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Books > Medicine > Clinical & internal medicine > Medical diagnosis > General

Diagnostic Criteria in Autoimmune Diseases (Paperback, 2008 ed.): Yehuda Shoenfeld, Ricard Cervera, M. Eric Gershwin Diagnostic Criteria in Autoimmune Diseases (Paperback, 2008 ed.)
Yehuda Shoenfeld, Ricard Cervera, M. Eric Gershwin
R7,079 Discovery Miles 70 790 Ships in 10 - 15 working days

According to the Autoimmune Diseases Coordinating Committee (ADCC), between 14.7 and 23.5 million people in the USA - up to eight percent of the population are affected by autoimmune disease. Autoimmune diseases are a family of more than 100 chronic, and often disabling, illnesses that develop when underlying defects in the immune system lead the body to attack its own organs, tissues, and cells. In Handbook of Autoimmune Disease, the editors have gathered in a comprehensive handbook a critical review, by renowned experts, of more than 100 autoimmune diseases, divided into two main groups, namely systemic and organ-specific autoimmune diseases. A contemporary overview of these conditions with special emphasis on diagnosis is presented. Each chapter contains the essential information required by attending physicians as well as bench scientists to understand the definition of a specific autoimmune disease, the diagnostic criteria, and the treatment.

The Handbook of Biomarkers (Paperback, 2010 ed.): Kewal K. Jain The Handbook of Biomarkers (Paperback, 2010 ed.)
Kewal K. Jain
R4,531 Discovery Miles 45 310 Ships in 10 - 15 working days

Of the thousands of biomarkers that are currently being discovered, relatively few are being validated for further applications, and the potential of a biomarker can be quite difficult to evaluate. To aid in this imperative research, Dr. Kewal K. Jain's Handbook of Biomarkers thoroughly describes many different types of biomarkers and their discovery using various "-omics" technologies, such as proteomics and metabolomics, along with the background information needed for the evaluation of biomarkers as well as the essential procedures for their validation and use in clinical trials. With biomarkers described first according to technologies and then according to various diseases, this detailed book features the key correlations between diseases and classifications of biomarkers, which provides the reader with a guide to sort out current and future biomarkers. Comprehensive and cutting-edge, The Handbook of Biomarkers serves as a vital guide to furthering our understanding of biomarkers, which, by facilitating the combination of therapeutics with diagnostics, promise to play an important role in the development of personalized medicine, one of the most important emerging trends in healthcare today.

Ethical Dilemmas in Prenatal Diagnosis (Paperback, 2011 ed.): Tamara Fischmann, Elisabeth Hildt Ethical Dilemmas in Prenatal Diagnosis (Paperback, 2011 ed.)
Tamara Fischmann, Elisabeth Hildt
R4,228 Discovery Miles 42 280 Ships in 10 - 15 working days

Technological developments in the life sciences confront us with new facets of a Faustian seduction. Are we "playing God" more and more, as claimed by critical authors of modernity? Achievements in genetic research produce ethical dilemmas which need to be the subject of reflection and debate in modern societies. Denial of ambivalences that ethical dilemmas arouse constitutes a threat to societies as well as to individuals. The book presents a compilation of some of the results of the interdisciplinary European study "Ethical Dilemmas Due to Prenatal and Genetic Diagnostics" (EDIG), which investigated some of these dilemmas in detail in a field which is particularly challenging: prenatal diagnosis. When results from prenatal diagnosis show fetal abnormalities, women and their partners are confronted with ethical dilemmas regarding: the right to know and the right not to know; decision-making about the remainder of the pregnancy and the desire for a healthy child; responsibility for the unborn child, for its well-being and possible suffering; life and death. This book provides answers from an ethical, psychoanalytical and medical viewpoint.

Ptmortem Collectibles (Paperback): C.L. Miller Ptmortem Collectibles (Paperback)
C.L. Miller
R878 R681 Discovery Miles 6 810 Save R197 (22%) Ships in 12 - 17 working days

Intended to be intriguing but not morbid, this book takes readers on an amazing journey through past, present, and evolving postmortem practices. The first of its kind, it deals with a topic that is rapidly becoming popular in the collectibles world. Tastefully and beautifully illustrated with many historical photographs and postcards, the book provides a pictorial review of the customs employed by mankind throughout the ages to deal with the final disposition of loved ones. Included in the remarkable array of collectible items are embalming products and instruments, photographs of funeral homes and funeral processions, promotional and advertising materials, and an outstanding collection of postmortem photographs taken in private homes and other locations. Cemetery monuments, sculptures, and mausoleums are shown, along with background material on caskets, floral arrangements, burial garments, mourning etiquette, and more. Values are included in the captions.

Bodies in Protest - Environmental Illness and the Struggle Over Medical Knowledge (Paperback, New Ed): Steve Kroll-Smith, H.... Bodies in Protest - Environmental Illness and the Struggle Over Medical Knowledge (Paperback, New Ed)
Steve Kroll-Smith, H. Hugh Floyd
R650 Discovery Miles 6 500 Ships in 12 - 17 working days

"Kroll-Smith and Floyd have, with both clarity and sensitivity, provided considerable insight into an important arena of contemporary experience."
--"American Journal of Sociology"

"Elegantly written. . . . the book is built around the narratives of multiple chemical sensitivity (MCS) sufferers themselves. . . . Due to its relevant subject matter, its interdisciplinary approach, its readability, and its interesting theoretical arguments, "Bodies in Protest" should be appealing to a wide audience."
--"Organization and Environment"

"This engagingly written and thought-provoking book provides one of the first sustained sociological analyses of a baffling, controversial, and spectacular medical condition."
--"Social Forces"

Gulf War Syndrome: Is It a Real Disease? asks a recent headline in the "New York Times," This question--are certain diseases real?--lies at the heart of a simmering controversy in the United States, a debate that has raged, in different contexts, for centuries. In the early nineteenth century, the air of European cities, polluted by open sewers and industrial waste, was generally thought to be the source of infection and disease. Thus the term miasma--literally deathlike air--came into popular use, only to be later dismissed as medically unsound by Louis Pasteur.

While controversy has long swirled in the United States around such illnesses as chronic fatigue syndrome and Epstein-Barr virus, no disorder has been more aggressively contested than environmental illness, a disease whose symptoms are distinguished by an extreme, debilitating reaction to a seemingly ordinary environment. The environmentally ill range from those who have adverse reactionsto strong perfumes or colognes to others who are so sensitive to chemicals of any kind that they must retreat entirely from the modern world.

"Bodies in Protest" does not seek to answer the question of whether or not chemical sensitivity is physiological or psychological, rather, it reveals how ordinary people borrow the expert language of medicine to construct lay accounts of their misery. The environmentally ill are not only explaining their bodies to themselves, however, they are also influencing public policies and laws to accommodate the existence of these mysterious illnesses. They have created literally a new body that professional medicine refuses to acknowledge and one that is becoming a popular model for rethinking conventional boundaries between the safe and the dangerous.

Having interviewed dozens of the environmentally ill, the authors here recount how these people come to acknowledge and define their disease, and themselves, in a suddenly unlivable world that often stigmatizes them as psychologically unstable. "Bodies in Protest" is the dramatic story of human bodies that no longer behave in a manner modern medicine can predict and control.

Biomarkers in Cancer Screening and Early Detection (Hardcover): S. Srivastava Biomarkers in Cancer Screening and Early Detection (Hardcover)
S. Srivastava
R3,821 R3,535 Discovery Miles 35 350 Save R286 (7%) Ships in 12 - 17 working days

Prepared by world leaders on this topic, Biomarkers in Cancer Screening and Early Detection offers a comprehensive, state-of-the-art perspective on the various research and clinical aspects of cancer biomarkers, from their discovery and development to their validation, clinical utility, and use in developing personalized cancer treatment. * Offers a comprehensive, state-of-the-art perspective on the various research and clinical aspects of cancer biomarkers * Provides immediately actionable information and hopefully also inspiration to move discovery and clinical application forward * Offers vital knowledge to help develop personalized cancer treatment for individual patients with specific cancers

Master the Boards USMLE Step 3 (Paperback, Fifth Edition): Conrad Fischer Master the Boards USMLE Step 3 (Paperback, Fifth Edition)
Conrad Fischer 1
R1,369 R919 Discovery Miles 9 190 Save R450 (33%) Ships in 12 - 17 working days

Always study with the most up-to-date prep! Look for Master the Boards USMLE Step 3aEURO<, ISBN 978-1-5062-5445-6, on sale January 07, 2020. Publisher's Note: Products purchased from third-party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitles included with the product.

DSM-5 (R) Guidebook - The Essential Companion to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition... DSM-5 (R) Guidebook - The Essential Companion to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (Paperback, 5 Revised Edition)
Donald W. Black, Jon E. Grant
R1,569 Discovery Miles 15 690 Ships in 12 - 17 working days

DSM-5 Guidebook: The Essential Companion to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition is a user-friendly, supplementary guide for psychiatrists, psychologists, and other mental health practitioners who need to know how DSM-5 differs from its predecessor in terms of organizational structure, diagnostic categories, and the criteria themselves. While it does not replace the comprehensive and authoritative DSM-5, it illuminates its content by teaching mental health professionals how to use the revised diagnostic criteria and by providing a practical context for its clinical use. The book offers many valuable features, including: * An historical overview of the development of the DSM in general, and DSM-5 in particular, a progression that might be said to mirror the evolution of psychiatry as a whole. The material on the creation of DSM-5 includes coverage of dimensional assessment, reliability and field trials, and the controversies that arose during development of DSM-5.* An indispensable chapter on how to use DSM-5 that addresses coding, diagnostic certainty, the demise of the multiaxial system, and the key changes to each diagnostic category.* Full coverage of the significant reorganization from DSM-IV-TR to DSM-5, which is designed to incorporate advances in neuroscience, brain imaging and genetics. Chapters were reordered to reflect scientific advances in the understanding of psychiatric disorders, and the presumed etiological and the pathophysiological relationships among them.* Extensive coverage of the decision to integrate dimensional measures into DSM-5, which may enhance the clinician's ability to assess symptom variation and severity and aid in patient evaluation, treatment decisions, and outcome monitoring. The various measures are presented and their use discussed.* Finally, as the authors were not part of the revision process, they offer a fresh, down-to-earth perspective that will resonate with clinicians by focusing on the changes that will most significantly impact clinicians' professional lives. DSM-5 Guidebook provides a roadmap to the many changes in this living document, DSM-5, and will prove invaluable to psychiatrists, psychologists, psychiatric nurses, neurologists, social workers, and all who strive to understand mental illness as it is conceived today.

Diagnostic Principles and Applications - Avoiding Medical Errors, Passing Board Exams, and Providing Informed Patient Care... Diagnostic Principles and Applications - Avoiding Medical Errors, Passing Board Exams, and Providing Informed Patient Care (Paperback, 2013 ed.)
Robert B. Taylor
R2,680 Discovery Miles 26 800 Ships in 10 - 15 working days

This book fills the need for a resource presenting important diagnostic facts that clinicians should have learned during their classroom lectures and subsequent clinical training, but often didn't. The content will be literature-based information that can help the clinician avoid diagnostic errors. Most other diagnosis books on the market are either "physical diagnosis" texts targeting student readers or "differential diagnosis" books intended for use by practicing physicians, though both types of books aim to be comprehensive. What sets this book apart from other diagnosis books is that it is a curated collection of facts, tailored specifically to address common gaps in clinical knowledge and describe less-traveled pathways to important diagnostic destinations. This book focuses on high-impact techniques. Essential Diagnostic Facts Every Clinician Should Know contains: -Classical diagnostic pearls clinicians should have learned in physical diagnosis courses. For example, a patient with acute pericarditis may find that leaning forward relieves the pain. -Red flag symptoms of serious disease. For example, an infant that tastes salty when kissed might be the first clue to a diagnosis of cystic fibrosis. -Pathognomonic signs allowing an occasional early diagnosis: For example, Koplik spots in a febrile child are found only with measles. -Plastic pearls exposed: For example, contrary to clinical lore, back pain at night has not been found to be a useful indicator for serious spinal pathology. -Counterintuitive clinical manifestations: For example, the patient with gout may have a normal or even low serum uric acid level during an acute attack. -Clinical manifestations that may point to uncommon diagnoses: For example, nocturnal bone pain, sometimes dramatically relieved by aspirin, characterizes osteoid osteoma.

Transfusion Medicine and Patient Safety (Hardcover): Giustina De Silvestro, Arianna Veronesi, Maria Vicarioto Transfusion Medicine and Patient Safety (Hardcover)
Giustina De Silvestro, Arianna Veronesi, Maria Vicarioto
R1,119 R892 Discovery Miles 8 920 Save R227 (20%) Ships in 10 - 15 working days

Blood transfusion is considered a life-saving therapy since ancient times, but, at the same time, a high-risk procedure. Nowadays the common perception is that infection is the greatest risk, even if the blood has never been safer from this point of view. Currently, the residual risk of transfusion must be related mainly to immunological mechanisms underlying to AB0 and minor blood systems, to compatibility of blood transfused and to development of irregular antibodies in transfused patients. "Transfusion Medicine and Patient Safety" aims to provide the basic of immunohematology to readers and to analyze the transfusional process highlighting the most critical points, thus more exposed to errors. Screening on blood and blood components for infectious diseases along with the surveillance action on emerging viruses results in the drastic reduction of post-transfusion infection, together with the potential to further increase the level of security from infection through the inactivation of blood components. The text also describes the major diagnostic systems and organizational models that modern technology provides us with a correct immunohematological diagnosis and an appropriate trasfusional therapy.

Computational Radiology and Imaging - Therapy and Diagnostics (Paperback, Softcover reprint of the original 1st ed. 1999):... Computational Radiology and Imaging - Therapy and Diagnostics (Paperback, Softcover reprint of the original 1st ed. 1999)
Christoph Boergers, Frank Natterer
R1,472 Discovery Miles 14 720 Ships in 10 - 15 working days

The articles collected in this volume are based on lectures given at the IMA Workshop, "Computational Radiology and Imaging: Therapy and Diagnostics", March 17-21, 1997. Introductory articles by the editors have been added. The focus is on inverse problems involving electromagnetic radiation and particle beams, with applications to X-ray tomography, nuclear medicine, near-infrared imaging, microwave imaging, electron microscopy, and radiation therapy planning. Mathematical and computational tools and models which play important roles in this volume include the X-ray transform and other integral transforms, the linear Boltzmann equation and, for near-infrared imaging, its diffusion approximation, iterative methods for large linear and non-linear least-squares problems, iterative methods for linear feasibility problems, and optimization methods. The volume is intended not only for mathematical scientists and engineers working on these and related problems, but also for non-specialists. It contains much introductory expository material, and a large number of references. Many unsolved computational and mathematical problems of substantial practical importance are pointed out.

Symptom Sorter (Paperback, 6th edition): Keith Hopcroft, Vincent Forte Symptom Sorter (Paperback, 6th edition)
Keith Hopcroft, Vincent Forte
R1,025 R940 Discovery Miles 9 400 Save R85 (8%) Ships in 5 - 10 working days

'...approaches the consultation intuitively ... The book oozes with patience for the patient and for the reader. What better prescription for the clinic could the practitioner need?' Glycosmedia (of the Fifth Edition) '... this is a book worth having available at the point of care for health professionals, including doctors, nurses, undergraduates and postgraduates, to help them make sense of common symptoms. With the help of the authors' opinions in combination with our own experience we should then be able to make better clinical decisions.' Sultan Qaboos University Medical Journal (of the Fourth Edition) Across its six editions, Symptom Sorter has excelled in redressing the balance between symptoms and diagnoses to become the essential handbook to accompany the consultation in primary care. Presenting a multitude of symptoms commonly encountered in primary care, these are meticulously explored using the red flags, top tips and ready reckoner format for sorting symptoms that have made previous editions so popular and respected. This revised and updated sixth edition includes several new chapters and features expanded coverage of paediatric symptoms. Key features: * Fully updated, with 'investigations' sections amended in line with latest guidelines and significant revisions throughout * Brand new chapters on acute abdominal pain in childhood, hand and wrist swellings, diarrhoea in children, loin pain, rectal bleeding in children, vomiting in babies, skinfold rash and dysuria * Consistent and logical presentation enables speedy access * Replicates accurately the experience in the consultation or clinic An invaluable reference for all general practitioners, especially GP trainers and registrars, this new edition of Symptom Sorter is also highly recommended for advanced nurse practitioners, A&E nurses and pharmacists requiring a concise, easy-to-use guide. The authors: Keith Hopcroft is a GP in Basildon, Essex, UK, an associate trainer, an editorial adviser to Pulse, and a medical writer and columnist. Vincent Forte is a former GP based in Norfolk, UK

Palpation and Assessment in Manual Therapy - Perfecting Your Skills (Paperback, 4th Revised edition): Palpation and Assessment in Manual Therapy - Perfecting Your Skills (Paperback, 4th Revised edition)
R1,444 Discovery Miles 14 440 Ships in 12 - 17 working days

As the title suggests this book has been written to assist manual therapists to understand and hone the palpatory skills which are essential to their effectiveness as practitioners. Skilful palpation is the foundation stone of all effective manual therapy assessments and treatments. The ability to use subtle and sensitive touch to examine and assess patients is essential for an accurate interpretation of the underlying problems of fascial and muscle function. The accurate interpretation of palpatory findings is difficult and comes with experience. This book aims to increase awareness of how to palpate and understanding of what is being felt. In this fourth edition of his now well-established and much loved book Leon Chaitow has introduced references to the latest research findings relating to fascia and its role in health and disease, so that practitioners can apply this knowledge in interpreting what they palpate. In addition to the author, six notable contributors from Europe and North America enhance the work's range and authority. All manual therapists, whatever their professional background, will benefit from the wealth of experience- and research-based information presented in this book.

Malpractice in Surgery - Safety Culture and Quality Management in the Hospital (Hardcover): Michael Imhof Malpractice in Surgery - Safety Culture and Quality Management in the Hospital (Hardcover)
Michael Imhof; Translated by Constantijn Blondel
R1,134 R907 Discovery Miles 9 070 Save R227 (20%) Ships in 10 - 15 working days

Tentative estimates suggest that one in ten patients suffers from an adverse event in hospital. In Germany, approx. 1.8 million out of approx. 18 million inpatients suffer from adverse events; 50 percent of these cases are estimated to be avoidable. In the US, nearly 100,000 people die from the consequences of mistreatment. The intensive care units record 1.7 medical errors per patient and day. The most affected disciplines are the operative disciplines, particularly general surgery. Medical errors mainly occur when the indication for surgery is being made, during surgery and post-surgery. Suspicious oncological diagnostic results and post-operative complications are also often ignored. This book deals with complications and typical medical errors in surgery. It shows solutions and ways of dealing effectively with these errors and how to establish an efficient security management system.

The Diagnostic Process - A Model for Clinical Teachers (Paperback): John I. Balla The Diagnostic Process - A Model for Clinical Teachers (Paperback)
John I. Balla
R1,086 Discovery Miles 10 860 Ships in 12 - 17 working days

This book examining diagnosis was first published in 1985. Diagnosis is at the centre of medical practice and depends on skilled information processing and decision making. Medical students, who will spend their working lives gathering information from patients, making decisions and solving problems need to be taught the necessary techniques. One aim of the book is, therefore, to give teachers an account of some of the basic ideas which have been applied to the diagnostic process and to medical problem solving in general. Another aim is to make teachers more aware of the principles underlying their clinical work, for it has been shown repeatedly that clinicians' actions do not always coincide with their teaching and there is a distinct gap between what they do and what they teach. This introduction to the fundamental concepts of information processing and decision making is written at a level which makes it appropriate reading for those who have not previously read widely in these areas. It will be of interest to clinical teachers in medical and allied health professions.

LYMPH & LONGEVITY - The Untapped Secret to Health (Paperback): Gerald M. Lemole LYMPH & LONGEVITY - The Untapped Secret to Health (Paperback)
Gerald M. Lemole
R506 R412 Discovery Miles 4 120 Save R94 (19%) Ships in 9 - 15 working days

The lymphatic system has been one of the most misunderstood systems in our bodies. Until now. Cardiothoracic surgeon Dr. Gerald M. Lemole explains why a healthy lymphatic flow aids our bodies in reducing toxins that contribute to disease and injury. In ten short chapters, Dr. Lemole demystifies the lymphatic system, describes how powerful it is and shows how to maintain a healthy lymph system to combat specific diseases and health problems - from heart disease to cognitive function to weight management. Featuring sidebars with charts and graphs that illustrate basic principles, Lymph & Longevity also includes menus, recipes and information on supplements, as well as basic yoga and meditation guides. Illuminating, informative, and practical this essential guide is timelier now than ever as we continue to work to protect ourselves and our communities against COVID-19 and other viruses.

Invasion of the Prostate Snatchers: Revised and Updated Edition - An Essential Guide to Managing Prostate Cancer for Patients... Invasion of the Prostate Snatchers: Revised and Updated Edition - An Essential Guide to Managing Prostate Cancer for Patients and Their Families (Paperback)
Mark Scholz, Ralph H. Blum
R484 R392 Discovery Miles 3 920 Save R92 (19%) Ships in 10 - 15 working days
Thyroid Function Testing (Paperback, 2010 ed.): Gregory A. Brent Thyroid Function Testing (Paperback, 2010 ed.)
Gregory A. Brent
R3,031 Discovery Miles 30 310 Ships in 10 - 15 working days

Thyroid function tests are utilized by essentially all medical practitioners, across every clinical setting, in patients from newborns to the elderly. They are the most frequently measured endocrine tests. The sensitive thyrotropin (TSH) assay reflects thyroid hormone feedback to the pituitary, and is diagnostic of both thyroid h- mone excess as well as deficiency. The log-linear relationship between serum TSH and thyroxine concentrations means that small changes in serum thyroxine are amplified by changes in serum TSH. The availability of the sensitive TSH assay in essentially all clinical laboratories has improved and simplified the assessment of thyroid function for the diagnosis of thyroid disease and to monitor treatment. Serum free thyroxine and thyrotropin concentrations, as well as other thyroid tests, can be measured utilizing an automated immunoassay platform that provides rapid and accurate results. This simplified approach to thyroid assessment, often requ- ing only a serum TSH measurement, and rapid availability of the thyroid function tests results, has expanded the scope of thyroid testing and clinicians ordering and interpretingth yroid tests. There remain, however, many challenges in selecting the appropriate thyroid function test to order, the correct interpretation of results, and applying these results to the diagnosis and management of thyroid diseases. It is especially important to be aware of limitations of thyroid function tests, as well as special clinical c- cumstances that can influence thyroid function measurements. The serum TSH concentration, for example, may not accurately reflect thyroid status in many si- ations including after prolonged hyperthyroidism when serum TSH remains s- pressed for months, in the presence of hypothalamic or pituitary disease, or due to a number of interfering medications. The serum free thyroxine, measured by the analog method, is not accurate with high or low serum binding proteins and d- ing pregnancy. Hospitalized patients often have thyroid function test abnormalities that are transient and return to normal after recovery from the acute illness. Iodine excessand deficiency candramatically influence thyroid function tests. Significant insights have been gained into the regulation of thyroid hormone synthesis and especially the role of thyroid hormone metabolism in supplying t- sues locally with an adequate supply of thyroid hormone. In a number of instances, these factors influence the selection and interpretation of thyroid function tests. Polymorphisms, common sequence variations, in genes of components that regulate thyroid function and thyroid hormone action may also contribute to variability in thyroid function tests in a population. v vi Preface This volume draws on an outstanding international panel of experts in thyroid function tests and thyroid function assessment. They represent clinicians, clinical researchers, and basic science researchers, all with a focus on some aspect of the assessment of thyroid function. The chapters all provide a clinical perspective, but are informed by themost recent scientific advancements. The first section of the book (Chaps. 1-3) presents the most recent advances in thyroid physiology, a review of genetic influences on thyroid function tests, and a discussion on the influence of iodine on thyroid function. In Chap. 1, Drs. Huang and de Castro Neves describe thyroid hormone metabolism, emphasizing the key role of thyroid hormone activation and inactivation in thyroid hormone action. Dr. Visser is a world leader in studies of thyroid metabolism and genetic influences on thyroid function. In Chap. 2, Dr. Visser and his colleagues, Drs. van der Deure, Medici, and Peeters, provide a clear view of this important and r- idly expanding field. The population variation in the TSH "set point" (relationship between serum TSH and thyroxine in an individual), for example, is thought to be genetically determined, and influences the evaluation of thyroid function and thyroid function targets for treatment of thyroid disease. Dr. Zimmerman, an int- nationally recognized expert in iodine, and his colleague, Dr. Andersson, provide in Chap. 3 an in-depth treatment of the most significant influence on thyroid function throughout the world-iodine intake. The influence of iodine deficiency and excess on individual thyroid function is discussed, as well as the population effects on t- roid diseases and especially fetal and neonatalde velopment. The basics of thyroid function measurements, approaches, limitations, and cl- ical applications are described for the major categories of thyroid function tests (Chaps. 4-7). The authors of these chapters are innovators in the field, strongly id- tified with the origination or significant refinement of the core tests utilized in t- roid assessment. In Chap. 4, Dr. Hershman describes the measurement of TSH, the clinical application and utilization. This remains the cornerstone of thyroid testing, but must be interpreted with an understanding of the dynamics of thyroid regulation. An active controversy in thyroid measurement involves the appropriate use of serum thyroxine measurements and especially the value of the analog free thyroxine me- urement, the most commonly used thyroxine assay. In Chap. 5, Dr. Stockigt p- vides a detailed assessment of thyroxine and triiodothyronine measurements and a clear message for their use and limitations. The most common etiology of thyroid disease is autoimmune, and the appropriate use of thyroid autoantibody measu- ments remains confusing to many clinicians. In Chap. 6, Dr. Weetman and his c- league, Dr. Ajjan, clearly describe the range of thyroid autoantibody tests and how they should be utilized clinically. Thyroglobulin measurement is the key tumor marker to follow thyroid cancer patients and Dr. Spencer and her colleague, Ivana Petrovic, describe the essential features of this measurement in Chap. 7. It is ess- tial that clinicians using thyroglobulin measurements to monitor thyroid cancer are aware of the performance of the assay being used and the factors that can interfere with the measurement. Application of thyroid function testing to the key clinical settings is discussed by expert clinicians and clinical researchers in Chaps.8-13. The appropriate selec- Preface vii tion of thyroid function tests in the diagnosis and monitoring of thyroid disease in the ambulatory setting is discussed by Drs. Farwell and Leung in Chap. 8. This is the most common setting for thyroid function test measurement and a rational approach is described. Specific issues of thyroid function in infants and children are discussed in Chap. 9 by Drs. LaFranchi and Balogh. Screening for thyroid disease among newborns has been a highly effective approach to prevent mental retar- tion. The assessment of thyroid function in newborns, especially premature infants, is challenging as are the interpretation of thyroid function tests in infancy through childhood. Illness has a significant impact on thyroid function tests and assessment in this group is described by Drs. LoPresti and Patil in Chap. 10. A logical approach to these patients is provided as are ways to identify those patients with thyroid disease that need to be treated. Assessment of thyroid function in pregnancy is ch- lenging and is being increasing recognized as a crucial time to normalize maternal thyroid status. Adverse outcome for mother and her child can result from thyroid hormone deficiency or excess. In Chap.11, Drs. Lazarus, Soldin, and Evans ca- fully describe the use and limitations of thyroid tests in pregnancy and provide an approach to testing and monitoring thyroid function. The incidence of autoimmune thyroid disease increases significantly with age and in Chap. 12 Dr. Samuels p- vides a clear approach to the assessment of thyroid status in the elderly and interp- tation of thyroid studies. The influence of drugs on thyroid function testing remains a major clinical issue with recognition of an ever increasing list of medications that influence thyroid function and thyroid testing. In Chap. 13, Drs. Pearce and An- thakrishnan comprehensively describe these medications with a special emphasis on their mechanism of action and on iodine-containing medications. I am most grateful to my colleagues for their enthusiasm and willingness to p- vide such outstanding contributions to this book. The editorial team at Springer is excellent and has been highly supportive and effective. My special thanks to E- tor Laura Walsh, Associate Editor Dianne Wuori, Editorial Assistant Stacy Lazar, Senior Production Editor Jenny Wolkowicki and Crest Premedia Solutions for final production.

Phlebotomy: A Competency Based Approach (Paperback, 4th edition): Kathryn Booth, Lillian Mundt Phlebotomy: A Competency Based Approach (Paperback, 4th edition)
Kathryn Booth, Lillian Mundt
R3,024 Discovery Miles 30 240 Ships in 10 - 15 working days

Competency is within your reach with the new, fourth edition of Phlebotomy: A Competency-Based Approach. With Phlebotomy's pedagogy-rich format and plentiful Competency Checks, easily grasp not only essential phlebotomy skills and competencies, but also the critical soft skills needed for a successful transition from classroom to lab. Phlebotomy is also now available with McGraw-Hill's revolutionary adaptive learning technology, LearnSmart and SmartBook! You can study smarter, spending your valuable time on topics you don't know and less time on the topics you have already mastered. Access these new adaptive study tools through a revised Connect Plus, McGraw-Hill's online assignment and assessment platform. Hit your target with precision using LearnSmart, SmartBook, and Connect Plus...Join the learning revolution and achieve the success you deserve today!

Immunodiagnostics and Patient Safety (Hardcover): Krystyna Sztefko Immunodiagnostics and Patient Safety (Hardcover)
Krystyna Sztefko
R1,133 R906 Discovery Miles 9 060 Save R227 (20%) Ships in 10 - 15 working days

Today most of immunochemistry methods for the determination of proteins, peptides, drugs, and many small molecules are fully automated, with good precision, excellent sensitivity and short reaction time. However, inaccuracy due to poor standardization and the presence of interfering substances in biological samples is still a serious and life-threatening issue. Proper validation of methods and quality assurance have little effect on frequency of occurrence of false positive or false negative results, which, if unrecognized, may lead to patient's misdiagnosis, unnecessary treatment or even unnecessary surgery. Deep knowledge of basic principles of immunochemical methods (antigen-antibody reaction, standardization, matrix effect, limit of detection, cross-reactivity, etc.), sources of analyte-independent interferences (preanalitycal errors, the presence of binding proteins, the presence of autoantibodies) and analyte-dependent interferences (presence of heterophilic antibodies, high-dose effect) are very important to understand, detect, reduce and/or eliminate the interferences. This book helps to reduce false results and, at the same time, improve patient's care and patient's safety.

Biomedical Photonics Handbook - Biomedical Diagnostics (Paperback, 2nd edition): Tuan Vo-Dinh Biomedical Photonics Handbook - Biomedical Diagnostics (Paperback, 2nd edition)
Tuan Vo-Dinh
R1,923 Discovery Miles 19 230 Ships in 12 - 17 working days

Shaped by Quantum Theory, Technology, and the Genomics Revolution The integration of photonics, electronics, biomaterials, and nanotechnology holds great promise for the future of medicine. This topic has recently experienced an explosive growth due to the noninvasive or minimally invasive nature and the cost-effectiveness of photonic modalities in medical diagnostics and therapy. The second edition of the Biomedical Photonics Handbook presents fundamental developments as well as important applications of biomedical photonics of interest to scientists, engineers, manufacturers, teachers, students, and clinical providers. The second volume, Biomedical Diagnostics, focuses on biomedical diagnostic technologies and their applications from the bench to the bedside. Represents the Collective Work of over 150 Scientists, Engineers, and Clinicians Designed to display the most recent advances in instrumentation and methods, as well as clinical applications in important areas of biomedical photonics to a broad audience, this three-volume handbook provides an inclusive forum that serves as an authoritative reference source for a broad audience involved in the research, teaching, learning, and practice of medical technologies. What's New in This Edition: A wide variety of photonic biochemical sensing technologies have already been developed for clinical monitoring of physiological parameters, such as blood pressure, blood chemistry, pH, temperature, and the presence of pathological organisms or biochemical species of clinical importance. Advanced photonic detection technologies integrating the latest knowledge of genomics, proteomics and metabolomics allow sensing of early disease state biomarkers, thus revolutionizing the medicine of the future. Nanobiotechnology has opened new possibilities for detection of biomarkers of disease, imaging single molecules and in situ diagnostics at the single cell level. In addition to these state-of-the art advancements, the second edition contains new topics and chapters including: * Fiber Optic Probe Design * Laser and Optical Radiation Safety * Photothermal Detection * Multidimensional Fluorescence Imaging * Surface Plasmon Resonance Imaging * Molecular Contrast Optical Coherence Tomography * Multiscale Photoacoustics * Polarized Light for Medical Diagnostics * Quantitative Diffuse Reflectance Imaging * Interferometric Light Scattering * Nonlinear Interferometric Vibrational Imaging * Multimodality Theranostics Nanoplatforms * Nanoscintillator-Based Therapy * SERS Molecular Sentinel Nanoprobes * Plasmonic Coupling Interference Nanoprobes Comprised of three books: Volume I: Fundamentals, Devices, and Techniques; Volume II: Biomedical Diagnostics; and Volume III: Therapeutics and Advanced Biophotonics, this second edition contains eight sections, and provides introductory material in each chapter. It also includes an overview of the topic, an extensive collection of spectroscopic data, and lists of references for further reading.

Advanced Bayesian Methods for Medical Test Accuracy (Hardcover): Lyle D. Broemeling Advanced Bayesian Methods for Medical Test Accuracy (Hardcover)
Lyle D. Broemeling
R4,764 Discovery Miles 47 640 Ships in 12 - 17 working days

Useful in many areas of medicine and biology, Bayesian methods are particularly attractive tools for the design of clinical trials and diagnostic tests, which are based on established information, usually from related previous studies. Advanced Bayesian Methods for Medical Test Accuracy begins with a review of the usual measures such as specificity, sensitivity, positive and negative predictive value, and the area under the ROC curve. Then the scope expands to cover the more advanced topics of verification bias, diagnostic tests with imperfect gold standards, and those for which no gold standard is available.

Promoting accuracy and efficiency of clinical trials, tests, and the diagnostic process, this book:

  • Enables the user to efficiently apply prior information via a WinBUGS package
  • Presents many ideas for the first time and goes far beyond the two standard references
  • Integrates reader agreement with different modalities X-ray, CT Scanners, and more to study their effect on medical test accuracy
  • Provides practical chapter-end problems

Useful for graduate students and consulting statisticians working in the various areas of diagnostic medicine and study design, this practical resource introduces the fundamentals of programming and executing BUGS, giving readers the tools and experience to successfully analyze studies for medical test accuracy.

FASTtrack: Managing Symptoms in the Pharmacy - Third Edition (Paperback, 3rd Revised edition): Alan Nathan FASTtrack: Managing Symptoms in the Pharmacy - Third Edition (Paperback, 3rd Revised edition)
Alan Nathan
R817 Discovery Miles 8 170 Ships in 12 - 17 working days

FASTtrack Managing Symptoms in the Pharmacy focuses on what you really need to know in order to pass exams. Concise, bulleted information and all-important self-assessment questions including MCQs and case studies. Addressing common ailments and organised alphabetically by system, FASTtrack Managing Symptoms in the Pharmacy provides all the essential information needed for managing symptoms presented in the pharmacy. This new edition has been revised and updated and now includes learning objectives for each chapter, new self-assessment questions and new chapters on benign prostatic hyperplasia and erectile dysfunction.Are your exams coming up? Are you drowning in textbooks and lecture notes and wondering where to begin? Take the FASTtrack route to successful study for your examinations. FASTtrack provides the ultimate lecture notes and is a must-have for all pharmacy students wanting to study and test themselves for forthcoming exams.

Decision Making in Medicine - An Algorithmic Approach (Hardcover, 3rd edition): Stuart B. Mushlin, Harry L. Greene Decision Making in Medicine - An Algorithmic Approach (Hardcover, 3rd edition)
Stuart B. Mushlin, Harry L. Greene
R1,994 R1,859 Discovery Miles 18 590 Save R135 (7%) Ships in 12 - 17 working days

This popular reference facilitates diagnostic and therapeutic decision making for a wide range of common and often complex problems faced in outpatient and inpatient medicine. Comprehensive algorithmic decision trees guide you through more than 245 disorders organized by sign, symptom, problem, or laboratory abnormality. The brief text accompanying each algorithm explains the key steps of the decision making process, giving you the clear, clinical guidelines you need to successfully manage even your toughest cases. An algorithmic format makes it easy to apply the practical, decision-making approaches used by seasoned clinicians in daily practice. Comprehensive coverage of general and internal medicine helps you successfully diagnose and manage a full range of diseases and disorders related to women's health, emergency medicine, urology, behavioral medicine, pharmacology, and much more. A Table of Contents arranged by organ system helps you to quickly and easily zero in on the information you need. More than a dozen new topics focus on the key diseases and disorders encountered in daily practice. Fully updated decision trees guide you through the latest diagnostic and management guidelines.

Pocket Guide to Musculoskeletal Diagnosis (Paperback, 1st Corrected ed. 2006, Corr. 3rd printing 2009): Grant Cooper Pocket Guide to Musculoskeletal Diagnosis (Paperback, 1st Corrected ed. 2006, Corr. 3rd printing 2009)
Grant Cooper
R3,256 Discovery Miles 32 560 Ships in 10 - 15 working days

Practicing physical medicine and rehabilitation physician Grant Cooper, MD, provides a concise step-by-step approach to confidently establishing a working clinical diagnosis and finding appropriate treatment options for the most common musculoskeletal ailments. Organized by body region and written with superb clarity, this guide details the important questions to ask in history taking, the physical examination maneuvers appropriate for each pathology, the possible explanations and additional tests needed to diagnose the condition, and the most up-to-date treatment options available. The author offers clear explanations why each step in the history and physical examination is performed and discusses the basic pathophysiological processes involved. The ailments covered include neck and shooting arm pain; shoulder pain; elbow pain; wrist and hand pain; low back, hip, and shooting leg pain; knee pain, ankle pain, and foot pain. Numerous photographs demonstrate the correct hands-on methods for physical examination of the patient. A value-added CD-ROM version of book is included for downloading and use in the reader's PC or PDA.

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