Surgical care is increasingly recognized as a critical component of global health, and strong surgical skills, teamwork, and poise under pressure become even more imperative during conflict or disaster. When faced with hospital bombings or devastating earthquakes, healthcare personnel must develop special techniques and abilities to ably care for patients despite limited resources and a disrupted health system. In Operation Crisis, Dr. Adam L. Kushner brings together 22 medical experts from around the world to recount their experiences in the field when disaster struck. These candid firsthand accounts from both local and international aid surgeons provide clinicians and public health practitioners with insightful lessons for effectively treating surgical patients under the most grueling of circumstances. Moving from conflict settings that include war zones in Afghanistan, the Democratic Republic of the Congo, Syria, and South Sudan, Operation Crisis also touches on post-earthquake Haiti and Nepal and post-tsunami Indonesia. Individual themed chapters cover mass casualty training, burn care, obstetric care, sexual violence, and landmine injuries. Combining personal stories with lessons learned and possible interventions, these vivid and affecting essays detail the immediate aftermath of conflict and disaster while pointing the way to improving care for future victims of crisis. Intended to spark further discussion and function as an advocacy tool while highlighting situations where surgical care can save lives and reduce disability, this book is a valuable resource for medical professionals, students, policy makers, international aid organizations, and philanthropic donors. Contributors: Kapendra Shekhar Amatya, Samer Attar, Jeffrey A. Bailey, Lucas C. Carlson, James C. Cobey, Dattesh R. Dave, Dan L. Deckelbaum, Richard A. Gosselin, Shailvi Gupta, Edna Adan Ismail, Thaim B. Kamara, T. Peter Kingham, Adam L. Kushner, Judy M. Lee, Maria "Tane" Pilar Luna, Brijesh Mishra, Kyle N. Remick, Lauri J. Romanzi, Michael Sinclair, Barclay T. Stewart, Marten van Wijhe, Evan G. Wong

The minimally-invasive or endoscopic mitral valve surgery is one of the most attractive and most interesting areas of the modern heart surgery. The book describes first all practical steps necessary in a clinic from the idea of the introduction of the minimally-invasive mitral valve surgery up to practical realization of the operation program. The initial explanation of organizational and financial aspects allows an exact resource planning and protects against wrong expectations and failures. An extensive and detailed representation of the reconstruction technologies possible today as well as the specific features of her endoscopic application allow quick learning of the surgical technology. Numerous tips and tricks and informative pictures of the most frequent findings and the accompanying reconstruction technologies underline the practical orientation of the book.

With a long practice of organ transplantation, retransplantation has become a major goal in patients with long-term failure of their first transplant (chronic rejection, exhaustion of the transplant, recurrence of the initial disease, etc. ). In addition, retransplantation can be necessary in the initial period, due to severe acute rejection, a non-functioning organ, or surgical complication. Immunological and non-immunological factors affecting the success of a second transplant are described in this volume, together with alternatives to retransplantation. It is hoped that in the future retransplants will be less frequent, as a result of improved prevention of transplant failure. J. L. Torrroine et a/. (ens. ), Retra isplantation, xvii. Q 1997 Kluwer Academic Pirblislters. P . iilted in Great Britain. List of contributors R. ARNOLD Y. W. CHO University of Pittsburgh UCLA School of Medicine Center for Medical Ethics Tissue Typing Laboratory Division of General Internal Medicine 950 Veteran Avenue 200 Lothrop Street - MUH, Suite W-919 Los Angeles, CA 90095-1652 Pittsburgh, PA 15213-2582 USA USA P. COCHAT M. A. BELGER Hopital Edouard Herriot UKTSSA Pavillon S Fox Den Road 5, Place d'Arsonva1 Stoke Gifford F-69437 Lyon Cedex 3 Bristol BS12 5RR France UK B. CUZIN F. BERTHOUX Hopital Edouard Herriot Service de Nephrologie et Pavillon V Transplantation Renale 5, Place d3Arsonval Hopital Nord F-69437 Lyon Cedex 3 F-42055 Saint Etienne Cedex 2 France France J. H. DAUBER C.

In this issue of Dental Clinics, guest editor Dr. Stephanie M. Munz brings her considerable expertise to the topic of Special Care Dentistry. In this issue, top experts in the field focus on the provision of dental care services for people with cognitive, physical, medical, or developmental conditions which can preclude them from receiving routine dental care. Key topics include patients with cleft lip, orofacial pain, and neurosensory disorders, in addition to teledentistry, mentorship, advocacy, and the impact of the COVID pandemic. Contains 11 relevant, practice-oriented topics including dental materials in special care dentistry; the pandemic impact on oral health of patients with special healthcare needs; teledentistry for patient-centered screening and assessment; oral health advocacy over the lifespan for the patient with special healthcare needs; interprofessional collaboration for the patient with special healthcare needs; and more. Provides in-depth clinical reviews on special care dentistry, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Throughout the UK, and elsewhere, medical schools are focusing more on objective structured clinical examinations (OSCEs) and veering away from old style medical and surgical finals. OSCEs for Medical and Surgical Finals takes a systematic approach to preparing for these new exams, giving you crucial insights into how to score well. Written by junior doctors who recently sat the exams, this book will show you how to predict and prepare for the stations you will face. As it leads you through the cases and the examiners' mark sheets, it teaches you how to pick up every point, with extra tips on how to impress and where to go to add to your practice and experience. For overseas doctors, this book also provides essential preparation for the clinical component of the PLAB exam. Key features: * Handy, pocket-sized book * Exam focused, with key tips on how to prepare and excel on exam day * Chapters on practical skills, communication, chronic disease management, discharge planning, psychiatric histories, focused history and management, and examination * Packed with real OSCE scenarios and model mark sheets OSCEs for Medical and Surgical Finals is an essential book for all medical students and PLAB candidates.

Nineteen cutting-edge articles by leading practitioners review critical issues concerning biocompatible materials-polymers, metals, and other materials-used in or on the human body. Topics range from biopolymers used in controlled release drug delivery systems and synthetic burn-wound dressings to specific orthopedic devices. Each application-oriented article integrates basic science, engineering and medical experience with discussions of quality control. The contributors offer a wealth of valuable data and experience to materials scientists, research engineers, and academic physicians and surgeons. Their many examples provide rich insights into our experience today with a broad spectrum of modern biomaterials applications.

Clinical Research Methods for Surgeons is a comprehensive guide for the surgical scientist, and serves as both a critical review of existing literature and a reference guide for clinical research methodologies as they apply to surgery. The text addresses the clinical research questions facing 21st century surgeons, and provides clear direction on how to incorporate sophisticated research techniques into practice. In addition to the surgical generalist, this practical volume is specifically oriented to surgeons who treat unique diseases, yet have no single resource to facilitate clinical research in these specific areas.
This comprehensive and easy-to-use guide encompasses the entire process of clinical study design, application, and assessment. Part One is aimed at the young surgeon about to engage in new studies, and gives a general overview of the infrastructure of clinical research. Parts Two and Three are geared towards experienced investigators interested in pursuing clinical research and surgeons reviewing the literature for practical application. Part Two focuses on study design and related statistical issues, while Part Three is concerned with measuring and assessing the outcome of clinical studies. Part Four presents topics of interest to the active investigator, such as quality of care and cost-effectiveness analyses. Clinical Research Methods for Surgeons is relevant to both beginning investigators and established researchers, and addresses the unique concerns of surgical diseases and acknowledges that they require special approaches to deal with clinical questions.

Ophthalmic Anaesthesia is a new textbook written by an international group of authors who are recognized experts in the fields of anaesthesia and ophthalmology. Covering the entire subspecialty of anaesthesia for surgery of the eye, the book offers chapters on a variety of subjects including: the history of ophthalmic anaesthesia, physiology and pharmacology, anatomy, pre-operative assessment, paediatric anaesthesia, orbital regional anaesthesia, general anaesthesia, complications, high-volume cataract surgery, and future developments. Written by both academicians and experienced clinicians, this is a well-referenced and illustrated text describing the techniques used in the anaesthetic management of patients undergoing the most commonly performed surgical procedures in the world.

"Orthotics: A Comprehensive Clinical Approach" is an innovative and comprehensive new text that provides essential information about contemporary orthoses to guide the student and clinician in prescribing and utilizing these appliances in neuromuscular, musculoskeletal, and integumentary rehabilitation.

Written by recognized authorities in the field, Joan Edelstein, MA, PT, FISPO and Jan Bruckner, PhD, PT, this is a prime resource for practitioners and clinicians.

Individual chapters cover orthoses for the foot, ankle, knee, hip, trunk, neck, shoulder, elbow, wrist, and hand. Orthoses for patients with paraplegia, burns, and soft tissue contractures are detailed and illustrated. Prescription guidelines, evaluation techniques, goal setting, and training procedures are presented.

Each chapter has interesting "thought" questions and case studies to promote clinical reasoning and problem-solving skills. A unique feature of this text is the inclusion of a point-counterpoint discussion to demonstrate how clinicians can manage the same patient in different ways. This approach inspires broader thinking about clinical management.

In this issue of Atlas of the Oral and Maxillofacial Surgery Clinics, guest editors Drs. Mark A. Miller and David M. Yates bring their considerable expertise to the topic of Common Procedures in Cleft and Craniofacial Surgery. Articles from top experts in the field include coverage of cleft lip surgery, different surgical approaches to craniosynostosis, and other craniofacial syndromes, as well as reconstruction and bone grafting. Contains 12 relevant, practice-oriented topics including primary cleft lip deformity; cleft nasal deformity; endoscopic approaches to craniosynostosis; open approaches to craniosynostosis; cranial deformities; and more. Provides in-depth clinical reviews on common procedures in cleft and craniofacial surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

When I first proposed this book, one of the hopes was that it would be the stage upon which would be conducted a quiet, well reasoned discussion of the various techniques of stereotactic radio surgery. At that time, there was quite a bit of rancorous debate that tended to obscure the scientific and medical merits of each of the separate methods. At the present time, I am happy to report that the field of stereotactic radiosurgery is much less riven by such inappropriate posturing. The field has taken many steps towards maturity, both technically and medically. In the course of this mat uration process, there have been many grandiose plans and speeches made on behalf of stereotactic radiosurgery. Inevitably, the reality will not live up to the hype, but such is the natural course of devel opment in these sorts of matters. However, even though events may not match our hopes, we should keep in mind the words of Herbert Parker. Recognizing that new modalities for the treatment of cancer do not stand much chance of revolutionary success, nevertheless, he quite correctly pointed out that " . . . with any type of radiatiQn, the margin between success and failure is small. If the chance of success is a little greater . . . thi might well be classed as a great advance. " Mark H."

The mechanical properties of whole bones, bone tissue, and the bone-implant interfaces are as important as their morphological and structural aspects. Mechanical Testing of Bone and the Bone-Implant Interface helps you assess these properties by explaining how to do mechanical testing of bone and the bone-implant interface for bone-related research.
Articles explore the basic mechanical principles of bone-related study and how to conduct mechanical testing of bone specimens. More practical than theoretical, the text includes 42 chapters in three sections that cover mechanical properties of bone, general considerations of mechanical testing, basic facilities and instruments for mechanical testing; mechanical testing procedures on bone tissues; and mechanical testing procedures on the implant-bone interface. There are approximately three hundred illustrations, including line drawings, diagrams, tables, and photographs.
Mechanical Testing of Bone and the Bone-Implant Interface is the most concise, straightforward, and in-depth treatment ever to be published - long needed by the orthopedic and bone research communities.

Surgery for the treatment of deformities such as scoliosis carries a small but significant risk of damage to the spinal cord through inadvertent compression or interference with the blood supply. Electrophysiological techniques, principally those for recording sensory and motor evoked potentials, offer a means of continuously assessing the conduction of nerve signals up and down the spinal cord and hence the possibility of detecting a defect at an early stage, when the cause may be reversible. This form of monitoring is now accepted practice in many countries. The main contributors to the Handbook are surgeons, neurophysiologists and anaesthetists at the forefront of research. From the United States, where practice has been most widespread, come the results of the first large-scale, multi-centre survey into monitoring methods and their effectiveness. The research papers forming the remainder of the text provide an indication of the high level of current interest and the likely direction of future developments.

Since the publication of the first edition, there have been advances in both the diagnosis and the management of many of the cholestatic liver diseases. Cholestatic Liver Disease, Second Edition thoroughly updates the topics previously addressed, such as primary biliary cirrhosis, primary sclerosing cholangitis, and cholestatic variants of drug hepatotoxicity and viral disease. New treatments, such as the development of the farnesoid X receptor agonists for the treatment of PBC, are highlighted. Current guidelines and areas of uncertainty are also covered. Additionally, new chapters have been added to reflect the changing landscape of cholestatic liver disease. Cholestatic Liver Disease, Second Edition is a concise yet comprehensive summary of the current status of the field and is of value to clinicians and researchers interested in patients with cholestatic liver disease provide that will help to guide patient management and stimulate investigative efforts.

Brilliant, volatile and invariably male, the surgeon stereotype is a widespread and instantly recognisable part of western culture. Setting out to anatomise this stereotype, Cold, hard steel offers an exciting new history of modern and contemporary British surgery. The book draws on archival materials and original interviews with surgeons, analysing them alongside a range of fictional depictions, from the Doctor in the House novels to Mills & Boon romances and the pioneering soap opera Emergency Ward 10. Presenting a unique social, cultural and emotional history, it sheds light on the development and maintenance of the surgical stereotype and explains why it has proved so enduring. At the same time, the book explores the more candid and compassionate image of the surgeon that has begun to emerge in recent years, revealing how a series of high-profile memoirs both challenge the surgical stereotype and simultaneously confirm it. -- .

This practical guide is a compendium of contemporary views on the development, treatment, and prevention of urinary stone disease. Emphasis is placed on utilizing current research to highlight areas of potential discovery and inspire novel approaches to easing the burden of urinary stone disease.

There is no need to spend billions of dollars looking for a cure for chronic pain. The solutions have been known for decades with many people breaking free from its grip. Unfortunately, mainstream medicine has and continued to ignore the physiological and neuroscience data that has revealed the answers. Chronic pain is a complex neurological problem, which is, "....an embedded memory that becomes linked with more and more life experiences, and the memory can't be erased." Back in Control provides a framework for you to understand the nature of chronic pain and will allow you to find your own solution based on well-established practices. Since it is a complex problem and you are a unique human being, the one person that can solve it is you. The principles apply to chronic pain involving any part of the body or organ system. The process evolved from the author's own 15-year experience with severe chronic pain. The concepts provide a context of care and connect you with other highly-regarded professionals who are pioneers in the efforts to change the pain treatment paradigm. Some of them include Dr. John Sarno, author of Mind Over Back Pain; Dr. Howard Schubiner, who wrote Unlearn Your Pain; Dr. David Burns, a Stanford psychiatrist and author of Feeling Good; Dr. Fred Luskin who performed research on forgiveness at Stanford and authored Forgive for Good; David Allen who authored a brilliant book on organizing your life, Getting Things Done; and Dr. Anthony DeMello, whose last memoirs are presented in The Way to Love, which introduces you to the healing power of awareness. The essence of solving physical or mental pain is connecting you to your own capacity to heal, which allows you to feel safe. Your body's chemistry is optimized with profound effects on your pain and sense of well-being. These concepts have been deeply researched by Dr. Steven Porges, the originator of The Polyvagal Theory. Step into your new life with this largely self-directed process. An action plan is presented on Dr. Hanscom's website, www.backincontrol.com.

This comprehensive report on sight correction through laser surgery provides the practitioner with solid background information from top industry researchers. Carefully illustrated, it details the latest techniques and clinical results in wavefront technology for laser surgery, which is now defining a new standard of practice. This second edition has been significantly expanded to include in-depth descriptions of important new advances as well as glimpses of what the future holds. The book will be indispensable to all wishing to expand their knowledge of customized refractive surgery with an understanding of the underpinning technology.