Sabiston Textbook of Surgery is your ultimate foundation for confident surgical decision making. Covering the very latest science and data affecting your treatment planning, this esteemed medical reference helps you make the most informed choices so you can ensure the best outcome for every patient. Consult it on the go with online access at expertconsult.com, and get regular updates on timely new findings and advances. Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. Prepare for tests and exams with review questions and answers online. Keep up with the very latest developments concerning abdominal wall reconstruction, tumor immunology and immunotherapy, peripheral vascular disease, regenerative medicine, liver transplantation, kidney and pancreas transplantation, small bowel transplantation, the continually expanding role of minimally invasive and robotic surgery, and many other rapidly evolving areas. Weigh your options by reviewing the most recent outcomes data and references to the most current literature.
It's perhaps the relative modernity of rock 'n' roll that makes the genre a minefield of myths and legends accepted as truth. History hasn't had time to dissect the bunk. Until now. Discover the real stories behind rock's biggest crocks, how they came to be but why they have persisted. Did Cass Elliott really asphyxiate herself with a ham sandwich? Did the Beatles spark a spliff in Buckingham? Did Willie Nelson do the same in the White House? Did Keith Richards get a complete "oil change" at a Swiss clinic in 1973 to pass a drug test necessary to embark on an American tour with the Stones? Then there's the freaky (did Michael Jackson own the remains of the Elephant Man?), the quasi-medical (Rod Stewart and that stomach pump?), the culinary (did Alice Cooper and Ozzy Osbourne really do all those things to bats, chickens, etc. onstage?), and the apocryphal (did Robert Johnson sell his soul to the Prince of Darkness in exchange for mastery of the blues?). In all, more than 50 enduring lies are examined, explained, and debunked.
Written by an intensivist familiar with ultrasound, this book describes a new clinical tool: ultrasound for the intensive care and emergency physician. It specifically details findings of immediate clinical relevance throughout its pages. This volume is not only an exhaustive atlas dealing with the most variable aspects of the critically ill patient, but it is above all a guide, a permanent aid in the therapeutic decision.
With 500+ questions, this case-based study guide provides the hands-on practice surgeons need to ace the board exam for metabolic and bariatric surgery Metabolic and Bariatric Surgery Exam and Board Review delivers the most relevant clinical information for preparing for this rigorous test. In addition to covering preoperative, intraoperative, and postoperative care, the book compares the potential risks, benefits, and long-term outcomes of the Sleeve Gastrectomy, the RYGB, the duodenal switch, and other procedures like the intra-gastric balloon, the SADI-S and the OAGB. Topics include how to evaluate tachycardia in a post-op patient, manage a leak after gastric bypass or management options for a stenosis after sleeve gastrectomy. The text also reviews the science behind obesity and the proposed causes of it. With hundreds of practice questions and complete explanations, this unmatched case-based study guide enables you to prepare for the test before exam day―building your knowledge and confidence for when it matters most. Features 200 photos and illustrations 500+ questions with detailed answer explanations Topics mirror the certification exam outline Case-based approach sharpens clinical decision-making skills
The history of philosophy has been studied as if it were a long discussion between participants of differing opinions living in different ages, but all in the same world. Though Heraclitus and Descartes can no longer respond to new questions or current attacks on their positions, nevertheless, to the degree that we are all human, and all live in the same world, such questions and attacks are reasonably fair. Until recently. In the last 50 years, the significance of the qualifier "to the degree that" has changed radically. What if it turns out that, as far as living in the same world goes, we today actually have very little in common with Heraclitus, or even Descartes? Then we are attempting to carry on discussions with participants who are not our contemporaries, and the world they were speculating about is not the same world we today are speculating about. Then the nature of the discussion - the history of philosophy - takes on a very different character. Philosophy and the Evolution of Consciousness takes talk of "alternative conceptual schemes" current in philosophy today and applies it in the very place most likely to warrant the change: the history of philosophy itself.
Comprehensive in scope and thoroughly up to date, Wintrobe’s Clinical Hematology, 15th Edition, combines the biology and pathophysiology of hematology as well as the diagnosis and treatment of commonly encountered hematological disorders. Editor-in-chief Dr. Robert T. Means, Jr., along with a team of expert section editors and contributing authors, provide authoritative, in-depth information on the biology and pathophysiology of lymphomas, leukemias, platelet destruction, and other hematological disorders as well as the procedures for diagnosing and treating them. Packed with more than 1,500 tables and figures throughout, this trusted text is an indispensable reference for hematologists, oncologists, residents, nurse practitioners, and pathologists.
Acclaimed for its unsurpassed readability and manageable scope, Ashcraft’s Pediatric Surgery presents authoritative, practical guidance on treating the entire range of general surgical and urological problems in infants, children, and adolescents. State-of-the-art, expert coverage equips you to implement all the latest approaches and achieve optimal outcomes for all of your patients. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Make the most effective use of today’s best open and minimally invasive techniques, including single-site umbilical laparoscopic surgery, with guidance from internationally recognized experts in the field. Focus on evidence-based treatments and outcomes to apply today’s best practices. Stay current with timely topics thanks to brand-new chapters on Choledochal Cyst and Gallbladder Disease, Tissue Engineering, and Ethics in Pediatric Surgery, plus comprehensive updates throughout. Hone and expand your surgical skills by watching videos of minimally invasive procedures for recto urethral fistula, biliary atresia, laparoscopic splenectomy, uterine horn, and more. Grasp the visual nuances of surgery from over 1,000 images depicting today’s best surgical practices.
This distinguished reference carries on a 70-year legacy as the world's most thorough, useful, readable, and understandable text on the principles and techniques of surgery. Its peerless contributors deliver all the well-rounded, state-of-the-art knowledge you need to richly grasp the pathophysiology and optimal management of every surgical condition-so you can make the best clinical decisions, avoid complications, manage unusual situations, and achieve the best possible outcomes. It is a valuable review tool for certification/recertification preparation, and an indispensable source of guidance on overcoming the challenges that arise in everyday practice. As an Expert Consult title, the thoroughly updated 18th edition comes with access to the complete contents online, fully searchable-enabling you to consult it rapidly from any computer with an Internet connection. In addition, this Premium Edition includes timely clinical updates online, plus links to MEDLINE, downloadable illustrations, bonus journal articles, review questions, and much more. Offers a more distinguished team of contributors and a better blend of clinical and basic-science information than any other source, providing you with the best possible understanding of the clinical issues surrounding every operative situation. Features a more user-friendly format, a larger and more helpful array of full-color illustrations, and a more versatile and well-constructed web site than other resources-making the answers that you need easier to locate and understand quickly. Offers an organization and content that parallels the written board American Board of Surgery exam, providing excellent preparation for certification and recertification. Includes access to the complete contents online, fully searchable, PLUS timely updates to reflect new scientific and clinical developments · references linked to MEDLINE · downloadable illustrations · bonus articles from important surgery periodicals (such as Surgical Clinics of North America, the American Journal of Surgery, Operative Techniques in General Surgery, and Seminars in Colon and Rectal Surgery) · review questions · and other valuable features. Incorporates an enhanced emphasis on surgical outcomes to mirror the growing importance of this topic. Delivers comprehensive updates to keep you current with the latest research, techniques, and emerging procedures in the field, as well as completely new chapters on "Surgical Patient Safety" and "Regenerative Medicine.
Dying Right provides an overview of the Death With Dignity movement, a history of how and why Oregon legalized physician-assisted suicide, and an analysis of the future of physician-assisted suicide. Engaging the question of how to balance a patient's sense about the right way to die, a physician's role as a healer, and the state's interest in preventing killing, Dying Right captures the ethical, legal, moral, and medical complexities involved in this ongoing debate.
Apoptosis is the regulated form of cell death. It is a complex process defined by a set of characteristic morphological and biochemical features that involves the active participation of affected cells in a self-destruction cascade. This programmed cell death plays a critical role in physiological functions such as cell deletion during embryonic development, balancing cell number in continuously renewing tissues and immune system development. Additionally, a dysregulation of apoptosis is underlying in numerous pathological situations such as Parkinson, Alzheimer's disease and cancer. A number of studies have pointed out an association between consumption of fruits and vegetables, and certain beverages such as tea and wine, which are rich in polyphenols, with reduced risk of chronic diseases, including cancer. Apoptosis is also the regulatory mechanism involved in the removal of unnecessary cells during development and in tissue homeostasis in a wide range of organisms from insects to mammals. The aim of this book is to provide untouched studies in this new and exciting field.
Virtual reality techniques are increasingly becoming indispensable in many areas. This book looks at how to generate advanced virtual reality worlds. It covers principles, techniques, devices and mathematical foundations, beginning with basic definitions, and then moving on to the latest results from current research and exploring the social implications of these. Very practical in its approach, the book is fully illustrated in colour and contains numerous examples, exercises and case studies. This textbook will allow students and practitioners alike to gain a practical understanding of virtual reality concepts, devices and possible applications.
First Published in 1993.This study seeks to analyze shamanism and initiation from the perspective of shamans, rather than from the laity's point of view. One of the aims of this research has been to get behind the shamans' language in order to understand their experiences.
The definitive guide to the knowledge and skills necessary to practice Hospital Medicine Presented in full color and enhanced by more than 700 illustrations, this authoritative text provides a background in all the important clinical, organizational, and administrative areas now required for the practice of hospital medicine. The goal of the book is provide trainees, junior and senior clinicians, and other professionals with a comprehensive resource that they can use to improve care processes and performance in the hospitals that serve their communities. Each chapter opens with boxed Key Clinical Questions that are addressed in the text and hundreds of tables encapsulate important information. Case studies demonstrate how to apply the concepts covered in the text directly to the hospitalized patient. Principles and Practice of Hospital Medicine is divided into six parts: Systems of Care: Introduces key issues in Hospital Medicine, patient safety, quality improvement, leadership and practice management, professionalism and medical ethics, medical legal issues and risk management, teaching and development. Medical Consultation and Co-Management: Reviews core tenets of medical consultation, preoperative assessment and management of post-operative medical problems. Clinical Problem-Solving in Hospital Medicine: Introduces principles of evidence-based medicine, quality of evidence, interpretation of diagnostic tests, systemic reviews and meta-analysis, and knowledge translations to clinical practice. Approach to the Patient at the Bedside: Details the diagnosis, testing, and initial management of common complaints that may either precipitate admission or arise during hospitalization. Hospitalist Skills: Covers the interpretation of common “low tech” tests that are routinely accessible on admission, how to optimize the use of radiology services, and the standardization of the execution of procedures routinely performed by some hospitalists. Clinical Conditions: Reflects the expanding scope of Hospital Medicine by including sections of Emergency Medicine, Critical Care, Geriatrics, Neurology, Palliative Care, Pregnancy, Psychiatry and Addiction, and Wartime Medicine.
In Written after a Massacre, Daniel Borzutzky rages against the military industrial complex that profits from violence, against the unfair policing of certain kinds of bodies, against xenophobia passing for immigration policy. He grieves for the children in cages and the martyrs of the Tree of Life synagogue shooting in Pittsburg. But pulsing amid Borzutzky’s outrage over our era’s tragedies is a longing for something better: for generosity to triumph over stinginess and for peace to transform injustice.
Brief, brilliantly written, and kissed by a sense of the absurd....like a much lazier, Mexico City version of Dostoevsky's Underground Man."—John Powers, Fresh Air “Daniel Saldaña París knows how to talk about those other tragedies populating daily life: a boring, unwanted marriage; mind numbing office work; family secrets. He builds on those bricks of tedium a greatly enjoyable and splendidly well-written suburban farce.” —Yuri Herrera Rodrigo likes his vacant lot, its resident chicken, and being left alone. But when passivity finds him accidentally married to Cecilia, he trades Mexico City for the sun-bleached desolation of his hometown and domestic life with Cecilia for the debauched company of a poet, a philosopher, and Micaela, whose allure includes the promise of time travel. Earthy, playful, and sly, Among Strange Victims is a psychedelic ode to the pleasures of not measuring up. Daniel Saldaña París (born Mexico City, 1984) is an essayist, poet, and novelist whose work has been translated into English, French, and Swedish and anthologized, most recently in Mexico20: New Voices, Old Traditions, published in the United Kingdom by Pushkin Press. Among Strange Victims is his first novel to appear in the United States. He lives in Montreal, Quebec.
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. This extensive title, which combines scientific principles with up-to-date clinical procedures, has been thoroughly updated for the fourteenth edition. You’ll find in-depth material on the biology and pathophysiology of lymphomas, leukemias, platelet destruction, and other hematological disorders as well as the procedures for diagnosing and treating them.
Inside the 3rd edition of this esteemed masterwork, hundreds of the most distinguished authorities from around the world provide today's best answers to every question that arises in your practice. They deliver in-depth guidance on new diagnostic approaches, operative technique, and treatment option, as well as cogent explanations of every new scientific concept and its clinical importance. With its new streamlined, more user-friendly, full-color format, this 3rd edition makes reference much faster, easier, and more versatile. More than ever, it's the source you need to efficiently and confidently overcome any clinical challenge you may face. Comprehensive, authoritative, and richly illustrated coverage of every scientific and clinical principle in ophthalmology ensures that you will always be able to find the guidance you need to diagnose and manage your patients' ocular problems and meet today's standards of care. Updates include completely new sections on "Refractive Surgery" and "Ethics and Professionalism"... an updated and expanded "Geneitcs" section... an updated "Retina" section featuring OCT imaging and new drug therapies for macular degeneration... and many other important new developments that affect your patient care. A streamlined format and a new, more user-friendly full-color design - with many at-a-glance summary tables, algorithms, boxes, diagrams, and thousands of phenomenal color illustrations - allows you to locate the assistance you need more rapidly than ever.
Acquire a better understanding of disease evolution and treatment response with Neuroradiology Spectrum and Evolution of Disease. The unique format includes carefully chosen clinical images that depict the pathologic evolution of disease from initial presentation across the continuum of progression. Colorful graphics plot characteristic changes, helping you visualize how normal and abnormal variations alter over time. Extensive illustrations and concise descriptions distill complex concepts, making this first-of-its-kind resource an excellent tool for imaging interpretation and clinical problem solving. - Presents neurologic disease from a novel imaging perspective, emphasizing evolutionary development and pointing out patterns to recognize. - Provides a state-of-the-art understanding of image interpretation based on early, middle, and late imaging characteristics; typical and atypical variants; and pre-treatment, post-treatment, progression, and regression characteristics. - Guides you through the progression of disease with chronological indicators, additional clinical images and descriptions, and annotations that highlight atypical findings – for an easy-to-digest, visually memorable presentation. - Helps you correctly interpret specific imaging characteristics you have never seen, even when the disease process is one you are familiar with.
Similar to the first edition, the goal of Mayo Clinic Gastrointestinal Imaging Review, 2nd Edition is to provide an atlas of common abnormalities that affect the gastrointestinal tract. This comprehensive review includes all imaging modalities used within GI radiology, as well as plain radiographs, fluoroscopy, ultrasound, CT, MR, angiography, and nuclear medicine. Focusing solely on adult conditions, the book is divided into 13 chapters covering a separate organ within the gastrointestinal system and a final exam chapter reviewing all chapter content. Each organ-focused chapter is subdivided into sections related to diseases or findings of that organ. Running headers allow the reader to rapidly identify the chapter and the section being viewed. Large, high-quality images are presented in a format so that they can be reviewed as unknowns. A discussion of the cases is presented as if it were a consultation-- with a description of the findings, differential diagnosis, and final diagnosis. A brief discussion of the disease is included. Emphasis is placed on brevity of the text and a single-page layout for all but a few cases. Study guides at the end of each section are in the form of tables summarizing major radiographic findings into differential considerations with brief imaging clues to a specific diagnosis and case references within the book. The end of each chapter lists differential diagnoses for the chapter's specific organ. Full-color composite anatomical illustrations show the immediately obvious appearance of common conditions that correlate with major radiologic findings.
Virtual reality techniques are increasingly becoming indispensable in many areas. This book looks at how to generate advanced virtual reality worlds. It covers principles, techniques, devices and mathematical foundations, beginning with basic definitions, and then moving on to the latest results from current research and exploring the social implications of these. Very practical in its approach, the book is fully illustrated in colour and contains numerous examples, exercises and case studies. This textbook will allow students and practitioners alike to gain a practical understanding of virtual reality concepts, devices and possible applications.
Folding and refolding origami frogs, extracting the symmetrical veins from leaves, retreating to an imaginary world in his closet: after Teresa walked out the door one July afternoon in 1994, her son filled the void she left with a series of unusual rituals. Twenty-three years later, he lies in bed, reconstructing the events surrounding his mother's disappearance. Did she actually join the Zapatistas in the jungles of Chiapas, as he was led to believe? He dissects his memories of that fateful summer until a startling discovery shatters his conception of his family's story. Daniel Saldaña París (Among Strange Victims) returns with an emotionally rich anti-coming-of-age novel that wrestles with the inherited privileges and crimes of masculinity.
The farm bill is one of the most important pieces of legislation the American president signs. Negotiated every five to seven years, it has tremendous implications for food production, nutrition assistance, habitat conservation, international trade, and much more. Yet at nearly 1,000 pages, it is difficult to understand for policymakers, let alone citizens. In this primer, Dan Imhoff and Christina Badaracco translate all the “legalese" and political jargon into an accessible, graphics-rich 200 pages. Readers will learn the basic elements of the bill, its origins and history, and perhaps most importantly, the battles that will determine the direction of food policy in the coming years. The authors trace how the legislation has evolved, from its first incarnation during the Great Depression, to today, when America has become the world’s leading agricultural powerhouse. They explain the three main components of the bill—farm subsidies, food stamps or SNAP, and conservation programs—as well as how crucial public policies are changing. With a new farm bill just signed into law, we all need to understand the implications of food policy. What’s the impact of crop insurance? How does SNAP actually work? What would it take to create a healthier, more sustainable food system? These are questions that affect not only farmers, but everyone who eats. If you care about the answers, The Farm Bill is your guide.
Over the past two decades it has been increasingly recognized that whole-body ultrasound is an invaluable tool in the critically ill. In addition to offering rapid whole-body assessment, it has the advantage of being a bedside approach that is available at all times and can be repeated at will. Accordingly, it permits the immediate institution of appropriate therapeutic management. Whole-Body Ultrasound in the Critically Ill is the sequel to the author’s previous books on the subject, which were first published in French in 1992 and 2002 and in English in 2004. This new volume reflects the latest state of knowledge by including a variety of improvements, revised definitions, and updated algorithms. Findings in respect of individual organs are clearly presented, and a particular feature is the in-depth coverage of the lungs, traditionally regarded as an area unsuitable for ultrasound. Throughout, the emphasis is on the practical therapeutic impact of the technique. Its value in a variety of settings, including unexplained shock, management of hemodynamic instability, acute respiratory failure (the BLUE protocol), and the critically ill neonate, is carefully explained. Interventional ultrasound and less widely recognized applications, such as mesenteric infarction, pneumoperitoneum, and intracranial hypertension, are also described. Pitfalls of the technique receive due attention. Today, whole-body ultrasound touches upon every area of critical care. This book, from the chief pioneer in the field, shows that the technique enables critical care physicians to detect therapeutically relevant signs easily and quickly. It will serve as an invaluable guide to the practice of a form of visual medicine.
Cases in Medical Microbiology and Infectious Diseases challenges students to develop a working knowledge of the variety of microorganisms that cause infections in humans. This valuable, interactive text will help them better understand the clinical importance of the basic science concepts presented in medical microbiology or infectious disease courses. The cases are presented as "unknowns" and represent actual case presentations of patients the authors have encountered. Each case is accompanied by several questions to test knowledge in four broad areas including the organism's characteristics and laboratory diagnosis; pathogenesis and clinical characteristics of the infection; epidemiology; and prevention and, in some cases, drug resistance and treatment. This new fourth edition includes: an entirely new section, "Advanced Cases," which includes newly recognized disease agents as well as highly complex cases where the interaction of the immune system and human pathogens can be more closely examined a revised "Primer on the Laboratory Diagnosis of Infectious Diseases" section that reflects the increasing importance of molecular-based assays Forty-two new cases that explore the myriad advances in the study of infectious disease in the past decade Thirty-two updated cases that reflect the current state of the art as it relates to the organism causing the infection This textbook also include specific tools to assist students in solving the cases, including a table of normal values, glossary of medical terms, and figures illustrating microscopic organism morphology, laboratory tests, and clinical symptoms. Cases in Medical Microbiology and Infectious Diseases is a proven resource for preparing for Part I of the National Board of Medical Examiners Exam and an excellent reference for infectious disease rotations.
Computer-based infectious disease surveillance systems are capable of real-time or near real-time detection of serious illnesses and potential bioterrorism agent exposures and represent a major step forward in disease surveillance. Infectious Disease Informatics: Syndromic Surveillance for Public Health and Bio-Defense is an in-depth monograph that analyzes and evaluates the outbreak modeling and detection capabilities of existing surveillance systems under a unified framework, and presents the first book-length coverage of the subject from an informatics-driven perspective. Individual chapters consider the state of the art, including the facilitation of data collection, sharing and transmission; a focus on various outbreak detection methods; data visualization and information dissemination issues; and system assessment and other policy issues. Eight chapters then report on several real-world case studies, summarizing and comparing eight syndromic surveillance systems, including those that have been adopted by many public health agencies (e.g., RODS and BioSense). The book concludes with a discussion of critical issues and challenges, with a look to future directions. This book is an excellent source of current information for researchers in public health and IT. Government public health officials and private-sector practitioners in both public health and IT will find the most up-to-date information available, and students from a variety of disciplines, including public health, biostatistics, information systems, computer science, and public administration and policy will get a comprehensive look at the concepts, techniques, and practices of syndromic surveillance.
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