Medicina

Congenital cardiovascular malformations are the single most common form of birth defect. Therefore a better understanding of the mechanisms involved in both normal cardiac development and the formation of cardiovascular structural defects is of tremendous importance. This book brings together the leading scientists from around the world who are actively engaged in studies of the etiology, morphogenesis and physiology of congenital cardiovascular diseases. A broad variety of approaches, techniques, experimental models and studies of human genetics combine to make this a truly outstanding and unique treatise on this pressing topic. Cardiovascular Development and Congenital Malformations is divided into distinct categories, each focusing on a particular aspect of cardiovascular development. Sections are accompanied by editorial overviews which integrate new findings and place the information into a broader context.

This is a cutting-edge review of the latest findings on key scientific topics and the best strategies for evaluation and management of portal hypertension in the clinic. Writing in an easy-to-read style, the authors review its pathobiology, the progress being made in its experimental understanding, the methodologies to assess it in humans, the treatment of its complications (esophageal varices, ascites, and hepatorenal syndrome), and its treatment in special circumstances (during pregnancy, in children, or when the portal vein is blocked). They also provide in-depth coverage of the pros and cons of the various therapeutic choices available to the clinician managing patients with complicated portal hypertension.

Completely new book on an innovative new approach to assessment and treatment of swallowing disorders Caters for the increasing team approach in swallowing of laryngologist, gastroenterologist, pulmonologist and speech pathologist Profusely illustrated with and black and white photos Features practical coverage of the use of instrumentation as well as case examples Authors are extremely well-known and are traveling the world with courses demonstrating this new technique FEESST enables Otolaryngologists, gastroenterologists, and pulmonologists to raise the level of care for their patients with swallowing problems. This is an essential text for all physicians, clinicians and speech pathologists that treat swallowing disorders. For the first time this new examination allows direct assessment of both the motor and sensory aspects of the swallow, enabling physicians to precisely guide the dietary and behavioral management of patients to decrease the risk of aspiration pneumonia. The authors provide readers with a science behind the instrumentation, the protocols for its use, and detailed case studies demonstrating its value in evaluating and managing diverse groups including: Patients with a history of reflux; Recent stroke patients experiencing difficulty swallowing, throat clearing, or choking during meals; Patients with a difficulty related to an underlying diagnosis of Parkinson's Disease; cerebral palsy, multiple sclerosis, ALS, or dementia; Patients with a history of upper respiratory infections, unexplained fevers, aspiration pneumonia, or asthma; Patients who complain about trouble swallowing liquid, food, or medications; Patients receiving nutrition via G-tube or NGT who are candidates for improved function and ability to tolerate oral feedings; Patients with a Tracheotomy.

A comprehensive review of the current state of thinking and research in relation to the management of the psychological aspects of pain. Written in a style and at a level which is relevant and accessible to the practising clinician and also to students it provides a wealth of clinically valuable information on how the psychology of pain may be utilized in clinical practice. Addresses the common clinical problems relating to the psychological aspects of pain management and gives practical guidance based on the latest research as to how those problems should be dealt with. A model is provided to help readers grasp the main points as well as to help organize possible applications. The second part of the book is exclusively dedicated to incorporating the psychology of pain into clinical practice. Rather than starting with rehabilitating those with chronic pain, this book provides clinical application from the beginning. Thus, the book examines why patients seek care in the first place as well as how to communicate with patients. Practical routines are provided for dealing with patients from the first visit and on wards. Special emphasis is placed on utilizing the information for early detection and secondary preventive interventions that will prevent the development of chronic pain problems. The book includes an appendix which may be used as a session manual by therapists using cognitive-behavioural therapy with groups for early intervention in pain management. May be used as a textbook as well as a clinical reference.

The Society of Cardiovascular Anesthesiologists is pleased to announce the first volume of the SCA Monograph series to be published in an interactive DVD-ROM format. Transesophageal echocardiography has had a significant impact on clinical practice, and the DVD-ROM format allows for extensive discussion and examples of this tool in the form of video loops. The presentation is designed to address specific disease states encountered in practice and to tackle controversial issues in echocardiography. It includes 17 chapters and over 180 video loops from leading experts in cardiovascular anesthesiology, cardiology, and surgery. Windows / Macintosh Compatible