Encyclopedic, definitive, and state-of-the-art in the field of vascular disease and its medical, surgical, and interventional management, Rutherford's Vascular Surgery and Endovascular Therapy offers authoritative guidance from the most respected and innovative global thought leaders and clinical and basic science experts of our time. The thoroughly revised 10th Edition, published in association with the Society for Vascular Surgery and authored by multidisciplinary and international contributors, is an outstanding reference for vascular surgeons, vascular medicine specialists, interventional radiologists and cardiologists, and their trainees who depend upon Rutherford's in their practice. Under the expert editorial guidance of Drs. Anton N. Sidawy and Bruce A. Perler, it is quite simply the most complete and most reliable resource available on the art and science of circulatory diseases. Incorporates fundamental vascular biology, diagnostic techniques, and decision making as well as medical, endovascular, and surgical treatment of vascular disease. Features numerous concise and comprehensive diagnostic and therapeutic algorithms vital to patient evaluation and management. Covers all vascular imaging techniques, offering a non-invasive evaluation of both the morphology and hemodynamics of the vascular system. Employs a full-color layout, images and online videos, so readers can view clinical and physical findings and operative techniques more vividly. Contains fully updated and more concise chapters with a focused format and summary for each that provides a quick access to key information-ideal for consultation as well as daily practice. Includes expanded coverage of the business of vascular surgery, including a new section on the use of technology platforms and social media, and new chapters on telemedicine, the development and operation of outpatient dialysis centers and multispecialty cardiovascular centers, vascular information on the internet, and much more. Provides new content on key topics such as endovascular treatment of complex aortic disease, acute vascular occlusion in the pediatric population, outpatient vascular care, and anatomic surgical exposures for open surgical reconstructions. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This book identifies the 50 key scientific articles in the field of vascular and endovascular surgery. It provides a commentary to each carefully selected paper and explains why these papers are so important, thus providing every surgeon with the foundation stones of knowledge in this fast-moving area. There has been an exponential increase in the volume and quality of published research relating to vascular and endovascular surgery in recent decades. Among thousands of articles, a small fraction is truly "game changing." Such studies form the foundations of vascular surgery today and the selection of papers within this book provide the 50 landmark papers every 21st-century vascular and endovascular surgeon needs to know. A valuable reference not only to the established surgeon, but also to vascular surgery residents and trainees, as well as to more experienced surgeons as they continue to learn new techniques and approaches and to improve their knowledge of vascular disorders and treatments. The papers provide an evidence-based resource for those surgeons preparing for professional exams and may inspire clinicians to produce new research. About the Editors Juan Carlos Jimenez MD, MBA Professor of Surgery Gonda (Goldschmied) Vascular Center David Geffen School of Medicine at UCLA Los Angeles, California Samuel Eric Wilson, MD Distinguished Professor of Surgery and Chair Emeritus University of California Irvine Irvine, California

Atlas of Human Cranial Macromorphoscopic Traits synthesizes macromorphoscopic traits and their analysis in an accessible manner, providing detailed descriptions and examples of the various character state manifestations intended for use in classrooms, laboratories, and in the field. The volume begins with an outline of the macromorphoscopic dataset, its history, recent modifications to the historical approach, and recent technological and analytical advances. Additional sections cover Nomenclature, Gross Anatomy, Function, Methodology, Line Drawings, Detailed Definitions, Multiple High-resolution Photographs, and Population Variation Data from the Macromorphoscopic Databank (MaMD). The volume concludes with a chapter outlining the statistical analysis of macromorphoscopic data and a summary of the computer programs and reference databases available to forensic anthropologists for the analysis of these data.

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

According to the International Association for Ambulatory Surgery (IAAS), ambulatory surgery should be defined as 'an operation/procedure, excluding an office or outpatient operation/procedure, where the patient is discharged on the same working day'. The rise of ambulatory surgery has been driven by technological advances that reduce the need for overnight hospital stays, enhanced recovery programmes that advocate early mobilisation, and the need for economic efficiency. Recent experience has shown that redistributing surgical procedures from the inpatient setting to ambulatory centres can be done without impacting quality. The majority of people requiring urologic surgery are now treated as day/outpatients thus requiring a different level of care from inpatients. Ambulatory Urology and Urogynaecology is the only book that combines urology and urogynaecology focuses on outpatient management. Packed with learning points, practical hints and tips, and boasting an international group of contributing authors, this book is co-edited by world-leading pioneers in urologic and urogynaecological surgery. Ambulatory Urology and Urogynaecology is ideal for urologists, urogynaecologists and gynaecologists, as well as specialist urology nurses and surgeons. With more and outpatient procedures being performed, this book is the perfect step-by-step guide to consult time and time again.

'Principles and Practicalities of ENT' ensures that doctors of all levels are well equipped to approach common clinical scenarios encountered in ENT with confidence. Each section covers how to prepare for patients, includes key points in the history and examination, and how best to investigate and manage a wide variety of common ENT presentations and conditions. The material is structured to provide an easy reference including red flag and primary care sections to enable readers to know what to look out for when considering referrals. Inaddition to being a revision tool for medical students, doctors pursuing MRCS (ENT) examinations and higher surgical training in ENT, this book also serves as a useful aid for primary care physicians in their everyday diagnostics and referral practices.

Dr. Jay A. Goldstein 's Betrayal by the Brain can be a daunting treatise to the layperson as well as a challenge for the physician who is not versed in neurology, psychiatry, immunology, and endocrinology. Here, in A Companion Volume to Dr. Jay A. Goldstein 's Betrayal by the Brain: A Guide for Patients and Their Physicians, Author Katie Courmel, a longtime sufferer of chronic fatigue syndrome and fibromyalgia, presents in layperson 's terms the salient points of the book to lead readers to an understanding of Dr. Goldstein 's theory and methods of treatment. This guide provides CFS and FMS patients with an understanding of how their brains should function as opposed to how they are now dysfunctioning. It explains the proper role and function of each brain structure and neural assembly and the neurochemicals believed to be implicated in CFS and fibromyalgia along with the dysfunctions found in CFS/FMS patients. These dysfunctions, as a whole, form the basis of Dr. Goldstein 's unified theory behind the possible causes of CFS and FMS. Patients involved in or contemplating Dr. Goldstein 's treatment can use A Companion Volume to Dr. Jay A. Goldstein 's Betrayal by the Brain to gain an explanation of the process from a firsthand perspective and can follow along to learn why they are given particular drugs and what response Dr. Goldstein hopes to elicit from their bodies. This understanding gives patients a sense of control and helps them weather the ups and downs their bodies experience as a normal response to the treatment. The strength of A Companion Volume to Dr. Jay A. Goldstein 's Betrayal by the Brain lies in its ability to simplify without sacrificing the body of information that one must understand to make sense of the multitude of seemingly unrelated manifestations of these diseases of the brain. A thorough understanding will allow sufferers of CFS/FMS to approach Dr. Goldstein 's treatment method with an open mind and improve their chances for success. Specific questions answered for readers include: how safe is this protocol? should I go alone or take a companion? what should I expect during my initial consultation? what are the effects of so many drugs? why doesn t the same drug work for everyone? if my treatment is successful, how long will it last? what happens when I leave Dr. Goldstein 's care? A Companion Volume to Dr. Jay A. Goldstein 's Betrayal by the Brain prepares readers for a unique, sometimes scary, often perplexing, hopefully miraculous, leap-of-faith experience. It helps patients deal with the very natural sense of uneasiness they may be feeling and helps them understand, in layperson 's terms, what Dr. Goldstein 's protocol can accomplish and how it can be so successful.

SHORTLISTED FOR THE COSTA BIOGRAPHY PRIZE THE SUNDAY TIMES NO.2 BESTSELLER WINNER OF THE BMA PRESIDENT'S AWARD 2017 An incredible memoir from one of the world's most eminent heart surgeons, recalling some of the most remarkable and poignant cases he's worked on. Grim Reaper sits on the heart surgeon's shoulder. A slip of the hand and life ebbs away. The balance between life and death is so delicate, and the heart surgeon walks that rope between the two. In the operating room there is no time for doubt. It is flesh, blood, rib-retractors and pumping the vital organ with your bare hand to squeeze the life back into it. An off-day can have dire consequences - this job has a steep learning curve, and the cost is measured in human life. Cardiac surgery is not for the faint of heart. Professor Stephen Westaby took chances and pushed the boundaries of heart surgery. He saved hundreds of lives over the course of a thirty-five year career and now, in his astounding memoir, Westaby details some of his most remarkable and poignant cases - such as the baby who had suffered multiple heart attacks by six months old, a woman who lived the nightmare of locked-in syndrome, and a man whose life was powered by a battery for eight years. A powerful, important and incredibly moving book, Fragile Lives offers an exceptional insight into the exhilarating and sometimes tragic world of heart surgery, and how it feels to hold someone's life in your hands.

Pain is an unfortunate daily experience for many individuals. Chronic pain -- lasting six or more months -- is suffered by approximately 30% of the population in the United States. These individuals wake up, function during the day and go to sleep, trying to keep pain at a minimum while, at the same time, maintaining some quality of life. They may make frequent visits to the doctor and the pharmacy. When they find relief, it is usually short-lived and comes at a cost such as dependence on narcotic medications or complete limitation of activity. Pain often becomes the central point of their existence. This practice guide describes an approach to psychological evaluation of the chronic pain patient who is being considered for surgery. A large body of research is accumulating which demonstrates that the outcome of surgical procedures aimed at chronic pain relief can be strongly influenced by psychological and emotional factors. This approach, termed "presurgical psychological screening" (PPS) uses interview and testing techniques to identify emotional, behavioral, and psychosocial difficulties which have been demonstrated to negatively impact surgical outcome. Studies show that even patients with clearly identifiable pathophysiology may respond poorly to surgery, due to issues such as pain sensitivity, medication dependence, rewards for pain behavior and personality style. Thus, some insurance carriers, rehabilitation nurses and state worker's compensation systems are encouraging, or even requiring, presurgical psychological screening in cases of surgery designed to relieve chronic pain. The first to present a comprehensive, unified approach to PPS in chronic pain syndromes, this text is designed to provide the behavioral health practitioner, as well as the trainee, with all the tools and information necessary to conduct PPS evaluations. It identifies a multitude of risk factors for poor surgical outcome and reviews research associated with each risk factor. Hands-on techniques for eliciting information from the patient about risk factors is also detailed. Toward this end, the practice guide also contains a number of forms and session outlines which can be directly utilized, or which can be altered to fit readers' needs. Models for weighing and combining surgical outcome risk factors are also provided. Thus, practitioners are able to reach valid and reliable predictions of surgical results. Finally, the text provides outlines of psychological interventions which can facilitate surgical outcome as well as surgical treatment alternatives. Upon completion of this practice guide, readers should be able to begin providing PPS evaluations which are scientifically valid, clinically sound, and which result in significant overall improvement in the treatment of chronic pain syndromes.

This volume examines one health issue -- breast implants -- across a series of contexts often thought to be separate -- media coverage, doctor-patient interaction, doctor-doctor professional communication, support group dialogues, public relations campaigns, and more. In so doing, it provides a narrative of how communication shapes the individual perceptions of health, government, and social policy concerning health care.
At the core of the silicone breast implant controversy is the need for people to act amid uncertainty about the health risks involved. This need to weigh action in the midst of uncertain risk characterizes a large number of health issues. The attempts of patients, physicians, drug manufacturers, and others to seek and provide both information and influence makes communication central to these issues. Consequently, the questions explored in this volume will interest a diverse group of readers. This audience includes plastic surgeons in particular, physicians in general, and anyone involved with women's health issues. As the medical profession struggles with its identity amid changes in public attitudes, government regulations, and medical practices, this volume's findings concerning media portrayals of doctors and medical devices become even more important.
Finally, this study reveals how interrelated public information and private decisions are, and how closely media and interpersonal relationships fit. Tracing one medical issue across interpersonal, organizational, public relations, and mediated forums has clearly demonstrated the multiple ways those communication channels overlap and inform one another.

First published in 1967, Human Guinea Pigs is a report by a consultant physician on the implications of medical research on both the medical profession and on the men, women and children who are the subjects of medical experiments. It suggests that there are limits to the permissibility of experiments on humans. It points out how it has become a common occurrence for medical investigators to take risks with patients of which the patients themselves are frequently unaware, and to submit them to mental and physical distress and possible hazards which in no way are necessitated by or have connection with the treatment of the disease from which are suffering. The author describes a number of experiments which, in his opinion, raise important problems. In his view, medical research must go on, but there must be acknowledged and observed safeguards for patients. This book will be of interest to students of medicine, ethics, law, politics and social work.

This volume on athletic injury is timely because it addresses many types of sports injuries and focuses not only on the treatments of these injuries, but also their prevention. The first paper was written after an extensive interview with the coaches of one of the most recognized football programs in the country. Dr. Kevin Chung's interviews with the Head and Assistant Coaches at the University of Michigan, Jim Harbaugh and Jedd Fisch, provided thoughtful insight on preventing sports injuries in the professional and college athletics.

Contents:
Electromyography in ergonomics; physiological basis and concepts of electromyography; noise and artefacts; EMG interpretation; muscle energetics and electromyography; EMG alterations at sustained contractions with special emphasis on application in ergonomics; electromyography of upper extremity muscles and ergonomic applications; EMG of neck and shoulder muscles - the relationship between muscle activity and muscle pain in occupational settings; surface electromyography assessment of lower back pain; application of EMG in ergonomics - a clinical perspective.

Whether you are a doctor, nurse, student, or otherwise interested reader, the stories here will help you to understand how medicine works and how medical error can happen. The lifelong process of learning that is a medical career requires healthcare workers to find a way to live through these setbacks without either becoming too adept at putting them 'down to experience' and forgetting their social significance, or 'burning out' and leaving medicine. The stories and discussions here present detailed narratives, analyses, and reflections on medical errors through actions, omissions, and misunderstandings. They offer a uniquely honest perspective on the social implications of medical error and will enable healthcare workers at all levels to analyse and learn from it without losing sight of its impact.

*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

Dr. Moshe Schein has previously compiled two books of surgical aphorisms and quotations the first book Aphorisms & Quotations for the Surgeon, with its 1500 quotations, and the slimmer A Companion to Aphorisms & Quotations for the Surgeon. Since their publication, both books have become steady bestsellers. Surgeons use the books to decorate their lectures or manuscripts with relevant smart or entertaining entries; some like to quote from the books during teaching rounds or conferences; many simply enjoy them for their collective and eternal surgical wisdom and wit. Now, as Moshe is drifting towards retirement, here is the last in the trilogy of this international bestselling series The Little Book of Aphorisms & Quotations for the Surgeon. The quotes collected within this little book have been gathered since the publication of the last two books in the series. As before, these aphorisms and quotations are retrieved from multiple sources: journals, books, lectures and, more and more, gathered from surgical friends around the world. The decision to include any entry is based on personal taste. Some would question the wisdom or accuracy of individual entries; others may not get the humor or may object to political incorrectness.

One in two of us will develop cancer at some point in our lives and yet many of us don't understand how cancers arise. How many different kinds of cancer are there? What treatments are available? What does the future hold in terms of developing new therapies? This book demystifies cancer by explaining the underlying cell and molecular biology in a clear and accessible style. It answers the questions commonly asked about cancer such as what causes cancer and how cancer develops. It explains how DNA makes proteins and how mutations can corrupt those proteins. It also gives an overview of current therapies and how treatments may advance over the next decades, as well as explaining what actions we can take to help prevent cancer developing. Understanding Cancer is an accessible and engaging introduction to cancer biology for any interested reader.

Covers the immediate assessment and management of common plastic and reconstructive surgery emergencies and referrals. A companion for junior doctors starting within plastic surgery, the Plastic Surgery for \Trauma provides succinct and clear presentation together with up to date guidelines on the common plastic surgery emergencies. With clear descriptions of difficult trauma scenarios, illustrated with numerous figures, and updated guidelines for each step of practice, this book will ensure that the reader can access all the information required to help gain confidence and experience .Be the readers passing through a plastic surgery rotation on their way to some other career goal or beginning within plastic surgery and keen to make a strong start with a view to progressing in the speciality, this book provides the support to allow rational and confident clinical decision making from the start. Essential reading for all non-specialists and trainees.

Concise - designed specifically for the undergraduate medical student by a highly experienced team of surgical educators. Accessible - bullet text ideal for rapid reference, supported by key points boxes, tables and illustrations. Flexible - ideal for use when on the ward and during finals revision. Complete - print book supplemented by video clips and online question and answer material for the full learning and revision package.

This text discusses counseling interactions that may be used with clients following traumatic brain injury. In order to be effective, counseling must not only facilitate a person's capacity for self-determination in the face of external barriers, but also help clients gain access to and awareness of the inner psychological processes that influence their decisions. It requires that the counselor understand the various ways in which the traumatic brain injury may be manifested and the common cognitive, emotional, and personality disturbances that can occur. Topics covered include psychological disturbances after traumatic brain injury, neuropsychologically mediated and organic problems, emotional reactions to injury, pre-injury personality characteristics, psychological assessment, counseling interactions and the therapeutic relationship, and specific interventions for cognitive and behavioral problems related to vocational rehabilitation procedures and outcomes.

Surgical pathologists play a central role in patient surveillance and treatment by surgeons, radiation oncologists, and medical oncologists. Although salivary gland tumors are uncommon overall, their histopathologic diversity and challenge command the attention of practicing surgical pathologists. Atlas of Salivary Gland Pathology focuses on the diagnostic approach to salivary gland neoplasia-one of the more challenging fields within surgical pathology-emphasizing the need to understand downstream implications with respect to patient surveillance and treatment. The presence of formidable histologic mimicry in salivary gland neoplasia is well-documented in the pathology literature and has also been observed in the consultation practice of the volume editor. This textbook is designed with the needs of practicing surgical pathologists and pathologists-in-training in mind, providing a comprehensive overview of both common and rare salivary gland neoplasms. The primary educational objectives for readers include the following: 1) distinguish benign from low-grade malignant salivary gland neoplasms, 2) effectively use histochemical, immunohistochemical, and cytogenetic studies in challenging cases, 3) understand which diagnoses merit additional surgery and/or adjuvant therapy (radiation, chemotherapy), and 4) enhance pathologist-to-clinician communication in the setting of salivary gland disease.

The Operation Primer provides excellent photographic step-by-step guidance to the surgical procedure. It has been produced to describe the operation in the simplest manner possible without over-simplifying. The core of the Operation Primer is the section on Nodal Points, where the key surgical steps are described in detail. This surgical guidebook provides essential reference material to surgeons wishing to update their knowledge in this specific area.

Preoperative Events switches the focus from post-operative rehabilitation to preoperative experiences and personal histories to lessen the consequences of brain damage. These papers document the relationship between preoperative experience and postoperative performance and discuss a variety of protective preoperative experiences that can ameliorate the deleterious effects of brain damage.

Highly illustrated text to aid understanding of best practice in carotid treatment Reflects international best practice Useful in clinical practice and to improve patient care

This book offers a thorough and accessible look into the importance of recovery in both staying healthy and performing well, and highlights the detrimental effects of underrecovery on physical and mental health. Internationally renowned experts from psychology, physiology, sport medicine, health, and sport science offer interdisciplinary analysis of the effects of underrecovery as well as the use of applied intervention and prevention strategies. Over the last few decades, research in sports has provided numerous studies showing the importance of addressing recovery to find recovery-stress balance and build resources that help prevent illness and promote healthy living and well-being. Each chapter of this volume discusses a specific area of recovery, providing a collection of useful and practical lessons athletes and non-athletes can take forward in their training and beyond. Focusing on both research and applied counseling techniques to discuss recovery as an underestimated factor in physical and mental health, the book aims to enlighten readers on ways to incorporate recovery into their everyday lives to reduce stress and prevent injury. The book is written for the scientific community, applied health scientists, students, and interested readers. It draws on experiences and scientific findings from the field of sport to make them usable for an expanded understanding of recovery in the field of health and related areas such as the workplace.