Phtls: Prehospital Trauma Life Support, Military Edition, National Association of Emergency Medica
Автор: By Hariqbal Singh, By Parvez Sheik Название: Atlas of Human Anatomy on MRI Brain, Chest and Abdomen ISBN: 9386322528 ISBN-13(EAN): 9789386322524 Издательство: JayPee Brothers India Рейтинг: Цена: 7524.00 р. Наличие на складе: Нет в наличии.
Описание: Concise overview of MRI for the brain, chest and abdomen. Includes comprehensive appendix providing glossary of MRI terms and radiology measurement tables. Features high quality MR images and tables illustrating complex anatomy.
Andy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare’s payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for the primary care that can make a real difference in the lives of the elderly.
Lazris offers straightforward solutions to ensure Medicare’s solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want.
Описание: Abnormal placental adhesive disorders are associated to massive hemorrhage and high maternal morbidity and mortality. The main risk factor for abnormal invasive placentation is the repeated cesarean, although other factors were identified. There are specific techniques to provide a high confidence diagnosis. However, precise skills must be acquired to recognize detailed diagnostic signs, to avoid common technical mistakes, and also to know when, how and why it is necessary to use each of them. Presurgical study provides diagnosis, extension and compromise of neighboring structures such as the bladder or the parametrium. Knowledge of placental invasion extension is needed to plan any resective surgery such as hysterectomy or one-step conservative surgery. Due to the fact that topography of the invaded area has direct relation with the specific arterial pedicles, a map of the invasion is required to know which type of proximal vascular control can be more effective. Leaving the placenta in situ seems to be the best option when resources or a skilled team are not available, but it requires intensive postoperative controls to detect infection, bleeding or coagulation disorders. Hysterectomy can be an easy solution for non-experimented operators; however, it is usually a very complicated procedure with demonstrated morbidity and mortality due to hemodynamic and hemostatic problems. This book gathers the latest knowledge in relation with the etiology, diagnosis, treatment and also the authors personal experience in more than 500 cases. All aspects of this condition have been analyzed to provide an accurate management, which includes vascular control, urology, anesthesia and hemodynamic management among others.
Описание: This handbook is the first comprehensive book of its kind reviewing the clinically relevant current status of tissue kallikrein and kallikrein-related peptidases research. Since several members of the KLK family are key players in (patho-)physiological processes, structural, functional, and regulatory studies are under way to develop new strategies to prevent and treat disorders to which individual members of the KLK protease family contribute significantly. The goal of this book is to inform clinicians, physician scientists and researchers about the prominent role of the multifaceted and interactive KLK system in normal physiology and pathological organ function.
Автор: Stannard, Michael W. Название: Galdos and medicine ISBN: 3034318251 ISBN-13(EAN): 9783034318259 Издательство: Peter Lang Рейтинг: Цена: 10586.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: Benito P?rez Gald?s (1843–1920) is revered as Spain’s greatest nineteenth-century author. Writing in the realist tradition of Dickens, Zola and Balzac, he described life in Madrid with unequalled fidelity. In addition, he was unique among novelists of his time in his knowledge of medicine, revealed in his depictions of mental and physical disease. While critical analyses of his novels abound, this book is the first detailed study of the medicine that appears in his novels and newspaper articles. Gald?s acquired his medical knowledge at a time of great changes: anaesthesia and antisepsis were developed, and the germs responsible for many human diseases identified. French medicine was especially influential, though increasing international exchange resulted in new ideas also being adopted from England, Germany and Italy. The author of this study analyses Gald?s’s network of medical contacts, together with some of the sources available to them. Subjects such as epidemic disease, madness and children’s diseases are examined and the light they throw upon the medicine of the time is discussed. The concluding chapter of the book assesses the significance of Gald?s’s depictions of disease and of doctors.