Oct 272014
 


The aim of this book is to provide a basic framework around which a proficient talk can be built. The conent covers not only the essential parts of a presentation but also provides advice on how to sell a message, how to appear on stage and how to deal with questions. All contributors are experienced speakers and provide simple didactic advice.
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Oct 262014
 


Recently, several studies have shown the crucial role of viscoelastic properties of the aorta and large arteries in determining blood pressure values. A good knowledge of cardiovascular pathophysiology and vascular hemodynamics is necessary to understand these phenomena. However, available texts on this topic are very complex and difficult for medical practitioners to understand. The aim of this book is to enable the reader to comprehend the relation between cardiovascular pathophysiology and vascular hemodynamics and to become familiar with the more recent guidelines. While very complex physical concepts are involved, care has been taken to ensure that the explanations are as straightforward as possible. Complex analyses are presented separately and can be skipped by the reader without impairment of understanding. It is envisaged that the knowledge imparted will prove invaluable in improving the approach to hypertensive patients.
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Oct 262014
 

Miller's Anesthesia, 2-Volume Set, 8e (Hardcover)

By (author): Ronald D. Miller MD, Lars I. Eriksson, Lee Fleisher MD, Jeanine P. Wiener-Kronish MD, Neal H Cohen MD

From fundamental principles to advanced subspecialty procedures, Miller's Anesthesia covers the full scope of contemporary anesthesia practice. This go-to medical reference book offers masterful guidance on the technical, scientific, and clinical challenges you face each day, in addition to providing the most up-to-date information available for effective board preparation.

  • Address the unique needs of pediatric patients with guidance from an entire section on pediatric anesthesia.
  • View more than 1,500 full-color illustrations for enhanced visual clarity.
  • Access step-by-step instructions for patient management, as well as an in-depth analysis of ancillary responsibilities and problems.
  • Quickly reference important concepts with 'Key Points' boxes integrated into every chapter.
  • Stay current on today's most recent anesthetic drugs and guidelines/protocols for anesthetic practice and patient safety, and access expanded coverage on new techniques such as TEE and other monitoring procedures.
  • Remain at the forefront of new developments in anesthesia with coverage of hot topics including Non-OR Anesthesia; Role of the Anesthesiologist in Disasters; Sleep Medicine in Anesthesia; Perioperative and Anesthesia-related Neurotoxicity; Anesthetic Implications of Complementary and Alternative Medicine; and Robotics.
  • Study brand-new chapters on Perioperative Fluid Management; Extracorporeal Support Therapies; Anesthesia for Organ Donation/Procurement; and Malignant Hyperthermia and other Genetic Disorders.
  • Conveniently search the full text, references, tables, and index online at Expert Consult, and access regular updates, related websites, and an expanded collection of procedural videos.


Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.
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Oct 262014
 


Humans can resist 40 days without eating and 4 days without drinking, but only 4 minutes without breathing: this tells us much about its fundamental importance. Breathed air is slowed down, filtered, warmed and humidified by the nose; many mechanisms are involved in this act, which prevent bronchial tubes and pulmonary alveolus from receiving an excessive and sudden air load. It is well known, on the other hand, that breathing through the mouth causes a lot of problems: inflammatory diseases of the upper airways, sleep apnea syndrome, but also, in some cases, bronchial, pulmonary and even cardiac disorders, that are more easily affecting patients not able to breathe correctly through the nose. For this reason, restoring an efficient nasal function is a very important - and in some cases crucial - issue. This book describes in details an innovative surgical technique called modified inferior turbinoplasty, which offers an excellent solution to the problems associated with the lower turbinate hypertrophy. A turbinate (or nasal concha) is a long, narrow, curled bone shelf that protrudes into the breathing passage of the nose. Most surgical interventions treat only the soft parts of hypertrophic turbinates using laser therapy, radiofrequency treatment, and electrocoagulation, but these procedures often lead to relapse. With this technique, in contrast, all anatomic parts of the turbinate are treated, including bone tissue: the surgeon reduces the inferior nasal concha and the internal nasal tissue, and the mucosa is then remodeled with sutures. The modified inferior turbinoplasty allows the complete avoidance of swabs in the nose, which is fundamental for patients well-being and grant them a quicker recovery. The book will be very useful for othorinolaryngologists, plastic surgeons, endoscopic and maxillofacial surgeons.
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Oct 262014
 


Tetralogy of Fallot is the most common form of cyanotic congenital heart disease, and one of the first to be successfully repaired by congenital heart surgeons. Although “fixed”, patients born with tetralogy of Fallot cannot be considered “cured”. Improving survival and quality of life for this ever-increasing adult population will continue to challenge the current and future generations of cardiologists.

Adult patients with tetralogy of Fallot should be seen by a cardiologist specializing in the care of adults with congenital heart disease, to be monitored for late complications. They need to be checked regularly for any subsequent complications or disturbances of heart rhythm.

This monograph is intended as both an introduction to the subject and a timely, comprehensive review, and will be welcomed by adult cardiologists, pediatric cardiologists, internists, surgeons, obstetricians, and intensivists who wish to learn about the most recent discoveries and advances concerning tetralogy of Fallot in adults. It will also be of interest to advanced undergraduates wanting to learn more about the subject.

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Oct 262014
 


The book provides a clear overview of the various research stages of cardiac surgery, interventional cardiology, and cardiac anesthesia. It also deals with recent advances in minimally invasive surgery, robotic surgery, and many other innovations introduced in this field. However, aim of this volume is not only to describe the evolution of the discipline, but also to give the occasion of revisiting old and forgotten ideas that could be used successfully also nowadays if supported by modern technologies. With contributions by renowned international experts, the volume will be a very useful tool for students, residents, cardiac surgery and anesthesia professionals, cardiologists, biomedical engineers, and researchers.
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Oct 262014
 


This atlas will illustrate the distribution and morphological features of interstitial cells of Cajal (ICC) which are the key cells to understanding of the regulatory mechanism of gastrointestinal motility, since ICC act as both pacemaker and as intermediates in neural transmission, and since ICC show specific distribution patterns depending on their anatomical positions. All subtypes of ICC located in the different tissue layers and different levels of the gastrointestinal tract will be revealed by immunohistochemistry for Kit receptors and nerves by using mainly whole-mount stretch preparation of the guinea-pig tissues. Three-dimensional reconstruction of confocal images will particularly help the readers to understand the peculiar arrangement of ICC networks in situ and the correlation between ICC and nerves. Electron micrographs will help illustrate the characteristic features of ICC and their ultrastructural differences from fibroblasts, smooth muscles and other interstitial cells.

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Oct 262014
 


The first laparoscopy-assisted gastrectomy for gastric cancer was performed in Japan in 1991. In the ensuing 20 years, at first through a process of trial and error, then through the sharing of master surgeons’ accumulated experience, the procedure has been honed and refined to its current high level. From the beginning, it soon became evident that this much less invasive form of gastrectomy, in comparison with traditional open surgery, led to improved quality of life for postsurgical patients, and use of the procedure spread rapidly among gastric surgeons.  Early on, however, there were calls for the establishment of standard techniques and procedures to be followed, with a recognized need to improve the level of safety and the quality of lymph node dissection for local control in cancer treatment. Toward that end, the Laparoscopy-Assisted  Gastrectomy Club  was formed in 1999. In the following year, because both Japan and Korea experience a high rate of gastric cancer, specialists from those two nations came together to form the Japan–Korea  Laparoscopic  Gastrectomy  Joint Seminar, to facilitate and encourage the exchange of vital information. The result has been to achieve an evolving consensus among specialists in the field of endoscopic surgery in Japan and Korea with expertise that can be shared worldwide. A compilation of the current state-of-the-art is now presented in this volume, with accompanying DVD, which will be of great value to all endoscopic surgeons who perform laparoscopic gastrectomy.

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Oct 262014
 


2011 AJN Book of the Year Winner in Critical Care--Emergency Nursing!

"[This book is] a lavishly detailed guide to the essence of becoming an expert nurse...I believe this book will secure a place on most educators' and expert clinicians' bookshelves. Every once in a while a better book comes along; this is one of those times."

From the foreword by Joan E. Lynaugh, PhD, RN, FAAN
Professor Emeritus, University of Pennsylvania School of Nursing

A classic research-based text in nursing practice and education, this newly revised second edition explains, through first-hand accounts of the hard-earned experiential wisdom of expert nurses, the clinical reasoning skills necessary for top-tier nursing in acute and critical settings. It provides not only the most current knowledge and practice innovations, but also reflects the authors' vast experience using the first edition in practice and educational settings.

This updated edition includes new interviews from acute care, critical care, perioperative nurses, and more. Attention is paid to current IOM and nursing guidelines for systems approaches to patient safety, with education and leadership implications described throughout. It is an essential resource for undergraduate and graduate nursing educators, students, administrators, and managers seeking to improve systems of care and leadership in clinical practice.

Key Features

  • Articulates major areas of knowledge and skill in acute, critical care, and perioperative nursing practice
  • Provides vivid, first-hand accounts of hard-earned wisdom that facilitate clinical imagination, reflection, and lifelong learning
  • Assists faculty, educators, APNs, and mentors in teaching nurses how to recognize recurring clinical syndromes and patterns
  • Bridges the gap from theory to practice in dynamic patient care situations
  • Embraces the complexity of caring for the critically ill and their families

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Oct 262014
 


Packed with the latest data, the powerful new Seventh Edition of Howard Abadinsky's DRUG USE AND ABUSE: A COMPREHENSIVE INTRODUCTION delivers a thorough, interdisciplinary survey of all aspects of drug and alcohol abuse. The text draws from the many disciplines of history, law, pharmacology, political science, social work, counseling, psychology, sociology, and criminal justice -- resulting in the most comprehensive, authoritative resource available. Coverage includes the history of drugs, their impact on society, the pharmacological impact of drugs on the body, drug policy implications, the criminal justice system response, the drug business, law enforcement, theories of use, as well as the effects, treatment, and prevention of abuse.
List Price: $236.95 USD
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