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Perinatal cardiology is an important developing field as high quality ultrasound is used on a growing number of pregnant women, and diagnosis prior to birth will become a more common occurrence. In addition, highly sensitive noninvasive diagnostic tools, advances in neonatal care and anesthesia, evolution of transcatheter interventional procedures and performance of complicated surgical procedures in the neonate and young infant have advanced to such an extent that almost all congenital cardiac defects can be diagnosed and “corrected.” Illustrated with over 500 figures, this book by leaders in the fields of pediatric cardiology, neonatology, pediatric cardiovascular surgery and interventional pediatric cardiology focuses on congenital heart defect issues during the perinatal period: prenatal (before birth) and neonatal (first month after birth). This book discusses the three major areas of perinatal cardiology: 1. Provides an overview of advances in perinatology, neonatology, cardiology and cardiac surgery in making early diagnosis and offering treatment options for patients with CHD. 2. The concept of the multidisciplinary approach to managing infants with congenital cardiac lesion. 3. Evidence-based therapeutic approaches to successfully treat the fetus and the newborn with congenital cardiac lesions.
The 4 Stages of Heart Failure
This book applies practical clinical concepts to the latest four-stage model of heart failure from preclinical risk and early asymptomatic disease to classic symptomatic heart failure and finally advanced heart failure. This framework emphasizes a tailored approach to ongoing heart failure assessment to guide therapy and improve outcomes.
Features: • Illustrated with over 250 full-color figures • Specific recommendations backed by clinical trial data • Practical algorithms for diagnosis and therapy Topics include: • Prevention of heart failure • Identification and treatment of structural heart disease prior to heart failure • How to combine lifestyle changes, medications, and devices to improve outcomes • Reversing decompensated heart failure • Key indicators of advanced heart failure and appropriate treatment options • Emerging new therapies
Hot Topics in Financial and Legal Matters for General Practice
Medical practice is not only a specialist occupation but also a business. Practice finance and law are complex matters and it is becoming increasingly difficult to run a successful practice in the present climate. With the pressures facing GPs and practice managers at an all-time high it is now essential to work ‘on’ as well as ‘in’ the practice. To do this practices need to reorganise to create time to undertake these hugely important tasks. This compendium of hot topics around accounting, banking and legal issues will be of enormous use to practice managers and GPs. The topics have been carefully selected to be as up to date and applicable to current issues as possible. The topics include: changes to the GP contract and their financial impact, tax returns, partnership roles, disputes and changes, incorporation, practice mergers and federations, GP property ownership, loans, security and overdrafts, recruitment of partners, salaried GPs and locums, retirement and pensions, the types of private work available. The easy-to-read topics are support by worked examples and tables throughout. This book will assist with the success of a practice in terms of earnings, quality of life and indeed patient care. It will help GPs and practice managers find and take the time to work ‘on’ as well as ‘in’ the business.
A Guide to Staff Employment in General Practice
GPs (doctors)and practice managers confront many issues in staff management. A Guide to Staff Employment in General Practice provides detailed procedures for navigating these sometimes difficult issues. At the same time, the book identifies relevant UK law and draws on authoritative advice from bodies such as Acas. Although it contains expert information on employment law, expert knowledge is not required to use this book. It has an easy-to-use style and gives step-by-step guidance throughout. Information is accompanied by meticulous cross-referencing and details of the pertinent employment law are readily available in the appendices. The book accesses current law and good practice, allowing readers to manage any specific issue. The book covers a wide range of topics, including: the employment contract – the key to the many employment rights – and how to change the contract legally; managing disciplinary procedures; performance management (including sickness absence); dismissal; equality; maternity rights; appraisal; workplace stress. The book also contains a chapter on recent developments, such as GP federations and their employment implications. This guide has been compiled by a practice adviser with many years' experience of advising, representing and training GP practices. Not only does the author know how employment law works, but he also knows how general practice works. Readership: GP staff partners, practice managers, HR personnel in (English) Clinical Commissioning Groups, GP trainers who may need an employment manual to take trainees through learning situations; trainee practice managers.
The Good GP Training Guide
The Good GP Training Guide is a travel guide-style book for trainees in general practice. Written by over a hundred contributors assembled from five continents, it includes contributions from leading writers in primary care. It is written in an accessible style with down-to-earth tips and anecdotes, sometimes irreverent, from real life. There is an emphasis on the reality of general practice. It also contains humorous or touching vignettes with accompanying linocut artwork from the Red Roses exhibition. The book's first section covers hospital placements. It is intended to show trainees how to get the most out of their training posts. Beginning with basic information on behaviour required in the hospital setting, there are chapters looking at cardiology, ophthalmology, rheumatology, etc. These chapters are split up into handy lists, covering the basics, tips on patients and PDP pointers. The second section covers GP rotations. It gives information on passing the various RCGP exams as well as realistic advice on other facets of general practice. The third section looks at finding a job and making the transition to an independent practitioner. Options for broadening a doctor's career are looked here, with chapters on event medicine, academia, teaching, etc. There is information on how stay out of trouble and how to use social media safely and without running foul of the GMC. The book offers the ultimate guide to the training process. It covers the entire training experience and the practicalities of what comes after.
Flaws and Ceilings
Price controls across many sectors are currently being hotly debated. New controls in the housing market, more onerous minimum wages, minimum prices for alcohol, and freezes on energy prices are very high up the agenda of most politicians at the moment. Even without any further controls, wages, university fees, railway fares and many financial products already have their prices at least partly determined by politicians rather than by supply and demand in the market. Indeed, barely a sector of the UK economy is unaffected in one way or another by government controls on prices. This book demonstrates why economists do not like price controls and shows why they are widely regarded as being amongst the most damaging political interventions in markets. The authors analyse, in a very readable fashion, the damage they cause. Crucially, the authors also explain why, despite universal criticism from economists, price controls are so popular amongst politicians.
Message Communication Arts Research
Mapping Eclecticism Through Practice brings together a range of graphic design practices and approaches that include the use of socially responsible design and persuasion, as well as collaboration with other disciplines, to improve safety; framing theory and ideograms within architectural pedagogy to convey complex ideas and relationships; literary analysis to explore graphic design authorship, narrative and viewer experience; discursive dialogue and a non-linear presentation to interrogate and shed light on personal practice; and cartographic metaphors as a means of visualising and investigating the topography of graphic design.
BREXIT: Directions for Britain Outside the EU
Discussions on the outcome of a potential referendum on Britain’s membership of the EU have been characterised by political grandstanding, at the expense of serious economic analysis. With Brexit now a real possibility in the next Parliament, the IEA today releases a report outlining four different options for the UK in the event of a vote to leave the EU, all of which take into account both economic challenges and possibilities. In Brexit: Directions for Britain Outside the EU, various contributors outline several of possible approaches, ranging from a proposal that Britain should promote free trade and openness through the unilateral removal of trade barriers, to maintaining formal relationships with European countries through the European Free Trade Association (EFTA) and/or the European Economic Area (EEA). Other proposals offer a view that the UK should seek to form economic and political alliances with countries outside of Europe, such as those in the Commonwealth.
I Don't Know What It Is But I Don't Think It's Serious
I Don’t Know What It Is but I Don’t Think It’s Serious provides a broad analysis of the issues behind medical confidence and decision making. It looks at how the GP role is seen and the status that backs it, and explores the issues patients and others bring to the consultation. The book also covers: • practical communication skills around the issue of uncertainty, such as teasing out reasons for attendance and reassurance techniques • sharing the burden with patients • dealing with things that have gone wrong • using the same skills we acquire for good consulting to become better organised and more effective • informing our personal development plans. The book does not solve all a GP’s problems. It seeks to understand the ones that undermine us and help us to cope, to enjoy and to look forward to the uncertainty of whatever is going to happen tomorrow. The book supports the need for using communication skills training as the basis for both registrar and ongoing medical education, trying to make these seem solutions rather than problems. All chapters are lightly referenced and have a conclusion, with anecdotal text boxes peppered amongst the text to ease the strain of reading.
Londons Grand Guignol and the Theatre of Horror
A companion to UEP’s Grand-Guignol: The French Theatre of Horror (now in its third reprint). A genre that has left more of a mark on British and American culture than we may imagine” (Gothic Studies). London’s Grand Guignol was established in the early 1920s at the Little Theatre in the West End. It was a high-profile venture that enjoyed popular success as much as critical controversy. On its side were some of the finest actors on the English stage, in the shape of Sybil Thorndike and Lewis Casson, and a team of extremely able writers, including Noël Coward. London's Grand Guignol and the Theatre of Horror considers the importance and influence of the English Grand Guignol within its social, cultural and historical contexts. It also presents a selection of ten remakarble English-language Grand Guignol plays, some of which were banned by the Lord Chamberlain, the censor of the day, and have never been published or publicly performed. Among the plays in the book is a previously unpublished work by Noël Coward, The Better Half , first performed at the Little Theatre in 1922. The reviewer in the journal Gothic Studies wrote, of the authors’ previous book: “having recently taught a module on Grand Guignol with third year drama students, it is also worth noting that this book captured their imaginations in a way that few other set texts seem to manage.”