This volume presents several machine intelligence technologies, developed over recent decades, and illustrates how they can be combined in application. One application, the detection of dementia from patterns in speech, is used throughout to illustrate these combinations. This application is a classic stationary pattern detection task, so readers may easily see how these combinations can be applied to other similar tasks. The expositions of the methods are supported by the basic theory they rest upon, and their application is clearly illustrated. The book's goal is to allow readers to select one or more of these methods to quickly apply to their own tasks. Includes a variety of machine intelligent technologies and illustrates how they can work together Shows evolutionary feature subset selection combined with support vector machines and multiple classifiers combined Includes a running case study on intelligent processing relating to Alzheimer's / dementia detection, in addition to several applications of the machine hybrid algorithms

Central to providing excellent patient care is excellent communication, for which a well-written History and Physical is crucial. This book is a step-by-step guide to help medical students, nurse practitioners, physician assistants, etc. write a comprehensive, clear, and useful History and Physical. Writing an effective History and Physical is as much an art as science, and this handy guide provides a roadmap for organizing facts in a logical and well-constructed fashion. The text also presents an abridged version for quick reference and a valuable section on how to write daily progress notes. The author's tips pearls, and advice help the reader navigate the principles and goals of the History and Physical Contains more explanations, tips and advice than existing books for what to include and why Memorable good and bad examples reinforce themes in the text

This popular reference facilitates diagnostic and therapeutic decision making for a wide range of common and often complex problems faced in outpatient and inpatient medicine. Comprehensive algorithmic decision trees guide you through more than 245 disorders organized by sign, symptom, problem, or laboratory abnormality. The brief text accompanying each algorithm explains the key steps of the decision making process, giving you the clear, clinical guidelines you need to successfully manage even your toughest cases. An algorithmic format makes it easy to apply the practical, decision-making approaches used by seasoned clinicians in daily practice. Comprehensive coverage of general and internal medicine helps you successfully diagnose and manage a full range of diseases and disorders related to women's health, emergency medicine, urology, behavioral medicine, pharmacology, and much more. A Table of Contents arranged by organ system helps you to quickly and easily zero in on the information you need. More than a dozen new topics focus on the key diseases and disorders encountered in daily practice. Fully updated decision trees guide you through the latest diagnostic and management guidelines.

This key title includes all the information contained in Part I of Linnes Clinical Laboratory Science: The Basics and Routine Techniques 4/eso that students do not have to buy the big volume if they are only interested in Part I of the book. It contains all the general background information necessary for working in a clinical laboratory and performing routine clinical laboratory tests. It covers the fundamentals of safety, collection of specimens, equipment, mathematics and measurements giving the student a thorough understanding of the basic concepts and background material which is an essential base in the practice of clinical laboratory science. * Prepares students for the realities of work in the clinical laboratory with an overview of the field of clinical laboratory science, and includes specifics on basic laboratory procedures. * Prepares the reader for the "real world" of the clinical laboratory with authors who have contributed years of research and experience in a frequently changing field and lend an "in the trenches" view of life to the modern clinical laboratory. * Offers the basic information about working in a clinical laboratory for introductory CLT/MLT or CLS/MT students. * Highlights clinical procedures by placing them in boxes that are easy for students to quickly find. * Chapter 1, Introduction to Clinical Laboratory Science, gives students a solid foundation on the fundamentals of clinical lab work. * Includes 59 illustrations to help explain the material and reinforce learning. * Includes Review Questions, Key Terms with definitions, Learning Objectives, Chapter Outlines, and Procedure Boxes, which provide excellent opportunities for group or individual study and reinforce the most important information in each chapter. * Includes a Glossary with key terms and definitions to help students with the new scientific terminology they will encounter in their initial clinical laboratory classes. * Includes an Instructors' Manual with student handouts, guides, exercises and related materials.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. John Morley, is devoted to Rapid Geriatric Assessment. Articles in this issue will address Frailty; Sarcopenia; Anorexia of Aging; Mild Cognitive Impairment; Cognitive Frailty; Falls; Hip Fracture; Depression; Delirium; and Advanced Directives and Palliative Care.

Advances in Clinical Chemistry, Volume 81, the latest installment in this internationally acclaimed series, contains chapters authored by world-renowned clinical laboratory scientists, physicians and research scientists. New to this latest release are chapters that cover Microparticles in Chronic Heart Failure, Peptide Antibodies in Clinical Laboratory Diagnostics, Measurement and Clinical Utility of ssCTX in Serum and Plasma, Human Papillomavirus and its Testing Assays, Cervical Cancer Screening, and Vaccination, and Physical Exercise and DNA Injury: Good or Evil? The serial presents the latest technologies related to the field of clinical chemistry, and is the benchmark for novel analytical approaches in the clinical laboratory.

This new book reviews the legal, ethical, risk management and safety issues facing today's radiological science professional. It discusses theories and their day-to-day application, guiding good decision making. Case studies and scenarios clearly illustrate concepts. Sample forms at the end of the text help readers prepare and draft forms, charts, procedures, and policies.Covers a full range of issues - decision making, malpractice, patients' rights, civil liability, record keeping, communication, education, and much more. Clarifies the importance of risk management and the need for developing a quality safety program to protect the patient, the practitioner, and the facility.Considers the practical applications of the Code of Ethics. Answers key questions about employment law.Presents specific plans for setting up education and evaluation programs. Includes sample forms for assessing competency. Provides an overview of the legal system and how it affects imaging and therapy.Offers two complete chapters that explain what and how to document. Includes sample forms for documentation and consent. Readers can simply review and adapt to their own health care settings.Features contributions by professionals with special expertise in law, risk management and education.

Endoscopic access to the small bowel has advanced significantly since the introduction of video capsule endoscopy and deep enteroscopy in early 2000. Other major advances have occurred in imaging modalities involving computed tomography and magnetic resonance studies. Due to these advances, the recent 2015 ACG guideline changed the terminology from "obscure" to "small bowel" bleeding because the majority of cases now can be found to have a small bowel source. The improvements in technology have advanced our ability to visualized vascular findings, inflammatory lesions, and small bowel neoplasms. Articles in this issue are devoted to these improvements in technology.

Rare and Interesting Cases in Pulmonary Medicine provides a look into the uncommon diseases encountered in the field of pulmonary medicine. Using a case-based approach, the book provides clinical scenarios that include relevant accompanying radiology and pathology. Also included are frequently asked questions for each area, as well as a diagnosis and summary, presenting the reader with the most high yield information on each topic. Appropriate for medical students, residents, fellows, and physicians interested in pulmonary medicine, the case-based approach to each topic allows accessibility to the uncommon diseases of the field while also highlighting high yield and important points.

This book presents a comprehensive, state-of the-art guide and review of ultrasound applications for children and infants with surgical problems. It is meant as a single source to provide information about sonographic application, interpretation and technique for a diversity of pediatric surgical care providers, making it a useful tool for the ultrasound novice as well as the more advanced ultrasonographer. Sections address initial obstacles faced by a physician starting with ultrasound such as the scanning techniques, underlying anatomy and normal sonographic findings. The initial chapter provides an introduction and basic overview about ultrasound theory and techniques. Subsequent chapters focus on specific body parts and systems and their disease processes as it pertains to pediatric and neonatal patients. The text also includes a chapter on abdominal trauma and its evaluation with the FAST (focused abdominal sonography for trauma) exam. Diagnostic and Interventional Ultrasound in Pediatric Surgery serves as a useful resource for a broad spectrum of pediatric care providers, including a growing number of ultrasound users, surgeons and pediatricians alike.

This issue of Radiologic Clinics of North America focuses on Imaging of the Athlete, and is edited by Drs. Adam Zoga and Johannes Roedl. Articles will include: The Thrower's Shoulder; Multimodality Imaging and Imaging Guided Therapy for the Painful Elbow; The Skeletally Immature and Newly Mature Throwing Athlete; Imaging Throwing Injuries Beyond the Shoulder and Elbow; Imaging Adductor Injury and "The Inguinal Disruption"; Image Guided Core Intervention and Postop Imaging; Core Injuries Remote from the Pubic Symphysis; MRI and MR Arthrography of the Hip; Knee Meniscus Biomechanics and Microinstability; Imaging Turf Toe and Traumatic Forefoot Injury; Imaging the Postoperative Knee; The Hindfoot Arch: What Role does the Imager Play?; Using Imaging to Determine Return to Play; and more!

This issue of the Cardiac Electrophysiology Clinics entitled "Ventricular Arrhythmias in Apparently Normal Hearts" is being edited by Drs. Frank M. Bogun, Thomas Crawford, and Rakesh Latchamsetty. The issue will cover topics including, the mechanisms of ventricular arrhythmias, the role of genetic testing, papillary muscle arrhythmias, fascicular arrhythmias, exercised induced VT, VF, and SCD in the normal heart, and various management techniques.

The topics covered in this issue, an update from what was first published in the Gastrointestinal Endoscopy Clinics in 2008, reflect the fact that NOTES is seeing a resurgence in popularity. Now, eight years later, there is more data to confirm safety, to look at the best options for using natural orifices, and to talk about optimal training scenarios. The Guest Editor has enlisted some of the top experts on NOTES to contribute articles devoted to Seminal Developments: SM Tunnel Technique; Peroral Endoscopic Myotomoy (POEM); Submucosal Tumor Endoscopic Resection; Endoscopic Full Thickness Resection; Submucosal Tunneling for NOTES Procedures Beyond Resection; Pyloromyotomy; New NOTES: Western Perspective; and Why Did the Old NOTES Fail: Lessons Learned that can Guide New NOTES Development.

In this issue an impressive group of contributors at the forefront of sedation research has been assembled to provide endoscopists and dedicated nursing personnel alike a comprehensive review of important topics in the field sedation and analgesia. A discussion on the pharmacology and agents used to provide moderate and deep sedation provides the basic framework that is a crucial element in determining the driving force behind the developments in sedation and analgesia. An evidence-based approach on the use of unsedated endoscopy is also provided. Other topics included the use of propofol, patient-controlled sedation and analgesia, extended physiologic monitoring, risk management, and quality assurance as they apply to the spectrum of sedation in the endoscopy suite. Sedation and analgesia in the pediatric patient is also addressed.

The Guest Editors have assembled key opinion leaders to provide state of the art articles on this important update on ERCP. A chapter on cannulation techniques and sphincterotomy will highlight recent literature on wire-guided cannulation, use of papillotomes, when and if to precut for entry and the use of smart circuitry for papillotomy. A chapter on surgically altered anatomy will highlight the increasing occurrence of biliary tract disease in patient's s/p gastric bypass for obesity along with other surgery and the use of balloon enteroscopes, overtubes and intraoperative procedures A chapter on EUS assisted biliary and pancreatic access will highlight the growing experience with these combine techniques. There is growing literature on preventing post-ercp pancreatitis which is changing the standard of care and Joe Elmunzer is the best person to highlight this. Stu Sherman will review advances in the management of bile duct stones and when to intervene in gallstone pancreatitis. Peter Cotton just published a landmark study on SOD that will change the standard of care and will review the state of the science on this disease as it relates to both biliary tract and pancreatic disease. The management of benign biliary strictures and leaks is evolving with the introduction of covered metal stents and Jacques Deviere is at the forefront. Amrita Sethi will discuss diagnosis of biliary malignancy highlighting the use of FISH, molecular markers and enhanced imaging such as pCLE. Michele Kahaleh will review recent experience with biliary tumor ablation using RFA probes and PDT. Alan Barkun helps endoscopists determine when to use plastic stents, metal stents, and covered stents and when to drain one, two or three segments of liver in patients with malignant biliary obstruction. George Papachristo and Dhiraj Yadav will review most recent data on endoscopic therapy for acute recurrent and smoldering acute pancreatitis. Nagy Reddy will provide on update on endotherapy for painful chronic pancreatitis. Finally, Raj Shah will update on advances in pancreatoscopy and cholangioscopy including the use of ultra slim per-oral scopes and new digital mother/baby scopes.

Volume 70 in the internationally acclaimed Advances in Clinical Chemistry contains chapters authored by world renowned clinical laboratory scientists, physicians and research scientists. The serial provides the latest and most up-to-date technologies related to the field of clinical chemistry and is the benchmark for novel analytical approaches in the clinical laboratory.

Based on George Engel's model, The Biopsychosocial Formulation Manual presents ways to help psychiatry residents and students effectively gather and organize patient data to arrive at a complete mental health history in a limited timeframe. While most current models only take one factor into account, Campbell and Rohrbaugh emphasize and analyze three essential components (biological, social, and psychological). The process of identifying pertinent data for each component of the biopsychosocial formulation is explicated in detail. A separate section outlines how to use the biopsychosocial formulation to generate treatment recommendations. This volume includes a complete package for practicing the biopsychosocial method; this easy-to-use guide includes a data record sheet and downloadable resources to facilitate organization and assessment, appealing to both the psychiatric professional and the trainee.

This issue on Diagnostic Testing for Enteric Patholgens is led by two experts in the field of clinical pathology: Alexander J. McAdam and Collette Fitzgerald. Topics include Salmonella, Shigella and Yersinia; Escherichia coli; Campylobacter; Clostridium difficile; Use of markers of intestinal inflammation for diagnosis of infectious gastroenteritis; Antibiotic susceptibility testing of bacteria that cause gastroenteritis; Norovirus; Rotavirus; Intestinal Abebae; Intestinal coccidia and cryptosporidium; Intestinal microsporidia; and Multiplex PCR tests for gastroentieritis. An added features of this issues a Q and A on a controversial area in clinical microbiology, related to STI testing. Several participants from different fields each answer the same series of questions; specialists from clinical laboratory medicine, public health and clinical patient care participate. Each question is introduced by the lead Editors.

The molecular and genetic signatures of cancer are represented in the peripheral circulation and other body fluids, giving rise to the "liquid biopsy" concept. This new paradigm of molecular profiling of cancer cells offers several advantages over traditional tissue biopsy. It is convenient, noninvasive, conforms to current clinical practice, enables real time disease monitoring and the study of tumor evolution, can easily be sampled multiple times, and this sample is more representative of the heterogeneous cancer cells than biopsy sampling. Indeed, all aspects of cancer molecular genetic information, stemming from DNA (both nuclear and mitochondria), RNA (coding and noncoding), peptides and proteins, metabolites and lipids are present in body fluids as free, cell surface bound or enclosed in membrane vesicles, and are being harnessed for disease management. Additionally, circulating tumor, and tumor stem cells provide prognostic information, and also enable the study of the intricate molecular processes associated with metastasis and drug resistance. This treatise deals with the general principles of the molecular pathology of cancer, and its associated imprints in circulation. The transitional process from discovery, prototype development, translational research, to product development can be complex and costly. The critical path to biomarker development and qualification for successful use in drug development is detailed herein as well. This book is of interest to Cancer Researchers, Oncologists, Clinicians, Surgeons, Medical Students, Nurses, Diagnostic Laboratories, and Pharmaceutical Industries.

Volume 67 in the internationally acclaimed Advances in Clinical Chemistry contains chapters authored by world renowned clinical laboratory scientists, physicians and research scientists. The serial provides the latest and most up-to-date technologies related to the field of Clinical Chemistry and is the benchmark for novel analytical approaches in the clinical laboratory.

Advanced conceptual modeling techniques serve as a powerful tool for those in the medical field by increasing the accuracy and efficiency of the diagnostic process. The application of artificial intelligence assists medical professionals to analyze and comprehend a broad range of medical data, thus eliminating the potential for human error. Medical Diagnosis Using Artificial Neural Networks introduces effective parameters for improving the performance and application of machine learning and pattern recognition techniques to facilitate medical processes. This book is an essential reference work for academicians, professionals, researchers, and students interested in the relationship between artificial intelligence and medical science through the use of informatics to improve the quality of medical care.

This issue of Medical Clinics of North America, edited by Dr. Irl Hirsch, is devoted to Diabetes Management. Articles in this issue include: Diabetes Classification Update; Internet Diabetes Management: An Effective, Efficient, and Cost Effective Approach; Monitoring Glycemia in Diabetes; Glycemic Targets: What is the Evidence?; Lifestyle Modification in Diabetes; Metformin, Sufonlyureas, Acarbose, Thiazolidnediones, Bromocriptine, and Colesevalam; Incretins; SGLT-2 inhibitors; Insulin therapy in Type 1 Diabetes; Insulin Therapy in Type 2 Diabetes; Non-Glycemic Targets for Patients with Diabetes; Screening and Treatment for the Primary Care Provider of Common Diabetes Complications; and Polycystic Ovarian Syndrome.

To effectively serve minority clients, clinicians require a double understanding: of both evidence-based practice and the cultures involved. This particularly holds true when working with Asian-Americans, a diverse and growing population. The Guide to Psychological Assessment with Asians synthesizes real-world challenges, empirical findings, clinical knowledge and common-sense advice to create a comprehensive framework for practice. This informed resource is geared toward evaluation of first-generation Asian Americans and recent immigrants across assessment methods (self-report measures, projective tests), settings (school, forensic) and classes of disorders (eating, substance, sexual). While the Guide details cross-cultural considerations for working with Chinese-, Japanese-, Korean and Indian-American clients, best practices are also included for assessing members of less populous groups without underestimating, overstating or stereotyping the role of ethnicity in the findings. In addition, contributors discuss diversity of presentation within groups and identify ways that language may present obstacles to accurate evaluation.Among the areas covered in this up-to-date reference: * Structured and semi-structured clinical interviews.* Assessment of acculturation, enculturation and culture.* IQ testing.* Personality disorders.* Cognitive decline and dementia.* Mood disorders and suicidality.* Neuropsychological assessment of children, adolescents and adults.* Culture-bound syndromes. Designed for practitioners new to working with Asian clients as well as those familiar with the population, the Guide to Psychological Assessment with Asians is exceedingly useful to neuropsychologists, clinical psychologists, health psychologists and clinical social workers.