Medicine / Healthcare: general issues / topics Books

Book SynopsisUS health care has changed dramatically during the past century. A new breed of physicians use new machines, vaccines, and ideas in ways that have touched the lives of virtually everyone. How and why did these changes occur? The essays in this volume address this question through the stories of six scientific innovators.

Read more less

Book SynopsisDrawing on more than 15 years of experience as an active clinician and instructor specializing in treating the chemically dependent and their families, Olivia Curtis presents an engaging and practical book on the nuts and bolts of counseling drug affected families. Unique and timely, Chemical Dependency: A Family Affair looks at family dynamics from a family systems perspective and examines how those dynamics are affected by chemical dependency. Through her insightful and friendly writing style, Curtis gives a comprehensive summary of the development of family theories, the structure of a family system, and the interplay between chemical dependency and the family system.Trade Review1. The Development of Family Therapy. 2. Theoretical Approaches to Family Treatment. 3. Family Therapeutic Theories. 4. The Family as a System. 5. Elements of the Emotional Systems. 6. Family Organizational Structure and Development. 7. Chemical Dependency's Disruption of Organization. 8. Critical Issues in Chemically Dependent Families. 9. Family Assessment. 10. Working with Chemically Dependent Families. 11. The Family Recovery Process. 12. Family Intervention. Conclusion. Glossary. Works Cited. Index.Table of Contents1. The Development of Family Therapy. 2. Theoretical Approaches to Family Treatment. 3. Family Therapeutic Theories. 4. The Family as a System. 5. Elements of the Emotional Systems. 6. Family Organizational Structure and Development. 7. Chemical Dependency''''s Disruption of Organization. 8. Critical Issues in Chemically Dependent Families. 9. Family Assessment. 10. Working with Chemically Dependent Families. 11. The Family Recovery Process. 12. Family Intervention. Conclusion. Glossary. Works Cited. Index.

Read more less

Book Synopsis

Read more less

Book Synopsis

Read more less

Book SynopsisIf you're going to have an organ transplant, or a joint replacement, here's the key to getting the very best medical care: be a white, straight, middle-class male. This book takes on one of the few topics that haven't figured in the heated debate over health care reform - the largely hidden yet massive injustice of bias in medical treatment.Trade ReviewWhite, noted professor of orthopedic surgery at Harvard University, addresses the pervasive but hidden problem of prejudice in medicine in this revealing book. He uses extensive research to show how subconscious stereotyping of Blacks, women, and other minorities influences the doctor–patient relationship and how many people, therefore, receive substandard treatment. -- Clarence Waldron * Jet *As vital to medicine as mapping the rhythm of the heart and the firing of the nerves is an understanding of the diversity of the human family. Gus White takes us on a marvelous personal journey that illuminates what it means to care for people of all races, religions, and cultures. The story of this man becomes the aspiration of all those who seek to minister not only to the body but also to the soul. -- Jerome Groopman, M.D., author of How Doctors ThinkGus White has written a tour de force—a compelling story about race, health and conquering inequality in medical care. Growing up in the segregated South, receiving medical training at all-white Stanford, caring for Americans and Vietnamese in Vietnam, Dr. White has a uniquely perceptive lens with which to see and understand unconscious bias in health care. He offers astute analysis and prescriptions for eliminating inequalities, and his journey is so absorbing that you will not be able to put this book down. -- Charles J. Ogletree, Jr., author of All Deliberate SpeedSeeing Patients is a powerful and extraordinarily important book. Dr. White uses his own experience to enable us to take a close look at the sensitive issue of bias in health care, and the damage it does. He knows from the inside how good people can be negatively affected by historical and cultural forces they are not even aware of. He acknowledges the magnitude and complexity of the problem, and encourages medical schools and physicians to work together to solve it. -- James P. Comer, M.D., author of Leave No Child Behind: Preparing Today’s Youth for Tomorrow’s WorldThis is first and foremost the immensely enjoyable story of Gus White’s astonishing life’s journey. With all his achievements, he has not lost sight of his roots. Recruiting minorities into medicine has been one of his life’s priorities, and he has been a leader in promoting cultural literacy in all physicians. Seeing Patients is both exciting and insightful. -- Alvin F. Poussaint, M.D., Professor of Psychiatry, Harvard Medical SchoolThe intertwining journeys of both orthopaedics and civil and human rights are chronicled in Dr. White’s life and career. Despite the progress made in these areas, unequal medical treatment in this country still exists due to biases, stereotypes, generalizations, language differences, and cultural barriers. -- Steven L. Frick, M.D. * AAOS Now *White’s story—part autobiography, part call to action—is a compelling and often uncomfortable read about a hidden world where even the most compassionate and egalitarian caregivers often fail a basic command of the Hippocratic oath: to do no harm. -- Sean Silverthorne * Harvard Business School Alumni Bulletin *Armed by the unique perspective afforded by being both within the American medical establishment and an African American whose grit and talent put him there, highly respected Harvard Medical School professor White is a crystal-clear visionary. The best means to improve health care for all, he says, is for medical schools to produce physicians who are not only scientifically competent but also equally culturally competent… Part stirring autobiography, part reasoned apology for egalitarian health care, White’s book makes a powerful case. -- Donna Chavez * Booklist *White uses his unique insights to discuss health care disparities, making it timeless and a must-read book that has the power to change the way we see the world…As the coronavirus pandemic brings racial, economic, and health care disparities into stark focus, Seeing Patients impresses upon us the need to see each other as fellow humans. -- Mary E. Arthur * Anesthesia & Analgesia *In this autobiography, White, Harvard’s first African American department chief, writing with Chanoff, chronicles his experiences growing up in Tennessee and his professional journey through medical school. Along the way, readers are shown how racism has impacted and still affects African Americans and others in the medical profession and in the medical system in general. -- A. W. Klink * Library Journal *White grew up in Memphis during the Jim Crow era. Affected deeply by the blatant racial prejudice he encountered in the South, as a student in Ivy League universities, as a physician during the Vietnam War, and as an orthopedic surgeon, White offers a deeply personal account. Part autobiography, and part sociological treatise on issues including race, the book chronicles how White’s epiphany in Vietnam (‘When I came out of that carnage in Vietnam, I came out with an even stronger sense that in the final analysis we are all so much more similar than different’) led to his realization that ‘the persistent derogation of out-groups’ results in unequal treatment of many categories of people. This understanding inspired him to become an activist dedicated to increasing knowledge and awareness of diversity issues. A fascinating account of how White became a professor of medical education/orthopedic surgery and the first African American department chief at Harvard’s teaching hospital, this book explains such sociological principles as race, class, and in-group/out-group processes in clear, uncomplicated prose. His a very enjoyable account of the remarkable life of an individual who did what a lot of people say they want to do: make a difference. -- C. Apt * Choice *When White attended Stanford in the late ’50s he was one of four students of color. A recommendation letter written by a mentor then included ‘this is a pale, colored boy’ to avoid misunderstanding. Now White recounts his ground-breaking life in an engaging, matter-of-fact manner… A chance encounter with a woman who felt doctors judged her by her full-body tattoo led White to consider disparities in health care. Challenges exist on both sides of the stethoscope, White argues, noting that the uncertainty felt by many African-American patients over how they will be perceived also impacts the medical encounter; the burden for alleviating racial and other disparities (such as those based in age, gender, and sexual orientation) falls on the medical and educational communities. Accessible, thought-provoking, and valuable. * Publishers Weekly *

Read more less

Book SynopsisThis new ABC concentrating on major upper Gastrointestinal disorders reflects the latest advances in understanding of the pathophysiology and pathogenesis of upper GI diseases most of which now have precise diagnostic methods and relational and effective medical and surgical managements.Table of ContentsImplications of dyspepsia for the NHS. Oesophagus: Heartburn. Oesophagus: Atypical chest pain and motility disorders. Dysphagia. Epidemiology and diagnosis of Helicobacter pylori infection. Pathophysiology of duodenal ulcer and gastric cancer. Management of Helicobacter pylori infection. Indigestion and non-steroidal anti-inflammatory drugs. Upper gastrointestinal haemorrhage. Indigestion: When is it functional?. Upper abdominal pain: Gall bladder. Cancer of the stomach. Cancer of the pancreas. Anorexia, nausea, vomiting, and pain

Read more less

Book SynopsisUsing electronic health records accurately and effectively is critical to patient safety. With Paradigm's EHR Navigator learning environment and Exploring Electronic Health Records course content, you can develop your students' EHR skills to better prepare them forclinicals and nursing careers.

Read more less

Book SynopsisThe text is state-of-the-art in its analysis of health disparities from both domestic and international perspectives. Minority Populations and Health: An Introduction to Health Disparities in the United States is a welcome addition to the field because it widens access to the complex issues underlying the health disparities problem. -- Preventing Chronic Disease/CDC, October 2005 This is a very comprehensive, evidence-based book dealing with the health disparities that plague the United States. This is a welcome and valuable addition to the field of health care for minority groups in the United States.-- Doody''s Publishers Bulletin, August 2005 Health isn't color-blind. Racial minorities disproportionately suffer from some diseases, but experts say race alone doesn't completely account for the disparities. Newsweek''s Jennifer Barrett Ozols spoke with Thomas LaVeist, director of the Center for Health Disparities Solutions at Johns Hopkins Bloomberg School of Public HTrade Review"The book is readable and organized to be quickly read with specifics readily retrievable." (JAMA (The Journal of the American Medical Association), September 14, 2005)Table of ContentsTables and Figures xia Preface xvii About the Author xix 1 Historical Aspects of Race/Ethnicity and Health 1 Part One: Crosscutting Issues 13 2 Conceptual Issues in Race/Ethnicity and Health 15 3 The Demography of American Racial/Ethnic Minorities 30 Part Two: Morbidity, Mortality, and Racial/Ethnic Disparities in Health 51 4 The Epidemiological Profile of Racial/Ethnic Minorities 53 5 Mental Health 83with Duane Thomas, Ph.D. 6 Health Care Services Among Racial/Ethnic Groups 108 Part Three: Etiology of Racial/Ethnic Differences in Health 131 7 Theories of Racial/Ethnic Differences in Health 133 8 Socioeconomic Status and Racial/Ethnic Differences in Health 157 9 Behavior and Health 180 Part Four: Racial/Ethnic Group–Specific Health Issues 203 10 African American Health Issues 205 11 American Indian and Alaska Native Health Issues 223 12 Asian and Pacific Islander Health Issues 242 13 Hispanic/Latino Health Issues 260 Part Five: Conclusions 281 14 Addressing Disparities in Health and Health Care 283 Appendix A: Case Studies 298 Appendix B: Additional Readings 303 References 308 Name Index 333 Subject Index 339

Read more less

Book SynopsisDesigning and Conducting Health Surveys is written for students, teachers, researchers, and anyone who conducts health surveys. This third edition of the standard reference in the field draws heavily on the most recent methodological research on survey design and the rich storehouse of insights and implications provided by cognitive research on question and questionnaire design in particular. This important resource presents a total survey error framework that is a useful compass for charting the dangerous waters between systematic and random errors that inevitably accompany the survey design enterprise. In addition, three new studies based on national, international, and state and local surveysthe UNICEF Multiple Indicator Cluster Surveys, California Health Interview Survey, and National Dental Malpractice Surveyare detailed that illustrate the range of design alternatives available at each stage of developing a survey and provide a sound basis for choosing among them.Table of ContentsFigures, Tables, and Exhibits viiForeword by Steven B. Cohen xi Preface xv The Authors xxi 1 Thinking About Topics for Health Surveys 1 2 Matching the Survey Design to Survey Objectives 27 3 Defining and Clarifying the Survey Variables 48 4 Thinking Through the Relationships Between Variables 81 5 Choosing the Methods of Data Collection 100 6 Deciding Who Will Be in the Sample 124 7 Deciding How Many Will Be in the Sample 154 8 General Principles for Formulating Questions 194 9 Formulating Questions About Health 221 10 Formulating Questions About Demographics and Behavior 245 11 Formulating Questions About Knowledge and Attitudes 268 12 Guidelines for Formatting the Questionnaire 288 13 Monitoring and Carrying Out the Survey 311 14 Preparing the Data for Analysis 340 15 Planning and Implementing the Analysis of the Data 360 16 Writing the Research Report 391 Resource A: Personal Interview Survey: UNICEF Multiple Indicator Cluster Survey (MICS-2)—End-Decade Study 405 Resource B: Telephone Interview Survey: California Health Interview Survey (CHIS)—2001 407 Resource C: Mail Questionnaire Survey: National Dental Malpractice Survey 408 Resource D: Selected Sources on Health Surveys 433 Resource E: Selected Examples of Health Surveys 442 References 451 Name Index 495 Subject Index 505

Read more less

Book Synopsis

Read more less

Book SynopsisAs in previous editions, the description and explanation for each part of the anatomy are written by an expert in that particular field.Trade ReviewSchlossberg's work gives new meaning to the word illustration... An excellent basic reference for functional anatomy. Biology Teacher Provides an easily understood introduction to the inner workings of the human body. With emphasis on function as well as structure, the beautifully illustrated guide maps anatomical systems and organs. Science NewsTable of ContentsPreface to the Fourth EditionAcknowledgmentsIntroductionChapter 1. Fetal CirculationChapter 2. Skeletal AnatomyChapter 3. Skeletal Muscles, Joints, and Fascial StructuresChapter 4. The Abdominal Wall, the Inguinal Region, and HerniasChapter 5. The Hematopoietic System and Development of Blood CellsChapter 6. The Automatic Nervous SystemChapter 7. The Anatomical ManChapter 8. The Aorta and Its Branches Chapter 9. The Peripheral NervesChapter 10. The Central Nervous SystemChapter 11. The Lymphatic SystemChapter 12. The Eye and the Mechanism of VisionChapter 13. The EarChapter 14. The Nose, Paranasal Sinuses, Pharynx, and LarynxChapter 15. The Head and NeckChapter 16. The Endocrine GlandsChapter 17. The Mediastinum and the Thymus GlandChapter 18. Anatomy as Viewed Laparoscopically Chapter 19. The Circulatory SystemChapter 20. The BreastChapter 21. The HeartChapter 22. The LungsChapter 23. The Gastrointestinal TractChapter 24. The LiverChapter 25. The Female Generative Tract and Pregnancy Chapter 26. The Menstrual CycleChapter 27. The Kidneys, Male Genitourinary System, and PerineumChapter 28. The Prostate and Male PelvisChapter 29. The SkinIndex

Read more less

Book SynopsisThe result is a guide that integrates the practicalities of caregiving with the human emotions that accompany it.Trade Review"A succinct, original tool for caregivers of people with Alzheimer disease and other dementias. Highly recommended."-Peter V. Rabins, Johns Hopkins Medical Institutions, and co-author, The 36-Hour Day; "This is a good beginning book for the person who is learning to care for someone with dementia. It is sensitive to the feelings and needs of the caregiver."-Nancy L. Mace, co-author, The 36-Hour Day"Table of ContentsIntroduction1. Understanding and Acceptance2. Preparing for the future3. Communication; the Key to Quality of Life for You and Your Loved One4. Safety for You and Your Family Member with Dementia5. The Necessities of Daily Life: Getting Things Done with, Note Just for, Your Loved One6. Keeping Busy and Enjoying Time TogetherGlossaryResourcesIndex

Read more less

Book SynopsisProviding the most reliable and up-to-date information on this very common and difficult disorder, she helps women understand uterine fibroids and make the best possible choices about their care.Trade ReviewThis exceptionally well-written book is easy to read (estimated 9th grade reading level) and helpful to women wishing to understand fibroids and make health decisions... Highly recommended. -- Nancy Crossfield Consumer Connection 2007 Dr. Stewart offers practical, down-to-earth advice about when to seek treatment and which choice may be optimal in a given situation. American Journal for Nurse Practitioners 2008 A heavily referenced work recommended... for comprehensive consumer-health collections and large public libraries. Library Journal 2007 Addresses the newest research into fibroids and their treatment. -- Rebecca Traister Salon 2008 This book is a comprehensive account of uterine fibroids for the motivated patient. Doody's Review Service 2008 Readers are unlikely to find many 'here is what you should do' answers. Rather, one will walk away with greater insight, recommendations on how one might proceed and likely more questions than when one began. Uterine Fibroids: The Complete Guide is a must-read for every woman and should be on the reading list of all medics. -- Mohammad Sami Walid, M.D., Ph.D. Journal of the National Medical Association 2008 Very readable. I think that most patients and even some medical staff, will find this book very informative and helpful. -- Elizabeth E. Puscheck American Society for Reproductive Medicine 2008Table of ContentsIntroductionPart I. About FibroidsChapter 1. Who Gets Fibroids, and What Are the Symptoms?Chapter 2. What Are Uterine Fibroids?Chapter 3. Why We Are So Far Behind in Understaning and Treating FibroidsChapter 4. The Endocrinology of the UterusChapter 5. Why Do Fibroids Form?Chapter 6. Diagnosis: How Do I Know That I Have Fibroids?Chapter 7. What Firboids Come BackPart II. Surgical TreatmentChapter 8. Surgery Inside the Uterus: Hysteroscopic Myomectomy, Endometrial Ablation, and Vaginal MyomectomyChapter 9. Laparoscopic Myomectomy and MyolysisChapter 10. Abdominal MyomectomyChapter 11. Uterine Artery EmbolizationChapter 12. Focused Ultrasound Surgery and Other Thermoablative TherapiesChapter 13. HysterectomyPart III. Medical TreatmentChapter 14. Tradtional Hormonal Therapies: Birth Control Pills and ProgestinChapter 15. GnRH Agonists, Add-Back Therapies, and GnRH AntagonistsChapter 16. Innovative Medical Strategies for Treating Uterine FibroidsPart IV. Other Factors, Other ConditionsChapter 17. The Genetics of FibroidsChapter 18. Pregnancy, Infertility, and MiscarriageChapter 19. Adenomyosis and Endometrial PolypsChapter 20. Uterine CancersChapter 21. Alternative and Complementary TherapiesChapter 23. What Can We Do about Firbroids?Appendix: Hints for Surgical RecoveryReferencesIndex

Read more less

Book Synopsis

Read more less

Book Synopsis

Read more less

Book SynopsisDiscovering sensitive and specific biomarkers for systemic oxidative damage is essential to better understand the role of oxidative stress in human disease. Once these roles are more clearly understood we are able to identify novel drug and nutraceutical targets.Trade Review"Chemists, pharmacologists, and other researchers describe the principles behind current methods for measuring antioxidant activity and oxidative stress and their practical applications in specific health situations." (SciTech Book News, December 2010) Table of ContentsPreface vii Contributors ix 1. Antioxidant Activity and Oxidative Stress: An Overview 3Kyung-Jin Yeum, Robert M. Russell, and Giancarlo Aldini 2. Enzymatic Antioxidant Defenses 21Sayuri Miyamoto, Hirofumi Arai, and Junji Terao 3. Antioxidants as Biomarkers of Oxidative Stress 35Ikuyo Ichi and Shosuke Kojo 4. LDL Oxidation as a Biomarker of Antioxidant Status 51Mohsen Meydani, EunHee Kong, and Ashley Knight 5. The Isoprostanes: Accurate Markers and Potent Mediators of Oxidant Injury in Vivo 65Joshua D. Brooks, Brian E. Cox, Klarissa D. Hardy, Stephanie C. Sanchez, Sonia Tourino, Tyler H. Koestner, Jocelyn R. Hyman-Howard, and Ginger L. Milne 6. Hydroxyoctadecadienoic Acid (HODE) as a Marker of Linoleic Acid Oxidation 85Yasukazu Yoshida and Etsuo Niki 7. Oxysterols: Potential Biomarkers of Oxidative Stress 99Luigi Iuliano and Ulf Diczfalusy 8. Lipid Peroxidation Originating α, β-unsaturated Aldehydes and Their Metabolites as Biomarkers 117Françoise Guéraud 9. Oxidative Modifi cation of Proteins: An Overview 137Paul J. Thornalley and Naila Rabbani 10. Immunochemical Detection of Lipid Peroxidation-specific Epitopes 157Koji Uchida 11. Mass Spectrometric Strategies for Identification and Characterization of Carbonylated Peptides and Proteins 173Marina Carini and Marica Orioli 12. Nitrotyrosine: Quantitative Analysis, Mapping in Proteins, and Biological Significance 199José M. Souza, Silvina Bartesaghi, Gonzalo Peluffo, and Rafael Radi 13. Ubiquitin Conjugates: A Sensitive Marker of Oxidative Stress 219Fu Shang and Allen Taylor 14. Covalent Modifications of Albumin Cys34 as a Biomarker of Mild Oxidative Stress 229Giancarlo Aldini, Kyung-Jin Yeum, and Giulio Vistoli 15. Protein S-glutathionylation and S-cysteinylation 243Graziano Colombo, Aldo Milzani, Roberto Colombo, and Isabella Dalle-Donne 16. DNA Oxidation, Antioxidant Effects, and DNA Repair Measured with the Comet Assay 261Mária Dušinská and Andrew R. Collins 17. Hydroxylated Nucleotides: Measurement and Utility as Biomarkers for DNA Damage, Oxidative Stress, and Antioxidant Efficacy 283Phyllis E. Bowen 18. Exocyclic DNA Adducts as Biomarkers of Antioxidant Defense and Oxidative Stress 319Roger W.L. Godschalk Index 333

Read more less

Book SynopsisNutrition in Epigenetics covers recent progress in the role that nutrition plays in the regulation of epigenetic processes and their inheritance.Table of ContentsContributors vii 1. Introduction 1Mihai D. Niculescu and Paul Haggarty Part I: Fundamental Principles in Epigenetics Section A: Epigenetic Mechanisms2. DNA Methylation 13Natalia V. Cucu 3. Chromatin Modifications 47Sandra B. Hake 4. Roles of RNAi and Other Micro-RNAs in the Regulation of Epigenetic Processes 73Muller Fabbri 5. Epigenetic Inheritance: Both Mitotic and Meiotic 87Nina J. Kaminen-Ahola, Arttu I. Ahola, and Emma Whitelaw Section B: Development Epigenetics 6. Developmental Epigenetics: Roles in Embryonic Development 107Liliana Burlibas¸a and Lucian Gavrila Section C: Epigenetic Mechanisms in Disease 7. Epigenetics, Nutrition, and Cancer 129Amy R. Johnson 8. Metabolic Syndrome, Obesity, and Diabetes 145Karen D. Corbin 9. Autoimmunity 165Donna Ray and Raymond Yung 10. Cardiovascular Diseases 173Aurelian Bidulescu and Methode Bacanamwo Part II: Nutritional Status and Specific Nutrients Section A: Maternal Nutrition and Fetal Development 11. Maternal Nutrition and Developmental Outcomes 193Shannon L. Haley, Laurie J. Moyer-Mileur, Robert H. Lane, and Lisa A. Joss-Moore Section B: Role of Specific Nutrients 12. Folate, Vitamin B12, and Vitamin B6 211Patrick J. Stover 13. Dietary Choline, Betaine, Methionine, and Epigenetic Mechanisms Influencing Brain Development 225Steven H. Zeisel 14. Epigenetic Regulation by Retinoids 241Amandio Vieira 15. We Are What We Eat: How Nutritional Compounds Such As Isoflavones Shape Our Epigenome 249Carlos M. Guerrero-Bosagna and Susan J. Clark 16. Isothiocyanates and Polyphenols 263Nigel J. Belshaw and Ian T. Johnson Section C: Macronutrient Intakes 17. The Effect of Maternal Macronutrient Intake on Phenotype Induction and Epigenetic Gene Regulation 275Karen A. Lillycrop, Mark A. Hanson, and Graham C. Burdge Section D: Environmental Exposures 18. Epigenetic Manifestation of Environmental Exposures 289Dana C. Dolinoy, Olivia S. Anderson, and Laura S. Rozek Section E: Epidemiology of Nutritional Epigenetics 19. Epigenetics, Nutrition, and Reproduction: Short- and Long-Term Consequences 311Paul Haggarty 20. Nutrition, Epigenetics, and Cancer: An Epidemiological Perspective 329Audrey Jung and Ellen Kampman Index 345

Read more less

Book Synopsis

Read more less

Book SynopsisTrade Review"Barbara Brenner was anything but silent. She embodied the spirit of Audre Lorde, who believed that 'when I dare to be powerful, to use my strength in the service of my vision, then it becomes less important whether or not I am afraid.' Barbara Brenner reminded us that sometimes it takes ruffling a few feathers to dislodge complacency."—Gayle A. Sulik, PhD, author of Pink Ribbon Blues"Barbara was the person who most influenced my own thinking and writing about breast cancer. Only now is the rest of the world catching up to where she was over a decade ago on critical issues: the limitations and harms of screening, the problem with pinkwashing, the conundrum of DCIS, the dearth of funds for metastatic disease, the need to merge breast cancer activism and environmentalism, the need to better track research. I owe so much to Barbara as a writer, as a thinker, as an activist, as someone living with breast cancer, and as a woman."—Peggy Orenstein, author of Cinderella Ate My Daughter"A visionary like Barbara Brenner comes along so rarely, and when such a person has left a wealth of insightful commentary filled with brilliant analyses and trenchant wit, we are doubly fortunate. Social justice activists, breast cancer and consumer advocates, academics, feminists, and anyone else interested in how breast cancer intersects with other key environmental and women's health concerns will find this edited collection of Barbara's writings a treasure trove of tools and ideas for making this world a better place for all."—Judy Norsigian, cofounder, Our Bodies Ourselves"Barbara transformed how health scholars and advocates think and act politically. Her pointed and often comical reflections on pink ribbon culture and her experience of living with ALS challenged her readers to ask difficult questions about well-intentioned generosity and compassion, both individual and corporate. A thinker and a doer, Barbara inspired us to move beyond passive skepticism and toward action to challenge the status quo of health funding, research, and care."—Samantha King, author of Pink Ribbons, Inc."Readers will learn to prize the activist as well as the woman behind the message."—Library Journal"Brenner is simultaneously heartfelt and acerbic, which makes this collection both engrossing and darkly humorous."—American Library Association’s GLBTRT Blog"Why should you read this book? Because this is not another pity-party book written by someone with a life-threatening illness. Not once does she mourn for her losses—instead Brenner always shows the world that she is still capable, still living, still loving, and still fighting."—Lambda Literary"Invaluable insight into...the most remarkable figure in the history of the political breast cancer movement."—Nursing Clio"Brenner’s writing is imbued with careful and precise language. It makes each article and blog posts both easy to read and dense with important information."—Beyond Chron"So Much to Be Done is a must read for anyone interested in learning more about breast cancer activism. In fact, health activists of any sort have much to learn from Barbara Brenner."—Nancy’s PointTable of ContentsContentsA Portrait of Barbara BrennerBarbara SjoholmIntroduction: Barbara Brenner, Breast Cancer Action, and the Birth of a Politicized Breast Cancer MovementRachel Morello-FroschPart I: Building a Movement, 1996–2010Hope, Politics, and Living with Breast Cancer (August 1995)Loss and Inspiration (April 1996)Let Them Lick Stamps (August-September 1996)Fiddling While Rome Burns: The Latest Mammogram Controversy (April–May 1997)Reflections on a Handmaid’s Tale (October–November 1997)Words Matter (February–March 1998)My Sister’s Keeper (June–July 1998)Educate, Agitate, Organize—Now! (August–September 1998)One Pill Makes You Smaller... (October–November 1998)Thinking Out Loud: Toward a New Research Strategy (December 1998–January 1999)Rolling the Dice (April–May 1999)Respecting the Past, Creating the Future (July–August 2000)Making Choices (March–April 2001)Living on the Edge (May–June 2001)Breast Cancer Treatment: Promise vs. Reality (September–October 2001)Exercise Your Mind (March–April 2002)The Crazy Days of Autumn (January 2003)Lessons from Long Island (November–December 2002)Waging War, Making Connections (September–October 2003)Solving the Breast Cancer Puzzle: Advancing the Research Revolution (March 2004)Forests and Trees: Reflections on Pink Bracelets and Narrow Visions (March–April 2005)Fifteen Years of Activism: Standing on Many Shoulders (June 2005)Era of Hope, Hype or Hoax: Is It Time for Change in the DOD Breast Cancer Research Program? (August–September 2005)Meaningful Results: Getting What We Need From Science (August–September 2006)BCA’s Survey on Aromatase Inhibitors: Meeting the Needs of Patients (December 2006)Moving beyond the Personal in Environmental Health (September–October 2007)Putting Patients First: The Need for Better Standards at the FDA (May 2008)The Organic Process of Activism: Think Before You Pink, Then and Now (September 2008)Breast Cancer Awareness Month: The Present Looks like the Past (Fall 2009)So Much to Celebrate, So Much to Be Done (Fall 2010)Part II: Thoughts on Dying and Living, 2011–2013Don’t Ask Me How I Am (March 4, 2011)Patient? Who’s Patient? (March 15, 2011)Don’t Make Promises You Can’t Keep—Especially in Health (March 23, 2011)Isn’t It Time to Change the Message? (March 28, 2011)Uncertainty, a Teaching for Rosh Hashana 5771 (March 31, 2011)A New Name (April 5, 2011)Passover (April 17–19, 2011)There’s That Person with... (April 26, 2011)The Obligation of Privilege (May 4, 2011)Can and Can’t List (May 15, 2011)That’s Why They Call Them “Trials” (May 19, 2011)People’s Lives as the Endpoints of Medical Research–Now There’s a Nifty Idea (June 3, 2011)Understanding Health Numbers: Not Easy, but Important (June 13, 2011)Having a Voice, Communicating, and Somewhere In Between (June 17, 2011)Walk for Your Health, but It Won’t Help Anyone Else’s, Much (July 1, 2011)Thoughts on Dying and Living (July 20, 2011)How Do You Spell Chutzpah: Komen (July 28, 2011)Drug Development and Access: Time to Act Like Lives Depend on It (August 18, 2011)Science by Press Release—Not Good News for Patients (August 26, 2011)Health Activism—Not for the Faint of Heart (September 8, 2011)Pink Ribbons and Lou Gehrig: Time to Bury Useless Symbols (September 18, 2011)Mi’She’Berach: Thoughts on Illness and Blessing (October 10, 2011)Is O

Read more less

Book SynopsisHealth care in the United States has made remarkable advances during the past forty years. Yet our health care system also has several well-known problems: high costs, significant numbers of people without insurance, and glaring gaps in quality and efficiencyand the Patient Protection and Affordable Care Act of 2010 is not the answer. This second edition of Healthy, Wealthy, and Wise details a better approach, offering fundamental reform alternatives centering on tax changes, insurance market changes, and redesigning Medicare and Medicaid.The book proposes five specific reforms to improve the ability of markets to create a lower-cost, higher-quality health care system that is responsive to the needs of individuals, including increasing individual involvement, deregulating insurance markets and redesigning Medicare and Medicaid, improving availability and quality of information, enhancing competition, and reforming the malpractice system. The authors show that, by promoting cost-conscio

Read more less

Book SynopsisOffers an alternative view of the much maligned state of health care in America, using facts and peer-reviewed data to challenge the statistics often cited as evidence that medical care in the US is substandard and poor in value relative to that of other countries.

Read more less

Book SynopsisMany papers included in this volume express scepticism regarding both the diagnosis of the American health system as fundamentally ailing and the prescription of greater public intervention in the financing and delivery of medical services as the remedy and sure path to recovery.

Read more less

Book SynopsisTrade Review"A riveting medical mystery, Fever offers an exciting glimpse into the life of one determined disease tracker. Set in a time before the current pandemic, the themeto identify and halt a deadly diseasemakes this an intriguing, hard to put down story." Roberta Gately, best-selling author of Lipstick in Afghanistan

Read more less

Book SynopsisThis [is a] concise, jargon-proofed, user-friendly volume."-Journal of the American Medical AssociationTrade ReviewA valuable resource for any cancer caregiver involved with home care... The mundane, the scary, and the technical are covered with practicality and aplomb. All chapters direct the acquisition of skills that lead to successful coping... This [is a] concise, jargon-proofed, user-friendly volume. Journal of the American Medical AssociationTable of ContentsChapter 1. Solving Problems Using the Home Care Guide for CancerChapter 2. Succeeding at CaregivingChapter 3. Fever and InfectionsChapter 4. Tiredness and FatigueChapter 5. Problems with AppetiteChapter 6. Problems with the MouthChapter 7. Nausea and VomitingChapter 8. DiarrheaChapter 9. ConstipationChapter 10. Cancer PainChapter 11. Problems with VeinsChapter 12. Problems with BleedingChapter 13. Skin Problems Chapter 14. Hair LossChapter 15. Sexual ProblemsChapter 16. Maintaining Positive ExperiencesChapter 17. Getting Companionship and Support from Family and FriendsChapter 18. Problems with Getting Information From Medical StaffChapter 19. Getting Help from Community Agencies and Volunteer GroupsChapter 20. Moving Around the House Chapter 21. Coordinating Care From One Treatment Setting to AnotherChapter 22. Coping With AnxietyChapter 23. Coping With DepressionIndex

Read more less

Book Synopsis

Read more less

Book Synopsis

Read more less

Book Synopsis

Read more less

Book SynopsisExplore the evolution of organization theory in the health care sector Advances in Health Care Organization Theory, 2nd Edition, introduces students in health administration to the fields of organization theory and organizational behavior and their application to the management of health care organizations. The book explores the major health care developments over the past decade and demonstrates the contribution of organization theory to a deeper understanding of the changes in the delivery system, including the historic passage of the Patient Protection and Affordable Care Act of 2010. Taking both a micro and macro view, editors Stephen S. Mick and Patrick D. Shay, collaborate with a roster of contributing experts to compile a comprehensive volume that covers the latest in organization theory. Topics include: Institutional and neo-institutional theory Patient-centered practices and organizational culture change Design and implementatioTable of ContentsFigures and Tables vii Acknowledgments ix The Editors xi The Contributors xiii 1 Introduction: Events, Themes, and Progress 1Stephen S. Farnsworth Mick and Patrick D. Shay 2 A Primer of Organization Theories in Health Care 25Stephen S. Farnsworth Mick and Patrick D. Shay 3 Finding Strength in Numbers: Bringing Theoretical Pluralism into the Analysis of Health Care Organizations 53Jacqueline S. Zinn and S. Diane Brannon 4 Explaining Change in Institutionalized Practices: A Review and Road Map for Research 79Thomas D’Aunno 5 Mechanisms for Culture Change in US Health Institutions and the Example of the Nursing Home Industry 99Jane Banaszak-Holl and Rosalind E. Keith 6 Managing to Care: Design and Implementation of Patient- Centered Care Management Teams 125Douglas R. Wholey, Xi Zhu, David Knoke, Pri Shah, and Katie M. White 7 Remember It Is a Workplace: Health Care Organizations as Sociological Artifacts 153Timothy Hoff 8 Differentiated, Integrated, and Overlooked: Hospital-Based Clusters 179Patrick D. Shay, Roice D. Luke, and Stephen S. Farnsworth Mick 9 Profound Change in Medical Technologies: Time to Reexamine the Technology-Structure Nexus in Health Care? 205Mary L. Fennell, Steven B. Clauser, and Miriam Plavin-Masterman 10 Social Network Analysis and the Integration of Care: Theory and Method 229Timothy R. Huerta and Roberto Dandi 11 Complexity and Health Care: Tools for Engagement 259James W. Begun and Marcus Thygeson 12 Synthesis and Convergence: The Maturation of Organization Theory 283Stephen S. Farnsworth Mick and Patrick D. Shay References 297 Name Index 355 Subject Index 369

Read more less

Book SynopsisImplement change that fosters sustainable growth and better patient care Health care projects depend on astute management of change. But more than anything else, they depend on leaders who pay attention, who understand the importance of starting right, and who know how to launch projects that succeed.Table of ContentsList of Figures and Tables ix Preface xi Acknowledgments xvii The Author xix PART 1 Changing Health Care 1 Introduction: The Need for Change 2 Chapter 1: How Organizations Can Really Change 7 A Better Approach 9 From “Projects” to Change Events 14 Chapter 2: Criteria for an Initiative’s Success 19 Failure Rates 20 Doing the Right Thing Right 21 Appropriate Measures of Success 24 Careful Management of Risk 26 Chapter 3: Planning: Seeds of Success and Failure 31 A Time for Planning 32 Learning from Failure 35 PART 2 Select the Right Projects 41 Introduction: The Crowded Runway 42 Chapter 4: Identifying and Creating the Right Initiatives 47 Change Initiatives as Strategic Planning 48 Where Good Project Ideas Originate 53 Developing Project Concepts 55 Chapter 5: Selecting, Prioritizing, and Monitoring Change Initiatives 61 The Project and Portfolio Management Review Board 63 Criteria for Project Selection 66 Prioritizing Projects 72 Monitoring Projects 78 PART 3 Choose the Right People 83 Introduction: How Important Are Decisions about People? 84 Chapter 6: What You Are Looking For 89 Hard and Soft Skills 91 Crucial Conversations 94 Emotional Intelligence 98 Trust 100 Chapter 7: Assembling the Individuals for a Change Event 107 “Dunbar’s Number” for Change Teams 108 The Right Mixtures of People 110 Roles on the Team 113 The Right Number of Projects 120 The Project Management Human Capital Inventory 122 Do People Make a Team? 122 Chapter 8: Converting Individuals into a Project Implementation Team 125 Onboarding a Group 125 Beginning the Onboarding Process: Day Zero 127 The Next Step: Day One 128 Decisions and Tracking 130 Passion and Enthusiasm 132 Alignment 134 Trust 135 Chapter 9: The First Mile and Beyond 139 Index 145

Read more less

Book SynopsisWritten by the President and CEO of the Institute for Healthcare Improvement (IHI) and a leading health care journalist, this groundbreaking book examines how leading organizations in the United States are pursuing the Triple Aimimproving the individual experience of care, improving the health of populations, and reducing the per capita cost of care. Even with major steps forward including the Affordable Care Act and the creation of the Center for Medicare and Medicaid Innovation -- the national health care debate is too often poisoned by negativity. A quieter, more thoughtful, and vastly more constructive conversation continues among health care leaders and professionals throughout the country. Innovative solutions are being designed and implemented at the local level, and countless health care organizations are demonstrating breakthrough remedies to some of the toughest and most expensive challenges in health care. Pursuing the Triple Aim shares compelling stories Table of ContentsPreface vii Acknowledgments xv The Authors xix 1 HealthPartners 1 Care Model Process and Continuous Healing Relationships 2 Intel and Virginia Mason Medical Center 41 Marketplace Collaboratives for Better, Faster, More Affordable Care 3 CareOregon and Affiliated Clinics 85 Producing Health, Changing Lives 4 The Alternative Quality Contract 129 A Payment Method Supporting the Triple Aim 5 Bellin Health 167 Improving Population Health with the Right Care at the Right Place and the Right Cost 6 The Patient and Family Centered Care Methodology and Practice 199 Improving Patient Experience and Clinical Outcomes 7 Kaiser Permanente 231 Embedding Improvement Capacity into Organizational DNA 8 No Excuses 273 Effective Leadership to Achieve the Triple Aim Epilogue 293 Innovation Everywhere References 309 Index 315 To the patients and caregivers working to pursue the Triple Aim and to the amazing caregivers who support us all.

Read more less

Book SynopsisThis practical guide clearly shows each stage in the management of a patient with dementia.Table of ContentsAbout the authors, vii GP’s Foreword by Dr Neil Arnott, ix Neuroscience Foreword by Professor Paul Francis, xi Acknowledgement, xiv Introduction, 1 Chapter 1 Diagnosing dementia in general practice, 4 Chapter 2 Complex pictures of dementia, 25 Chapter 3 Initiating, monitoring and adjusting dementia treatments, 41 Chapter 4 Emergency management of dementia, 53 Chapter 5 Managing families, 72 Chapter 6 Using the multidisciplinary team, 86 Chapter 7 Capacity, consent and deprivation of liberty, 100 Chapter 8 Choosing a residential home, 115 Chapter 9 Research, developments and media coverage, 122 Chapter 10 GP questions answered, 133 Appendix Recommended further reading, 142 Index, 145

Read more less

Book SynopsisCone Beam Computed Tomography in Orthodontics provides timely, impartial, and state-of-the-art information on the indications and protocols for CBCT imaging in orthodontics, clinical insights gained from these images, and innovations driven by these insights.Table of ContentsList of Contributors ix Preface xiii Acknowledgments xv Part 1 Technology Assessment and Enhancements 3 1 Contemporary Concepts of Cone Beam Computed Tomography in Orthodontics 5Sunil D. Kapila 2 Functional and Technical Characteristics of Different Cone Beam Computed Tomography Units 43Om P. Kharbanda, Neeraj Wadhawan, Rajiv Balachandran, Devasenathipathy Kandasamy, and Sunil D. Kapila 3 Cone Beam Computed Tomography in Orthodontics: Perspectives on Radiation Risk 67Sharon L. Brooks and John B. Ludlow 4 Rational Basis for Transitioning from 2D to 3D Radiographic Imaging in Orthodontic Practice and Research 81Birte Melsen and Michel Dalstra 5 The Future of Cone Beam Computed Tomography and 3D Imaging in Orthodontics 103Michael W. Vannier and Bin Jiang Part 2 Protocols and Principles for Cone Beam Computed Tomography Imaging in Orthodontics 113 6 Development of Evidence-Based Selection Criteria for Cone Beam Computed Tomography in Orthodontics 115William C. Scarfe, Kirt E. Simmons, and Carla A. Evans 7 To Scan or Not to Scan: Medico-Legal Implications 127Bernard Friedland 8 Protocols for the Use of Cone Beam Computed Tomography in Orthodontic Practice 139Aaron D. Molen Part 3 Diagnosis and Treatment Planning 165 9 How to Interpret Cone Beam Computed Tomography Scans 167Christos Angelopoulos 10 Detection of Incidental Findings in Cone Beam Computed Tomography Imaging and Their Clinical Implications 185Erika Benavides and Paul C. Edwards 11 3D Orthodontic Diagnosis and Treatment Planning 221Juan Martin Palomo, Manish Valiathan, and Mark G. Hans 12 Application of 3D TMJ Imaging to TMJDs, TMJ Functional Analyses, and Orthodontic Treatment Outcomes 247Anna-Kari Hajati, Lucia H.S. Cevidanes, Laura Iwasaki, Jeffrey C. Nickel, and Sunil D. Kapila 13 Characterization of the Upper Airway Morphology and Its Changes in the Apneic Patient Using Cone Beam Computed Tomography 273R. Scott Conley, Paolo M. Cattaneo, and Bruce S. Haskell 14 Alveolar Boundary Conditions in Orthodontic Diagnosis and Treatment Planning 293Sunil D. Kapila and Jeanne M. Nervina Part 4 Clinical Applications and Treatment Outcomes 317 15 Assessment of Root Position and Morphology by Cone Beam Computed Tomography 319Jeanne M. Nervina and Sunil D. Kapila 16 3D Image-Aided Diagnosis and Treatment of Impacted and Transposed Teeth 349Sunil D. Kapila and Jeanne M. Nervina 17 Assessment of Maxillary Transverse Deficiency and Treatment Outcomes by Cone Beam Computed Tomography 383Jeanne M. Nervina, Sunil D. Kapila, and Carlos Flores-Mir 18 Planning and Placing Temporary Anchorage Devices with the Aid of Cone Beam Computed TomographyImaging 411Sebastian Baumgaertel 19 3D Planning and Treatment Outcomes of Bone Anchored Maxillary Protraction 427Tung Nguyen 20 Applications of Cone Beam Computed Tomography to Orthognathic Surgery Treatment Planning 437Sean P. Edwards and R. Scott Conley 21 3D Diagnosis and Management of Facial Asymmetries 453Abeer AlHadidi, Lucia H.S. Cevidanes, and Beatriz Paniagua 22 3D Assessment of Orthognathic Surgical Outcomes 463Yoon-Ji R. Kim, Yang-Ho Park, Leonardo Koerich de Paula, and R. Scott Conley 23 3D Imaging in Diagnosis and Treatment Planning of Craniofacial Anomalies 485Snehlata Oberoi, Jeanne M. Nervina, and Karin Vargervik Index 509

Read more less

Book SynopsisEdited by some of the world s most experienced practitioners of cryoablation, this new book provides thorough, clinically relevant guidance to all aspects of this highly effective, extremely safe emergent technique for the treatment of atrial fibrillation and other cardiac arrhythmias.Table of ContentsList of Contributors, vi Preface, viii Acknowledgments, ix About the Companion Website, x 1 Biophysical Principles and Properties of Cryoablation, 1 Jo Jo Hai and Hung-Fat Tse 2 Catheter Cryoablation for Pediatric Arrhythmias, 8 Kathryn K. Collins and George F. Van Hare 3 Atrioventricular Nodal Reentrant Tachycardia: What Have We Learned from Radiofrequency Catheter Ablation?, 18 Ruey J. Sung, Charlie Young, and Michael R. Lauer 4 Catheter Cryoablation for Atrioventricular Nodal Reentrant Tachycardia, 36 Ngai-Yin Chan 5 Cryoballoon Pulmonary Vein Isolation for Atrial Fibrillation, 47 Jürgen Vogt 6 Prevention of Phrenic Nerve Palsy during Cryoballoon Ablation for Atrial Fibrillation, 67 Marcin Kowalski 7 Linear Isthmus Ablation for Atrial Flutter: Catheter Cryoablation versus Radiofrequency Catheter Ablation, 82 Gregory K. Feld and Navinder Sawhney 8 Catheter Cryoablation for the Treatment of Accessory Pathways, 99 Ngai-Yin Chan 9 Catheter Cryoablation for the Treatment of Ventricular Arrhythmias, 113 Luigi Di Biase, Xue Yan, Pasquale Santangeli, Amin Al-Ahmad, Henry H. Hsia, David J. Burkhardt, and Andrea Natale 10 Catheter Cryoablation for the Treatment of Miscellaneous Arrhythmias, 120 Ngai-Yin Chan Index, 131

Read more less

Book Synopsis

Read more less

Book SynopsisPrepared by world leaders on this topic, Biomarkers in Cancer Screening and Early Detection offers a comprehensive, state-of-the-art perspective on the various research and clinical aspects of cancer biomarkers, from their discovery and development to their validation, clinical utility, and use in developing personalized cancer treatment.Table of ContentsList of Contributors, ix Preface, xiii Part I Foundations of Biomarker Research 1 Nuts and Bolts of Biomarker Research, 3Sharmistha Ghosh and Sudhir Srivastava 2 Cancer Genome Methylation: Biology, Biomarker and Therapeutic Opportunities, 16Shashwat Sharad, Taduru Sreenath, Shiv Srivastava, and Albert Dobi 3 MicroRNA Biomarkers for Early Detection of Cancer, 27WendyWang, Matthew R Young, and Sudhir Srivastava 4 Inflammation and Cancer, 37Pamela L Beatty, Sandra Cascio, and Olivera J Finn 5 Exosomes: A Valuable Biomedical Tool in Biomarker Discovery and Development, 50Jocelyn Lee, Sharmistha Ghosh, and Sudhir Srivastava 6 Epithelial-to-Mesenchymal Transition (EMT): Clinical Implications, 64Elisa CWoodhouse and Suresh Mohla Part II State-of-the-Science in Organ-Specific Biomarker Research 7 Breast Cancer, 77Benjamin A Katchman, Christos Patriotis, and Karen S Anderson 8 Ovarian Cancer, 93Christos Patriotis, Archana Simmons, Karen H Lu, Robert C Bast, Jr, and Steven J Skates 9 Esophageal Cancer Biomarkers, 104Yanxin Luo, Kishore Guda, SanfordD Markowitz, Amitabh Chak, Andrew M Kaz, andWilliam M Grady 10 Predictive Biomarkers for Therapy in Adenocarcinoma of the Upper Digestive Tract, 118Heath D Skinner, Qiongrong Chen, Elena Elimova, RoopmaWadhwa, Shumei Song, and Jaffer A Ajani 11 Pancreatic Cancer, 130Sam CWang and Peter J Allen 12 Colon Cancer, 141Paul DWagner 13 Prognostic and Predictive Biomarkers for Colorectal Cancer, 151Upender Manne, Balananda-Dhurjati Kumar Putcha, Temesgen Samuel, and Sudhir Srivastava 14 Early Detection of Lung Cancer, 163Mohamed Hassanein, Melinda C Aldrich, Stephen A Deppen, Karl E Krueger, Eric L Grogan, and Pierre P Massion 15 Commonalities in Lung Cancer and COPD, 185MalgorzataWojtowicz and Eva Szabo 16 Prostate Cancer, 197Jacob Kagan, Ian M Thompson, and DanielWChan Part III Biomarkers, Screening and Precision Health: Implications for Public Health 17 Improving the Clinical Validity of Biomarker Research in Cancer Detection, 209David F Ransohoff 18 Cancer Overdiagnosis, Ramifications and Research Strategies, 220Barbara K Dunn and Barnett S Kramer 19 Predictive Markers and Driver Genes From Treatment Trials: Potential Utility For Early Diagnosis, 231Brian S Sorg, Sarfraz Memon, Kelly Y Kim, Aniruddha Ganguly, Tracy Lively, James Tricoli, Magdalena Thurin, Lokesh Agrawal, Tawnya C McKee, Barbara A Conley, and J Milburn Jessup 20 Statistical Consideration in Predictive and Prognostic Markers, 245Fei Ye and Yu Shyr 21 Clinical Validation of Molecular Biomarkers in Translational Medicine, 256Harry B Burke and William E Grizzle 22 Cancer Biomarker Assays: Performance Standards, 267Anna K Fuzery and Daniel W Chan 23 Bioethics and Cancer Biomarker Research, 277Nathan Nobis, William Grizzle, and Stephen Sodeke 24 Colon Cancer Screening, 283Molly Perencevich, Jennifer Inra, and Sapna Syngal

Read more less

Book SynopsisTest your knowledge or prepare for Boards with this collection of unusual and challenging patient studies focused on detecting valvular, congenital or vascular disease. Contains over 90 case histories with self-test questions designed to test the reader's knowledge and reinforce clinical best practices Focuses on diseases of valvular, vascular or congenital origin, and on comparatively rare disorders/diseases, rather than coronary artery disease, to help readers improve their skills at interpreting and making decisions based on physical examination and basic, non-invasive imaging modalities Each case is paired with original materials - e.g. x-rays, echocardiograms, lab reports, charts so readers can work through their diagnosis using the same information as the physician who treated the patient originally An ideal companion for those approaching board review or recertification or who want to improve skills in physical diagnosis of cardiTrade Review“This book will challenge the problem-solver, improve the reader's knowledge of cardiology, and help prepare the trainee for the cardiology board examination. Its specific strong points include an attractive cover, paper of high-grade stock, excellent colored illustrations, well-constructed diagrams and tables, an assortment of worthwhile images, and a wealth of detailed and practical information on a wide variety of valvular, congenital, and rare forms of cardiovascular disease. Especially useful are the discussion, key points, and references that conclude most of the patient studies.” (Texas Heart Institute Journal, 1 August 2015) Table of ContentsAbout the Author vii Preface ix Acknowledgments xi Abbreviations xiii Worked Example xv Companion Website xix Patient Study 1 46-year-old chronic alcoholic man with heart failure and sudden death (1968) 1 Patient Study 2 24-year-old man with dyspnea, edema, and a heart murmur (1973) 7 Patient Study 3 27-year-old man with hemoptysis and dyspnea (1973) 19 Patient Study 4 22-year-old female with exertional chest pain and palpitations (1974) 23 Patient Study 5 40-year-old man and the perils of walking in the street (1997) 30 Patient Study 6 54-year-old man with dyspnea and a lifelong murmur (1974) 37 Patient Study 7 26-year-old man with an asymptomatic heart murmur (1979) 44 Patient Study 8 20-year-old man with chest pain and a life-long heart murmur (1979) 50 Patient Study 9 23-year-old female with heart failure and a heart murmur (1975) 59 Patient Study 10 17-year-old man with fever, myalgias, and a heart murmur (1977) 71 Patient Study 11 24-year-old man with left leg pain (1977) 80 Patient Study 12 48-year-old female with dyspnea (1976) 87 Patient Study 13 19-year-old man with easy fatiguability, cyanosis, and clubbing (1977) 93 Patient Study 14 29-year-old man with an asymptomatic murmur and an abnormal chest X ray (1977) 100 Patient Study 15 32-year-old man with a history of dyspnea and syncope over last 38 years (1967) 107 Patient Study 16 55-year-old female with chest pain and hematemesis (1993) 120 Patient Study 17 27-year-old man with decreased exercise tolerance and a heart murmur (1982) 126 Patient Study 18 29-year-old man with pleuritic chest pain, dyspnea, and cardiomegaly (1985) 135 Patient Study 19 25-year-old man with new onset of hemoptysis (1986) 142 Patient Study 20 80-year-old man with hemoptysis and dyspnea (1998) 149 Patient Study 21 21-year-old man with hemoptysis, cyanosis, and a heart murmur (1989) 157 Patient Study 22 23-year-old female with chest pain and visual symptoms (1992) 167 Patient Study 23 Approximately 40-year-old man with new onset of a murmur and heart failure (1975) 173 Patient Study 24 54-year-old female with altered mental status (1993) 182 Patient Study 25 74-year-old female admitted with abdominal pain followed by shock (1994) 187 Patient Study 26 Approximately 82-year-old female admitted with recurrent lower GI bleeding and a known abdominal aortic aneurysm (2001) 191 Patient Study 27 41-year-old female with chest pain and a heart murmur (1994) 197 Patient Study 28 48-year-old man with leg numbness and weakness (1994) 201 Patient Study 29 67-year-old female with chest pain and a new heart murmur (1995) 208 Patient Study 30 62-year-old man with chest pain and hypertension (1996) 214 Patient Study 31 17-year-old female with fatigue and a heart murmur (1997) 219 Patient Study 32 31-year-old female with fatigue and syncope (1997) 224 Patient Study 33 33-year-old female with dyspnea, edema, and a murmur (1995) 231 Patient Study 34 21-year-old man with dyspnea and chest pain (1995) 238 Patient Study 35 54-year-old man with chest pain, hypertension, and abdominal pain (2005) 245 Patient Study 36 19-year-old female with aching legs on exertion (1995) 249 Patient Study 37 58-year-old man with dyspnea, chest pain, and Sjorgen’s syndrome (1996) 256 Patient Study 38 37-year-old ex cocaine user with dyspnea and a heart murmur (1998) 261 Patient Study 39 24-year-old female with a heart murmur (1997) 266 Patient Study 40 34-year-old Asian female with heart failure(2001) 272 Patient Study 41 73-year-old man with chest pain and hypertension (2000) 278 Patient Study 42 42-year-old female with dyspnea and a heart murmur (2001) 283 Patient Study 43 37-year-old female with dyspnea and cyanosis (1999) 289 Patient Study 44 27-year-old female with dyspnea, a murmur, and kyphoscoliosis (1996) 296 Patient Study 45 41-year-old man with presumed cardiomyopathy (2002) 302 Patient Study 46 78-year-old female with chest pain and a heart murmur (2002) 310 Patient Study 47 31-year-old man with long-standing clubbing (1997) 317 Patient Study 48 79-year-old man with dyspnea and edema 3 years after an operation (1995) 328 Patient Study 49 37-year-old female with recurrent syncope and heart failure (1984) 336 Patient Study 50 33-year-old man with new onset of hemiplegia (1985) 342 Patient Study 51 44-year-old female with chest pain and dyspnea (2008) 345 Patient Study 52 80-year-old diabetic female with an abnormal echocardiogram and no CVS symptoms (2008) 352 Patient Study 53 42-year-old female with palpitations and an abnormal echocardiogram (2006) 355 Patient Study 54 53-year-old alcoholic man and the perils of winter (2009) 360 Patient Studies 55–56 90-year-old female with dyspnea and hemoptysis (2000) 366 Patient Study 57 1-month-old Infant with unsuspected cardiac pathology on echocardiography (2002) 372 Patient Study 58 69-year-old man with lower extremity pain (2008) 374 Patient Study 59 71-year-old man with dizziness and weakness (2010) 379 Patient Study 60 20-year-old man with pleuritis and fever (1995) 383 Patient Study 61 20-year-old man with swollen face and chest pain (2008) 389 Patient Study 62 17-year-old female with an acute myocardial infarction (2013) 395 Patient Study 63 66-year-old diabetic female with ICD dysfunction (2008) 401 Patient Study 64 39-year-old man with chest pain and syncope (2011) 406 Patient Study 65 58-year-old female with dyspnea, hypertension, and hematuria (2008) 413 Crossword Puzzle Pediatric cardiology and general medical crossword puzzle 419 Subject Index 421 Patient Studies Index 423 Disease Classification Index 425 Answers to Crossword Puzzle 427

Read more less

Book SynopsisIn today's challenging health care environment, health care organizations are faced with improving patient outcomes, redesigning business processes, and executing quality and risk management initiatives. Health Care Quality Management offers an introduction to the field and practice of quality management and reveals the best practices and strategies health care organizations can adopt to improve patient outcomes and program quality. Filled with illustrative case studies that show how business processes can be restructured to achieve improvements in quality, risk reduction, and other key business results and outcomes Clearly demonstrates how to effectively use process analysis tools to identify issues and causes, select corrective actions, and monitor implemented solutions Includes vital information on the use of statistical process control to monitor system performance (variables) and outcomes (attributes) Also contains multiple data seTable of ContentsFigures and Tables xi Preface xix The Author xxvi Part 1: The State of Quality Management in Health Care Chapter 1 Quality in Health Care 3 Introduction 3 The Goal of Quality Management 5 Quality Pioneers in Health Care 12 Requisite Skills for Improving Health Care 19 Quality Control in Industry 23 System Thinking 27 Summary 33 References 35 Chapter 2 Error and Variation 37 Introduction 37 The Medical Decision-Making Process 37 Human Error and James Reason 40 Small Area Variations and John Wennberg 43 Practice Guidelines and Brent James 49 The Structure-Process-Outcome Paradigm 50 The Three Faces of Quality 51 Underuse, Overuse, and Misuse 55 Controlling Variation and Improving Outcomes 57 Summary 58 References 60 Chapter 3 Regulating the Quality and Quantity of Health Care 63 Introduction 63 Licensure, Accreditation, and Credentialing 65 Malpractice 71 The Economics of Health Care Markets 73 A Brief History of Health Care Financing in the United States 88 Pay for Performance and the CMS Quality Initiative 102 Summary 105 References 108 Part 2: Quality Management Tools Chapter 4 Process Analysis Tools 113 Introduction 113 Tools to Identify Problems 116 Tools to Identify Causes 137 Tools to Identify Solutions 146 Tool to Monitor Progress 152 Summary 155 References 159 Chapter 5 Root Cause Analysis 161 Introduction 161 Root Cause Analysis 162 Single-Event Analysis 178 Multiple-Event Analysis 189 Prevention and Recovery 199 Cases and Applications 205 Summary 212 References 214 Chapter 6 Statistical Process Control for Monitoring System Performance 217 Introduction 217 Statistics Review 220 Types of Variation 226 Setting Performance Targets 228 Statistical Process Control for Continuous Data: x̄ and R Charts 231 Tinkering 255 Cases and Applications 257 Summary 261 References 264 Chapter 7 Statistical Process Control for Monitoring Failure Rates 265 Introduction 265 Statistical Process Control for Binomial Data: p and np Charts 266 Establishing Valid Control Limits 282 Constant and Variable Control Limits 284 Rebasing Control Limits and Monitoring Changes over Time 287 Cases and Applications 290 Improving Performance Using SPC 295 Summary 296 References 299 Chapter 8 Statistical Process Control for Monitoring Nonconformities 301 Introduction 301 Statistical Process Control for Counts: c and u Charts 302 Medicare Hospital Quality Initiative Example 312 Cases and Applications 317 Selecting a Control Chart 321 Benefits of SPC 323 Inhibitors of the Use of SPC 325 Summary 329 References 332 Chapter 9 Exploring Quality Issues with Statistical Tools 333 Introduction 333 Chi-Square Analysis 335 Analysis of Variance 344 Analysis of Means 350 Regression Analysis 354 Quality Improvement and Research 362 Summary 365 References 370 Chapter 10 Failure Mode and Effects Analysis 373 Introduction 373 General System Theory 374 The Value Chain 383 Failure Mode and Effects Analysis 386 Designing Better Systems 398 Summary 403 References 406 Part 3: Medical Practice Management Chapter 11 Practice Policies 411 Introduction 411 Practice Policies 413 Computer Decision Support 427 Cases and Applications 428 Summary 432 References 434 Chapter 12 Case, Disease, and Outcomes Management 437 Introduction 437 Case Management 440 Disease Management 449 Outcomes Management 463 Summary 468 References 470 Chapter 13 Profiling, Economic Credentialing, and Risk Adjustment 473 Introduction 473 Physician Profiling and Report Cards 476 Academic Detailing 485 Economic Credentialing 488 Risk Adjustment 490 Summary 505 References 507 Chapter 14 Benchmarking and Implementation 511 Introduction 511 Benchmarking and Best Practice 512 Balanced Scorecards 523 Dashboards 531 Implementation Strategies 537 Summary 542 References 544 Chapter 15 The Future of Quality Management in Health Care 547 Introduction 547 Bringing It All Together 549 Value and What an Employee (or Manager) Should Do 558 The Future of Health Care and Quality Management 561 Summary 564 References 566 Index 567

Read more less

Book SynopsisHealth care organizations are challenged to improve care at the bedside for patients, learn from individual patients to improve population health, and reduce per capita costs. To achieve these aims, leaders are needed in all parts of the organization need positive solutions. Transforming Health Care Leadership provides healthcare leaders with the knowledge and tools to master the unprecedented level of change that health care organizations and their leaders now face. It also challenges management myths that served in bureaucracies but mislead in learning organizations.Table of ContentsFigures, Tables, Exhibits xiii Preface xxi The Authors xxix Part 1: The Challenge to Health Care Organizations and Creating the Leadership Team 1 1 Introduction: From Management Myths to Strategic Intelligence 3 Plan of the Book 8 Part 1: The Challenge to Health Care Organizations and Creating the Leadership Team 8 Part 2: Strategic Intelligence and Profound Knowledge for Leading 9 Part 3: Learning from Other Leaders and Creating a Path Forward 11 Key Terms 11 2 Why and How Health Care Organizations Need to Change 13 The Purpose of the Preliminary Research 18 The Model of Change 18 Changing Modes of Production in Health Care 20 Health Care in Learning Organizations 20 Leadership for Learning 23 The Human Side of Change 24 Approach to Service 25 The Role of Culture 26 The Mayo Model 27 Summary 29 Key Terms 31 Exercises 31 3 Leading Health Care Change 35 Summary 43 Key Terms 43 Exercises 43 4 Developing a Leadership Philosophy 45 How to Develop a Philosophy 46 Purpose 46 Ethical and Moral Reasoning 46 Levels of Moral Reasoning 47 Practical Values 48 Gap Analysis 50 Definition of Results 51 Using the Purpose to Define Results: Cherokee Nation Health Services 52 The Mayo Clinic Organization Philosophy 53 Summary 56 Key Terms 56 Exercises 56 Part 2: Strategic Intelligence and Profound Knowledge for Leading 59 5 Leading with Strategic Intelligence and Profound Knowledge 61 Foresight 63 Visioning as Designing the Idealized Organization 64 Partnering 65 Motivating 68 Profound Knowledge 68 Understanding Systems 69 Understanding Variation 71 Understanding Psychology 72 Understanding Theory of Knowledge 73 Employing Strategic Intelligence and Profound Knowledge 74 Summary 75 Key Terms 75 Exercises 76 6 Changing Health Care Systems with Systems Thinking 77 Interdependence 84 What Do We Mean by Process? 85 Two Kinds of Complexity 87 Classifications of Processes 89 Defining the System 93 Why Systems Thinking Is Difficult 96 Changing a System 97 Leverage, Constraints, and Bottlenecks 98 Systems and People: Improving Behavior 100 Summary 102 Key Terms 103 Exercises 103 7 Statistical Thinking for Health Care Leaders: Knowledge About Variation 107 Interpretation of a Control Chart 110 Avoiding the Two Kinds of Mistakes in Reacting to Variation 114 Graphical Display Using Statistical Thinking 115 Power of Simple Run Charts for Data Display 120 Leadership to Improve Population Health 127 Summary 131 Key Terms 131 Exercises 132 8 Understanding the Psychology of Collaborators 137 Personality Intelligence 139 Talents and Temperament 139 Social Character 140 Drives 141 Motivational Types 144 Identities and Philosophy 148 Bureaucratic and Interactive Values 149 Bureaucratic and Interactive 149 Motivation: Popular Ideas to Unlearn 151 Maslow’s Hierarchy of Needs Theory 151 Maccoby’s Critique of Maslow’s Theory 152 Hawthorne Experiments: Maccoby Critique 152 Using Personality Intelligence 155 Creating the Environment for Intrinsic Motivation: The Five Rs of Motivation and the Seven Value-Drives 155 Leading with the Heart 160 Disciplines of the Heart 163 Seeing Things as They Are—Deep Listening 163 Listening and Responding to Others 164 Summary 165 Key Terms 166 Exercises 167 9 A Health Care Leader’s Role in Building Knowledge 169 How Do Theories Evolve? 170 Learning and Continuous Improvement 174 Shared Meaning and Operational Definitions 176 Utilizing a Standard Methodology for Learning in the Organization 177 Using Multiple PDSA Cycles to Build Knowledge 184 The Leader as Learner and Teacher 186 Summary 188 Key Terms 188 Exercises 189 Part 3: Learning from Other Leaders and Creating a Path Forward 191 10 Three Case Studies: Mastering Change 193 Case Study A: System for Mastering Change in Jönköping County Council, Sweden 197 Case Study B: A Medical Director-Leader Improves Care in Dialysis Clinics 219 Case Study C: Building a Learning Organization at OCHIN, Portland, Oregon, United States 232 Key Terms 256 11 Leading Change: First Steps in Employing Strategic Intelligence to Get Results 259 Assessing and Defining Purpose for the Organization 260 Assessing the Learning Organization 263 Aligning Roles to Support the Organization’s Purpose 264 Leading Health Care 269 Developing a Leadership Philosophy and Practical Values 270 Summarizing and Interpreting Results from the Practical Values Gap Survey for Leadership Team Learning 272 Strategic Intelligence and Profound Knowledge for Changing Systems 274 Summarizing and Interpreting Results from the Strategic Intelligence Inventory for Leadership Team Learning 277 Developing Personality Intelligence 281 Systems Thinking: Creating a System Map of Your Organization 283 Process of Change: Idealized Design 288 Understanding the Psychology of Partners and Collaborators 290 Translating the Vision and Strategy to Actionable Approaches 291 Leading Individual and Team Improvement Efforts to Achieve the Vision 294 The Sponsor Report: Keeping Leaders in the Communication Loop 296 Learning from Improvement Efforts 299 Redeployment of Resources 301 Removing Barriers and Obstacles 302 Summary 309 Key Terms 310 Appendix 311 Leadership Personality Survey 311 Social Character Questionnaire 318 Scoring of Social Character Questionnaire 319 Understanding Leadership Personality 320 The Caring (Freud’s Erotic) Leadership Personality 322 The Visionary (Freud’s Narcissistic) Leadership Personality 324 The Exacting (Freud’s Obsessive) Leadership Personality 326 The Adaptive (Fromm’s Marketing) Leadership Personality 328 Leadership Personality Examples 330 Combinations of Types 332 Caring-Dominant Mixed Leadership Types 332 Visionary-Dominant Mixed Leadership Types 335 Exacting-Dominant Mixed Leadership Types 337 Adaptive-Dominant Mixed Leadership Types 339 Mixed Type and Social Character 342 Farming-Craft Social Character 342 Bureaucratic Social Character 343 Interactive Social Character 344 Glossary 345 Index 367

Read more less

Book SynopsisWritten by stellar international authors, Essential Travel Medicine is the ideal rapid reference guide to what is a topic of huge international importance.Table of ContentsList of Contributors vii Preface xv Acknowledgments xvii Section 1: Travel medicine 1 Basic epidemiology of infectious diseases 3 Mark J. Sotir & David O. Freedman 2 Basic epidemiology of non-infectious diseases 9 Richard C. Franklin & Peter A. Leggat 3 Pre-travel health risk assessment 23 Peter A. Leggat & Jane N. Zuckerman 4 Setting up a travel clinic 35 Marc T.M. Shaw & Claire S. Wong 5 Travel medicine resources 45 Peter A. Leggat, Gary W. Brunette, Gilles Poumerol, & Jane N. Zuckerman Section 2: Travel-related infectious diseases 6 Travelers’ diarrhea 57 Charles D. Ericsson 7 Vector-borne diseases 65 Annelies Wilder-Smith 8 Yellow fever 75 Mark D. Gershman & J. Erin Staples 9 Malaria 83 Tomas Jelinek 10 Respiratory disease 95 Regina LaRocque & Edward T. Ryan 11 Sexually transmitted infections 103 Alberto Matteelli, Anna Cristina C. Carvalho, & Patricia Schlagenhauf 12 Tropical skin infections 115 Francisco Vega-López & Sara Ritchie 13 Rabies 121 Mary J. Warrell 14 Vaccine-preventable diseases 131 Joseph Torresi, Abinash Virk & Jane N Zuckerman Section 3: Travelers with underlying medical problems and special needs 15 Women’s health and travel 167 I. Dale Carroll 16 Traveling with children 173 Karl Neumann, Andrea P. Summer, & Philip R. Fischer 17 Travelers with underlying medical conditions 187 Anne E. McCarthy & Kathryn N. Suh 18 The older traveler and traveling with disability 199 Kathryn N. Suh & Anne E. McCarthy 19 Visiting friends and relatives 209 Karin Leder & Sarah L. McGuinness 20 Migrants, refugees, and travel medicine 215 Louis Loutan 21 Study-abroad programs: student health and safety issues 221 Gary Rhodes & Gary W. Brunette 22 Humanitarian aid workers, disaster relief workers, and missionaries 227 Brian D. Gushulak & Douglas W. MacPherson 23 Long-term travelers 235 Claire Davies & Ted Lankester Section 4: Environmental travel health risks 24 Aviation and travel medicine 243 Michael Bagshaw, Ian C. Cheng & Robert Bor 25 Expedition and wilderness medicine 257 Sean T. Hudson, Will Smith, David R. Shlim, Caroline J. Knox & Karen J. Marienau 26 Venomous poisonous animals and toxins 279 Mark A. Read 27 Cruise ships and travel medicine 285 Sally S.J. Bell & Eilif Dahl 28 Mass gatherings and travel medicine 293 Joanna Gaines & Gary W. Brunette 29 Emergency care whilst abroad 301 Peter A. Leggat & Marc T.M. Shaw Section 5: Post-travel medicine 30 The returning traveler 313 Tamar Lachish, Alfons Van Gompel & Eli Schwartz Index 327

Read more less

Book SynopsisThe fast and easy way to enjoy a Paleo diet The Paleo movement is one of the hottest diet and healthy-eating approaches, as people discover an appealing and sustainable alternative to the restrictive diets that lead to burnout and failed weight loss efforts.Table of ContentsIntroduction 1 Part I: Exploring the Paleo Lifestyle 5 Chapter 1: Becoming Paleo Smart 7 Chapter 2: Creating a Paleo Lifestyle 19 Chapter 3: Discovering Paleo Superfoods 37 Chapter 4: Launching the 30-Day Reset 47 Chapter 5: Stocking Your Cave Kitchen 67 Chapter 6: Hunting for Paleo Foods 85 Part II: Simple Paleo Soups, Salads, and Snacks 97 Chapter 7: Savoring Comforting and Nutritious Paleo Soups 99 Chapter 8: Packing Nutrition into Paleo Salads 113 Chapter 9: Spicing Up Paleo Cooking with Sauces, Dressings, and Salsas 123 Chapter 10: Snacking Paleo-Style 141 Part III: Primal Paleo Main Dishes, Sides, and Desserts 153 Chapter 11: Better Than Bagels: Breakfast for Living Paleo 155 Chapter 12: Paleo Lunches to Recharge Your System 167 Chapter 13: Paleo Seafood and Fishmonger Meals 181 Chapter 14: Protein Recipes for Paleo Meat-Lovers 195 Chapter 15: Paleo Perfect Spice Blends 211 Chapter 16: Namaste! Paleo Vegetarian Sides 219 Chapter 17: Redefining Desserts 233 Part IV: Paleo Slow Cooker Options and Kid-Friendly Dishes 253 Chapter 18: Paleo Slow Cooker Meals 255 Chapter 19: Paleo Recipes Kids Will Love 271 Part V: The Part of Tens 283 Chapter 20: Ten Favorite Paleo Foods 285 Chapter 21: Ten Essential Tools for a Paleo Kitchen 291 Appendix: Metric Conversion Guide 297 Index 301

Read more less

Book SynopsisGastrointestinal Emergencies 3E provides practical, up-to-date guidance for gastroenterologists, endoscopists, surgeons, emergency and acute physicians, medical students and trainees managing patients presenting with GI complications and/or emergencies. Combining a symptom section, a specific conditions section and a section that examines complications (and solutions) of GI procedures, focus throughout is on clear, specific how-to guidance, for use before a procedure or immediately after emergency stabilization. An evidence-based approach to presentation, diagnosis and investigation is utilized throughout. New to this third edition are severalbrand new chapters covering various complications of procedures and specific conditions not previously featured, as well as a thorough look at the many diagnostic and therapeutic advances in recentyears. In addition, every chapter from the current edition has undergone wholesale revision to ensure it is updated with the very latesTable of ContentsNotes on contributors, vii Section 1: Approach to specific presentations 1 Approach to dysphagia, 3John S. A. Collins 2 Approach to vomiting, 8Bee Chan Lee and John S. A. Collins 3 Approach to upper gastrointestinal bleeding, 12Patrick B. Allen and Tony C. K. Tham 4 Approach to acute abdominal pain, 19Tony C. K. Tham 5 Approach to jaundice, 25Tony C. K. Tham 6 Acute severe lower gastrointestinal hemorrhage, 34Jennifer M. Kolb and Tonya Kaltenbach 7 Approach to diarrhea, 39John S. A. Collins Section 2: Complications of gastrointestinal procedures and therapy 8 Complications of upper gastrointestinal endoscopy, 45Daniel J. Stein and Reza Shaker 9 Complications of percutaneous endoscopic gastrostomy, 51Barbara Willandt and Jo Vandervoort 10 Complications of endoscopic variceal ligation, sclerotherapy, and balloon tamponade, 57Aarti K. Rao and Roy Soetikno 11 ERCP complications, 61Constantinos P. Anastassiades and Richard C. K. Wong 12 Complications of laparoscopic surgery, 70Stephen Attwood and Khalid Osman 13 Complications of liver biopsy, 77Robert J. Wong and Aijaz Ahmed 14 Complications of colonoscopy, 81Matthias Steverlynck and Jo Vandervoort 15 Complications of capsule endoscopy, 86Roy Soetikno and Andres Sanchez]Yague 16 Complications of endoscopic ultrasound, 91Maria Cecilia M. Sison]Oh, Andres Sanchez]Yague, and Roy Soetikno 17 Complications of Endoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD), 99Ichiro Oda, Haruhisa Suzuki, and Seiichiro Abe 18 Complications of bariatric surgery, 105Allison R. Schulman, Michele B. Ryan, and Christopher C. Thompson 19 Complications of drugs used in gastroenterology, 117Paul Kevin Hamilton and Philip Toner Section 3: Specific conditions 20 Foreign body impaction in the esophagus, 135George Triadafilopoulos 21 Esophageal perforation, 142Ioannis S. Papanikolaou and Peter D. Siersema 22 Acute upper non]variceal gastrointestinal hemorrhage, 151Kelvin Palmer 23 Acute pancreatitis, 158David R. Lichtenstein 24 Biliary tract emergencies, 172Joseph K. N. Kim and David L. Carr]Locke 25 Variceal hemorrhage, 177Roy Soetikno and Andres Sanchez]Yague 26 Acute liver failure, 183Philip S. J. Hall and W. Johnny Cash 27 Ascites and spontaneous bacterial peritonitis, 193Andrés Cárdenas, Isabel Graupera, and Pere Ginès 28 Alcoholic hepatitis, 204Brian J. Hogan and David William Michael Patch 29 Perforation of the gastrointestinal tract, 211Ian McAllister 30 Intestinal obstruction, 220Kevin McCallion 31 Acute appendicitis, 225Ian McAllister 32 Middle gastrointestinal bleeding, 230Andres Sanchez]Yague 33 Ischemic bowel, 239Ryan B. Perumpail and Shai Friedland 34 Acute severe ulcerative colitis, 242Subrata Ghosh and Marietta Iacucci 35 Gastrointestinal infections, 251Graham Morrison and John S. A. Collins 36 Diverticular disease, 263Jennifer M. Kolb and Tonya Kaltenbach 37 Gastrointestinal complications of HIV disease, 269Emma McCarty and Wallace Dinsmore 38 Gastrointestinal complications in the intensive care unit, 276James J. McNamee and Daniel F. McAuley Index, 282

Read more less

Book SynopsisEsophageal Cancer and Barrett's Esophagus, 3E, focuses on these two common and key conditions that affect the esophagus, providing expert guidance to their pathogenesis, cause, prevention, diagnosis and clinical management. Top international names in the field examine each of the many issues involved, using the very latest evidence-based research, and clear, didactic adviceallows the reader to understand the best methods of diagnosis and clinical management of each condition whether early or late stage. Well-illustrated and fully revised to include the latest in ACG/ASG/UEGW guidelines, itis the perfect consultation tool for gastroenterologists and oncologists managing patients with cancer of the esophagus. It is also ideal for teaching residents and fellows optimum patient management, and for identifying areas requiring future research.Table of ContentsList of contributors ix Preface xiii 1 Epidemiology of esophageal carcinoma 1Mohammad H. Shakhatreh and Hashem B El-Serag 1.1 The incidence and mortality related to esophageal cancer 1 1.2 Mortality 2 1.3 Risk factors for EA 2 2 Barrett's esophagus: definition and diagnosis 15Stuart Jon Spechler 2.1 Introduction 15 2.2 Early history of Barrett's esophagus 15 2.3 Early reports on the histology of Barrett's esophagus 16 2.4 Identification of the gastroesophageal junction 16 2.5 Recognition of short segment Barrett's esophagus 17 2.6 Intestinal metaplasia and adenocarcinoma of the esophagus 18 2.7 The problem of cardiac mucosa 18 2.8 Definition of Barrett's esophagus 19 2.9 Diagnostic criteria for Barrett's esophagus 19 2.10 Intestinal metaplasia at the GEJ 20 3 Epidemiology and prevalence of Barrett's esophagus 25Helen G. Coleman, Shivaram K. Bhat and Liam J. Murray 3.1 Introduction 25 3.2 BE prevalence 25 3.3 BE incidence 28 3.4 Etiology and risk factors for BE 30 3.5 Neoplastic progression risk in BE 30 3.6 Conclusions 31 4 Esophageal adenocarcinoma: risk factors 35Mariam Naveed and Kerry B. Dunbar 4.1 Introduction 35 4.2 Gastroesophageal reflux disease (GERD) 35 4.3 Barrett's esophagus (BE) 36 4.4 Obesity 37 4.5 Smoking 37 4.6 Alcohol 38 4.7 Dietary factors 38 4.8 Medication use 38 4.9 H. pylori 39 4.10 Demographics 39 4.11 Summary 39 5 Esophageal motility abnormalities in Barrett's esophagus 45Kumar Krishnan, John E. Pandolfino and Peter J. Kahrilas 5.1 Introduction 45 5.2 Antireflux barrier 45 5.3 Lower esophageal sphincter 46 5.4 Diaphragmatic sphincter and hiatal hernia 46 5.5 Mechanical properties of the relaxed EGJ 47 5.6 Esophageal clearance 48 5.7 Peristaltic dysfunction 49 5.8 Gastric emptying and duodenogastroesophageal reflux 49 5.9 Therapy of motor abnormalities in Barrett's esophagus 50 5.10 Conclusion 50 6 Molecular biology of Barrett's esophagus and esophageal adenocarcinoma 55Ayesha Noorani and Rebecca C. Fitzgerald 6.1 Introduction 55 6.2 Genetic and host susceptibility 55 6.3 Environmental factors contributing to the development of BE 57 6.4 Genomic instability mutations and copy number changes in candidate genes 58 6.5 The advent of next generation sequencing 61 6.6 Future directions and conclusions 63 7 Histology of Barrett's esophagus: metaplasia and dysplasia 69Deepa T. Patil and John R. Goldblum 7.1 Introduction 69 7.2 Normal anatomy and histology 69 7.3 Histology of Barrett's esophagus 69 7.4 Intestinal metaplasia of the EGJ 71 7.5 Barrett's esophagus-related dysplasia 71 7.6 Intramucosal adenocarcinoma (IMC) 72 7.7 Submucosal adenocarcinoma 73 7.8 Morphologic types of dysplasia 73 7.9 Sampling error and observer variation in Barrett's esophagus-related dysplasia 74 7.10 Surrogate biomarkers for assessing risk of esophageal adenocarcinoma 74 8 Helicobacter pylori and esophageal neoplasia 79Arne Kandulski, Marino Venerito and Peter Malfertheiner 8.1 Introduction 79 8.2 H. pylori infection -- gastritis pattern and gastric physiology with impact on gastroesophageal reflux disease 79 8.3 Epidemiological studies -- GERD symptoms, erosive esophagitis and H. pylori 80 8.4 H. pylori, Barrett's esophagus and esophageal adenocarcinoma 81 8.5 H. pylori eradication and GERD 82 8.6 H. pylori and esophageal squamous cell carcinoma 83 8.7 Conclusions 84 9 Screening and surveillance 87Sarmed S. Sami and Krish Ragunath 9.1 Introduction 87 9.2 Screening 87 9.3 Surveillance 90 9.4 Conclusion 93 10 New surface imaging technologies for dysplasia and cancer detection 97 David F. Boerwinkel, Wouter L. Curvers and Jacques J.G.H.M. Bergman 10.1 Introduction 97 10.2 Surface imaging in Barrett's esophagus 98 10.3 Surface imaging for esophageal squamous cell carcinoma 103 10.4 Summary 104 11 New cellular imaging technologies for dysplasia and cancer detection 107Helmut Neumann and Ralf Kiesslich 11.1 Introduction 107 11.2 Confocal laser endomicroscopy 107 11.3 Endocytoscopy 110 11.4 Optical coherence tomography 111 11.5 Molecular imaging in Barrett's 112 11.6 Conclusion 112 12 The role of endoscopic ultrasound in esophageal cancer 115Samad Soudagar and Neil Gupta 12.1 Background 115 12.2 Equipment 115 12.3 Visualized EUS anatomy 115 12.4 Obstacles to accurate EUS staging 116 12.5 Esophageal cancer staging and impact on treatment intervention 117 12.6 T staging 117 12.7 N staging 119 12.8 M staging 120 12.9 Restaging after chemoradiotherapy and surveillance for disease recurrence 120 12.10 Conclusion/summary 121 13 Staging of esophageal adenocarcinoma by CT, PET, and other modalities 125Florian Lordick, Katja Ott, Matthias Ebert, Lars Grenacher, Bernd-Joachim Krause and Christian Wittekind 13.1 Introduction 125 13.2 Endoscopic staging 125 13.3 Staging by external ultrasonography 128 13.4 Staging by radiological examinations 128 13.5 Staging by positron emission tomography (PET) 129 13.6 The value of FDG-PET to predict response to pre-operative treatment 130 13.7 Conclusion: summary of recommended staging procedures 132 14 Medical management of Barrett's esophagus 137Sachin Wani 14.1 Introduction 137 14.2 Assessment of symptoms 137 14.3 Acid suppressive therapies in management of reflux symptoms 138 14.4 Normalization of intraesophageal acid exposure 138 14.5 Management of erosive esophagitis 139 14.6 Maintenance of healed mucosa after endoscopic eradication therapies 139 14.7 Conclusions 140 15 Thermal therapies and photodynamic therapy for early esophageal neoplasia 143Jacques Deviere 15.1 Introduction 143 15.2 Photodynamic therapy 144 15.3 Argon plasma coagulation 144 15.4 Cryotherapy 147 15.5 Conclusion 147 16 RFA for early esophageal neoplasia 151 Daniel K. Chan, Cadman L. Leggett and Kenneth K. Wang 16.1 Background 151 16.2 Device and procedural technique 151 16.3 Efficacy and durability of radiofrequency ablation 154 16.4 Initial treatment response to RFA and risk factors for failed ablation 156 16.5 Endoscopic mucosal resection in combination with radiofrequency ablation 157 16.6 Safety and tolerability of radiofrequency ablation 157 16.7 Subsquamous intestinal metaplasia after radiofrequency ablation 157 16.8 Surveillance following radiofrequency ablation 158 16.9 Conclusions 158 17 The role of endoscopic cryotherapy for treatment and palliation 161Kristle Lee Lynch, Eun Ji Shin and Marcia Irene Canto 17.1 Introduction 161 17.2 Cryotherapy mechanisms of tissue injury 161 17.3 Types of cryotherapy: devices, dosing, and endoscopic application 162 17.4 Efficacy and safety in Barrett's esophagus 164 17.5 Cryotherapy for the treatment of esophageal carcinoma 166 17.6 Summary and future directions 167 18 Endoscopic resection 169Oliver Pech 18.1 Introduction 169 18.2 ER techniques 169 18.3 ER in HGIN and early Barrett's cancer 171 18.4 ER of submucosal Barrett's adenocarcinoma 174 18.5 Conclusions 174 19 Endoscopic submucosal dissection 177Hironori Yamamoto, Tsuneo Oyama and Takuji Gotoda 19.1 Introduction 177 19.2 Indications of ESD for esophageal cancer 177 19.3 Preoperative examination 178 19.4 Techniques of ESD [19--22] for esophageal cancer 178 19.5 Complications 184 19.6 Sedation and anesthesia 185 19.7 Results 185 19.8 Training 185 19.9 Conclusion 186 20 Surgical therapy of early esophageal cancer 189Toshitaka Hoppo and Blair A. Jobe 20.1 Introduction 189 20.2 "Early" esophageal cancer 189 20.3 Indication of surgical resection for early esophageal adenocarcinoma 190 20.4 Strategy of surgical resection for early esophageal adenocarcinoma 190 20.5 Choice of surgical approach and outcomes 191 20.6 Discussion 194 20.7 Conclusion 195 21 Chemoprevention: can we prevent esophageal cancer? 199Janusz Jankowski and Mary Denholm 21.1 Overview 199 21.2 The effect of aspirin on cancer prevention 200 21.3 Risks and adverse effects of aspirin 201 21.4 The role of aspirin in reflux disease 203 21.5 Risk-benefits of aspirin 204 21.6 AspECT trial 205 22 Selection of patients for cancer prevention and eradication 209Aaron J. Small and Gary W. Falk 22.1 Introduction 209 22.2 Patient factors 209 22.3 Cancer risk and grade of dysplasia 210 22.4 Baseline quality measures 212 22.5 The lesion 213 22.6 Predictors of response 215 22.7 Predictors of initial response to therapy 215 22.8 Future considerations 217 22.9 Conclusions 217 23 Combined modality therapy in locally advanced esophageal cancer 221Geoffrey Y. Ku and David H. Ilson 23.1 Introduction 221 23.2 Pre-operative chemotherapy 221 23.3 Post-operative therapy 222 23.4 Chemoradiation for medically inoperably patients 224 23.5 Pre-operative chemoradiation 224 23.6 Pre-operative chemoradiation vs. chemotherapy 225 23.7 Definitive vs. pre-operative chemoradiation 225 23.8 Newer chemoradiation regimens 226 23.9 Targeted therapies 226 23.10 Positron emission tomography-directed therapy 227 23.11 Conclusion 228 24 Surgery in locally advanced esophageal cancer 231Nabil Rizk 24.1 Introduction 231 24.2 Chemotherapy, chemoradiation and surgical complications 231 24.3 Technical considerations 232 24.4 Risks of salvage surgery 233 24.5 Conclusion 234 25 Radiation therapy for locally advanced esophageal cancer 237Heath D. Skinner and Bruce D. Minsky 25.1 Introduction 237 25.2 Definitive therapy in unresectable locally advanced esophageal cancer 237 25.3 Trimodality therapy 240 25.4 Techniques of radiation therapy 243 25.5 Conclusions 245 26 Systemic therapy and targeted agents in advanced esophageal cancer 251Mark A. Lewis and Harry H. Yoon 26.1 Introduction 251 26.2 Chemotherapy 251 26.3 Targeted therapy 253 26.4 Future directions 258 26.5 Conclusions 259 27 Role of endoscopy and nutritional support in advanced esophageal cancer 265Manol Jovani, Andrea Anderloni and Alessandro Repici 27.1 Introduction 265 27.2 Nutritional support in advanced esophageal cancer 266 27.3 Palliative endoscopy in inoperable esophageal cancer 266 27.4 Conclusion 273 Index 277

Read more less

Book SynopsisLiver disease is an increasingly common cause of mortality, and its management is often complex and challenging. Endoscopy has in recent times undergone a period of rapid progress, with numerous novel and specialized endoscopic modalities that are of increasing value in the investigation and management of the patient with liver disease.Table of ContentsList of Contributors vii Preface xi About the Companion Website xii 1 Equipment, Patient Safety, and Training 1John N. Plevris and Scott Inglis 2 Sedation and Analgesia in Endoscopy of the Patient with Liver Disease 19Rohit Sinha, Anastasios Koulaouzidis, and John N. Plevris 3 Endoscopy in the Setting of Coagulation Abnormalities in the Patient with Liver Disease 29Bezawit Tekola and Stephen Caldwell 4 Varices: Screening, Staging, and Primary Prophylaxis 43Alan Bonder, Ignacio Alfaro, and Andres Cardenas 5 Endoscopic Management of Acute Variceal Bleeding 55Marcus C. Robertson and Peter C. Hayes 6 Prevention of Recurrent Bleeding from Esophageal Varices 97Annalisa Berzigotti, Fanny Turon, and Jaime Bosch 7 Refractory Variceal Bleeding: When First Endoscopy Fails, What Next? 111Virginia Hernández]Gea, Fanny Turon, and Juan Carlos García]Pagán 8 Portal Hypertensive Gastropathy and Gastric Vascular Ectasia 119Cristina Ripoll and Louis M. Wong Kee Song 9 Portal Hypertensive Enteropathy and Obscure Gastrointestinal Bleeding 143Anastasios Koulaouzidis, Emanuele Rondonotti, and Roberto de Franchis 10 Endoscopic Management of Upper Gastrointestinal Pathology in the Patient with Liver Disease 155Selina Lamont and Adrian Stanley 11 Colonoscopic Screening and Surveillance in the Patient with Liver Disease (Including Post]Transplant) 173William M. Tierney and Khadija Chaudrey 12 Endoscopic Retrograde Cholangiopancreatography and Cholangioscopy in Hepatobiliary Disease 195Klaus Mönkemüller, Giovani E. Schwingel, Alvaro Martinez]Alcala, and Ivan Jovanovic 13 Endoscopic Ultrasound in the Diagnosis of Hepatobiliary Malignancy 229Michael J. Levy , Larissa Fujii]Lau, Julie K. Heimbach, and Gregory J. Gores 14 Endoscopic Ultrasound Guided Biliary Drainage 245Mouen A. Khashab, Shyam Varadarajulu, and Robert H. Hawes 15 Hepatobiliary Endoscopy in the Patient with Liver Disease and Altered Anatomy 259Stuart K. Amateau and Raj J. Shah 16 Management of Post]Liver Transplant Hepatobiliary Complications 279Ryan Law, Larissa Fujii]Lau, and Todd H. Baron 17 Endoscopic Confocal and Molecular Imaging in Hepatobiliary Disease 295Michael S. Hoetker and Martin Goetz 18 Laparoscopy in Patients with Hepatobiliary Disease 305Tom K. Gallagher, Ewen M. Harrison, and O. James Garden Index 323

Read more less

Book SynopsisA comprehensive, quick-reference guide to the diagnosis and management of peripheral artery disease for non-specialists With an aging population subject to an increasing number of health risks, peripheral artery disease (PAD) is on the rise throughout the world. Because of PAD''s direct links to heart attack and stroke, it is critical that internists, surgeons, cardiologists, radiologists, gerontologists, GPs, and family practitioners know how to recognize it and make the best treatment recommendations for their patients. This book provides all the expert, practical information and guidance they need to do just that. Edited by two thought leaders in PAD diagnosis and treatment, and comprising chapters written by subject matter experts,Peripheral Artery Disease, Second Editionprovides clinicians with guidance on how to diagnose and treat one of the most under-diagnosed conditions affecting millions of patients. This updated and revised edition of the populTable of ContentsContributors xi Preface xiii 1 Epidemiology of Peripheral Artery Disease 1Wobo Bekwelem and Alan T. Hirsch Definitions 1 PAD Clinical Syndromes 2 Prevalence and Incidence 3 Asymptomatic PAD 8 Claudication 10 Atypical Leg Pain 12 Critical Limb Ischemia 12 Acute Limb Ischemia 13 Risk Factors for Development of PAD 13 Tobacco Use 14 Diabetes Mellitus 15 Dyslipidemia 15 Hypertension 16 Homocysteinemia 16 C]Reactive Protein and Fibrinogen 17 Obesity 17 Other Risk Factors 18 Awareness of PAD in the Community 20 Progression, Natural History, and Outcomes of PAD 20 Progression 20 Natural History and Outcomes 22 Summary 24 References 26 2 Office Evaluation of Peripheral Artery Disease – History and Physical Examination Strategies 37Maen Nusair and Robert S. Dieter Introduction 37 Identifying At-Risk Individuals 37 Regional Symptom Analysis 38 Neurologic Symptoms 38 Thoracic Symptoms 40 Abdominal Pain 41 Extremity Pain 42 Skin Manifestations 44 Physical Examination 46 General Appearance 46 Head and Neck Examination 46 Chest 48 Abdominal Examination 48 Lower Extremity Examination 49 Palpating for Pulses 50 Auscultation 52 References 53 3 Vascular Laboratory Evaluation of Peripheral Artery Disease 57Thomas Rooke Introduction 57 Anatomic 57 Hemodynamic 57 Functional 58 Physiological Testing 58 Background/History 58 Physiological Invasive Testing 58 Physiological Non]Invasive Testing 58 Vascular Laboratory 59 Doppler 59 Motion Detection 59 Waveform Analysis 60 Plethysmography 60 PVR Amplitude 61 PVR Contour 62 Ankle–Brachial Index (ABI) and Segmental Pressures 63 Tissue Perfusion 65 Transcutaneous Oximetry (TcPO2) 66 Duplex Scanning 67 Background/History 67 Imaging (Anatomy) 67 Doppler (Hemodynamic) 68 Vascular Laboratory Accreditation 69 References 69 4 Magnetic Resonance, Computed Tomographic, and Angiographic Imaging of Peripheral Artery Disease 73Thomas Le, Masahiro Horikawa and John A. Kaufman Introduction 73 Computed Tomography Angiography 73 Basics 73 Image Acquisition and Interpretation 74 Protocol 74 Advantages 76 Pitfalls 76 Calcification 76 Artifacts 76 Radiation Exposure 76 Contrast]Induced Nephropathy 76 Anaphylaxis 77 Magnetic Resonance Angiography 77 Basics 77 Image Acquisition and Interpretation 77 Protocol 77 Non]Contrast]Enhanced MRA 77 Contrast]Enhanced MRA (CE]MRA) 78 Post]Processing and Interpretation 78 Advantages 78 Pitfalls 80 Time 80 Nephrogenic Systemic Fibrosis 80 Bolus Timing 80 Artifacts 80 Other Pitfalls 80 Conventional Angiography 81 Basics 81 Image Acquisition and Interpretation 81 Pre]Procedure Patient Care 81 Protocol 81 Advantages 82 Pitfalls 82 Contrast]Induced Nephropathy and Anaphylaxis 82 Artifacts 84 Other Disadvantages 84 Intravascular Ultrasonography 84 Basics 84 Advantages 85 Pitfalls 85 Results 85 Aortoiliac 85 CTA 85 MRA 86 Runoff 86 CTA 86 MRA 86 Pedal 87 CTA 87 MRA 87 Conclusion 87 References 87 5 Non-atherosclerotic Peripheral Artery Disease 91Mitchell D. Weinberg and Ido Weinberg Introduction – Presentation of Peripheral Artery Disease 91 When Should Non-atherosclerotic Causes of PAD Be Suspected? 92 Entities that Make up Non-atherosclerotic PAD 94 Popliteal Artery Entrapment Syndrome 94 External Iliac Artery Endofibrosis 98 Fibromuscular Dysplasia 99 Cystic Adventitial Disease 100 Vasculitis 101 Idiopathic Mid]aortic Syndrome 102 Arterial Manifestations of Pseudoxanthoma Elasticum 102 Chronic Exertional Compartment Syndrome 103 Musculoskeletal Pathology 103 Diagnostic Evaluation of Patients with Leg Pain with Exertion 104 Treatment Considerations 105 Conclusions 105 References 105 6 Medical Therapy of Peripheral Artery Disease 111Lee Joseph and Esther S. H. Kim Introduction 111 Atherosclerotic Risk Factor Management 111 Hypertension 112 Diabetes Mellitus 113 Hyperlipidemia 114 Tobacco Cessation 114 Antiplatelet Agents 116 Management of Claudication 117 Claudication Pharmacotherapy 118 Cilostazol 118 Exercise Therapy 118 Claudication Management Strategies: A Comparison 119 Lower Extremity Wound Care 120 Summary 121 References 121 7 Endovascular Treatment of Peripheral Artery Disease 129Vikram Prasanna, Jay Giri and R. Kevin Rogers Introduction 129 Clinical Background 129 Intermittent Claudication 129 Critical Limb Ischemia 131 Limb Prognosis/Overall Survival 131 Typical Anatomy in Patients with CLI 131 Patency Issues 131 Indications for Endovascular Therapy for CLI 131 Background for Endovascular Therapy 132 Anatomy 132 Technical Background 136 Preprocedural Imaging 136 Access 138 Anticoagulation 139 Antiplatelet Management 141 Radiation 143 Chronic Total Occlusions 143 Clinical Evidence for Peripheral Intervention 145 Aorto]Iliac Interventions 145 Angioplasty vs. Stent 146 Polytetrafluoroethylene (PTFE)]Covered versus Bare Metal Balloon]Expandable Stents 147 Femoropopliteal Interventions 147 Angioplasty versus Stenting 149 Drug]Eluting Stents in Femoropopliteal Arteries 149 Drug]Coated Balloon (DCB) Therapy in Femoropopliteal Disease 150 Covered Stents in Femoropopliteal Disease 151 Atherectomy 152 Specialty Balloons 153 Tibioperoneal and Pedal Interventions 153 Post-procedural Care 155 Conclusion 155 References 156 8 Surgical Management of Peripheral Artery Disease 163Julia Glaser and Scott M. Damrauer When to Refer Patients with Claudication 163 When to Refer Patients with CLI 164 Revascularization Options and Results 166 Iliac Revascularizations 166 Femoropopliteal Disease 169 Tibioperoneal Disease 171 Complications of Revascularization 173 Preoperative Evaluation and Management 175 Conclusion 175 References 176 Index 179

Read more less