This study brings together two important literatures together in the one volume. One concerns the role of quality assessments in social policy, especially health policy. The second concerns ethical and social issues raised by prenatal testing for disability. Hitherto, these two literatures have had little contact with each other: few scholars have written about both, or have compared the two domains in a systematic way, while people with disabilities and disability scholars are underrepresented in recent discussion on health policy and quality of assessment. This book turns the perspectives of disability scholars on issues that have largely been the province of health methodology, policy and philosophy, while angling philosophical policy analysis on problems that have largely been the province of disability scholarship. This volume will be sought after by bioethicists, philosophers, and specialists in disability studies and healthcare economics.

Dieses Buch richtet sich an alle onkologisch tatigen Arzte, die mit (moglichen) Knochenmetastasen ihrer Patienten konfrontiert sind.

Es bietet eine komprimierte interdisziplinare Ubersicht zu allen Fragen der Knochenmetastasierung, beginnend bei Pathophysiologie mit aktuellen Forschungsergebnissen uber die Diagnostik bis hin zu verschiedenen Formen der Therapie: Bestrahlung Behandlung mit RadionukleotidenOperative und minimalinvasiv-operative TherapieBehandlung mit Antiresorptiva

Die Zusammenstellung der aktuell gangigen Behandlungsoptionen von Knochenmetastasen berucksichtigt vor allem die Tumoren, bei denen die ossaren Metastasen haufig auftreten, wie z.B. bei gynakologischen und urologischen Karzinomen.

PLUS: Schmerzmanagement von ossaren Metastasen."

Few specialties have a longer or richer eponymous background than obstetrics and gynaecology. Eponyms add a human side to an increasingly technical profession and represent the historic tradition and language of the speciality. This collection aims to perpetuate the names and contributions of pioneers and offer introductory profiles to the founders in whose steps we follow. This third edition includes 26 new entries, as well as expanded detail, illustration and quotation for existing entries. Biographical data and historical and medical context are discussed for each of the 391 names, with reference to 34 countries, reflecting the field's far reaching origins. More than 1700 original references feature, alongside an extensive bibliography of more than 2500 linked references to assist readers searching for more detailed information. This is a volume for physicians, midwives, medical historians, medical ethicists and all those interested in the history and evolution of obstetrical and gynaecological treatment.

Aus dem Inhalt: Endokrine Kontrolle der Ovarialfunktion; Endokrinologische Stoerungen und weibliche Sterilitat; Diagnostik und Therapie des polyzystischen Ovarsyndroms; Corpus-luteum-Funktion; Therapie der hypothalamischen Amenorrhoe durch pulsatile Gabe von GnRH; Ovarielle Stimulation - Moeglichkeiten und Komplikationen; Entwicklung und Anwendung der GnRH-Analoga in der Sterilitatstherapie; Ultraschall in der Reproduktionsmedizin; Endoskopie in der Sterilitatsdiagnostik; Mikrochirurgische Techniken in der rekonstruktiven Tubenchirurgie; Immunologische Aspekte in der Reproduktionsmedizin; Ehesterilitat und Reproduktionsmedizin - psychosomatische Aspekte; Einfluss von Umweltfaktoren auf die Fruchtbarkeit der Frau; Physiologie der Befruchtung; In-vitro-Fertilisation; Embryotransfer - Probleme und Perspektiven; Schwangerschaft und Geburt nach Sterilitatsbehandlung; Andrologischer Patient in gynakologischer Praxis; Grundlagen der Inseminationsbehandlung; ICSI; Behandlung der mannlichen Subfertilitat; Genetik in der Andrologie; Kryokonservierung menschlischer Eizellen; Praimplantationsdiagnostik; Juristische Aspekte der Reproduktionsmedizin.

Professor William Nixon directed the obstetric unit at University College Hospital, London from 1946 to 1966. These were innovative times in obstetrics and gynaecology, with Nixon one of the more recognized innovators. Much that is now accepted as normal good practice was pioneered by Nixon, and today's management of pregnant women and their babies stems from his work. His principal aim was to change the art of midwifery into the science of obstetrics; he appointed women doctors when they were still frowned upon in many hospitals; and he was adamant about the right of a woman to terminate her pregnancy if that was the right thing for her and her child. This is a fascinating glimpse into the life of an innovating clinician who did so much to improve the lives of women, and will be of interest to everyone involved in women's health and childbirth.

Ian Donald was a controversial character who was revolutionary in many aspects of obstetric practice. An inspirational teacher and a caring clinician, his greatest contribution to his profession was in medical ultrasound. 'If you seek his memorial, look around you - and in every maternity hospital you will see ultrasound in use.' In this book, the journey from the initial experiments with early 'flaw detectors', through to Ian's single-minded determination to develop the technique into a useful diagnostic tool (resulting in his eventual success) is described both in his own words and from the memories of the authors, who were intimately involved in the process.

This book is a practical guide for medical practitioners as they navigate through breastfeeding problems that occur in day-to-day practice. If mothers have a breastfeeding complication they are often directed to their GP. In complex situations, medical staff will be making decisions around what treatment plan to follow and whether a mother can keep breastfeeding. In recent years there has been growing evidence that medical professionals often advise mothers to stop breastfeeding while undergoing treatment, when in reality this was not a necessary step. In a time when breastfeeding rates are decreasing, it is important that medical professionals give accurate advice and support a mother's choice to breastfeed if the situation allows it. A Guide to Supporting Breastfeeding for the Medical Profession includes contributions from a wide range of medical professionals and each chapter is written with the practitioner in mind. Contributors include GPs, paediatricians, neonatologists, lactation specialists and midwives. Doctors have a vital role to play in supporting and facilitating breastfeeding, and without the appropriate knowledge they can often inadvertently sabotage it. This book will be of interest to GPs and paediatricians as well as nurse prescribers, midwives and health visitors.

Designed for all providers of women's healthcare - including those undertaking Maintenance of Certification programs, trainees preparing for postgraduate examinations, and those initiating or growing a program of quality improvement and patient safety - this practical manual guides those implementing QI and safety programs with specific emphasis on Obstetrics and Gynecology practice. The content contains a strong case-based element to improve accessibility and understanding. An introductory section covers core attributes needed by all physicians to build a culture of patient safety, including leadership, communication and QI skills. Core clinical skills are then reviewed - in a variety of labor ward, office, operating room, and outpatient settings. Finally systems implications are highlighted, including information transparency and disclosure, training programs, and regulatory and legal implications. The editors are involved with national and international initiatives educating physicians in safety aspects of practice. The book is published in collaboration with the Foundation for EXXcellence.

More than 28 million Americans suffer from migraine headaches, with migraine affecting nearly one in five women in their reproductive years. "Effective Migraine Treatment in Pregnant and Lactating Women: A Practical Guide," provides a comprehensive resource to address diagnosis, testing, and treatment of headaches in reproductively fertile women. This important new book offers a wealth of practical, ready-to-use, clinically tested tips and recommendations to treat women with headaches during pregnancy and nursing. Although women may ideally prefer to restrict migraine treatments during pregnancy, up to one in three pregnant women self-medicate for symptoms, especially with analgesics. Fortunately, there are many effective treatment options that can be safely used when pregnant and breastfeeding. Available therapies include medication and nonmedication treatments, traditional and alternative therapies, and nutritional supplements.

This book uniquely answers frequently asked questions by patients and offers healthcare providers easy-to-use office tools for patient education and charting documentation. The authors of this important new work have collaborated to provide a resource that will help clinicians provide women with the tools and knowledge to become empowered and to gain control over their migraines when trying to conceive, during pregnancy, and when nursing.

Most women initially discuss health-related matters with a medical practitioner in a primary care setting, whether they have specific concerns or are seeking advice and guidance. This practical and comprehensive guide will help primary care practitioners to deliver holistic women's health care to patients throughout different life stages. Contraceptive choices, infertility, pregnancy, and menopause are covered, along with specific diseases such as ovarian cysts, breast conditions, and ovarian cancer. All of the authors are GPs, consultants and nurses with experience of the requirements for healthcare delivery in the primary care setting. Each chapter is written in a practical style, including a list of key points and using cases to illustrate the application of the content. This will be invaluable reading for GPs, doctors in training roles, and nurses with an interest in women's health. It will be particularly useful for candidates preparing for the DRCOG or MRCGP examinations.

Before Roe v. Wade, somewhere between one and two million illegal abortions were performed every year in the United States. Illegal abortion affected millions of women and their families, yet their stories remain hidden. In Creating Choice, citizens of one community in Western Massachusetts' Pioneer Valley break that silence. Doctors, clergy, and members of feminist women's collectives in the Pioneer Valley provided access to birth control (illegal in the state for single women until 1972) and abortions. Their work was done in defiance of the law, sometimes in secret, but often surprisingly openly. These activists felt they had no choice but to defy the laws and often met with support from surprising places, like university administrators, church officials, and the local police department. In Creating Choice, you'll meet a college chaplain moved to break the law after one of his students died of a back alley abortion and another hung herself; you'll meet a waitress who performed over 1,500 illegal abortions in her pink bathtub; and you'll meet the women themselves who risked their very lives.

Advances in molecular and genetics based diagnostics are driving an increased interest in cytopathology as cytological specimens are the ideal substrate for this new technology. This book fulfills the need for an easy-to-use and authoritative synopsis of breast cytopathology. The volume fits into the lab coat pocket and is ideal for portability and quick reference. Each volume in the series is heavily illustrated with a full color art program, while the text follows a user-friendly outline format.

In kurzer und prAgnanter Form wird die Vielzahl der gutartigen und bAsartigen Tumoren der weiblichen BrustdrA1/4se in Form von Fallbeispielen dargestellt. Der histologische Befund wird den Ultraschallbildern mit den entsprechenden Beurteilungskriterien gegenA1/4bergestellt.

This book empowers the obstetrician-gynecologist to play a key coordinating role, and to communicate effectively with all parties and health workers involved in psychological care. It provides information not typically covered by their training: communication skills, coping and adjustment in pregnancy, and communicating with cancer patients. Easy-to-read with stand-alone chapters, this book covers key aspects of OB/GYN, and addresses areas not covered elsewhere. The book offers topics in psychological care to trainees and specialists in O & G, helps them understand the emotional problems their patients face, and shows them how to undertake psychological care.

This volume brings together an unusually broad range of experts from reproductive medicine, medical ethics, and law to address the important ethical problems in maternal-fetal medicine which impact directly on clinical practice. The book is divided into parts by the stages of pregnancy, within which the authors cover four main areas: the balance of power in the doctor-patient relationship and the justifiable limits of paternalism and autonomy; the impact of new technologies and new diseases; disability and enhancement; and difference--to what extent should the clinician respect the tenets of other faiths in a multicultural society.

The effective prevention, diagnosis, and management of alloimmune cytopenias has become a team effort involving hematologists, obstetricians, pediatricians, immunologists, laboratory technicians, midwives, and research scientists. This book has been written by experts in their respective fields to bring together the issues of pathogenesis, epidemiology, prevention, diagnosis, and clinical management. This comprehensive but accessible account is extensively cross-referenced to emphasize the links between pathogenesis and clinical sequels, between epidemiology and the rationale for screening programs, and between diagnosis and therapeutic intervention.

Each of the 6 units of PROLOG addresses a major area in obstetrics and gynecology and consists of two parts - an assessment book and a critique book. Put your knowledge to the test and earn 25 CME credits for this volume! The obstetrician-gynecologist who completes Obstetrics, Eighth Edition, should be able to: Demonstrate an understanding of maternal and fetal physiology and pathophysiology and their impact on normal and complicated pregnancies. Identify components of antepartum care that optimize maternal and perinatal outcomes in uncomplicated pregnancies, including education regarding normal pregnancy. Diagnose and plan efficacious and cost-effective management of medical and obstetric conditions encountered during the antepartum period. Identify the risks and prognosis of selected complications of pregnancy and in the neonate. Describe invasive and noninvasive methods of fetal assessment in the antepartum period and identify the risks, indications, predictive value, and physiologic basis for tests. Diagnose problems and manage obstetric emergencies.Select appropriate management strategies for intrapartum care and delivery Consider medical-legal principles, risk management and office management guidelines in obstetric practice.

The fetus occupies a critical phase during human development. It is at this stage when the body systems that will support us throughout our lives begin to face up to the challenge of life outside the womb. While the fetus can demonstrate a remarkably robust response to challenges in the uterus, it is also an exquisitely sensitive phase of development. It is now well recognized that disturbances to the materno-fetal environment can influence and even undermine our state of health well into adulthood. This exciting new publication provides a valuable insight into fetal growth and development across all the main body systems, and examines the influence of the materno-fetal environment on adult-onset diseases. This text contains additional chapters on the embryo, placenta, and parturition, to insure that this is a fully self-contained introduction. This book is written by world-renowned experts from leading centers of excellence and will be an invaluable introduction for students of medicine, reproductive biology, and human biology.

This book offers an approachable, in-depth reference on the core topics in urogynecology and female pelvic health - incontinence, pelvic prolapse, pelvic pain and sexual dysfunction - specifically tailored to clinicians without formal surgical or specialty training. Each aspect of diagnosis and treatment is presented in a clear and simple style, introducing streamlined strategies that can be implemented in any primary care setting. Original illustrations, key points at the end of each chapter, and 'clinical pearls' from experts in the field all help to make this the most practical and user-friendly guide available.

This book provides a comprehensive review of the evidence concerning pessaries and the practicalities of using them. It is a valuable resource for health care practitioners treating patients with incontinence and prolapse. It includes a brief history of pessaries and provides profiles of the inventors of some of the more commonly used pessaries, along with a description of their original purposes. There are illustrations to guide selection, fitting and care, as well as providing materials which can be photocopied and handed out to patients. This work is an essential handbook for all urogynecologists, urologists, gynecologists, family physicians and specialty nurses.

Angst vor dem ersten Patientenkontakt? - Das muss nicht sein

In diesem praktischen Taschenbuch finden sich die gangigen Anamnese- und Untersuchungstechniken fur die orientierende klinische Untersuchung und im zweiten Teil auch die jeweiligen speziellen Techniken fur alle klinischen Facher in leicht verstandlicher und ubersichtlicher Darstellung.

Zu jeder klinischen Untersuchungstechnik gehort eine tabellarische Darstellung der moglichen Befunde und in Frage kommenden Differentialdiagnosen. Die Diagnosen sind nach ihrer Bedeutung fur die klinische Praxis gewichtet.

Anamnese, Untersuchung, Diagnose KOMPAKT - Diagnosestellung leicht gemacht fur Praktikum, Famulatur und PJ "

Prominent scientists from perinatal medicine, paediatrics, psychology and sociology will meet in Modena, Italy to explore birth as a complex psychological experience for mother, father and child. The proceedings of this interdisciplinary congress are here published in English to reach the broadest possible scientific audience. The goal is to create a dialogue between humanistic and medical perspectives with regard to conception, pregnancy and birth in an era of rapid biotechnological progress, taking different social and cultural contexts into account.

This book presents the aspects of the new German directives on human genetic testing that are relevant to gynecological practice. An important new element is the recent development of non-invasive prenatal genetic diagnostic testing using maternal blood, which are available in Germany since June 2012.