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Challenging Concepts in Oncology (Challenging Cases)

by Dr Madhumita Bhattacharyya PhD Mrcp Dr Sarah Payne PhD Mrcp Professor Iain McNeish PhD FRCP

Providing the inside track on how the experts approach and deal with real-world clinical scenarios, Challenging Concepts in Oncology contains wide-ranging and in-depth reviews of contemporary and often contentious topics in the world of oncology today. With a case-based approach and expert commentary throughout, complex patient presentations are discussed from a multidisciplinary perspective and all the angles necessary for accurate assessment, diagnosis, and management are fully considered and explored. Each case contains 'Clinical Tips', 'Learning Points', 'Expert Comments' and 'Evidence Base' to enhance the learning process and provide easy reference to important supplementary material. Aimed primarily at specialty trainees and registrars in oncology, this text will appeal to all those healthcare professionals with an interest in oncology.

Challenging Concepts in Oncology (Challenging Cases)


Providing the inside track on how the experts approach and deal with real-world clinical scenarios, Challenging Concepts in Oncology contains wide-ranging and in-depth reviews of contemporary and often contentious topics in the world of oncology today. With a case-based approach and expert commentary throughout, complex patient presentations are discussed from a multidisciplinary perspective and all the angles necessary for accurate assessment, diagnosis, and management are fully considered and explored. Each case contains 'Clinical Tips', 'Learning Points', 'Expert Comments' and 'Evidence Base' to enhance the learning process and provide easy reference to important supplementary material. Aimed primarily at specialty trainees and registrars in oncology, this text will appeal to all those healthcare professionals with an interest in oncology.

Challenging Concepts in Oral and Maxillofacial Surgery: Cases with Expert Commentary (Challenging Cases)

by Mr Matthew R. Idle Frcs Mr Andrew M. Monaghan Frcs

Challenging Concepts in Oral and Maxillofacial Surgery details over 25 challenging and complex scenarios matched to the OMFS syllabus including frontal sinus fractures, reconstructive challenges following blast injuries to the facial soft tissue and skeleton, and reratocystic odontogenic tumours. This case-based learning book is designed to be used by trainees and speciality registrars. Each case is supported by the commentary of a renowned expert in the field, allowing readers to improve their own management of these patients. As the reader works through each case there are 'Clinical Tips', 'Learning Points' and 'Evidence Base' boxes to enhance the learning process along with the 'Expert Commentary', providing an inside track on how the experts approach challenging cases. The range of topics discussed including three complex battlefield cases will be essential reading for trainees in oral and maxillofacial surgery and related specialties, such as otolaryngology, oral surgery, orthodontics, and dentistry.

Challenging Concepts in Oral and Maxillofacial Surgery: Cases with Expert Commentary (Challenging Cases)


Challenging Concepts in Oral and Maxillofacial Surgery details over 25 challenging and complex scenarios matched to the OMFS syllabus including frontal sinus fractures, reconstructive challenges following blast injuries to the facial soft tissue and skeleton, and reratocystic odontogenic tumours. This case-based learning book is designed to be used by trainees and speciality registrars. Each case is supported by the commentary of a renowned expert in the field, allowing readers to improve their own management of these patients. As the reader works through each case there are 'Clinical Tips', 'Learning Points' and 'Evidence Base' boxes to enhance the learning process along with the 'Expert Commentary', providing an inside track on how the experts approach challenging cases. The range of topics discussed including three complex battlefield cases will be essential reading for trainees in oral and maxillofacial surgery and related specialties, such as otolaryngology, oral surgery, orthodontics, and dentistry.

Challenging Concepts in Paediatric Critical Care: Cases with Expert Commentary (Challenging Cases)

by Dr Hari Krishnan

Providing the inside track on how the experts approach and deal with real-life clinical scenarios, Challenging Concepts in Paediatric Critical Care explores eighteen common, complex and often contentious topics seen in hospitals, high dependency units, and PICU's worldwide. These include cases on 'Paediatric acute respiratory distress syndrome', 'Traumatic brain injury', and 'Safeguarding children in paediatric intensive care'. With a case-based approach, complex patient presentations are explored thoroughly so that assessment, diagnosis, and management are fully considered and explored with 'Clinical Tips', 'Learning Points', and 'Evidence Base' boxes. Throughout commentary from an international expert identifies and explains the key points and controversies of each case. Aligned to the Royal College of Paediatrics and Child Health's paediatric intensive care medicine curriculum in the UK, the curriculum of Paediatric Basic Assessment and Support in Intensive Care (BASIC) course, and the European Paediatric/ Neonatal Intensive Care Diploma (EPIC), this text is ideal for training and assessment preparation. Aimed primarily at trainees and registrars in paediatric intensive care medicine, this text will appeal to those in the related disciplines of anaesthesia, emergency medicine, and paediatrics, as well as consultants and senior nurses.

Challenging Concepts in Paediatric Critical Care: Cases with Expert Commentary (Challenging Cases)


Providing the inside track on how the experts approach and deal with real-life clinical scenarios, Challenging Concepts in Paediatric Critical Care explores eighteen common, complex and often contentious topics seen in hospitals, high dependency units, and PICU's worldwide. These include cases on 'Paediatric acute respiratory distress syndrome', 'Traumatic brain injury', and 'Safeguarding children in paediatric intensive care'. With a case-based approach, complex patient presentations are explored thoroughly so that assessment, diagnosis, and management are fully considered and explored with 'Clinical Tips', 'Learning Points', and 'Evidence Base' boxes. Throughout commentary from an international expert identifies and explains the key points and controversies of each case. Aligned to the Royal College of Paediatrics and Child Health's paediatric intensive care medicine curriculum in the UK, the curriculum of Paediatric Basic Assessment and Support in Intensive Care (BASIC) course, and the European Paediatric/ Neonatal Intensive Care Diploma (EPIC), this text is ideal for training and assessment preparation. Aimed primarily at trainees and registrars in paediatric intensive care medicine, this text will appeal to those in the related disciplines of anaesthesia, emergency medicine, and paediatrics, as well as consultants and senior nurses.

Challenging The Doctor Sheikh: Seduced By The Sheikh Surgeon / Challenging The Doctor Sheikh / The Doctor She Always Dreamed Of / The Nurse's Newborn Gift / Tempting Nashville's Celebrity Doc / Dr White's Baby Wish (Desert Prince Docs #2)

by Amalie Berlin

A desert seduction After years of freedom, the last thing Prince Dakan Al Rahal wants is to return home to remodel his kingdom’s healthcare system. But his sense of duty prevails and he’s rewarded…with sultry Nira Hathaway—the architect overseeing the project!

Challenging health inequalities: From Acheson to Choosing Health (Health and Society series)

by Elizabeth Dowler Nick J. Spencer

This book offers a unique multi-disciplinary perspective on tackling health inequalities in a rich country, examining the New Labour policy agenda for tackling health inequalities and its inherent challenges. The book presents an overview of progress since the publication of the seminal and ambitious 1998 Acheson Inquiry into health inequalities, and the theoretical and methodological issues underpinning health inequalities. The contributors consider the determinants of inequality - for example, early childhood experience and ethnicity - the factors that mediate the relationship between determinants and health - nutrition, housing and health behaviour - and the sectoral policy interventions in user involvement, local area partnership working and social work. Challenging health inequalities offers a combination of broad analysis of progress from differing perspectives and will be key reading to academics, students and policy makers.

Challenging Ideas in Psychiatric Nursing

by Liam Clarke

Challenging Practice in Mental Health Nursing questions theories and practices which have become central in mental health care today.The book is inspired by the growing concerns of both the public and professionals about accepted methods of practice and their effects on patients and clients. Liam Clarke argues that while many different theories and models exist their validity and effectiveness in caring for patients has yet to be proved.Chapters examine:* holism * Rogerian and other counselling theories * forensic psychiatry * rational emotive therapy.This will be an essential and thought-provoking read for nurses and other mental health professionals who want to develop as critical practitioners.

Challenging Ideas in Psychiatric Nursing

by Liam Clarke

Challenging Practice in Mental Health Nursing questions theories and practices which have become central in mental health care today.The book is inspired by the growing concerns of both the public and professionals about accepted methods of practice and their effects on patients and clients. Liam Clarke argues that while many different theories and models exist their validity and effectiveness in caring for patients has yet to be proved.Chapters examine:* holism * Rogerian and other counselling theories * forensic psychiatry * rational emotive therapy.This will be an essential and thought-provoking read for nurses and other mental health professionals who want to develop as critical practitioners.

Challenging Inequities in Health: From Ethics to Action

by Meg Wirth Timothy Evans Margaret Whitehead Finn Diderichsen Abbas Bhuiya

There is a growing sense that the "health gap" between socioeconomic groups is getting worse in many countries. To address this gap, conceptual clarity and empirical evidence are needed along with a greater focus on equity in policy-making. This book is designed to present cutting-edge research and policy analysis to a wide non-specialist readership of students, professionals and policy-makers. It brings together in one volume new perspectives on the conceptual foundations of health equity, empirical evidence on the scale and nature of he inequities in health in twelve countries around the world, and assessments of the associated policy developments and their implications for the future. It aims to help build global capacity to measure, monitor and interpret developments in health equity at a national and international level. The in-depth country analyses draw on epidemiology, demography, economics and other fields to approach health inequalities from several different angles. The topics covered range from adolescent livelihoods in Tanzania to the health burden of indigenous peoples in Mexico, from health equity in Japan to the gender gap in life expectancy in Russia. The book is a unique demonstration of global cooperation in bringing together and giving equal weight to work on health equity carried out in the southern and northern hemispheres.

Challenging Malaria: The Private and Social Incentives of Mosquito Control

by Byron B. Carson, III

Five years after Ronald Ross discovered the link between malaria and mosquitos, American entomologist Leland Howard wrote of the "mosquito evil" that occurs when "everybody's business is nobody's business." Howard’s insight was largely ignored, but it captures what social scientists now refer to as the problem of collective action. When this problem persists in the context of malaria, individuals under-provide prevention and suffer from a higher prevalence of malaria. Imagine a group of people trying to drain a pond where mosquitoes breed. Everyone in the group faces an incentive to free ride, which can hinder their drainage efforts. Thus, when people fail to resolve issues related to collective action, they submit to the "mosquito evil" and, potentially, to malaria. This book explores Howard’s logic, the economics of collective action, and the history, epidemiology, and public health of malaria to analyze the conditions under which people privately resolve collective action problems associated with mosquito abatement and malaria prevention. Generally, people are more likely to resolve these problems when the benefits of abatement and prevention outweigh the costs. This logic is developed into a framework and applied to historical and modern-day issues related to malaria, including the lack or abundance of private prevention in the United States and in developing areas; malaria’s resurgence in countries like China, Venezuela, and Bangladesh; and the difficulties of large-scale insecticide-treated bed net campaigns. Given this framework, we should develop a greater appreciation for entrepreneurial responses, civil society, market processes, and private forms of collective action.

Challenging Medicine

by David Kelleher Jonathan Gabe Gareth Williams

This highly topical and controversial book presents a lively re-appraisal of the current changes to the health service and analyzes their effects on the status and practice of health professionals. Modern medicine is a powerful institution. With the help of highly-developed drugs and surgical techniques, it promises to relieve suffering, improve the quality of life and extend the life-span. Conversely, it is expensive for the governments, insurance companies and individuals who pay for it and sometimes appears to be insensitive to the needs of those for whom it provides. And while recent restructuring of healthcare delivery services has provided medical practitioners with new challenges, there has been very little consideration of the range of pressures that they now face. Edited and written by experienced medical sociologists, this book draws together analysis of a number of diverse challenges to medicine, and provides original debate on the challenges posed from within medicine from nurses and managers and alternative practitioners, and from outside by self-help groups, the women’s movement and the media.

Challenging Medicine

by David Kelleher Jonathan Gabe Gareth Williams

This highly topical and controversial book presents a lively re-appraisal of the current changes to the health service and analyzes their effects on the status and practice of health professionals. Modern medicine is a powerful institution. With the help of highly-developed drugs and surgical techniques, it promises to relieve suffering, improve the quality of life and extend the life-span. Conversely, it is expensive for the governments, insurance companies and individuals who pay for it and sometimes appears to be insensitive to the needs of those for whom it provides. And while recent restructuring of healthcare delivery services has provided medical practitioners with new challenges, there has been very little consideration of the range of pressures that they now face. Edited and written by experienced medical sociologists, this book draws together analysis of a number of diverse challenges to medicine, and provides original debate on the challenges posed from within medicine from nurses and managers and alternative practitioners, and from outside by self-help groups, the women’s movement and the media.

Challenging Neuropathic Pain Syndromes: Evaluation and Evidence-Based Treatment

by Mitchell Freedman Jeff Gehret George Young Leonard Kamen

Get a quick, expert overview of the many key facets of neuropathic pain syndromes with this concise, practical resource by Drs. Mitchell Freedman, Jeff Gehret, George Young, and Leonard Kamen. This easy-to-read reference presents a summary of today’s best evaluation methods and evidence-based treatment options for complex regional pain syndrome as well as other challenging syndromes.Covers key topics such as: Evidence Based Approach to Many Uncommon and Difficult Neuropathic Pain Syndromes Review of Pathophysiology of Pain Approach to Chronic Pain Syndromes Work Up and Treatments for Complex Regional Pain Syndromes Consolidates today’s available information and experience in this multifaceted area into one convenient resource.

Challenging The Nurse's Rules (Mills And Boon Medical Ser.)

by Janice Lynn

Adrenalin junkie aristocrat George Somers is used to relationships as short and as sweet as the thrills he seeks. But, when an accident puts him in the care of physiotherapist and single mum Serena James, being bed-bound suddenly seems more than appealing!

Challenging Operations: Medical Reform and Resistance in Surgery

by Katherine C. Kellogg

In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

Challenging Operations: Medical Reform and Resistance in Surgery

by Katherine C. Kellogg

In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

Challenging Operations: Medical Reform and Resistance in Surgery

by Katherine C. Kellogg

In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

Challenging Operations: Medical Reform and Resistance in Surgery

by Katherine C. Kellogg

In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

Challenging Operations: Medical Reform and Resistance in Surgery

by Katherine C. Kellogg

In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

Challenging Operations: Medical Reform and Resistance in Surgery

by Katherine C. Kellogg

In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

Challenging Stress, Burnout and Rust-Out: Finding Balance in Busy Lives

by Teena J. Clouston

This practical resource provides professionals with techniques for developing a more balanced lifestyle. The author discusses the meaning of work-life balance and explains how it can be achieved in reality with some simple, straightforward strategies.

Challenging the Conventional Wisdom about Residential Care for Children and Youth: A Good Place to Grow (Routledge Advances in Social Work)

by Bruce B. Henderson

Is residential care 'inherently harmful'? This book argues that this conventional wisdom is wrong and is, itself, harmful to a significant number of children and youth. The presumptive view is based largely on overgeneralizations from research with infants and very young children raised in extremely deprived environments. A careful analysis of the available research supports the use of high-quality residential care as a treatment of choice with certain groups of needy children and youth, not a last resort intervention. The nature of high-quality care is explored through child development theory and research and two empirically supported models of care are described in detail. It will be of interest to all scholars and students of child development, child welfare, youth work, social work and education as well as professionals working within these fields.

Challenging the Conventional Wisdom about Residential Care for Children and Youth: A Good Place to Grow (Routledge Advances in Social Work)

by Bruce B. Henderson

Is residential care 'inherently harmful'? This book argues that this conventional wisdom is wrong and is, itself, harmful to a significant number of children and youth. The presumptive view is based largely on overgeneralizations from research with infants and very young children raised in extremely deprived environments. A careful analysis of the available research supports the use of high-quality residential care as a treatment of choice with certain groups of needy children and youth, not a last resort intervention. The nature of high-quality care is explored through child development theory and research and two empirically supported models of care are described in detail. It will be of interest to all scholars and students of child development, child welfare, youth work, social work and education as well as professionals working within these fields.

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