This casebook is a resource for medical students and physicians who wish to hone the crucial skil... more This casebook is a resource for medical students and physicians who wish to hone the crucial skill of diagnosis through the patient history and physical examination. Using real-life case studies, it walks the reader through the reasoning used in interpreting a patient's history and physical findings and arriving at a working diagnosis. The ten chapters cover disorders of all organ systems, as well as patient assessment in special situations. Each chapter presents about 12 vignettes drawn from actual clinical cases, followed by a list of points to be learned and a discussion of the case - how the history and physical examination are used to distinguish among diagnoses, what findings are characteristic of particular disorders and what findings to expect as the illness progresses. Much of this material is presented in tables and algorithms to increase its clarity and clinical utility.
Exercise programs can be used to improve functional capacity, lower the myocardial energy cost of... more Exercise programs can be used to improve functional capacity, lower the myocardial energy cost of performing work, and favorably alter one's cardiovascular risk profile. In addition, a large body of data support the role of exercise in the primary prevention of coronary heart disease. Standardized exercise programs are safe and effective for a large majority of patients.
Purpose.To determine whether a school-wide intervention program to reduce risk factors for type 2... more Purpose.To determine whether a school-wide intervention program to reduce risk factors for type 2 diabetes (T2D) affected student achievement, rates of disciplinary actions, and attendance rates.Design.The HEALTHY primary prevention trial was designed to evaluate a comprehensive school-based intervention to reduce factors for T2D, especially overweight and obesity. Students were followed up from beginning of sixth grade (Fall 2006) through end of eighth grade (Spring 2009).Setting.Forty-two middle schools at seven U.S. sites.Subjects.Schools were randomized in equal numbers at each site to intervention (21 schools, 2307 students) or control (21 schools, 2296 students).Intervention.An integrated school-wide program that focused on (1) foods and beverages, (2) physical education, (3) classroom-based behavior change and education, and (4) social marketing communication and promotional campaigns.Measures.Aggregate (grade- and school-wide) test performance (passing rate), attendance, and...
This casebook is a resource for medical students and physicians who wish to hone the crucial skil... more This casebook is a resource for medical students and physicians who wish to hone the crucial skill of diagnosis through the patient history and physical examination. Using real-life case studies, it walks the reader through the reasoning used in interpreting a patient's history and physical findings and arriving at a working diagnosis. The ten chapters cover disorders of all organ systems, as well as patient assessment in special situations. Each chapter presents about 12 vignettes drawn from actual clinical cases, followed by a list of points to be learned and a discussion of the case - how the history and physical examination are used to distinguish among diagnoses, what findings are characteristic of particular disorders and what findings to expect as the illness progresses. Much of this material is presented in tables and algorithms to increase its clarity and clinical utility.
Exercise programs can be used to improve functional capacity, lower the myocardial energy cost of... more Exercise programs can be used to improve functional capacity, lower the myocardial energy cost of performing work, and favorably alter one's cardiovascular risk profile. In addition, a large body of data support the role of exercise in the primary prevention of coronary heart disease. Standardized exercise programs are safe and effective for a large majority of patients.
Purpose.To determine whether a school-wide intervention program to reduce risk factors for type 2... more Purpose.To determine whether a school-wide intervention program to reduce risk factors for type 2 diabetes (T2D) affected student achievement, rates of disciplinary actions, and attendance rates.Design.The HEALTHY primary prevention trial was designed to evaluate a comprehensive school-based intervention to reduce factors for T2D, especially overweight and obesity. Students were followed up from beginning of sixth grade (Fall 2006) through end of eighth grade (Spring 2009).Setting.Forty-two middle schools at seven U.S. sites.Subjects.Schools were randomized in equal numbers at each site to intervention (21 schools, 2307 students) or control (21 schools, 2296 students).Intervention.An integrated school-wide program that focused on (1) foods and beverages, (2) physical education, (3) classroom-based behavior change and education, and (4) social marketing communication and promotional campaigns.Measures.Aggregate (grade- and school-wide) test performance (passing rate), attendance, and...
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