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1

United States. Congress. House. A bill to amend title XIX of the Social Security Act to require, at the option of a state, drug manufacturers to pay rebates to state prescription drug discount programs as a condition of participation in a rebate agreement for outpatient prescription drugs under the Medicaid program. U.S. G.P.O., 2007.

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2

Swanson, Jeffrey W., Marvin S. Swartz, and Daniel D. Moseley. US outpatient commitment in context: When is it ethical and how can we tell? Edited by Alec Buchanan and Lisa Wootton. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198738664.003.0003.

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Outpatient commitment is the legal practice of using civil court orders to mandate mental health treatment in the community for certain adults with serious and chronic mental illnesses. In this chapter, we examine the historical context in which the practice of outpatient commitment emerged in the United States. We discuss the controversial nature of outpatient commitment, examining the assumptions and perspectives of those on either side of ongoing arguments about whether the practice is legitimate, fair, and effective. In the final section of the chapter, we discuss whether, and under what c
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3

Dawson, John. Community treatment order legislation in the Commonwealth. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198788065.003.0003.

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This chapter provides an overview of legislation governing the use of community treatment orders (CTOs)—that authorize compulsory outpatient treatment—in the UK, Canada, Australia, and New Zealand. It focuses particularly on the cluster of powers that CTOs confer on community mental health teams, permitting them to continue supervising a person’s outpatient care. It covers the criteria, procedures, and structure of authority for a CTO, the conditions such an order can impose on a person’s community care, the role of statutory treatment plans, and the powers available to enforce the outpatient
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4

Cox, David R., Richard H. Cox, and Bruce Caplan. Specialty Competencies in Rehabilitation Psychology. Oxford University Press, 2015. http://dx.doi.org/10.1093/med:psych/9780195389241.001.0001.

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This online resource provides a guide to the knowledge and skills required by competent rehabilitation psychologists, with an emphasis on the evidence base of the specialty. It will assist those preparing for the Board Certification Examination in Rehabilitation Psychology and will also be valuable to newcomers to the field and to clinicians working on an outpatient basis with individuals with a wide variety of chronic conditions.
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5

Morgan, Jenna, and Saba Balasubramanian. Endocrine surgery (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198749813.003.0006.

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This chapter presents common cases that are clinically relevant to endocrine surgery. These include common surgical presentations often encountered at outpatient clinic, such as thyroid nodules/goitres and hypercalcaemia due to primary hyperparathyroidism, as well as important emergency surgical complications.Although most endocrine surgical conditions are managed by few surgeons with a special interest in these diseases, knowledge of the initial management and immediate treatment of complications is essential for all surgical trainees, particularly as some of these are life-threatening. These
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6

Webster, Peter, Judith Ritchie, and Veerabhadram Garimella. Colorectal surgery (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198749813.003.0004.

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This chapter seeks to illustrate the interesting and diverse nature of adult colorectal surgery with a number of presentations of both benign and malignant conditions of the colon, rectum, and anus. The cases represent a wide variety of colorectal conditions that most junior surgical trainees will encounter from this specialty electively at outpatient clinic, including constipation, colorectal cancer, fissure-in-ano and fistulas, haemorrhoids, faecal incontinence, and pilonidal disease. Cases also feature emergency presentations commonly encountered on the acute surgical take such as acute div
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7

Traumata durch Verfolgung in der DDR: Sozialarbeit bei politisch Traumatisierten. VDM, Verlag Dr. Müller, 2008.

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8

Ross, Lisa. Electroconvulsive Therapy. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0029.

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The anesthetic management of patients who receive electroconvulsive therapy (ECT) for various psychiatric conditions in both the inpatient and the outpatient settings must take into account a number factors, such as its associated physiologic responses, existing comorbidities, medication management, monitoring, complications, and contraindications in order for it to remain a safe procedure. This chapter reviews the indications for ECT, the preprocedure anesthetic evaluation; theories regarding the therapeutic mechanism of action leading to the efficacy of ECT; cerebrovascular, cardiovascular,
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9

Weiner, Mark A., and Herbert L. Malinoff. Revising the Treatment Plan and/or Ending Pain Treatment (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190265366.003.0018.

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This chapter describes specifically the population with chronic non-malignant pain whose illness is described as “opioid treatment failures,” perhaps 75% of the total. It addresses one of the most difficult questions in the management of comorbid pain and addiction: termination of opioid therapy. It begins by defining the problem for each patient in terms of strata of risk, and then describes the opioid discontinuation process in both outpatient medical offices and hospital settings. Timelines for discontinuation, including of benzodiazepines, are discussed, as well as the place of buprenorphi
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10

Rees, Lesley, Detlef Bockenhauer, Nicholas J. A. Webb, and Marilynn G. Punaro. Paediatric Nephrology. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198784272.001.0001.

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This is a comprehensive, clinically orientated guide to the management of children with all forms of renal disease. Its purpose is to be a portable but complete reference for the day-to-day, bedside, and outpatient management of all conditions, either by the general paediatrician in their own hospital, by specialist paediatric nephrologists, or in shared care between general hospitals and specialized centres. Using bullet points and text boxes, it is easy to use, even in an emergency. The focus is principally on investigation and management, but it also includes some pathophysiology in order t
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11

Groves, Richard. Assessment and management of dermatological problems in the critically ill. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0276.

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Although dermatology is generally considered to be an outpatient specialty relating to conditions of low acuity, a wide array of skin problems can present in the critically-ill patient. Some may reflect pre-existing disease, some may occur as a consequence of treatment, and a small fraction will represent severe or extensive primary skin disease that is best managed in a critical care setting. Important primary dermatological conditions that require intensive care management include erythroderma, toxic epidermal necrolysis/Stevens–Johnson syndrome, widespread drug eruptions and blistering diso
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12

Bourgeois, James, Mary Ann Cohen, John Grimaldi, et al. Models of Care for Patients With HIV. Edited by Mary Ann Cohen, Jack M. Gorman, Jeffrey M. Jacobson, Paul Volberding, and Scott Letendre. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199392742.003.0007.

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Numerous contemporary clinical models for the delivery and coordination of psychiatric and other mental health care for patients with HIV within outpatient medical care settings are described in this chapter. Care for patients’ multimorbid psychiatric illness in the context of general medical care for HIV-associated conditions is a pragmatic application of the Engel biopsychosocial model and offers the opportunity for interprofessional collegiality and collaborative care in managing the clinical illnesses and other challenges faced by persons with HIV. The functional descriptions of the variou
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13

Kocher, Bharati. Diverticulitis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199976805.003.0033.

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Diverticular disease includes two conditions: diverticulosis and diverticulitis. Both involve saclike protrusions of the mucosal and submucosal walls, typically in the colon. Diverticulosis is the presence of multiple diverticula, which may or may not be symptomatic. Symptomatic diverticulosis presents with indistinct symptoms and, less commonly, with severe symptoms, such as slow bleeding (causing anemia) or rapid bleeding (causing frank hematochezia and even hemodynamic instability). Diverticulitis is acute or chronic inflammation of the diverticula, possibly leading to abscesses and even pe
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14

Turner, Helen E., Richard Eastell, and Ashley Grossman, eds. Endocrinology (Oxford Desk Reference). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199672837.001.0001.

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Oxford Desk Reference: Endocrinology provides an overview of the principles of endocrinology, a detailed pathophysiology of disorders of the endocrine system, and practical advice on the clinical presentation of the spectrum of endocrine disease. Written by over 100 international experts, it discusses the diagnosis, management, and relevant genetic and immunological aspects of endocrine disorders. Whilst discussion of common endocrine conditions is comprehensive, it also includes rare syndromes with useful guidance on screening and follow-up. Providing clinical advice to endocrinologists, gene
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15

Herman, Mira, Amaresh Vydyanathan, and Allan L. Brook. Sacroiliac Joint Injections: Computed Tomography. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0039.

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Sacroiliac (SI) joint disease is a common cause of low back pain. It is not easily diagnosed by physical examination, as the joint has limited mobility and referral patterns are not sufficiently delineated from other pathological conditions implicated in low back pain. The accuracy of provocative testing of the sacroiliac joint is controversial. Many physicians use injection of the SI joint with local anesthetic and/or steroid as a diagnostic and therapeutic tool in treating SI joint–related pain. Historically, SI joint intra-articular injections have been performed without imaging guidance. I
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16

Rothberg, Brian, and Robert E. Feinstein. Suicide. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199326075.003.0012.

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All psychiatric assessments should include screening for recent suicidal ideation and past suicide behavior. The Columbia-Suicide Severity Rating Scale (C-SSRS) provides a reliable objective assessment of suicide risk. A history of past suicide attempts is a risk factor for future suicide, and risk is increased by more serious, more frequent, or more recent attempts. Over 90% of individuals who die by suicide have at least one psychiatric disorder. Patients with schizophrenia, alcohol and other substance use disorders, and borderline and antisocial personality disorders are at increased risk f
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17

Michel, Jean-Pierre, B. Lynn Beattie, Finbarr C. Martin, and Jeremy Walston, eds. Oxford Textbook of Geriatric Medicine. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198701590.001.0001.

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The 3<sup>rd</sup> Edition of The Oxford Textbook of Geriatric Medicine brings together specialists from across the globe to provide every physician and health care provider involved in the care of older people with a comprehensive resource on the medical, social, and psychological issues they are likely to encounter in their practice and research. Beyond these issues, this comprehensive text provides insights into global population ageing, ageing-relevant policy developments, healthy ageing, lifecourse, multimorbidity, personalised and person-centred care.New material has been added throughou
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18

Ollendick, Thomas H., Susan W. White, and Bradley A. White, eds. The Oxford Handbook of Clinical Child and Adolescent Psychology. Oxford University Press, 2018. http://dx.doi.org/10.1093/oxfordhb/9780190634841.001.0001.

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This comprehensive, 51-chapter handbook presents recent advances in the expression, etiology, assessment, and treatment of child and adolescent psychiatric disorders and related problems from a developmental psychopathology perspective. Following a broad conceptual overview of this area of clinical research and practice, assessment and treatment practices are examined for specific DSM-5 disorders and other nondiagnostic but nonetheless significant problems in childhood and adolescence, including the maltreatment of youth, children of divorce, children with incarcerated parents, nonsuicidal sel
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19

Molloy, Richard G., Graham J. MacKay, Helen R. Dorrance, and Patrick J. O'Dwyer, eds. Colorectal Surgery. 2nd ed. Oxford University PressOxford, 2021. http://dx.doi.org/10.1093/med/9780192896247.001.0001.

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Abstract The primary focus of this book is as a revision tool for general surgical trainees preparing for the FRCS examination, and in particular those declaring colorectal surgery as an area of special interest. It has been written specifically to address the curriculum designed and approved by the Association of Coloproctology of Great Britain and Ireland and the Intercollegiate Surgical Curriculum Project. The book is designed to provide easy access to relevant, up-to-date, and evidence-based information in a portable format which can be used at work or wherever time is available for study.
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20

Blasi, Francesco, and Paolo Tarsia. Therapeutic approach in haemoptysis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0127.

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The aim of diagnostic studies in patients with haemoptysis is two-fold—locate the source of bleeding and identify the underlying cause. A chest X-ray may be informative regarding conditions involving the lung parenchyma, pulmonary vasculature, or the heart, but may be normal in 20–40% of cases. A chest CT scan may allow correct localization of the bleeding site in 65–100% of cases. Contrast-enhanced CT scans allow high resolution angiographic studies that may be useful prior to planning bronchial arterial embolization. Bronchoscopy may allow identification of the site of bleeding, identify the
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21

Taylor, Joseph J., and Robert Ostroff. National Institute of Mental Health (NIMH) Treatment of Depression Collaborative Research Program. Edited by Ish P. Bhalla, Rajesh R. Tampi, Vinod H. Srihari, and Michael E. Hochman. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190625085.003.0024.

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This chapter will summarize what is considered to be the first randomized controlled trial to directly compare psychotherapeutic and psychopharmacological interventions for unipolar nonpsychotic depression. More specifically, the authors were interested in the degree to which cognitive behavioral therapy, interpersonal therapy, imipramine and a placebo condition ameliorated symptoms of depression in patients from outpatient psychiatric clinics at three academic medical centers in the United States. The chapter will discuss the design and implementation of the study before focusing on the resul
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22

Panchal, Rakesh. Haemoptysis. Edited by Patrick Davey and David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0018.

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Haemoptysis is the expectoration of blood or blood-stained sputum resulting from haemorrhage into the respiratory tract. Massive haemoptysis (5% of cases) is usually defined as &gt;600 ml in 24 hours. Haemoptysis is a common and non-specific symptom. It can vary from blood-streaked sputum to massive, life-threatening haemorrhage. Haemoptysis may originate from the bronchial arteries (90%), pulmonary arteries (5%), or non-bronchial collaterals. Haemoptysis causing haemodynamic instability and/or respiratory compromise is a medical emergency. Unexplained haemoptysis may herald a serious underlyi
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23

Weisholtz, Daniel S., and Barbara A. Dworetzky. Emergency Department and Urgent Care Presentations. Edited by Barbara A. Dworetzky and Gaston C. Baslet. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190265045.003.0002.

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Psychogenic nonepileptic seizures (PNES) may present emergently to a variety of clinicians who are unaccustomed to managing them. Morbidity can occur when PNES are inappropriately treated as epileptic seizures, particularly in a pregnant patient, whose fetus may be unnecessarily exposed to antiepileptic drugs, or when PNES are markedly prolonged and mistaken for status epilepticus, resulting in aggressive treatments including intubation and general anesthesia. PNES should not be considered a benign condition. During the seizures, patients may experience injuries such as head traumas, fractures
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24

Care, living conditions, and administration of outpatients at Walter Reed Army Medical Center: Hearing before the Committee on Armed Services, United States Senate, One Hundred Tenth Congress, first session, March 6, 2007. U.S. G.P.O., 2007.

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25

Debaveye, Yves, Dieter Mesotten, and Greet Van den Berghe. Hyperglycaemia, diabetes, and other endocrine emergencies. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0069.

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Although endocrine pathology is usually treated in outpatient clinic, intensive care may be required when endocrinopathies are associated with other medical illnesses or reach a state of decompensation. Although endocrine emergencies are quite rare, they are potentially life-threatening, if not recognized promptly and managed effectively. Therefore, every clinician should always be attentive to a possible diagnosis of these complex disorders. The three major diabetic emergencies comprise diabetic ketoacidosis, hyperglycaemic hyperosmolar state, and prolonged hypoglycaemia. Hyperglycaemic crise
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