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If you have confusing and unexplained breathing problems or your asthma has not responded to treatment, this book is for you. The Chronic Cough Enigma is written for people who have been coughing for months or years and cannot get useful answers from their doctors. More than 20 million Americans suffer from what is known as enigmatic chronic cough. This book provides insights from Dr. Jamie Koufman’s almost forty years of successfully managing thousands of long-suffering cough patients. Indeed, the typical chronic cough patient who comes to her office has been coughing for more than a decade. This book provides the many who suffer from chronic cough new and potentially life-changing information and the potential to be cured.
Chronic Cough is a clinical resource for practitioners treating patients with chronic cough. It is also a reference for any practicing or training clinician who wants to feel more confident in their understanding, workup and treatment of this symptom. As the diagnosis and treatment of chronic cough evolves, empiric treatments are giving way to objective testing. Research is driving new therapeutics and testing modalities, and diagnostic advances and multidisciplinary collaboration has led to more successful treatments. Chronic Cough addresses these advancements by covering the basics of what is known, what is not known, and what is currently being discovered about chronic cough. This practical resource will appeal to residents, advanced practice providers, and physicians in the fields of family practice, internal medicine, otolaryngology, pulmonology, gastroenterology, and speech-language pathology. Key FeaturesThinking Outside of the Box sections in each chapter provide practical information and controversial or less conventional ideas surrounding chronic coughTake Home Points at the end of each chapter provide readers with a succinct summary of important facts20+ expert contributors from backgrounds in otolaryngology, including laryngology and rhinology, pulmonology, molecular and cellular pathology and speech-language pathology
The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
Significant changes have taken place in the policy landscape surrounding cannabis legalization, production, and use. During the past 20 years, 25 states and the District of Columbia have legalized cannabis and/or cannabidiol (a component of cannabis) for medical conditions or retail sales at the state level and 4 states have legalized both the medical and recreational use of cannabis. These landmark changes in policy have impacted cannabis use patterns and perceived levels of risk. However, despite this changing landscape, evidence regarding the short- and long-term health effects of cannabis use remains elusive. While a myriad of studies have examined cannabis use in all its various forms, often these research conclusions are not appropriately synthesized, translated for, or communicated to policy makers, health care providers, state health officials, or other stakeholders who have been charged with influencing and enacting policies, procedures, and laws related to cannabis use. Unlike other controlled substances such as alcohol or tobacco, no accepted standards for safe use or appropriate dose are available to help guide individuals as they make choices regarding the issues of if, when, where, and how to use cannabis safely and, in regard to therapeutic uses, effectively. Shifting public sentiment, conflicting and impeded scientific research, and legislative battles have fueled the debate about what, if any, harms or benefits can be attributed to the use of cannabis or its derivatives, and this lack of aggregated knowledge has broad public health implications. The Health Effects of Cannabis and Cannabinoids provides a comprehensive review of scientific evidence related to the health effects and potential therapeutic benefits of cannabis. This report provides a research agendaâ€"outlining gaps in current knowledge and opportunities for providing additional insight into these issuesâ€"that summarizes and prioritizes pressing research needs.
Nelson Pediatric Symptom-Based Diagnosis uses a unique, step-by-step, symptom-based approach to differential diagnosis of diseases and disorders in children and adolescents. Conveniently linked to the world’s best-selling pediatric reference, Nelson Textbook of Pediatrics, 20th Edition, it focuses on the symptoms you’re likely to see in general practice, as well as uncommon disorders. You’ll find clear guidance on exactly what to consider and how to proceed when faced with a host of common symptoms such as cough, fever, headache, chest pain, gait disturbances, and many more. Features a practical, symptom-based approach that enables you to form an accurate diagnosis. Uses the same consistent, step-by-step presentation in every chapter: History, Physical Examination, Diagnosis (including laboratory tests), Imaging, Diagnosis, and Treatment. Covers new approaches to diagnostic imaging and genetic testing, new diagnostic guidelines, BRUE (brief resolved unexplained event), stroke in children, behavior disorders, syncope, recurrent fever syndromes, and much more. Includes full-color illustrations, algorithms, tables, and "red flags" to aid differential diagnosis. Serves as an ideal companion to Nelson Textbook of Pediatrics, 20th Edition. Nelson branded – authoritative, market leading content Links and references to Nelson – cross referencing provides the reader with a full understanding and background, plus evidence-based treatment and management New named diseases – up to date New diagnostic procedures – up to date Illustrations and images from Nelson – up to date and easy to use illustrations and images 4-color – color coded step-by-step approach New design – more content in less space References online only – takes the reader directly to PubMed citation and leaves more room in the print for DDx content
This book provides an updated and comprehensive overview of cough, while opening new perspectives for their treatment and management. It enables readers to not only discover new physiologic features and mechanisms but also to gain an in-depth understanding of the diagnostic workup of cough, still one of the most frequent and challenging symptoms in daily medical practice. The book also provides insights into cough’s features and pathogenesis, as well as into pharmacologic and non-pharmacologic treatments. The most frequent causes of chronic cough (asthma, postnasal drip, gastroesophageal reflux and chronic hypersensitivity syndrome) and different types of pediatric cough are also explored. Coughing is a common symptom, occurring in many clinical settings, and as such the book appeals a broad readership, including pulmonologists specialized in cough, general practitioners, internists, pediatricians and otorhinolaryngologists.
Cough is such a common experience that it in fact accounts for the largest number of ambulatory healthcare visits internationally. Most cases of acute cough resolve spontaneously, however chronic refractory cough is another matter. This is defined as a cough that lasts for longer than eight weeks, and persists despite medical treatment; and it is a significant health problem for many people. Often lasting for months or even years, chronic refractory cough has debilitating side effects including stress urinary incontinence, depression, poor sleep, headaches and reduced quality of life. Some patients resign from work and many avoid social situations. Even simple activities such as conversing or using the telephone can become distressing because talking can trigger coughing episodes. Although medical treatment is ineffective for chronic refractory cough, speech pathology intervention can be effective in treating the condition. Presently, there are no widespread education programs and material is generally disseminated through journal articles published in a wide array of literature and by word of mouth. This book fills the gap. It is the first manual available to speech pathologists to support their treatment of chronic refractory cough and to eliminate their reliance on conference presentations, infrequent journal articles and short textbook descriptions. Presented here are a comprehensive overview of the conditions, detailed outlines of therapy options, and qualified guidance on recent advances in this area that speech pathologists need and are looking for when treating these patients. With contributions from world leading clinicians, this is the first book worldwide on the topic. It offers a comprehensive overview of the condition, outlines therapy in great detail and consolidates recent advances in this area. It provides all materials needed for speech pathologists to assess and treat individuals and all practical resources and tools needed to treat the condition - supported with step-by-step instruction, clear and concise explanations, pragmatic advice on decision-making, and no less than 11 photocopiable assessment and treatment forms, patient handouts and more.
Cough is the most familiar symptom of respiratory disease, and a problem which general practitioners must deal with on a daily basis. This timely volume draws together a wealth of recent research into the mechanisms, pharmacology and therapies for cough, and places these in clinical context. The text incorporates guidelines on the most common causes of cough, discusses treatments and pitfalls in management, summarizes current research on physiology, pharmacology and treatment of cough, and gives practical advice on diagnosis and management issues for the clinician. Cough: Causes, Mechanisms and Therapy is the most comprehensive, up-to-date account of the subject. It will update clinical and basic medical scientists, and promote future research. Readers are encouraged to implement the clinical implications of the discussion into routine practice. This volume will appeal to all those involved in the treatment of respiratory disease, particularly those in hospital respiratory units, and will also be of use to interested general practitioners.
The last decade or so has seen remarkable advances in our knowledge of cough. This applies especially to its basic mechanisms: the types of airway sensors, the phar- cological receptors on their membranes, the brainstem organization of the ‘cough centre’, and the involvement of the cerebral cortex in the sensations and the vol- tary control of cough. With the exception of the last of these, nearly all the studies have been on experimental animals rather than humans, for obvious reasons. One group of experimental studies has particular relevance to human patients, and that is the demonstration of the sensitization of cough pathways both in the periphery and in the brainstem. Similar sensitizations have been shown for patients with chronic cough or who have been exposed to pollutants, and it is reasonable to suppose that this is the basis of their cough and that the underlying mechanisms are generally similar in humans and other species. Important advances are also being made in clinical cough research. For the three main causes of clinical cough, asthma, post-nasal drip syndrome, and gast- oesophageal re?ux disease, we are beginning to understand the pathological processes involved. There remains a diagnostically obdurate group of idiopathic chronic coughers, but even for them approaches are being devised to clarify und- lying mechanisms and to establish diagnoses. Perhaps surprisingly, the ?eld in which there has been the least spectacular - vance is the therapy of cough.