Search results for ""tfm publishing ltd""

In an interesting survey amongst doctors, fibromyalgia was considered the least prestigious disease. Although this survey was done in a Scandinavian country and was done more than 13 years ago, the grim situation is still the same today all over the world. Patients suffering with fibromyalgia feel that they are not believed and they are not listened to. Despite knowledge being gathered on this disease for a few centuries, and having definite diagnostic criteria and management pathways, the healthcare system still fails many patients who are left without a diagnosis or treatment plan. Fibromyalgia is a disease that causes widespread pain in many areas of the body and has significant accompanying symptoms like fatigue, waking unrefreshed and cognitive symptoms. Fibromyalgia affects patients as a whole including their cognitive performance, physical skills, psychological status, ability to work and social life. It can present as a part of the spectrum of functional pain syndromes, often accompanied by other systemic conditions such as irritable bowel syndrome, headaches and chronic fatigue. It is estimated that 1 in 20 can suffer with this debilitating condition. This textbook will cover the condition in great detail and is written in an easy-to-understand style. Doctors, nurses, medical students, physiotherapists, occupational therapists, psychologists, and other healthcare professionals will find this book informative. Patients who suffer from fibromyalgia will also find it useful to understand their medical condition; the book will help to direct them to specific treatment strategies, explaining the benefit and risk in detail. As this is a common chronic pain presentation, it will be of immense use to candidates preparing for examinations conducted by the Royal College of Anaesthetists, UK (FRCA), Faculty of Pain Medicine, UK (FFPMRCA), American Board of Anesthesiology (AB), College of Anaesthesiologists of Ireland (FCAI), European Society of Anaesthesiology and Intensive Care (EDAIC), Australian and New Zealand College of Anaesthetists (FANZA), World Institute of Pain (FIPP/CIPS), Canadian Board exams, National Board of Examinations of India (Dip NB) and other competitive exams across the globe. The author is a senior consultant in pain medicine practising in the United Kingdom and is consulted by thousands of chronic pain patients every year. He has won many educational awards including a national innovative award in pain medicine. One of his innovations is published in the list of examples of excellence by the Faculty of Pain Medicine, London. He has lectured at many international, national and regional meetings, and is a regular invited expert lecturer in public groups and fibromyalgia patient support groups. He has also published many articles and textbooks on pain medicine.

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All surgeons want to be better surgeons... They work hard to be respected by their peers, appreciated by their patients, and valued by their communities. Most of the estimated 200 million surgeries performed worldwide every year go as anticipated, with positive patient outcomes. However, the number of surgical complications and preventable medical errors still remains unacceptably high. Why are experienced surgeons still creating so many adverse events? More importantly, what can surgeons do to better address the situation? This book seeks to answer these questions. The book provides pragmatic examples on how good surgeons can grow from being technically brilliant to becoming empathetic and capable of providing safe, compassionate, and more effective patient care. The book follows trauma surgeon Philip Stahel's 20-year journey from his 'rookie years' in internship and residency, to his development as a global patient safety advocate, renowned academician and teacher, and compassionate surgeon. The book touches on why our current patient safety protocols and checklists fail to keep patients safe and how a physician-driven initiative with credible leadership is needed to build a sustainable 'culture of patient safety'. Written for a wide audience and based on the paradigm that "good judgment comes from experience which comes from poor judgment", the book provides in-depth coverage of all the critical and timely components of safe surgical care, relates practical tips for improving the quality of partnerships between surgeons and patients, and offers a practical guide on how to reduce the learning curve to becoming a better surgeon.

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Digestive diseases have always been a major threat to global health. Despite the rapid advances in various diagnostic modalities, many a time the final verdict can be elusive and present a diagnostic challenge for the attending doctor. The book presents 50 real life cases to illustrate an evidence based approach for the diagnosis, investigation and management of gastrointestinal diseases commonly encountered in everyday practice, with a special focus on the interpretation of endoscopic and radiological images. This book provides a pragmatic approach for medical students, residents, specialist trainees and specialists alike who have an interest in gastroenterology. Other healthcare providers, such as general practitioners, nurses and dieticians, will also benefit from these case illustrations. The authors of this book are based at the Institute of Digestive Disease, Chinese University of Hong Kong. This institute has contributed to major breakthroughs that have improved the clinical management of digestive diseases including, but not limited to, the advent of endoscopic therapies and minimally invasive surgery, molecular diagnostic tools for cancers and inflammatory bowel disease, and the development of novel treatments for acid peptic disease and viral hepatitis.

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Peripheral neuropathy is a common medical condition, the diagnosis of which is often protracted or delayed. It is not always easy to relate a neuropathy to a specific cause. Many people do not receive a full diagnosis, their neuropathy often being described as 'idiopathic' or 'cryptogenic'. It is said that in Europe, one of the most common causes is diabetes mellitus but there are also many other known potential causes. The difficulty of diagnosis, the limited number of treatment options, a perceived lack of knowledge of the subject -- except in specialised clinics, the number of which are limited -- all add to the difficulties which many neuropathy patients have to face. Another additional problem for many patients is that once having received a full, or even a partial diagnosis, they are then often discharged back to their primary healthcare team who, in many instances, know little about this condition and how it may impact upon their patients' lives. In order to help bridge this gap in medical knowledge and to give healthcare providers a better understanding of this often distressing condition, The Neuropathy Trust has commissioned a new book on this complex topic. Written by one of the world's leading experts on neuropathy, Professor Gérard Said, it is a 'must read' and also a handy reference book for doctors, nurses, physiotherapists, chiropodists/podiatrists and other health professionals. As well as covering the anatomy of the nervous system and the basic pathological processes that may affect the peripheral nerves, the book covers a whole range of neuropathic conditions. These include, for example, Guillain Barré syndrome, chronic inflammatory demyelinating polyneuropathy, vasculitic neuropathies, infectious neuropathies, diabetic and other metabolic neuropathies, hereditary neuropathies and neuropathies in patients with cancer. Given the almost explosive increase in diabetes predicted over the coming years and the high incidence of HIV infections alone, not to mention all the other possible causes of peripheral neuropathy, no self respecting medical unit should be without a copy of this new book on their shelves.

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"Critical Care MCQs" is the perfect companion for anyone sitting exams in intensive care, as a training resource or just wanting to improve their knowledge in this constantly developing area of medical practice. Written by critical care doctors with experience of UK and European examination formats, this book leads the reader through 450 true/false questions with referenced explanations, covering core syllabus topics and key influential papers to date. A detailed list of further resources and recommendations relevant to critical care revision is also provided to enable readers to further their knowledge and understanding. It is hoped that this book will prove invaluable for preparation and success in upcoming intensive care exams for both candidates and trainers. This book would be useful for not only candidates sitting the UK Final Fellowship of Intensive Care Medicine (FFICM) and European Diploma of Intensive Care (EDIC) exams, but also the Indian Diploma in Critical Care Medicine (IDCCM), the Diploma of the Irish Board of Intensive Care Medicine (DIBICM), the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (CICM), American Board and any other examinations related to intensive care.

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Over five million people die from stroke each year. Stroke is also the leading cause of adult disability, affecting over 20 million people world-wide, with two-thirds of stroke victims left permanently disabled. We now know that speed of intervention is critical and patient outcomes are determined by a very narrow therapeutic window, during which physicians need to be able to make their choice of treatment rapidly, based on the best evidence available. The purpose of this book is to review that evidence, for both medical and surgical therapies as well as preventative strategies, drawing on the expertise of leading international authorities to distinguish the issues for which there is a consensus on best practice from those for which the evidence remains inconclusive. For example, for patients with acute ischemic stroke the first choice is intravenous thrombolytic therapy, but does a treatment window of 0-3 hours deliver outcomes significantly better than one of 3-4.5 hours? Arterial hypertension is the single most important modifiable risk factor for ischemic stroke, but what are the effects of blood pressure reduction among acute stroke patients? How effective is blood pressure lowering in primary intracerebral hemorrhage? What are the arguments in favour of continuation versus temporary discontinuation of anti-hypertensive therapy immediately after acute ischemic stroke? Endovascular procedures (carotid angioplasty/stenting) are increasingly important but what do the data tell us about their safety? Or durability? How do they compare with carotid endarterectomy? The management of unruptured intracranial aneurysms is rife with controversies; clip, coil, wait and watch? The authors examine the evidence for and against. Other sections examine the impact of various risk factors, and special populations. A section on stroke after cardiovascular surgeries reviews the incidence and management of stroke following a whole range of procedures including coronary artery bypass grafting, valve replacement surgery, congenital heart disease treatment, aortic surgery, cardiac transplantation and post-carotid endarterectomy. Another examines special risks during pregnancy. Lastly, the book reviews our understanding of childhood stroke -- perinatal, infants and older children, adolescents and young adults - and presents current best practice recommendations for this most challenging group of patients.

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The need for dialysis access surgery is growing rapidly as the population of patients with end stage renal failure expands. This book is aimed at those healthcare professionals involved in the care of patients undergoing dialysis. "Vascular Access Simplified" gives a comprehensive review of all aspects of adult dialysis access with a specific emphasis on haemodialysis. The text highlights some of the difference in practises of physicians in Europe and the USA. The contributors are allied professionals, physicians, radiologists, vascular and transplant surgeons who have a specific interest and are all committed to improving the quality of dialysis access. The approach of each chapter is essentially practical with a few chosen references to aid further study rather than an exhaustive bibliography.

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Continuing professional development in the mainstream manual therapies: physiotherapy, osteopathy and chiropractic, is now a mandatory requirement to ensure continued registration with the relevant professional body. All the professional registration bodies identify the importance of continuous self-directed learning and learning with others. This workbook can be a practical tool in identifying areas for further study and once completed, will form a valuable part of the therapist's continuing professional development portfolio. This workbook is divided into sections, each dealing with a different aspect of the consultation process, covering the general observation of the patient, aspects of the case history, physical evaluation and specific systemic examination procedures, enabling the practitioner to reflect upon their personal differential diagnostic criteria for both medical disease and musculoskeletal dysfunction.

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The launch of clinical governance in the late 1990s was accompanied by a measure of excitement although, at that stage, it was impossible to determine whether this was really to be the start of a quality-driven revolution in healthcare. Since its inception, much has been done to turn the concepts behind clinical governance into practical reality. Have these efforts been successful? Many would argue that the jury is still out. The authors have approached the topic from the diverse backgrounds offered by urological surgery, general practice and public health medicine. The result is a commentary on the evolution of clinical governance that has the firm anchors of practicality and realism. The book looks at clinical governance from the perspective of the practising clinician and explains what clinical governance has to offer them. Doctors, nurses, therapists and managers should all find something of interest and practical value within these pages.

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Approximately 45 chapters written by leading international authorities. Each chapter analyses the available literature to produce an authoritative statement about the management of urological disorders. The book includes a concise summary of the best available scientific evidence providing up-to-date information.

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To the abdominal surgeon a first successful Whipple procedure is what a first combat mission is to the fighter pilot: a symbol of competence -- the fruits of prolonged training. Not many surgeons managed to incorporate their names into a commonly used eponym; Allen Whipple did and so became immortalised as a household name to surgeons world-wide. Yet, little has been known and written about Whipple, the great American surgeon -- the person and his other interests. This is what this book is about: an edited version of Whipple's previously unpublished memories, which until now -- for more than forty years -- has collected dust. In these pages the retired Whipple describes the journey of his life from the very beginning in Persia, where he was born, to the very end in New Jersey where he died. He provides snap shots of himself, his family and friends, his colleagues, and the changing times in which he lived. The editors have abbreviated the original manuscript by a third and have added footnotes and illustrations. An introduction and 'end page' adds perspective to the memoirs. It has been said "God put the pancreas in the back because he did not want surgeons messing with it". Allen Whipple had the courage to mess with the pancreas and to show us how to mess with it successfully. But what kind of man was he and how did he arrive at his achievements? Find out in this book.

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Patients with difficult airways represent a clinical conundrum for anaesthetists. With a wide variety of presentations in both an elective and emergency setting, all anaesthetists need to be prepared to manage such a situation. This book consists of real-life clinical scenarios, describing how these were managed at the time and on reflection how their management could have been improved. Further discussion emphasises how any associated failures and complications could have been mitigated. Using a combination of up-to-date knowledge, advanced technology and clinical expertise, this book provides an invaluable resource for any specialist managing airways in a clinical environment. This book is an indispensable aide-mémoire for postgraduate doctors, physicians practising in the emergency department, intensive care specialists, anaesthesia associates and allied healthcare professionals in managing patients with a difficult airway.

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This book will provide 300 practice MCQs divided into three practice papers. Correct answers will follow, accompanied by short referenced notes drawing from recent important journal articles, major critical care textbooks and selected internet resources. Since there is no other dedicated intensive care MCQ book on the market, this book would be relevant to the following groups: junior intensive care trainees, senior intensive care nursing staff wishing to enhance their medical knowledge, intensive care consultants as a teaching aid and trainees preparing for professional examinations. This MCQ book will also be ideal in preparation for the European Diploma in Intensive Care Medicine (EDIC) Part 1 examination, as the questions will be matched as closely as possible in style and difficulty to those in the EDIC Part 1. The EDIC is an internationally recognised qualification for medical trainees in intensive care, set by the European Society for Intensive Care Medicine (ESICM). It is a two-part examination consisting of a 100-question multiple choice paper (Part 1) and a clinical and viva voce examination (Part 2). To ensure relevance, the questions will be designed with reference to the training syllabus provided by the ESICM.

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SBAs, EMQs & SAQs in PRACTICE PAPERS provides a broad range and style of questions, not only for medical students preparing for their final exams, but also for clinicians preparing for their postgraduate exams. This book includes over 40 single best answer questions (SBAs), 140 extended matching questions (EMQs) and 25 short answer questions (SAQs), giving the reader a wide variety of topics to test their exam knowledge and technique. The book also includes a variety of radiological images (abdominal and chest X-rays), ABGs and ECGs for interpretation. It is an invaluable educational resource for exam preparation and to help you succeed. Key features: Over 200 questions on the core medical subjects. Compiled by a team of junior doctors with recent final exam and postgraduate specialty exam experience. Overseen by experienced doctors to ensure relevance and accuracy. The broad medical curriculum is covered in a succinct and consistent style. Pharmacology and pathology are integrated throughout the text. Clear and concise answers are provided. Easy accessible information to facilitate revision on the move. Enables the reader to assess their knowledge and help identify gaps in their knowledge to target revision. The following main specialties are covered: Breast surgery; Cardiology; Dermatology; Endocrinology; ENT surgery; Fluids & electrolytes; Gastroenterology; Haematology; Infectious diseases; Lower gastrointestinal surgery; Neurology; Neurosurgery; Obstetrics & gynaecology; Oncology; Ophthalmology; Paediatrics; Psychiatry; Renal medicine; Respiratory medicine; Rheumatology; Statistics; Trauma & orthopaedics; Upper gastrointestinal surgery; Urology; Vascular surgery. Watch out for our other titles in the MedQ4exams series: Medicine. Surgery. The Specialties

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Medical students and junior doctors are an integral part of the healthcare system. On an academic gastroenterology service, they often initially evaluate the patients that are then staffed by the consulting physician. Like all clinical specialties, the acquisition of medical knowledge is required to gain expertise. There are several resources such as textbooks and evidence-based articles that are available for this purpose. Inspired from patient care, this book offers a fresh approach to clinical teaching. This is a different kind of book. It encompasses a gamut of cases for which gastroenterologists are commonly consulted for in the hospital and outpatient setting. Each case is presented from initial history and work-up including imaging (various modalities including endoscopy), followed by a brief discussion on management. Questions are presented to the reader in each case followed by an answer. Since each case is unique, the pertinent teaching points are tested in a question format within the case narrative. Similar to real-life scenarios, this helps the reader to retain the most important information. Why buy this book? Unlike listing facts as most review books do, teaching points are integrated into realistic clinical cases. Medical students to residents/registrars in internal medicine, emergency medicine, GI medicine, radiology and surgery would benefit from this book alike. Secondary audiences will include nurses and general practitioners who want to understand the presentation of common GI cases and associated imaging. Moreover, it could also be potentially used as a training tool a valuable educational resource for senior colleagues who enjoy teaching. Finally, this book would make an excellent prerequisite prior to starting any gastroenterology rotation.

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The clinical management of patients with epilepsy and the associated medical literature are rapidly evolving. This book differs from other epilepsy textbooks by focusing specifically on topics where the available evidence is sufficiently well developed to be synthesised into straightforward summaries of proven therapies. When evidence is missing or there is doubt, controversy or ambiguity, the distinguished authors offer treatment recommendations based on practice guidelines or consensus statements that span the gaps in evidence while pointing to those areas where further research is needed. The initial chapters cover critically important aspects of antiepileptic drugs (AEDs) and surgical treatment such as when to start and stop AEDs, how to monitor their effectiveness, special considerations in women who become pregnant, and when to consider surgery to alleviate seizures. The following chapters cover the therapy of seizures when they develop after traumatic brain injury or stroke, and the treatment of concomitant depression and anxiety in patients with epilepsy. The final chapters discuss emerging topics in epilepsy: the treatment of the post-ictal state, technologies to predict and detect seizures, strategies for closing the treatment gap and sudden unexpected death in epilepsy. The contributors are renowned experts in their fields who successfully and succinctly present state-of-the-art reviews based on the medical evidence designed to help the clinician be as best informed as possible in the care of patients with epilepsy.

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This book provides over 400 questions, answers and explanations covering the breadth of plastic and reconstructive surgery including burns. The expansive array of questions with detailed explanations and references will provide a solid foundation for those preparing for final specialty examinations such as the American Boards, the FRCS (Plast), EBOPRAS, MCh and others. The questions are drawn from international experts and are up-to-date with the latest concepts and techniques, including face transplantation, new trends in reconstructive and aesthetic surgery, and recent scientific advances. It will therefore appeal to those interested in plastic surgery education globally. In particular, it will help plastic surgeons to keep up-to-date in the specialty, and demonstrate this through continuing medical education (CME) and for processes of revalidation.

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This book represents a review of all the subjects with which a junior doctor needs to be effortlessly conversant in their postgraduate surgical exams in order to qualify as a specialist trainee. It covers a full range of subjects, concisely written to aid the revision process and includes basic science, physiology, anatomy, examination techniques, operative surgery and clinical surgery topics. The latter two sections are further subdivided into their relevant surgical speciality for clarity and ease of learning: general surgery, orthopaedics, vascular surgery, ENT surgery, breast and endocrine surgery, and urology. The physiology section is further sub-divided into the following areas: respiratory, cardiac, renal, gastrointestinal, endocrine, and general. The purpose of the book is to pull together the main subject areas to provide a coherent overview of the facts, as well as the principles, which examiners are looking for when deciding whether a doctor has the requisite skills and knowledge to proceed further with their training in surgery as a specialist. It contains essential required information, which would otherwise take months to gather by reading a variety of textbooks, each one specifically aimed at its own specialist topic.

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This book is a succinct set of notes in a question and answer format covering the fundamental principles of surgery. It is aimed at anyone who works in a surgical speciality, not only surgeons, but also nurses, operating department assistants, assistants in surgical practice, trainee surgeons, junior doctors, dentists, podiatrists and medical students of all surgically-oriented disciplines. Many facts and principles are important to those who work in a surgical field, but there is no single unifying book that has covered all the basic, essential material that EVERYONE should know, regardless of their discipline. Equally, many of the existing surgical principle books are written purely for surgeons and, of course, eighty percent of their content is relevant only to surgeons and medical students, and not the wider audience. There is a lot of redundancy, not to mention expense, in reading these books. As well as surgeons, there is a large group of people who work in surgery who need to know the answers to such things, for example: How the sizing system for needles works? How does diathermy work? Why do we wear gloves? What types of suture materials are available? How do wounds heal? This book is equally relevant to postgraduate surgeons, especially with the reorganisation in surgical training becoming ever more prevalent. It is now even more essential to have a firm grasp of the fundamental principles of surgery before specialising into one of today's surgical disciplines.

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The Objective Structured Clinical Examination (OSCE) is a highly reliable and valid tool for the evaluation of trainees in anaesthesia. It enables examiners and trainers to assess a number of competencies in an organised way. Performance in the OSCE is considered to be a fair reflection of the level of knowledge and skill attained during anaesthesia training. Apart from having a wide and deep knowledge on the subject, trainees are expected to have the capacity to demonstrate their competency in a short period of time allotted for each station. The authors of this book have a rich experience in successfully conducting OSCE courses in the United Kingdom. The sample OSCE sets in the book closely simulate the style and content of the Royal College of Anaesthetists' examination format. The book contains 100 OSCE stations with answers based on key practical procedures, clinical skills, communication skills, data interpretation, anaesthetic equipment and the management of critical incidents on a simulator. The answers are presented thoroughly and clearly. The tutorial on the relevant topic and additional key points at the end of each station, together with more than 100 illustrations throughout the book will complement the reader's overall understanding. The marking system signifies the relevance of each question, enabling objective assessment of knowledge and practical skills. This book will also help candidates all over the world to pass highly competitive postgraduate examinations in anaesthesia. It is an invaluable educational resource for all anaesthetists.

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Evidence-based medicine is now firmly established in the lexicon of modern health care. In "The Evidence for Plastic Surgery" the diverse spectrum of plastic surgical practice is called to account by a cross-examination of the available evidence in support of many of the common treatment protocols and surgical procedures in everyday use. The result is a text that makes an important contribution to some of the contentious debates within the speciality and details the critical appraisal of new or developing techniques. This is a unique and invaluable reference source for senior doctors and for those in training, not only in plastic surgery but also in a variety of other closely aligned specialities including general and orthopaedic surgery.

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As techniques have become established, technology has moved forward at a breathtaking pace making regular update vital to stay abreast of this expanding speciality. The topics and authors in this book have been carefully selected to reflect these recent advances and to inform and educate the reader. All authors are renowned and respected within their fields of endovascular intervention. They have provided an up-to-date text covering all main aspects of vascular disease. This book will appeal to all specialists who practice endovascular intervention in the fields of interventional radiology, vascular surgery and cardiology. The readership should extend to all members of the endovascular team, be they doctor, nurse, technologist or technician. It will hopefully update the reader in many of these exciting areas. We hope you enjoy it.

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The Fellowship of the Royal College of Radiologists' Part 2A Examination has undergone significant changes and a new format was initiated in Spring 2004. The multiple choice question examination has now been divided into six system modules and contains questions on anatomy, physics and techniques. The exam format underwent further revision in Winter 2005, implementing an increased emphasis on the cardiothoracic & vascular and paediatrics modules. This MCQ book was written to address all these changes. This book contains 500 multiple choice questions with short answers; all answers are fully referenced allowing for additional reading. Questions are drawn from the most commonly used textbooks, speciality textbooks and current radiology journals, reflecting the current 'hot topics' in radiology. Six mock papers are included which mirror the new and revised exam format. Radiology MCQs for the new FRCR Part 2A is the ideal revision tool for radiology registrars preparing for the newly revised exam.

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This book is a topical review of issues the editors consider to be 'hot topics' and will be of interest to qualified consultant colorectal surgeons and those performing general surgery with an interest in colorectal surgery. In addition, the topics picked are likely to be ones that candidates taking the Intercollegiate Examination in General Surgery will be quizzed upon. It is not intended to be a textbook covering all aspects of colorectal surgery. Rather, it is meant to be an up-to-date view of current and probable near future advances. Frontiers in neoplasia, inflammatory bowel disease, anal disorders and management are covered by acknowledged experts, known to be active in the field. The implications of deep pelvic dissection and pouch surgery in males and females are sensitively explored. Each chapter contains three main sections entitled 'What is the problem/issue?', 'Where are we now?' and 'Where are we going?'. Referencing for the first two is key and current; the last section is speculative with the occasional reference. This volume should find a place on the coloproctologist's bookshelf as an exciting review of contemporary themes, complementing traditional textbooks.

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The endovascular specialist has arrived. Times are changing and it is vital for all those interested in endovascular intervention to train in and embrace these new technologies. The chapters in this book have all been written by carefully selected internationally renowned endovascular specialists. Each author is at the cutting edge of the endovascular revolution and they are the architects of change in the treatment of vascular disease. The topics have been chosen to reflect the multidisciplinary nature of modern endovascular practice. None are specialty-based and will appeal to surgeons, radiologists, cardiologists and all practitioners involved in the endovascular management of vascular disease. The management of aortic, thoracic, carotid, mesenteric and venous disease is changing. This book is designed to update you on these developments and to encourage you to participate in this exciting phase in the treatment of patients with vascular disease. Enjoy the read.

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The proposed self-help book is different from all previous IBS books, for it approaches IBS from a new and exciting viewpoint -- that of coping with IBS using concepts and skills based on the individual's own psychological profile. The rationale is that there is uncertainty about the diagnosis and causes of IBS, and there are no treatments which are lastingly effective -- therefore, people with IBS must learn to cope with IBS as best they can. Psychological and social factors are known to influence the course of an illness, and the way people cope with that illness, even when illnesses have demonstrable physiological/biochemical causes. This book discusses the psychosocial factors which are involved in IBS, as a two-way relationship. It discusses the complex way in which mind/brain and body interact, in producing a different IBS experience' for each person who suffers with it. The book shows how a greater knowledge of IBS can lead to a reduction in feelings of being stigmatised and depressed, to a feeling of greater well-being. It shows how sufferers can reduce the impact symptoms have on their day-to-day lives. Complex psychological constructs are explained simply and with the aid of examples and real-life vignettes taken from case studies.

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This book provides a classic supporting text for teachers and learners in the surgical field. The European Working Time Directive is just one of many factors that will radically change the way doctors work in the future. The aim of this book is to enable all those who teach young surgeons in the clinical setting to think about and prepare for a new and fresh approach to learning. The particular significance of this publication is that it makes a proper distinction between education and training, identifies the reasons why the postgraduate development of doctors as surgeons must involve education rather than merely training, and recognises that the education of surgeons must take place in the clinical setting. The book provides support in five areas: 1. It will enable surgical educators to develop on from the current and traditional teaching/learning relationship. 2. It takes as its basis the importance of professional values. 3. It provides for the first time a thorough educational framework, which will need to be utilised by the learner and educator to establish the educational focus of each trainee placement. 4. For the first time, it supports teachers and learners in developing the processes of reflective practice on a formal basis in surgical education. 5. It takes a new look at the assessment of the trainee in the light of new requirements and the needs of the new approaches to surgical education.

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What is the evidence? Evidence-based medicine, or EBM which slips off the tongue more readily, seeks to offer proof that what we offer patients whenever we treat them, do a diagnostic test, or recommend anything from an operation to change in life style, is known to be effective. Fifty to 100 years ago, health care was delivered patchily, much less of it was effective, and was based on an image of a kindly doctor treating the sick, who were glad of whatever help could be offered. Now, medicine is effective and whether you look at it as major government expense or big business in private health care insurance, there is no sense in spending money on ineffective treatments, while we do not have enough to spend on what is of proven worth. Individual doctors cannot read everything and cannot possibly synthesise what they do read, so that they are aware of what is proven to be effective and what probably is not. The "The Evidence for ..." series seeks to fill that need. Into "The Evidence for Cardiothoracic Surgery" we have commissioned systematic reviews of the common operations and some innovative treatments, to present the facts to busy doctors. Where is there and where is there not evidence?

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This book provides details of all the currently available information concerning the causes, prevention and treatment of prostate cancer, and aims to explain all aspects of the disease in terms that can be easily understood. It deals with the roles of complementary medicine and diet and other aspects for which there is growing evidence, but which many clinicians are reluctant to discuss with their patients.

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Following the success of its last symposium and book entitled 'The Evidence for Vascular Surgery', the Joint Vascular Research Group (JVRG) brings you this book. The book describes recent developments and best practice in vascular surgery, with an emphasis on multi-disciplinary care pathways. It is based upon a symposium held in Sheffield in June 2002 that aimed to improve the provision and equality of care for patients with peripheral arterial and venous disease. Many members of the JVRG have contributed to this book, including vascular surgeons, anaesthetists, radiologists, nurses and vascular technologists. The book consists of five sections covering the main areas of management of patients with peripheral vascular disease: Outpatients and medical management; Vascular imaging and endovascular intervention; Vascular surgery; Anaesthesia and theatres; Organisational aspects of care.

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Operative trauma surgery is a key element of surgical training world-wide, but many surgical trainees have only limited exposure to it throughout their training. The aim of this book is to provide a detailed technical guide for trauma surgery by two experienced surgical educators who are experts in the field. The original concept behind this text (compared to other operative surgery texts) is a special emphasis on intra-operative judgement, decision-making, and thought processes, as well as technical 'tips and tricks'. The book will be generously illustrated with black-and-white line drawings, but will NOT be a surgical atlas, because there will not be a step-by-step sequence of illustrations for each procedure. The illustrations will be incorporated into the text rather than appearing on separate pages. As such, the book will be an 'operative surgery' book, along the lines of such British classics as Peter Jones' 'Emergency Abdominal Surgery', Hugh Dudley's editions of 'Hamilton Bailey's Emergency Surgery' and Keen's 'Operative Surgery and Management'.

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In this era of evidence-based medicine, clinicians treat common conditions according to guidelines and protocols derived from the results of randomised clinical trials. This book will help vascular specialists when they have to treat a patient with an unusual condition where they may have no experience and there is little published scientific information. The Joint Vascular Research Group has collected rare vascular conditions in a register for over a decade, and this book reviews the experience, together with the best information from the surgical literature. The authors give a practical guide on the diagnosis and management of rare vascular disorders. This book should be read by everyone who manages patients with vascular disease.

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Surgery remains a challenge for young learners. Perhaps the most difficult of all surgeries are those done on the liver, biliary tree and pancreas. These organs are difficult to expose, difficult to operate and the patients are often difficult to recover. There are significant consequences for any missteps on what is a narrow pathway to a successful outcome. The skills needed to master surgery on these organs are hard to acquire. The volume of information presented to students is enormous and complex to parse. HPB textbooks contain a large amount of information from various authors but are often poorly coordinated. Surgical manuals contain significant anatomic details and descriptions but have difficulty transferring key concepts. Experienced surgeons are often oblivious to their skills and communicate poorly to their students regarding the things they do or understand that make them wise. This book tries to capture this wisdom. The topics in this book are most applicable to hepatobiliary and pancreatic surgeons but really extend to all general surgeons. Anyone who operates in the abdomen must have a basic understanding of these dominant organs; general surgery trainees and staff are an additional focus of this book. The skills needed for a modern surgeon to succeed are much broader than the scalpel tip. Section I, HPB Surgical Craft, imparts important lessons on the laws of human interactions and cognitive aspects of surgery. Sections on the anatomy and operations on the liver, pancreas and bile ducts are presented. The expanded gallbladder section and pancreatitis chapters are of particular importance to general surgery residents. This book has been written in a readable and entertaining style, with many fun historical and contemporary quotes dotted throughout. The Wise Scalpel is an attempt to impart knowledge and understanding to students and practicing surgeons at all levels. The book focuses on tips, traps and underlying truths about the diseases of these organs and their surgical treatment. While this book will not supplant the struggle needed to move from novice to expert surgeon, hopefully it will quicken the process and help avoid some of the dangers and frustrations along the way.

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Chronic pain is a silent epidemic -- it is estimated to affect 20-30% of the population. A good understanding of the disease, diagnosis and management are imperative in providing patient-centred care. A broad range of practitioners will frequently encounter patients with chronic pain. This book covers important topics in chronic pain relevant to many clinicians including, but not limited to, anaesthetists, intensive care professionals, surgical and nursing staff, junior doctors, operating department practitioners, general practitioners and medical students. It makes essential reading for healthcare workers and is also an invaluable first reference for physiotherapists, healthcare managers, psychologists and researchers with a need for an overview of the key aspects of this topic. This book will not only be an invaluable resource for trainee anaesthetists but also for practising anaesthetists with an interest in teaching the basics of chronic pain; it is also a succinct aid for clinical practice. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful educational tool. Subjects discussed range from the comprehensive assessment of chronic pain to the multimodal management of chronic pain. It is written in a simple and consistent style that can be easily understood and applied to day-to-day clinical practice. This material will be an important tool for professional exams. It is an ideal companion for candidates who are preparing for their final exams that include the topic of chronic pain and will help to assess their preparation and guide appropriate revision. Questions on chronic pain appear in written and structured oral examinations. This book will be handy for candidates preparing for examinations conducted by the Royal College of Anaesthetists, UK (FRCA), The College of Anaesthesiologists of Ireland (FCAI), the European Society of Anaesthesiology (EDAIC), the European Society of Intensive Care Medicine (EDIC), the Australian and New Zealand College of Anaesthetists (FANZCA), the National Board of Examinations of India (Dip NB), and the American and Canadian board exams, as well as other competitive exams across the globe. Candidates appearing for advanced pain examinations will find this book useful to refresh their knowledge on pain medicine. The authors are consultants in pain medicine with clinical and teaching experience in university hospitals across the UK. They regularly conduct successful pain education courses which consistently attract good feedback. They conduct regular final FRCA and FFPMRCA exam courses attended by candidates from all over the country.

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This book provides a sound introduction to surgical instrumentation, including their recognition, use and care. It provides useful information that is essential for operating department practitioners, nurses, scrub practitioners, surgeons under training, surgical technologists, junior doctors and medical students. Descriptions of how and where the instruments are used will also aid in the knowledge required for their application, providing an understanding of instruments for specific procedures. The book is relevant to surgical practice around the world. It also aligns with the core curriculum of the Association of Surgical Technologists in the United States. This book provides the fundamental knowledge required for students and qualified staff working within the perioperative environment, to ensure the safe and efficient use of surgical instrumentation and ultimately the care of the surgical patient as a result.

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This book covers a broad range of topics, providing trainee and practising anaesthetists with a comprehensive source of knowledge on applied sciences and clinical anaesthesia. The book has been divided into six sections with various chapters serving as a synopsis of the practice of anaesthesia. Each chapter discusses the significance and importance of problems that can impact the peri-operative management of the surgical patient. The case scenarios at the end of each chapter will additionally help in understanding the practical relevance of basic science. This book will be an invaluable educational resource for trainee anaesthetists and an indispensable aide‐mémoire for practising anaesthetists. It is, therefore, essential study material for trainees and a great educational tool for trainers. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful companion.

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A vital question that concerns many: how to make surgery safer? Is it by tightening the regulations and imposing rigid protocols or by empowering surgeons with the resources to help them make safer decisions? This is the book for those who would choose the second option. What do you think separates smart surgeons from the rest? Why, on the other hand, do surgeons make blunders despite having experience and knowledge? There is only one answer to both questions -- it is decision-making. Decision-making is an art and is at the heart of surgery. It decides between excellent and poor surgical performance. Although a vital part of professional activity, surgeons are not generally aware of how to optimise decision-making skills. Making a good decision is a skill that, like any skill, needs to be developed and this book reveals how surgeons can sharpen these skills. Presented here are the findings from decision science that surgeons, irrespective of speciality or seniority, can apply to everyday practice. Surgeons and pilots have many things in common. The field of aviation has improved passengers' safety over the years and some of the ideas used in the aviation industry can be translated to surgery to achieve better outcomes. Surgeons are required to adapt new strategies throughout their careers. Ideas taken from this book will help to speed up the learning curve. It offers answers to the questions which experienced surgeons may find difficult to explain. Equally, it answers the questions that trainees may even find difficult to ask. You are expected to be cognisant of the knowledge behind making decisions. Nonetheless, no-one tells you how to access this information easily. This book is the key to that vital information.

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This book is a simple case-by-case approach to the many different types of orthopaedic fractures. The book is being written for residents, registrars, newly qualified doctors and medical students, primarily targeted to those in the fields of diagnostic radiology, orthopaedic surgery and emergency medicine. There are a variety of texts that exist in these fields to assist in acquiring knowledge; however, there lacks a text that provides simple images and explanations from which a fundamental base of skeletal trauma can be formed. Some of the standard textbooks are still too advanced and lack the basic knowledge. This book is divided into sections by anatomic location, each containing a number of cases presented as unknowns. A standard template is utilised for each case, including a brief clinical description, physical examination, followed by radiological images. The reader is then asked to interpret the plain films given. Several questions are then asked, including the most likely diagnosis and followed by brief discussions on radiological findings (with appropriate annotated images, as necessary) and clinical management. Finally, the case is concluded with a summary of key points. With this format readers can test their knowledge on important orthopaedic fractures as seen on a plain film. Furthermore, they can integrate this information with the standard clinical management involved with that specific disease entity.

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Foetal cardiology has developed dramatically into a subspecialty in the past 25 years. The majority of people examining the foetal heart are not 'experts' in foetal cardiology and therefore find interpreting images, particularly in case of abnormality, rather difficult. This book is designed as a practical guide, to be kept near the ultrasound machine, for all those performing foetal heart scans, but without the expertise of a foetal cardiologist. The aim is to allow the user to recognise the common forms of foetal cardiac abnormality and to appreciate the associated lesions and outcome. The book has a large number of illustrations to enable the reader to visualise the different types of problem and the various forms in which they may manifest. There are relatively few books published in the field of foetal cardiology. Whilst there is a place for large textbooks covering all aspects of foetal cardiology in detail, most people performing the foetal heart scan need an idiot's guide about the normal foetal heart and the common things that go wrong with it. This book is aimed at all sonographers, obstetricians and radiologists performing obstetric ultrasound scans and at paediatric cardiologists, both at consultant and trainee level. Thus, this book should fulfil this unmet need in the market, although it is not designed as a comprehensive reference textbook in foetal cardiology.

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The study of heart disease -- cardiology -- is an immensely satisfying branch of medicine. The heart is just so tangible; we can see it, touch it, hear it, and when all else fails, we can always manage to put a tube inside and take X-ray pictures of it. Because we try to make sense of a three-dimensional organ by taking two dimensional snapshots, we need a variety of angles to get the complete image, and so often use 'an oblique view'. Day to day life in a cardiac unit is the same; often mundane, sometimes dramatic, but always amenable to being examined with a different slant. How do common cardiac drugs get their name? What sort of music do surgeons choose to listen to as they delve amongst our innards? Why can going to cardiac conferences be so damned irritating and just how close to reality are all those TV hospital dramas? What personalised number plates adorn doctors' cars, which accents best suit which specialties and what should you call a disease in order to ensure that it is your name that is immortalised in the medical textbooks for years to come? This collection of musings touches on these, as well as many other aspects of cardiology. They do not attempt to make sense of any of them; they aim only to broaden the mind a little by taking a sideways glance at medical life.

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Back pain is the commonest form of rheumatism and it is estimated to affect between 65% and 80% of populations sampled. The costs of back pain-related medical care and disability compensation make it one of society's most significant non-lethal medical conditions. Whilst mortality is low, its morbidity is high, inconvenience great, and economic burden massive. The actual symptom of back pain is one of the commonest and most perplexing encountered in medical practice. A proper understanding of what it means is crucial for further medical advance. However, the field of back pain research probably has more experts than any other. Anybody who has back pain will, as often as not, expound views on all matters concerning causation and expectations. Indeed, it is not for a lack of ideas that this field of investigation has failed to make progress. A respected senior investigator advised me early on that patients could not even tell which side their pain was on. It was only many years later that I discovered why. Though the initial incident or accident would seem important to the patient and to the researcher, it is remarkable how little it helps distinguish patterns of back pain. Tests of inappropriate behaviour in the past have been widely disseminated and yet even the originators have said that they cannot be sure of the implications of positive non-organic test findings. This book will show that these 'indicators' are not what they seem to be. In many cases, it is difficult to tell which level in the lumbar spine the pain comes from, and thus treatments such as injections or operation, may be given at the wrong level, let alone the wrong side. Though the various forms of back pain treatment seem to help some patients, when these same treatments are subjected to randomised controlled trials, the evidence for efficacy seems to all but vanish. With all these difficulties and uncertainties, it can be seen why low back pain presents one of the most fallible fields of healthcare. This book indicates that there are ways of dealing with the majority of these problems. Many of the answers from the research conducted were most unexpected. The reader is also advised that the scientific approach cannot deliver hard and fast answers to all contemporary questions in such a wide field and much has depended on the choice of problems to study. Whilst the tests used to distinguish the patterns in this study have their limitations, and whilst there is, as yet, only limited evidence as to the underlying pathology for the patterns recognised, it is felt that some of the other patterns identified are descriptive of diagnoses that are generally accepted. If the answers that are put forward appear to change the direction of understanding, it is hoped that you, the reader, will be able to carry the enquiry further when you see patients, advise treatment or even experience back pain yourself!

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This remarkable book is long overdue. It provides the insights essential for the lay reader to take personal control of their long-term health, and physical and emotional well-being. It empowers and educates the non-doctor like no book before it. The complexities and limitations of both modern medicine and alternative therapies, are explained in a way that is entertaining and easy to understand. More importantly however, the book provides access to state-of-the-art advice, not only for effective diet and weight control, but also for side-stepping Syndrome X and the other common serious illnesses, that confront all of us in the new millennium. Using a patient-centred and evidence-based approach, it reflects the dramatic changes in the way medical care will be delivered in the future i.e. as an equal and mutually respectful partnership between well-informed patient and hopefully, well-informed doctor. Although written to provide the perfect medical advice manual for the lay public, the book is an excellent source of current medical knowledge, relating to the common diseases, and provokes and challenges in such a way, that it is likely to be widely read by the profession at large.

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This book brings a medley of over 1500 aphorisms, quotations, and rules -- by surgeons and non-surgeons -- about surgery, surgeons and anything which may be relevant to the practice of surgery. It should gratify all potential tastes as the book includes ancient as well as contemporary entries, formal and colloquial, pronounced by surgical giants or anonymous -- only guide by the prerequisite that the entry appeals to the surgical soul. Readers will probably use the book to decorate their lectures or manuscripts with relevant 'smart' or 'entertaining' entries.

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Several studies have looked at populations of volunteers, women from the electoral roll and women attending general practices, and have reported the ultrasound appearance of polycystic ovaries in as many as one in three to one in five. If groups of women with irregular periods are looked at, up to 90% will have polycystic ovaries at ultrasound. Similarly, when women with increased facial and body hair are screened, about 90% will have polycystic ovaries, as will three out of four women with acne. It has also been suggested by some studies that women with recurrent miscarriage or early pregnancy loss after in-vitro fertilisation have an increased incidence of polycystic ovaries. However, not all studies support this hypothesis, and additional research is needed to evaluate this further. This book looks at the historical background of this condition; the structure and function of the female genital organs; symptoms and signs; diagnostic techniques; the inheritance of polycystic ovary syndrome; long-term effects; lifestyle factors; polycystic ovaries and the skin; ovulation induction; surgical treatment to induce ovulation; in-vitro fertilisation; pregnancy outcomes.

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For nearly 25 years, the Catchpole cartoon was a hugely popular feature in Autosport magazine. Every week, Catchpole and his friends passed comment on events in motor sport through the skill and humour of artist Barry Foley. Now, Catchpole is back, with the publication of this collection of nearly 400 cartoons as printed in Autosport between 1970 and 1994. This is a unique title, capturing the humour and wisdom of the sport and re-visiting a host of characters including Demon Tweak (the ever-scruffy mechanic), the glamorous Booby Galore, accident-prone Mad Log Malone and veteran German racer Von Turnips.

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Medical interviews have changed a lot with time; in the last two decades, multiple mini interviews (MMIs) have revolutionized the assessment strategies for entrance to medical schools. MMIs usually consist of 6-10 stations of independent assessments done in a timed circuit so that the same examiner evaluates a specific skill for a station among the candidates. Many of these stations assess a candidates soft skills, including critical thinking, problem solving, team working, leadership and professional attitudes in addition to their knowledge, skills and motivation towards choosing medicine as a career. MMIs are not just a test of a candidates knowledge or skills, but their ability to use it appropriately at the right time. Aristotle said, we are what we repeatedly do. Excellence, then, is not an act, but a habit. Candidates wishing to succeed in medical MMI interviews need repetitive practice in the various stations. These stations usually include assessments on communication skills, medical ethics, recent medical facts, role play with an empathetic approach, data interpretation and calculations, scenario-based situations, personal character, motivation and judgment. This book will provide an excellent variety of opportunities to practice these stations and guide the candidate with a framework of answers. This book can be used for various medical university entrance exams, including those in the United Kingdom via the Universities and Colleges Admissions Service (UCAS), the United States via the American Medical College Application Service (AMCA), Canada via the respective Medical School Applications Service, Australia via the specific state Tertiary Admissions Centre and many other countries via their specific admission pathways.

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Modern science has shown that the widely held beliefs of clinicians about urinary tract infection (UTI) are wrong. A large body of meticulous, rigorous data, from different centres around the world makes this point. How can it be that doctors continue to practise in contradiction of what we now know? A few clinicians are now changing their approach with gratifying results so it is timely to encourage others to do likewise. Clinical guidelines have achieved such influence that most doctors feel compelled to follow them and may face censure if they do not. Regrettably the guidelines are mistaken and contradict the known science. The inertia of bureaucracy and the fear of antimicrobial resistance (AMR) do not help to encourage reflection. However, things are changing and the future should see new and better informed advice. It is a tragedy that these circumstances are leading to widespread suffering amongst many women, some men and children who experience untreated or inadequately treated infection that may plague them for years. This situation has to change. This book sets out the truth about this neglected field and explains the many errors that haunt the topic. The style makes the message accessible to all clinicians. The story is convincing, because the clinical stories that illustrate the text will be so familiar to practising clinicians, who have been baffled by their experiences. Above all, this book will help you and your patients by detailing an accessible, practical approach to resolving this difficult clinical problem in common practice. The scope of the book will cover: the history of the medicine of urinary tract infection (UTI); the urinary microbiome and what the microbes are really up to; the battles between the pathogens and the innate immune system; the truth about the tests and the criteria used to define UTI; antimicrobial resistance and the importance of Darwinian evolution; the science and ground-breaking research on UTIs; the use of antibiotics; successful treatment; supportive and other related treatments; ethics; the future; and, above all, the experiences of the patients.

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The aim of this book is to help clinicians to reduce the risk of complications after vascular and endovascular surgery. Whilst it is a surgical truism that the surgeon who does the most operations has the most complications (an acknowledgement of the fact that all vascular and endovascular procedures are potentially hazardous, and some extremely so), some surgeons seem to have more complications than others. This book is for all surgeons and radiologists who accept the challenge continually to improve their results. Each chapter is authored by an experienced (endo)vascular specialist who will have witnessed firsthand the perils and pitfalls of vascular procedures. They have seen all the complications, and even occasionally made errors of judgement. The chapters are full of information to help the reader avoid similar hazards in future. We live in a world of high patient expectation, where complications are seen as 'someone's fault'. Clinicians are familiar with innovations such as outcomes audit and assessment, procedural governance and quality improvement programmes. There is pressure to show progressive improvement. First class surgery is a combination of knowledge and skill and perhaps just a little luck, though as is oft quoted 'the more you practice, the luckier you get'. The information in this book will provide insights, protocols, and tips and tricks to minimise the risks of procedures in vascular and endovascular surgery. It is therefore essential reading for anyone who treats patients with vascular disease.

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