Medicina

Written by an international group of noted basic scientists and clinicians, this volume presents state-of-the-art information on the mechanisms of action, pharmacology, neurophysiological effects, and therapeutic uses of botulinum neurotoxins. A major portion of the book reviews recent clinical experience and clinical trials with botulinum toxin therapy for strabismus, dystonia, juvenile cerebral palsy, spasticity, hyperhidrosis, gastrointestinal and genitourinary disorders, headache, cosmetic facial conditions, and various disorders involving excessive muscle contraction or pain. Other chapters examine the immunology of botulinum toxins, the use of other chemodenervating agents, and the development of novel neurotoxin constructs.

Imaging has always played an important part in the diagnosis of the various problems associated with the genitalia and reproductive organs. Diagnostic applications for patients have evolved over past decades, however imaging has not progressed as rapidly for male patients as for female patients. Imaging has now earned a significant place in the diagnostic armory for women. In recent years, there has been increasing awareness of male health issues - in particular the rising incidence of testicular tumors. Inevitably this has resulted in both an increased demand for imaging of the male genitalia and higher expectations of these studies. During the last decade the development of high resolution ultrasound equipment, Doppler and color Doppler have revolutionized the approach to imaging the external genitalia. Contrast radiography and nuclear medicine have been largely replaced by ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI). Designed as a problem-solving text, Imaging of the Scrotum and Penis employs a symptom-related approach, starting with the clinical history and physical examination, progressing to the appropriate imaging modalities. It provides both an overview and an in-depth analysis of the various imaging approaches used in the evaluation of diseases of the external male genitalia. The main imaging modality used for the scrotum is ultrasound, and discussion of ultrasound images (including color Doppler studies) comprises the largest part of the book. The place of problem-solving MRI studies and their interpretation is also discussed in great detail together with the more minor roles played by other modalities: isotope studies, CT, plain radiography and angiography. Imaging and applications of the newer imaging techniques that evaluate the penis, the anterior urethra and erectile dysfunction are also evaluated. Generous use is made of flow diagrams and diagnostic tables and the text is comprehensively illustrated. Imaging of the Scrotum and Penis will be of interest to radiologists - especially diagnostic radiologists who must understand the embryology, anatomy, pathology and imaging findings in the variety of clinical problems that can and do affect the male patient. It will also be of value to urologists, primary care health providers, sonographers and other imaging technologists and assist the referring clinician in deciding which imaging study should be initially ordered - a particularly important issue in the era of cost containment in medicine. Key Features: * Uses a symptom-related approach, starting with the clinical history and physical examination, progressing to the appropriate imaging modalities * Provides both an overview and an in-depth analysis of the various imaging approaches used in the evaluation of diseases of the external male genitalia * Illustrated with over 690 photographs, diagrams and tables

"Comprehensive Clinical Endocrinology, 3/e" is the new, fully revised edition of the successful book on "Clinical Endocrinology, 2/e", published in 1994, expanded to cover diabetes in great detail. With greatly increased clinical detail on each condition and new clinical treatment plans to assist in the long-term treatment of patients, this book will contain all you need to know about every endocrine condition. Full colour throughout will make "Comprehensive Clinical Endocrinology" an attractive book, and the completely re-drawn line illustrations will enhance the detailed text.

"Physical Therapy of the Cervical and Thoracic Spine" addresses physical therapists working with patients with neck and/or back pain-how to assess and how to treat these patients. The text covers anatomy, biomechanics and innervation in the first section, then presents examination and assessment of the patient and clinical management in the second and third sections of the text. "Physical Therapy of the Cervical and Thoracic Spine, Third Edition", has been written by contributors from many countries, such as Australia, New Zealand, Canada, the United States, the Czech Republic, Sweden, and the Netherlands. These authors include many leading names in physical therapy (e.g., David S. Butler, Robin A. McKenzie, and Shirley Sahrmann).

This title features new section on refractive surgery and expanded sections on conjunctivitis; lids, orbit and lacrimal disorders; cornea; pediatric ophthalmology; optic nerve anomalies; retinal abnormalities; and more.

The head and neck is a region especially complex in structure, containing some of the most important organs as well as major nerves and blood vessels. An understanding of local anatomy is fundamental to a wide variety of medical and surgical specialties, many of which have recently evolved some of the most demanding techniques in microsurgery: these include new approaches to the temporomandibular joint, skull base and facial nerve, and the brain itself. With superb full-colour photographs and highly detailed coverage specifically designed to meet the needs of the specialist clinician, this book provides all those with an interest in this field with the most up-to-date and lavishly illustrated reference currently available.

This volume is a well-illustrated textbook covering every aspect of minimal access therapy. Clinical in focus, it imparts all the information that a surgeon needs, and it examines all the different procedures and devices that may be used. Minimal Access Therapy for Vascular Disease reviews the necessary training for surgeons and describes the legal aspects involved in endovascular techniques. Cardiac surgeons and cardiologists will gain much from the expertise shared in this guide.

"Motor Neuron Disease" is a state-of-the art monograph designed for the clinician who wants to stay on the cutting edge of the scientific understanding of motor neuron disease. The three most common motor neuron diseases are covered, namely sporadic amyotrophic lateral sclerosis, familial amyotrophic lateral sclerosis and childhood spinal muscular atrophy. Succinct, well-referenced and supported by appropriate illustrations the scope of the book includes current accepted diagnostic criteria for ALS, including practical case histories to aid differential diagnosis. The most common theories of pathogenesis are examined, and the most up-to-date review of the genetic implications for familial ALS included. A chapter on treatment includes coverage of the latest anti-excitotoxic drugs, in addition, a chapter on both management and support of the patient from the MND team is included. The book concludes with a review of the current trials , drug development and regulatory oversight and a look to the future and what therapies may be available in years to come. This book will appeal to neurologists and all those involved in the treatment and management of the patient with motor neuron disease as an easy to read review of current developments and trends in this challenging and fast moving field.

The field of community paediatrics continues to change and grow in importance, as more care is given in the community and the impact of the environment and public health issues on children's health and welfare are recognised. Today, all trainees in paediatrics, nursing, health visiting and speech and occupational therapy must be familiar with the key issues in this field. This title provides a superb introduction to child health in the community for those with some experience of clinical paediatrics and is an excellent text for self-directed learning and examination preparation. Its emphasis is on the social and educational significance of paediatric problems, bringing together he latest research and guidelines in both the UK and other countries.

Evaluating the major strategies used to prevent stroke recurrence, such as antiplatelet and anticoagulant therapies, this reference assesses the efficacy of pharmacological interventions, therapeutic regimens, and quality of care for stroke patients - detecting risk factors and potential mechanisms of stroke to prevent functional disability and increase quality of life, independence, and psychological well-being in post-stroke management programs. It considers the complex issue of cost vs. benefit in post-stroke rehabilitation. Addressing common dysfunctions that occur after stroke, including motor impairment, neurobehavioral changes, cognitive loss, emotional disorders, and dementia, "Long-Term Effects of Stroke" discusses the patterns and epidemiology of ischemic and hemorrhagic stroke; the development of neurobiologically based therapeutic strategies; the possible emergence of depression, anxiety, mania, and psychosis; and; after stroke pharmacological and cell-based modalities to enhance stroke recovery. Offering perspectives from leading international authorities in the field, this book is a unique and valuable guide for clinical neurologists; cardiologists; cardiovascular specialists; cardiac, cardiovascular, and vascular surgeons; neurosurgeons; primary care, family practice, emergency room, and internal medicine physicians; physiologists; nurses, paramedical, and emergency medical personnel; and medical school students in these disciplines.

The 4th Edition of this outstanding diagnostic reference provides up-to-date, illustrated descriptions of the pathological entities that affect the central and peripheral nervous system, including all of the major lesions encountered in surgical neuropathology. It focuses on the diagnostic and differential diagnostic criteria for neoplastic, inflammatory, and infectious diseases, and the correlation of the clinical, radiological, and pathological features of each disease process.

Dermatologists who treat children face particular challenges. Their patients present in a variety of ways, and age and environmental factors affect both diagnosis and treatment. In this fully-illustrated handbook, the authors, experts in their field, address the full range of dermatological issues in pediatrics, including acne, diaper-area eruptions, drug reactions and other disorders and infections. The clinician will reach for this reference again and again, as it distills volumes of data into one, straightforward reference manual. General practitioners, pediatricians, and dermatologists, as well as trainees in these fields, can benefit from Handbook of Pediatric Dermatology.

Geriatric imaging is now a recognised specialty. Textbook of Diagnostic Imaging in the Elderly is the first authoritative textbook on the subject, which lets the physician maximize the unique and essential contribution that imaging can bring to clinical diagnosis of disease in the elderly patient. Each chapter is short, practical and comprehensive, beginning with a clinical introduction and providing an abundance of clinical photographs. This highly illustrated reference text has been written in close collaboration with practising clinicians and radiologists well known for their expertise in the field.

This current and expanded edition of a bestselling text is divided into four sections, organized to follow the sequence in which decisions are made regarding hearing aid fittings, and featuring new chapters on middle ear implants, hearing aid counseling, and infection control. Other chapters have been revised to reflect the latest developments in the field, such as: improving speech recognition with directional microphones; changing standards for measuring real-ear performance; and new prescriptive procedures for severe hearing loss. The text features contributions from internationally renowned experts in the field who share their extensive knowledge and clinical experience. It covers the six most common forms of hearing loss practitioners will encounter in their own practice--noise-induced, symmetrical, asymmetrical, unilateral, conductive, and severe hearing loss--with instructions on applying the newest technology to each hearing impaired group. Key features: *Addresses the six most common types of hearing loss that comprise 90-95% of the situations audiologists encounter daily *Organized to follow the decision-making progress in selecting and verifying hearing aid fittings *Fully updated with state-of-the-art technology on implantable hearing aids, directional microphones, and more *A valuable glossary of terms at the end of the text--helpful for students and specialists alike Together with its updated companion text, Hearing Aids: Standards, Options, and Limitations, this book forms the basis of a complete reference library on selecting, ordering, measuring, and verifying hearing aid fittings and performance.

As minimally invasive surgery becomes the standard of care in neurosurgery, it is imperative that surgeons become skilled in the use of image-guided techniques. This outstanding new book provides an in-depth analysis of current and developing applications in this rapidly growing field. A highly acclaimed team of authors share their experience with this exciting technology, outlining benefits and limitations of each technique. The book begins with an overview of image-guided neurosurgery, and then continues with specific cranial and spinal procedures. You'll get full coverage of clinical applications for topics such as: videotactic neurosurgery, needle biopsy, cranial and spinal navigation, and much more! Key features of the book: * Full analysis of current and future applications of image-guided procedures * Detailed descriptions of procedures, from basic to the most advanced * An international "who's who" of contributors, all of whom have significantly advanced contributions to the field of image-guided surgery * Valuable information that leads to more effective results and optimal patient care Increasing evidence shows there are many advantages to using image-guided techniques. It can make procedures more efficient, minimize exposure and invasiveness, define resection boundaries, and optimize hardware placement. Here is the clinical reference that neurosurgeons, orthopaedic surgeons, and residents need to get the most up-to-date assessment of this vital field. Stay on the cutting-edge of an exciting new technology; order your copy of ADVANCED TECHNIQUES IN IMAGE-GUIDED BRAIN AND SPINE SURGERY today!