Uncategorized Archives - Page 10 of 250

A Slow Death: 83 Days of Radiation Sickness

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Sep 132018

Japan’s worst nuclear radiation accident took place at a uranium reprocessing facility in Tokaimura, northeast of Tokyo, on 30 September 1999. The direct cause of the accident was cited as the depositing of a uranyl nitrate solution–containing about 16.6 kg of uranium, which exceeded the critical mass–into a precipitation tank. Three workers were exposed to extreme doses of radiation. Hiroshi Ouchi, one of these workers, was transferred to the University of Tokyo Hospital Emergency Room, three days after the accident. Dr. Maekawa and his staff initially thought that Ouchi looked relatively well for a person exposed to such radiation levels. He could talk, and only his right hand was a little swollen with redness. However, his condition gradually weakened as the radioactivity broke down the chromosomes in his cells. The doctors were at a loss as to what to do. There were very few precedents and proven medical treatments for the victims of radiation poisoning. Less than 20 nuclear accidents had occurred in the world to that point, and most of those happened 30 years ago. This book documents the following 83 days of treatment until his passing, with detailed descriptions and explanations of the radiation poisoning.

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http://nitroflare.com/view/B9FA9198824F56D/1942993544_A.pdf

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The New MRCPsych Paper I Practice MCQs and EMIs

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Sep 062018

The new MRCPsych examination has changed significantly. Instead of two distinct parts, there are now three written papers and one clinical exam. This book is completely up-to-date and takes into account the new format. It provides 250 practice best-of-five multiple choice questions (MCQs) and 100 extended matching items questions (EMIs) for Paper I. It contains clear, concise solutions to each question as an aid to revision. It is comprehensive and authoritative, with both authors being members of the Psychiatric Trainee’s Committee of the Royal College of Psychiatrists. As well as being an essential revision aid for candidates sitting Paper I, it is also useful when preparing for Papers II and III because of the many similarly themed questions

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http://nitroflare.com/view/1A975575B0F767F/1846192544_The.pdf

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Atlas of Implantable Therapies for Pain Management

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Sep 042018

Thorough revision of only single-source atlas on neurostimulation in pain medicine
Step-by-step “how-to” guidance with extensive illustrations and detailed explanatory text
Now enhanced with extensive real-time footage of essential surgical techniques
Techniques for implanting spinal cord stimulators, peripheral nerve stimulators, and intrathecal pumps
Long-term management of the technologies

From the Back Cover
From reviews of the First Edition:

“For the practitioner new to the field of implantable therapies, this book shows the scope of this particular branch of pain medicine. It is full of good advice on techniques and how to avoid complications.”

British Journal of Clinical Pharmacology

“All practicing pain physicians, whether their background is in anesthesia or neurosurgery, will find [this atlas] very useful…beautifully written and well-illustrated with x-ray images and pictures…a must-read for every pain fellow and a very useful one for every pain physician.”

Doody’s Review Service

Now in its Second Edition, this atlas remains an essential guide to the treatment of pain using neuromodulation and is written for all implanters, from beginners to the most advanced practitioners. It has been significantly expanded with many brand new chapters and figures and thoroughly updated to address new techniques, targets, waveforms, and concepts that have emerged since publication of the last edition and now provides even more detailed coverage of patient safety, including infection control and reduction of bleeding risks.

The new and returning physicians who have collaborated on the Second Edition are world-class in their research, clinical expertise, and ethics of practice. They have endeavored to make each segment of the atlas a great learning event through careful integration of extensive photographs, illustrations, and detailed instructions and to create a resource that helps to improve practice and enhance outcomes while complementing fellowship training, peer-to-peer experiences, and hands-on continuing medical education

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http://nitroflare.com/view/2E601CBA59CC67F/1493921096.epub

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Couple Stories: Application of Psychoanalytic Ideas in Thinking about Couple Interaction

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Sep 032018

This book presents the application of key psychoanalytic concepts in thinking about the dynamics in the couple relationship. The contributions to the first part, mainly theory, discuss how different psychoanalytic ideas can be used in conceptualizing the nature of couple interaction. In the second part, on clinical practice, four couples tell their stories during their clinical sessions.

Couple stories conveys a lively experience of the couple’s relationships as these occur in the consulting room and there are several commentaries for each ‘couple story’. Commentaries explore the concepts described in the earlier part of the book, as well as clinical themes that couples bring to their sessions and the difficulties that they have encountered in the course of their relationship. Commentaries also provide an insight into how psychoanalytic couple therapists think about the clinical material, what they might select as a focus, and how they may go about developing a hypothesis about the nature of the relationship between the partners.

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http://nitroflare.com/view/9F01D120B9A8988/1782206086.pdf

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The Adult Hip – Master Case Series and Techniques

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Sep 012018

This book is intended to offer a “virtual fellowship” in hip surgery that will give readers the opportunity to join distinguished hip surgeons in the operating room, learning key points and solutions to technical difficulties from the beginning to the end of 100 surgical cases. All of these cases have been carefully selected by renowned orthopaedists who work at the world’s top centers and perform surgery based on evidence. To facilitate quick learning, the cases are presented using a uniform template, guiding the reader from clinical evaluation and preoperative planning, through the decision-making process, to the surgical procedure and the final outcome.
At the end of each case, the editor invites the surgeon to answer specific questions in order to further elucidate crucial issues with reference to current evidence. The book is divided into four sections: conservative hip surgery, primary hip arthroplasty, complex hip arthroplasty, and revision arthroplasty. It will be of value across the world to specialist hip surgeons and surgeons in training who are interested in hip surgery.

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http://nitroflare.com/view/7E1CAFA8725BC97/3319641751.pdf

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Point-of-Care Testing: Principles and Clinical Applications

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Aug 292018

The underlying technology and the range of test parameters available are evolving rapidly. The primary advantage of POCT is the convenience of performing the test close to the patient and the speed at which test results can be obtained, compared to sending a sample to a laboratory and waiting for results to be returned. Thus, a series of clinical applications are possible that can shorten the time for clinical decision-making about additional testing or therapy, as delays are no longer caused by preparation of clinical samples, transport, and central laboratory analysis. Tests in a POC format can now be found for many medical disciplines including endocrinology/diabetes, cardiology, nephrology, critical care, fertility, hematology/coagulation, infectious disease and microbiology, and general health screening.Point-of-care testing (POCT) enables health care personnel to perform clinical laboratory testing near the patient.

The idea of conventional and POCT laboratory services presiding within a hospital seems contradictory; yet, they are, in fact, complementary: together POCT and central laboratory are important for the optimal functioning of diagnostic processes. They complement each other, provided that a dedicated POCT coordination integrates the quality assurance of POCT into the overall quality management system of the central laboratory.

The motivation of the third edition of the POCT book from Luppa/Junker, which is now also available in English, is to explore and describe clinically relevant analytical techniques, organizational concepts for application and future perspectives of POCT.

From descriptions of the opportunities that POCT can provide to the limitations that clinician’s must be cautioned about, this book provides an overview of the many aspects that challenge those who choose to implement POCT. Technologies, clinical applications, networking issues and quality regulations are

described as well as a survey of future technologies that are on the future horizon.
The editors have spent considerable efforts to update the book in general and to highlight the latest developments, e.g., novel POCT applications of nucleic acid testing for the rapid identification of infectious agents.

Of particular note is also that a cross-country comparison of POCT quality rules is being described by a team of international experts in this field.

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http://nitroflare.com/view/FCD02DF34E77C8E/3662544962.epub

http://nitroflare.com/view/F660FBF922333A8/3662544962.pdf

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All Blood Counts : A Manual for Blood Conservation and Patient Blood Management

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Aug 272018

This book gathers together the collected wisdom of an experienced group of practitioners from the world of blood conservation including surgeons, anaesthetists, haematologists, transfusion specialists, microbiologists, and legal advisors.

Topics included are: an historical overview, transfusion-transmitted diseases, changing demographics and the projected impact on blood supplies, who needs transfusion, practicalities and tips – how to do it, the laboratory perspective, haemodilution, intra-operative cell salvage, surgical methods to minimise blood loss, anaesthetic methods to minimise blood loss, pharmacological methods to minimise blood loss, postoperative salvage, postoperative haemoglobin, cancer patients, patient consent and refusal, trauma management, patient ID and documentation, audit/clinical governance, the role of the Hospital Transfusion Team, education, national reports including European Directives, further information. Additional chapters will include pre-operative blood management, near-patient testing, the incidence and relevance of pre-operative anaemia, anaemia management in obstetrics, pre-operative anaemia in orthopaedics, haemostatic sealants, the effect of transfusion in cardiovascular surgery, transfusion alternatives.

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http://nitroflare.com/view/E510D8C772BD77A/All_Blood_Counts.epub

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The Younger Next Year Back Book: The Whole-Body Plan to Conquer Back Pain Forever

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Aug 262018

At some point in their lives, 80% of Americans will seek expert help for back pain. It’s an epidemic, with a cost to society in medical expenses and lost productivity that is steeper than heart disease. But remember the 80% figure—that’s the astonishing cure rate at Dr. Jeremy James’s Aspen Club Back Institute.

A Doctor of Chiropractic who took that path because of his own severe injury-induced back pain, he has developed a revolutionary behavioral/whole-body approach to help sufferers heal—and often eliminate—back pain forever.

Co-written with Chris Crowley, The Younger Next Year Back Book follows the alternating chapter format of the #1 New York Times bestselling Younger Next Year and other books in the series. And just as millions of readers positively changed their lives following Harry’s Rules in Younger Next Year, the millions of back pain sufferers can find relief following Jeremy’s rules, including Stop Doing Dumb Stuff, Be Still So You Can Heal, and Stand Tall for the Long Haul. He explains the workings of the spine and muscles, and then why back pain is almost never a disease, per se, but the result of behavior. He then shows how to change our behavior, find a neutral spine, and begin a regimen of simple exercises—with step-by-step two-color illustrations—to realign our core to virtually eliminate back pain forever. Chris Crowley, in his been-there-done-that-and-you-can-too-damnit! voice, provides all the motivation and patient perspective we need.

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http://nitroflare.com/view/C01BFAEAB44CBE6/The_Younger_Next_Year_Back_Book_-_Chris_Crowley.epub

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Handbook of Obesity, Volume 2: Clinical Applications (4th Edition)

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Aug 222018

Several major developments have occurred since the last edition of Handbook of Obesity: Clinical Applications, including new clinical trials, discoveries related to drug use, and greater understanding of the benefits of weight loss in obese patients. Now in its fourth edition, this volume continues to offer unparalleled depth and breadth of coverage concerning this global and chronic disease that affects and exacerbates associated conditions including diabetes and heart disease. The book is divided into five sections exploring essential factors involved in obesity prevention and treatment: Presenting the insight of international experts and edited by two eminent leaders in obesity research, the book is essential for health care providers in search of a comprehensive and up-to-date guide to treating obese patients.

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Masterful Care of the Aging Athlete: A Clinical Guide

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Aug 192018

This unique text focuses exclusively on the ever-growing population of aging and masters athletes, both professional and amateur, presenting both operative and nonoperative management strategies for the range of sports-related injuries. The book is thematically divided into three sections. Part I describes the science of musculoskeletal aging and the benefits of remaining active as we age, including proper nutrition, supplements and medical therapies and adjuvants.
Injuries common to the masters athlete are presented in part II, from the upper and lower extremities to the hips and spine, with special considerations for these injuries and treatments noted. Recommendations for how to thrive as a masters athlete comprise the final section, including return to sport, injury prevention and exercise as medicine.
An ideal resource for clinicians who treat active adults who won’t slow down, Masterful Care of the Aging Athlete is a compilation of clinical, technical and research approaches aimed at keeping active people moving, returning them to sport rapidly and durably and protecting them from a sedentary lifestyle.