Medicina

The increasingly important area of interventional cardiology is covered in the proven question-and-answer format of the acclaimed "Secrets Series[registered]".

This new book is a highly structured case-based text to help candidates pass the MRCP PACES (Practical Assessment of Clinical Examination Skills) examination. Its contents correspond to the five clinical stations of the exam, and the systems that each contains. Each system is covered in a structured way, providing an examination scheme followed by a series of detailed case-based clinical scenarios. The book also covers the history-taking skills and communication skills and ethics stations which are new to this exam.

"Rapid Reference to Hypertension & Related Disorders" will provide the reader with authoritative and accessible information from a clinical expert in the field, to assist with treatment decisions. Each title in the new "Rapid Reference" series provides standard core content (epidemiology - management/ therapy) combined with the additional information, such as FAQs and patient organisations, needed by the GP to provide effective patient care. They also include drugs listings, clinical trials, information on future developments and web site listings to keep the reader up to speed with new developments and to extend their knowledge of the disease area.

Responding to the expansion of scientific knowledge about the roles of nutrients in human health, the Institute of Medicine has developed a new approach to establish Recommended Dietary Allowances (RDAs) and other nutrient reference values. The new title for these values Dietary Reference Intakes (DRIs), is the inclusive name being given to this new approach. These are quantitative estimates of nutrient intakes applicable to healthy individuals in the United States and Canada. This new book is part of a series of books presenting dietary reference values for the intakes of nutrients. It establishes recommendations for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. This book presents new approaches and findings which include the following: The establishment of Estimated Energy Requirements at four levels of energy expenditure Recommendations for levels of physical activity to decrease risk of chronic disease The establishment of RDAs for dietary carbohydrate and protein The development of the definitions of Dietary Fiber, Functional Fiber, and Total Fiber The establishment of Adequate Intakes (AI) for Total Fiber The establishment of AIs for linolenic and a-linolenic acids Acceptable Macronutrient Distribution Ranges as a percent of energy intake for fat, carbohydrate, linolenic and a-linolenic acids, and protein Research recommendations for information needed to advance understanding of macronutrient requirements and the adverse effects associated with intake of higher amounts Also detailed are recommendations for both physical activity and energy expenditure to maintain health and decrease the risk of disease.

Dynamic contrast-enhanced MRI is now established as the methodology of choice for the assessment of tumor microcirculation in vivo. This is assisting clinical practitioners in the management of patients with solid tumors and is finding prominence in the assessment of tumor treatments, including anti-angiogenics, chemotherapy, and radiotherapy. In this book, targeted at both clinical practitioners and basic scientists, the principles of the methods, their practical implementation, and their application to specific tumor types are discussed by the leading authorities in the field today. The book will serve as an invaluable single-volume reference covering all the latest developments in contrast-enhanced oncological MRI.

This portable, practical, and affordable handbook provides point-of-care endocrinologists, primary care physicians, pediatricians, and nurse practitioners with specific guidelines for day-to-day management of the diabetes patient. This book covers both Type 1 and Type 2 diabetes and presents succinct and current recommendations for diagnosis, treatment, and prevention and management of complications. The authors describe practical approaches to pharmacological therapy and optimal management of insulin therapy. Chapters present evidence-based recommendations on screening for diabetic complications and preventive treatments for complications. Discussions of gender-specific complications and complications during adolescence are included.

Acclaimed by nuclear medicine physicians throughout the world, Nuclear Medicine Annual provides cutting-edge information on the most important breakthroughs in the field. Each year, top researchers report on eight key developments and show how these innovations affect clinical practice

First edition, with DVD in PAL format. The staff at one of the world's leading cancer centers have here collaborated on a practical guide to the procedures involved in gynaecologic oncology, covering the latest developments in both open and minimally invasive surgery. The chapters are purposely presented in great detail giving the reader a complete working knowledge of each procedure. The procedures are explained step by step and fully illustrated, with 800 colour photographs used throughout, and an accompanying DVD provides over one hour of video clips with spoken commentary.

Work-related disability is an increasingly important issue to organizations, in terms of cost, competitiveness, and social and ethical issues. Changes in the nature of disability arising from the evolution of work calls for a new approach to this understudied topic. Significant developments have taken place in linking injury events with subsequent primary prevention efforts, in engaging key stakeholders in effective pre-injury prevention and post-injury disability management efforts, and in exploring company-level interventions, regulatory interventions, and economic incentives. These issues are examined and brought together to form a unique, evidence-based, state-of-the-art research work revealing what works best in preventing workplace disability. Preventing and Managing Disabling Injury at Work examines the changing nature of the workplace and work force, and includes the newest information on effective early and staged multi-modal interventions in the workplace. The text also explores psychological risk perception, and the essential linking of the workplace, clinician, insurer, and worker in the recovery process and in the prevention of subsequent disability events. This volume assembles a group of active researchers in the field of work-related disability from North America and Australia, many of whom manage interactive programs of work through HealNet, a health research network funded by Industry Canada. Well-illustrated with case studies and practical examples, much of the book focuses on the common musculoskeletal disabilities and 'regional disorders' along with other broader applications.

Diseases of the nail represent a surprisingly large section of most dermatologists' practice - and can present difficult, sometimes intractable, clinical problems. Co-authored by one of the world's foremost authorities in the field, An Atlas of Diseases of the Nail provides expert and authoritative guidance on all aspects of diagnosis and management. A comprehensive guide to common nail diseases, the book includes anatomy and physiology of the nail unit, paronychia and onycholysis, nail fungal infections, nails in dermatologic diseases, nails in systemic disease, nail cosmetic chemistry, nail cosmetics, clinical aspects, plus the treatment of nail disorders and nail surgery. Examining the nail from every angle, An Atlas of Diseases of the Nail provides you with a visual reference to nail diseases supported by text covering diagnosis and treatment.

Given the increasing number of drugs available for the treatment of heart failure and associated diseases like hypertension and hypercholesterolemia, as well as the different patient types who present in the clinic, it appears increasingly obvious that the same therapeutic regimen cannot be used for all patients. Tailoring Heart Failure Therapy guides the practicing physician in the day-to-day choice of therapy for the many different patients with heart failure. Experts in this field have enlisted the help of their colleagues and peers to offer valuable, practical advice as to the best options for treating each individual patient. The first chapter outlines the "general treatment rules" for chronic heart failure, and the following chapters each focus on the treatment of special categories of patients with chronic heart failure, comparing these to the "general rule." Categories include older patients, women, pregnant women and minority ethnic groups, as well as cardiomyopathy, renal failure and heart failure patients. Special consideration is given to heart failure patients with genuine depression.

This title's practical and applicable information makes it a perfect clinical resource for the practicing neurologist. While it is not a case-based text - it focuses more on common problems and chronic problems that require long-term management - it provides guidelines and pathways through the decision-making process that prove invaluable in practice. With an expanded section on multiple sclerosis, updated and revised information in nearly every section, and decision-approach summary tables at the beginning of every chapter, the second edition promises to stay in the limelight as the definitive text for outpatient neurologists and internists.

This outstanding new guide provides step-by-step instructions to nearly 60 different spinal procedures, describing the most advanced techniques available today. Each chapter is written by top international experts who offer valuable insights based on years of clinical experience. More than 500 high quality illustrations enhance the text by providing detailed examples of the procedures. The text covers everything from anterior odontoid resection, cervical corpectomy, and thoracic fixation techniques, to anterior thoracoplasty, lateral discectomy, and scoliosis correction. Within each chapter, you'll find preoperative work-up, indications, contraindications, procedural steps, pearls, pitfalls, and postoperative care tips. Benefit from: *A convenient "how to do it" format, with every chapter written in the same consistent style *Key advice on what tests need to be done before surgery--and equally importantly, what test are not necessary *Pearls and pitfalls to successfully complete the procedure and avoid potential problems *The experience of top international specialists, many of whom are explaining procedures they invented This concise, "how-to" guide is essential for all orthopaedic surgeons, neurosurgeons, and residents involved in spinal surgery. You'll learn to successfully perform the procedures and avoid potential complications at the same time. Be aware of the newest surgical techniques leading to optimal patient care.

This is the first volume in the "Requisites in Gastroenterology" series, designed to give you the information you need to know...quickly. In this volume, established experts clarify the essentials in Esophagus and Stomach offering practice-proven information including differential diagnosis, pitfalls and evidence-based perspectives. Contents lists are included at the start of each chapter so you can instantly see what's on offer, and helpful illustrations, boxes and tables get you to the information that you need remarkably quickly.