Medicina

You have just encountered a possible stroke patient. You ask yourself, what should I do first? How do I know it is a stroke? Is it too late to reverse the damage? How do I do the right things in the right order? This book will help you answer these critical questions. It provides practical advice on the care of stroke patients in a range of acute settings. As new and effective treatments become available, and designated stroke centers are created, this guidebook will help inform the healthcare professionals responsible for delivering care. The content is arranged in chronological order, covering the things to consider in assessing and treating the patient in the emergency department, the stroke unit, and then on transfer to a rehabilitation facility. All types of stroke are covered. A comprehensive set of appendices contain useful reference information including dosing algorithms, conversion factors and stroke scales.

This volume of "Clinics in Perinatology" will examine the latest techniques in mechanical ventilation, including both conventional and high frequency ventilation. It will critically review newer ventilatory modalities, such as pressure support, volume targeted ventilation, and volume guarantee. Exogenous surfactant therapy will also be addressed, highlighting recent developments. In addition, articles will address current and future directions in the management of neonatal respiratory failure.

"Practical Electrotherapy" is the first and only book of its kind which describes how to apply common electrotherapy modalities to a patient in the clinical setting. The student is guided through the process from start to finish, covering all safety issues, contraindications and precautions. It features step by step instructions accompanied by large number of photographs; reference tables detailing the aims, methodology and results of research and evidence; observational check list to facilitate peer review and student's performance; and space to record a simulated patient record and further notes. It is a spiral bound book that allows for easy, lie-flat reference. It is portable - ideal for use in the clinic and on placement.

This book explains in full how the emotional, mental and physical elements of Chinese Medicine in illness are an extremely effective therapy in dealing with cases where the alterations of the shen are both obvious and subtle. This book focuses on the psycho-spiritual aspects of patients' conditions and is purposely constructed to facilitate practitioners' formulations of diagnosis and treatment. It reflects throughout on the patient-practitioner relationship, resources and various characteristics of acupuncture, and inherent problems and qualities. ""Shen: Psycho-emotional Aspects of Chinese Medicine" is more than an acupuncture book or a clinical text on how to treat psychological diseases. The authors, by connecting personal clinical experience and through study of classical texts, have created a model that shows how to develop Chinese medicine in the West. This is a very important achievement." - From the Foreword by Volker Scheid Practitioner of Chinese medicine and Director of the European Institute of Oriental Medicine (Munich/London).

"The work focuses on a phenomenon that is occurring with increasing frequency in the practice of cardiac surgery, namely the need to address cardiac surgical issues in patients with end-stage renal disease (ESRD)...this book will serve to stimulate trials of competing and complementary therapies so that the outcomes for these unfortunate patients can be improved." -- from the Foreword by R. Morton Boltman, III, MD Professor of Surgery, Harvard Medical School Chief, Cardiac Surgery, Brigham and Women's Hospital, Boston Cardiovascular disease remains the most common cause of death for patients with chronic renal failure, and although cardiac surgery can frequently relieve symptoms and prolong survival, it is still associated with significant complications. This concise volume draws on the expertise of leading specialists to help practitioners and trainees understand the full range of current treatment options and their outcomes. Noted authorities such as Charles A. Herzog and William Cohn share both their insights and their technical tips, developed through years of experience. Cardiac Surgery in Chronic Renal Failure includes chapters on: * the impact of ESRD in society * percutaneous coronary revascularization in ESRD patients * cardiopulmonary bypass in patients with chronic renal failure * coronary bypass grafting in ESRD patients requiring dialysis * surgical treatment of valvular heart disease in ESRD patients * surgical evaluation and treatment of uremic pericarditis Practicing nephrologists and cardiologists, as well as residents and fellows, will find this important volume serves as a guide to achieving the best possible outcomes and a call to reduce the impact of cardiovascular disease in ESRD.

The chicken is the standard model for avian and vertebrate brain anatomy, particularly in development. "The Chick Brain in Stereotaxic Coordinates" contains 200 coronal plates and diagrams, 40 sagittal plates and diagrams, and 20 horizontal plates and diagrams, illustrated in stereotaxic coordinates. This book is essential for anyone studying the physiology and function of the chick brain. It presents the highest level of anatomical detail currently unavailable. It also presents Juxtaposes histology with diagrams for ease of study and employs standarized use of homologies, nomenclature, and abbreviation similar to that in other Elsevier atlases by George Paxinos.

Secondary data play an increasingly important role in epidemiology and public health research and practice; examples of secondary data sources include national surveys such as the BRFSS and NHIS, claims data for the Medicare and Medicaid systems, and public vital statistics records. Although a wealth of secondary data is available, it is not always easy to locate and access appropriate data to address a research or policy question. This practical guide circumvents these difficulties by providing an introduction to secondary data and issues specific to its management and analysis, followed by an enumeration of major sources of secondary data in the United States. Entries for each data source include the principal focus of the data, years for which it is available, history and methodology of the data collection process, and information about how to access the data and supporting materials, including relevant details about file structure and format.