General practice / Family medicine Books

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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Book SynopsisLiver Transplantation, Part Four: Taking Care of Your New Liver is a guide on how to take care of a new liver after transplantation. Using an analogy that compares a body to a castle, and your immune system to knights that defend that castle, readers will learn about very important topics like immunosuppression medicines, ''rejection'', and infection. Readers will also learn about the importance of regular check-ins with doctors to examine recovery and ensure the new liver is functioning properly. This book is the fourth in a series on Liver Transplantation which, when used together, guides readers through the entire experience of having a liver transplant. Written in easy to understand language with vibrant illustrations, the book is comprehensive, as well as fun, comforting and hopeful. This informative and enjoyable book is part of the series The Strength of My Scars, written and illustrated by surgeon, Maria Baimas-George.

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Book SynopsisLiver Transplantation, Part One: The Basics takes readers through everything they need to know about liver transplantation. From explaining what livers do, to what it means when they don''t work, this book uses relatable analogies to help young readers understand complex medical concepts. Using the analogy of a car, the book explains that just like a car needs a new engine when it''s broken, our body needs a new liver when it''s not working properly. This book is the first in a series on Liver Transplantation which, when used together, guides readers through the entire experience of having a liver transplant. With vibrant illustrations and easy-to-understand language, as well as a glossary of commonly used words by doctors, this informative and enjoyable book is part of the series The Strength of My Scars, written and illustrated by surgeon, Maria Baimas-George.

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Book SynopsisLiver Transplantation, Part Two: Getting Ready for Your New Liver guides readers through the process of getting ready for a liver transplant. With easy-to-understand language and vibrant illustrations, this book introduces the team of people readers will meet, explains the steps that will happen before the transplant, and provides information about the waitlist. Readers will also learn what they should be doing while they are on the waiting list, providing them with a sense of control during a stressful time. This book is the second in a series on Liver Transplantation which, when used together, guides readers through the entire experience of having a liver transplant. It also forms part of the informative and enjoyable series The Strength of My Scars, written and illustrated by surgeon, Maria Baimas-George.

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Table of Contents1. History of Anorexia Nervosa.- Early Observations.- Chlorosis.- Early Treatment.- Anorexia in Victorian Times.- Gull and Laseque.- The Biological Era.- The Psychoanalytic Era.- Anorexia Today.- Summary.- References.- 2. A History of Bulimia.- References.- 3. The History of Obesity.- References.- 4. The Presentation of Obesity.- What is Obesity?.- Summary: How the Patient Presents.- References.- 5. The Biological Basis of Bulimia.- Brain Regulation of Appetite and Feeding.- Bulimia and Affective Disorders.- Drug Trials I—Suggested by Theorized Relationship of Bulimia to Affective Disorders.- Drug Trials II—Suggested by Theorized Relationship of Bulimia to Seizure Disorder.- Drug Trials III—Suggested by Theorized Neurotransmitter Control of Appetite.- Conclusion.- References.- 6. Biological Factors in Obesity.- Overview.- Genetics.- Perinatal Factors.- Neuroanatomy and Neurochemistry of Eating.- Nutritional Factors.- Metabolic Factors.- Biological Models of Obesity.- References.- 7. Clinical Laboratory Aspects of Eating Disorders.- General Laboratory and Medical Considerations.- Basal Luteinizing, Follicle Stimulating Hormone, and Gonadotropin Releasing Factor (GnRF) Challenge Studies.- Basal Thyroid, Prolactin, Growth Hormone, and TRH Challenge Testing.- Dexamethasone Suppression Testing.- Drugs of Abuse, Diuretics, and Laxative Testing.- Additional Considerations.- Conclusion.- References.- 8. Neuropsychiatric Approach to the Eating Disorder Patient.- Medical Mimics.- Neuropsychiatric Investigation.- Clinical Example.- References.- 9. Anorexia in the Elderly.- References.- 10. Depression and Eating Disorders.- Frequency of Depression.- Family Studies.- Antidepressant Treatment.- Polysomnography.- Positron Emission Tomography.- Neuroendocrinology.- Neurochemistry.- Summary.- References.- 11. Sexual Abuse and Its Relationship to Eating Disorders.- References.- 12. Males with Eating Disorders.- Anorexia Nervosa.- Bulimia Nervosa.- Conclusion.- References.- 13. The Medical Care of the Patient with an Eating Disorder.- Endocrine and Metabolic Complications.- Cardiac Complications.- Gastrointestinal Complications.- References.- 14. Pediatric Management of Eating Disorders.- Anorexia Nervosa and Bulimia.- Specific Organ System Involvement.- Obesity.- Summary.- References.- 15. The B.A.S.H. Approach.- Program Structure.- The “Significant Other”.- Religion.- Evaluation.- Conclusion.- References.- 16. The Hospital Treatment of Eating Disorders.- Indications for Hospitalization.- Treatment Interventions.- Treatment Planning.- Conclusion.- References.- 17. The Treatment of Obesity.- Defining Obesity.- Weight Loss.- The Diet.- Behavior Therapy.- Weight Loss Programs and Products.- Conclusion.- References.- 18. Eating Disorders and Drug and Alcohol Dependency.- Definitions and General Characteristics of the Disorders.- Prevalence of the Disorders.- The Co-occurrence of Alcohol and Drug Dependence and Eating Disorders.- Familial Rates in the Disorders.- Common Interactions Between the Disorders.- Treatment.- Future Research.- References.- 19. Occupational Therapy Treatment of Anorexia Nervosa.- Occupational Behavior: A Model of Practice.- Treatment Strategies, Assessment, and Treatment Intervention.- Assessment.- Summary.- References.- 20. Occupational Therapy Treatment of Bulimia Nervosa.- Bulimia Nervosa.- A Theoretical Model in Treatment of Bulimia Nervosa: Occupational Behavior.- Summary.- References.- 21. Dietary Management of Eating Disorders.- Nutrition Assessment.- Eating Disorders.- Anorexia Nervosa.- Bulimia.- Obesity.- Summary.- References.- 22. Administration and Management of Eating Disorders Units.- Admission Criteria and Procedure.- Nutritional Assessment and Treatment.- Patient Classification.- Quality Assurance and Control.- Unit Standards.- Conclusion.- References.- 23. Literary Resources.- Birth of the Modern (Paul Johnson).- Bonfire of the Vanities (Tom Wolfe).- Bread and Chocolate (Francis Brusati).- Decameron (Giovanni Bocaccio).- Dinner at Eight (George S. Kaufman/Edna Ferber).- Dinner for Adele (Oldrich Lipsky).- English Wayfaring Life in the Middle Ages (J.J. Jessread).- Fatso (Anne Bancroft).- Georgy Girl (Silvio Narizzino).- Good Fellows (Martin Scorcese).- Le Morte D’Arthur (Sir Thomas Mallory).- Metamorphosis (Franz Kafka).- Nina’s Book (Eugene Burdick).- Pantagruel (Francois Rabelais).- Satyricon (Titus Petronius Arbiter).- Sermons (Bernard of Clairvaux).- The Physiology of Taste (Jean-Anthelme Brillat-Savarin).- Voss (Theodore White).

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Book SynopsisAnesthesiologists, pain medicine specialists, primary care physicians, osteopaths, neurologists, psychiatrists, physical medicine and rehabilitation specialists, and other health professionals looking to add acupuncture to their repertoire will benefit from the concise and practical approach of the book.Table of ContentsPart 1: General Consideration Ch. 1: History of AcupunctureJen-Hwey Chiu Ch. 2: Basic Theories of Traditional Chinese MedicineFrancisco Lozano Ch. 3: Pattern Discrimination in Traditional Chinese Medicine (TCM)Francisco Lozano Ch. 4: Mechanisms of Acupuncture AnalgesiaAnnie D. LeeEric S. Hsu Ch. 5: Common Acupuncture PracticesShu-Ming Wang Ch. 6: Peri-Operative AcupunctureYue Pang Mok Ch. 7: Acupuncture Pain Research: Quantitative and QualitativeTat Leang LeeZhen Zheng Ch. 8: Auricular AcupunctureYung-Fong Sung Part 2: Acupuncture Channels Ch. 9: Acupuncture Qi Flow and Points MeasurementYuan-Chi LinCynthia Tung Ch. 10: Hand Tai Yin Lung Meridian 手太陰肺經穴Yuan-Chi LinRosalie F. Tassone Ch. 11: Hand Yang Ming Large Intestine Meridian 手陽明大腸經穴Yuan-Chi LinRosalie F. Tassone Ch. 12: Foot Yang Ming Stomach Meridian 足陽明胃經穴Yuan-Chi LinRosalie F. Tassone Ch. 13: Foot Tai Yin Spleen Meridian 足太陰睥經穴Yuan-Chi LinRosalie F. Tassone Ch. 14: The Hand Sho Yin Heart Meridian 手少陰心經穴Rosalie F. TassoneYuan-Chi Lin Ch. 15: The Hand Tai Yang Small Intestine Meridian 手太陽小腸經穴Rosalie F. TassoneYuan-Chi Lin Ch.16: Foot Tai Yang Bladder Meridian 足太陽膀胱經穴Rosalie F. TassoneYuan-Chi Lin Ch. 17: Foot Shao Yin Kidney Meridian 足少陰腎經穴Rosalie F. TassoneYuan-Chi Lin Ch. 18: The Hand Jue Yin Pericardium Meridian 手厥陰心包經穴Lynn M. RusyYuan-Chi Lin Ch. 19: The Hand Sho Yang Triple Energizer Meridian 手少陽三焦經穴Lynn M. RusyYuan-Chi Lin Ch. 20: The Foot Shao Yang Gall Bladder Meridian 足少陽膽經穴Lynn M. RusyYuan-Chi Lin Ch. 21: The Foot Jun Yin Liver Meridian 足厥陰肝經穴Lynn M. RusyYuan-Chi Lin Ch. 22: Conception Vessel 任脈經穴Yuan-Chi LinLynn M. Rusy Ch. 23: Governor Vessel 督脈經穴Yuan-Chi LinLynn M. Rusy Ch. 24: The Extra Acupuncture Points 奇穴Yuan-Chi LinCynthia S. Tung Part 3: Clinical Conditions Ch. 25: HeadacheJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 26: Facial nerve palsyJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 27: VertigoJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 28: ToothacheJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 29: Neck PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 30: Chest PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 31: Epigastic PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 32: Abdominal PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 33: DysmenorrheaJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 34: Upper Back PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 35: Frozen ShoulderJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 36: Low Back PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 37: Arthritis, Joint PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 38: Coccygeal PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 39: Elbow PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 40: Wrist PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 41: Ankle PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 42: Heel PainJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 43: InsomniaJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 44: Nausea and VomitingJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 45: SedationJaung-Geng LinKuen-Bao ChenYu-Chen Lee Ch. 46: DizzinessJaung-Geng LinKuen-Bao ChenYu-Chen Lee

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Book SynopsisPathophysiology of Peptic Ulcer Disease.- Decreased Intragastric Acid Concentration as an Approach to Peptic Disease Therapy.- General Approach to Peptic Disease Therapy.- Ulcer Healing by Strengthening of Mucosal Defense.- History of the Development of Sucralfate.- Sucralfate: A Nonsystemic Site Protective Agent.- Chemistry of Sucralfate.- Binding of Bile Acids by Sucralfate.- Mechanisms of Action of Sucralfate.- Binding of Sucralfate to the Mucosal Surface.- Stimulation of Mucus Production.- Gastroduodenal Bicarbonate Secretion and its Response to Sucralfate.- Effect of Sucrose Octasulfate on Isolated Gastric Cells.- Effect on Gastric Surfactant.- Stimulation of Mucosal Prostaglandins by Sucralfate.- Sucralfate and Helicobacter pylori.- Sucralfate and Cell Proliferation.- Vascular Factors.- Sucralfate.- Effects of Sucralfate on Growth Factor Availability.- Duodenal Ulcer Therapy, Acid Rebound, and Early Relapse.- Effect of Sucralfate on Experimental Ulcers.- Effect on Experimental EsTable of ContentsIntroduction; D. Hollander, G.N.J. Tytgat. Pathophysiology of Peptic Ulcer Disease; F. Halter. Decreased Intragastric Acid Concentration as an Approach to Peptic Disease Therapy; A.B.R. Thomson. Strengthening of Mucosal Defenses as an Approach to Peptic Disease Therapy; A.S. Tarnawski. History of the Development of Sucralfate; A. Ishimori. The Chemistry of Sucralfate; K. Ochi. Binding of Bile Acids by Sucralfate; W.F. Caspary. Binding of Sucralfate to the Mucosal Surface; G. Morris. Stimulation of Mucus Production by Sucralfate; C. TasmanJones. Stimulation of Gastroduodenal Bicarbonate Secretion by Sucralfate; D.W. Rees. Effect of Sucrose Octasulphate on Isolated Gastric Cells; M. Lucey, T. Yamada. Effect of Sucralfate of Gastric Surfactant; B.A. Hills. Stimulation of Mucosal Prostaglandins by Sucralfate; D. Rachmilewitz. Effect of Sucralfate on Helicobacter Pylori; J.A. Louw. Sucralfate and Cell Proliferation; H. Kuwayama. Effect of Sucralfate on Vascular Factors: Mucosal Vasoprotection and Angiogenesis; S. Szabo. Sucralfate Effects on Growth Factor Availability; J. Konturek. 16 additional articles. Index.

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Book SynopsisME is the most common cause of long-term absence from school. A mild case causes regular absences from education, social life and sport, a severe case leaves a young person housebound or bedbound for years. So why is ME surrounded by a lack of understanding, even within the medical professions? During the three years when her teenage son Chris could not go to school, Merryn Fergusson kept a diary - which here becomes the remarkable and candid story of ME as seen through Chris's eyes and through the experiences of his mother, family and friends. The book also traces the history of ME from the 1930s and the emergence of the medical controversy over CFS/ME. It is a controversy which baffles sufferers and their carers, the tragic consequences of which can be the forcible removal of young people from their homes and families.

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Book SynopsisThe overall incidence of meningiomas, particularly in the developed countries, is rising due to a growing size of the aging population, with people living longer and enjoying healthier lives than ever before. Additionally, an increased utilization of imaging studies such as computer tomography (CT) and magnetic resonance (MR) for routine evaluation of closed head injuries, paranasal sinus problems and various non-specific neurological symptoms, ranging from headaches to dizziness, has contributed to enhanced detection of incidental meningiomas. The book contains the most up-to-date information in all matters related to meningiomas, and is written by multiple contributors - internationally recognized experts in their respective fields from Asia, USA and Europe. This is an essential reference guide to neurosurgeons and neurologists (in training and in practice), as well as medical libraries, throughout the world. Trade ReviewFrom the reviews: "The purpose of this book is to teach young neurosurgeons how to recognize, investigate, and operate upon meningiomas in diverse locations. Neurosurgeons, neurologists, neuro-interventionalists, and radiologists are the main audience for this book. … This is an excellent book for neurosurgeons, ENT surgeons, oncologists, neuro-oncologists, radiologists, and neurologists." (Celso Agner, Doody’s Review Services, January, 2009)Table of ContentsI GENERAL INFORMATION: Historical Perspective.- Epidemiology.- Meninges: Embryology.- Pathology.- Natural history, growth rates, recurrence.- II DIAGNOSTIC CONSIDERATIONS: Diagnostic radiology I: CT, MRI, Angio.- Diagnostic radiology II: Nuclear med, MRS, PET.- Lesions mimicking meningiomas.- Interventional radiology: Angio, embolization.- Neuro-ophthalmological evaluations.- III BASIC SCIENCE: Meningioma tumorigenesis: Review of basic science.- Meningothelial meningiomas.- Meningiomas of the central neuraxis.- Future treatment modalities I: Targeting the NF-2 & Ras Pathways.- Future treatment modalities II: Gene Therapy in meningiomas.- IV MANAGEMENT: Management options and principles.- Surgery: General principles.- Surgical adjuncts I: Endoscopy in meningioma surgery.- Surgical adjuncts: Image guided/CAS.- Seizures associated with meningiomas.- V ADJUNCT TREATMENT MODALITIES: Recent advances in therapeutic radiation.- Conventional RT for meningiomas.- Gamma Knife Radiosurgery.- Linear Accelerator Radiosurgery.- Brachytheraphy.- Medical therapy.- VI SURGICAL OUTCOME IN MENINGIOMA SURGERY: The factors influencing outcome in meningioma surgery.- The influence of co-morbidity and age in meningioma surgery outcome.- The influence of the tumor location, size and preoperative neurological symptoms in meningioma surgery outcome.- VII PATIENT SELECTION FOR SURGERY: THE ‘CLASS’ ALGORITHM: ‘CLASS’ algorithmic scale for surgical decision making: Rationale and design.- Validity of the ‘CLASS’ algorithmic scale: A retrospective study.- Utility of the ‘CLASS’ algorithmic scale: A prospective study.- VIII MENINGIOMAS BY LOCATION: PRESENTATION, SPECIAL CONSIDERATIONS, SURGICAL TECHNIQUE, OUTCOME: Convexity.- Parasagittal.- Falcine.- Olfactory groove/Planum spenoidale.- Tuberculum sella.- Clinoidal.- OpticSheath: Aggressive.- Optic Sheath: Conservative.- Lateral and middle sphenoid wing.- Orbitosphenoid.- Cavernous sinus: Aggressive.- Cavernous sinus: Conservative.- Temporal bone.- Petroclival: Aggressive.- Petroclival: Conservative.- Petrous.- Clival/Foramen Magnum.- Cerebellar convexity.- Tentorial.- Torcular/transverse & sigmoid sinus.- Pineal.- Ventricular.- Jugular foramen.- Paranasal sinuses.- Pediatric.- NF2/multiple.- Spinal.- IX MISCELLANEOUS: Meningioma surgery: Personal philosophy.- Functional improvement in meningioma surgery.- The rationale for surgery in young patients with small meningiomas.- Dural reconstruction.- Cranial reconstruction.

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Book SynopsisThis book highlights the underlying importance of post-stroke complications during recovery, allowing healthcare professionals managing stroke patients to understand their frequency and identify which patients are at risk of developing such complications. Complications are categorised into neurological and non-neurological, and the time-frame for these complications both in the short-term and long-term are discussed. The common practices in managing post-stroke complications and the skills required in their prevention are described, as is the evidence base from clinical trials around their management. The book concludes with a discussion of new developments and research priorities for the future.Management of Post-Stroke Complications is aimed at members of the multidisciplinary stroke team, stroke physicians, neurologists, general practitioners, stroke specialists in training, and medical students.Table of ContentsIntroduction.- Early Neurological Deterioration.- Post-Stroke Cardiac Complications.- Post-Stroke Seizures.- Infections After Stroke.- Venous Thromboembolism.- Swallowing and Nutritional Complications.- Urinary and Bowel Complications.- Positioning and Pressure Care.- Management of Spasticity.- Falls and Osteoporosis Post-Stroke.- Post-Stroke Cognitive Impairment.- Post-Stroke Pain.- Post-Stroke Fatigue: Common But Poorly Understood.- Mental Consequences Of Stroke.- Future Developments.

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Book SynopsisThere are many textbooks which give detailed descriptions of the causes, clinical features and treatment of disease. There are a number of books devoted to clinical methodo­ logy which tell the student the questions which he must ask and describe the physical signs that he should seek. The authors of these books rarely devote more than a page or two to a job description and advice on how to acquire clinical skills. Although a sound knowledge of the facts is essential, a good doctor differs from a bad doctor more by his attitude and craftsmanship than by his knowledge. These important matters receive scant attention in the textbooks because the authors regard them as part of the spoken tradition which is taught at the bedside or in the clinics and is absorbed by watching clinicians while they are dealing with patients. The image of the doctor who greets patients with his pen poised over a prescription pad, and the calls for holistic medicine, imply that a number of students do not pick up the relevant attitudes and skills on the way. That this feeling is shared by the profession itself is suggested by the forma­ tion of a society to promote the treatment of the whole patient, and another for the promotion of humanism in cardiology. Good doctors have been treating the whole patient humanely since the profession was founded, and I find it shocking that it is thought that such societies are necessary.Table of Contents1 The Job Description.- The Importance of Common-sense.- Polishing your Performance.- Craftsmanship.- Patient Handling, or Why Medicine Is Not Mechanics.- The Doctor—Patient Relationship from the Doctor’s End.- Doctors and the Media.- Too Clever by Half.- The Need for Role-Playing in Medicine.- Rehearsing your Role.- Type-cast by Nature.- Playing your Role.- Looking the Part.- Confidentiality.- 2 Taking the History.- Before Calling the Patient In.- The Patient’s Stance.- The Doctor’s Stance.- Meeting the Patient.- Taking the History: Why and How.- The Patient’s Story.- How To Ask Questions.- Getting the Answers.- How Am I Doing?.- Diagnosis.- ‘Difficult’ Patients.- Children.- Third Parties.- Confidentiality.- Writing Up the History.- Past History, Family History and Social History.- 3 Examination of the Patient.- Preparing for the Examination: Putting the Patient at Ease.- The Doctor’s Stance During the Examination.- Getting the Hang of Physical Signs.- The Actual Examination.- Evaluating the Physical Signs.- 4 In the Ward.- The Effect of Ward Life on the PatientTalking to Patients.- Decision-Making at the Bedside.- The Megaround.- Dodging the Column.- Changing the Medication.- Discharge from Hospital.- Ward Notes.- 5 Investigation.- Factors Influencing the Ordering of Tests.- Is the Test Worth While?.- Telling the Patient About Tests.- The Actual Investigation.- When Things Go Wrong.- The Patient Who Refuses To Have a Test Done.- The Interpretation of Tests.- Telling the Patient About the Results of the Tests.- Filing of Results.- 6 On the Art of Diagnosis.- The Logical Basis of Diagnosis.- Pattern Recognition.- The Physiological Approach; Goodness of Fit: The Basis of Pattern Recognition.- The Importance of ‘Mechanisms’.- Attitude to Information; Incommensurable Values.- Making the Diagnosis.- 7 Advice and Explanation.- Deciding What Advice To Give.- The Consultation.- Building Up the Doctor—Patient Relationship.- How Much To Tell the Patient; Explanation.- Reassurance; Helping the Patient to Adjust to the Facts.- If the Patient Rejects your Advice.- Drugs.- Fatal Diseases and Death.- 8 Attitude to Colleagues.- Hearsay Second Opinions.- Colleagues as Patients.- Relations with Non medical Colleagues.- Envoi.- The Response to Change.- Unchanging Aspects.

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Book SynopsisTable of ContentsI. Klassifikations- und Nomenklaturwandel in der Epileptologie.- Literatur.- II. Grundsätzliche Fragen bei Verdacht auf epileptische Anfälle.- Literatur.- III. Epileptische Anfälle bei Neugeborenen und Säuglingen im 1.Trimenon.- Literatur.- IV. Anfallsformen bei Säuglingen ab 2. Trimenon und bei Kleinkindern.- 1 Blitz-Nick-Salaam (BNS)-Krämpfe (West-Syndrom)..- 2 Myoklonisch-astatische und tonische Anfälle im Rahmen des Lennox-Gastaut-Syndroms.- 2.1 Symptomatische („sekundäre“) Form des Lennox-Gastaut-Syndroms.- 2.2 Idiopathische („primare“) Form des Lennox-Gastaut-Syndroms.- 2.3 Die sog. primäxr generalisierten frühkindlichen Epilepsieformen.- 3 Fokale (partielle) Anfallsformen.- 4 Gelegenheitsanfälle.- 4.1 Fieberkrämpfe.- 4.2 Epileptische Anfälle bei Hypoglykämie.- 5 Durch Emotionen ausgelöste synkopale Anfälle sive „respiratorische Affektkrampfe“.- Literatur.- V. Anfallsformen bei Schulkindern, Jugendlichen und Erwachsenen.- 1 Leerer Blick, Unansprechbarkeit von 5–30 Sekunden Dauer.- 1.1 Absencen im Rahmen einer idiopathischen generalisierten Epilepsie („typische“ Absencen).- 1.2 Absencen im Rahmen einer symptomatischen generalisierten Epilepsie („atypische“ Absencen).- 1.3 Absencen im Rahmen einer schwer klassifizierbaren generalisierten Epilepsie.- 1.4 Absencenartige Anfälle bei fokalen Epilepsien.- 1.5 Absencenartige, nichtepileptische Phänomene bei zerebraler Ischämie.- 2 Verwirrtheits-, Unruhe- und/oder traumähnliche Zustände ½-2 Minuten Dauer (psychomotorische Anfälle).- 3 Verwirrtheit und Antriebsstörungen während Stunden bis Tagen („Därnmerzustand“).- 3.1 Dämmerzustand als direkter Ausdruck eines prolongierten epileptischen Anfallsgeschehens (Petit mal-Status, Status psychomotoricus).- 3.2 Postparoxysmale Dämmerzustände.- 3.3 Organisches Psychosyndrom.- 3.4 Exogene Dämmerzustände bei Epilepsiekranken.- 3.5 Psychische Ausnahmezustände nichtepileptischer Genese.- 4 Anfallsartige seitliche Wendebewegungen der Augen, des Kopfes und des Körpers.- 4.1 Einfache epileptische Adversivkrämpfe.- 4.2 Adversivkrämpfe mit „Fechterstellung“.- 4.3 Adversive Jackson-Anfälle.- 4.4 Wendebewegungen im Rahmen anderer epileptischer Anfallsformen.- 4.5 Wendebewegungen bei nichtepileptischen neurologischen Erkrankungen.- 5 Anfallsartige lokale oder lokal beginnende Muskelzuckungen (Myoklonien).- 5.1 Jacksonsche epileptische Anfälle und ihre Varianten..- 5.2 Fokale Anfälle im Rahmen einer benignen Epilepsie des Kindesalters mit zentrotemporalen EEG-Spitzenpotentialen.- 5.3 Hemifazialer Spasmus.- 5.4 Spinale Myoklonien.- 5.5 Myoklonien im Rahmen verschiedener zerebraler Affektionen bzw. Allgemeinerkrankungen mit zerebralem Befall.- 5.6 Psychogene Muskelzuckungen.- 6 Anfallsartige bilaterale Muskelzuckungen (Myoklonien).- 6.1 Myoklonien im Rahmen einer Impulsiv-Petit mal-Epilepsie.- 6.2 Myoklonien im Rahmen progredienter epileptischer Syndrome.- 6.3 Myoklonien im Rahmen anderer zerebraler Erkrankungen.- 6.4 Myoklonien im Rahmen metabolischer oder toxischer Allgemeinerkrankungen.- 6.5 Abnorm gesteigerte Schreckreaktion (Hyperekplexie, Syncinésie sursaut, Startle disease).- 6.6 Physiologische Einschlafmyoklonien.- 7 Anfallsartige einseitige oder einseitig betonte tonische Verkrampfungen.- 7.1 Tonische „Hirnstammanfälle“.- 7.2 Schreckinduzierte fokale kortikale Anfälle (Epilepsie-sursaut, Startle epilepsy).- 7.3 Tetanische Anfälle.- 7.4 Hysterische Anfälle.- 8 Anfallsartige Stürze ohne erkennbare Bewußtseinsstörung („Sturzanfälle“).- 8.1 Epilepsie mit (spät)myoklonisch-astatischen Petit mal-Anfällen.- 8.2 Epilepsie mit Impulsiv-Petit mal-Anfällen.- 8.3 Sturzanfälle im Rahmen einer Temporallappen-Epilepsie.- 8.4 SturzAnfälle bei Meningeomen.- 8.5 Nichtepileptische „drop attacks“.- 8.6 Abnorm gesteigerte Schreckreaktion (Hyperekplexie, Syncinésie sursaut, Startle disease).- 8.7 Kataplexie.- 9 Bewußtlosigkeit, generalisierter Krampfanfall.- 9.1 Grand mal-Anfall ohne fokalen Einschlag.- 9.2 Grand mal-Anfall mit fokalem Einschlag.- 9.3 „Konvulsive“ Synkope.- 9.4 Großer hysterischer Anfall.- 10 Schwarzwerden vor den Augen, Blasse, Ohnmacht (synkopale Anfälle).- 11 Anfallsartige lokale oder lokal beginnende sensible Sensationen (Parästhesien).- 11.1 Sensible Jacksonsche epileptische Anfälle.- 11.2 Migraine accompagnée-Attacken.- 11.3 Transitorische ischämische Attacken nichtmigränöser Genese.- 11.4 Peripher-neurologische oder spinale Affektionen.- Literatur.- VI. Besondere Manifestationsformen epileptischer Anfälle.- 1 Abdominalschmerzen.- 2 Angst.- 3 Aphasie bzw. Sprechhemmung.- 4 Erbrechen.- 5 Halbseitenschmerz bei Jackson-Anfällen.- 6 Halluzinationen.- 7 Kopfschmerz.- 8 Lachen.- 9 Nystagmus.- 10 Paroxysmale Choreoathetose.- 11 Vegetative (autonome) Störungen.- 12 Wut und/oder Gewalttätigkeit.- 13 Zwangs- bzw. unbewußtes (Fort-)Laufen.- Literatur.- VII. Auslösungsfaktoren epileptischer Anfälle.- 1 Unspezifische Auslösungsfaktoren.- 1.1 Alkohol.- 1.2 Halluzinogene Drogen.- 1.3 Hyperventilation.- 1.4 Impfungen.- 1.5 Medikamente.- 1.6 Schlaf und Schlafentzug.- 1.7 Streßund Witterung.- 2 Spezifische Auslösungsfaktoren („Reflexepilepsien“)..- 3 Schüdel-Hirn-Traumen.- 3.1 Epileptische FrühAnfälle.- 3.2 Chronische Epilepsie nach Schädel-Hirn-Traumen.- 3.3 Antiepileptische Therapie nach Schadel-Hirn-Traumen.- Literatur.- VIII. Antiepileptische Therapie.- 1 Allgemeine Richtlinien.- 2 Einleitung der Therapie, Medikamentenwahl.- 2.1 Carbamazepin.- 2.2 Phenobarbital.- 2.3 Phenytoin.- 2.4 Valproat.- 2.5 Ethosuximid.- 2.6 Primidon.- 3 Therapeutische Probleme bei Frauen im gebärfähigen Alter.- 3.1 Kontrazeption bei antiepileptisch behandelten Frauen.- 3.2 Mißbildungsrisiko bei Kindern antiepileptisch behandelter Frauen.- 3.3 Einfluß der Schwangerschaft auf Epilepsieverlauf und auf Plasmakonzentration der Antiepileptika.- 3.4 Unerwünschte Wirkungen der Antiepileptika auf neugeborene Kinder epilepsiekranker Frauen.- 4 Antiepileptika bei Niereninsuffizienz und bei Leberleiden, inkl. akuter Porphyrien.- 4.1 Antiepileptika bei chronischer Niereninsuffizienz.- 4.2 Antiepileptika bei Leberinsuffizienz.- 4.3 Antiepileptika bei akuten hepatischen Porphyrien.- 5 Behandlung eines Status epilepticus.- 5.1 Zur Frage der Terminologie und der Auslösungsfaktoren.- 5.2 Behandlung eines Grand mal-Status.- 5.3 Behandlung eines Status anderer epileptischer Anfallsformen.- 6 Orale Antiepileptika-Einnahme (in anderen Fällen als ein Status epilepticus) nicht möglich - Was tun?.- 7 Wann soll die Plasmakonzentration der Antiepileptika bestimmt werden?.- 8 Indikationen zu einer chirurgischen Epilepsie-Therapie 179 Literatur.- IX. Andere Probleme.- 1 Epileptische Anfälle und Fahigkeit zur Lenkung von Motorfahrzeugen.- 2 Genetische Beratung.- Literatur.

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Book SynopsisDas Buch beschreibt umfassend die physiologischen und psychologischen Veränderungen im menschlichen Organismus, die sich beim autogenen Training (AT) und bei der gestuften Aktivhypnose (GAH) als Langzeiteffekt einstellen. Die für die Praxis relevanten Befunde werden in allgemeinverständlicher Form dargestellt, sie sind thematisch geordnet und ihre Bedeutung für Klinik und Praxis, auch in der Zahnheilkunde, wird hervorgehoben. Neuere Ergebnisse zeigen, daß das autogene Training ein zuverlässiges Therapeutikum in der Psychotherapie und in der psychosomatischen Medizin ist.Table of ContentsInhaltverzeichnis.- Thermometrische un thermoregulatorische Basisstudien.- Veränderungen der Körpertemperatur durch zirkadiane Schwankungen und Thermalbäder.- Beeinflussung der peripheren Wärmetransportzahl durch Thermalbäder.- Beeinflussung der zerebralen Durchblutung durch Thermälbader.- Physiologisehe Aspekte des autogenen Trainings.- Beeinflussung der peripheren Wärmetransportzahl durch autogenes Training.- Einfluß von Biofeedback und autogenem Training auf die muskuläre Entspannung.- Zirkadiane Schwankungen der Hauttemperatur und deren Veränderung während des autogenen Trainings.- Einfluß von autogenem Training durch Bhastrik?-Pr?n?y?ma auf die Flimmerverschmelzungsfrequenz.- Beeinflussung der Atmung und des Herz-Kreislauf-Systems durch autogenes Training.- Vergleich zwischen autosuggestiver und heterosuggestiver Vermittlung des autogenen Trainings bei Kindern.- Physiologische Aspekte der gestuften Aktivhypnose.- Geisteswissenschaftliche Hintergründe der „zweigleisigen Psychotherapie“.- Methodik der gestuften Aktivhypnose.- Vergleich der Wärmetransportzahl während autogenem Training und gestufter Aktivhypnose.- Verhalten der Wärmetransportzahl während autogenem Training bzw. Heterohypnose bei niedriger Umgebungstemperatur.- Verhalten der Wärmetransportzahl während des Versenkungszustands im autogenen Training bzw. bei gestufter Aktivhypnose.- Veränderungen mehrerer physiologischer Parameter während der gestuften Aktivhypnose.- Psychologische und psychopathometrisehe Gesichtspunkte des autogenen Trainings und der Hypnose.- Suggestibilität und Eignung zum autogenen Training.- Suggestibilität und Hypnotisierbarkeit.- Konstitutionelle Faktoren und die Erlernbarkeit des autogenen Trainings.- Bedeutung von Übertragungsphänomenen beim erlernen des autogenen Trainings.- Bestimmende Faktoren für den Trainingserfolg in AT-Kursen an Volkshochschulen.- Persönlichkeitsspezifische Faktoren beim Erfolg im autogenen Training.- Prädiktoren und Indikatoren für das autogene Training.- Schmerz- und Hypnosuggestivtherapie in der zahnärztlichen Praxis.- „Psychosomatische Prämedikation“ in der zahnärztlichen Praxis.- Anwendung der Hypnosuggestivtherapie in der zahnärztlichen Praxis.- Effectivität der Hypnosuggestivtherapie in der zahnärztlichen Praxis.- In memoriam Prof. Dr. med Dietrich Langen (†20. März 1980).- Literatur.

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Book SynopsisDas Buch stellt die Grundlagen der Anwendung, Prüfung und Bewertung diagnostischer Maßnahmen in der Medizin zusammen. Dabei liegt der Schwerpunkt auf der systematischen Darstellung der vier Phasen des Evaluierungsprozesses. Das Buch wendet sich an Mediziner, die sich mit der Erforschung und Evaluierung diagnostischer Maßnahmen befassen. Der Begriff der Evaluierung bezieht sich dabei ausschließlich auf die Verbesserung der Patientenversorgung und orientiert sich nicht primär an einer finanziellen Kosten-Nutzen-Abschätzung. Die Autoren schließen mit diesem nützlichen Buch eine Lücke im deutschen Sprachraum.Table of Contents1 Einleitung.- 1.1 Krankheit.- 1.2 Diagnose.- 1.3 Diagnostik.- 1.4 Test.- 1.5 Diagnostik als iterativer Prozeß.- 1.6 Diagnose als „temporäre Handlungsanweisung“.- 2 Grundlagen der Wahrscheinlichkeitstheorie.- 2.1 Wahrscheinlichkeiten in der Medizin.- 2.2 Wahrscheinlichkeiten als Anteile in Gruppen.- 2.3 Andere Wahrscheinlichkeitsbegriffe.- 2.4 Wahrscheinlichkeit für gleichwahrscheinliche Ereignisse.- 2.5 Wahrscheinlichkeiten, Anteile, relative Häufigkeiten, Raten.- 2.6 Das Summationsprinzip für Wahrscheinlichkeiten.- 2.7 Gemeinsame Wahrscheinlichkeiten.- 2.8 Bedingte Wahrscheinlichkeiten.- 2.9 Unabhängige Ereignisse.- 2.10 Die Summationsregel für gemeinsame Wahrscheinlichkeiten.- 2.11 Wahrscheinlichkeitsbäume.- 3 Grundlegende Definitionen.- 3.1 Der Begriff „diagnostischer Test“.- 3.2 Sensitivität, Spezifität.- 3.3 A-priori- und A-posteriori-Wahrscheinlichkeiten.- 3.4 Der quantitative Test (ROC-Analyse).- 3.5 Weitere Maße zur Beschreibung der Validität diagnostischer Tests.- 4 Entstehung von Hypothesen für diagnostische Tests.- 4.1 Hypothesenbildung aufgrund persönlicher Erfahrung —.- 4.2 Assoziationen aus Krankenakten.- 4.3 Zufallsbefunde bei Studien mit anderer Zielsetzung.- 4.4 Pathophysiologische Überlegungen.- 4.5 Entwicklung neuer Methoden.- 4.6 Tradition.- 5 Allgemeine Aspekte zur Prüfung diagnostischer Tests.- 5.1 Einteilung in Phasen.- 5.2 Prüfplan.- 6 Vorklinische Evaluierung (Phase 1).- 6.1 Einleitung.- 6.2 Statistische Maßzahlen zur Beschreibung einer Meßreihe.- 6.3 Genauigkeit, Richtigkeit und Präzision.- 6.4 Bedingungen für Präzisionsangaben.- 6.5 Statistische Methoden.- 6.6 Evaluation von Geräten.- 7 Anwendung des diagnostischen Tests an ausgewählten Probanden (Phase 2).- 7.1 Prüfplan.- 7.2 Patientenauswahl.- 7.3 Ziel und Interpretation.- 8 Die kontrollierte diagnostische Studie (Phase 3).- 8.1 Grundsätzliche Probleme.- 8.2 Begründung der Prüfung.- 8.3 Beschreibung des zu prüfenden Tests..- 8.4 Prüfdesign.- 8.5 Einschluß der Patienten und Methodik der Auswahl —.- 8.6 Patientenzahl.- 8.7 Einverständnis.- 8.8 Randomisierungsverfahren.- 8.10 Ermittlung und Dokumentation von Komplikationen —.- 8.11 Beschreibung des Prüfungsablaufs.- 8.12 Abbruchkriterien.- 8.13 Verschiedenes.- 8.14 Darstellung und Publikation.- 9 Wirksamkeitsprüfung diagnostischer Tests (Phase 4).- 9.1 Therapeutischer Nutzen eines Tests.- 9.2 Zielsetzung von Wirksamkeitsprüfungen.- 9.3 Grundforderungen für Vergleichbarkeit.- 9.4 Versuchseinheit.- 9.5 Benötigter Stichprobenumfang.- 10 Verzerrungsmöglichkeiten (Bias) bei der Evaluierung diagnostischer Tests.- 10.1 Übertragungsbias.- 10.2 Verifikations-(Work-up-)Bias.- 10.3 Informationsbias.- 10.4 Einbeziehungsbias.- 11 Anwendung diagnostischer Tests.- 11.1 Abschätzung der A-priori-Wahrscheinlichkeit.- 11.2 Grundsätzliche Überlegungen zur Testanforderung.- 11.3 Die Wahl geeigneter Testverfahren.- 11.4 Simultane oder sequentielle Anwendung mehrerer Testverfahren.- 11.5 Zum Problem der Unabhängigkeit von Testverfahren.- 12 Kritische Beurteilung publizierter diagnostischer Tests.- Literatur.

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Book SynopsisThis is the second edition of a well-received book that has been revised and updated to reflect the state of the art in laser and light source technology. After an initial chapter describing the latest understanding of laser physics and safety, subsequent chapters consider laser treatment of vascular lesions, laser treatment of pigmented lesions and tattoos, laser removal of unwanted hair, ablative and non-ablative fractional resurfacing, and use of laser treatment for medical purposes. The book is extremely practical and reader friendly. All chapters are very well illustrated, include quick and clear bullet points, and feature a homogeneous structure covering core concepts, currently available technologies, indications and contraindications, an example of a consent form, and the author’s personal treatment approaches. The authors are without exception world experts in the field from North America or Europe.Trade ReviewFrom the reviews of the second edition:“The purpose is to provide an updated overview of currently available lasers to treat various skin conditions … . The audience is dermatologists. … Dermatologists contemplating the purchase of a laser would find this book useful. … I recommend this as a good clinical introduction to understanding how lasers work and the considerations that must be taken into account when choosing a particular laser modality for a particular condition.” (Patricia Wong, Doody’s Book Reviews, July, 2013)Table of ContentsLaser Physics and Safety.- Laser Treatment of Vascular Lesions.- Laser Treatment of Pigmented Lesions.- Laser Hair.- Ablative and Non-ablative Fractional Resurfacing.- Laser Treatment of Medical.

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Book SynopsisProblemen mit dem Stuhlgang wird, gemessen an ihrer H{ufig- keit, in der Medizin relativ wenig Aufmerksamkeit gewidmet. Demgegen}ber besteht ein erheblicher Bedarf an praktisch nutzbarer Information. Das vorliegende Buch - Ergebnis einer gr}ndlichen Diskussion namhafter Autoren - fa~t den derzeitigen Kenntnisstand zusammen. Es behandelt zun{chst die Grundlagen der Motilit{t und beschreibt alle wichtigen Untersuchungsmethoden. Im klinischen Teil werden Ursachen, Diagnostik und Therapiem glichkeiten der chronischen Obstipation und der Stuhlinkontinenz dargestellt. Internisten, Gastroenterologen und Allgemein{rzte erhalten damit fundierte Informationen }ber in der Praxis h{ufig geklagte Beschwerden.Table of Contents1 Chronische Obstipation: Ein Problem in der Praxis.- 2 Problemstellung.- 3 Definitionen.- Physiologie, Pharmakologie und funktionelle Untersuchungsmethoden des Kolons und Anorektums.- 4 Kolonmotilität und Defälcation.- 5 Pharmakologie des Kolons und des Analkanals.- 6 Ernährung und Kolonfunktion.- 7 Basisdiagnostik: Anamnese, digitale Untersuchung und funktioneile Proktoskopie.- 8 Radiologische Methoden (Defäkographie, Transitmessung).- 9 Anorektale Manometrie.- 10 Elektromyographie des Beckenbodens.- 11 Defäkations-und Kontinenztests.- Chronische Obstipation und Stuhlinkontinenz.- 12 Epidemiologie der Obstipation.- 13 Epidemiologie der analen Inkontinenz.- 14 Psychosoziale Faktoren.- 15 Motilitätsstörungen des Kolons.- 16 Funktionelle Obstruktion.- 17 Obstipation als Begleitsymptom und als unerwünschte Arzneimittelwirkung.- 18 Ätiologie und Pathogenese der Inkontinenz.- 19 Notwendige Diagnostik.- 20 Allgemeine Maßnahmen und Ernährungsempfehlungen.- 21 Medikamentöse Therapie der Obstipation.- 22 Biofeedback bei Obstipation.- 23 Konservative Therapie der Inkontinenz.- 24 Chirurgische Therapie der chronischen Obstipation.- 25 Chirurgische Therapie der Inkontinenz.- 26 Inkontinenz Bei Ileonaler Anastomose.- 27 Konsequenzen.

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Book Synopsis1. Angeborene Stoffwechselstörungen.- 2. Hereditäre Bindegewebserkrankungen.- 3. Erworbene Erkrankungen der Gelenke und des Bindegewebes.- 4. Infektionen, Infestationen und Granulomatosen.- 5. Hauterkrankungen.- 6. Endokrine Erkrankungen.- 7. Herz-Kreislauf- und Lungenerkrankungen.- 8. Nierenerkrankungen.- 9. Erkrankungen des hämatopoetischen und lymphoretikulären Systems.- 10. Erkrankungen des Magen-Darm-Traktes der Leber- und Gallenwege.- 11. Erkrankungen der Nerven und Muskeln.Table of Contents1. Angeborene Stoffwechselstörungen.- 2. Hereditäre Bindegewebserkrankungen.- 3. Erworbene Erkrankungen der Gelenke und des Bindegewebes.- 4. Infektionen, Infestationen und Granulomatosen.- 5. Hauterkrankungen.- 6. Endokrine Erkrankungen.- 7. Herz-Kreislauf- und Lungenerkrankungen.- 8. Nierenerkrankungen.- 9. Erkrankungen des hämatopoetischen und lymphoretikulären Systems.- 10. Erkrankungen des Magen-Darm-Traktes der Leber- und Gallenwege.- 11. Erkrankungen der Nerven und Muskeln.

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Book SynopsisUpon the request of the International Union of Theoretical and Applied Mechanics (IUTAM) the Swedish National Committee for Mechanics organized a colloquium on fatigue, which was held at the Royal Institute of Technology (Kung!. Tekniska Hogskolan) in Stock­ holm, May 25-27, 1955. 35 lectures were delivered, principally dealing with problems of statistical and basic nature. Among the topics were to be found statis­ tical theory of fatigue, cumulative damage, mechanism of fatigue, me­ tallurgical aspects on fatigue, velocity of fatigue cracks, fatigue at elevated temperature, and fatigue at combined stresses. Lectures were going on simultaneously in two sections. Each lecturer had 15 minutes for presentation of his communication, and afterwards 15 minutes were reserved for discussion. Abstracts of the lectures were distributed about a month before the colloquium. The colloquium was attended by 149 participants from the follow­ ing countries: Denmark (1), Finland (2), France (5), Germany (6), Italy (2), Netherlands (2), Norway (2), Poland (2), Saar (1), Spain (3), Sweden (100), Switzerland (1), United Kingdom (10), USA (8), USSR (3), and Yugoslavia (1). A complete list of the participants will be found below. The languages of the Colloquium were English, French, German and Italian. No lectures were delivered in Italian. Also, all contributions to the discussions have been translated to one of the first three languages. Statements and opinions advanced are always those of the individual authors or participants in the discussions.Table of ContentsSommaire Inhalt.- Étude critique de la notion de dommage appliquée à une classe étendue d?essais de fatigue.- Essais de fatigue statistiques suivant la méthode de charge progressive.- Contribution à I?étude de la fatigue des matériaux avec essais à charge progressive.- Theories relating to fatigue of materials under combinations of stress.- Effect of simultaneous cyclic variation of stress and tempe rature on a high temperature material.- Physical and statistical aspects of cumulative damage.- Ermüdungsfestigkeit bei statistisch veränderlichen Spannungsamplituden.- New statistical methods applied to the analysis of fatigue data..- Über Verformungserscheinungen in Stählen bei der Wechselbeanspruchung.- The effect of high loads on fatigue.- Modifications de texture cristalline produites par des efforts alternés.- Fatigue of steels at constant strain amplitude and elevated temperature;.- Une définition théorique de la limite de fatigue.- Effect of geometric size on notch fatigue.- Les travaux récents de l?Institut de Recherches Métallurgiques de Sarrebruck dans le domaine de la fatigue.- Einige Versuche über die Vorgänge in der Oberflächenschicht von Ermüdungsproben.- Essais de fatigue par flexion avec fréquences superposéas.- Ziele der Ermüdungsforsehung in der Schweiz, gezeigt am Beispiel von Dauerversuchen an Schraubenverbindungen.- Variability in fatigue testing: sources and effect on notch sensitivity.- Über den Meehanismus der Zerstörung bei der zyklischen Belastung von Metallen.- Torsion and tension relations for slip and fatigue.- Einige Besonderheiten der Kontaktermüdung.- Some observations on the propagation of fatigue cracks.- Some investigations on cumulative damage.- A guide to statistical methods for use in fatigue testing.- Die durch große Zug- und Druekermüdungsbelastungen hervorgebrachte mechanische Hysterese in Stählen.- Der Meehanismus des Dauerbruchs metallischer Werkstoffe.- A proposed mechanism of fatigue failure.- Recent researches on fatigue at the Mechanical Engineering Research Laboratory, East Kilbride.- Experimental design and methods of analysis used in studying effects of metallurgical variation on fatigue.- A contribution to the theory of the fatigue of metals.- Basic aspects of fatigue.- Ausscheidungsvorgänge in Stählen bei ruhender und wechselnder Beanspruchung.- Bending fatigue of large welded test pieces with regard to velocity of crack propagation.- Cumulative damage in fatigue.- Table des matières.

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Book SynopsisThe idea of producing this book of case histories from general family prac­ tice was only a twinkle in the editors' eyes until October 1980, when in a room in the Marriott Hotel in New Orleans, the editors met with John Fry, Joseph Levenstein and Bill Jackson to discuss new book projects. The idea was put to the group, which endorsed it enthusiastically. Encouraged by this and by John Fry's advice, the conception of The Nature of General Family Practice took place. It was agreed that to illustrate the universal nature of general family prac­ tice it would be useful to collect case histories from all around the world, that for preference they should be brief, and that they should be ac­ companied by major questions and sub-questions, but no answers. The name 'Vignettes' was applied to these cases and their questions. Subsequently, well over a hundred family physicians were asked by letter to provide ten vignettes. Sixty doctors from ten countries accepted the invitation and forwarded their contributions during the second half of 1981. Almost all of those who, for a variety of reasons were unable to contribute, said they liked the idea and looked forward to using the final product. Altogether, over 600 vignettes were received, and 583 selected for final inclusion.Table of Contents1 Why has the Patient Really Come? 1–34.- 2 Problems of Living 35–73.- 3 Family Problems 74–94.- 4 Patient Education and Preventive Care 95–113.- 5 Routine Examination 114–122.- 6 Emergencies 123–146.- 7 Attempted Suicide 147–153.- 8 Dying and Death 154–172.- 9 Contraception and Family Planning 173–187.- 10 Sexual Problems 188–198.- 11 Problems of Pregnancy 199–229.- 12 Headaches 230–246.- 13 Fits, Faints and Funny Turns 247–276.- 14 Eye Problems 277–288.- 15 Upper Respiratory Problems (Including ENT Problems) 289–324.- 16 Breathing Problems 325–357.- 17 Chest Pain 358–383.- 18 Abdominal Problems 384–424.- 19 Genitourinary Problems 425–461.- 20 Skin Problems 462–476.- 21 Lumps 477–483.- 22 Musculoskeletal Problems 484–516.- 23 Injuries 517–540.- 24 Tiredness 541–559.- 25 Weight Loss 560–567.- 26 Iatrogenic Illness 568–583.- Questions and Sub-questions 1–583.

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Book SynopsisDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was con­ cerned more with diagnosis in the widest sense and this series deals more definitively with general care and specific treatment of symp­ toms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and assessment and investigations, but the em­ phasis is on what to do best for the patient. Family medical practitioners have particular difficu1ties and ad­ vantages in their work_ Because they often work in professional isolation in the community and deal with relatively small numbers of near-normal patients their experience with the more serious and more rare conditions is restricted. They find it difficult to remain up-to-date with medical advances and even more difficult to decide on the suitability and application of new and relatively untried methods compared with those that are 'old' and well proven. Their advantages are that because of long-term continuous care for their patients they have come to know them and their families FOREWORD well and are able to become familiar with the more common and less serious diseases of their communities.Trade Review`The information is clearly laid out and well presented. The need for patient education and information is implicit throughout the book.' Journal of the Institute of Health Education, Vol. 23 (3).Table of Contents1. Making a diagnosis in general practice.- 2. Immunization.- 3. Self-care.- 4. Respiratory tract infections.- 5. Urinary tract infection.- 6. Vaginal discharge and pelvic infection.- 7. Sexually transmitted diseases.- 8. Gastrointestinal infections.- 9. Hepatitis; AIDS.- 10. Central nervous system infections.- 11. The common infectious diseases.- 12. Skin infections.- 13. Imported infections.- 14. Good standards.

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Book SynopsisJohn P. Horder, President, 1980-82 The first 30 years of the College have been an exciting experience for those most closely involved. Some have already passed on, but this account has been written soon enough for many of the actors to be historians. Future members of the College will be grateful to them for what they have written, as well as for what they did as a remarkably determined and harmonious team. Students of twentieth century medicine in this country will also be grateful for a first-hand account of the development of an institution which has been closely associated with, and partly responsible for, important changes in medical care and education. Those who read these pages may wonder how the builders of this young College could have found time to do much general practice. They did. The three editors of this history, which covers 25 years, and the general practitioner members of the Steering Committee all ran large practices, in which they worked very hard throughout that time. Most of their work for the College was done during off-duty hours, weekends and holidays. The College could not have developed as it did, had they not been personally concerned with the practical problems and needs of clinical medicine. This is also true of many of the contributors. It is impossible to mention everyone who deserves credit. The editors hope that they may be forgiven for any serious omissions.Table of ContentsI Past Attempts to Found a ‘College of General Practitioners’ One and a Half Centuries Ago.- II Events Leading up to the Formation of the Steering Committee.- III The Work of the Steering Committee, and the Birth of the College.- IV The College’s First Year and the Work of the Foundation Council.- V Presidents and Chairmen of Council of the College During its First Twenty-Five Years.- VI Regional Faculties and Regional Councils in the United Kingdom and Eire.- Scottish Council.- Welsh Council.- Irish Council.- VII Undergraduate Education.- VIII Postgraduate Education and Vocational Training.- I: 1953–1965.- II: 1965–1977.- IX The Medical Recording Service and the Medical Audiovisual Library.- X Standards.- The Criteria Committee.- The Board of Censors.- The Examination Committee.- The Examination.- XI The College and Research.- The Research, Education and Scientific Foundations.- XII Practice Organisation, Equipment and Premises.- XIII College Publications.- The Annual Reports.- The College Journal.- Other College Publications.- Faculty Publications.- XIV The Library, Museum and Archives.- I: The Library.- II: The Museum.- III: The Archives.- XV Headquarters, Staff and Administration.- XVI College Finance and Appeal.- XVII Awards and Ethical Committees.- XVIII Incorporation, Royal Prefix and the Royal Charter.- XIX Insignia and the College Grace.- The Insignia.- The College Grace.- X Relations with Other Bodies.- I.- II.- XXI The College Overseas.- Overseas Regional Faculties.- Overseas Councils:.- The Australian Council.- The New Zealand Council.- The South African Council.- XXII The Future.- I.- II.- Appendices.- 1. Honorary Fellows.- 2. Honorary Chaplain.- 3. Honorary Secretaries of Council.- 4. Honorary Treasurers of the College.- 5. James Mackenzie Lecturers.- 6. William Pickles Lecturers.- 7. Foundation Council Awards.- 8. George Abercrombie Awards.- 9. Fraser Rose Gold Medallists.- 10. John Hunt Fellow.- 11. Honorary Registrar.- 12. Administrative Secretaries.- 13. College Solicitors.- 14. College Auditors.- 15. College Publications.

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Book SynopsisThis handbook provides tools for nurse educators, ethics educators, practicing nurses and allied health professionals for developing confidence and skill in ethical decision making in interdisciplinary settings such as acute and chronic care hospitals and clinics. It is useful for all healthcare personnel who face ethical issues in the course of their work and who work with nurses to resolve these issues. While the content is based on a US context, the concerns of nurses internationally are discussed and emphasized. Nurses working in acute and chronic care settings face many obstacles to providing good care and are often the first line of defense related to patient safety and meeting the needs of patients and their families. Some of the obstacles to optimal patient care are institutional, some sociocultural, and others the result of inadequate communication. Evidence points to the idea that while nurses do have the knowledge and skills to address practice problems of various sorts, they may not be confident in their skills of ethical decision making and advocacy actions. This is a resource to develop moral agency on behalf of individuals and to address broader barriers to good care raised at the local, community, or social levels. Trade Review“Well-grounded in the uniqueness of nursing, Clinical Ethics Handbook for Nurses is a must read for anyone who teaches clinical ethics or practices clini­cal ethics with nurses. Grace, Milliken, and the other authors have created an accurate, complete, readable, and rel­evant handbook that provides excellent strategies for educators and is accessible to point-of-care nurses. I only wish that organizations would see the value in changing working conditions so that point-of-care nurses would have time and energy to read it.” (Lucia Wocial, Hastings Center Report, September-October, 2022)Table of ContentsPart I: Foundations of Professional and Clinical Ethics.- Introduction; Pamela Grace, Aimee Milliken.- Developing Ethical Awareness and Ethical Sensitivity; Aimee Milliken, Pamela Grace.- The History, Language and Tools of Ethics: Application in Healthcare Settings; Pamela Grace, Aimee Milliken.- Part II: Essential Knowledge and Skills for Ethical Deliberations.- Effective Communication – Improving Communication Skills; Ben Benjamin, Aimee Milliken, Pamela Grace.- Models of Ethics Deliberation and Consultation; Aimee Milliken, Settimio Monteverde, Pamela Grace.- Cultural, Religious and Language Influences in Ethical Deliberations; Annette Mendola, Pamela Grace, Aimee Milliken.- Part III: Ethical Issues Associated with Practice and Research.- Neonatal and Pediatric Acute and Palliative Care; Pamela Grace, Aimee Milliken, Melissa Uveges.- Genetics: Nurses Roles and Responsibilities; Melissa Uveges, Andrew Dwyer.- Issues Associated with Mental Health and Illness; Julie Dunne, Emma K. Blackwell, Emily Ursinin, Aimee Milliken.- Research on Human Subjects: Nurses Roles and Responsibilities; Pamela Grace, Aimee Milliken.- Organizational Influences on Ethical Action; Aimee Milliken, Pamela Grace.- Social Justice, Disparities and Nursing Responsibilities; Pamela Grace, Aimee Milliken, John Welch

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Book SynopsisTable of ContentsCHAPTER 1 Basics of Conversational Spanish 1.1 Pronunciation 1.2 Syntax and Grammar 1.3 Verb Conjugation 1.4 Addressing the Patient: Tú versus Usted CHAPTER 2 Setting the Stage for the Clinical Encounter 2.1 General Greetings 2.2 Addressing the Patient 2.3 Provider's Introduction 2.4 Extended Introduction: Getting to Know the Patient 2.5 Setting the Agenda CHAPTER 3 History of the Present Illness 3.1 Basic Anatomy 3.2 Chief Complaint 3.3 History of the Present Illness CHAPTER 4 Past Medical History and Review of Systems 4.1 Past Medical History of Chronic Diseases 4.2 Past Medical History of Acute Diseases 4.3 Past Surgical History 4.4 Review of Systems CHAPTER 5 Medications and Drug Effects 5.1 Medication History 5.2 Allergy History 5.3 Medication Instructions 5.4 Drug Side Effects 5.5 Diabetes Medication CHAPTER 6 Family History 6.1 Naming Family Members 6.2 Talking about Family Life and Health 6.3 Family History CHAPTER 7 Social and Sexual History 7.1 Assuring the Patient of Confidentiality 7.2 Social History 7.3 Travel History and Special Exposures 7.4 Substance Use History 7.5 Sexual History 7.6 Review of Reproductive Systems CHAPTER 8 Mental Health and Cognition 8.1 General Mental Health 8.2 Spirituality and Health 8.3 Cognitive Assessment 8.4 Psychiatric History and Review of Systems CHAPTER 9 Preventive Health and Nutrition 9.1 Access to Preventive Medical Care 9.2 Preventive Routine Screening Tests 9.3 Adult Immunization History 9.4 Exercise and Adult Health Safety Screening 9.5 Diet History 9.6 Body Mass Index, Special Diets, and Recommendations CHAPTER 10 Pediatrics 10.1 Addressing the Pediatric Patient 10.2 Pregnancy, Delivery, and Neonatal History 10.3 Developmental History 10.4 Pediatric Safety 10.5 Immunization History 10.6 Infant Diet 10.7 Common Pediatric Illnesses CHAPTER 11 Physical Examination 11.1 General Physical Examination 11.2 Specialized Physical Examination 11.3 Physical Findings CHAPTER 12 Procedures and Informed Consent 12.1 Informed Consent 12.2 Discussing Common Procedures 12.3 Discussing Emergent Procedures 12.4 Advanced Directives CHAPTER 13 Impression and Plan 13.1 Physician's Impression 13.2 Plan of Care: Additional Testing 13.3 Plan of Care: Treatment and Follow-up 13.4 Discussing Test Results 13.5 Delivering Bad News 13.6 System-Based Summary of Impression and Plan 13.7 Concluding the Visit CHAPTER 14 Knowing your Limitations: When and How to Use a Medical Interpreter 14.1 When to Use a Medical Interpreter 14.2 Types of Medical Interpretation 14.3 Working Effectively with a Medical Interpreter APPENDIX Abbreviated Spanish Medical Interview Guide Extended Spanish Medical Interview Guide ANSWER KEY BIBLIOGRAPHY INDEX

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Book SynopsisTrade ReviewDoody's Core Titles® 2020 Essential Purchase "This is high-quality book shines as a valuable resource for clinicians managing acute fractures, especially in primary care. The ability to use it as a quick reference for accurate information is helpful." -Charles C Rudy, MD (Oregon Health & Science University) Doody's Review ServiceTable of Contents1. Fracture Management in Primary Care and Emergency Medicine Settings 2. General Principles of Fracture Care 3. Finger Fractures 4. Metacarpal Fractures 5. Carpal Fractures 6. Radius and Ulna Fractures 7. Elbow Fractures 8. Humerus Fractures 9. Clavicle and Scapula Fractures 10. Spine Fractures 11. Femur and Pelvis Fractures 12. Patellar, Tibial, and Fibular Fractures 13. Ankle Fractures 14. Calcaneus and Other Tarsal Fractures 15. Metatarsal Fractures 16. Toe Fractures 17. Facial and Skull Fractures 18. Rib Fractures Appendix (Casting and Splinting)

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Book SynopsisTable of ContentsTABLE OF CONTENTS Chapter 1: Introduction Chapter 2: General Principles Chapter 3: Immunologic Disorderers Chapter 4: Disorders of Blood and Blood-Forming Organs Chapter 5: Mental Disorders in Family Medicine Chapter 6: Diseases of the Nervous System and Special Senses Chapter 7: Cardiovascular Disorders Chapter 8: Diseases of the Respiratory System Chapter 9: Nutritional and Digestive Disorders Chapter 10: Gynecologic Disorders Chapter 11: Renal, Urinary, and Male Reproductive System Chapter 12: Disorders of Pregnancy, Childbirth and Puerperium Chapter 13: Disorders of the Skin and Subcutaneous Tissues Chapter 14: Diseases of the Musculoskeletal System and Connective Tissue Chapter 15: Endocrine and Metabolic Disorders Chapter 16: Gunner Jim's Guide to Exam Day Success

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Book SynopsisTrade ReviewThe 1st edition was the recipient of the 2015 BMA Medical Book Awards: Highly Commended in Internal Medicine The 1st edition was the recipient of the 2015 BMA Medical Book Awards: BMA President's Choice AwardTable of ContentsSoni: Point-of-Care Ultrasound, 2/E Section 1: Fundamentals Principles of Ultrasound 1. Evolution of point-of-care ultrasound 2. Ultrasound Physics and Modes 3. Transducers 4. Orientation 5. Basic operation of an ultrasound machine 6. Imaging Artifacts Section 2: Lungs & Pleura 7. Overview 8. Lung and Pleural Ultrasound Technique 9. Lung Ultrasound Interpretation 10. Pleura and Diaphragm 11. Lung and Pleural Procedures 12. Dyspnea & Pulmonary Embolism Section 3: Heart 13. Overview 14. Cardiac Ultrasound Technique 15. Left ventricular function 16. Right ventricular function 17. Inferior Vena Cava 18. Pericardial effusion 19. Valves 20. Transesophageal Echocardiography 21. Hemodynamics 22. Hypotension and Shock 23. Cardiac Arrest Section 4: Abdomen & Pelvis 24. Peritoneal Free Fluid 25. Kidneys 26. Bladder 27. Gallbladder 28. Abdominal Aorta 29. First Trimester Pregnancy 30. Second and Third Trimester Pregnancy 31. Testicular Ultrasound 32. Abdominal pain 33. Trauma Ultrasound Section 5: Vascular System 34. Lower Extremity Deep Venous Thrombosis 35. Upper Extremity Deep Venous Thrombosis 36. Central Venous Access 37. Peripheral Venous Access 38. Arterial Access Section 6: Head and Neck 39. Ocular ultrasound 40. Thyroid gland 41. Lymph Nodes Section 7: Nervous System 42. Peripheral Nerve Blocks 43. Lumbar Puncture 44. Transcranial Ultrasound Section 8: Soft Tissues & Joints 45. Soft Tissues and Joints 46. Joints Section 9: Pediatrics 47. Pediatrics 48. Neonatology Section 10: Ultrasound Program Management 49. Competence, Credentialing, and Certification 50. Equipment, Image Archiving, & Billing

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Book SynopsisTable of ContentsGeneral Principles The Shoulder The Elbow The Wrist and Hand The Spine The Pelvis/Hip The Knee and Lower Leg The Ankle and Foot Pediatric Orthopaedics Index

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