Medicina

Cerebrovascular disease is the most common serious neurologic condition, and imaging is the best way to determine the precise nature of it. Including all methods of stroke imaging, this text will assist neurologists in becoming more proficient in interpreting images to better diagnose and manage patients with cerebrovascular disease. This atlas will keep neurologist up-to-date with the newest imaging techniques.

This is the second edition of the highly acclaimed classic physiotherapy textbook which has become the definitive guide for undergraduate students, junior physiotherapists and practitioners specialising in obstetrics, gynaecology and urogynaecology. The text has been extensively re-written and up-dated for the twenty-first century by a group of respected specialists in the field. Following in the footsteps of its very successful predecessor, "Mantle and Polden's Physiotherapy in Obstetrics & Gynaecology 2E", it is extensively referenced and copiously illustrated, and it documents in the most practical and relevant way the scientific and philosophical basis on which all good physiotherapeutic clinical intervention rests. Brimming with evidence based advice and practical tips, the book contains: a detailed anatomical description of the female reproductive, urinary and lower intestinal tracts together with associated structures; the physiology of reproduction, pregnancy, parturition, the puerperium as well as the menopause and beyond; a thorough reasoned account of the physiotherapist's role preconceptually, through the reproductive cycle, to the middle years and beyond; information on a wide range of gynaecological pathologies and relevant surgery; and, treatment of incontinence in much detail with separate chapters on both urinary and bowel dysfunctions. This comprehensive text will be essential reading for all those participating in the post registration university physiotherapy courses in women's health and continence. The editors, Jill Mantle, Jeanette Haslam and Sue Barton are internationally known as physiotherapists, academics, authors and researchers in this field.

Il lavoro dei due autori è un significativo contributo alle conferme terapeutiche e interdisciplinari delle medicine olistiche

Clinical governance is a system through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish. It is at the heart of the current government's plans for reform of the NHS. This account of clinical governance is, in particular, aimed at giving a practical guide to doctors and medical students as to how the topic is integrated into their day-to-day medical work. It aims to relate what sounds an abstract concept to the practice of clinical medicine. "This book is an important and timely work which deserves to be widely read." - Sir Liam Donaldson, Chief Medical Officer, Department of Health.

Because multiple sclerosis is a variable, unpredictable condition of unknown aetiology and poorly understood pathogenesis, a condition that places an enormous burden - physical, psychological, social and financial on those affected by it (patients, family, careers and friends), unanswered questions need addressing. Popular television shows like "West Wing" have brought MS to the attention of millions of viewers. Multiple Sclerosis in Clinical Practice provides answers for those in family practice when being interviewed by patients and family. Clinical trial data are analyzed and presented in a clear, concise style so that those diagnosing and treating MS patients can do so in an effective manner. This is a practical guide for all those working in clinical practice.

Functional outcomes are at the core of physical therapy practice, helping to improve client function and reduce disability. Documentation allows therapists to identify, record, measure, and evaluate treatments and therapies in a uniform record, as well as providing evidence of functional progress for insurance payment and reimbursement. This hands-on textbook/workbook teaches users to document functional outcomes in a clear, logical progression.

More than 50 per cent of people with cancer have radiotherapy at some time during their illness, yet their needs for supportive care have received little attention compared with the needs of patients undergoing other types of cancer treatment. Unlike other texts, which concentrate on the planning and delivery of radiotherapy, this book addresses the impact of treatment on the individual and the issues facing health carers who provide clinical and supportive care."Supportive Care in Radiotherapy" integrates key aspects of assessment, physical and psychosocial morbidity and toxicity management, placing these in the physical, psychosocial and organisational context in which they occur. Patients' perspectives are used throughout the text to illustrate the physical and emotional experience of radiotherapy and the difficulties facing patients who are in transition through the system. New and innovative approaches to patient care are discussed as well as challenges facing radiotherapy practitioners today.Practical advice on the assessment and clinical management of acute and late side effects is provided. Critical reviews of the current evidence base are included, along with future directions for clinical research and development. Written by a multi-professional group of authors, this book is aimed primarily at nurses and therapy radiographers but is also relevant to hospital and community doctors and nurses who encounter patients before, during and after radiotherapy. The book will be suitable for undergraduates and postgraduates, as it relates current research findings and theory to the clinical practice environment, within the context of cancer care delivery in the 21st century.

Stroke MRI is a new imaging tool providing detailed information of the pathophysiological aspects of cerebral ischemia.This book with CD-ROM includes a case collection of 25 hyperacute stroke patients, all imaged within six hours of stroke onset with a complete stroke MRI protocol. Stroke MRI and the established clinical methods are compared and recent results from single and multicenter trials are presented to demonstrate the advantages of MRI for stroke patients. The CD-ROM contains diffusion-, T2-, T2*-perfusion-weighted images and MR angiography. Each case offers to answer the relevant questions concerning vessel status and lesion size as well as presence or absence of a "tissue at risk" with a self assessment mode and the experts - therapeutic decision.The CD and the book are complementary to avoid redundancy as far as possible. They will be useful to both the experienced researcher using MRI and the clinician or researcher with no previous knowledge of the technology.

This book considers the aetiological factors that render renal patients at risk of infection and covers the infectious complications of the major modalities of renal replacement therapy. The book has been written by a combination of microbiologists, clinical scientists and clinicians active in the care of kidney patients at all stages in their treatment from chronic renal insufficiency through dialysis and on to transplantation. It brings together a large body of clinical and scientific material to help clinicians manage infectious complications of kidney disease. As far as is possible a clinical chapter is balanced by a chapter dealing with pathophysiology. The book is divided in to three sections: Basic Mechanisms, Infectious Complications of Common Renal Conditions, Renal Failure and Transplantation, and Prevention and Management. The uraemic condition as a state of immunosupression is discussed to set the scene for why renal patients are prone to so many diverse infections. Increasingly potent immunosuppressive drugs are being deployed in a variety of primary conditions and also to prevent renal allograft rejection. The mechanisms by which these drugs predispose to infection are discussed. A chapter deals specifically with peritoneal defence mechanisms of critical importance in the management of infection complicating continuous ambulatory peritoneal dialysis. The second section of the book deals specifically with infectious complications in defined situations. For example, diabetes mellitus is discussed in detail as this is now the major cause of endstage chronic renal failure. Infectious complications of glomerulonephritis and vasculitis are discussed, and this relates to the effects of the potent immunosuppressive agents now deployed. Specific chapters are devoted to infectious complications of peritoneal dialysis and haemodialysis including a chapter on mucormycosis. Hepatitis B and Hepatitis C have each been given a chapter and the impact of these hepatitis viruses on the renal patient from chronic renal failure through dialysis to transplantation is described. Infectious complications of transplantation follows and reviews the common infections as well as presenting some new data on viral induced tumours. In the final section of the book, prevention of infection is discussed with particular emphasis to vascular access and the care of the uraemic ischaemic/diabetic foot. The general principles relating to limiting the spread of infection within the Renal Unit are discussed in detail. Increasing patient mobility and travel requires that travel and vaccination in renal patients are discussed. The book ends with a practical chapter on prescribing advice for the use of common anti-microbial agents. This book will be of value to all those involved in the care of this vulnerable group, specifically nephrologists, renal transplant surgeons and physicians and diabetologists.

This text covers tumescent liposuction and fat transfer techniques and how they have developed into extremely safe, reliable, and efficacious procedures. Thirty-five respected surgeons discuss the safety of tumescent liposuction techniques, an anatomical approach to tumescent liposuction surgery, and the latest and greatest surgical tips from the experts.

This volume offers a comprehensive discussion of the stereotactic frames, frameless systems, and radiosurgical procedures utilized in the treatment and control of movement and neurological disorders, Parkinson's disease, chronic pain, spasticity, tumours, epilepsy, and arteriovenous malformations.

This is an essential, system-by-system guide to the clinical examination of children, within the postgraduate exam context.

Risultato di molti anni di lavoro nel campo dell'assistenza medica, psicologica e sociale dell'anziano in stato di grave dipen

This unique atlas includes over 475 full color photomicrographs while providing students with a readily accessible source of morphologic information for use in the identification of tissues and organs. Each photomicrograph is accompanied by explanatory captions that guide students to the key morphologic features that identify the function of the structures. The self-assessment section at the end of the book serves as a review tool for those structures that students traditionally have difficulty in identifying.