Doppler ultrasound is a hot topic at the present time. This is because studies of the uteroplacental and fetal circulation give fundamental information as to the physiology or pathology of placental function and the response of the fetal circulation to hypoxaemia. Dr. Arabin's clinical studies which are described in this book are an important contribution to knowledge in this field and will be of enormous interest not only to researches but also to clini cians interested in learning how this latest technology can be integrated into their clinical practice. London STUART CAMPBELL Foreword Although only three decades old, the field of perinatal medicine is marked by continuous new advances. Ultrasound diagnostic techniques comprise an important element of this new field. Dr. Arabin has taken the initiative to investigate the functional-diagnostic aspects of ultrasound. Among other things, she has further developed and refined the concept of "oxygen-con serving adaptation of fetal circulation" which originated in the Department of Obstetrics and Gynecology at the Neukolln Hospital Center in 1966. She thus has been able to show that the most reliable Doppler blood flow meas urement predictors of a high risk to the fetus are (1) a decrease in the flow volume of the descending thoracic aorta and the umbilical artery and (2) an increase in the flow volume of the common carotid arteries."

Postnatal PTSD, often referred to as birth trauma, is an underdiagnosed and misunderstood condition. Often mistaken for postnatal depression and with 4% of women developing the condition after giving birth, it is essential that health professionals learn to recognise and prevent postnatal PTSD. The book supports professionals to better understand, recognise, treat and help prevent birth trauma. It covers the impact of postnatal PTSD on bonding and relationships, birth trauma in Black, Asian and minority ethnic communities, how to support women having another baby and more. An accessible guide to supporting parents with postnatal PTSD, this book is essential reading for healthcare professionals and those involved with the birthing process.

Global and national confidential inquiry reports show that 60 to 80% of maternal and neonatal morbidity and mortality are due to avoidable errors. This comprehensive and illustrated second edition offers a practical guide to the management of obstetric, medical, surgical, anaesthetic and newborn emergencies in addition to organisational and training issues. The book is divided conveniently into nine sections and updated throughout in line with modern research and practice. Several new chapters cover setting up skills and drills training in maternity services to reduce avoidable harm, managing obstetric emergencies during 'home births' and in low-risk midwifery units, and minimizing maternal and fetal morbidity in failed operative vaginal delivery. Each chapter includes a practical algorithm for quick reference, the scientific basis for proposed actions, a case-based practical exercise and useful learning tools such as 'Key Pearls' and 'Key Pitfalls'. An invaluable resource for obstetricians, neonatologists, midwives, medical students, anesthesiologists and the wider perinatal team.

The number of diabetics in the elderly population is increasing rapidly, not merely because of the increasing size of the elderly population itself. In elderly people diabetes is often poorly diagnosed and occurs as a consequence of, or in addition to, some other condition. Although diabetes may manifest itself less dramatically in the elderly there is evidence to suggest that diabetes-related complications do arise more rapidly in this group. It is therefore extremely important that doctors and health professionals can spot the symptoms of diabetes at an early stage. This book provides a concise description of diabetes in the elderly as well as discussing related complications and should be useful to all health workers dealing with elderly people.;This book should be of interest to all health professionals working with elderly people.

During the past 20 years, endometrial carcinoma has continued to increase in frequency and it is quite possible that this carcinoma will become the major gynecologic malignancy in the future. For many years, endometrial carcinoma was considered less malignant than other gynecologic malignancies, simple hysterectomy and bil ateral salpingo-oophorectomy or surgery combined with radiation being effective in certain circumstances. It is unfortunate to note that the global 5-year survival rate for patients with advanced or recurrent endometrial carcinoma has improved only slightly. Therefore any complacency regarding this 'benign malignancy' should be reconsidered. There is a growing awareness of the nature of end ometrial carcinoma, with advances in our knowledge ranging from its etiology through its epidemiology to its clinical findings. This volume has been designed to fill a hiatus in the literature in China. To achieve this aim, we have attempted to review the world-wide advances on endometrial carcinoma and summarize systematically and comprehensively this common gynecologic malig nancy, including the clinical experiences gathered at the Cancer Institute (Hospital) of the Chinese Academy of Medical Sciences since 1958 as well as a brief description of the psychological problems in patients with gyneco logic cancers."

This book explores theologically the practice of hospital chaplains seeking to meet the spiritual needs of parents bereaved by baby death in-utero. The lived experience of bereaved parents, gathered through a series of in-depth interviews, informs such an exploration. Parents describe the trauma of late miscarriage and stillbirth as still being shrouded by silence, myth and misunderstanding in contemporary society. Up-to-date theoretical understandings of grief are also re-examined in light of parents' stories of living with baby death. This book offers suggestions as to how the actual spiritual needs of parents may be met and their grief sensitively facilitated through the sharing of rituals co-constructed by parents and chaplain which seek to have theological integrity yet be relevant in our postomodern age. In our prevalent culture of caring, where increasingly ongoing professional and personal development are regarded as normative, recommendations are made which may aid reflection on current, or shape future, practice for chaplains, pastors, students and various healthcare professionals.

Probleme bzw. Funktionsstorungen im Blasen- und Beckenbodenbereich sind weit verbreitet. Sie reichen von ungewolltem Urinverlust, Blasenentleerungsstorungen bis hin zu Schmerzen in kleinem Becken und Kreuz.

Die Integraltheorie, abweichend von traditionellen Lehrmeinungen, berucksichtigt gesamtheitlich alle beteiligten Strukturen des Beckenbodens und setzt sie in Beziehung zu deren Funktionen. Sie fusst auf dem Gedanken Rekonstruktion der Form und Struktur ermoglicht die Wiederherstellung der Funktion." Fur das Verstandnis der dahinterstehenden Theorie sind anatomische und physiologische Grundlagen aus spezieller integraltheoretischer Sicht bedeutungsvoll.

Die Autoren des Buches, Begrunder der Integraltheorie, fuhren in leicht verstandlicher Weise durch funktionelle Anatomie, Physiologie und Pathophysiologie. Physikalische Begriffe sowie die nuchterne Theorie werden vereinfacht und einleuchtend erklart. Kenntnisreich und detailliert erlautern sie die praktische Anwendung in Diagnostik und rekonstruktiver Beckenbodenchirurgie.

Mit uber 300 farbigen Abbildungen, die den Text hervorragend erganzen."

Ein Screening auf angeborene endokrine und metabole Stoerungen ermoeglicht die Fruherkennung von Krankheiten wie Hypothyreose, AGS (adrenogenitales Syndrom), Phenylketonurie, Galaktosamie, Biotinidasemangel, Cystische Fibrose oder Homocystinurie. Je nach Land und politischen Bestimmungen unterscheiden sich jedoch die routinemassig durchgefuhrten Untersuchungen. Dieses Handbuch beschreibt praxisbezogen die biochemischen Grundlagen, die Grundsatze der Labor- und Bestatigungsdiagnostik sowie Therapiemoeglichkeiten zu insgesamt zwoelf Krankheiten. Daruber hinaus werden praanalytische Fragen, wie Zeitpunkt und Art der Blutentnahme oder moegliche Stoerfaktoren, umfassend behandelt. Der allgemeine Teil geht auf ethische und psychosoziale Aspekte des Screenings ein. Ein Verzeichnis der Screeningzentren und jener Labors, die fur die Bestatigungsdiagnostik Dienste anbieten, sowie ein Adressenverzeichnis von Elterngruppen und Informationsquellen im Internet komplettieren dieses Buch.

The Project on Reproductive Laws for the 1990s began in 1985 with the realization that reports of scientific developments and new technologies were stimulating debates and discussions among bioethicists and policymakers, and that women had little part in those discussions either as participants or as a group with interests to be considered. With the help of a planning grant from the Rutgers University Institute for Research on Women, the Women's Rights Litigation Clinic at Rutgers University Law School-Newark held a planning meeting that June attended by approximately 20 theorists and activists in the area of reproductive rights. Project purposes, methods, and general shape took form at the meeting. Two goals have characterized the Project's work since then: first, to generate discussion, debate, and, where possible, consensus among those committed to reproductive autonomy and gender equality as to how best to respond to the questions raised by re ported advances in reproductive and neonatal technology and new modes of reproduction; and second, to ensure that those shaping reproductive law and policy appreciate the ramifications of these developments for gender equality. In meeting this twofold agenda, the Project focused on six areas: time limits on abortion; prenatal screening; fetus as patient; reproductive hazards in the workplace; interference with reproductive choice; and alternative modes of reproduction. The Project identified individuals to take respon sibility for drafting model legislation and position papers in the six areas (for the drafters, see the Appendix)."

This book records the proceedings of the 5th International Symposium on cancer topics organised in collaboration with the Association for International Cancer Research, a cancer charity based in the United Kingdom. The Symposium was held at the Klinikum Steglitz, Free University of West Berlin, Germany, between 1 and 3 October 1987. The Organising and Scientific Committees are deeply grateful to the President of the Free University, Professor Heckelmann, for allowing us to meet in the Klinikum Steglitz and for the University's generous financial support. It was a special pleasure to have a positive and generous input from the West Berlin Senate. Their support was crucial in making the Symposium a scientific success. The Symposium received financial support from a number of sponsors, and we are indeed happy to acknowledge our gratitude to them: Behringwerke AG, Bert- hold AG, Boehringer Mannheim GmbH, the British Council, Deutsche Abbott GmbH, Deutsche Bank AG, Du Pont De Nemours GmbH, Knoll AG, Krewel- werke GmbH, Nunc GmbH, Schering AG, Schwarz GmbH and Varian GmbH. The Symposium was the most ambitious so far mounted by the Association for International Cancer Research. The organisation and planning were carried through by an Organising Committee including Professor J. Hammerstein, Profes- sor K. D. Asmus, Barbara Steiger and Renate Nigam. The Scientific Committee included Dr. D. C. H. McBrien, Professor T. Dormandy, Professor K. R. Rees, Pro- fessor M. U. Dianzani and Professor H. Esterbauer. We thank these colleagues very much for their dedication, hard work and expert input.

The decision to write this book was taken by a group of practising speech therapists who worked with bilingually language handi capped children in the UK. They formed a professional interest group called the Specific Interest Group in Bilingualism because of the need felt by speech therapists to have some forum for discuss ing the challenges posed by the assessment and treatment of the bilingually language handicapped. In these regular discussion groups it became clear that similar experiences were encountered by all speech therapists working with these client populations up and down the country. They centred on managing the linguistic diversity, the need for develop mental language information, the need for appropriate assessment protocols, the recruitment of bilingual staff and appreciating the positive perspective of working in this field. In the UK the range of languages is extensive. Italian, Spanish, Portuguese, Greek, Turkish, Polish, Ukranian, Hong Kong Chinese, Vietnamese Chinese, Creole, Black English, Bengali, Gujerati and Panjabi cover the main ethnolinguistic groups. In the 1987 ILEA language census over 140 languages were recorded as being spoken in London."

This extensively updated new edition provides an indispensable account of modern in-vitro fertilization practice, building upon the popularity of previous editions. The authors initially give a comprehensive review of the biology of human gametes and embryos, before outlining basic to advanced IVF techniques. New developments in practical techniques and understanding are discussed, including in-vitro maturation, vitrification, preservation of fertility for cancer patients, stem cell technology, preimplantation genetic testing, and the role of epigenetics and imprinting. The revised introduction also incorporates a 'refresher' study review of fundamental principles of cell and molecular biology, now updated with current knowledge of meiosis in human oocytes, embryo metabolism and basic principles of genome editing. With high-quality illustrations and extensive, up-to-date reading lists, it is a must-have textbook for trainee and practising embryologists, as well as clinicians who are interested in the scientific principles that underpin successful IVF.

Ihaltsverzeichnis.- I Allgemeiner Teil.- 1 Psychische Unterstutzung und Selbsthilfegruppen.- 1.1 Psychischer Unterstutzungsbedarf.- 1.1.1 Angst.- 1.1.2 Depressionen.- 1.1.3 Psychosoziale Betreuung.- 1.1.4 Sexualberatung.- 1.1.5 Beeinflussung des Tumorleidens durch Psychotherapie.- 1.1.6 Fatigue.- 1.1.7 Aufklarung.- 1.1.8 Aufgaben der Rehabilitationsklinik und des Rehateams.- 1.1.9 Aufgaben der Seelsorge.- 1.1.10 Angehoerige und Angehoerigenbetreuung.- 1.1.11 Vorsorgevollmacht - Patientenverfugung.- 1.1.12 Gesundheitstraining.- 1.1.13 Assessment, Verlaufsbeurteilung und Evaluation.- 1.2 Selbsthilfegruppen.- Literatur.- Internet.- 2 Soziale Hilfen.- 2.1 Hilfen von Beratungs- und Betreuungsinstitutionen.- 2.2 Hilfen und Beratungsangebote durch die gesetzlichen Krankenkassen.- 2.3 Anspruch auf Leistungen der Pflegeversicherungen.- 2.4 Beratungsstellen fur Krebsbetroffene.- 2.5 Nachteilsausgleiche, Vergunstigungen fur Schwerbehinderte.- 2.6 Eigenleistungen des Patienten, Zuzahlungen.- 2.7 Hartefallbestimmungen, Sonderfallregelungen, unzumutbare finanzielle Belastungen bzw. Wegfall von Zuzahlungen.- 2.8 Lebensversicherung.- 2.9 Voraussetzungen zur Durchfuhrung von Rehamassnahmen.- 2.10 Koordination und zeitlicher Ablauf der Rehabilitationsmassnahmen.- 2.11 Stationare Rehabilitationsmassnahmen, Anschlussheilbehandlungen und Kuren.- 2.12 Teilstationare Rehabilitationsmassnahmen/ambulante Rehabilitationsmassnahmen.- 2.13 Zugangswege zur Rehabilitation.- 2.14 Stationare und ambulante Hospiz- und Palliativdienste.- 2.15 Assessment.- 2.16 Qualitatssicherung.- 2.17 Wichtige Adressen.- Literatur.- 3 Berufliche Hilfen.- 3.1 Arbeit und Rehabilitation.- 3.2 Karzinogene Substanzen am Arbeitsplatz.- 3.3 Beurteilung der beruflichen Leistungsfahigkeit - Die sozialmedizinische Begutachtung.- 3.4 Berufliche Reintegrationshilfen.- 3.5 Mindestvoraussetzungen fur eine Rente.- 3.6 Altersteilzeit.- 3.7 Rente auf Zeit.- 3.8 Rentenberatung.- 3.9 Assessment und Evaluation.- 3.10 Wichtige Adressen.- Literatur.- II Spezieller Teil.- 4 Mammakarzinom.- 4.1 Nachsorge.- 4.1.1 Rezidivprophylaxe (adjuvante Hormon-, Chemo-, Strahlen- und Immuntherapien).- 4.1.2 Diagnostische Routinenachsorgeuntersuchungen mit dem Ziel einer Rezidivfruherkennung.- 4.1.3 Aufklarung der Patientin bei Feststellung einer Krankheitsprogression.- 4.1.4 Rezidivtherapien.- 4.2 Rehabilitative Massnahmen.- 4.2.1 Rehabilitationsmassnahmen zur Verminderung der koerperlichen Probleme ("Reha vor Invaliditat").- 4.2.2 Rehabilitationsmassnahmen zur Verminderung psychischer Probleme ("Reha vor Resignation und Depression").- 4.2.3 Rehabilitationsmassnahmen zur Verminderung sozialer Probleme ("Reha vor Pflege").- 4.2.4 Rehabilitationsmassnahmen zur Verminderung beruflicher Probleme ("Reha vor Rente").- 4.3 Palliative Massnahmen.- 4.3.1 Lokale/lokoregionare Probleme.- 4.3.2 Systemische palliative Therapien.- 4.4 Massnahmen zur Qualitatssicherung (Strukturqualitat, Prozessqualitat und Evaluation) palliativer unq rehabilitativer Massnahmen.- 4.4.1 Strukturqualitat.- 4.4.2 Prozessqualitat.- 4.4.3 Evaluation palliativer und rehabilitativer Massnahmen.- 4.5 Wichtige Adressen.- 4.5.1 Brustkrebsinitiativen - Hilfsorganisationen fur Brustkrebs.- 4.5.2 Adressen von Selbsthilfegruppen.- 4.5.3 Verschiedene hilfreiche Adressen.- 4.5.4 Internetadressen.- Literatur.- 5 Ovarialkarzinom.- 5.1 Nachsorge.- 5.1.1 Rezidivprophylaxe (adjuvante Radio-, Chemo- und Immuntherapien).- 5.1.2 Nachsorgeuntersuchungen.- 5.1.3 Aufklarung der Patientin bei Feststellung einer Krankheitsprogression.- 5.1.4 Rezidivtherapien.- 5.2 Rehabilitative Massnahmen im Rahmen der Nachbetreuung.- 5.2.1 Rehabilitationsmassnahmen zur Verminderung der koerperlichen Probleme ("Reha vor Invaliditat").- 5.2.2 Rehabilitationsmassnahmen zur Verminderung der psychischen Probleme ("Reha vor Resignation und Depression").- 5.2.3 Rehabilitationsmassnahmen zur Verminderung sozialer Probleme ("Reha vor Pflege").- 5.2.4 Reha

PROMPT (PRactical Obstetric Multi-Professional Training) provides local multi-professional training resources for the management of a range of obstetric emergency situations. Over recent years there has been increasing evidence that PROMPT training has had a significant impact on outcomes for mothers and babies in the UK and internationally. The PROMPT CiPP (Care of the Critically ill Pregnant or Postpartum woman) Course is a constituent part of the third edition PROMPT 'Course in a Box', and provides training resources to support an additional, locally-run, multi-professional training programme for maternity staff involved in maternal critical care. The PROMPT CiPP Course Participant's Handbook is essential for all those attending a local PROMPT CiPP Course, and is also a valuable stand-alone textbook, for evidence-based, current information on maternal critical care.

The standard-setting text in oncology for 40 years, DeVita, Hellman and Rosenberg's Cancer: Principles and Practice of Oncology, 12th Edition, provides authoritative guidance and strategies for managing every type of cancer by stage and presentation. Drs. Vincent T. DeVita, Jr., Theodore S. Lawrence, and Steven A. Rosenberg oversee an outstanding team of expert contributing authors who keep you up to date and fully informed in this fast-changing field. This award-winning reference is also continually updated on Health Library and VitalSource platforms for the life of the edition. Integrates basic science into individual cancer chapters for more efficient reference Features quarterly updates that include late-breaking developments in oncology such as new drugs and clinical trials, as well as new case studies and interactive algorithms Offers balanced, multidisciplinary advice from a surgeon, a medical oncologist, and a radiation oncologist Provides updated content on immunotherapy and genetics throughout Includes important related topics such as cancer screening and prevention, palliative care, supportive oncology, and quality of life issues Now available in a convenient single volume, or a seven-multivolume option for portability and ease of use Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Einfuhrung zur psychosomatischen Frauenheilkunde; Zur Arzt-Patient-Beziehung in der Frauenheilkunde; Aspekte der psychosomatischen Geburtshilfe; Symptome in der Schwangerschaft mit einer moeglichen Psychogenese; Psychosomatische Aspekte der Geburt; Psychosomatische Aspekte des Wochenbetts; Psychosomatische Gynakologie; Symptome und Krankheitsbilder in der Psychosomatischen Gynakologie; Psychosomatische Aspekte kritischer Zeitabschnitte; Askekte der angwandten psychsomatischen Frauenheilkunde; Entwicklungen und Zukunftstendenzen in der psychosomatischen Geburtshilfe und Gynakologie

Technical advances in the field of mammography and better interpretation of the photographs have led recently to a more precise and reliable means of diagnosis, especially for findings which are difficult to analyse. With the help of numerous pathological and control cases the authors explain both the step-by-step procedure in diagnosis and the advantages of mammography as the choice of examination in particular patients. This book guides the reader to an exact interpretation of mammograms. The book is directed at radiologists, gynaecologists and general practitioners. Interdisciplinary collaboration and diagnosis in the preclinical stage are especially important for furthering the prevention of breast cancer.

This work looks specifically at research relevant to the care provided by midwives for childbearing women and their families.;The studies encompass many areas of midwifery practice, education and management and topics covered include antenatal care, supportive care in labour, reasons for not breast feeding, the role and responsibilities of the midwife and women's experiences of childbirth.;These studies illustrate the diversity of research methods appropriate to the study of midwifery, ranging from randomized controlled trials to evaluate the effects of clinical procedures, to detailed observational studies to describe interactions between midwives and women in their care.