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Books > Medicine > Surgery > General
It is a great pleasure for me to contribute a few words as an
achieved by many heart transplant centers and the ever improving
results of lung transplantation and the functioning of mechanical
introduction to the second edition of this volume, first published
in 1990 when it was edited by David Cooper and Dimitri cardiac
assist devices. Novitzky. The first edition was, in fact, a greatly
expanded The current editors bring a wealth of expertise and
experience version of an even earlier volume Heart Transplantation,
edited to their task, and have blended together absolutely superb
con by David Cooper and Robert Lanza and published in 1984. This
tributions by many of the world's experts in their fields. This
first work, authored by members of the medical staff of Groote
comprehensive and highly readable volume documents the Schuur
Hospital and the University of Cape Town Medical present 'state of
the art' in the field of transplantation and School, was, I
believe, the first volume reviewing this relatively replacement of
thoracic organs. It provides an invaluable and un new field of
medicine. paralleled source of information for those concerned with
heart and lung medicine or surgery, and is essential reading for
all who The present volume, therefore, continues the documentation
of wish to keep abreast of developments in this field.
"Imaging and Technology: Principles and Clinical Applications"is
a practical and user-friendly consolidated source book for
urologists, and urologists in training, regarding the basic science
of imaging modalities used on a day-to-day basis in urological
practice. Similarly, the intention is to provide an introduction to
the technology that is used in the practice of urological surgery
and the management of urological patients in the clinical setting.
This knowledge level is appropriate for certification for
independent consultant practice in urology in the UK. The book is
also valuable to urologists and urological trainees outside of the
UK and in other surgical specialities."
In this work, Dr. Rosen, who has "changed the way most surgeons
work on the jaw and chin" describes his own aesthetic techniques of
balanced and proportioned soft facial tissue correction. This
volume will be extremely useful to the surgeon interested in the
aesthetics of plastic, maxillofacial, and orthodontic surgery.
This volume describes culture media and solutions used in human
ART; how they have been developed for in vitro human
pre-implantation embryo development, the function and importance of
the various components in media and solutions and how they
interact, and how the systems in which these are used can influence
outcomes. Chapters discuss inorganic solutes, energy substrates,
amino acids, macromolecules, cytokines, growth factors, buffers,
pH, osmolality, and the interaction of these parameters. The role
of incubators and other physical factors are reviewed, along with
the relevance and prospects of emerging technologies: morphokinetic
analysis using time-lapse imaging and dynamic fluid incubation
systems. Results of prospective randomized trials are emphasized to
ascertain the added value of these techniques for selecting viable
embryos. This comprehensive guide will be invaluable for
embryologists, physicians and all personnel involved in the fluid
products used in human ART seeking to optimize their successful use
of these components.
Improving human characteristics goes beyond compensating for an
impairment. This book explores the rich and complex relationship
between enhancement and impairment, showing that the study of
disability offers new ways of thinking about the social and ethical
implications of improving the human condition.
"The Handbook of Dermatologic Surgery"incorporatesthe most cutting
edge technology applicable to dermatologists and dermatologic
surgeons today. Designed as a reference guide for dermatologic
surgery and aesthetic procedures, it disseminates key scientific
information in an easy-to-use pocket book.
This handbook is designed to be readily transportable for
dermatologists and dermatologic surgeons, as well as those in
training, dermatology residents and fellows, and medical students
rotating through dermatology. "
SOLVING FOR WHY chronicles one man's journey to find the answer to
the biggest of all life's questions: "Why?" Following a traumatic
car accident, Dr. Shrime-the child of Lebanese immigrants fleeing a
civil war, who later became a successful practicing surgeon in
Boston-found himself compelled to change the course of his life,
determined to find meaning and satisfaction even if it meant
diverting from America's idea of "success." Featuring stories,
insights, and research from his own exceptional life and work,
SOLVING FOR WHY is the story of Dr. Shrime's search for-and
discovery of-lifelong fulfillment. Now a global surgeon operating
on a hospital ship docked off the coast of West Africa and one of
the few global experts on surgery in low- and middle-income
countries, Dr. Shrime seeks to impart the wisdom of the lessons
he's learned over the course of his search for a life of true
contentment. In the tradition of Dr. Paul Farmer's To Repair the
World, Dr. Atul Gawande's Better, and Dr. Michele Harper's The
Beauty in Breaking, SOLVING FOR WHY combines personal stories with
deep, thoughtful research into the challenges of working in modern
medicine in the 21st century and the commodification of work in
America. A story of discovery and transformation, SOLVING FOR WHY
seeks to help readers answer the "why" of their own lives and
ultimately find joy outside the status quo.
Although distant metastases are the most dreaded situation in the
evolution of cancer of every organ, the medical literature has
surprisingly given little attention to the anatomical relationship
between the primary tumor and metastasic sites. Only risk factors,
treatment possibilities, and survival results are extensively
examined.
Stimulated by the occurrence in his practice of some puzzling and
unexpected metastases, the author reviewed more than 12,000
references. He looked for anatomical relationships highlighting the
relation between the location of the primary tumors and the
particular patterns of metastasis observed. It would seem that the
pathways and flows' are apparently a more decisive factor in the
implantation of the metastases than the seed and soil' properties
of the cancer cells and the metastatic site.
Aided by his colleague Dr. T. Geukens, M.D., the author includes
original anatomical drawings, illustrating the sometimes unexpected
pathways the cancer cells follow in order to reach the organs where
they will become lodged and give rise to metastatic tumors. The
subject has apparently not been exhausted in the literature and
several ideas are given for further research.
Legal action involving doctors, either as defendants or expert
witnesses, has greatly increased over the past decade and few can
now remain aloof from this aspect of their profession. Written by
doctors (including five Council Members of the Medical Defence
Union of Great Britain) and lawyers, this practical guide offers
clear and comprehensive advice to all concerned. Part I discusses
how to write medical reports, especially when consent is required
or confidential information is involved. Part II covers contentious
issues in various clinical specialties which repeatedly arise in
litigation; well-known examples are cases involving whiplash
injuries or perinatal brain damage. In Part III lawyers discuss the
medico-legal problems of the solicitor's role, court testimony and
medical negligence. This book is a valuable reference to all
members of the medical profession. Lawyers, officials and others
outside the medical profession who come into contact with medical
litigation but have limited medical knowledge will find much
helpful information.
All surgeons want to be better surgeons... They work hard to be
respected by their peers, appreciated by their patients, and valued
by their communities. Most of the estimated 200 million surgeries
performed worldwide every year go as anticipated, with positive
patient outcomes. However, the number of surgical complications and
preventable medical errors still remains unacceptably high. Why are
experienced surgeons still creating so many adverse events? More
importantly, what can surgeons do to better address the situation?
This book seeks to answer these questions. The book provides
pragmatic examples on how good surgeons can grow from being
technically brilliant to becoming empathetic and capable of
providing safe, compassionate, and more effective patient care. The
book follows trauma surgeon Philip Stahel's 20-year journey from
his 'rookie years' in internship and residency, to his development
as a global patient safety advocate, renowned academician and
teacher, and compassionate surgeon. The book touches on why our
current patient safety protocols and checklists fail to keep
patients safe and how a physician-driven initiative with credible
leadership is needed to build a sustainable 'culture of patient
safety'. Written for a wide audience and based on the paradigm that
"good judgment comes from experience which comes from poor
judgment", the book provides in-depth coverage of all the critical
and timely components of safe surgical care, relates practical tips
for improving the quality of partnerships between surgeons and
patients, and offers a practical guide on how to reduce the
learning curve to becoming a better surgeon.
Recent years have seen important advances in the technology and
techniques available to surgeons performing gynecologic surgery as
well as reconstructive of clinical pelvic procedures. These
developments took place in a wide variety settings from regional
teaching centers to private clinical facilities. In 1996, the
leading investigators from around the world gathered to discuss the
present status of pelvic surgery and adhesion prevention with a
look toward the future of patient care. This volume contains the
proceedings of that meeting: the Third Interna tional Congress on
Pelvic Surgery and Adhesion Prevention. Each chapter in cludes the
material presented at the congress as well as a timely update of
the authors' latest research and clinical thinking. Presentation
integrating basic and clinical science provide the basis for con
sidering peritoneal repair after surgery including the interaction
of growth factors and other biochemical messengers. Research has
increased the understanding of mesothelial reepithelialization and
has led to new surgical technologies to reduce adhesion fonnation.
A state-of-the-art review of emerging surgical adjuvants for
adhesion prevention is provided, including discussion of barriers,
gels, and poly mers as well as "designer" drugs effective at
modifying the peritoneal response to injury. Assessment of clinical
outcome in a wide variety of gynecologic surgical procedures brings
into focus the benefits available as a result of these new tech
nologies."
Nelson Fausto The Greek myth of Prometheus with its picture of a
vulture feasting on its chained victimhas traditionallyprovided a
visualimageofliverregeneration. Itis apowerful and frightening
representationbut ifone were to substitute the vulture by a surgeon
and Prometheus by a patient laying on a properly prepared operating
table, the outcomeoftheprocedurewould not differ significantlyfrom
that describedbyGreek poets. Yet few of us who work in the field
have stopped long enough to ask where this myth originated. Did the
poet observe a case of liver regeneration in a human being? Was it
brilliant intuition or perhaps, literally, just a 'gut feeling' of
a poet looking for good rhymes that led to the prediction that
livers grow when part of the tissueisremoved?
Thisbookdoesnotattemptto solve these historical issues. Itdoes,
instead, cover in detail some of the major modem themes of research
on liver regen eration, injury and repair. As indicated in Dr. N.
Bucher's chapter, the modem phase ofexperimental studies on liver
regeneration started in 1931 with the publication by Higgins and
Anderson of a method to perform a two-thirds resection of the liver
of a rat. The technique described has 3 remarkable features: 1) it
is highly reproducible, resulting in the removal of 68% of the
liver, 2) it has minimal if any mortality, and 3) it consists only
of blood vessel ligation and does not involve cutting through or
wounding hepatic tissue.
Historically, disorders of salivary glands tend to be
'underdiagnosed and overtreated'. In the vast body of literature on
this subject, emphasis has usually been put on therapeutic
modalities of various diseases of the salivary glands. Whereas
therapy and pathology have been treated in numerous thorough
studies, the (patho )physiology of the salivary glands has remained
rather poorly understood. Even less attention has been given to the
diagnostic methods. Until a few decades ago, diagnosis consisted
mainly of a clinical examin ation which included the patient's
history, inspection, and palpation. These methods remain crucial,
but a variety of new diagnostic tools have appeared since then.
Their clinical value is still subject to controversy; each method
has its advocates and opponents. The indications for enrolling a
patient at a given point in a series of diagnostic procedures are
interpreted differently. One of the most striking examples is the
use of sialography. This has become a classic diagnostic procedure.
Although sialography is still a useful method, it has considerable
disadvantages, limitations, and even contraindications. In the
major teaching hospitals, residents still tend to consider
sialography as a panacea for the majority of their diagnostic
problems, whereas the infor mation provided is actually rather
restricted. Other modern methods such as CT and MRI have taken over
the role of sialography to a certain extent. This also applies to
ultrasonography and scintigraphy. Moreover, microbiol ogy,
sialometry, sialochemistry, cytology, and histopathology may give
super ior information in certain cases."
This gold standard text has kept its readers abreast of rapid
advancements in reproductive medicine and surgery since 1983.
Continuing this tradition, this fifth edition has been fully
updated and revised to provide clear, didactic advice on best
practice for a variety of clinical situations faced by
practitioners across many specialties - including urologists,
gynecologists, reproductive endocrinologists, medical
endocrinologists and many in internal medicine and family practice
who see men with suboptimal fertility and reproductive problems.
Completely restructured to include pedagogical features such as
easily accessible key concepts that cement understanding and
real-world use. Covering everything from foundations of anatomy and
embryology, through clinical evaluation, diagnostic approaches,
treatment and fertility care in context within the healthcare
system and society, thrilling advances and future directions are
also included. This new edition is an essential reference for all
who are working in this young and rapidly evolving field.
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