Wednesday, September 1, 2010

How to Practice Evidence-based Psychiatry

How to Practice Evidence-Based Psychiatry: Basic Principles and Case Studies explains the methods and philosophy of evidence-based psychiatry and describes ways in which psychiatrists and other mental health specialists can incorporate evidence-based psychiatry into clinical practice. It expands and complements the popular text Concise Guide to Evidence-Based Psychiatry, which provides details on obtaining and interpreting medical evidence, and it allows experts from a variety of specialty areas and practice settings to describe interesting and inspiring cases of their own. The first section of this volume can be used as both an introduction to the topic and a ready reference for researching the literature and appraising evidence. It offers chapters devoted to systematic reviews and meta-analyses, clinical practice guidelines, diagnostic tests, surveys of disease frequency, and prognosis and psychometric measurement. The second and third sections, on the application of evidence-based psychiatry to major DSM-IV disorders and specific treatment settings, include relevant case examples in which 24 experienced clinicians from a variety of practice settings discuss situations in which they followed aspects of evidence-based care. This book is a valuable new tool to help residents, practicing psychiatrists, and other mental health workers understand and make use of evidence-based information to improve their everyday practice.


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Psammoma bodies in papillary carcinoma of the thyroid

This slide shows papillary carcinoma of the thyroid.
It has am increased incidence in iodine-rich areas and in those who have received neck irradiation and typically spreads to the lymph nodes.
The tumours are often described as minimal (< equiv="Content-Type" content="text/html; charset=utf-8">psammoma bodies: One of the characteristic features of papillary thyroid carcinoma .
These are calcifications with an unusual (and pretty) lamellar pattern. You can see psammoma bodies in any carcinoma with a papillary pattern (so just because you see them, that doesn’t mean you’re necessarily dealing with a papillary thyroid carcinoma). But if you are looking at a thyroid carcinoma and trying to figure out which kind it is (papillary, follicular, medullary or anaplastic thyroid carcinoma), seeing psammoma bodies would be very helpful. Since psammoma bodies are not seen in any other type of thyroid carcinoma, you would immediately think of papillary thyroid carcinoma.

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ABC of Rheumatology

Musculoskeletal diseases are the most widespread chronic illness in the UK and one of the top 3 reasons why the over 45s visit their GP. The ABC of Rheumatology is a practical, introductory guide to the diagnosis, management and treatment of rheumatology and rheumatic diseases for the non-specialist. Providing detailed overviews of all major areas of rheumatology this fully revised fourth edition includes updated information on new treatments, therapies, evidence and guidelines.
An informative and practical source of knowledge, with highly illustrated chapters including boxed summaries, links to further information, reading and resources, this well established ABC title is an accessible reference for all primary care health professionals, GPs, junior doctors, medical students and nurses.

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Linear epidermal nevus

Morphology: Warty

Description: Verrucous hyperpigmented lesion.

Brief History: Since birth the mother had recognized a warty brownish-black linear lesion on the lower part of her daughter left ear. As the girl grew up the lesion became darker in color and has acquired more triangular in shape. Since age of 18 years the lesion has stabilized in size, color and verrucous consistency. There were no associated cutaneous or systemic abnormalities.

Linear epidermal nevus in 22 old female located in her ear

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