This book provides a real-time and knowledge-based fuzzy logic model for soft tissue deformation. The demand for surgical simulation continues to grow, as there is a major bottleneck in surgical simulation designation and every patient is unique. Deformable models, the core of surgical simulation, play a crucial role in surgical simulation designation. Accordingly, this book (1) presents an improved mass spring model to simulate soft tissue deformation for surgery simulation; (2) ensures the accuracy of simulation by redesigning the underlying Mass Spring Model (MSM) for liver deformation, using three different fuzzy knowledge-based approaches to determine the parameters of the MSM; (3) demonstrates how data in Central Processing Unit (CPU) memory can be structured to allow coalescing according to a set of Graphical Processing Unit (GPU)-dependent alignment rules; and (4) implements heterogeneous parallel programming for the distribution of grid threats for Computer Unified Device Architecture (CUDA)-based GPU computing.

Computer technology has developed remarkably in the field of neurosurgery during the past 10 to 20 years. Great achievements have been made recently in neuroimaging techniques and computer technology for neuronavigation, from frameless, armless systems to robotic microscopes. Contained in the present volume are all the papers presented at the International Symposium on Computer-Assisted Neurosurgery and selected papers presented at the 6th Annual Meeting of the Japanese Society of Computers in Neurosurgery, which were held in Kobe, Japan, on January 24-26, 1997. This volume is a comprehensive description and review of current technical ad vancements in computer-assisted neurosurgery, with a special focus on advanced intraoperative neuroimaging, various neuronavigation system, robotic microscopes, and strategies for preoperative and intraoperative surgical planning using high-power workstations with three-dimensional software. We express our thanks to the contributors for their participation and cooperation, and to Springer-Verlag for personal and technical assistance in publishing this work. We sincerely hope that this volume will contribute to improving neurosurgical technology and outcomes.

This new edition of the successful Get Ahead Surgery: 100 EMQs for Finals provides invaluable revision for all medical students preparing for final exams.

• Completely updated according to the current curriculum
• Questions are written in the style of the Universities Medical Assessment Partnership (UMAP) bank
• Enhanced answer explanations ensure thorough learning
• Contains more difficult and challenging stems for those students aiming for honours
• Also suitable for PLAB and MRCS candidates

Written by Saran Shantikumar, series editor for the Get Ahead series, this book covers the entire syllabus in a clear and comprehensive style, building on the strengths of the first edition to provide reliable and effective revision practice to help achieve success in finals exams.

First published in 1967, Human Guinea Pigs is a report by a consultant physician on the implications of medical research on both the medical profession and on the men, women and children who are the subjects of medical experiments. It suggests that there are limits to the permissibility of experiments on humans. It points out how it has become a common occurrence for medical investigators to take risks with patients of which the patients themselves are frequently unaware, and to submit them to mental and physical distress and possible hazards which in no way are necessitated by or have connection with the treatment of the disease from which are suffering. The author describes a number of experiments which, in his opinion, raise important problems. In his view, medical research must go on, but there must be acknowledged and observed safeguards for patients. This book will be of interest to students of medicine, ethics, law, politics and social work.

While the physical and emotional trials of waiting on transplant lists are featured in popular media, the struggles recipients face years after surgery are not. Voices of Teenage Transplant Survivors introduces illness narratives from an unrecognized patient population: recipients of heart, liver, and kidney transplants. Offering unique narratives by adolescents who use poetry to explore issues surrounding the changing body, independence, identity, and mortality, the book showcases a message of healing and voices of hope amid uncertainty. Illuminating the physical, psychological, and existential challenges confronted by adolescents for which organ rejection and side effects loom in their future, Sample details the poetry workshops where these adolescents articulated experiences silenced by family, friends, and the culture of medicine. She includes close readings and analyses of their writings, along with writing prompts and references to narrative medicine theory. This powerful book offers something new for medical and health professionals, medical humanities researchers, students, and the public.

Essentials of Pediatric Urology provides surgical trainees with an up to date and comprehensive account of the urological disorders of childhood . In addition, this popular textbook makes a valuable practical contribution to clinical decision making by Adult Urologists and General Pediatric Surgeons who treat conditions of the genitourinary systems in children. This established resource fulfils a unique role as the only international textbook of Pediatric Urology written primarily for trainees and those practising adult Urology, Pediatric Surgery, and Pediatric Urology. The third edition continues to meet this need as well as providing a ready source of reference for non-specialists including Pediatricians and Nurses.

Explore this practical and step-by-step guide to managing liver transplant patients from leading international clinicians in Hepatology The newly revised Second Edition of Liver Transplantation: Clinical Assessment and Management delivers expert clinical guidance on best practices in managing the care of liver transplant patients. Authors are all experts in their field and cover a world-wide perspective. Organized in an accessible, stepwise fashion and packed with text features such as key points, the book covers all critical areas of each stage of the liver transplant journey, from assessment, to management on the list, to long term care. Readers will learn when to refer a patient for liver transplantation, how to assess a potential liver transplant recipient, learn the principles of the procedure and the long term management of the transplant recipient. Liver Transplantation provides the entire hepatology and surgical team the information required for a sound understanding of the entire procedure, from pre- to post-operative care and management. Clinically oriented and management-focused, the book is far more accessible than the liver transplant sections in traditional hepatology textbooks. Readers will also enjoy: A thorough discussion of when to refer a patient for liver transplantation, including general considerations and the use and abuse of prognostic models An exploration of the selection, assessment, and management of patients on the transplant list, including how to manage a patient with chronic liver disease while on the waiting list A treatment of liver transplantation for acute liver failure (ALF), including assessment and management of ALF patients on the transplant waiting list A discussion of care of the liver transplant recipient after the procedure in the short and long term Perfect for gastroenterologists, hepatologists, and surgeons and other health care professionals managing patients with liver disease who are awaiting, undergoing and following liver transplantation, Liver Transplantation: Clinical Assessment and Management will also earn a place in the libraries of medical students, residents, internal medicine physicians, and GI/Hepatology trainees and all health care professionals providing clinical care to people with liver disease, before, during and after transplantation.

Strabismus is a disorder in which the eyes are misaligned. This volume is the most advanced reference for techniques in diagnosis and treatment of strabismus. Chapters cover diagnosis of, surgical and nonsurgical treatments for, and management of esotropia (eyes aligned inward) exotropia (eyes aligned outward), dissociated strabismus complex, paralytic strabismus, restrictive strabismus, and nystagmus. It also contains a chapter on reoperation strategies.

This book fills the gap between fundamental and applied research in the use of nanomaterials in biomedical applications, covering the most relevant areas, such as the fundamental concepts of the preparation of nanostructures and regulatory requirements for their safe use in biomedical devices. It also critically discusses what has been achieved in the field, and what needs to be urgently addressed and reviews the state-of-the-art medical uses of nanomaterials for treating damaged organs and tissues. Combining the expertise of clinical researchers working in the field of tissue engineering and novel materials, the book explores the main topics regarding the characterization of materials, specific organ-oriented biomaterials and their applications, as well as regulations and safety. Further, it also examines recent advances, difficulties, and clinical requirements in terms of human bone, cornea, heart, skin and the nervous system, allowing readers to gain a clear and comprehensive understanding of current nanomaterial use in biomedical applications and devices, together with the challenges and future trends. This book is a valuable tool for multidisciplinary scientists and experts interested in fundamental concepts and synthetic routes for preparing nanomaterials. It is also of interest to students and researchers involved in cross-disciplinary research in nanomaterials for clinical applications and offers practical insights for clinicians as well as engineers and materials scientists working in nanoengineering.

The third edition of ENT: An Introduction and Practical Guide provides an essential introduction to the clinical examination, treatment options and surgical procedures within ENT. It encompasses the most frequently encountered conditions in the emergency setting, on the ward and in the outpatient clinic. The text has been updated to include new content on implantation surgery for hearing loss. It also includes significant changes in the indications for surgery, patient assessment, management, and surgical techniques. The subject of dizziness and vertigo have also been updated to include novel interventions. With its highly practical step-by-step approach, this book will be invaluable to all surgical trainees studying for higher postgraduate examinations in ENT, and an essential guide for otorhinolaryngologists, primary care practitioners and specialist ENT nurses in their early years of training.

What are the names of the fingers? The fingers should be named: thumb, index finger, middle finger, ring finger, and little finger. But this answer is not always correct, complete, or adequate; at times, there is confusion and aberrations... Retrospectively, in 1969, in the second issue of the new British Journal of Hand Surgery, Dr. H. Graham Stack wrote a classic article, "Naming the Fingers," elaborating on these confusions, ambiguities, and misconceptions.

With the permission of Sage Publications, we have reproduced the article- and it is just as relevant today as it was four decades ago. The lessons that were illustrated and preached have still been relatively ignored. Indeed, it may be more relevant as the problem of "Naming the Fingers" has not been resolved or eliminated- and there have been over 200 reports of wrong site surgery on the hand in 2007 in the US. - including 123 on the fingers.

Fingerology has evolved into a reference book, a compendium of and about the fingers.

British Medical Association Book Award Winner - Obstetrics and Gynaecology 2021 Trainees in Obstetrics and Gynaecology require robust operative skills, yet factors such as the implementation of structured training and increased litigation concerns have significantly limited training time. Whilst conventional textbooks are sufficient for presenting theoretical knowledge, they are inadequate in explaining practical procedures. How to Perform Operative Procedures in Obstetrics and Gynaecology thoroughly describes many key index operations in the Royal College of Obstetricians and Gynaecologists training syllabus, offering an innovative, media-rich approach to the subject. Written by a team of O&G practitioners, this unique resource combines concise written instructions, full-colour pictures and diagrams, and hours of high-quality video footage of real-life operations, narrated by experienced NHS consultants. Specialty trainees, MRCOG candidates and post-MRCOG doctors are provided clear, easy-to-follow guidance on procedures including assisted vaginal delivery, Caesarean section, abdominal hysterectomy, diagnostic and operative laparoscopy, cone biopsy, rigid cystoscopy and many others. Features a companion website containing more than six hours of video tutorials, vignettes and personal experiences Includes a colour WHO Surgical Safety Checklist Discusses non-technical aspects such as consent and understanding human factors Covers surgical instruments, surgical positioning, and sutures and needles Offers introductions, overviews, and "Top Tips" for each procedure to highlight important learning points An ideal study guide and reference for individual and group work alike, How to Perform Operative Procedures in Obstetrics and Gynaecology is indispensable for specialty trainees and those preparing for MRCOG examinations.

Bladder cancer represents a significant cause of morbidity and mortality worldwide and presents major problems in detection and management. This book will review comprehensively the current understanding of the biology, pathophysiology and urological oncology of the disease, looking at the
problems and potential solutions. Fully illustrated including a colour plate section, it will include chapters on both the scientific and clinical principles, emphasizing molecular biology, pathogenesis, detection and experimental therapeutics, and focusing on new developments in clinical research.
The contributors are international and well known in the area.

'Principles and Practicalities of ENT' ensures that doctors of all levels are well equipped to approach common clinical scenarios encountered in ENT with confidence. Each section covers how to prepare for patients, includes key points in the history and examination, and how best to investigate and manage a wide variety of common ENT presentations and conditions. The material is structured to provide an easy reference including red flag and primary care sections to enable readers to know what to look out for when considering referrals. Inaddition to being a revision tool for medical students, doctors pursuing MRCS (ENT) examinations and higher surgical training in ENT, this book also serves as a useful aid for primary care physicians in their everyday diagnostics and referral practices.

In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing 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

A concise and convenient pocket guide to interventional cardiology's latest procedures and technologies Interventional cardiology is growing more and more integral to the modern-day management of cardiovascular problems. Indeed, trainees are taught interventional methods as a matter of course. With a widening range of options open to them, however, the practicing cardiologist must be diligent and discerning when selecting the appropriate course of action for each patient, adapting their strategy as circumstance demands. Developing the skills and experience necessary to make these key judgments can be a challenging and lengthy process. Bringing together the knowledge of an international group of over 50 experts, this fifth edition of the Practical Handbook of Advanced Interventional Cardiology helps cardiologists of all levels to find interventional solutions to a wide range of problems. Its revised contents cover topics including new devices, valve procedures, and venous and atrial occlusion, and also feature new chapters on bioresorbable vascular scaffolds, protected percutaneous coronary intervention, coronary atherectomy, pulmonary embolism, and more. This essential companion: Offers clear, easy-to-follow guidance for cardiology practitioners of all levels of skill and experience Grades each strategic or tactical action by level of complexity Includes full-color clinical images and illustrations Covers all key interventional procedures and techniques Provides practical tips and tricks for handling difficult clinical scenarios and complications The Practical Handbook of Advanced Interventional Cardiology is an invaluable resource for both practitioners and trainees in interventional cardiology and all related areas of cardiovascular medicine.

Real-life cases sharpen your critical thinking skills for your clerkship and the shelf exam The 60 cases in Case Files Surgery feature realistic clinical scenarios designed to help you enhance and hone your clinical decision-making skills. Each case includes an easy-to-understand discussion correlated to key concepts, definitions of key terms, clinical pearls, and Board-style review questions to reinforce learning. The format allows you to review a patient vignette and then explore/examine the case in a contextual, application-based manner. The book is ideal for both quick-access and slow and careful study. Realistic cases are accompanied by questions that encourage you to think through the differential diagnosis and treatment options Real-life surgery cases with high-yield discussions aligned to clerkship guidelines USMLE-style review questions and clinical pearls accompany each case Primer on how to approach clinical problems and think like an experienced doctor

Modern imaging methods have made it possible to detect breast cancer at an earlier stage than in the past. Nevertheless, a large majority of suspicious findings at screening subsequently prove to be benign. It is therefore important to be able to identify benign lesions in a manner that is reliable, tissue sparing, patient friendly, and cost-effective. More than 70% of breast biopsies can now be performed using minimally invasive procedures that meet these criteria. This book examines in detail vacuum-assisted minimally invasive breast biopsy systems (ATEC, EnCor, Intact, Mammotome and Vacora), stereotactic systems, MRI-guided procedures, and ductoscopy. Further chapters are devoted to the pathology of the breast tissue obtained using these procedures, their limitations, the implications of recent advances in breast imaging, and the results of cost-benefit analyses. The closing chapter provides a systematic review and meta-analysis of recent data.

Reconstructing Identity After Brain Injury tells the remarkable story of Stijn Geerinck and his journey from road traffic accident to recovery. After he was hit by a drunk driver whilst cycling, Stijn suffered a traumatic brain injury and had to undergo drastic maxillofacial and neurosurgery. In his own words, this book narrates Stijn's difficult recovery, focusing on the physical, medical, mental, social and financial changes he had to endure. It lays the groundwork for coping with permanent impairment resulting from TBI, including lifelong lesions and the irreversible physical changes. The testimonial narrative is complemented with philosophical insights, providing key philosopher's reflections on the experience of brain injury. Stijn also explores the essential human characteristics of resilience, fighting spirit, emotionality, despair, vulnerability, hope, depression, optimism, anxiety, rationality, focus, anger and love, as he looks at the impact of his brain injury and resulting disfigurement on his masculine identity. It is essential reading for any professional involved in neuropsychological rehabilitation, and all those touched by this condition.

The first volume of Spinal Cord Dysfunction addressed the problems of assessment of function with particular reference to plasticity in the central nervous system. The second volume was concerned with early intervention and treatment, including the prevention of secondary pathological events following spinal cord injury. In this volume, restoration of function after spinal cord damage is seen from the point of view of identification of impaired or absent function in nerve cells and processes which survive after the initial insult, intact but with impaired function. The theoretical premise that part of the neurological deficit produced by a lesion is due to altered function in the intact nervous system is examined and the effect of peripheral and central functional stimulation is described in chapters by international authorities in their field. The first part of the book deals with theoretical, experimental and mathematical aspects. The second and third parts are concerned with peripheral and central functional stimulation, and the volume concludes with pharmacological modulation.

The New York Times bestselling author of Better and Complications reveals the surprising power of the ordinary checklist. We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies--neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third. In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds. An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.

This handbook covers the technical, social and cultural history of surgery. It reflects the state of the art and suggests directions for future research. It discusses what is different and specific about the history of surgery - a manual activity with a direct impact on the patient's body. The individual entries in the handbook function as starting points for anyone who wants to obtain up-to-date information about an area in the history of surgery for purposes of research or for general orientation. Written by 26 experts from 6 countries, the chapters discuss the essential topics of the field (such as anaesthesia, wound infection, instruments, specialization), specific domains areas (for example, cancer surgery, transplants, animals, war), but also innovative themes (women, popular culture, nursing, clinical trials) and make connections to other areas of historical research (such as the history of emotions, art, architecture, colonial history). Chapters 16 and 18 of this book are available open access under a CC BY 4.0 license at link.springer.com