This issue of the Surgical Oncology Clinics will focus on new advances in Breast Cancer Surgery, and will include articles on Chemoprevention, Breast MRI, Genomics, Sentinel Node Biopsy, Extra-axillary Sentinel Nodes, Skin-Sparing and Nipple Sparing Mastectomy, Oncoplastic Techniques, Neoadjuvant Hormonal Therapy, Neoadjuvant Chemotherapy, Adjuvant Hormonal Therapy, Adjuvant Chemotherapy, and Biologic Targeted Therapies.

This publication presents topics on Current Clinical Indications for Breast MRI; How to set up breast MRI practice; MR-BIRADS Lexicon; Optimization of breast MRI at 1.5 Tesla(T) and at 3 Tesla; Role of MRI in evaluating extent of disease; Update on Screening breast MRI in high risk women; MRI of DCIS; Role of breast MRI in the assessment of Invasive lobular carcinoma; Breast MRI Interventions: Indications, Technique, and Histologic Correlation; Role of Breast MRI in problem-solving; Benign lesions detected on breast MRI; Clinical Oncologic Perspective of Breast MRI; Role of breast MRI in neo-adjuvant chemotherapy.

This issue of Clinics in Perinatology, guest edited by Drs. Alan Spitzer and Dan Ellsbury, examines Quality Improvement in Neonatal and Perinatal Medicine. The first part of the issue addresses Tools of Quality Improvement and includes articles on The Quality Chasm in Neonatal and Perinatal Medicine; Evaluating the Medical Evidence; The Vermont Oxford Network Database; The Pediatrix Clinical Data Warehouse; Role of Regional Collaboratives: The California Perinatal Quality Care Collaborative Model; A Primer on Quality Improvement Methodology; Using Statistical Process Control Methodology; Human Factors in Quality Improvement, Random Safety Audits, Root Cause Analysis, and Failure Mode and Effects Analysis; Collaboration Between Obstetricians and Neonatologists: Perinatal Safety Programs and Improved Clinical Outcomes; and Pay for Performance: A Business Strategy for Quality Improvement in Neonatal-Perinatal Medicine. The second part of this issue addresses Specific Applications of Documented Quality Improvement Methodology in Neonatal and Perinatal Medicine and includes articles on Delivery Room Intervention-Improving the Outcome, Reducing Retinopathy of Prematurity, Improving Breast Milk Use During and After the NICU Stay, Decreasing Catheter Related Bloodstream Infection, and Decreasing Bronchopulmonary Dysplasia.

The Diploma of the Royal College of Obstetricians and Gynaecologists (DRCOG) is a well-regarded post-graduate qualification in women's health. The DRCOG is particularly respected among primary care and community sexual and reproductive health clinicians. Studying towards this qualification is rewarding and fun, and as such the exam has become extremely popular over recent years. In addition, holding the DRCOG has proved to be a useful indicator by which employers can differentiate excellent clinicians from the average ones. It certainly is the cherry on the cake of General Practice training, and complements the RCGP curriculum. Mastering the DRCOG is organised to directly reflect and fulfil the DRCOG syllabus set by the Royal College of Obstetricians and Gynaecologists in April 2007, and chapters are laid out precisely following the DRCOG syllabus format. Starting with an overall introduction to the exam, the book then covers the seven core modules of the syllabus: Basic Clinical Skills, Basic Surgical Skills, Antenatal Care, Management of Labour and Delivery, Postpartum and Neonatal Problems, Gynaecological Problems and Subfertility & Contraception. This is followed by a section of 'hot topics' not specifically mentioned in the syllabus but of real interest for all those working in the area of women's health. Hot topics include the menopause and its management, abuse of women (rape, female genital mutilation, prostitution, pornography), and ethical issues such as fetal sex selection & eugenics, egg donation, breast augmentation surgery, and surrogate motherhood. Mastering the DRCOG is written in a clear and straight-forward style and is illustrated throughout. Written by a newly qualified General Practitioner fresh from the exam hall, and edited by two highly experienced Consultants, one in Obstetrics & Gynaecology, the other in Community Sexual & Reproductive Health, "Mastering the DRCOG" is a fantastic resource for anyone preparing f

Pregnancy and childbirth brings together, for the first time, western and eastern approaches providing a sound amalgamation of theoretical and practical information for bodywork practitioners world-wide. It describes in detail the application of massage and shiatsu from early pregnancy, including work during labour and for the first year postnatally for the mother. This is a useful source of information for massage therapists, shiatsu practitioners, osteopaths, physical therapists, chiropractors, reflexologists, aromatherapists, acupuncturists, yoga and Pilates instructors. For Students and practitioners to use as a learning manual and reference tool, the text provides: Clarity of information Full text referencing Clear diagrams, photographs, and summary boxes Clinical accuracy: reviewed by, and with contributions from, international specialists including midwives, obstetricians, osteopaths, chiropractors, acupuncturists, aromatherapists and massage therapists.

This issue of Obstetrics and Gynecology Clinics, guest edited by Drs. William Rayburn and Kathleen Kennedy, addresses some of the most challenging issues Obstetrician-Gynecologists face in their practice. It includes articles on psychological and behavioral issues influencing women's health including depression, sexual function, intimate partner violence, and substance dependence.

A working knowledge of the basic sciences that underpin mechanisms of disease and the body's response is widely recognised to be a critical part of urological training. This book is aimed at trainees to ensure they are up to date with this breadth of knowledge and it provides succinct summaries which are ideal for revising the basic sciences component of final assessments and examinations. The chapters cover anatomy and physiology, the basic principles of immunology and oncology and particular diseases. It is a compendium of "need to know" facts and is aimed at both FRCS (Urol) candidates and a wider gloabl surgical audience looking for an up to date summary.

This issue of Ultrasound Clinics provides a general overview of women's imaging with ultrasound. Included in the issue are articles on imaging breast masses, performing breast biopsies using ultrasound, and postsurgical follow up. The remainder of the issue reviews obstetric topics such as ectopic pregnancy, pregnancy-related genitourinary diseases, and first trimester bleeding, and gynecologic topics such as postmenopausal bleeding, endometriosis, and ovarian torsion among others.

This issue of Clinics in Perinatology, guest edited by Dr. Hanmin Lee, examines the topic of Fetal Surgery. The issue begins with an overview, including the history of fetal surgery, ethical implications, and maternal management and outcome. Imaging (including Ultrasound, MRI, and Echocardiology) and Specific Diseases (including Congenital Diaphragmatic Hernia, Fetal Lung Lesions, Obstructive Uropathy, TTTS, MMC, TRAP and other discordant twins, and Congenital Cardiac Anomalies) are also examines. The issue concludes with a look at research and future directions, including Stem Cell Transplant/Gene Therapy, Consortiums/Registries, and Fetal Tissue Engineering.

This issue of Obstetrics and Gynecology Clinics examines Women and Obesity. Guest Editor Dr. Raul Artal has assembled a panel of world-class experts who offer reviews on topics including: The Epidemiology of Obesity and Health Economics, Early Life Origins of Obesity, Regulation of Fat Metabolism in Obesity: Gender Differences, Physiological Aspects of Obesity, Pregnancy and Obesity, Exercise Prescription for Overweight and Obese Women: Pregnancy and Post-partum, Post-partum Weight Retention and Rise for Obesity, Obesity and its Relationship to Infertility in Men and Women, Obesity and Sexual Aspects in Women, Maternal and Child Obesity: the Peuetic Link, Minorities and Obesity, and Experimental Research Direction in Obesity.

Women's health is increasingly recognized as a global health priority. With the expanding elderly female population, the long-term complications of ageing and estrogen deficiency present an enormous problem in terms of morbidity, mortality and economic burden. Thus, managing postreproductive health is becoming a key issue for all health professionals, not just gynecologists. The book provides a practical, unbiased and non-promotional international guide on menopausal and postmenopausal health. It is essential reading for all health professionals dealing with women's health around the world and is a vital resource for consultations. This is the 5th edition of this successful Handbook, published on behalf of the British Menopause Society, and it is now considered to be the international template for menopause management, and will be a useful resource for gynaecologists, GPs, physicians, nurses and allied health professionals.

The growing number of cancer survivors presents a new challenge to generalists and specialists involved in their care. Prior cancer treatments may compound known comorbidities or contribute to future health risks. The ultimate success of cancer treatments ultimately depends on the meticulous management of post-cancer care, and this requires a clinical workforce that is engaged and ready. Cancer survivorship has now become recognized as an independent field of research and clinical practice. This new concise guide is intended for cancer clinicians as well as generalists and specialists who meet cancer survivors in their practices for routine check-ups or specialized consultations. With an expanding population known to have complex medical, psychosocial and emotional needs, we hope this book sparks interest and provides answers for those involved in their care.

The growing number of cancer survivors presents a new challenge to generalists and specialists involved in their care. Prior cancer treatments may compound known comorbidities or contribute to future health risks. The ultimate success of cancer treatments ultimately depends on the meticulous management of post-cancer care, and this requires a clinical workforce that is engaged and ready. Cancer survivorship has now become recognized as an independent field of research and clinical practice. This new concise guide is intended for cancer clinicians as well as generalists and specialists who meet cancer survivors in their practices for routine check-ups or specialized consultations. With an expanding population known to have complex medical, psychosocial and emotional needs, we hope this book sparks interest and provides answers for those involved in their care.

Pediatric and Adolescent Gynecology is reviewed in this issue of Obstetrics and Gynecology Clinics, guest edited by Dr. S. Paige Hertweck. Authorities in the field have come together to pen articles on Genital Trauma, Urologic Issues, Endometriosis in the Adolescent, Adolescent STIs, Intersex Disorders, Mullerian Anomalies, Polycystic Ovarian Syndrome in the Adolescent, Bleeding Disorders in Adolescents, Thrombophilial Conditions in the Adolescent, Adolescent Contraception, Management of Abnormal Cervical Cytology in the Adolescent, and Premature Ovarian Failure/Turner Syndrome in the Adolescent.

Between 1540 and 1654, The Byrth of Mankynde was a huge commercial success. Offering information on fertility, pregnancy, birth, and infant care, and written in a chatty, colloquial style, it influenced most other literary works of the period bearing on sex, reproduction, and childcare. Until now, this important text has been unavailable except for a microfilm of the 1654 edition. For this new annotated edition of the 1560 version, Elaine Hobby has modernized the spelling and included informative notes. In her critical introduction, she not only traces the development of the book from its German origins, but also shows how early-modern ideas about the reproductive process combined ancient, medieval, and contemporary conceptions. Combining editorial rigour with a concern for the needs of the informed non-specialist, Hobby has made available a text that will be useful to scholars and students in a range of academic disciplines, including literature, history, and women's studies.

Get Through MRCOG Part 2: Short Answer Questions is an essential revision guide for candidates preparing for the MRCOG Part 2 exam. This comprehensive collection of practice Short Answer Questions (SAQs) is designed to help candidates test and assess their own knowledge, aiding thorough preparation for the exam. The book opens with an introduction to the exam and includes advice on how to prepare for it, information on what to expect, and guidance on how to write excellent answers. This is followed by two sections: the first provides a wide range of SAQs divided into obstetric and gynaecological topics, and the second presents six practice exams set out in the format of the actual exam. For each question, the authors highlight the key words in the question, followed by a brief essay plan and then give a worked example answer. The specimen answers indicate how many marks the candidate would obtain for each point made, and are supplemented with valuable extra information and further reading, to enhance understanding and aid further revision.

Childbirth in Republican China: Delivering Modernity (1911-1949) is the study of a pivotal period in which traditional midwifery, marked by private, unregulated old-style midwives, was transformed into modern midwifery through the adoption of a highly medicalized and state-sponsored birth model that is standard in urban China today. In the twentieth century, biomedical technologies altered the process of childbirth on virtually every level. What had been a matter of private interest, focusing on the family and lineage, became a national priority, a symbol of the new citizen who would participate in the creation of a revitalized nation. This transformation of reproduction coalesces with the broader story of China's twentieth-century revolutions, marked by an emphasis on science and modernity. The roles of the state and of western medical personnel were paramount in affecting these changes, but equally important are the intense social and cultural shifts that occurred simultaneously. The dominant themes of reproduction in twentieth-century China are characterized by expanding state involvement, shifting gender roles, escalating consumption patterns accompanying the commercialization of private lives, and the increasing medicalization of the birth process.

Breast augmentation has become one of the most frequently performed operations in plastic surgery. It is estimated that more than 1% of the adult female population in the United States (between 1 and 2 million) has undergone breast augmentation. Surgeons have several different implants to choose from and a variety of implant techniques. The aim of this issue is to discuss the various implant methods and materials available and to provide surgeons with a framework for making the best evidence-based decision for each patient.

This book provides a practical set of rules to guide and help trainee obstetricians and midwives to understand the concepts of labour ward management, treatments, and prevention of complications. Labour ward management is a vital tool in learning to secure safe outcomes for both mothers and babies.

This text provides a systematic approach to the diagnosis of children with multiple birth defects. It outlines the embryologic origins of normal and abnormal physical development, describes the major and minor structural anomalies in each of 20 anatomic regions, and teaches techniques of observation and synthesis useful in dysmorphologic diagnosis. Medical specialists will find Dr. Aase's book invaluable both as an instructive tool and as a clinical reference guide.

Ovarian carcinoma continues to be responsible for more deaths than all other gynecologic malignancies combined, due to a continued inability to achieve detection of early (rather than advanced) stage disease and the lack of effective tumor-specific therapeutics.

Ovarian carcinogenesis, invasion, and metastatic dissemination require a complex cascade of interrelated genetic, molecular, and biochemical events that regulate the neoplastic transition of normal ovarian surface epithelium.

This updated second edition includes exciting new advances in ovarian cancer detection and treatment and provides an analysis of current research into aspects of malignant transformation, growth control, and metastasis. A more detailed understanding of these processes may ultimately translate into the development of novel approaches for the detection and control of ovarian cancer.

"As a psychotherapist and educator of future mental health practitioners, I believe this work fills an important gap in reference books for professionals who care for childbearing women. Since the volume provides invaluable neurobiological research on depression and anxiety, I recommend this work to all health and mental health professionals."--Illness, Crisis and Loss

Over the past three years, pregnancy related mood disorders have become the focus of health care advocates and legislators alike with subsequent reflection in nationwide media. Statistics on the prevalence of perinatal mood disorders suggest that up to 20% of women experience diagnosable pregnancy related mood disorders. The growing recognition of these common disorders, coupled with an increasing knowledge base about the dire consequences of untreated maternal depression, has propelled this issue to the fore of national public health priorities.

This increasing awareness has also resulted in recent legislative and healthcare initiatives to screen, assess, and treat such disorders. On April 13, 2006, Governor Jon S. Corzine (D -NJ) signed a law requiring all new mothers to be educated and screened for postpartum depression. This law is the first of its kind in the country, but many states and federal advocates are proposing similar laws. The motivation for states and the federal government to adopt education and screening program is high and may soon be a federal mandate. But a major barrier to successful implementation of such programs is the lack of available resources to train healthcare professionals in this specialty.

This book offers a major resource for healthcare professionals, mental health professionals, and medical, nursing, psychology, and social work students who will be confronting this problem in their practices. The contributions, by renowned experts, fill a glaring gap in the knowledge professionals need in order to successfully manage maternal mental health.

Just a few decades ago, children born with significant congenital anomalies or genetic and metabolic diseases perished at an early age and very few survived into their teens and even less into adulthood. Congenital heart disease, major errors in metabolism, cancer, cystic fibrosis and many other major diseases were fatal. Because of that many physicians in adult primary care did not have the opportunity to see patients with these problems and thus unable to learn how to care for them. In this book, we have recruited highly qualified and experienced physicians to compile what is to the best of our knowledge, the first book dealing entirely with the issue of children's diseases in adults. Our goal is to provide a resource for all health care providers in order to help with caring for such adult patients. We believe that it will be valuable to all health care providers who provide care to adults with children's diseases. To our knowledge, there is no such resource available for practitioners which will make this book desirable.

When childbirth moved from women's homes into hospitals, women lost more than they had bargained for. As the event became increasingly male-dominated and medically oriented, women's control of the experience all but vanished. Worse, recent clinical trials have demonstrated that most modern interventions and technological practices have not improved delivery outcomes and are not necessary in normal labor and birth. From pre-classical to present times, this work describes childbirth practices as they have developed through the ages. The author describes and critiques the evolution of modern midwifery and obstetrics, focusing especially on how, why, and when the process of childbirth became an increasingly sterile, male-dominated, and medically oriented event. Each chapter focuses on a different period, from the age of the female midwife (who oversaw the childbirth process for several centuries), through the origins of modern obstetrics and gynecology, and finally, to the increasing influence of technology in the practices that have prevailed for most of the twentieth and twenty-first centuries.

An estimated 35 million people worldwide are displaced by conflict, and most of them are women and children. During their time away from their homes and communities, these women and their children are subjected to a horrifying array of misfortune, including privations of every kind, sexual assaults, disease, imprisonment, unwanted pregnancies, severe psychological trauma, and, upon return or resettlement, social disapproval and isolation.

Written by the world's leading scholars and practitioners, this unique collection brings these problems - and potential solutions - into sharp focus. Based on extensive field research and a broad knowledge of other studies of the challenges facing women who are forced from their homes and homelands by conflict, this book offers in-depth understanding and problem-solving ideas. Derived from a project to advise U.N. agencies, it speaks to a broad array of students, scholars, NGOs, policymakers, government officials, and international organizations.