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Transient Ischemic Attack and Stroke: Diagnosis, Investigation and Treatment
by Gary K. Lau Sarah T. Pendlebury Peter M. RothwellThe second edition of Transient Ischemic Attack and Stroke covers the clinical background and management of the full clinical spectrum of cerebrovascular disease, from TIA to vascular dementia, in a compact, but evidence-based format making a comprehensive primer in stroke medicine. Accurate diagnosis and appropriate investigation and management have a major impact on patient outcomes in cerebrovascular disease, such as the effect of urgent antithrombotic treatment on early recurrent stroke after TIA and minor stroke, the effect of interventions such as thrombectomy and hemicraniectomy in major acute stroke, and the effect of stroke units and organised stroke care. Written by a leading team of clinicians and researchers in the field, this book will be essential to neurologists, geriatricians, stroke physicians, allied health workers and all others with an interest in stroke.
Transient Receptor Potential Canonical Channels and Brain Diseases
by Yizheng WangThis book discusses the latest findings on the physiological and pathological functions of transient receptor potential canonical/classical (TRPC) proteins in the brain. In addition to reviewing the functions of TRPCs in brain development and neuron transmission, it mainly covers the potential roles of TRPCs in brain disorders. TRPC proteins belong to the TRP channel superfamily, which has around 30 members. Just like TRP channels, TRPCs are non-selectively permeable to cations, with a selectivity of calcium over sodium that varies among different members. The TRPC subfamily consists of six members, grouped on the basis of the similarities in gene sequence and protein structure in mammalians. What sets TRPCs apart from other subfamilies in TRPs is that their activation, stimulated by a membrane receptor-phospholipid C (PLC) cascade, contributes to the slow and sustained elevation of intracellular free calcium. Calcium ions, one of the most important types of second messengers, mediate a variety of physiological functions in the brain, including progenitor cell proliferation, dendritic formation, synaptic transmission and neuronal survival. All TRPCs except TRPC7 have been found in various regions of the brain, including the cerebrum, cerebellum, forebrain and hippocampus. This book provides students and investigators with comprehensive information on the regulation, function and potential of TRPCs and brain diseases in order to attract more attention to this field.
Transient Receptor Potential Channels
by Md. Shahidul IslamTransient Receptor Potential Channels offers a unique blend of thoughtfully selected topics ranging from the structural biology of this fascinating group of ion channels to their emerging roles in human diseases. This single book covers TRP channels of yeasts, flies, fishes frogs and humans. And from the biophysics of primary thermo-sensory events in cells to the thermosensation at whole organism level, from physiology of pain to the development of pain-killers, from psychiatric illnesses to cancers, from skin cells to sperms, from taste buds to testes, from established facts to heated debates, this book contains something for every TRP enthusiasts, beginner and expert alike. It includes crucial background information, critical analysis of cutting edge research, and ideas and thoughts for numerous testable hypotheses. It also shows directions for future research in this highly dynamic field. It is a book readers will be just as eager to give to others as keep for themselves.
Transition-Age Youth Mental Health Care: Bridging the Gap Between Pediatric and Adult Psychiatric Care
by Vivien Chan Jennifer DerenneOver the course of the last two decades, improved practices in child and adolescent mental healthcare have led to a decreased environment of stigma, which also led to an increased identification and treatment of mental health disorders in children and youth. Considering that treatment and outcomes are improved with early intervention, this is good news. However, the success gained in the field of child and adolescent psychiatry leads to a new challenge: transitioning from adolescent care to adult care. It has been known for some time that children, adult, and geriatric patients all have unique needs where it comes to mental healthcare, yet limited work has been done where it comes to the shifting of the lifespan. Where it comes to the child-adult transition—defined as those in their late teens and early/mid-20s—there can be multiple barriers in seeking mental healthcare that stem from age-appropriate developmental approaches as well as include systems of care needs. Apart from increasing childhood intervention, the problem is exacerbated by the changing social dynamics: more youths are attending college rather than diving straight into the workforce, but for various reasons these youths can be more dependent on their parents more than previous generations. Technology has improved the daily lives of many, but it has also created a new layer of complications in the mental health world. The quality and amount of access to care between those with a certain level of privilege and those who do not have this privilege is sharp, creating more complicating factors for people in this age range. Such societal change has unfolded so rapidly that training programs have not had an opportunity to catch up, which has created a crisis for care. Efforts to modernize the approach to this unique age group are still young, and so no resource exists for any clinicians at any phase in their career. This book aims to serve as the first concise guide to fill this gap in the literature. The book will be edited by two leading figures in transition age youth, both of whom are at institutions that have been at the forefront of this clinical work and research. This proposed mid-sized guide is therefore intended to be a collaborative effort, written primarily by child and adolescent psychiatrists, and also with adult psychiatrists. The aim is to discuss the developmental presentation of many common mental health diagnoses and topics in chapters, with each chapter containing clinically-relevant “bullet points” and/or salient features that receiving providers, who are generally, adult-trained, should keep in mind when continuing mental health treatment from the child and adolescent system. Chapters will cover a wide range of challenges that are unique to transition-age youths, including their unique developmental needs, anxiety, mood, and personality disorders at the interface of this development, trauma and adjustment disorders, special populations, and a wide range of other topics. Each chapter will begin with a clinical pearl about each topic before delving into the specifics.
Transition and Lifelong Care in Congenital Urology
by Hadley M. Wood Dan WoodTransitional Urology is designed to fill a critical gap that exists in the published literature by comprehensively addressing the urological challenges facing adolescents and adults with complex congenital anomalies of the genitourinary system. It provides a valuable resource to pediatricians and pediatric urologists facing urological management issues beyond their expertise in their aging patients as well as technical guidance to adult urologists who may have had little or no experience caring for patients with a congenital condition. This work will service as a field guide to congenitalism, providing a "how to" approach to guide the urologist using real clinical examples for the most common and challenging urological problems encountered. It also provides a framework for the transition process from pediatric to adult-centered care, with a special emphasis on the multidisciplinary nature needed to provide patient-centered care. Specific conditions that require special consideration, including myelomeningocele, exstrophy, posterior urethral valves, and hypospadias are highlighted. Topics considered common in the general urology practice- like infertility and sexual dysfunction are addressed within the context of patients with neurological or anatomical complexity. In addition, this text reviews urological complaints for which basic clinical algorithms are well-established within the context of a congenitally-abnormal bladder. Chapters discuss how and when special testing like video urodynamnics and positional fluoroscopy may be warranted to provide critical diagnostic guidance. The text also review how typical age-related urological phenomena, like elevated PSA, hypogonadism, and BPH, may present in this subset of patients and how treatment of these conditions may be different than the general population.
Transition bei neurologischen Erkrankungen: Medizinische Herausforderungen im Lebenszyklus neuropädiatrischer Patienten
by Peter WeberDas Buch für die Kinder- und Jugendmedizin und die Neurologie dient den Behandelnden dazu, ihre Kenntnisse zu erweitern und sensibilisiert sie für transitionsmedizinische Fragen. Die Autoren stellen die entwicklungspsychologischen, versicherungsmedizinischen, soziologischen und ethischen Grundlagen der Herausforderungen dar, die die Transitionsmedizin aufwirft. Aus Sicht von Experten und Betroffenen werden konkrete Forderungen für den Übergang der Kinder und Jugendlichen in die medizinische Erwachsenenwelt formuliert. Das Buch zeigt Wege auf, wie sich der Lebenszyklus des Patienten mit einer chronisch-neurologischen Erkrankung in seiner Versorgung optimieren lässt.
Transition from Pediatric to Adult Healthcare Services for Adolescents and Young Adults with Long-term Conditions: An International Perspective on Nurses' Roles and Interventions
by Cecily L. Betz Imelda T. CoyneThis book offers essential information on interventions and actions that enable and promote transition experiences for adolescents and young adults. It provides guidance on appropriate strategies that bring together these groups and caregivers in the context of transition preparation, and those which optimize adolescents’ and young adults’ ability to self-manage their healthcare.The health care transition for adolescents and young adults has gained more attention given the improved survival rates, including for those with long-term conditions. It is now estimated that more than 90% of children diagnosed with a long-term condition will survive into adulthood. The significant change in survival requires concomitant services to facilitate adolescents’ and young adults’ successful transition to adult health care, therefore providers need education, knowledge and skills to support healthcare transition services. A recent US national survey demonstrated only 10% of parents/caregivers reported that their children received transition preparation services. This book is targeted at nurses and pediatric and adult health care providers of different disciplines seeking guidance on which interventions are available, how they can be used, advantages and challenges, and how best to promote a seamless transition for all adolescents and young adults with long-term conditions. It provides several examples of transition programmes and initiatives worldwide. There is an increasing focus on how nurses can support transition but little guidance on what is effective and what has been tried. This book will fill a gap by addressing all of these issues outlined above and by providing worked examples from leading nurse researchers and academics worldwide.
Transition Metals in Microbial Metabolism
by Gunther WinkelmannThe key role played by iron, as well as other transition metals, in microbial metabolism is investigated in this volume. Topics covered include: iron chelation and siderophores; receptor-mediated bacterial iron transport; and the nitogenases.
Transition or Transformation?
by Stephanie Lord Julia Hardy John ClementsYoung people with Autism Spectrum Disorders (ASDs) can often find the step into adulthood and independence more difficult than their neurotypical peers, particularly where employment is concerned. The authors show, however, that with the right guidance and a positive attitude in schools, young people with ASDs can be every bit as happy and successful as those who are not on the spectrum. The book describes a programme developed over a number of years by teachers at a school for young people with ASDs, which successfully enabled autistic pupils to achieve their full potential. The authors explain in detail the challenges faced by the young people at the school, and show how, encouraged by a culture of optimism and hopefulness, the programme developed their confidence and skills, with the result that many of them are now in employment. The book also provides an in-depth exploration of a multitude of styles and techniques for building relationships. Concluding with a reflection on leadership and organisational culture, the authors demonstrate that if the approach is adopted by an entire school and not just a handful of teachers, it really can work. This inspiring and innovative book will be a must for educators at every level, psychologists, academics, and anybody else interested in a positive educational approach that will enable young people with ASDs to get the most out of life.
Transition to 21st Century Healthcare: A Guide for Leaders and Quality Professionals
by Scott GoodwinThis book explains why the fundamental structures of 20th century American healthcare have failed to keep up with American industry in terms of quality and cost. It describes how this has led to the introduction of industrial mass production concepts in American healthcare, such as Lean and Six Sigma, and how the resulting industrialization breaks
Transition to Nursing Practice: from student to registered nurse (Transforming Nursing Practice Series)
by Angela Darvill Melanie Stephens Jacqueline LeighDo you feel ready to make the leap from nursing student to fully qualified, registered nurse? Would you like to feel more confident about embarking on the next stage of your nursing career? Moving from student to registered nurse is a big transition and it is important for final year students to feel fully prepared for life after study. Covering a range of topics including accountability, professionalism, re-validation and fitness to practice, this text gives you a thorough overview of the responsibilities associated with being a fully qualified nurse. The book starts by helping you to assess your current level of practice and identify any areas requiring additional attention, allowing you to get the most from your final year of training and enter the workplace with confidence.
Transition to Nursing Practice: from student to registered nurse (Transforming Nursing Practice Series)
by Angela Darvill Melanie Stephens Jacqueline LeighDo you feel ready to make the leap from nursing student to fully qualified, registered nurse? Would you like to feel more confident about embarking on the next stage of your nursing career? Moving from student to registered nurse is a big transition and it is important for final year students to feel fully prepared for life after study. Covering a range of topics including accountability, professionalism, re-validation and fitness to practice, this text gives you a thorough overview of the responsibilities associated with being a fully qualified nurse. The book starts by helping you to assess your current level of practice and identify any areas requiring additional attention, allowing you to get the most from your final year of training and enter the workplace with confidence.
Transition to Nursing Practice: From Student to Registered Nurse (Transforming Nursing Practice Series)
by Angela Darvill Melanie Stephens Jacqueline LeighThe transition from student to newly registered nurse can be daunting but with the right preparation, you can step into your new role with confidence. This book provides valuable guidance on what to expect, practical strategies for easing the transition and advice for supporting your ongoing personal and professional development. Key features o Each chapter is mapped to the new 2018 NMC standards o A new chapter on contemporary trends in nursing covers digital skills, peer facilitation, integrated working and more o Self-assessment tools and reflective activities help you to examine your competencies and identify goals for your development o A chapter on health and wellbeing illustrates the importance of self-care and recommends strategies to reduce stress and build resilience
Transition to Nursing Practice: From Student to Registered Nurse (Transforming Nursing Practice Series)
by Angela Darvill Melanie Stephens Jacqueline LeighThe transition from student to newly registered nurse can be daunting but with the right preparation, you can step into your new role with confidence. This book provides valuable guidance on what to expect, practical strategies for easing the transition and advice for supporting your ongoing personal and professional development. Key features o Each chapter is mapped to the new 2018 NMC standards o A new chapter on contemporary trends in nursing covers digital skills, peer facilitation, integrated working and more o Self-assessment tools and reflective activities help you to examine your competencies and identify goals for your development o A chapter on health and wellbeing illustrates the importance of self-care and recommends strategies to reduce stress and build resilience
The Transition to Parenthood after IVF: An Introduction for Nursing, Midwifery and Health Visiting
by Helen Allan Ginny MounceThis book explores how experiences of IVF can affect the transition to parenthood for non-donor infertile couples. Drawing on empirical research and the broader social sciences literature, the book sets out the context of complex modern family building and discusses how infertility and IVF continue to shape parenthood and family building after successful IVF conception. It looks at how stigma, disclosure, loss, and gender affect the transition to parenthood, as well as what happens when parents start thinking about trying for siblings. We highlight the key roles for health care professionals (nurses, midwives, and health visitors) when caring for these new parents, in providing social support and facilitating good communication to foster emotional well-being. Ideal for nurses and midwives working in reproductive health as well as primary care nurses and health visitors, this applied text is a key reference for all healthcare professionals who meet people at any point on their journey to achieving pregnancy through IVF, during maternity care, and through the first few years of parenthood.
Transition to Professional Nursing Practice: Transition To Professional Practice (Prepare For Practice Ser.)
by Rob Burton Graham OrmrodProvides final year nursing students with comprehensive guidance on how to make the leap from student to registered nurse, helping you to master the skills needed to progress from supervised to professional practice. Packed with key information, theory and advice, this book covers essential topics such as leadership and management, decision-making, professional development, assessment, law and ethics. It also provides you with an insightful overview of global nursing, exploring the issues of nurse migration and outlining the specific requirements for registering as a nurse in countries outside of the UK. To further support your learning, the book includes engaging activities that encourage you to use critical reflection, real-life example scenarios to help improve your decision-making, and references to the author’s personal experiences of professional development.
Transition to Professional Nursing Practice: Transition To Professional Practice (Prepare For Practice Ser.)
by Rob Burton Graham OrmrodProvides final year nursing students with comprehensive guidance on how to make the leap from student to registered nurse, helping you to master the skills needed to progress from supervised to professional practice. Packed with key information, theory and advice, this book covers essential topics such as leadership and management, decision-making, professional development, assessment, law and ethics. It also provides you with an insightful overview of global nursing, exploring the issues of nurse migration and outlining the specific requirements for registering as a nurse in countries outside of the UK. To further support your learning, the book includes engaging activities that encourage you to use critical reflection, real-life example scenarios to help improve your decision-making, and references to the author’s personal experiences of professional development.
Transition to Registered Practice: From Student to Qualified Nurse
by Chris Thurston Nick WrycraftAn essential guide for students transitioning from undergraduate to registered nurse. The book covers all topics included on a final year transition module, is suitable for all fields of nursing, and is mapped to the latest NMC standards. In addition to the book&’s coverage of key final year transition topics such as law and ethics, decision making and clinical accountability, there is also helpful guidance on how to further your career and become a successful nurse, post-registration. This includes advice on leadership and management skills, preceptorship, revalidation, and continued professional development (CPD). To help students understand the realities of being a registered nurse, there are &‘Practice Scenarios&’ in each chapter and real-life accounts from service users expressing their experience of using health services, so that students can understand the real needs of people in their care. The book also includes examples and scenarios from all fields, to show the differing practice environments and challenges that students will face.
Transition to Registered Practice: From Student to Qualified Nurse
by Chris Thurston Nick WrycraftAn essential guide for students transitioning from undergraduate to registered nurse. The book covers all topics included on a final year transition module, is suitable for all fields of nursing, and is mapped to the latest NMC standards. In addition to the book&’s coverage of key final year transition topics such as law and ethics, decision making and clinical accountability, there is also helpful guidance on how to further your career and become a successful nurse, post-registration. This includes advice on leadership and management skills, preceptorship, revalidation, and continued professional development (CPD). To help students understand the realities of being a registered nurse, there are &‘Practice Scenarios&’ in each chapter and real-life accounts from service users expressing their experience of using health services, so that students can understand the real needs of people in their care. The book also includes examples and scenarios from all fields, to show the differing practice environments and challenges that students will face.
Transition with Dignity: School Leaving from the Perspectives of Young Adults with Significant Disabilities
by Sarah M. HartThis book analyzes the process of leaving school, commonly referred to as 'transition' for young adults with severe, complex, and multiple disabilities. It seeks to challenge prevailing assumptions and offer practical steps towards reversing customary accepted theories, methods, practices, and outcomes. Despite extensive research, policies, and procedures of transition, the reality is that post-school outcomes are worrying for those with significant special needs. Community inclusion depends as much upon in-school procedures and support systems as it does the inclusivity of society itself. This book directly addresses these concerns by examining the experiences of young adults living through their transitions in two countries, Aotearoa New Zealand and the USA. Engaging and highly readable case narratives bring fresh insights on the diversity of disability experiences, portraying the under-explored opportunities involved in a transition with dignity. Disability is an often overlooked aspect of one’s intersectional identity. Post-school transition is therefore positioned less as a procedural function of leaving school and more so an urgent matter of social justice. Readers will benefit from the transformative framing of post-school transition based on the capability approach. Genuine opportunities within the transition of young adults with significant disabilities and those who support them may promote a thriving life for all.
Transitioning Care from Pediatric to Adult Pulmonology: Ensuring Best Practices and Optimal Outcomes (Respiratory Medicine)
by Cynthia D. Brown Erin CrowleyThis book addresses an unmet need in the care of adolescents and young adults with lung disease. The increasing survival of young adults with childhood-onset pulmonary conditions is a testament to major advances in treatments and health care delivery. With the increase in survival of children with chronic respiratory conditions, there is a need for formalized transition programs to integrate adolescents and young adults into the adult model of care. This book helps fill gaps in knowledge to best achieve that initiative.This book takes a comprehensive approach to transition care in pulmonary medicine by satisfying the following objectives: 1) Understand the barriers and developmental challenges in the transition from pediatric to adult care for patients with chronic childhood-onset pulmonary disease; 2) Learn about successful evidence based transition models in pulmonary disease populations, focusing on key process and outcome measures for success; and 3) Develop knowledge to design, implement, and measure a transition program based on evidence and expert opinion. In the first section, the book outlines general principles of transition care that are applicable to all patients regardless of underlying disease process and describe best practices for performing necessary research in transition care. In the second section, the book explores psychosocial factors known to play a role in affecting transition outcomes, including parental support, psychological development, and socioeconomic factors. In the final section, transition outcomes and best practices in specific respiratory diseases are outlined. With a focus on populations with chronic pulmonary disease, this book highlights the challenges and barriers of transition, reviews model systems to understand the essential components of a transition program, and provides evidence-based information to navigate these barriers and achieve successful outcomes during transition to adulthood.This is an ideal guide for pediatric and adult pulmonary providers caring for patients who are transition age, as well as multidisciplinary care team members who work with these providers in care models on transition projects to improve the transition process.
Transitioning to Adulthood with Autism: Ethical, Legal and Social Issues (The International Library of Bioethics #91)
by Nanette Elster Kayhan ParsiThis book offers the first ever book-length treatment of the topic of transitioning from adolescence to adulthood with autism and the attendant ethical, legal and social issues for the individual as well as caregivers and professionals. It features experts in a variety of areas (law, bioethics, philosophy, pediatrics, neurology, medicine, psychology, special education, social work, employment, civic participation, social media) who provide commentary on these areas and the relevant ethical/legal/social challenges young autistic adults face in these different areas. This is an indispensable read for educators, therapists, and other professionals who work in transition with young autistic adults.
Transitions and Boundaries in the Coordination and Reform of Health Services: Building Knowledge, Strategy and Leadership (Organizational Behaviour in Healthcare)
by Jean-Louis Denis Peter Nugus Charo Rodriguez Denis ChênevertHealth systems worldwide are grappling with the challenge of coordinating difference in an increasingly complex care environment. In response this book features the latest research on organizational studies in healthcare and explores the relationship between strategic and organic change and what this means for the way we organize health work. Focusing on the complexity of healthcare environments, it discusses the need to cross professional and organizational boundaries. Specifically, this book focuses on the implications for health systems in the way that they continue to balance planning and intervention with organic learning systems. Comprising the best contributions from the 2018 Conference on Organizational Behaviour in Health Care (OBHC), this book is an important resource for healthcare researchers, as well as policy-makers and managers within the industry. Contributors explore the extent to which healthcare is codified through empirical analysis of practical interventions and conceptual debate.
Transitions in Care
by Barbara J. Anderson Howard A. Wolpert Michael A. HarrisProviding care for a young adult with type 1 diabetes during this stage can be difficult as well. Transitions in Care serves as a coaching manual for health care providers and parents, and as a guide to self-care and independence for young adults with diabetes. It demystifies a complicated period in a life with type 1 diabetes and makes the passage to adulthood easier for everyone involved.
Transkulturelle Medizin
by Hansjosef Böhles Mayyada QirshiDas Buch behandelt die wesentlichen kulturellen Eigenheiten von Patienten aus dem arabisch-islamischen und afrikanischen Kulturkreis, Erkrankungen und Einstellungen dazu mit dem Akzent auf Geflüchteten, Asylsuchenden und Migranten, einschließlich Kindern.Die Autoren klären über Missverständnisse auf, beseitigen Unsicherheiten und zeigen die Auswirkungen der kulturellen Diversität auf den Umgang mit Ärzten und Gesundheitsfachberufen im hiesigen Gesundheitssystem. Geprägt von jahrelanger Erfahrung mit Flüchtlingen aus unterschiedlichen Lebenswelten, schärfen die Autoren Ihr Wissen und Bewusstsein für die Kulturunterschiede und bahnen mit hilfreichen Anregungen einen Weg zu einem erfolgreichen, empathischen Arzt-Patientenverhältnis.