Praxisleitfaden Allgemeinmedizin

In our time of well-publicized health care travails, in the USA and the UK and elsewhere, matters of financing too often subsume the dimension of patient care. In his latest book, Alexander L. Gungov studies a vital but neglected aspect of patient safety. Of the thousands of medical errors committed on a daily basis, in the bulk of unfortunate clinical decisions, a significant share pertains to various logical flows and epistemological fallacies. By focusing on the logical dimensions of clinical medicine, Gungov promotes awareness of the logical and epistemological traps that lie in the day-to-day care of patients. Such a focus not only allows us to avoid falling into them, but demonstrates the practical value of looking at medicine from a new philosophical perspective. That perspective involves a broad and unusual collection of philosophers. The discussion takes its starting point from J. S. Mill’s inductive methods and Giambattista Vico’s verum-factum principle, but then sets out a unique combination of Charles Sanders Peirce’s abductive reasoning, Immanuel Kant’s reflective judgment, as well as G. W. F. Hegel’s and D. P. Verene’s speculative thinking, all marshalled to present a novel philosophical account of clinical diagnostics. Interpretation of practical examples elucidate the logical aspect of medical errors and suggests strategies of overcoming them. The book as a whole demonstrates the value of Hans-Georg Gadamer’s hermeneutical insights into the enigmatic character of health. This much-needed book will be of interest to medical practitioners, health policy-makers, patients and their families, and to advanced students and scholars in medicine, the medical humanities, medical epistemology, and the philosophy of medicine in general.

This new handbook provides a practical, day-to-day reference guide to assist clinicians in assessing and managing the most common musculoskeletal problems they encounter in their practice. Written by a GP with an extended role in msk medicine and an advanced practice physiotherapist and informed by their combined years of clinical experience, it provides an overview of pathology and guides the reader through assessment, examination, tests and scans, and management. Easy to follow and use as well as comprehensively referenced and evidence-based, this title will prove indispensable for clinicians across disciplinary boundaries, from First Contact Practitioners and GPs to physiotherapists, nurses and paramedics. Designed to support evidence-based clinical reasoning and decision making Easy to reference summaries of the most common musculoskeletal pathologies encountered in practice Descriptions of diagnostic scans and tests, what they are and when they're used Detailed sections on relevant anatomy and nerve pathways Principles of management of both regional and systemic musculoskeletal disorders Detailed descriptions of the most common medications used to treat pain Information on blood tests with a quick reference guide to their interpretation A wealth of quick reference appendices for use in every day practice

This volume includes the full Health Technology Assessment (HTA) report on effectiveness, appropriateness, safety and costs of homoeopathy in health care. The report was commissioned by the Swiss health authorities to inform decision-making on the further inclusion of homoeopathy in the list of services covered by statutory health insurance. Other studies carried out as part of the Swiss Complementary Medicine Evaluation Programme (PEK) caused a massive stir due to their schematic and exclusively quantitative (negative-)outcomes for homoeopathy. The present report, in contrast, offers a differentiated evaluation of the practice of homoeopathy in health care. It confirms homoeopathy as a valuable addition to the conventional medical landscape – a status it has been holding for a long time in practical health care.

Initiée par les travaux de Freud, la prise en charge des troubles de la vie sexuelle a conquis son statut de discipline fondamentale plus récemment par la mise en place de procédés thérapeutiques fi ables issus des travaux de Masters et Johnson. Les méthodes corporelles, qui ont permis d'accompagner la souffrance de couple devant une « impuissance » ou une « frigidité », rencontrent leurs limites face aux troubles organiques authentiques qui s'opposent au bon fonctionnement de ce que l'on peut appeler les « organes de l'amour ». Mais si ces causes organiques, trop longtemps ignorées par la médecine, peuvent être explorées et reconnues, et bénéficier de traitements adaptés, la thérapeutique sexologique demeure nécessaire tant est complexe l'abord de la sexualité. Les auteurs analysent successivement les bases neurophysiologiques et neuropsychologiques de la sexualité humaine, avant de décrire la chimie des dysfonctions sexuelles chez l'homme et la femme. La sexualité aux différents âges de la vie est largement développée (puberté, personnes âgées, troubles des conduites sexuelles, etc.). Cet ouvrage, issu d'un enseignement de diplôme interuniversitaire de sexologie, est fondé sur la participation de l'Association interdisciplinaire post-universitaire de sexologie (AIUS). Il a fait intervenir des gynécologues, des psychiatres, des psychologues, des chirurgiens, des comportementalistes et des psychanalystes. Il prend en compte tous les progrès en matière de traitements organiques, mais aussi en termes de thérapeutique cognitivo-comportementale ainsi que les sexothérapies permettant d'améliorer la qualité de vie sexuelle. Cet ouvrage intéressera tous les participants aux DIU de sexologie mais également les jeunes internes et toutes les spécialités concernées de près ou de loin par les pathologies liées ou engendrant des troubles sexuels. Le succès rencontré par la précédente édition et la nécessité de mise à jour des informations rendaient cette nouvelle édition indispensable pour continuer à faire de cet ouvrage la référence sur le sujet.