The Oxford Clinical Imaging Guides are specifically designed to help doctors master imaging techniques. Each guide explains the principles and practice of using imaging in an easy-to-read, highly-illustrated, and authoritative manner. Point of Care Ultrasound for Emergency Medicine and Resuscitation is the definitive guide to using this indispensable clinical tool quickly, safely, and accurately to diagnose patients in emergency, acute, and critical care settings. With a practical focus on how to perform ultrasound and interpret images, this book demonstrates how the reader can use ultrasound safely in patient management to diagnose and manage shock, acute presentations, or the acute phases of key conditions. Extensively illustrated, this resource also comes with online access to 160 ultrasound clips and over 130 annotated ultrasound images. Written by expert educators, this book is mapped to the curriculum for the International Federation for Emergency Medicine to teach emergency and acute medics exactly what they need to know. This guide is highly relevant for the syllabi of Emergency Medicine colleges and associations in the USA, Canada, UK, Australasia and South Africa.

The I-Gel supraglottic airway is a diposable, latex-free device for airway management during anaesthesia. The design of this device is significantly different from the previously used devices, notably laryngeal mask airways. Its bowl is made of a soft, non-inflatable thermoplastic elastomer, anatomically preformed to mirror the perilaryngeal structure. The I-Gel contains an additional epiglottis rest, which helps to prevent the epiglottis from down-folding or obstructing the laryngeal inlet. The device also includes a gastric channel, allowing drainage of air and gastric contents or passage of a gastric tube. This book provides a brief history of airway management and the classification of supraglottic airway devices; the mechanisms and forces contributing to their seal, and highlights the main differences between the devices. Also discussed is the process of I-Gel development including an initial mannequin and cadaver studies, with a description of the I-Gel's use in clinical practice, indications and description of its use in the operating room, and use of the I-Gel in different surgical subspecialities including laparoscopic procedures.

Think - Plan - Buy This is the first complete guide for creating a sustainable healthcare simulation program/center. It is created by experts in the field that are on the front lines of this emerging field. It is intended and written with all professions in mind, and should be a resource for all, be they healthcare educators, administrators, or executives. It covers specific elements of the entire process, from concept to execution, and identifies key decision points along the way. The book is organized around fundamental considerations in center and program development including governance, structural/facility and curricular design, business planning, to establishing policies and procedures. Chapters analyze the fundamental aspects of planning, such as budgeting, revenue streams, and philanthropy as well as the inclusion of educational resources within such programs. Comprehensive Healthcare Simulation: Program and Center Development is an invaluable addition to the Comprehensive Healthcare Simulation series, and features an authoritative authorship of experts in the field.

CS for IMGs is a comprehensive resource designed to help IMGs pass the Step 2 CS exam on the first attempt Thieme Review for the USMLE (R) Step 2: CS for IMGs includes all the components that International Medical Graduates (IMGs) need to pass the USMLE (R) Step 2 Clinical Skills (CS) exam. Created by international CS exam prep instructor and physician Mohamed Elawdy and expert American pronunciation trainer Dara Oken, this groundbreaking resource reflects their combined expertise in preparing IMGs for the CS exam. As such, it's the only resource needed for USMLE (R) CS prep! Key Features The first all-in-one CS review book Addresses all three exam components: ICE, CIS, and SEP ICE section provides systematic organization and consistency in its coverage of Medical History Taking, Physical Examination, and Patient Note SEP section includes word-level concepts (syllables and stress), sound-level concepts (consonants and vowels), and grammar concepts Practice-intensive tools Role-plays and model videos with standardized patients (SPs) SEP pronunciation and grammar explanations, exercises, and videos Flowcharts, checklists, and self-assessments Easy to replicate approach to target differential diagnosis The text and the accompanying audio and videos provide unparalleled study prep tailored to the CS that will lead to a higher score on this vital exam. This book includes complimentary access to a digital copy on https://medone.thieme.com.

The majority of patients in need of organ transplants do not survive long enough for a suitable human organ to become available. Xenotransplantation, the transplant of animal organs into humans, has attracted substantial media attention. If, as appears likely, it proves possible to "humanize" animal organs and evade the problems of rejection, in the coming few years there will be a tremendous increase in this procedure, mostly using organs from animals specifically for their harvestable organs. This book will lay out the potential and promise of the technique, the history of organ transplantation, the technical problems and breakthroughs in overcoming immune rejection, and typing and humanizing donor organs for transplantation. The ethical question of growing animals specifically for organ harvest, and the substantial public health concern from the certainty that animal viruses will pass into humans with the donated organs, will be fully discussed. The authors are among the leaders in the field of Xenotransplantation.

This book presents topical research in the study of the preparation, procedures and complications of intubation. Topics discussed in this compilation include the role of supraglottic airway devices in difficult intubation scenarios; perioperative pulmonary aspiration; acute tracheobronchial laceration and chronic complications of neonatal intubation and utilisation of beta blockers during electroconvulsive therapy and tracheal intubation.

Artificial Intelligence Applications in Human Pathology deals with the latest topics in biomedical research and clinical cancer diagnostics. With chapters provided by true international experts in the field, this book gives real examples of the implementation of AI and machine learning in human pathology.Advances in machine learning and AI in general have propelled computational and general pathology research. Today, computer systems approach the diagnostic levels achieved by humans for certain well-defined tasks in pathology. At the same time, pathologists are faced with an increased workload both quantitatively (numbers of cases) and qualitatively (the amount of work per case, with increasing treatment options and the type of data delivered by pathologists also expected to become more fine-grained). AI will support and leverage mathematical tools and implement data-driven methods as a center for data interpretation in modern tissue diagnosis and pathology. Digital or computational pathology will also foster the training of future computational pathologists, those with both pathology and non-pathology backgrounds, who will eventually decide that AI-based pathology will serve as an indispensable hub for data-related research in a global health care system.Some of the specific topics explored within include an introduction to DL as applied to Pathology, Standardized Tissue Sampling for Automated Analysis, integrating Computational Pathology into Histopathology workflows. Readers will also find examples of specific techniques applied to specific diseases that will aid their research and treatments including but not limited to; Tissue Cartography for Colorectal Cancer, Ki-67 Measurements in Breast Cancer, and Light-Sheet Microscopy as applied to Virtual Histology.The key role for pathologists in tissue diagnostics will prevail and even expand through interdisciplinary work and the intuitive use of an advanced and interoperating (AI-supported) pathology workflow delivering novel and complex features that will serve the understanding of individual diseases and of course the patient.

Current Trends and Advances in Computer-Aided Intelligent Environmental Data Engineering merges computer engineering and environmental engineering. The book presents the latest finding on how data science and AI-based tools are being applied in environmental engineering research. This application involves multiple domains such as data science and artificial intelligence to transform the data collected by intelligent sensors into relevant and reliable information to support decision-making. These tools include fuzzy logic, knowledge-based systems, particle swarm optimization, genetic algorithms, Monte Carlo simulation, artificial neural networks, support vector machine, boosted regression tree, simulated annealing, ant colony algorithm, decision tree, immune algorithm, and imperialist competitive algorithm. This book is a fundamental information source because it is the first book to present the foundational reference material in this new research field. Furthermore, it gives a critical overview of the latest cross-domain research findings and technological developments on the recent advances in computer-aided intelligent environmental data engineering.

In this book, the authors gather and present topical research in the study of cell transplantation. Topics discussed in this compilation include cell transplantation in chronic kidney disease; dendritic cells in allogenic hematopoietic cell transplantation; islet cell transplantation replacing beta cells that produce insulin in a diabetes cure; ocular surface reconstruction using cellular therapies; cell therapy on ischemic flaps; and, new therapeutic strategy for veno-occlusive disease after hematopoietic stem cell transplantation.

This textbook provides practical advice for junior surgical trainees on basic procedures in all surgical specialties. There are concise descriptions of minor and intermediate procedures that the trainee may be expected to perform and they are illustrated by clear line diagrams.

In order to be legally manufactured in the U.S., medical devices must be approved by the Food and Drug Administration (FDA), the agency responsible for protecting the public health by assuring the safety, efficacy, and security of human medical devices and other products. The regulation of medical devices can affect their cost, quality, and availability in the health care system. This book discusses the legislative history of medical device regulation, describes the FDA's approval process for medical devices, and provides an overview of the medical device related legislative issues facing Congress.

Summary: This book provides valuable, effective guidance for understanding, interpreting and implementing ISO 13485:2016 standard requirements. Despite its more than 800-page length, the author has specifically designed its contents to maximize usability for the reader with a table of contents identical to that of the ISO standard itself, which enables easy navigation and orientation. Pragmatic in style and down to earth in tone, this book draws real-life examples and case-studies from the author's many years of experience in consulting to illustrate even the most complex of ISO 13485:2016 standard requirements and their implementation. Identifying relevant requirements and how they harmonize with quality management systems, developing processes for design and development, as well as product realization and validation are just a few of the issues covered in-depth by this publication. In addition, the author constantly reviews the distinctive characteristics and aspects of the medical device manufacturing industry, so that the reader can also appreciate the subject of this book in an everyday context. Features: A pragmatic and down to earth approach towards the reader's understanding of ISO 13485:2016 standard requirements implementation. Uses examples and cases from real-life based on the author's many years of experience in quality management. A table of contents structured identically to that of ISO 13485:2016 itself, allowing easier navigation and orientation for the reader. Emphasises guidance for ISO 13495:2016 standard requirements which are difficult to interpret and implement Constantly reviews the aspect of medical device industry characteristics and distinctive so the reader can reflect the content with its daily work.

As computerisation in the medical environment has increased, so the advantages of storage and the computer analysis of data from various monitoring and measuring equipment has become well recognised. Most medical monitoring and measurement equipment now supports an RS-232 serial interface, allowing for direct computer access both in terms of data analysis and equipment control. This book describes the techniques used for interfacing a PC to a range of medical equipment used internationally in the areas of anaesthesia, intensive care, surgery, respiratory medicine and physiology. Part One addresses the serial interface, including the RS-232 standard, transmission of data and an introduction to serial-interface programming using Microsoft QuickBASIC. Part Two looks at electrical safety, the use of Kermit and data analysis. Part Three considers the practical aspects of interfacing a PC to a wide range of equipment, and includes example programs for collecting data and in some cases for controlling the equipment directly. This essential practical information constitutes a valuable resource for a very broad audience of PC and measurement equipment users in the medical field.

In The Practice of Electrocardiography, a master practitioner offers an organized approach to the art of EKG interpretation. Moving beyond the traditional approaches of many books that stress technical skill and pattern recognition, Dr. Blake shows how the four measurements needed to examine a tracing (orientation, duration, amplitude, and contour of each component) may be used with consistency and medical rigor for distinguishing normal and abnormal EKG patterns.
A unique worksheet guides the analytic process item by item and clarifies the logic of each stage of interpretation, in the same way that a dissection manual leads the student in an anatomy course. The result is a method for interpreting the electrocardiogram that reveals the anatomy and physiology behind each waveform and illuminates the gray areas between normal and abnormal.
The Practice of Electrocardiography provides a firm foundation in the diagnostic methods and clinical application of electrocardiography, as well as an entry into the literature through an outstanding bibliography. It will enable medical and nursing students to analyze the tracings they encounter in day-to-day practice with confidence and real understanding. Practicing clinicians will also find fresh insights here, and there are sections for technicians and their supervisors, as well as for administrators and others charged with assessing competence in the field.
After a lifetime of teaching and practicing EKG production and interpretation, after seeing more than a million EKG tracings over the years, Dr. Blake has distilled in The Practice of Electrocardiography the essence of his art and understanding for all those who must record, interpret, or judge tradings.

Shirt Pocket Companion To The Complete Guide To Ecgs The ECG Criteria Book Provides ECG Criteria For 125 ECG Diagnoses, Including Arrhythmias And Conduction Disturbances; Chamber Enlargement And Hypertrophy; Ischemic Syndromes; Pacemakers; And Drug, Electrolyte And Medical Disorders. Also Includes Sections On Approach To ECG Interpretation, Differential Diagnosis Of ECG Abnormalities, And ACLS Algorithms.

"Compression for Clinicians: Considerations for Hearing Aid Fittings, Third Edition" explains many developments that have taken place in the world of hearing aid compression, fitting methods, and real ear measurement. Directional microphones and digital features of noise reduction, feedback reduction, and expansion are also covered. The text aims to make difficult concepts easier to understand and to explain in plain language many topics pertaining to compression. The third edition recognizes two distinct clinical populations of sensori-neural hearing loss; mild-to-moderate on the one hand, and more severe on the other. These two clinical populations are well served by a corresponding pair of compression types; wide dynamic range compression and output limiting compression. Another double distinction held throughout the text is the two-part task for all hearing aids; providing gain and also, increasing the signal-to-noise ratio. Gain is addressed by compression, while listening in noise is addressed by directional microphones and digital noise reduction.New to the Third Edition:*Includes new chapters on common clinical encounters (Chapter 1), real ear measurement (Chapter 5), and adaptive dynamic range optimization (Chapter 10)*Distinguishes between "sensory" and "neural" hearing loss and devotes a separate chapter to each of these types of sensori-neural hearing loss*Contains updated coverage of digital hearing aids, directional microphones, and digital noise reduction*Retains a strong focus on the historical development of compression from yesterday's analog hearing aids to digital hearing aids of today"Compression for Clinicians" is intended for those studying to become hearing health care professionals, including audiologists and hearing instrument practitioners. It is also intended for practicing clinicians who simply want to refresh their knowledge base concerning hearing loss and hearing aids. Clinically relevant and very thorough, it provides a relevant compass in the world of compression hearing aids.

Human response to short-term electrical exposure can be beneficial, as in the application of electrical stimulation for medical purposes, or pathological, as in unintended electric shock. This book is the first to offer a cohesive treatment of the subject, covering fundamental principles, specific human responses, and electrical safety. The book begins with a description of fundamental bioelectric principles. Subsequent chapters treat human reactions to electrical stimulation according to the nature of the response - sensory reactions, cardiac reactions, muscle reactions, electric and magnetic field exposure, and high-voltage and high-current injuries. The last chapter discusses standards and protective measures in consumer products. The author is a member of the principal professional staff at the Johns Hopkins University Applied Physics Laboratory. To supplement his own chapters, he has invited specialists to contribute chapters in their fields of expertise: Hermann Antoni, University of Freiburg, on electrical properties of the heart; James Sweeney, University of Arizona, on skeletal muscle responses; Michael Chilbert, Medical College of Wisconsin, on high-voltage and high-current injuries; and Walter Skuggevig, Underwriters Laboratories, on standards and protective measures. Sifting through a vast body of engineering and biomedical literature, Reilly has provided a unique reference that will interest researchers, designers, and regulatory personnel.

The aim of this book consists in demonstrating the state of the art in the domain of integration of images in worksta- tions devoted to radiologists, surgeons and clinicians. It describes possible tools and solutions in the fields of ima- ge archiving systems (image data bases, compression pro- blems,...), image communication systems, multimodality image matching, and interventional imaging. The participation of specialists coming from both the medi- cal and the engineering profession makes the book up to date and pertinent in the two domains: medical imaging and image processing.

General Practice is undergoing the most major series of changes since the introduction of the National Health Service in 1948. They concern both concepts of care and practical details of the way care is delivered. In spite of the hostility generated by the changes most of the broad general concepts have been accepted. The principle of patients having more choice is widely supported, the inclusion of preventive medicine and anticipatory care in the responsibilities of practice has few opponents, the introduction of audit as a way of improving performance has been generally welcomed. Even the idea of putting GPs in better financial management of patients and drug budgets has had supporters in principle. The antipathy has generally related to the method of introduction of these changes. One important concern has been the time requirements of the New Contract and the feeling that these will erode the real nature of our work: the close personal relationship with patients. If we improve the quality of our management this is less likely to happen. We shall be able to work within the New Contract and retain the quality of service we pro vide. If we improve the understanding of our staff of what we are trying to achieve we are more likely to reach the targets that we set whilst keeping people happy. vii This book sets out to explain the New Contract."

Proper nutrition is of great importance both in the maintenance of health and also in the treatment of a large number of diseases. This is an account of the practical aspects of nutritional management and the relationship between nutrition and disease. Developments have occurred in in all aspects of clinical nutrition, especially in the management of intestinal failure, including techniques of enteral and parenteral nutrition which patients can use at home as well as in hospital.;The book describes the source and utilization of nutrients, reviews the nutritional management of disease and offers practical advice on the various methods which are available for giving artificial nutritional support in a wide variety of conditions. It should be of interest to senior medical undergraduates, medical graduates in training, as well as dieticians and nurses in hospital practice.

The current scarcity of expert systems where the reasoning is based on Bayesian probability theory may be due to misconceptions about probabilities found in the literature. As argued by Cheeseman (1985), these misconceptions have led to the attitude: "The Bayesian approach doesn't work - so here is a new scheme." Several of these expert systems based on ad hoc "probability" concepts have been successful in a number of ways, demonstrating the necessity of being able to handle uncertainty in medical expert systems. They also demonstrate the need for a theoretically sound handling of uncertainty. In Andersen et al. (1986) it was postulated that knowledge organized in a causal network can be used for a unified approach to the main tasks of a medical expert system: diagnosis, planning of tests and explanations. The present paper explores this postulate in a causal probabilistic network. It also provides a practical demonstration that the problems supposedly associated with probabilistic networks are either non-existent or that practical solutions can be found. This paper reports on the methods implemented in MUNIN* -an expert system for electromyography (EMG) (Andreassen et al. 1987). EMG is the diagnosis of muscle and nerve diseases through analysis of bioelectrical signals from muscle and nerve tissue. In Andreassen et al.

This is the third volume in a trio considering the needs and care of profoundly retarded people, who are suffering from very severe mental and physical disabilities. The former volumes cover development, learning, education and therapy while this book deals with the specific medical problems of management of physical problems such as incontinence, special diets and feeding.

Biomaterials serve as synthetic or natural materials used to replace parts of living systems or to function contact with living tissue. Biomaterials are intended to interface with biological systems to evaluate, treat, augment or replace any tissue, organ or function of the body. A biomaterial is different from a biological material such as bone that is produced by a biological system. Artificial hips, vascular-stents, artificial peacemakers, and catheters are all made from different biomaterials and comprise different medical devices. This book presents new approaches to biomaterial development including multi-field bone remodelling, novel strategies for conferring antibacterial properties to bone cement, polyacrylonitrile-based biomaterials for enzyme immobilisation and functionalised magnetic nanoparticles for tissue engineering.

Many remarkable medical technologies, diagnostic tools, and treatment methods have emerged as a result of modern physics discoveries in the last century--including X-rays, radiation treatment, laser surgery, high-resolution ultrasound scans, computerized tomography (CT) scans, and magnetic resonance imaging. This undergraduate-level textbook describes the fundamental physical principles underlying these technological advances, emphasizing their applications to the practice of modern medicine.

Intended for science and engineering students with one year of introductory physics background, this textbook presents the medical applications of fundamental principles of physics to students who are considering careers in medical physics, biophysics, medicine, or nuclear engineering. It also serves as an excellent reference for advanced students, as well as medical and health researchers, practitioners, and technicians who are interested in developing the background required to understand the changing landscape of medical science. Practice exercises are included and solutions are available separately in an instructor's manual. Complete discussion of the fundamental physical principles underlying modern medicineAccessible exploration of the physics encountered in a typical visit to a doctorPractice exercises are included and solutions are provided in a separate instructor's manual (available to professors)A companion website (modernphysicsinmedicine.com) presents supplementary materials

The first comprehensive guide to the integration of Design for Six Sigma principles in the medical devices development cycle Medical Device Design for Six Sigma: A Road Map for Safety and Effectiveness presents the complete body of knowledge for Design for Six Sigma (DFSS), as outlined by American Society for Quality, and details how to integrate appropriate design methodologies up front in the design process. DFSS helps companies shorten lead times, cut development and manufacturing costs, lower total life-cycle cost, and improve the quality of the medical devices. Comprehensive and complete with real-world examples, this guide:* Integrates concept and design methods such as Pugh Controlled Convergence approach, QFD methodology, parameter optimization techniques like Design of Experiment (DOE), Taguchi Robust Design method, Failure Mode and Effects Analysis (FMEA), Design for X, Multi-Level Hierarchical Design methodology, and Response Surface methodology* Covers contemporary and emerging design methods, including Axiomatic Design Principles, Theory of Inventive Problem Solving (TRIZ), and Tolerance Design* Provides a detailed, step-by-step implementation process for each DFSS tool included* Covers the structural, organizational, and technical deployment of DFSS within the medical device industry* Includes a DFSS case study describing the development of a new device* Presents a global prospective of medical device regulations Providing both a road map and a toolbox, this is a hands-on reference for medical device product development practitioners, product/service development engineers and architects, DFSS and Six Sigma trainees and trainers, middle management, engineering team leaders, quality engineers and quality consultants, and graduate students in biomedical engineering.