*takes a patient centred approach * reflects contemporary multi-disciplinary team approach * assesses breast cancer in specialist circumstances eg very young, pregnant, very old * clearly illustrated to highlight key issues

This book provides a real-time and knowledge-based fuzzy logic model for soft tissue deformation. The demand for surgical simulation continues to grow, as there is a major bottleneck in surgical simulation designation and every patient is unique. Deformable models, the core of surgical simulation, play a crucial role in surgical simulation designation. Accordingly, this book (1) presents an improved mass spring model to simulate soft tissue deformation for surgery simulation; (2) ensures the accuracy of simulation by redesigning the underlying Mass Spring Model (MSM) for liver deformation, using three different fuzzy knowledge-based approaches to determine the parameters of the MSM; (3) demonstrates how data in Central Processing Unit (CPU) memory can be structured to allow coalescing according to a set of Graphical Processing Unit (GPU)-dependent alignment rules; and (4) implements heterogeneous parallel programming for the distribution of grid threats for Computer Unified Device Architecture (CUDA)-based GPU computing.

What is causing the shoulder pain? How does one prepare for arthroscopic shoulder surgery? What is adequate subacromial decompression? How does one stabilize the lax capsule in the Asian shoulder? Which of the many suture configurations should one use for the many tear morphologies?Shoulder surgery, especially arthroscopic procedures, have seen a dramatic increase in the past 10 years. With improved diagnostic modalities, increased awareness and rapid advances in implant technologies, the minimally invasive surgical option has been more appealing to patients.This shoulder arthroscopic surgery guide attempts to answer the questions above, and was written as a quick reference and guide for Orthopaedic residents and practicing surgeons, with proven techniques developed by the author and contributors over the past 15 years. Each surgical technique has proven published results and thus provides an assurance to the readers that these techniques are reproducible.The book starts with a chapter dedicated to a diagnostic approach to shoulder problems, often a confusing symptom that is not well studied. More than 22 surgical techniques are described in detail, in succinct and simple point-forms, each chapter beginning with an introduction to the problem, the surgical technique which the author(s) found useful, post-op care and ending off with the clinical results of this technique.

This is the second edition of a well-received book that has been revised and updated to reflect the state of the art in laser and light source technology. After an initial chapter describing the latest understanding of laser physics and safety, subsequent chapters consider laser treatment of vascular lesions, laser treatment of pigmented lesions and tattoos, laser removal of unwanted hair, ablative and non-ablative fractional resurfacing, and use of laser treatment for medical purposes. The book is extremely practical and reader friendly. All chapters are very well illustrated, include quick and clear bullet points, and feature a homogeneous structure covering core concepts, currently available technologies, indications and contraindications, an example of a consent form, and the author's personal treatment approaches. The authors are without exception world experts in the field from North America or Europe.

Xenotransplantation could have an impact on at least three aspects of medicine. The first is as a means of overcoming a severe shortage of human donor organs for the treatment of organ failure. The second aspect relates to the possibility that a xenogeneic organ would not be susceptible to infection by a "human" virus and thus the xenograft might resist injury caused by such viruses. The third and, as of yet, unexplored aspect relates to a means of delivering genes for therapeutic purposes thus overcoming some of the limitations of "conventional" gene therapy.     

Orthopaedic and Trauma Nursing A comprehensive and evidence-based manual for orthopaedic and trauma nurses and students In the newly revised second edition of Orthopaedic and Trauma Nursing: An Evidence-based Approach to Musculoskeletal Care, a team of accomplished practitioners and educators deliver a straightforward and practical textbook for the practice of neonate, infant, child, young person, adult and older person orthopaedic and trauma nursing. The book explores topics of critical importance to those working in acute wards, clinics, community hospitals, nursing homes, and patients' homes. Divided into 5 intuitive sections, this book examines central issues in orthopaedic and musculoskeletal trauma care, specialist practice issues, the care and management of common conditions, and the care of infants, children and young people. Each chapter is based on the latest research and offers practical guidance to practitioners around the world. The book also offers: Practical explorations of topics in specialist practice, including assessment, common musculoskeletal interventions, and complications of musculoskeletal conditions and trauma In-depth discussions of common orthopaedic conditions and their management and care, including elective orthopaedic surgery Holistic musculoskeletal trauma care, including the principles of trauma and fracture management Perfect for pre-registration and qualified adult and children's orthopaedic nurses working in orthopaedic and musculoskeletal trauma units in hospitals and community settings, Orthopaedic and Trauma Nursing will also be of use to students seeking post-qualification education in orthopaedic nursing.

This text for students and researchers, takes an interdisciplinary approach to describing the chemistry and physics of materials, their biocompatibility, and the consequences of implantation of devices made of these materials into the human body. The reader is introduced to the principles of polymer science and the study of metals, ceramics and composites, and also to the basic biology required to understand the nature of the host-transplant interface. Topics covered in this book include the macromolecular components of cells and tissues, self-assembly processes, biological cascade systems, microscopic structure of cells and tissues, immunology, transplantation biology, and the pathobiology of wound healing. Topics covered in the materials science chapters include the structures and properties of polymers, metals, ceramics and composites, and the processes for forming materials as well as the pathobiology of devices. The final two chapters deal with tissue engineering and the relations between the biology of cells and tissue transplantation, and the engineering of tissue replacements using passaged cells.

In this book, Korean rhinoplasty masters present their current techniques for the correction of common nasal deformities and explain how to achieve an ideal balance between esthetic and functional outcomes. Among the procedures covered are the harvesting of autogenous tissue, nasal dorsal augmentation, diverse nasal tip techniques, alar rim and alar base surgery, mid-vault surgery, deviated nose correction, and secondary rhinoplasty techniques. Aspects of nasal anatomy of importance for Asian rhinoplasty are also carefully explained. A wealth of illustrative material documents the key steps in each procedure. The book is a collaborative enterprise between highly respected plastic surgeons and otolaryngologists with expertise in rhinoplasty. It will be an invaluable practical resource for all who perform rhinoplasty in Asian patients, whether in Asian countries or in countries with large Asian populations. The book contains various latest techniques that be usefully applied to Caucasian rhinoplasty as well.

Advice for the preparation and execution of clinical and viva components of the Neurosurgical Examinations Comprehensive relevant examination scenarios Key steps in performing the neurological examination Salient points of scientific examination topics

This new edition of the successful Get Ahead Surgery: 250 SBAs for Finals provides invaluable revision for all medical students preparing for final exams. Written by experienced authors, this book covers the entire syllabus in a clear and comprehensive style. It builds on the strengths of the first edition to provide reliable and effective revision practice to help candidates achieve success in final exams.

From the basic science to potential and approved clinical applications the most recent data in the rapidly growing field of bone morphogenetic proteins (BMPs) are summarized in this topical volume. Distinguished scientists present reviews on a range of scientific topics, including biochemistry, biology, molecular biology and preclinical animal studies on spinal fusion, cartilage repair, craniofacial and dental reconstruction using BMPs, as well as approved clinical applications in human bone non-unions.

This book provides a resource not only for experts in the field, but also for undergraduate students, newcomers and clinicians worldwide, given that the use of BMPs in orthopedic reconstruction has been already approved in Europe, Australia, Canada and the USA.

This new edition of the successful Get Ahead Surgery: 100 EMQs for Finals provides invaluable revision for all medical students preparing for final exams.

• Completely updated according to the current curriculum
• Questions are written in the style of the Universities Medical Assessment Partnership (UMAP) bank
• Enhanced answer explanations ensure thorough learning
• Contains more difficult and challenging stems for those students aiming for honours
• Also suitable for PLAB and MRCS candidates

Written by Saran Shantikumar, series editor for the Get Ahead series, this book covers the entire syllabus in a clear and comprehensive style, building on the strengths of the first edition to provide reliable and effective revision practice to help achieve success in finals exams.

This book describes the 60-year history of the AO Foundation and its impact on the treatment of bone trauma. Originally founded by a group of Swiss surgeons, the AO has since established its osteosynthesis treatment approach to trauma, using surgery and implants, as the global standard. The AO successfully convinced the medical community that surgery of bone trauma was superior to the standard conservative treatment using plaster casts. This new technique meant that patients no longer had to spend long weeks at the hospital in traction, and prevented many disabilities. This book describes the struggle with the medical community, explains how the AO surgeons enlisted the support of an entire industry for their advanced tools and their research and teaching efforts, and details the AO's evolution into a non-profit foundation that now trains more than 50,000 surgeons, on all continents, every year. The efforts of the AO's affiliated surgeons, undertaken largely on a volunteer basis and with their own financial resources, serve as a stellar example of social entrepreneurship. Today the AO Foundation numbers over 20,000 surgeon members worldwide, and the industry that emerged to produce related implants and tools employs thousands of skilled staff. Professionals in consulting as well as in healthcare can use this book as a source of successful strategies, and as a blueprint for active social entrepreneurship.

This volume presents a complete statistical analysis of data from the clinical trials of the wide variety of types of prostheses used in skeletal repair. The contributions are written by professionals in medicine, dentistry and engineering and cover all the information regarding the lifetime survivablility of each type of implant. The biomolecular and biomechanical factors responsible for the relative clinical success are described in the 16 chapters. This text should be useful reading for orthopaedic surgeons, dental implantologists and ENT surgeons, as well as senior graduate and postgraduate biomaterial, medical and dental students.

Computer technology has developed remarkably in the field of neurosurgery during the past 10 to 20 years. Great achievements have been made recently in neuroimaging techniques and computer technology for neuronavigation, from frameless, armless systems to robotic microscopes. Contained in the present volume are all the papers presented at the International Symposium on Computer-Assisted Neurosurgery and selected papers presented at the 6th Annual Meeting of the Japanese Society of Computers in Neurosurgery, which were held in Kobe, Japan, on January 24-26, 1997. This volume is a comprehensive description and review of current technical ad vancements in computer-assisted neurosurgery, with a special focus on advanced intraoperative neuroimaging, various neuronavigation system, robotic microscopes, and strategies for preoperative and intraoperative surgical planning using high-power workstations with three-dimensional software. We express our thanks to the contributors for their participation and cooperation, and to Springer-Verlag for personal and technical assistance in publishing this work. We sincerely hope that this volume will contribute to improving neurosurgical technology and outcomes.

In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Miller and Truog challenge fundamental doctrines of established medical ethics. They argue that the routine practice of stopping life support technology in hospitals causes the death of patients and that donors of vital organs (hearts, lungs, liver, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. These practices are ethically legitimate but are not compatible with traditional rules of medical ethics that doctors must not intentionally cause the death of their patients and that vital organs can be obtained for transplantation only from dead donors.
In this book Miller and Truog undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. They expose the misconception that stopping life support merely allows patients to die from their medical conditions, and they dispute the accuracy of determining death of hospitalized patients on the basis of a diagnosis of "brain death" prior to vital organ donation. After detailing the factual and conceptual errors surrounding current practices of determining death for the purpose of organ donation, the authors develop a novel ethical account of procuring vital organs. In the context of reasonable plans to withdraw life support, still-living patients are not harmed or wronged by organ donation prior to their death, provided that valid consent has been obtained for stopping treatment and for organ donation.
Recognizing practical difficulties in facing the truth regarding organ donation, the authors also develop a pragmatic alternative account based on the concept of transparent legal fictions. In sum, Miller and Truog argue that in order to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics.

This is the first Q&A-based revision book specifically aimed at candidates sitting the viva component of the FRCS(Plast) examination. It provides a selection of common clinical scenarios presented in a realistic way and presents a guide to answering the FRCS (Plast) questions, as well as advice on how to approach the revision process itself. Crucially, this will help to prepare candidates to organise their thoughts, demonstrate higher order thinking and present a robust answer in the face of grey areas and controversies. The text covers all topics from the syllabus including Trauma, Burns, Facial and Soft Tissue Injuries, Acute Head and Neck Tumours, Cleft and Craniofacial, Congenital anomalies, Facial Palsy, Vascular anomalies, Trunk & Perineal, Skin Cancer, Basic Sciences, Aesthetic, Ethics & Medico-legal, and Consent. Candidates using this book will be able to realistically recreate the exam scenario either in private or in a group setting. This book is equally useful for candidates sitting plastic surgery post graduate exams with equivalent syllabuses to that of the FRCS(Plast) such as the EBOPRAS exam, as well as others. In addition, it also makes an excellent companion for trainees throughout the course of their six-year training rotation, allowing more junior plastic surgery trainees the opportunity to become acquainted with the format and content of the FRCS (Plast) exam. Lastly it may be helpful to consultants who are interested in coaching their trainees in topics other than their subspeciality.

This practical text reviews the most recent literature supporting clinical decisions regarding over a dozen common foot and ankle conditions, along with presentations of the techniques themselves, both surgical and non-surgical. The conditions are presented anatomically from forefoot to ankle, beginning with issues surrounding toenails, such as fungal infection and treatment of ingrown toenails, then proceeds to discuss the toes and toe joints, including hammertoe fixation, 2nd MPJ pathology, and Lapidus bunionectomy. Treatmentsfor arthritis of the midfoot and flatfoot follow, along with arthroscopy and arthroplasty of the ankle, surgical and non-surgical approaches for Achilles tendon ruptures, and treatments for Charcot neuroarthropathy, clubfoot and general considerations of wound care of the foot and ankle. Throughout, an emphasis is placed on the best available evidence for each treatment strategy. Evidence-Based Podiatry will be a valuable resource for podiatrists, orthopedic surgeons, and residents, fellows and trainees treating these common foot and ankle conditions.

This book provides a comprehensive overview of the medical and operational management of blast and explosive incidents affecting civilian populations. It incorporates global lessons learned from first responders, emergency medicine providers, surgeons, intensivists, and military specialists with deep experience in handling blast injuries from point of injury through rehabilitation. The book begins with background and introductory information on blast physics, explosion types, frequency, and perspectives from the military. This is followed by a section on prehospital management focusing on medical and trauma responses, triage, psychological consequences, and operational considerations. It then examines the roles of the emergency department and ICU with chapters on planning and training, surge capacity, resilience, management of common injury types, contamination, and ventilator strategies. The next section covers surgical treatment of a variety of blast injuries such as thoracoabdominal, extremity and vascular, and orthopedic injuries. The book then discusses medical treatment of various injury patterns including lung, abdominal, extremity, and traumatic brain injury. The final section of the book covers post-hospital considerations such as rehabilitation, mental health, and community resilience. Throughout, case studies of recent incidents provide real-life examples of operational and medical management. Operational and Medical Management of Explosive and Blast Incidents is an essential resource for physicians and related professionals, residents, nurses, and medical students in emergency medicine, traumatic surgery, intensive care medicine, and public health as well as civilian and military EMS providers.

The rapid expansion of clinical knowledge in the field of neurology warrants a new edition of this highly regarded textbook of neurology. In addition to the anchor chapters on major areas such as headache, stroke, developmental disorders, dementia, epilepsy, acquired metabolic disorders, and others, several new chapters have been added to meet the clinical demand for those in practice. This edition features new chapters on neurotoxicology, neuroimaging, and neurogenetics including basic and more advanced concepts for the practitioner. Finally, as the health care system continues to evolve, a new chapter on population health and systems of care reflects current practice in team care, patient-centric approaches, and value-based care. *Pithy bullet points and standard prose allow the reader to assimilate concepts and key messages with ease *Summary tables, neuroimages, photomicrographs, neuroanatomic drawings, gross and microscopic neuropathologic specimen photos, graphics, and summary boxes further enhance the text *Chapters are crafted in a way to appeal to both the visuospatial and analytic functional centers of the brain, as we stimulate the senses and learn Hankey's Clinical Neurology, Third Edition, will be of value to medical students, physicians in training, neurology fellows, neurologist and neurosurgeon practitioners, and advanced practice professionals (e.g., nurse practitioners and physician assistants) who are faced with neurologic practice challenges.

Provides a concise and intuitive overview of the role of statistics in surgical practice. Uses no mathematics but includes narrative descriptions of statistical concepts. Includes topics of specific interest to surgeons. Provides real surgical examples to illustrate applications.