A comprehensive, rigorous review for the ARRT (R) Mammography Exam This comprehensive study guide for the ARRT's Mammography Examination summarizes the mammography curriculum in a concise, readable format and includes more than 500 registry-style questions plus two complete practice exams to give radiologic technologists the practice they need to pass the registry exam with flying colors. This powerful study aid also combines must-know facts and concepts with illustrations and clinical images depicting pathology, image comparison, and various types of lesions. Topic coverage has been updated to include the latest in digital imaging technology, digital quality assurance standards, special patient situations, breast pathology, treatment options, and breast reconstruction. * Follows latest ARRT Mammography Exam blueprint * Online faculty resources: PowerPoint (R) lesson plans include objectives, teaching points, review questions and clinical images for each chapter to support classroom use * BONUS online practice available on www.mhealliedhealth.com

This book analyses the reasons for relying on behavioural contraception methods among urban 'elites' in India and examines their efficacy in controlling fertility. It also traces variations in contraception choice over the reproductive cycle of women. Although researchers and policy makers generally equate reliance on behavioural contraceptive methods with low levels of education and awareness and lack of desire to control fertility, this perception has been questioned in recent years. The authors' analysis of the first three rounds of the National Family Health Survey (NFHS) data in India reveals that behavioural contraceptive methods are popular in eastern India. Moreover, it is urban educated women who rely on behavioural methods, and are apparently able to regulate fertility quite effectively with such methods. NFHS data, however, has some limitations and this motivates the authors to explore birth control methods through primary surveys of currently married graduate women in Kolkata. The use of behavioural contraception methods is a little researched area globally and this is the first book focusing on the topic in India.

Globally, postnatal depression (PND) is a growing public health problem. PND affects 10 to 15% of women in Western society. It caused by a combination of biological, psychological and social factors. Two models have attempted to define and explain PND; the biomedical and the sociological models. The traditional biomedical model views PND as a medical condition which implies there is individual pathology and abnormality. Whilst the biomedical model has been the dominant model in treating PND, it has been criticized by feminist sociologists and psychologists for its rigidity in defining and explaining PND. In contrast, the psychosocial model of health acknowledges the biological factors that impact on emotional well-being, but places more emphasis on the personal and social factors that impact on emotional well-being, but places more emphasis on the personal and social factors that contribute to depressive symptoms such as gender, poverty, social disadvantage and social class. The central argument throughout this book is the importance of support before and after the birth for women's emotional well-being. This book will also include women's journeys through pregnancy, childbirth, motherhood, postnatal depression, and resolution. To date, literature has focused on women's lived experiences of PND rather than their personal journeys through pregnancy, childbirth and early motherhood. Additionally, the adjustment to fatherhood has received less attention. For example, little is known about the impact of postnatal depression on the partner, what support partners offer when women with the intention to fill the gap in knowledge of cultural and social issues relating to pregnancy, childbirth, and motherhood for woman who were diagnosed with, and had resolved, PND.

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.

This book highlights the impact of nutrients on early placentation processes and their relevance for fetal growth and pregnancy outcome. The role of maternal nutrition on fetal growth and development has been evidenced in many epidemiological studies that included infamous Dutch famine, Helsinki Birth cohort and others. Fetal programming hypothesis states that the nutritional and other environmental conditions under which an individual develops from pre-conception to birth has a major impact on the future health of the newborn child. The developmental environment of the fetus is primarily dependent on two major factors that are maternal nutritional state (excess/low/imbalance) and placental function. Placentation is characterized by the extensive remodeling of the maternal uterine vasculature producing low-resistance blood vessels that facilitate the exchange of nutrients and wastes between the mother and the fetus. Cellular and molecular mechanisms involved in human placental blood vessel formation, which are now well established, are discussed.

This book is a comprehensive and easily accessible reference for physicians caring for pregnant women with diabetes. Covering patients with type 1, type 2, and gestational diabetes, this handbook offers guidance on the different methods of treatment necessary for each population. Chapters cover the entire scope of patient care, including: diagnosis, patient education, dietary recommendations, medications, management during labor, potential fetal complications, and postpartum management. Obstetricians, gynecologists, primary care physicians, and residents will use this text to quickly answer any question they have on diabetes and pregnancy.

Richly illustrated and comprehensive in scope, Obstetric Imaging, 2nd Edition, provides up-to-date, authoritative guidelines for more than 200 obstetric conditions and procedures, keeping you at the forefront of this fast-changing field. This highly regarded reference covers the extensive and ongoing advances in maternal and fetal imaging in a concise, newly streamlined format for quicker access to common and uncommon findings. Detailed, expert guidance, accompanied by superb, high-quality images, helps you make the most of new technologies and advances in obstetric imaging. Features more than 1,350 high-quality images, including 400 in color, and over 85 videos online. Helps you select the best imaging approaches and effectively interpret your findings with a highly templated, bulleted, at-a-glance organization. Reflects all the latest developments in the field, including genetics, open fetal surgery, fetal echocardiography, Zika virus, and 3D imaging, so you can provide the safest and most responsive care to both mother and fetus. Includes new chapters on Limbs and Bones Overview; Open Fetal Surgery; Biophysical Profile; Ultrasound Physics; Elastography; Doppler; MRI; Echogenic Bowel; Pregnancy of Unknown Location (PUL), Failed Pregnancy and Ectopic Pregnancy, Cesarean Scar Pregnancy; Cytomegalovirus (CMG), Rubella, Toxoplasmosis, Herpes, Varicella; and Congenital Syphilis; plus a new chapter on Zika Virus written by imaging experts from the "hot zone." Keeps you up to date with the latest developments in multimodality imaging and optimizing diagnostic accuracy from ultrasound, 3D ultrasound, Doppler, MRI, elastography, image-guided interventions, and much more. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

This is the first volume in an annual or biennial series, covering twelve of the most recent advances in gynaecologic surgery technique and practice. It has been written by some of the leading names in the field, from the UK, Europe and USA, each chapter representing a concise distillation of the most up-to-date information available on that particular topic. Fully illustrated, in colour where necessary.

This book offers comprehensive information on modern approaches to vulvar lesions, taking into account recent management recommendations and employing the consensus terminology of the International Society for the Study of Vulvovaginal Disease (ISSVD). Further, it breaks with past misconceptions and myths, and explains in detail the modern approach. The aim is to help clinicians perform the differential diagnosis of vulvar conditions and implement the new recommended treatments. The core chapters of the book are arranged in accordance with lesion presentation: red lesions, white lesions, patches and plaques, papules and nodules, erosions and ulcers, blisters, etc. For each lesion, the multidisciplinary management is fully explained, including clarifications of the role of gynecologists, dermatologists, physical therapists, pain specialists, sex therapists, and others. Clinical case presentations and numerous illustrations of treatment procedures are included, supplemented by informative online videos. A separate chapter is devoted to vulvar pain, which is increasingly becoming recognized as a growing problem. Here, again the past approaches are replaced with new paradigms. All of the authors are acknowledged experts in the field and the editor is a past president of the ISSVD. The book will be of value for all vulvar specialists and a wide range of other clinicians.

Tightly organized into a super-condensed outline bulleted format, this handy, pocket-sized manual details precise, up-to-date information for diagnosis and treatment of cervical cancer and includes information on new vaccines. Throughout the book, tables and figures summarize important clinical data and current professional society recommendations, while salient references direct readers to additional information. Dx/Rx: Cervical Cancer, Second Edition features current, quick, and concise information for instant access on the ward or in the clinic!

This book details the histologic clues in diagnosing the inflammatory dermatoses and neoplastic process of the vulva. The inflammatory dermatoses are divided into histologic patterns to aid recognition. Expert authors provide updates on ancillary techniques such as special stains, immunohistochemistry and chromogenic in situ hybridization when applicable. New advances in classifying squamous lesions as well as staging melanocytic lesions are outlined. They include the recent CAP/ASCCP (College of American Pathologists and the American Society for Colposcopy and Cervical Pathology) lower anogenital squamous terminology for HPV-associated lesions and the 2009 AJCC (American Joint Committee on Cancer) staging system for melanoma. New advances in molecular findings and potential targeted therapy are discussed for the squamous, melanocytic, adnexal and soft tissue tumors whenever it is pertinent. Vulvar Pathology will be a useful diagnostic guide for general pathologists, pathology trainees, dermatopathologists, dermatologists, and gynecologic pathologists in rendering diagnoses in vulvar inflammatory dermatoses as well as melanocytic, squamous, adnexal, and soft tissue neoplasms of the vulva.

This book addresses specific concerns of females affected by multiple sclerosis, where women are disproportionally impacted by the disease. MS is an autoimmune disease of the central nervous system affecting young adults of reproductive age. This book presents the current understanding of genetic variables, hormonal influences, immunological milieu and neurological outcomes, discussing issues such as fertility, pregnancy management, and menopause, as well as end of life care and mortality in women with MS. With contributions by international experts, this interdisciplinary book will serve as a useful reference and guide for MS specialists, general neurologists, obstetricians/gynecologists, physicians in training, family practice doctors, clinical nurse specialists in multiple sclerosis, and all other healthcare professionals involved in the care and treatment of women affected by MS.

Now in a single, convenient volume, The Breast: Comprehensive Management of Benign and Malignant Diseases, 5th Edition covers every clinically relevant aspect of the field: cancer, congenital abnormalities, hormones, reconstruction, anatomy and physiology, benign breast disease, and more. Building upon the strengths of previous editions, this updated volume by Drs. Kirby I. Bland, Edward M. Copeland III, V. Suzanne Klimberg, and William J Gradishar, includes the latest innovations in breast cancer detection and treatment in a practical, easy-to-use format ideal for today's surgeons. Delivers step-by-step clinical guidance highlighted by superb illustrations that depict relevant anatomy and pathology, as well as medical and surgical procedures. Reflects the collaborative nature of diagnosis and treatment among radiologists, pathologists, surgeons, oncologists, and other health care professionals who contribute to the management of patients with breast disease. Offers the most comprehensive, up-to-date information on the diagnosis and management of, and rehabilitation following, surgery for benign and malignant diseases of the breast. Covers the latest developments in receptor modulation, targeted monoclonal antibodies, evolving inhibitors with triple-negative disease, and more. Discusses recent minimally invasive surgical techniques and new developments in oncoplastic breast conservation techniques. Contains significant updates to the "Management of Systemic Disease" section that reflect the latest advances in chemotherapy, hormonal resistance, and therapy. Includes links to real-time procedure videos and full-color procedural line drawings from the Klimberg Atlas of Breast Surgical Techniques on Expert Consult, providing expert visual guidance on how to execute key steps and techniques. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos (including video updates), glossary, and references from the book on a variety of devices.

For women who want the medical knowledge of Masters and Johnson and the passion of 50 Shades of Grey, Ultimate Intimacy helps them take back control of their sex life. As a board certified OBGYN and medical director of VSPOT Medispa and ViVa Rejuvenation Center, Carolyn DeLucia, MD FACOG has been working tirelessly to spread the word about the new treatments available to patients and other doctors worldwide. She wants to help women have the best intimate relationships possible, bringing the magic back to their sex life. In Ultimate Intimacy, women will: Learn about what is normal and what is not to give them better insight into their body. Understand the simple and complex procedures that can address a wide range of intimate health issues. Know how to choose the right treatment for themselves, so they can bring the best options to their doctor. Become more empowered, confident, and able to enjoy their inner goddess!

Since the first successful human in-vitro fertilization (IVF) treatment in 1978, IVF has transformed from an experimental procedure to an established standard of care that is practised throughout the world. As the proven methodologies become more established, patients and practitioners expect higher live birth rates and excellent quality controls. This practical book covers every stage in the life of an IVF laboratory, from designing and planning the laboratory to training the embryologists and ongoing management and troubleshooting, providing step-by-step protocols for today's best practice. Complex and specialized procedures are described by experts in the respective fields using a common structure, which allows the reader to translate into standard operating procedures. The editors bring together a portfolio of techniques that will work in almost every laboratory, providing a foundation of good working practice for both new and experienced embryologists.

The complex landscape of breast cancer requires distinct strategies for the management of various molecular subtypes of this disease. Rapid advances in the field of molecular biology have been bewildering for those involved in its study and management. "Molecular Pathology of Breast Cancer" aims to close this knowledge gap by discussing comprehensively the evolution, biological basis and clinical applications with a focus on the "what, when, and how" of the most significant molecular markers known to date. These markers are evaluated in the context of genomic, transcriptomic and proteomic profiles, which is integral to the practice of precision medicine. The application of next generation sequencing (NGS) has provided new insights in the regulation of genomic and transcriptomic structure and function. Alterations in DNA such as mutations and single nucleotide polymorphisms (SNPs) have been correlated with outcomes and provide for novel therapeutic approaches. These NGS analyses have also revealed the extensive contributions of epigenetic mechanisms such as histone modifications, non-coding RNA and alternative splicing. All of these changes together contribute to alterations in proteome. Newer assays that allow greater stability and analytical consistency are emerging. These alterations in tumor profiles can be also now detected by imaging techniques. The heterogeneity of both tumor and tumor microenvironment, an inevitable reality, is discussed in detail with particular focus on cancer stem cells and immune signaling. A chapter is dedicated to the emerging technology of "liquid biopsy", which opens a novel approach for "continuous" monitoring of cancer that might be superior to conventional diagnostics, "Molecular Pathology of Breast Cancer" provides a quick and easy, not to mention essential, tour for clinicians, pathologists and scientists who are seeking to understand the integration of molecular biology into the diagnosis, prognosis and management of breast cancer.

This book is a comprehensive guide to the screening, management, and treatment of female patients with addictions. There are a range of clinical issues specific to women with substance use disorders and substance abuse during pregnancy is known to have deleterious effects on neonates. This book focuses on the effective care of the addicted patient and discusses novel outpatient therapy, therapeutic substitution, abstinence therapy, and the importance of counseling in the delivery of care. Topics include the physiology of nicotine, opiates, EtOH, and other substances of abuse; the role of receptors and neurotransmitters in addiction; the effects of tobacco and substance abuse on women' s health; and tobacco cessation methods. Featuring practical approaches to gender-responsive treatment, Tobacco Cessation and Substance Abuse in Women's Healthcare is a valuable resource for obstetricians, gynecologists, family medicine practitioners, and residents hoping to expand their knowledge of tobacco cessation and substance abuse in women's health.

This book covers practical diagnostic issues in breast pathology, with special emphasis on areas which pose diagnostic difficulties. These include dealing with the gross specimens derived from patients treated with conservative surgery and those who had neo-adjuvant therapy before surgery. It also discusses how to deal with axillary lymph nodes, proliferative breast lesions, including DCIS, and problematic core biopsies, as well as fibro-epithelial, spindle cell, lobular, mucinous, metaplastic and papillary lesions, molecular classification of breast cancers, breast lesions in male patients and breast immunohistochemistry. There is a focus on unusual benign and malignant breast lesions and a large number of high-quality images help the reader diagnose difficult cases. Breast Pathology: Problematic Issues is aimed at histopathology consultants and senior trainees who deal with breast pathology.

This book introduces an exciting new method for breast ultrasound diagnostics - automated whole-breast volume scanning (3D ABVS). Scanning technique is described in detail, with guidance on scanning positions and protocols. Imaging findings are then illustrated and discussed for normal breast variants, the different forms of breast cancer, fibroadenomas, cystic disease, benign and malignant male breast disorders, mastitis, breast implants, and postoperative breast scars. In order to aid appreciation of the benefits of 3D ABVS, comparisons with findings on X-ray mammography and conventional 2D hand-held US are presented. Readers will be especially impressed by the convincing demonstration of the advantages of the new method for diagnosis of breast cancer in women with dense glandular tissue. In enabling readers to learn how to perform and interpret 3D ABVS, this book will be of great value for all who are embarking on its use. It will also serve as a welcome reference for radiologists, oncologists, and ultrasonographers who already have some familiarity with the technique.

This book is a comprehensive guide to the anatomic and functional evaluation of a normal and an abnormal foetal heart. Beginning with an introduction to foetal echocardiography, guidelines for performing a foetal echocardiogram, and indications and timing, the following sections discuss different foetal cardiac defects, including arrhythmias and heart failure. The final chapters provide in depth discussion on genetics and congenital heart disease (CHD), and the management of pregnancy after foetal CHD diagnosis. Each topic concludes with a summary and key points and is further enhanced by clinical images. Key points Comprehensive guide to the evaluation of a normal and abnormal foetal heart Provides guidance from both an anatomic and functional approach Explains how to perform a foetal echocardiogram, its indications and timing In depth discussion on management of foetal congenital heart disease

This fourth edition presents clinicians with the most recent developments in ultrasound in obstetrics and gynaecology. Beginning with an introduction to the physics, machines and measurements used in ultrasonography, the following sections provide in depth coverage of its use in diagnosing and managing different obstetrical and gynaecological conditions. The text also covers infertility, interventional procedures, other methods in radiology and legal and ethical issues. Presented in an easy to follow, bulleted format, this new edition includes numerous ultrasound images, illustrations and tables, as well as a quick reference appendices section which includes AIUM (American Institute of Ultrasound in Medicine) Guidelines and protocols from Thomas Jefferson University in Philadelphia. Key points New edition presenting clinicians with latest developments in ultrasound in obstetrics and gynaecology Easy to follow, bulleted format with numerous ultrasound images, illustrations and tables Includes AIUM Guidelines and protocols from Thomas Jefferson University

Written by an internationally well-known editor team, "Endometriosis: Science and Practice" is a state-of-the-art guide to this surprisingly common disease. While no cause for endometriosis has been determined, information of recent developments are outlined in this text, offering insight to improve management of symptoms medically or surgically. The first of its kind, this major textbook integrates scientific and clinical understanding of this painful disease helping to provide better patient care.

Here is a selection of multiple choice questions and care studies designed for candidates for the Diploma of the Royal College of Obstetricians and Gynaecologists (DRCOG). The 90 multiple choice questions cove all major areas of the syllabus and are accompanied by extended answers to help the revision process. The case studies are ideal preparation for the other sections of the examination as well as for general revision. This book will be suitable not only for the DRCOG (and other examinations such as the MRCOG) but also for anyone wanting to update and test their understanding of obstetrics and gynaecology.

This comprehensive volume covers all aspects of nutrition in different scenarios of maternal diabetes, including the Type 1 or Type 2 diabetic mother, gestational diabetes, and postpartum diabetes. The volumes offer a comprehensive, yet thorough, overview of the subject, from the prevalence, risk factors, and insulin requirements of the mother; to possible outcomes and effects on the infant; to dietary advice in general and specific scenarios; and information on macro and micronutrient supplements. There is also a special section on international perspectives on maternal diabetes, with ten chapters that each focus on a different country. Nutrition and Diet in Maternal Diabetes: An Evidence-Based Approach offers an overview of the Type 1 and type 2 diabetic mother, maternal and offspring aspects of gestation diabetes, and breastfeeding and maternal gestational diabetes.

Infertility affects about five million individuals of childbearing age in the United States, yet infertility is a subject about which many people are reluctant to talk. This book discusses extensively many options available to individuals struggling with infertility. Infertility can result from a number of causes and affects men and women in equal numbers. Difficulty conceiving can take a heavy toll on couples both physically and psychologically and can lead to depression and marital discord. There are, however, many options available to those struggling with infertility for having a child. These include innovative medical procedures and powerful drugs as well as a variety of alternative treatment approaches, surrogacy, and adoption. A part of Greenwood's Health and Medical Issues Today series, this book provides an overview of these options and examines the many health, financial, and ethical decisions of each that must be considered when choosing one. Part I explores what causes infertility and the history and evolution of its treatment and then examines the options available today, detailing how they work, their success rates, and their risks. Additionally, it addresses controversial topics such as the legislation of assisted reproductive technologies and the regulation of fertility clinics. Part II delves into the many scientific, economic, and ethical debates that surround infertility treatment, presenting a clear and objective analysis of the issues. Part III provides a variety of useful supplementary materials, including case studies, a timeline of critical events, a glossary, and a directory of resources. Explores the many forms of infertility treatment available, from high-tech procedures such as in vitro fertilization and intracytoplasic sperm injection to nonmedical options such as surrogacy and adoption Examines key issues related to infertility treatments, such as insurance coverage and the destruction of surplus embryos Highlights key ideas and debates discussed in the book through illuminating case studies featuring real-world scenarios Provides readers with a helpful Directory of Resources to guide their search for additional information about infertility treatments