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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.
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.
There is now widespread recognition that psychosocial factors play a key role in the aetiology, perpetuation, management and prevention of cumulative trauma disorders CTDs. This text addresses the strength, direction and importance of links between psychosocial factors and CTDs.; The book's contributors examine critically current research data, identify potential link mechanisms, and recommend measures for control and prevention. Topics covered include socio-organizational psychology, medical anthropology, occupational medicine, rehabilitation, orthopaedics, job stress and ergonomic interventions. The book aims to demystify the concept of the "psychosocial," so as to promote and assure effective prevention in the workplace.
This book is designed to meet the needs of both novice and senior researchers in Orthopaedics by providing the essential, clinically relevant knowledge on research methodology that is sometimes overlooked during training. Readers will find a wealth of easy-to-understand information on all relevant aspects, from protocol design, the fundamentals of statistics, and the use of computer-based tools through to the performance of clinical studies with different levels of evidence, multicenter studies, systematic reviews, meta-analyses, and economic health care studies. A key feature is a series of typical case examples that will facilitate use of the volume as a handbook for most common research approaches and study types. Younger researchers will also appreciate the guidance on preparation of abstracts, poster and paper presentations, grant applications, and publications. The authors are internationally renowned orthopaedic surgeons with extensive research experience and the book is published in collaboration with ISAKOS.
What are the indications for necrosectomy? How you perform an EUA for acute peri-anal sepsis? What do you understand by the term Early Goal-Directed Therapy (EGDT)? Remember: this is a consultant's exam, and giving a range of options is not good enough. You must tell the examiner what you as a consultant are going to do. The FRCS is a uniquely challenging prospect; highly detailed, wide-ranging and encompassing both theory and practice. Preparation for this exam can be very difficult, and resources tailored to it are scarce. As the consolidated notes of a recent successful candidate, this book is an essential resource when preparing for the viva. The wide variety of questions require you to define, diagnose or choose between treatment options, while MCQs and SBAs help you to objectively evaluate your progress - a unique supplement to your study plan. Answers provided are comprised of an invaluable combination of detailed written answers and lists that will remind you of key points and help you structure your preparation.
This book is intended for medical students unfamiliar with electrocardiograms (ECG); anyone just getting started with ECG can use this book to start from scratch. After familiarizing themselves with this simple and practical method for interpreting ECG, readers will discover how to quickly and easily read ECG strips without overlooking potentially abnormal conditions. Based on the authors' substantial experience, which is compared with other ECG interpretation methods and combined with traditional guidelines, the book equips readers with the fundamental knowledge and skills needed to rapidly and accurately read and interpret ECG.
This book provides a sound introduction to surgical instrumentation, including their recognition, use and care. It provides useful information that is essential for operating department practitioners, nurses, scrub practitioners, surgeons under training, surgical technologists, junior doctors and medical students. Descriptions of how and where the instruments are used will also aid in the knowledge required for their application, providing an understanding of instruments for specific procedures. The book is relevant to surgical practice around the world. It also aligns with the core curriculum of the Association of Surgical Technologists in the United States. This book provides the fundamental knowledge required for students and qualified staff working within the perioperative environment, to ensure the safe and efficient use of surgical instrumentation and ultimately the care of the surgical patient as a result.
This fully updated and revised second edition address specifically some of the significant advances made in our understanding of the pathophysiology of penile cancer including discussion of the suspected role of the human papilloma virus in penile carcinogenesis. Similarly, the molecular pathways implicated in precancerous and penile cancer will be discussed as these are the present targets of novel therapeutic approaches to this disease. The text details the recent national and international diagnostic and treatment guidelines that have been developed by both the National Comprehensive Cancer Network (c) and the European Urological Association establishing evidence based standards upon which the care of penile cancer should be based. The text also covers significant advances made in the diagnostic and therapeutic approach to both primary tumors and inguinal nodal metastases resulting from penile cancer such as penile sparing surgery and minimally invasive inguinal lymph node surgery. The text will similarly highlights the improvement in cancer specific outcome in the management of loco-regionally advanced (N2/3) penile cancer managed by upfront systemic chemotherapy followed by consolidative surgery in appropriately selected patients based on recent prospective phase II data. It also covers the role of radiotherapy in the management of penile cancer for both primary tumors and/or at sites of regional or distant metastases. Finally, some of the novel systemic approaches being devised in the management of advanced penile cancer along with some upcoming international trials soon to be opened which likely will re-define the present therapeutic approaches to penile cancer are discussed. The Second Edition of Penile Cancer: Diagnosis and Treatment will constitute a comprehensive review of the above mentioned subjects in addition to a few select topics of high clinical relevance, with the readership predominantly consisting of urologists, medical and surgical oncologists, and other healthcare professionals.
The new edition of this volume features a concise yet comprehensive review of sepsis. In addition to thoroughly revised chapters from the previous edition that covers the latest in diagnostics, therapeutics, and antimicrobials, the third edition features new chapters on the economic impact of infections and antibiotics, multi-organ failure in sepsis, and current strategies for training high-performance teams. Written by an international group of experts in the field, Sepsis, Third Edition is a valuable resource that provides the most practical information for clinicians and practitioners who treat this complication in the ICU.
In three Volumes this mini book series presents current knowledge and new perspectives on cartilage as a specialized yet versatile tissue. This first volume provides a comprehensive overview on the basic composition and development of cartilaginous tissues followed by the description of the major signaling pathways which regulate cartilage morphogenesis and function. This book addresses Professors, researchers and PhD students who are interested in musculoskeletal and cartilage biology.
This book is written for the benefit of all surgeons who have an interest in arthroscopic shoulder surgery. It is a compendium of different aspects of shoulder surgery that have been learned over the last 25 years. While there has been a rapid progression of shoulder surgery over the last two decades, particularly with the advancement of operative arthroscopic surgery, certain principles remain. The purpose of this book is not to be an exhaustive detailed account of the various historical aspects of arthroscopic shoulder surgery, but rather to act as an up-to-date, instructional handbook that outlines these principles. The book also helps the practicing shoulder surgeon become familiar some of the latest techniques in arthroscopic shoulder surgery, demonstrating proven approaches and outlining key aspects of common and uncommon procedures. Each chapter starts with the indications for the procedure, moves towards the appropriate evaluation and diagnostic work up, and culminates in specific technical explanation of the surgical procedure itself. Advanced Techniques in Shoulder Arthroscopy is a valuable resource for those who are new to arthroscopic shoulder surgery and for those who are skilled and experienced in operative arthroscopy. It is meant to provide a foundation for basic and advanced arthroscopic techniques that helps surgeons improve their craft and treat their patients better.
Transplantation Surgery uniquely covers all aspects of this rapidly expanding field in one volume. The book gives a clear description of the current status of transplant surgery for trainees sitting surgery exit examinations. The book will also be of interest to transplant surgeons, physicians and nephrologists who have an interest in this field. It opens with an introductory chapter on the history of transplantation and the basic science of immunobiology, and then examines the practice of transplantation in each major system. No other book covers the breadth of this topic in a single volume. Each contributor to Transplantation Surgery is an internationally recognised expert. Nadey S Hakim is Consultant Surgeon and Surgical Director of the Transplant Unit based at St Mary's Hospital, London, UK. Gabriel M Danovitch is Medical Director of the Kidney Transplant Program, Center for the Health Sciences, Los Angeles, California, USA. Both have been personally involved in many of the major developments in transplantation.
In his exceptionally thought-provoking and moving memoir, neurosurgeon Joseph D. Stern explores how personal loss influences the way physicians relate to patients and their families. How does a doctor who deals with the death of patients on a regular basis confront his own loss when his beloved family member is living out her last days? Despite a career as a neurosurgeon, Joseph Stern learned more about the nature of illness and death after his younger sister Victoria developed leukemia than his formal medical training ever taught him. Her death broke down the self-protective barriers he had built to perform his job and led to a profound shift in his approach to medicine. During the year of her illness, Dr. Stern developed a greater awareness of the needs of patients and their families; of the burdens they carry; of the importance of connection, communication, and gratitude; and of what it means to ask the right questions. Grief Connects Us intimately explores the impact of personal loss on physicians and the ways in which they integrate it into their professional lives, providing a blueprint for change that places compassion and empathy at the centre of the practice of medicine.
Deep brain stimulation (DBS) is a widely used therapy for movement disorders such as Parkinson's disease, essential tremor, and dystonia. Its therapeutic success has led to the application of DBS for an increasing spectrum of conditions. However, the fundamental relationships between neural activation, neurochemical transmission, and clinical outcomes during DBS are not well understood. Drawing on the clinical and research expertise of the Mayo Clinic Neural Engineering Laboratories, this book addresses the history of therapeutic electrical stimulation of the brain, its current application and outcomes, and theories about its underlying mechanisms. It reviews research on measures of local stimulation-evoked neurochemical release, imaging research on stimulation-induced neural circuitry activation, and the state of the art on closed-loop feedback devices for stimulation delivery.
Fractures of the Facial Skeleton, Second Edition gives a clear, concise and practical overview of the management of maxillofacial injuries. This new edition has been fully updated to include recent developments and improvements in facial trauma management, with expanded sections on emergency and early treatment, soft tissue injuries and major maxillofacial injuries. Written by an experienced author team, this text will appeal to trainees in all surgical specialities involved in facial trauma. Summary tables and colour illustrations throughout aid understanding, making this both an ideal introduction to the subject and a useful exam revision text. Key features include: * New, updated edition of a well-respected text * Easy-to-read, practical clinical handbook * Covers aetiology and anatomy, emergency management of trauma, imaging, treatment of dentoalveolar, mandible and midfacial injuries, postoperative care, and complications * Suitable for postgraduate students, trainees and practitioners in oral and maxillofacial surgery and practitioners of other medical disciplines involved in facial trauma
Review Questions for Dentistry is an essential exam practice tool designed for undergraduate dentistry students, postgraduate MJDF candidates, and overseas candidates sitting their OREs. Using the questions as a platform for learning consolidation, this exam preparation guide provides feedback to students to enable them to assess their knowledge and understanding of the subject. * Features multiple question formats including MCQs, EMQs, SAQs and find the missing word questions * Answers include detailed explanations to help expand and consolidate learning * The text is divided into two sections; introductory questions and questions exploring the subjects in more detail * The book is accompanied by a companion website offering further interactive self-assessment tools
This book collates the expertise and experience of leading medical professionals to give foreign medical graduates an understanding of the American health care system. All the fundamental stages in the preparation of a foreign medical graduate for medical training in the US are covered. The book aims to provide essential information and guidance on how to navigate the American health care system. The characteristics of it are described in this concise and easy to read volume to help foreign medical graduates integrate into the American system.
Enter the world of organ transplantation and develop a new understanding of processes and techniques for working effectively with patients in this increasing medical population. This multidisciplinary overview of organ transplantation contains chapters by major figures in the medical arena, internationally known bioethics writers, and experienced chaplains from the clinical setting of transplantation, as well as respected pastoral theologians. The authors, who include Art Caplan, Donald Capps, and Jack Copeland, explain transplantation completely for the nonmedical person and delve into the myriad ethical and religious issues and controversies surrounding organ donation and transplantation. Enlightening chapters clarify issues and help readers better understand the transplantation process, making them more effective in their work with transplant patients. Organ Transplantation in Religious, Ethical and Social Context is divided into three sections. The first emphasizes transplantation as a team effort. Chapters focus on the various roles of chaplains and other team members.Section two addresses ethical questions which arise from transplantation and organ donation and includes interfaith perspectives. The third section is dedicated to theological and pastoral views concerning transplantation. Some specific topics discussed in this book include: a surgeon's perspective of the role of the chaplain influence of psychosocial factors in the heart transplantation decision process ministry to organ recipients and their families the special relationship between the transplant coordinator and the transplant patient Catholic and interfaith perspectives on organ donation using the Psalms as a pastoral resource with transplant patients Hospital chaplains, transplant social workers, transplant coordinators, and other professionals interested or involved in the process of organ transplantation will find this book to be full of interesting and thought-provoking insights and information.
The most misunderstood and complex subject in medicine is the hyperpathic pain of sympathetic dystrophy. More common than previously thought, it comprises between 10 and 20 percent of chronic pain patients. Understanding this self-perpetuating pain -- which "never stops" -- requires unbiased knowledge of physiology and pathology.
This atlas focuses on the imaging and treatment options available for giant intracranial aneurysms since 1990s in the beginning of the so-called modern endovascular era. During this period, there were significant advances made in the therapy of small intracranial aneurysms though the treatment of giant aneurysms continued to pose an insurmountable challenge. At the turn of this century, this grim scenario gradually improved with better understanding of the pathophysiology of giant intracranial aneurysms. This changed scenario in giant intracranial aneurysm therapy has been illustrated with the aid of informative clinical case studies. The clinical presentation of giant aneurysms in adults and children is described as are the merits of different imaging modalities explained and illustrated. Extensive consideration has been given to modern fusion imaging that has improved our insight into the nature of the disease. Endovascular treatment approaches (including illustrative open surgical approaches) and reconstructive and deconstructive strategies are fully documented, with careful attention given to factors that influence management strategies, treatment choice and complications.The atlas will be a valuable reference and practical aid for neuroradiologists, neurosurgeons, neurologists, fellowship trainees, postgraduate & graduate students.
This book, written by leading experts in the field, is a comprehensive guide to the best available techniques in Achilles tendon surgery. Each surgical procedure is described step by step, covering all of the approaches employed for the most common and important Achilles tendon pathologies. The clear descriptions are complemented by superb drawings prepared by a medical artist on the basis of photographs supplied by the authors. Pearls and possible pitfalls are identified to ensure optimal outcomes for patients. The book is the outcome of a collaboration among international Achilles tendon experts - the Achilles Tendon Study Group - that has already resulted in four other books on current concepts relating to the Achilles tendon. Like these previous volumes, The Achilles Tendon - An Atlas of Surgical Procedures is based on the highest level of evidence and expertise. It will be invaluable for orthopaedic surgeons, trauma surgeons, and residents, assisting them in their daily clinical work.
This book focuses on with musculoskeletal imaging: during the last few years, there have been considerable advances in this area, driven by clinical as well as technological developments. The authors, internationally renowned experts in their field, have contributed chapters that are disease-oriented and cover all relevant imaging modalities, including magnetic resonance imaging, computed tomography, and positron emission tomography. As a result, this book offers a comprehensive review of the state of the art in musculoskeletal imaging. It is a valuable resource for general radiologists, radiology residents, rheumatologists, orthopaedic surgeons, and clinicians from other specialities wishing to update their knowledge in this discipline.
OSHA frequently requires companies to implement the type of program promoted in Cumulative Trauma Disorders, the first and only book to address both the medical and ergonomic aspects of cumulative trauma. This combination of conservative medical intervention and attention to ergonomic design of jobs creates the long-term cost control that companies are actively seeking. The book presents a down-to-earth discussion of issues facing companies as they try to implement an ergonomic program to control cumulative trauma. It examines cumulative trauma from all angles, paying particular attention to cumulative trauma disorders of the upper extremities. Specific topics addressed include CTD etiology, in-plant control programs, return-to-work concepts, ergonomic stressors and their root causes, and basic guidelines for ergonomic workstation design. Cumulative Trauma Disorders also explains many of the programmatic features included in the OSHA Ergonomic Guidelines for the Red Meat Industry, which OSHA uses as a means to structure their regulatory activities. This book discusses the rationale and value of implementing program components in the OSHA guidelines as they pertain to the production environment, presenting technical information in a clear, easy-to-read format. Cumulative Trauma Disorders is an essential book for managers of workers' compensation costs, plant nurses, safety and health technicians and managers, and ergonomic consultants.
This text explores the history and development of the many technologies that have led to how we treat contemporary urologic problems. From the development of the cystoscope, the advances in laparoscopy, the birth of the field of endourology, to the era of robotics today, urologists have pushed the envelope in technologic innovation. The editors highlight the development of the cystoscope and the early tools used to treat ureteral stones, the development of ureteroscopy, and the applications of lasers and shock wave lithotripsy in the treatment of urolithiasis. Furthermore, they explore the history of minimally invasive treatments in urologic oncology from the story behind the first laparoscopic nephrectomy, the application of hand-assisted technology to the development of robotics and percutaneous treatment approaches (radiofrequency ablation and cryoablation). As the field of urology continues to evolve, urologists will continue to look to the future with the recent applications of histotripsy and regenerative medicine. This text chronicles the creativity, innovation and discovery of the developments of the instruments that allow to practice urology today, as well as glimpse what the future of urology holds. |
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