a critical role in delivering high quality patient care, it is imperative for health care organizations to manage their human resources more effectively. Unfortunately, the HR function remains one of the most neglected in health care organizations and 'warm body syndrome' seems to characterize the role of HRM in health care organizations. The purpose of the special issue of AHCM on Human Resource Management is to explore the strategic role that HR function can play in delivering high quality and affordable health care.

"Advances in Health Care Management" is a research annual that publishes state-of-the-art reviews and research on special topics in the field of health care management. As conceived by the founding editors, John D. Blair, Myron D. Fottler, and Grant T. Savage, and as originally commissioned by JAI Press, "Advances in Health Care Management" provides a forum for leading research on health care management. Volumes 1-3 offer reviews of the field, research on selected topics, and best papers from the Health Care Management Division of the Academy of Management.

This volume is a collection of critical ideas relating organization science to both operations and accomplishments in the health care environment. A thematic guide for current leaders and practitioners, as well as health administration, business administration and organization development professors and students alike, this work pulls in a broad cross-section of perspectives on the important linkage of scholarship and practice with a solid global perspective. Covering key themes from culture, change, leadership, teams, IT and a systemic perspective of health care overall, it provides both practical insights and theoretical perspectives that will support immediate improvements and encourage longer term dialogue on how organization science can impact the delivery, structure and operations of health care systems globally. "Advances in Health Care Management" provides a forum for leading research on health care management with previous volumes providing reviews of the field, conference papers and research on selected topics including bioterrorism, international health care management, entrepreneurship, patient safety and nursing and health professional shortages.

This proposed volume will provide state-of-the art reviews of health care management, linking concerns about health care workforce management with health care organization management issues. This meso perspective, linking micro and macro organizational processes, should appeal to health care management researchers and doctoral students. Review articles in this volume will orient new and established scholars about current themes within health care management, as well as emerging themes and divergent views. The authors evaluate these future directions and offer their perspective on the direction or directions that would help build theory and improve the practice of health care management. Specifically, the volume will focus both on health care workforce management issues, including allied health professionals, nurses, and physicians, and on health care organization management issues, ranging from organizational governance and strategy to the globalization of health care organizations.

This volume on patient safety revolves around a central question: How can the increased emphasis on patient safety among healthcare managers be translated into better policy and reduced clinical risk? The twelve contributions in this volume are divided between four sections: theoretical perspectives on managing patient safety; top management perspectives on patient safety; health information technology perspectives on patient safety; and organizational behavior and change perspectives on patient safety. The issue of patient safety provides a fertile niche for management researchers to test existing theories and develop new ones. For example, the goal of reducing medical errors while maximizing patient health requires not only an awareness of the tenets of evidence-based medicine, but also the managerial theories of human relations, organizational culture, organizational development, organizational learning, organizational structure, quality improvement, and systems thinking. Indeed, these and other managerial theories are drawn upon and applied by the various contributors. Taken together, the thirty-five authors of this volume demonstrate that the future of patient safety requires healthcare professionals and managers who can successfully engage in multi-faceted projects that are socially and technically complex.

This volume focuses on management issues in the international context of health information technology (HIT). Nations around the globe have established policies designed to improve the computerization of their health care systems. It is believed that the adoption of HIT including clinical information systems, decision support systems, and networks or systems that facilitate the exchange of clinical and other health data will yield various desirable outcomes. These outcomes may include improvements in the quality of care, a reduction in medical errors, boosts in efficiencies, and improved provider and patient satisfaction. The purpose of this volume on HIT in the international context is to facilitate the exchange of management theory, best practice, implementation challenges, and the impact of adoption as it pertains to HIT adoption in one or more international settings. It offers a holistic viewpoint on health information technology use in health care organizations and systems, providing a managerial perspective from authors around the world that will prove useful for health care practitioners across a variety of settings.

This is the second biennial volume reviewing the state-of-the-art on a wide variety of micro and macro health care management topics in the popular "Advances in Health Care Management" series. It proudly showcases reviews of both empirical and conceptual research in specific areas of health care management, including topics in three basic areas: reviews of empirical and conceptual research on health care industry-specific topics, e.g., role of physicians; reviews of empirical and conceptual research on different types of health care organizations focusing on issues specific to such organizations or their segments of the health care industry, e.g., hospitals, managed care organizations; and, reviews of empirical and conceptual research on health care organizations focusing on topics or variables which cover various sub-disciplines of management, e.g., organizational change or entrepreneurial opportunity recognition. New and established scholars discuss such topics within their expert area of research, as well as emerging themes and divergent views, giving their unique perspective on the directions that will help build theory and improve the practice of health care management.

Health care, as it is currently organized, is not sustainable. Health care systems in the developed world are encountering increased demand for high quality health care but facing societal resource limits. Health care managers, professionals and academics worldwide are debating how to redesign its current organizational configurations and delivery paradigms to deliver more with less, amidst profound changes in demographics, increased cost of new technology and changing health care priorities. Health care is inextricably linked to the overall sustainability of society and it is critical that solutions are found. The chapters in this volume examine health care systems that are building the foundations for sustainable, high quality health care. Case-based analyses discuss substantive organizing changes aimed at operating within resource limitations, while taking advantage of new knowledge and medical advances that could have an unprecedented positive impact on the health of individuals and societies. The volume also explores the change capabilities and learning mechanisms that health care systems need in order to implement fundamental change and continue to improve over time.

Health care organizations around the world are judged in terms of a health care triple bottom line: ensuring employee and patient safety, maximizing employee and patient satisfaction, and meeting financial goals. Given the increasing burden of chronic diseases, the increasing complexity of medical interventions, and the increasing costs of care, innovative leadership is required to achieve this triple bottom line. The 14th volume of the Advances in Health Care Management research series addresses the links between leadership and safety, satisfaction or financial performance in health care management by exploring questions such as the following: (1) How does leadership impact employee safety? (2) How does leadership affect patient safety? (3) How does leadership impact employee satisfaction? (4) How does leadership affect patient satisfaction? (5) How does leadership affect financial performance? (6) How do health care organizations deploy multi-level leadership to achieve safety goals? Satisfaction goals? Financial goals? Multiple goals? (7) How do health care organization leaders establish and maintain a safety culture? A patient-centered culture? A high performance culture? Combined cultures?"

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.

Drawing on rich and poignant interviews with mothers who have been diagnosed HIV-positive, Contradicting Maternity provides a rare perspective of motherhood from the mother’s point of view. Whereas motherhood is often assumed to be a secondary identity compared to the central figure of the child, this book reverses the focus, arguing that maternal experience is important in its own right. The book explores the situation in which two very powerful identities, those of motherhood and of being HIVpositive, collide in the same moment. This collision takes place at the interface of complex, and often split, social and personal meanings concerning the sanctity of motherhood and the anxieties of HIV. The book offers an interpretation of how these personal and social meanings resonate with, and also fail to encompass, the experiences surrounding HIV positive mothers. Photographs, academic literature and the accounts of real women are read with both a psychodynamic and discursive eye, highlighting the contradictions within maternal experience, but also between maternal experience and the social imagination. Contradicting Maternity will appeal to scholars, students and practitioners in psychology, the social sciences and the health professions. The sensitive and readable analysis will also be of interest to mothers, whether HIV-positive or not.

In this thought-provoking portrait of AIDS Healthcare Foundation, the world’s largest HIV/AIDS medical care provider, award-winning journalist Patrick Range McDonald reveals the nonprofit’s unlikely rise from a feisty grassroots organization during the 1980s AIDS crisis in Los Angeles to its position today as an aggressive, global leader in the ongoing fight to control HIV and AIDS. This riveting story highlights the motivations behind AHF’s life-saving efforts, its battles against (and alliances with) governments and various political establishments, and its work today to provide free HIV treatment and prevention services to vulnerable, lower-income people in more than thirty countries.

With unrestricted, insider access, McDonald follows AHF for a year as it clashes with the Obama administration, the state of Nevada, and the World Health Organization. He interviews AHF’s key players, including firebrand president Michael Weinstein, and he travels to AHF outposts around the globe, from Miami to Uganda, Cambodia to Russia, Estonia to South Africa. Along the way, McDonald discovers that AHF is a passionate, smart, and tenacious “people power” organization that brings hope and change to nearly all corners of the world.

Beyond its work as a highly effective global AIDS organization, the AHF story also provides a blueprint for every kind of righteous rebel who wants to make the world a better place.

Papers on the role of the placenta in HIV and other perinatal infections.

Proceedings from the 12th Rochester Trophoblast Conference, held in Autumn 1992 in Rochester, New York. The first part of the book addresses the role of the placenta in the transmission of the HIV infection, the central focus of the Conference. Other pre-natal infections, including CMV, Vaccina, Parvovirus, Syphillis, and Herpes Simplex, are then considered, and their implications for perinatal health investigated. The importance of cell regulation is alsodiscussed, exploring the controlling factors which modulate the placental cell membrane and metabolic functions, such as genetic imprinting; the regulation of arachidonic acid cascade; autocrine role for human chorionic gonadotropin; biochemical screening for Down's Syndrome; the role of growth factors and interferon; the autoregulation of gas exchange; and the role of uterine cytokines. HENRY THIEDE is Professor of Obstetrics and Gynecology at the University of Rochester.
RICHARD K. MILLERteaches in the University of Rochester Medical Center.

Psychotherapy and ethnography are jointly employed to produce an account of HIV-positive children's lives (and deaths) in Zimbabwe that is sensitive to emotions and their social contexts.

The study explores the lives of children growing up HIV-positive in the eastern Zimbabwean town of Mutare at a time of severe crisis in the state, marked by impoverishment, organized violence and mass death. This ethnography grewout of a psychotherapeutic engagement with a group of children living with HIV.
The study examines children's experiences through the institutional domains of family and kin, clinics and other forms of healing, churches andreligious practices, and experiences of dying and bereavement. Against patrilineal norms, much daily caring occurs in mothers' families. Clinics continue to offer partial western medical care despite daunting resource constraints. Western medicine sits on older templates of 'traditional' and 'spiritual' healing. Anti-retrovirals and other basic medicines are available but may exacerbate domestic discord and fail to meet more obvious physical symptoms. Children and their families appear to prefer spiritual alternatives to medical care, perhaps partly as a result of the severe limitations placed on the latter. A wide variety of religious practices, primarily Christian in a plethora of forms, flourish in the context. Dying may come to be seen by children as preferable to continued struggle against severe adversity. Child deaths are deeply imbued with religious practice and given voice through religious idioms.

Ross Parsons has extensive experience as a psychotherapist, a writer and a social researcher. He lives in Mutare and teaches anthropology and psychology at Africa University.

Weaver Press: Zimbabwe and Southern Africa (South Africa, Botswana, Lesotho, Swaziland and Namibia)

Psychotherapy and ethnography are jointly employed to produce an account of HIV-positive children's lives (and deaths) in Zimbabwe that is sensitive to emotions and their social contexts.

The study explores the lives of children growing up HIV-positive in the eastern Zimbabwean town of Mutare at a time of severe crisis in the state, marked by impoverishment, organized violence and mass death. This ethnography grewout of a psychotherapeutic engagement with a group of children living with HIV.

The study examines children's experiences through the institutional domains of family and kin, clinics and other forms of healing, churches and religious practices, and experiences of dying and bereavement. Against patrilineal norms, much daily caring occurs in mothers' families. Clinics continue to offer partial western medical care despite daunting resource constraints. Western medicine sits on older templates of 'traditional' and 'spiritual' healing. Anti-retrovirals and other basic medicines are available but may exacerbate domestic discord and fail to meet more obvious physical symptoms. Children and their families appear to prefer spiritual alternatives to medical care, perhaps partly as a result of the severe limitations placed on the latter. A wide variety of religious practices, primarily Christian in a plethora of forms, flourish in the context. Dying may come to be seen by children as preferable to continued struggle against severe adversity. Child deaths are deeply imbued with religious practice and given voice through religious idioms.

Ross Parsons has extensive experience as a psychotherapist, a writer and a social researcher. He lives in Mutare and teaches anthropology and psychology at Africa University.

Weaver Press: Zimbabwe and Southern Africa (South Africa, Botswana, Lesotho, Swaziland and Namibia)

This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1956.

This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1956.

What to Do About AIDS: Physicians and Mental Health Professionals Discuss the Issues, edited by Leon McKusick, brings together leading clinicians and researchers at a pivotal moment in the history of the epidemic. First published when HIV/AIDS was still poorly understood and heavily stigmatized, the volume captures the urgency and uncertainty of the early response. Contributors from medicine, psychiatry, psychology, and public health address not only the biological dimensions of the disease but also its profound social and psychological impacts. Their shared aim is to clarify what was then known about transmission, treatment, and prognosis while offering practical guidance for health professionals suddenly confronted with a new and devastating illness.

Framed by McKusick’s introduction, the collection foregrounds the interdependence of medical and mental health approaches. Essays examine clinical care, counseling and support for patients and families, ethical challenges around confidentiality and discrimination, and the public health necessity of education and prevention. The book also highlights the complex intersections of sexuality, politics, and stigma that shaped both the spread of HIV and the societal response to it. By insisting that physicians and mental health workers address the epidemic collaboratively and compassionately, What to Do About AIDS helped lay the groundwork for integrated models of care that remain influential today. Scholarly yet accessible, it stands as both a historical document of the early AIDS crisis and a prescient call for humane, multidisciplinary engagement with one of the defining public health challenges of the late twentieth century.

This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1986.

What to Do About AIDS: Physicians and Mental Health Professionals Discuss the Issues, edited by Leon McKusick, brings together leading clinicians and researchers at a pivotal moment in the history of the epidemic. First published when HIV/AIDS was still poorly understood and heavily stigmatized, the volume captures the urgency and uncertainty of the early response. Contributors from medicine, psychiatry, psychology, and public health address not only the biological dimensions of the disease but also its profound social and psychological impacts. Their shared aim is to clarify what was then known about transmission, treatment, and prognosis while offering practical guidance for health professionals suddenly confronted with a new and devastating illness.

Framed by McKusick’s introduction, the collection foregrounds the interdependence of medical and mental health approaches. Essays examine clinical care, counseling and support for patients and families, ethical challenges around confidentiality and discrimination, and the public health necessity of education and prevention. The book also highlights the complex intersections of sexuality, politics, and stigma that shaped both the spread of HIV and the societal response to it. By insisting that physicians and mental health workers address the epidemic collaboratively and compassionately, What to Do About AIDS helped lay the groundwork for integrated models of care that remain influential today. Scholarly yet accessible, it stands as both a historical document of the early AIDS crisis and a prescient call for humane, multidisciplinary engagement with one of the defining public health challenges of the late twentieth century.

This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1986.

The book features a passionate and clinically relevant synthesis of Dr. Liu’s discipleship with Yang Zhenhai ( 楊真海), one of the last remaining master practitioners of Daoist acupuncture in mainland China. Liu’s selection of this specific tradition for conscientious study and stewardship is based on affirmative answers to two essential questions: Is this lineage compelled by the objective to address the root of disease and vitalize the innate healing forces of the human body? Does the carrier of this lineage transmit his knowledge in a virtuous way?