Considering the epidemiology of COPD, this title collects all available knowledge on the subject, featuring data on the national emphysema treatment trial. It explores the epidemiology of emphysema, the management of complications and surgical controversies in lung volume reduction surgery for emphysema (LVRS).

Advances in Spinal Fusion reveals a new generation of materials and devices for enhanced operations in spinal fusion. This reference showcases emerging research and technologies in areas such as biodegradable implants, drug delivery, stem cell isolation and transfection, cell encapsulation and immobilization, and the design of 2D and 3D scaffolds for cells. It captures a cascade of innovations crucial to increased healing and decreased morbidity in spinal fusion methods and mechanics and addresses current standards in analytical methodology and quality control, it describes the selection of biomaterials for improved biocompatibility, biostability, and structure/function relationships.

Key features: High quality full color photographs and descriptive texts on the location and removal of the organs from the mouse Instructive methods and clear visuals for trimming and orienting the organs for paraffin histology to obtain the best possible sections for analysis Full color photomicrographs of the resulting section for each organ stained with hematoxylin and eosin demonstrating important features and landmarks for the histologist to ensure the optimal area for analysis is achieved All in one, easy to use guide organized by individual organs of the laboratory mouse Spiralbound for easy reference in the lab This "one-stop" guide offers an essential resource for any academic, research or development operation where mouse necropsy and/or histology are performed. Connecting the reader 'from the mouse to the microscope', it provides a detailed guide for locating, trimming, orientating and embedding of the most frequently investigated tissues collected in the laboratory mouse. It shows where the organs reside in the mouse, how to trim and embed them as well as the resulting optimal sections. This guide brings together the wealth of scattered information into one high-quality text, the emphasis is on providing knowledge that will help histologists and scientists get better results in any downstream assays where ideal sections are needed.

Endoleaks and Endotension is an authoritative resource for vascular surgeons, interventional radiologists and cardiologists, vascular disease specialists, primary care physicians and internists, and students interested in endovascular aneurysm repair. It contains valuable guidelines from a widely respected team of international authorities on the subject.

Combining the approaches of preventative and restorative dentistry, this is a revised and updated guide to the clinical techniques and procedures necessary for managing tooth disorders and disease. * Introduces minimally invasive dentistry as a model to control dental disease and then restore the mouth to optimal form, function, and aesthetics * Contains several student-friendly features, including a new layout, line drawings and clinical photographs to illustrate key concepts * Covers fundamental topics, including the evolutionary biology of the human oral environment; caries management and risk assessment; remineralization; principles of cavity design; lifestyle factors; choices between restorative materials and restoration management * Includes a companion website with self-assessment exercises for students and a downloadable image bank for instructors

Originally published in 1992, Medical Theory, Surgical Practice examines medical and surgical concepts of disease and their relation to the practice of surgery, in particular historical settings. It emphasises that understanding concepts of disease does not just include recounting explicit accounts of disease given by medical men. It needs an analysis of the social relations embedded in such concepts. In doing this, the contributors illustrate how surgery rose from a relatively humble place in seventeenth century life to being seen as one of the great achievements of late Victorian culture. They examine how medical theory and surgical practices relate to social contexts, how physical diagnosis entered medicine and whether anaesthesia and Lister's antiseptic techniques really did cause a revolution in surgical practice.

Covering both the applications and the related theory, A Concise Guide to Intraoperative Monitoring provides a general but comprehensive introduction to IOM. Unlike existing texts that typically report the results of specific studies, this book presents comprehensive coverage of the entire procedure, as well as the specific protocols used in hospital practice, examples of typical recordings, possible problems, and recommended solutions. At the end of each chapter the author poses several questions for review. These questions help technologists and medical residents in their preparation for the board exams. Taken together, these features make the book an ideal reference or training manual.

A Concise Guide to Intraoperative Monitoring begins by discussing the basic principles underlying the generation of bioelectrical signals. It then describes the electronic equipment and the various electrophysiological procedures involved in IOM. From this foundation, the book gradually advances to more specific topics, such as surgical procedures, neuronal structures at risk, the optimum combinations of tests to administer, and the proper interpretation of test results. The material
also provides you with a background on general anesthesia and analyzes the effects of various drugs on electrophysiological recordings. A Concise Guide to Intraoperative Monitoring also discusses the proper placement of stimulation and recording electrodes, as well as intervention strategies and equipment troubleshooting.

EXPAND YOUR KNOWLEDGE OF MRI OF THE FOOT AND ANKLE.

The introduction of MRI, together with rapid technological advancements over the last five years, has provided a powerful diagnostic tool. Despite this development, clinicians are unfamiliar with MRI of the foot and ankle, due to the complexities of this imaging modality and the anatomy and pathology of this region.

In Practical MRI of the Foot and Ankle, the authors present a state-of-the-art source for the broad range of topics related to this field. The work illuminates and expands on the limited body of available.

A PRACTICAL, COMPREHENSIVE REFERENCE

This work provides background information regarding appropriate MRI techniques followed by a brief discussion of the normal anatomy of the foot and ankle. Subsequent chapters encompass a broad spectrum of topics including bone injuries, osseous tumors, infections, arthropathies, and the pediatric foot and ankle.

Practical MRI of the Foot and Ankle is sure to become a standard in your reference collection.

In the past several years, the rapid development of sophisticated imaging modalities has made radiology the fastest growing specialty in medicine. It is important for the radiologic technologist to keep pace with technology's advancements.

The influx of freestanding outpatient facilities and the demands of insurance companies, HMOs and third party reimbursement have brought about change. Medical facilities have begun to call upon nurses, surgical technicians, and other non-radiologic personnel to assist with patient positioning during surgical procedures requiring imaging-creating a need for a concise, how-to guide to performing surgical procedures.

The Radiology Technologist's Handbook to Surgical Procedures provides a quick reference for using fluoroscopic and x-ray equipment during surgical procedures. This book includes detailed descriptions and photographs taken in actual clinical settings.

By using this manual as a foundation, the radiologic technologist will be able to master many of the operating room x-ray procedures.

Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is--complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. He investigates such enduring mysteries as the nature of pain, the inability to cure nausea, even the little-understood biology of blushing. He explores how deadly mistakes happen, and why good doctors go bad. He also gives us privileged entry into the inspiring world of ambitious operations, remarkable experiments, and unexpected intuitions. And through it all, we find Gawande's deep concern with the actual experiences of patients and doctors as they negotiate the paradoxes and imperfections inherent in caring for human lives. At once unsentimental and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. From Complications: I had just finished examining someone in the ER when one of the physicians stopped me with yet another patient: twenty-three-year-old Eleanor Bratton had a red and swollen leg. "It's probably only a cellulitis" --a skin infection--"but it's bad," he said. He had prescribed intravenous antibiotics, but he wanted me to make sure there wasn't anything "surgical" going on. The patient looked fit and athletic. There did not seem anything seriously ill about her. I glanced at her chart--she had good vital signs, no fever, and no past medical problems. I asked Eleanor if she had had any pus or drainage from her leg. No. Any ulcers? No. A foul smell or blackening of her skin? No. I le

The Objective Structured Clinical Examination or OSCE for short is a familiar and often daunting experience for medical students. This book provides the essential information needed to tackle OSCE stations competently and with confidence. Over 150 topics are covered at the perfect level of detail for candidates preparing for final exams. Using bulleted checklists and a succinct writing style, the authors cover the most important points to remember about the key conditions that students are likely to encounter during OSCEs, all in a brief 2 to 4 pages per condition.

An illustrated guide to oral and maxillofacial surgery, written by dental nurses for dental nurses Basic Guide to Oral and Maxillofacial Surgery will help you understand the role of the dental nurse in oral and maxillofacial surgical procedures. Written in a highly accessible style, comprehensive coverage includes anatomy of the head and neck, pain and anxiety control, assessment clinics, equipment selection, extractions, soft tissue lesions, and trauma and more complex procedures. Key features include: * Learning outcomes at the start of each chapter, and full-colour photographs and line drawings throughout * An overview of the maxillofacial team, the referral process and the legal aspects of maxillofacial procedures * Clear explanations of the various duties performed by dental nurses during oral and maxillofacial surgery Basic Guide to Oral and Maxillofacial Surgery is suitable for dental nurses working in practice or specialist maxillofacial units, and is also ideal for student dental nurses working towards the NEBDN National Diploma in Dental Nursing.

Preoperative imaging is increasingly being adopted for preoperative planning in plastic and reconstructive surgery. Accurate preoperative analysis can reduce the length of operations and maximize surgical design and dissection techniques. Imaging for Plastic Surgery covers the techniques, applications, and potentialities of medical imaging technology in plastic and reconstructive surgery. Presenting state-of-the-art research on evolving imaging modalities, this cutting-edge text: Provides a practical introduction to imaging modalities that can be used during preoperative planning Addresses imaging principles of the face, head, neck, breast, trunk, and extremities Identifies the strengths and weaknesses of all available imaging modalities Demonstrates the added value of imaging in different clinical scenarios Comprised of contributions from world-class experts in the field, Imaging for Plastic Surgery is an essential imaging resource for surgeons, radiologists, and patient care professionals.

This well-illustrated manual provides a step-by-step guide to most of the common gynaecological surgical procedures, and will be extremely useful to medical students, newly qualified doctors and registrars, and invaluable for GPs working in rural hospitals and health care centres. Topics covered include suture materials, wound healing and small procedures to vaginal, abdominal, stress incontinence and laparoscopic procedures. It also deals with obstetrical procedures such as Caesarean section, episiotomy and cervical cerclage.

In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.

This highly illustrated book explains the effects of scars and adhesions on the body through the lens of biotensegrity, a concept that recognizes the role of physical forces on their formation, structure and treatment. It includes contributions from specialists in the fields of fascial anatomy, biotensegrity, movement, surgery and other manual therapies. It takes a comprehensive approach to providing a better understanding of these complex issues and will be valuable to every hands-on practitioner. The text is supported with online videos demonstrating five ScarWork therapeutic techniques.

Pain is an unfortunate daily experience for many individuals. Chronic pain -- lasting six or more months -- is suffered by approximately 30% of the population in the United States. These individuals wake up, function during the day and go to sleep, trying to keep pain at a minimum while, at the same time, maintaining some quality of life. They may make frequent visits to the doctor and the pharmacy. When they find relief, it is usually short-lived and comes at a cost such as dependence on narcotic medications or complete limitation of activity. Pain often becomes the central point of their existence.
This practice guide describes an approach to psychological evaluation of the chronic pain patient who is being considered for surgery. A large body of research is accumulating which demonstrates that the outcome of surgical procedures aimed at chronic pain relief can be strongly influenced by psychological and emotional factors. This approach, termed "presurgical psychological screening" (PPS) uses interview and testing techniques to identify emotional, behavioral, and psychosocial difficulties which have been demonstrated to negatively impact surgical outcome. Studies show that even patients with clearly identifiable pathophysiology may respond poorly to surgery, due to issues such as pain sensitivity, medication dependence, rewards for pain behavior and personality style. Thus, some insurance carriers, rehabilitation nurses and state worker's compensation systems are encouraging, or even requiring, presurgical psychological screening in cases of surgery designed to relieve chronic pain.
The first to present a comprehensive, unified approach to PPS in chronic pain syndromes, this text is designed to provide the behavioral health practitioner, as well as the trainee, with all the tools and information necessary to conduct PPS evaluations. It identifies a multitude of risk factors for poor surgical outcome and reviews research associated with each risk factor. Hands-on techniques for eliciting information from the patient about risk factors is also detailed. Toward this end, the practice guide also contains a number of forms and session outlines which can be directly utilized, or which can be altered to fit readers' needs. Models for weighing and combining surgical outcome risk factors are also provided. Thus, practitioners are able to reach valid and reliable predictions of surgical results. Finally, the text provides outlines of psychological interventions which can facilitate surgical outcome as well as surgical treatment alternatives. Upon completion of this practice guide, readers should be able to begin providing PPS evaluations which are scientifically valid, clinically sound, and which result in significant overall improvement in the treatment of chronic pain syndromes.

This volume provides a concise yet comprehensive review of techniques for stopping ongoing hemorrhage in all areas of the body. The text discusses open surgical techniques and minimally invasive (percutaneous, endoscopic, radiologic, laparoscopic) approaches, as well as techniques appropriate to pre-hospital settings, such as "on the scene", ambulance, and the battlefield. The techniques and tips are delivered in a detailed, yet simple and straight-forward manner so that readers are more readily able to replicate these concepts in the face of ongoing, life-threatening hemorrhage. Written by experts in the field, Treatment of Ongoing Hemorrhage: A Practical Guide is a valuable resource for surgeons, trainees, and any physician who works within the emergency department or upon critically ill patients.

The first comprehensive overview of an emerging field, Metabolic Medicine and Surgery introduces a new paradigm in patient management that crosses existing subspecialty boundaries. This approach is necessitated by the challenges of treating patients with obesity, metabolic syndrome, cardiovascular disease and prediabetes, as well as those with maldigestion, malabsorption, malnutrition and nutritional deficiencies. This book teaches physicians and surgeons what they need to know about clinical nutrition, metabolism and the metabolic effects of bariatric surgery. It is also applicable to those in primary care, including physicians, residents, medical students, nurses and nurse practitioners, physician assistants and dietitians who are on the front lines of treating patients with obesity, diabetes and cardiovascular disease. The book is presented in four sections: 1. An Overview of Metabolic Medicine and Surgery; 2. Metabolic Syndrome, Insulin Resistance and Obesity; 3. Diseases of Undernutrition and Absorption; 4. A Nutritional Relationship to Neurological Diseases. It contains chapters from world-renowned experts who are widely published in major medical journals. The book also benefits from the contributions of clinicians with extensive experience and perspective in the field, including many who have been witness to its major developments. This book's strength lies in the cross-specialty consensus created by the collaboration of the editors and further developed by their renowned contributors. It demonstrates how medicine, surgery, therapeutics, and nutrition can be combined synergistically to impact patient outcomes. It crystallizes the efforts of a multitude of physicians and scientists trying to control the linked pandemics of obesity, type-2 diabetes and cardiovascular disease. This book helps you develop comprehensive solutions to diseases afflicting vast numbers of patients worldwide.

Surgeons start their career in the expectation that it will bring personal satisfaction through an unparalleled sense of achievement and professional growth. Nonetheless, a career in surgery carries with it serious challenges: surgical training is rigorous, both emotionally and physically, and demands that the surgeon adjust to unpredictability. Chronic levels of stress can affect surgical performance, the quality of family relationships, and even the nature of the doctor-patient relationship. Unmanaged stress has been shown to contribute to physical illness, emotional problems, absenteeism, poor job performance, drug abuse, and negative social attitudes. With a background in both surgery and psychological medicine, Dr Shiralkar examines the psychosocial burden of being a surgeon and offers insights into the role of intra-human factors in surgery. He reveals surgical performance from a psychological perspective and highlights the factors that cause unsatisfactory performance. He also offers solutions to rectify the problem and prevent burnout. The book will be invaluable to all those embarking on a surgical career, as well as to established surgeons in all specialties who wish to understand how to identify and manage the factors that could lead to career-limiting levels of stress.

Focusing on the essentials, McMinn's Concise Human Anatomy is a convenient, portable guide and revision aid. The clear, jargon-free text is supported by high-quality, labelled photographs of cadaver dissections and surface anatomy, radiological images captured using the latest technologies and explanatory line diagrams, all redrawn for this edition. Providing full explanations of difficult anatomical relationships, and highlighting features of clinical significance throughout, this second edition remains an invaluable guide for students of anatomy across the medical and health sciences, and a handy reference for the busy clinician.

Reshaping... looks at women's involvement in cosmetic surgery and raises the question of why women put themselves under the knife for operations which are painful, risky and expensive and often leave them in worse shape than before.

This book contains the entire undergraduate curriculum examined at finals, from medicine to surgery and ENT to oncology. It includes facts that are tested in finals, although explanations have been kept brief to act more as an aide-memoire than to provide comprehensive descriptions of diseases.

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.