In this innovative new book, Steve Selvin provides readers with a clear understanding of intermediate biostatistical methods without advanced mathematics or statistical theory (for example, no Bayesian statistics, no causal inference, no linear algebra and only a slight hint of calculus). This text answers the important question: After a typical first-year course in statistical methods, what next?
Statistical Tools for Epidemiologic Research thoroughly explains not just how statistical data analysis works, but how the analysis is accomplished. From the basic foundation laid in the introduction, chapters gradually increase in sophistication with particular emphasis on regression techniques (logistic, Poisson, conditional logistic and log-linear) and then beyond to useful techniques that are not typically discussed in an applied context. Intuitive explanations richly supported with numerous examples produce an accessible presentation for readers interested in the analysis of data relevant to epidemiologic or medical research.

This book comprehensively addresses the use of pulmonary function measurement for the evaluation, screening and timing of noninvasive mechanical ventilation (NIMV) from hospital to home care. To do so, it describes three clinical stages of NIMV support: before NIV, to detect early markers and determine whether NIV is appropriate; during NIV, to evaluate NIV response; and in long-term NIV support. Additionally, it assesses a range of complementary health care organizations (pulmonary function labs, pneumology wards, semi-intensive care units and home mechanical ventilation programs), techniques (chest physiotherapy/airway secretions, etc.) and applications. In closing, the book offers practical recommendations on how noninvasive ventilation and lung function measurement can improve outcomes and quality of life, making it a valuable resource for all specialists, e.g. intensivists and pneumologists, as well as anesthesiologists and therapists.

Launched on Oxford Medicine Online in 2012, with the full-text of eight Mayo Clinic Scientific Press (MCSP) print titles and a bank of multiple-choice questions, Mayo Clinic Toolkit provides a single location for resident, fellow, and practicing clinicians to undertake the self-testing necessary to prepare for, and pass, the Boards.
The Mayo Clinic Atlas of Regional Anesthesia and Ultrasound-Guided Nerve Blockade is a practical guide that vividly illustrates a systematic approach to regional anesthesia of the upper and lower extremity while providing a comprehensive overview of the fundamental principles of ultrasonography, relevant Sonoanatomy of the upper and lower extremity, and the technical skills necessary to become clinically proficient at ultrasound-guided regional anesthesia. With over 200 beautifully illustrated anatomic images that can be enlarged and downloaded to PowerPoint, the online version is essential reading for Board Exam preparation.
Highlights of The Mayo Clinic Toolkit include:
- Each title is presented in an enhanced format, allowing the enlargement and download of all figures and images, and linking to external sources referenced in the text.
- The multiple-choice questions are designed to mirror those in the Board exam for realistic preparation; they also link back to the relevant title, and allow the user to measure their development through the recording of practice-exam success.
- It can be accessed on a range of internet enabled devices, giving residents, fellows, and practicing clinicians the choice to study in locations which suit them
- Subscription lengths range from 1-month to a full year.
Combining two complimentary resource types into a single location, with enhancements to the print works, the flexibility to choose where and when to study, and the ability to monitor revision progress, Mayo Clinic Toolkit is truly the go-to site for Board preparation.

A knowledge of anatomy has always played a vital role in medicine, and is especially important in the everyday practice of anaesthesia. This 2002 text presents the core anatomical knowledge required for the Primary and Final FRCA examinations in a simple and straightforward manner. Adopting the philosophy of the examination itself, where candidates are often required to reproduce simple line drawings to illustrate the depth of their knowledge, the many illustrations in the book are clear and easy to understand at a glance. The illustrations are accompanied by explanatory text throughout and for each anatomical region, sample examination questions are included which follow the format of those asked in the examinations. This book will interest anaesthesia Primary and Final candidates, as well as providing a valuable quick reference for busy anaesthetists at all levels of experience.

Orofacial pain - defined aspain lasting over three months in the mouth or face - is increasing in prevelance, with approximately 7% of the UK population having experienced it. It is currently managed by either dentists or general medical practitioners, both of whom have radically different approaches to treatment. While management of orofacial pain has improved quite dramatically over recent years, it is essential that dentists and general practitioners are aware of these advances and of the differences in their approaches.
This concise handbook takes an evidence-based psychosocial approach to the management of patients with pain in the face or mouth and provides basic guidelines to facilitate care quickly in the clinical setting. The book will serve as a useful guide for dental practitioners, specialists in orofacial pain, trainee pain specialists, neurologists with an interest in pain, specialist pain nurses, as well as general medical practitioners.

Back Pain: The Facts is aimed at people who want to help themselves. Affecting nearly everyong at some time in their lives, 40% of people will have experienced some form of back pain within the last year, with around 5% of sufferers taking time off from work within the last month. Long term back pain causes a great deal of distress and unhappiness, affecting work life, income, home life, relationships, fitness, and mood.
Back Pain: The Facts uses clear succinct chapters to give advice about every aspect of managing back pain, as well as answering frequently asked questions from sufferers. A key element is empowerment through understanding why back pain starts and why it persists. There are chapters promoting stretching, exercise, relaxation, communication, advice on sexual relations, as well as considerable emphasis on helping with thoughts and feelings.

Neuromodulation implants are currently one of the most successful techniques in the treatment of chronic pain, a condition that affects more and more patients each year, leading to reduced quality of life as well as economic losses.Neuromodulation implants for pain are a relatively new technique and are being increasingly used around the globe. However, technical training is not available for every implanter as there are relatively few centers in the world. Further, refresher courses for low-rate implanters are not available. This book fills that gap by offering an update on the best techniques currently used, providing a step-by-step guide on how to perform these procedures correctly. Based on the experiences of leading physicians in the field, it also discusses how to manage both major and minor complications. Lastly, it covers the neuromodulatory intervention techniques used to treat chronic pain in various clinical areas. As such it is a valuable resource for pain physicians as well as neurosurgeons, orthopedists and anesthetists.

Visceral pain, or pain in the internal organs, is often quite difficult for the clinician to recognize promptly as its characteristics are often atypical and vary with time. Patients with visceral pain also often present with concurrent painful conditions in more than one internal organ; this can give rise to an intricate complex of symptoms which can be misleading if not accurately evaluated. Also, despite its frequency, the mechanisms behind pain in the internal organs are not fully understood, and this impacts negatively on therapy.
This concise pocketbook addresses the epidemiology and clinical characteristics of the major visceral pain phenomena, the fundamentals of their neurophysiological mechanisms and the principles of their treatment. It also provides overviews of current diagnostic and therapeutic guidelines on the conditions most commonly associated with visceral pain.

Dieses handliche Kitteltaschenbuch vermittelt anhand von zahlreichen Übersichten, Tabellen und stichwortartigen Fakten absolutes Praxiswissen für den Berufsalltag von Anästhesisten. Gespickt mit vielen Hinweisen zum ganz konkreten Vorgehen sowie auf Fallstricke, Gefahrensituationen und Besonderheiten, bietet es vor allem dem Berufsanfänger in der Anästhesiologie das nötige Wissen, um sowohl bei Erwachsenen als auch bei Kindern eine sichere Anästhesie, Analgesie oder Sedierung durchzuführen.  

Simulation is becoming an integral part of medical education and has already a well-established role within anaesthesia training, with many examination questions already modelled on simulation scenarios. The clinical diversity and multidisciplinary nature of an obstetric team creates the ideal environment for simulation training. It enables the team to develop their knowledge of clinical emergencies whilst becoming more aware of the importance of human factors. This book is a practical guide to inspire clinical leads to establish simulation within their delivery suite. The book comprises an extensive obstetric scenario library, with each scenario broken down into learning outcomes, a list of staff and equipment needed, specific stages mapped to learning outcomes with appropriate results/investigations and a checklist of ideal actions to enable the post-scenario debrief. Written by consultant obstetric anaesthetists, this book will appeal to medical practitioners interested in facilitating obstetric simulation.

Life Beyond Pain "Clear, engaging, and with the authenticity of personal experience." -Patricia Morley-Forster, MD, FRCPC Anesthesiology and Pain Medicine, Founder Status; Professor Emerita Dept of Anesthesiology and Perioperative Care, Western University, London, Canada; 2013 Canadian Anesthesiologists' Society Gold Medal Winner #1 New Release in Chronic Pain and Pain Medicine Long-term pain management. Living with pain offers more than just physical challenges. For those of us navigating the treacherous waters between self-care and normal daily life, there are an overwhelming number of obstacles to overcome. Taming Chronic Pain takes a brutally honest-and at times humorous-look at the major issues associated with long-term pain management, offering practical advice, insight, exercises and discussion of everything from basic scientific knowledge to the psychological effects of chronic pain. Written by a Fellow Pain Sufferer. While dealing with her own chronic pain, Amy has done years of extensive research on every aspect of long-term physical suffering. Her scientific skills and personal experience have given her the expertise to provide this somewhat tongue-in-cheek, knowing glimpse into the many areas of living with chronic pain that no one but a fellow sufferer would recognize. Taming Chronic Pain clarifies with easy to understand diagrams and cartoons. Taming Chronic Pain is a must-have for any chronic pain sufferer. Discover: Tools to help you live your life with chronic pain, whether back, neck, or shoulder pain; arthritis; migraines; or nerve pain A helpful approach to pain management that takes medicine, meditation, and psychology into account Lifestyle suggestions to lessen the effects of pain Tips and tricks for managing relationships while managing pain, and advice for caregivers Readers of books like Mind Over Mood, Pain Free, or 7 Steps to a Pain-Free Life will find answers, companionship and more in Taming Chronic Pain.

Both pain and addiction are tremendous public health problems. Practitioners of every stripe say that they learned precious little about pain or addiction in their training and readily admit that instruction on the interface of pain and addiction is nonexistent. The recent problem of prescription drug abuse has only served to highlight the fact that these two worlds need unificationthose who treat pain must be informed about the risks of controlled substances and those who treat addiction need to better and more fully understand their benefits. Nowhere is the pooled knowledge of pain management and addiction medicine brought together to allow for a greater appreciation of the risks of addiction when treating people with pain and the pain problems of those with chemical dependency. This major new volume brings this vast knowledge base together, presenting an array of perspectives by the foremost thought leaders at the interface of pain and chemical dependency, and is the most comprehensive resource on the subject to date.
There have been an increasing number of seminars devoted to this topic and a new society, The International Society on Pain and Chemical Dependency, has recently been formed, and this volume is destined to become the classic text on this multidisciplinary subject. It will appeal to anesthesiologists, neurologists, rehab physicians, palliative care staff, pain center physicians, and psychologists.

This book highlights remarkable new endoscopic, laparoscopic, and thoracoscopic approaches to the removal of surgical lesions for different pathologic conditions under general endotracheal anesthesia in infants and children. It details how newer techniques in airway management, monitoring, regional nerve blocks for these innovative minimally invasive approaches have resulted in a decrease in intraoperative and postoperative morbidity and early recovery process after pediatric anesthesia. This unique book contains features that provide the audience with several clinical scenarios where exceptional surgical outcomes are achieved with optimum pre-op preparation via collaborative team efforts. To date there is no other textbook emphasizing the anesthetic and surgical management during the most innovative advances in endoscopic surgery in children. Per oral endoscopic myotomy (POEM) for the definitive treatment of achalasia in children is probably the most advanced endoscopic surgery done successfully in children. POEM is the best example of endoscopic surgery performed via natural orifices known as the Natural orifice transluminal endoscopic surgery (NOTES). Another new laparoscopic surgical intervention -Median Arcuate Ligament surgical release for Median Arcuate Ligament Syndrome (MALS) for patients with Postural Orthostatic Tachycardia Syndrome (POTS) is described with established perioperative protocols emphasizing the need for early admission, intravenous hydration, and premedication. Novel approaches in the anesthetic management in children with short bowel syndrome for bowel lengthening techniques like the serial transverse enteroplasty (STEP) and in teenagers for laparoscopic bariatric surgery with adjustable gastric banding (AGB) and vertical sleeve gastrectomy (VSG) for morbid obesity are new areas that would enlighten the readers. Anesthetic Management in Pediatric General Surgery is an invaluable resource for pediatric anesthesiologists, surgeons, and their trainees specializing in the care of pediatric patients.

Chronic pain affects an estimated 14 million people in the UK and is the most common reason for seeking medical help. There's increasing evidence that mindful practices can have a beneficial effect on pain (sometimes reducing intensity by as much as 40%) and its associated anxiety and depression. This book combines the principles of mindfulness with research from the clinical field of psychology to help you improve your emotional, psychological and physical state. With guided meditations and other practices. Topics include: Defining pain How we feel and perceive pain How a mindful approach can help Why stress makes it worse Mindful body movement The importance of breathing and posture Taking responsibility for your pain

This book presents a timely and multidisciplinary update on the modalities currently available for treating the most feared symptom of patients diagnosed with cancer. The various cancer pain syndromes are explored in detail, covering those related directly to malignancy and those due to the after-effects of cancer therapy. Treatment modalities, including pharmacologic approaches, interventional procedures, and palliative surgical options, are discussed clearly and concisely, with provision of recommendations for the practitioner. Further topics include new and emerging treatments for cancer pain, survivorship considerations, pain management in special populations, and implementation of systems-based pain programs. The book has been written by a multidisciplinary group of experts, reflecting the evolution in pain and symptom management that has occurred in parallel with progress toward more targeted oncologic treatments. Oncologists, palliative care physicians, allied health professionals, and other practitioners involved in caring for cancer patients will find Fundamentals of Cancer Pain Management to be a rich source of evidence-based insights into effective pain management.

Unter den rheumatischen Erkrankungen nimmt der Morbus Bechterew eine zentrale Rolle ein. Allein in deutschsprachigen Landern leiden rund eine Million Menschen an dieser chronischen Erkrankung oder an der verwandten Spondylarthropathie. Die Standardlehrbucher beschrankten sich bisher lediglich auf Atiologie, Pathogenese und Diagnostik. Die Therapie wurde in der Regel nur kurz dargestellt, wobei die medikamentose Behandlung im Vordergrund stand. Das Werk fullt dieses Informationsdefizit, da der Herausgeber den Schwerpunkt auf unterschiedliche therapeutische Moglichkeiten legt. Neben der medikamentosen Therapie werden unter anderem auch Strahlentherapie, Physikalische Therapie, chirurgische Moglichkeiten, Bewegungstherapie und Kurortbehandlung ausfuhrlich und praxisbezogen beleuchtet. Arzte, Kliniker, Physiotherapeuten und Betroffene erhalten einen wissenschaftlich fundierten Uberblick zur Behandlung von Patienten mit diagnostiziertem Morbus Bechterew.

This book is a guide for any clinician who has a pain patient, including biomedical/allopathic and complementary practitioners. The reader can use each chapter independently when considering a referral to the specific complementary approach, or as an educational tool to learn about the various massage, movement and mindfulness (MMM) approaches and provide comprehensive, evidence-informed support for patients seeking pain relief.

The last decade has seen major advances in the neurobiology of pain, primarily resulting from a deeper understanding of the way in which pain signals are coded and processed in the nervous system. This volume in the Molecular and Cellular Neurobiology is the first book for many years to present an integrated overview of the current state of research into the neurobiology of chronic and acute pain.
While recent molecular aspects of nociception are covered in some detail, the book also emphasises the importance of viewing the pain experience as the co-ordinated response of many different areas of the nervous system. The molecular advances are set in the context of the neurobiological system of pain processing. The appropriate behavioural response to injury can therefore be thought of as the result of the integration of information processed within areas of the brain concerned with cognition, affect, sensory discrimination and movement.
Chapters cover recent advances in nociceptor transduction mechanisms, nociceptor plasticity and the biochemical anatomy of pain pathways. Other contributions are concerned with the development of pain systems and with the central processing of nociceptive information studied with brain imaging techniques. Several chapters additionally cover the mechanisms of clinically important pain states such as neuropathic pain, cancer related pain and migraine.
A new volume in the Molecular and Cellular Neurobiology series, this volume presents a state-of-the-art account of the neurobiological basis of pain, edited and written by the leading scientists in this field.

This book discusses all thoracic diseases of surgical interest, from thorax malformations to airways disorders. It is divided into six main sections; the first two analyze general aspects, while the following three focus on malformations of the thorax, airways, esophagus and diaphragm. The final section describes the main pediatric tumors involving the chest and internal thoracic organs. Each chapter starts with a classification of the main pathologies related to the anatomical region considered. For each pathology, the various aspects of the diagnostic-therapeutic procedure are described in details - from the clinical presentation and diagnosis to the pre-operative preparation, the surgical aspects, and the post-operative course. Possible future developments are also evaluated. The volume will be a useful tool for specialists in pediatric and thoracic surgery, but will also represent an educational resource for medical and nursing students.

Ultrasound has revolutionized the practice of regional anesthesia, yet there remains a paucity of good resources on ultrasound-guided regional anesthesia in children. This book offers a much-needed practical guide to all the major ultrasound-guided blocks in pediatric patients, including neuraxial, truncal, upper and lower limb blocks. The core principles of good clinical practice in regional anesthesia are described and discussed, including the pharmacology of local anesthetics in children, the performance of regional anesthesia, the management of complications, and the clinical anatomy of each block. Every block chapter provides both a 'how to' section and also a comprehensive literature review, with an up-to-date and relevant bibliography for reference and further reading. Chapters are illustrated with unique anatomical images and detailed descriptions. Both trainee and experienced anesthesiologists will find this an essential resource for the safe and effective performance of modern regional anesthesia in children.

In most patients, pain medication, along with physical therapy and supportive counselling, adequately controls the pain of terminal disease, but in some cases pain medication fails or produces unacceptable side effects, and other more invasive interventions may be used. This practical book provides comprehensive and easy-to-follow guidelines on nerve blocking and neuromodulation techniques to help patients and professionals make choices in pain management. Patients selection and appropriate referral are discussed as well as ethical issues and consent. This book will be an invaluable source of information for a variety of professionals working with patients with advanced disease, including palliative care doctors and specialist nurses, as there is a scarcity of consultants in pain management in the field of palliative care. Some healthcare professionals may not have experience of the full range of techniques that may benefit their patients, therefore limiting the choices available to patients with uncontrolled pain in the context of palliative care. This book will ensure that the full range of techniques are considered to provide excellent care for patients with pain that is difficult to manage.

It may come as something of a surprise that pain, the most prevalent symptom in clinical practice, is not always addressed specifically in health professions training. Approximately one in six Americans lives with chronic pain in addition to the millions that experience acute pain each day. Half of older adults live with chronic pain-associated conditions, and about half of all healthcare visits are initiated because of pain. Despite this, reports indicate that the vast majority of health professions schools in the United States do not teach required courses on pain, and the total amount of content pertaining to pain is a fraction of a percent of the total. Almost certainly, the lack of education in coordinated, comprehensive, compassionate care for pain-associated conditions contributed to pervasive opioid over-prescribing and the ensuing wave of addiction and deaths that swept the country in the first part of this century. This book is our response to the pain care crisis - it is designed to prepare young clinicians to assess and treat a wide variety of pain conditions in a manner that balances competence and compassion, incorporating coordinated elements of pharmacological and non-pharmacological therapies. Designed to be read during or after pre-licensure training, e.g. medical, nursing, pharmacy school, and to inspire students to learn more about painful conditions, this book is unique in its clinical focus and the level of detail that is included. This book aims to improve pain care, most especially if used alongside a formal pain care course as part of pre-licensure training, whether spread over four years or condensed into a shorter period. Through engagement in the interprofessional curriculum planning process, the content of the book has been shaped to align with the International Association for the Study of Pain (IASP) interprofessional pain curriculum vision and to focus on the primary questions of: What is pain? How is pain assessed? How is pain managed? How does clinical context influence pain?

This book uses a case-based approach to provide current information on a range of medical issues with the goal of enhancing preoperative evaluation and optimization. It meets the market need for a resource that concisely encapsulates current knowledge on the medical management of specific topics in a setting relevant to the preoperative clinic. In so doing the book aims to improve patient care and safety, enhance resource use, facilitate appropriate and timely management of preexisting conditions and diminish patient concerns. Organized into sections according to body system, each section consists of chapters delineating a specific disorder. Each chapter starts with a clinical vignette followed by a question-and-answer style investigation of the relevant issues. These questions attempt to address commonly encountered clinical dilemmas where opinion often differs between, and occasionally within, medical sub-specialties. Expertly written chapters are also supplemented by a number of chapters which address special considerations such as the frail patient and chronic opioid use. Preoperative Assessment: A Case-Based Approach is an invaluable reference for all physicians involved in preoperative assessment including anesthesiologists, surgeons, internists, family doctors and residents in these fields. Nurse practitioners and other allied heath professionals involved in preoperative evaluation may also find this a book a valuable and timely resource.

The product of six years of collaborative research, this fine biography offers new interpretations of a pioneering figure in anaesthesiology, epidemiology, medical cartography, and public health. It modifies the conventional rags to riches portrait of John Snow by synthesising fresh information about his early life from archival research and recent studies.

It explores the intellectual roots of his commitments to vegetarianism, temperance, and pure drinking water, first developed when he was a medical apprentice and assistant in the north of England. The authors argue that all of Snow's later contributions are traceable to the medical paradigm he imbibed as a medical student in London and put into practice early in his career as a clinician: that medicine as a science required the incorporation of recent developments in its collateral sciences, chiefly anatomy, chemistry, and physiology, in order to understand the causes of disease.

Snow's theoretical breakthroughs in anaesthesia were extensions of his experimental research in respiratory physiology and the properties of inhaled gases. Shortly thereafter, his understanding of gas laws led him to reject miasmatic explanations for the spread of cholera, and to develop an alternative theory in consonance with what was then known about chemistry and the physiology of digestion.

Using all of Snow's writings, the authors follow him when working in his home laboratory, visiting patients throughout London, attending medical society meetings, and conducting studies during the cholera epidemics of 1849 and 1854. The result is a book that demythologises some overly heroic views of Snow by providing a fairer measure of his actual contributions. It will have an impact not only on the understanding of the man but also on the history of epidemiology and medical science.