Medicina

Virtual endoscopy progressively enters the real world The development of virtual reality is one of the most striking features of our Western societies. Beside chil- dren games and movies, its scope has expanded to medical imaging through 3D CT scan surface or volume re- constructions. Whatever the site clinicians are able to perform real endoscopy (RE), radiologists can now also provide virtual endoscopy (VE) images. VE enters our medical practice. The next question is to weigh the pros and cons. VE has the unique advantage to offer high-quality images obtained through a noninvasive and well-tolera- ted procedure performed in outpatients. Compared to RE, it carries no risk of bleeding, perforation or trans- mission of viruses. Importantly, VE can pass high-grade stenoses affecting large bowel, urinary tract or tra- cheobronchial tree, and visualize areas hard to visit by optic fibers such as intracranial regions. 3D VE images can be commented with patients, and this might reduce potential misunderstanding and its medico-legal consequences. Last but not least, VE is the sole alternative offered both to those who refuse RE, and to severely ill elderly patients. Then, should we consider VE as the Deus ex machina of modem medical imaging - with CT scan as rna- china - ? Clearly, the answer is no, given VE knows severals limits and pitfalls. One of the most important me- rits of this book is to discuss honestly these aspects. First, VE will never allow to perform biopsies or resections.

100 detailed case studies from the authors' practices challenge the reader with a patient description, a figure as a clue to the problem, and a question. Subsequent pages reveal the answer and offer an in-depth discussion of the case, as well as Clinical Pearls summarizing key points and a few current references.

Orthofix External Fixation in Trauma and Orthopaedics provides the scientific basis behind the success of the Orthofix system of external fixators, which are now widely used throughout the world. These devices are used in the treatment of serious fractures, limb lengthening and limb reconstruction. This book covers comprehensively the wide range of scenarios in which such devices can be used. Each topic is dealt with by the appropriate international expert in the field. Orthofix External Fixation in Trauma and Orthopaedics should be read by all those involved in elective or traumatic orthopaedics.

Now in its thoroughly updated second edition , this practical handbook guides emergency physicians and intensive care clinicians through the initial diagnosis, stabilisation, management and disposition of patients with acute cardiovascular emergencies. In an extremely easy to use format, the book provides rapid access to the vital information physicians need to know. The first section describes resuscitation procedures that are crucial to the management of all cardiovascular emergencies. Subsequent sections cover specific disease processes and toxicologic emergencies, focusing on diagnosis, pharmacologic therapy, and other interventions in the emergent setting. Highlights of this new edition include increased coverage of coronary artery and peripheral artery stenting

Stedman's Endocrinology Words provides fast and easy access to the most current endocrinology terminology. This new wordbook meets the needs of medical transcription students and professionals, coders, secretaries, court reporters, and established medical language specialists. It features fully cross-indexed A - Z listing and value-added appendix sections including labeled images. There is no other wordbook reference on the market that focuses on endocrinology terminology.

Updated and expanded for its second edition, this two-colour atlas is a user-friendly pictorial and textual guide to the common conditions encountered in pulmonary and critical care medicine. It features illustrations that depict the major disease entities and diagnostic and therapeutic procedures. The atlas is divided into six sections - pulmonary obstructive diseases, neoplasms of the lung, infectious diseases, interstitial and alveolar inflammatory disorders, pulmonary vascular diseases, and critical care. New chapters in this edition cover sleep, lower respiratory tract infections, HIV and fungal infections, occupational medicine, and nutrition.

Using the popular question and answer format of "The Secrets Series", this helpful mini reference offers practical tips, answers, and secrets from experts specializing in various areas of oral medicine. The evaluation, management, diagnosis, and treatment of various oral diseases are covered. Topics include cardiovascular disease, bacterial endocarditis, endocrine disease, pregnancy, pulmonary disease, gastrointestinal disease, neurologic disease, diseases of the salivary glands and much more. Chapters on oral cancer detection and management as well as the pharmacology of drugs used in dentistry are also included.

This guide offers the reader a comprehensive theraputic approach for the evaluation and treatment of myofascial pain and musculoskeletal dysfunction. This manual serves as a quick reference for clinically relevant items that pertain to the identification and management of trigger points. The first section of the book covers the therapy and research regarding the Myofascial Trigger Point Syndrome. Treatment methods and techniques are also covered in a comprehensive step-by-step format. The second section includes the most important muscles that tend to have a higher incidence of the myofascial involvement. Each muscle is supplemented by two pages of text and illustrations in order to aid the student or clinician in an institutional or practicing setting. The muscle page contains a plethora of information for the reader including muscle origin, insertion, location of trigger points, referenced pain patterns, myofascial stretching exercises, positive stretch signs, and biomechanics of injury.

Solid organ transplantation is a well-recognized and common therapy for many end-stage diseases. The medical care of patients undergoing transplant is developing into a discrete speciality involving input from critical care physicians, anaesthesiologists and a variety of clinicians from both medical and surgical specialities. This manual addresses the clinical management of the transplant patient from pre-surgical evaluation, through the peri-operative period, and into the recovery and follow-up phases of care. Each major transplant organ is covered with a common chapter structure covering recipient evaluation, donor evaluation, surgical procedure, post-operative management, complications, outcome and costs. There are also chapters on the important themes of immunosuppression and organ procurement. The book forms a guide to good practice for all members of the surgical and support teams working in the transplant centres.

First published in 1963, Advances in Parasitology contains comprehensive and up-to-date reviews in all areas of interest in contemporary parasitology. Now edited by J.R. Baker (Royal School of Tropical Medicine and Hygiene, UK), R. Muller (International Institute of Parasitology, UK) and D. Rollinson (The Natural History Museum, UK), supported by an international Editorial Board, Advances in Parasitology includes medical studies on parasites of major influence, such as typanosomiasis and scabies, and reviews of more traditional areas, such as zoology, taxonomy, and life history, which shape current thinking and applications. Eclectic volumes are supplemented by thematic volumes on such topics as Remote Sensing and Geographical Information Systems in Epidemiology. In 1999, the Institute for Scientific Information released figures showing that Advances in Parasitology has an Impact Factor of 4.913, placing it 2nd in the highly competitive category of Parasitology. This eclectic volume in the serial contains four reviews on the following topics: * Two reviews on the biology of trypanosomes (a parasitic protozoan) and trypanosomiasis (disease caused by the parasite, such as sleeping sickness and Chagas' disease), a topical area in public health, especially in Africa and South America, and much research in epidemiology and molecular biology/biochemistry. * A review summarizing the literature on the biology of Echinostomes (parasitic flatworms), focusing on descriptions and life cycle studies, experimental studies and physiology, and biochemistry and molecular biology. * A review on the importance of apoptosis (programmed cell death) in the interaction between host and parasite--how it is used in both the parasite 'attacking' the host, and in the host's defense mechanisms. This has implications in the evolution of parasite and host systems, and also in identifying the underlying causes of diseases caused by parasites.

The term "communicable disease control" describes the way in which outbreaks of infectious diseases are managed to prevent their transmission and spread. This includes surveillance, prevention, investigation and response to cases. This book is a practical guide. In Europe the range of diseases and infectious agents differs from that of the US, and yet the only real reference in this field is an American book: "Benenson: Control of Communicable Disease Manual". This is published by the American Public Health Association every five years and is considered to be a good resource. The problem is that it covers many diseases that do not occur in Europe and omits a number of important European infections. Furthermore, the epidemiological information it gives is based on the US population. It does not consider the public health issues in a European and UK context. This volume aims to fill the gap in the European market.

Cancer and Pregnancy covers the clinical challenges to diagnosing and treating malignancies in the pregnant patient; however, the book also shows how an understanding of the common features of both processes (rapid cell proliferation) may lead to novel anti-cancer treatment options. The book should be read by obstetricians and gynaecologists, clinical oncologists, reproduction specialists, and those involved in investigation of development, biology, toxicology, immunology, as well as cancer research.

This definitive reference will provide paediatric urologists with detailed descriptions of today's best approaches for the functional, biological, and morphological aspects of the urinary tract before and after birth. From perinatal nephrology and nuclear medicine to congenital anomalies and genitourinary oncology, "Pediatric Urology" will ensure that specialists in the field are up-to-date with all the latest advances and technological developments in the field.

Based on the author's extensive clinical and teaching experience, this textbook and reference guide provides a comprehensive review of both the French (after Nogier) and Chinese schools of acupuncture. The book offers a detailed description of the anatomy and morphology of the ear, acupoints on the ear and their localizations, as well as specific points for ear acupuncture. Dr. Rubach, with over twenty years experience as a practitioner and teacher of ear acupuncture, provides valuable information in a clear, easy-to-read format. Learn how to use ear acupuncture safely and effectively with large-format, graphic illustrations that clearly display the location of the points and methods of auriculotherapy. Then test your knowledge with the accompanying CD-ROM! Versatile and easy to follow, you can quiz each system in two ways: by pointing your "needle" to the correct place on the ear, or by matching the named location to a point. The program tracks your work and records how well you've done, making a useful study guide! Basic principles and specific treatments are explained, including: - Outstanding description of the anatomy and morphology of the ear - A critical review of different methods of stimulation - Therapeutic point combinations - Quick Reference section on acupoints and localization - A question and answer section for instant review Also includes special sections on the use of acupuncture in pregnancy, obstetrics, gynecology, and dentistry. Filled with tips for daily practice, this reference guide for students and practitioners is one you will reach for again and again!