This book provides advice, guidance and sample questions for the new question format introduced for the March 2012 Part 1 MRCOG examination: single best answer questions (SBAs). Essential reading for all Part 1 MRCOG candidates, the book offers key insights into the new style of paper, including: * an introduction to SBAs and why they have been introduced * a guide to how to approach and answer SBAs * over 300 sample questions covering all domains and modules of the Part 1 curriculum * two sample SBA examination papers.

Dieses Buch ist die offiziell genehmigte, deutsche UEbersetzung des ACR BI-RADS (R)-Atlas in seiner funften Auflage. Der ACR BI-RADS (R)-Atlas ist ein qualitatssicherndes Werkzeug zur Standardisierung des Berichtswesens, der Unklarheiten in der Befundung der Mammadiagnostik wie auch bei den Vorschlagen zum weiteren Vorgehen verringern soll. Er macht die Ergebnisse von Instituten wie auch von einzelnen Befundern vergleichbarer und leichter kontrollierbar und verbessert somit die Versorgungsqualitat fur die Patientinnen. Inhalt: Der ACR BI-RADS (R)-Atlas umfasst das Spektrum der in der Praxis etablierten und wissenschaftlich fundierten Bildgebung der Mamma und besteht aus vier Teilen Mammografie, Sonographie der Mamma, Magnetresonanztomografie der Mamma sowie Nachkontrolle und Ergebnisuberwachung, in dem das klinisch relevante Audit und das erweiterte Audit der medizinischen Qualitatskontrolle erlautert werden. Nach einem jeweils einfuhrenden Kapitel zu den drei bildgebenden diagnostischen Methoden folgt ein Atlasteil mit klaren Angaben zu den diagnostischen Kriterien wie Form, Rand, Verkalkungen, Kriterien der Kontrastmittelaufnahme etc., die sich durch klare Definitionen und einheitliche Benennungen auszeichnen. Fur jedes Beschreibungskriterium wird hochqualitatives Bildmaterial gezeigt. Danach erlautert jeweils ein Kapitel, wie ein Befund erstellt werden sollte. Ziel ist es, anhand einer klaren und eindeutigen Diktion ohne adjektivische Ausschmuckungen die Malignitatswahrscheinlichkeit einer Veranderung einzustufen, die sog. Festlegungskategorien 0-6 nach BI-RADS (R), und auf dieser Grundlage ebenso klare Handlungsempfehlungen zur weiteren Aufarbeitung auszusprechen, die vom Vergleich mit Voraufnahmen uber weitere bildgebende Diagnostik bis zur Empfehlung der Gewebediagnose mittels Biopsie reichen. Eingehend werden die Unterschiede von Screening- und diagnostischen Kategorisierungen abgehandelt. Der Leser findet jeweils im Kapitel "Hilfestellung" praktischen Rat zur Anwendung der deskriptiven Terminologie der einzelnen Verfahren, zur richtigen Verwendung der BI-RADS (R) Kategorien und zur Konkordanz von Befund und Handlungsempfehlung, abgeschlossen durch ein Schlusskapitel mit haufig gestellten Fragen und den Antworten darauf. Am Ende der diagnostischen Kapitel stehen komprimierte Formblatter, die dem Leser als Vorlage zu seinem Befundungssystem dienen koennen. Damit geht dieses Buch weit uber den Rahmen eines Atlas hinaus, es ist eine grosse normative Hilfe fur alle Probleme der Screening- und der diagnostischen Bildgebung.

Reproductive Endocrinology and Infertility provides an overview of the most frequently encountered clinical challenges faced by medical students and residents. Part I begins with chapters on reproductive hormonal physiology and development to provide a basis for understanding the management of the most common reproductive clinical problems that confront obstetrician-gynecologists and other practitioners in women's health. Several of the chapters, including obesity, premenstrual syndrome, menopause and imaging, provide a cross-disciplinary approach to endocrine related problems common among reproductive aged women. Part II includes chapters on the evaluation of infertility, as well as surgical and medical approaches to treating infertility in men and women. The chapter on alternative medicine provides a basis for understanding the increasingly popular use of therapies such as acupuncture and herbal treatments. The last chapter discusses the influence of environmental factors on fertility, an important field that is often ignored in the traditional approach to infertility. This text is meant to be used as a portable reference with readily accessible information including a summary of key points in each chapter. All of the contributors are involved in residency training programs and understand the kinds of patient management questions that are encountered in a busy practice. Our goal with this book is to provide information that will support solid patient management and hopefully pique the appetite to learn more.

Preterm delivery is a major public health concern. Recent developments, such as the preventive use of progesterone, and new data on possible mechanisms of initiation of parturition, have placed the topic at the forefront of the interests and preoccupation of many in maternal-fetal medicine and obstetrics. This balanced, authoritative, and well-referenced work offers a rigorous underpinning of basic science, highlighted translational science sections, and evidence-based clinical guidelines.

Praise for the previous edition: this textbook is a useful resource for medical students it will provide them with the basic information they need to survive clinics and to pass exams Clear, concise and colourful; perfect for easy learning and revision Times Higher Education Obstetrics and Gynaecology by Impey and Child continues to be an invaluable and authoritative resource for healthcare and medical students. This comprehensive guide provides the perfect level of detail on history and examination, investigations and diagnosis, as well as common diseases, abnormalities, and complications in gynaecology and obstetrics. Fully updated in accordance with NICE and other national guidelines, this fifth edition now includes: * New sections on FGM and influenza * Expanded areas in medical disorders in pregnancy and mental illness * Improvements to the popular management section along with a new section on sepsis * Colour coded sections on obstetrics and gynaecology for ease of use This new edition of Obstetrics and Gynaecology will be an indispensable support to help not only students to revise for exams, especially OSCEs, but also healthcare practitioners and practising doctors to structure their knowledge and improve their practice.

In January 1979, Robert Edwards and Patrick Steptoe delivered a lecture detailing the ten-year clinical and scientific research programme that led to the birth of Louise Brown, the first baby born utilising IVF. This thoroughly-researched book provides both a full annotated transcript of the lecture as well as recorded reminiscences from those who attended, detailing the contemporary understandings of the event. An essay on the lecture's historical context adds fresh insight into the biographies of Edwards and Steptoe and highlights sources from print and broadcast media that have received scant attention in earlier publications. Current and future implications of the advances in IVF since the first procedure are also explored, examining future medical and scientific possibilities as well as ethical issues that may arise. A foreword by Louise Brown herself places this remarkable leap of science in a personal context, one that so many families have since experienced themselves.

In the last 15 years, fertility treatment has become mainstream medical practice. With this evolution has come a change in focus from effectiveness ('success rates') to safety, patient acceptability and ethical questions. It is recognized that effectiveness also depends crucially on safety and good risk management. The purpose of this book is to address this wider change in focus. Reducing Risk in Fertility Treatment examines risk in assisted conception, covering a wide range of topics and areas. 'Risk' refers to situations in which an outcome of value to people is uncertain. Specifically for the purpose of this book, 'Risk' means situations where patients or professionals or society as a whole is at risk of an adverse outcome in relation to fertility treatment. It therefore encompasses clinical complications, risks inherent in laboratory practice, reputational and business risks to clinics and ethical risks to society as a whole. It will be an essential resource for all clinic staff to consult in reducing the risk associated with their work. It will provide practical resources such as 'how to' guides, but also a theoretical discussion of uncertainty where this exists. The book is primarily directed to practitioners in the area of fertility treatment, namely clinicians, embryologists, nurses, counsellors and administrators. However, it is likely also to be relevant to policy-makers, commissioners of health services, researchers in this field and biomedical ethicists.

This work features a Foreword by David Taylor, Vice Dean, Leicester Medical School. "This book is the first to assist students with a new format of testing knowledge and clinical skills, i.e., the extended matching question. I am delighted my colleagues here in Leicester, where undergraduate education is given the very highest priority, have found the time and energy to write this book. This book comprehensively tests a whole range of obstetrics and gynaecology and I congratulate them for it." - David Taylor, in the Foreword. This revision aid in Obstetrics and Gynaecology is based on the Extended Matching Question format (EMQ). It contains over 200 patient vignettes arranged in topic areas covering a broad range of themes and degrees of difficulty. It provides test EMQs and detailed answers at the completion of each section. "EMQs in Obstetrics and Gynaecology" is an indispensable study and revision aid for undergraduate medical students preparing for in-course assessment in obstetrics and gynaecology as well as final exams. It also provides a vital review for specialist trainees in obstetrics and gynaecology preparing to take postgraduate exams.

'Breast is best' is today's prevailing mantra. However, women - particularly first-time mothers - frequently feel unsupported when they come to feed their baby. This new experience often takes place in the impersonal and medicalized surroundings of a hospital maternity ward where women are 'seen to' by overworked midwives. Using a UK-based ethnographic study and interview material, this book provides a new, radical and critical perspective on the ways in which women experience breastfeeding in hospitals. It highlights that, in spite of heavy promotion of breastfeeding, there is often a lack of support for women who begin to breastfeed in hospitals, thus challenging the current system of postnatal care within a culture in which neither service-user nor provider feel satisfied. Incorporating recommendations for policy and practice on infant feeding, Breastfeeding in Hospital is highly relevant to health professionals and breastfeeding supporters as well as to students in health and social care, medical anthropology and medical sociology, as it explores practice issues while contextualising them within a broad social, political and economic context.

Practical, up-to-date, and ready-to-apply coverage of more than 1,000 diseases and disorders CURRENT Diagnosis & Treatment Obstetrics & Gynecology, Twelfth Edition is a concise, yet comprehensive textbook on the medical and surgical management of obstetrics and gynecology. It succinctly covers more than 1,000 diseases and disorders, the latest screening guidelines, and underlying pathophysiology when relevant. The twelfth edition is enriched by contributions from more than 85 world-renowned contributors *NEW CHAPTERS: Cardiac Disorders in Pregnancy, Pulmonary Disorders in Pregnancy, Benign Disorders of the Uterine Corpus and Endometrium; ALL CHAPTERS UPDATED to better adhere to the acclaimed CURRENT format*Thoroughly reviews all of obstetrics and gynecology*Focuses on the practical aspects of clinical diagnosis and patient management *Covers pathophysiology when relevant to diagnosis and treatment*Emphasizes disease prevention and evidence-based medicine*Includes more than 500 anatomic drawings, image studies, and diagrams*Completely updated to reflect the latest research and advances*Consistent presentation includes Clinical Findings, Diagnosis, Treatment, and Complications and Prognosis*Quick-access design facilitates use at the point of care*Updated to include the latest screening and management guidelines

This source is an excellent introduction for the medical student, intern, resident, and private practitioner trying to learn a new Ob/Gyn procedure. The sections on important procedures teach how to perform the surgery and how it needs to be transcribed for the medical record. This revised, up-to-date guide will be essential for Ob/Gyn surgeons for performing common, uncommon, and new surgical procedures.