Updated, revised, and reorganized, the Second Editions in the Clinical Sciences reflect the format of the USMLE Step 2. Each volume systematically presents the core information of a single segment of the medical curriculum, from Family Medicine to Psychiatry. You will also learn time-honored tricks of the trade, as well as the latest advances in clinical medicine: new diagnostic tools, new therapeutic interventions, and new pharmacologic options.

This book is based on the experience of an European Network on Congenital Toxoplasmosis which associates more than 50 European specialized Centers from 17 diferent European Countries. Some American colleagues among the best specialists in the world also collaborate to this book which gives the most recent data on congenital toxoplasmosis in epidemiology, biology, clinical symptoms, diagnostic, treatment and prevention.

This text provides a quick reference to all the important facts in the clinical sciences for candidates aiming at a postgraduate qualification in obstetrics and gynaecology, including those candiadtes studying for the MRCOG Part II examination. The text has been revised and updated, but the concise style and comprehensive coverage of all the essential aspects of the subject are retained. Written by a highly expert team of authors, this text will be an invaluable reference for students and will also be of value to clinicians as a brief guide. This volume serves as a companion to the highly successful "Basic Sciences for Obstetrics and Gynaecology" by Chard and Lilford, which is now in its Fifth Edition.

Die arztliche Handlung bedeutet in der Regel einen Eingriff in die korperliche Integritat seines Patienten. Hierbei gehen Patient und Arzt unterschiedliche Risiken ein: der Patient gesundheitlich, der Arzt solche der Haftung fur Untersuchungs- oder Behandlungsfehler. Insbesondere im Krankenhausbetrieb mit der Anhaufung unterschiedlicher Fachbereiche und Berufsgruppen treten haftungsrelevante Problemzonen zunehmend in den Vordergrund. Gefragt ist nach der optimalen Organisation von arztlicher Handlung im Einvernehmen mit anderen Berufs- und Fachgruppen. Neben der arztlichen Handlung als Prozessparameter entstehen viele Konflikte aus strukturellen und organisatorischen Defiziten. Die ublichen gefahrentrachtigen Bereiche der Struktur, der Fortbildung, der Aufklarung, der Dokumentation, der Vertragsgestaltung und der Organisation werden aus der Sicht des Risikomanagers abgedeckt."

Gynaecological textbooks are divided into sections according to pathological diagnoses, not according to symptoms or symptom complexes. Students of gynaecology, because they initially acquire information from textbooks are conditioned by the organisation of these texts to think of gynaecology in terms of pathological entities rather than symptom complexes. Gynaecological patients, however, do not present complaining of endometriosis or endometrial malignancy or hypophyseal-ovarian dysfunction; rather, they present with symptoms such as 'pain low down in the tummy', 'bleeding from the front passage', or 'irregular periods'. This book attempts to help students of gynaecology (including everyone from students learning the subject for the first time, through family doctors, to doctors of all grades) to approach their patients as people as distinct from pathological entities, to listen to them, and to communicate with them. In order to help achieve this, the text is divided according to symptoms or related groups of symptoms. Within each division, pertinent questions are listed in the words that might be used in addressing a patient, followed by a key explaining the significance of the questions and a brief discussion of the problems under consideration. It is hoped that this apPfQach will facilitate the taking and interpretation of case histories, thus aiding differential diagnosis and clinical management, and will initiate the process of self-teaching. The book tries to emphasise that, especially in gynaecology, the same symptom (e. g. , heavy periods) may have a very different significance in different patients in terms of diagnosis and management.

Although the histological typing of ovarian tumours is the focus of this volume, other aspects of investigation of a specimen of ovarian tumour are also important. Some of these aspects are mentioned in the text or illustrated. They include tumour grading, which is impor- tantprognostically and therapeutically for certain types ofovarian tu- mour, quantification ofcomponents in mixed tumours and evaluation of the stroma of certain tumours that are associated with endocrine function. Grading methodologies have varied from one tumour type to another and from one group of investigators to another for the same type of tumour. Because a standard internationally recognized grading methodology has not been established, no specific guidance is presented in this volume. Nevertheless, grading by any generally acceptable method should be incorporated in the diagnosis whenever appropriate. The clinical and pathological classification of the extent of tu- mour growth (staging) should be taken into account for the purposes of treatment and prognosis. The TNlV1/FIGO system is therefore in- cluded (p. 45). Histological Classification of Ovarian Tumours 1 Surface Epithelial-Stromal Tumours 1. 1 Serous tumours 1. 1. 1 Benign 1 1. 1. 1. 1 Cystadenoma 8441/0 Papillary cystadenoma 8460/0 1. 1. 1. 2 Surface papilloma ...8461/0 1. 1. 1. 3 Adenofibroma; cystadenofibroma ...9014/0 1. 1. 2 Of borderline malignancy (of low malignant potential) 2 1. 1. 2. 1 Cystic tumour 8442/1 Papillary cystic tumour ...846211 Surface papillary tumour...8463/1 1. 1. 2. 2 1. 1. 2. 3 Adenofibroma; cystadenofibroma 9014/1 1. 1.

As more premature infants survive the immediate neonatal period and require prolonged periods of hospitalization, researchers in fetal development and infancy have begun to reassess the strategies for their care. In the past, the focus of neonatal intensive care was to sustain life, with little attention to the quality and implications of survival. Today, however, researchers and clinicians are seeking to enhance the development of these small infants by ameliorating the effects of extreme prematurity and the associated medical and surgical complications. This book reports the work of leading researchers who have begun to use a variety of developmental interventions in the management of small infants in neonatal intensive care units.

This text provides health care professionals dealing with obstretics and gynaecology with the essentials for meeting the nutritional needs of the patient group. It includes information related to changes in nutritional requirements with pregnancy and lactation, how to assess weight gain, suggestions to meet increased needs for specific nutrients important to the growth of a healthy child, and vitamin/mineral supplementation during preganacy and lactation. Practical suggestions are also given concerning breast feeding and for getting back into shape after delivery.

Many health problems are unique to, more common in, or more severe in women than men. This book examines the underpinnings of these gender differences. Sections deal with biological (hormonal, anatomic, immunologic, and pregnancy-related), social, behavioural/psychological, and lifestyle influences. Chapters are heavily referenced, packed full with data, and they provide methodological insights that will guide future women's health research.

Holistic pregnancy and childbirth.

Your month-by-month guide to the latest therapies, techniques, and natural approaches.

For the most rewarding path to a comfortable pregnancy, a shorter labor, and the joyful delivery of a healthy baby, turn to this wise and warm compendium of proven holistic advice.

Approved by an advisory board of leaders in obstetrics and holistic medicine, this comprehensive book helps you make the birthing experience the most fulfilling and beautiful of your life. Let the journey begin. Monitor your physical changes and your baby’s. Decide where you want to have your baby. Choose a holistic caregiver and prepare a birth plan. Design your optimum diet and personal exercise program. Discover today’s holistic techniques for bonding, postpartum recovery, breast-feeding, and much more, including:

• Acupuncture and acupressure • aromatherapy • Ayurvedic medicine
• Bach flower remedies • breathing techniques • botanical medicine
• Chiropractic • diet and nutrition • exercise • homeopathy
• Hydrotherapy • hypnosis • intimacy exercises • massage
• Meditation • osteopathy • qigong • traditional Chinese medicine
• Vitamin and mineral therapies • yoga

With the advent of Assisted Reproductive Technologies, our understanding of the reproductive system in both men and women has progressed in an exponential manner. Along with this increase in knowledge has emerged new and advanced laboratories performing unique techniques aimed at diagnosing and treating infertility problems. And as these laboratories expand, the need for properly trained technicians has also emerged. But while many ART labs are staffed with biologists well trained in reproductive research techniques, they lack the necessary skills to effectively manage these labs. The Handbook of the Assisted Reproduction Laboratory addresses many of the management issues and basic background information on reproductive biology and medicine needed by the technicians staffing and directing these ART labs. Internationally recognized experts in the field discuss various topics in this handbook, which: oReviews male and female reproductive systems and processes oDiscusses the clinical diagnosis and management of male and female infertility oProvides new information on the state-of-the-art techniques of egg and embryo culture, micromanipulation, and biopsy oPresents various aspects of quality control, quality assurance, and clinical laboratory management With its in-depth analysis of management issues, as well as basic background information on reproductive biology and medicine, the Handbook of the Assisted Reproduction Laboratory serves as an ideal guide for current investigation and as a stimulus for future developments in the field.

As many as one in ten women experience amenorrhea--the absence of menstrual function in women who have not yet reached menopause--in varying degrees of severity, at some point in their lives. This book offers women guidance and information about a subject that is often difficult to discuss.

As many as one in ten women experience amenorrhea--the absence of menstrual function in women who have not yet reached menopause--in varying degrees of severity, at some point in their lives. This book offers women guidance and information about a subject that is often difficult to discuss.

Das Buch richtet sich an Gynakologen, die in vertrauter Sprache und Form Antworten auf spezifische juristische Fragen und Probleme suchen. Die gemeinsame Erarbeitung durch einen Juristen und Gynakologen erlauben eine hohe Praxisrelevanz bei gleichzeitiger juristischer Genauigkeit. Typische Situationen und Probleme des gynakologischen Alltags in Klinik und Praxis werden juristisch durchleuchtet. Sofort umsetzbare Antworten werden erganzt durch Checklisten und Praxistipps. Zukunftige Entwicklungen wie der Einfluss des europaischen Rechts auf die tagliche Arbeit oder auch Netzstrukturen werden berucksichtigt. Ein detailliertes Stichwortverzeichnis erleichtert das Auffinden der entsprechenden Themen. Das Buch richtet sich an Gynakologen aber auch an Arzte in der gynakologischen Weiterbildung in Klinik, Praxis und Verwaltung, um insbesondere Unsicherheiten in Bezug auf juristische Fragen dieses Fachgebietes zu nehmen.

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Benedictin was prescribed to more than thirty-five million American women from its introduction in 1956 until 1983, when it was withdrawn from the market. The drug's manufacturer, Merrill Dow Pharmaceuticals, a major U.S. pharmaceutical firm, joined a list of other companies whose product liabilities would result in precedent-setting litigation. Before it was over, the Benedictin litigation would involve 2,000 claimants over a fifteen-year period. Michael D. Green offers a comprehensive overview of the Benedictin case and highlights many of the key issues in mass toxic substances litigation, comparing individual and collective forms of litigation, and illustrating the misunderstandings between scientists and lawyers about the role of science in providing evidence for the legal system.

A practical primer for physicians wanting to learn about simple and complex urodynamic testing. The clear, concise workbook structure allows for quick reference to multichannel urodynamic tracings and their interpretation. Brief but thorough discussion of the underlying theory and concepts behind urodynamic testing enable readers to gain a firm grasp of the implications of test results in individual patients. It provides an understanding of all the techniques used for the evaluation and treatment of the incontinent or lower urinary tract dysfunctional female patient, and also includes a quick reference guide to outpatient treatment. In contrast to other didactic texts, this book allows readers to initiate testing programs and will thus be of practical benefit to all those interested in improving patient care.

This volume is a practical guide for medical students during their clinical years, providing coverage of the common gynaecological conditions which will be most frequently encountered by the doctor in training. The text is designed to complement the practical experience gained by the student in the clinic, advocating a problem-solving patient-centred approach, and emphasizing the importance of clinical and communication skills.

This textbook provides a comprehensive review of gynecological imaging in infancy, childhood, and adolescence. Experts from the disciplines of pediatric radiology, gynecology, surgery, and endocrinology have come together to produce a textbook that, while written primarily from the perspective of the radiologist, will be of interest to all professionals involved in the management of these patients. The normal development of the female reproductive tract is described in detail through embryological development, normal childhood appearances, and puberty. Congenital abnormalities are addressed in chapters reviewing structural abnormalities of the reproductive tract and disorders of sex development. A symptoms- based approach is followed in chapters devoted to the assessment of the patient with gynecological pain and disorders of menstruation. Disorders of the breast and the imaging of patients with gynecological neoplasia are considered in dedicated chapters. The specialty of pediatric gynecology is evolving rapidly, drawing on the skills and expertise of professionals from a wide range of specialties. This textbook should prove valuable to all who are involved in this new field of medicine.

Male infertility is a clinician-orientied book aimed at the clinician dealing with the infertile couple because rational, effective management is only possible if the couple are considered together. The aim of the work is to provide advice to the clinician and to give reference to the underlying science. This will not only enable clinicians to understand the underlying science but will also give scientists an insight to clinical work. This blend of science and clinical work is reflected in the contributors who are experts drawn from both fields.

Preventing Misdiagnosis of Women is a crucial resource for all therapists who treat women. Not only will the information further the well-being of women clients, but it could literally save lives. Interesting, readable, and well-organized, this book belongs on the shelf next to the DSM-IV. The case examples will grip the reader whether professional or lay audience. --Natalie Porter, Ph.D., California School of Professional Psychology "I am greatly impressed with the book. It is a brand new idea, one that is long overdue." --Hannah Lerman, Ph.D., Clinical Psychologist, Los Angeles Some clients don't respond to a therapist's chosen treatment for a specific mental disorder. Could there be a physical disorder that is causing psychiatric symptoms? How can a therapist distinguish between similar psychiatric and physical disorders to arrive at the correct diagnosis, refer on, and/or suggest appropriate treatment? Preventing Misdiagnosis of Women gives the therapist the foundation for identifying those physiological disorders that may be at the root of the mental problems presented by women clients. Hyperthyroidism, for example, can result in depression and anxiety, and temporal lobe epilepsy can manifest itself with the same symptoms as bipolar disorder. This special guidebook sorts out potential mix-ups by providing detailed cases and illustrations, a quick reference table for checking symptoms, and a glossary. Making technical information clear and concise, the authors cover endocrinological--including thyroid, adrenal, pituitary, and parathyroid systems--and brain seizure problems as well as other diseases--such as multiple sclerosis, mitral heart valve prolapse, and lupus erythematosus. They offer a basic overview of the systems and organs involved and focus on how particular malfunctions can result in serious behavioral problems. A guide to providing the best and most effective care to women clients, Preventing Misdiagnosis of Women presents important information about assessment and interfacing with medical professionals. All mental health and helping professionals will find this book invaluable, as will students in clinical/counseling psychology, health psychology, social work, and gender studies. "This book is informative and interesting to read. This is a text that can be read more than once and be that much more helpful in subsequent readings. . . . Preventing Misdiagnosis of Women will certainly have an impact on feminist assessment, theory, and therapy. In a broader context, it provides a foundation to spawn research hypotheses on women's health and to reconnect the mind and body. Written accessibly even for reader without a background in physiological psychology, it fills a gap in the clinical and counseling literature. This text has far-reaching implications about the origin of psychiatric symptoms and possibly for explaining some differential rates in sex ratios for prevalence of certain psychologically based clinical syndromes. I found the text a humbling reminder of how easy it can be to miss the obvious and how easy it can be to attribute psychological explanations to symptom clusters one doesn't understand. This book could easily become a 'required' text for graduate students in mental health professions and mental health professionals. . . . This text will undoubtedly have an impact." --Maria P. P. Root, Ph.D., University of Washington "Preventing Misdiagnosis of Women is very good and will make an important contribution to the field. . . . The book's message--that it is critical that differential diagnosis include consideration of both psychiatric disorders--is convincing and important to emphasize to students in graduate programs." --Helene Jackson, Ph.D., The Columbia University School of Social Work

This book elucidates comprehensive, application-based knowledge in the field of human genetics from a scientific (Read) and clinical (Donnai) perspective. The respected authors, marvelous illustrations, the unique didactic structure and comprehension questions (with answers) have propelled this title on to the lists of numerous leading universities - including Harvard Medical School - in Britain and the USA. The editors of this licensed edition have adapted the translation to German circumstances and have added an additionalcase on sterility.

In this book Professor Dean-Jones gives a close analysis of theories concerning women's bodies in such authors as the Hippocratics and Aristotle. She demonstrates the centrality of menstruation in classical theories of female physiology, pathology, and reproduction, and suggests that this had both negative and positive repercussions in attitudes towards women's bodies in that society. In particular, she argues that many of the medical principles governing clinical practice on male patients derived from the observation that healthy women menstruate and women who are seriously ill tend not to. Many of the primary sources dealt with are not yet accessible in English, and to date research done on this material has appeared only in discrete articles, in several languages, and scattered in various publications. In addition to presenting many original theories, therefore, the book is important in assembling and presenting both original texts and the results of scholarly research on these texts in a way that is fully accessible to the non-specialist.

Clinical Obstetrics and Gynaecology provides a thorough overview of the essential topics that healthcare practitioners in the field need to know, with a focus on clinical practice. This highly regarded textbook provides comprehensive coverage of gynaecology, reproductive health, obstetrics and on-call for O&G. It has been thoroughly updated to incorporate significant developments in clinical care, including in prenatal diagnosis and screening, COVID-19 management, antenatal and postnatal care, and telemedicine abortion practices. With full colour illustrations, self-assessment questions and additional online material to reinforce learning, this is a valuable resource for medical students, junior doctors, midwives, nurses and for healthcare practitioners from other specialties seeking a broad-based grounding in O&G. Clear and concise to enhance learning Summary boxes, key points boxes, and high-quality anatomical illustrations make navigation easy Aligns with current guidelines and practice New OSCE practice cases and SBA questions Additional chapters online

Fibrin sealant is used for numerous indications in gynecology, especially for the McIndoe Operation and Cohn biopsy, the Marshall-Marchetti-Krantz-Hirsch-Stoll-Operation, urethrocysopexy, or in vitro fertilization for embryo transfer. The use of fibrin sealant in urology has also been extended, especially in operations of the spermatic cord, reconstruction of the urethra and closing of nephrotomies.