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An Unspoken Art: Profiles of Veterinary Life
by Lee GutkindIn the tradition of James Herriot&’s All Creatures Great and Small, An Unspoken Art is Lee Gutkind&’s captivating look at the lives of veterinarians, from the zoos to the farmLee Gutkind, the godfather of creative nonfiction, explores with warmth and sincerity the worlds of modern-day veterinarians—from practitioners operating on Manhattan&’s Upper East Side to those working knee deep in mud in the English countryside. Gutkind profiles the men and women who have devoted their lives to the care of animals, almost all treating their patients with more humanity and compassion than physicians in human hospitals do. He writes of the people who do not bat an eye at sharing a bed with their dogs, and of those who spare no expense when it comes to the well-being of their pets.An Unspoken Art is an insightful look at the individuals who dedicate themselves to the care of creatures, and of the enduring bond between people and animals.
An Unusual Midwife
by Gill SandersonBeing a male midwife is an unusual career choice for an Ex-army officer. But Chris McAlpine has chosen it - and he is good at it. At first his new boss, Joy Taylor, is suspicious of Chris. But in time she recognises his dedication to the job and admires his organisational skills as well. In spite of herself, she finds that she is in love with the man. Chris feels the same way. But he knows he has to tell Joy - because of a wound while on active service, he can never father children. And Joy wants children. But they decide to stay together and see how things work out. Then the unimaginable happen and suddenly Joy hates Chris. It takes all his military skills - and some help from his father - for Chris to put things right.
An Unusual Midwife: An Uplifting Medical Romance (Medical Romances #5)
by Gill SandersonAnother heartwarming medical romance from best-selling author Gill Sanderson! Perfect for fans of Mia Faye, Laura Scott, Helen Scott Taylor, Grey's Anatomy and ER.Readers love Gill's gripping medical romances!'Excellent story could not put it down' 5* reader review'...a very romantic story. I enjoyed every part of this book' 5* reader review'...another very well written book... you cannot put it down' 5* reader reviewBeing a male midwife is an unusual career choice for an Ex-army officer. But Chris McAlpine has chosen it - and he is good at it. At first his new boss, Joy Taylor, is suspicious of Chris. But in time she recognises his dedication to the job and admires his organisational skills as well. It doesn't take long before she starts to develop feelings for the man, and to her delight, Chris feels the same way.However, Chris has a problem. A wound from the past has left him with the inability to father children. He knows he has to tell Joy - as she wants children. However they decide to stay together and see how things work out. Then the unimaginable happens and suddenly Joy hates Chris. It takes all his military skills - and some help from his father - for Chris to put things right.Don't miss Gill Sanderson's enthralling medical romances, including the A Lakeland Practice and the Good, Bad and Ugly series.
Anabolic Steroids: And Other Performance-enhancing Drugs
by Patrick LenehanAnabolic steroids have traditionally been controversial in the sporting arena. Today, research indicates a dramatic increase in the use of anabolic steroids and other performance-enhancing drugs outside of competitive sports. With evidence of widespread steroid abuse among the general population, health professionals are citing the emergence of an
Anabolic Treatments for Osteoporosis (Handbooks in Pharmacology and Toxicology)
by Paul Morley James F. WhitfieldOsteoporosis, a growing epidemic among women in North America, Europe, and Japan, is a painful, costly disease that has presented a treatment challenge to healthcare professionals. Until recently, therapies have focused on agents that slow bone resorption, and have had only limited success at increasing bone mass.
Anadenanthera: Visionary Plant of Ancient South America
by Constantino M Torres David B RepkeA multidisciplinary study of pre-Columbian South America-centering on the psychoactive plant genus AnadenantheraAs cultures formed and evolved in pre-Columbian South America, Anadenanthera became one of the most widely used shamanic inebriants. Anadenanthera: Visionary Plant of Ancient South America is more than a comprehensive reference on shamanic visionary substances; it is a useful tool for archeologists and pre-Columbian art historians. This thorough book examines the ritual and cultural use of Anadenanthera from prehistory to the present, along with its botany, chemistry, pharmacology, anthropology, and archeology.The earliest evidence for the use of psychoactive plants in South America is provided by remains of seeds and pods recovered from archeological sites four millennia old. Various preparations were derived from it with the intent of being a shamanic inebriant. Inhaled through the nose, smoked in pipes or as cigars, and prepared in fermented drinks, Anadenanthera served a central role in the cultural development of indigenous societies in South America. Anadenanthera: Visionary Plant of Ancient South America explores the full spectrum of information gleaned from research, covering numerous archeological sites in the Andean region, as well as discussing Amazonian shamanic rituals and lore. Analyses of the artistic expressions within the decorations of associated ceremonial paraphernalia such as ritual snuffing tubes and snuff trays are included. The text is richly illustrated with photographs and images of decorated ritual implements, and provides a comprehensive bibliography.Anadenanthera: Visionary Plant of Ancient South America explores: botanical aspects, taxonomy, and geographical distribution of Anadenanthera ethnographical, historical, and traditional aspects of Anadenanthera use chemical and pharmacological investigations of the genus and the various visionary preparations derived from it-with emphasis on the biologically active constituents theories of the mechanisms of action of the active tryptamines and carboline alkaloids comparisons of wood anatomy, morphology, and percentage of alkaloid content evaluation of stylistic and iconographic traitsAnadenanthera: Visionary Plant of Ancient South America is a thorough, useful resource for archeologists, anthropologists, chemists, researchers, pre-Columbian art historians, and any layperson interested in pre-Columbian art, archeology, or visionary plants.
Anaerobic Infections: Diagnosis and Management
by Itzhak BrookWith new infectious agents, antibiotics, and instances of antimicrobial resistance constantly on the horizon, this field is an ever growing discipline that requires constant vigilance. This book responds to burgeoning growth in the field and provides a comprehensive and expert armamentarium of guidelines for the treatment and diagnosis of the entir
Anaesthesia and Resuscitation: A manual for medical students (Second edition)
by Roderick A. GordonAs in most fields of medical practice many things in anaesthesia are done on an empirical basis: this speciality is dynamic and expanding, and today's dogma may become tomorrow's error. This introductory manual, now revised and updated in a second edition, was prepared by the Department of Anaesthesia in Canadian medical schools and provides the undergraduate medical student with an important foundation for wider knowledge in the realm of anaesthesiology. Contents include Anaesthesia in relation to surgery , Evaluation of the patient before anaesthesia, Preanaesthetic medication, General anaesthesia, Neuromuscular transmission and muscle relaxation, Regional anaesthesia, Care of the unconscious patient, Respiration and anaesthesia, Cardiovascular homeostasis in relation to anaesthesia and resuscitation, Fluid and electrolyte balance, Acid-base balance, Complications of anaesthesia, Postoperative problems and care, Obstetrical anaesthesia and resuscitation of the newborn, and Special considerations in paediatric anaesthesia.
Anaesthesia and the Practice of Medicine: Historical Perspectives
by Keith Sykes John P BunkerWritten by two anaesthetists, one British and one American, this unique book focuses on the transatlantic story of anaesthesia. The authors have both worked at the two hospitals where the first general anaesthetics for surgery were given in 1846, Massachusetts General Hospital in Boston, Massachusetts and University College Hospital, London. Each with more than fifty years' experience of working in anaesthesia, they combine their knowledge and expertise to offer a fresh outlook on the development of anaesthesia through the ages.This highly informative and intriguing text details the origins of anaesthesia, outlines the different techniques of anaesthesia and traces its progress with illuminating and enlightening commentaries. This is a fascinating book which considers the role key figures have played in developing anaesthesia including, Queen Victoria, William Morris, La Condamine, Bjorn Ibsen and Henry Beecher.Broken down into four sections, which are divided into easy-to-read chapters and filled with top quality photographs, this book makes compelling reading. It is recommended to all those interested in the history and development of medicine through the ages, and is of particular interest to anaesthetists. More than just the science of anaesthesia, this is the story about the people and personalities who have made anaesthesia what it is today.
Anaesthesia at a Glance
by William Fawcett Julian StoneAnaesthesia at a Glance is a brand new title that provides a concise and visually-orientated summary of a comprehensive lecture course in anaesthesia. Ideal for clinical undergraduate medical students and Foundation Programme doctors undertaking anaesthesia attachments, it gives a systematic, broad view of anaesthesia in various specialties, taking the reader through preparation, management and the pharmacology behind anaesthetic medicine.Anaesthesia at a Glance is supported by a companion website at www.ataglanceseries.com/anaesthesia containing interactive multiple-choice questions and answers together with a selection of interactive cases - perfect for study and revision.Whether you want to refresh your knowledge or need a thorough overview of the specialty, Anaesthesia at a Glance presents all the vital clinical information you need.
Anaesthesia for Uncommon and Emerging Procedures
by Basavana G. Goudra Preet Mohinder Singh Michael S. GreenThis book provides detailed and practical information for anesthesia providers worldwide who are challenged with providing anesthesia for both emerging and infrequently performed procedures. Concise and well-structured 42 chapters in this book provide accurate and up-to-date information that helps the reader to safely anesthetise patients presenting for a variety of procedures such as conjoined twin separation, pediatric heart and lung transplantation, pancreas and small intestine transplantation, endobariatric procedures, peroral endoscopic myotomy, jugular foramen tumors, robotic gynecological surgeries, proton beam therapy and many other complex surgeries and procedures.Anaesthesia for Uncommon and Emerging Procedures fills a unique void long felt by anesthesia providers. The book is a must for in every department or library as it provides handy reference even for providers engaged in providing anesthesia for such procedures on a regular basis. Anesthesiologists, CRNAs/AAs and those in in preoperative clinics such as hospitalists and APRN/PA providers will find this book to be an invaluable resource for optimizing outcomes in anesthesia.
Anaesthesia for Veterinary Nurses
by Liz WelshAnaesthesia for Veterinary Nurses has been written specifically for veterinary nurses by veterinary nurses and veterinary surgeons. Easy to read and understand, it provides detailed coverage of the physiological, pharmacological and physical aspects of anaesthesia. Fully updated and reflecting recent changes to veterinary nursing qualifications, this second edition is now also illustrated in colour. Sedation and anaesthesia are a crucial part of veterinary practice, and the protocols and methods involved are often complex and vary considerably from animal to animal. In addition to cats and dogs, Anaesthesia for Veterinary Nurses contains detailed sections on rabbits, rodents, birds, reptiles, and larger animals. Suitable for those with or without previous subject knowledge, this book is ideal for quick reference by veterinary nurses and technicians in practice, or for more substantial study by students. • Reflects recent changes to veterinary nursing qualifications, current terminology and drugs in use. • Includes chapters on small mammals, birds, reptiles, and large animals. • Now illustrated with colour photographs.
Anaesthesia in Remote Hospitals: A Guide for Anaesthesia Providers (Sustainable Development Goals Series)
by Daniela KietzmannThis book provides a concise and practical guide for Non-Physician Anaesthesia Providers (NPAPs) such as nurse anaesthetists and Non-Specialist Physicians working in remote settings. In many hospitals in low and even in some middle-income countries, nurse anaesthetists are working without the presence of a specialist anaesthesiologist at their hospital. During their training on the job or at one of the few schools of anaesthesia they have to act as improvising do-it-yourself-teachers for one another. Later in their professional life, NPAPs are often organising their continuous medical education themselves, trying to provide short presentations on topics between attending to patients. This book fills the need for a quick- to-read guide for the everyday work of NPAPs and Non-specialist physician anaesthesia providers, addressing challenges such as electricity failure, lack of technical support, drugs and materials, equipment and support of specialist anaesthesiologists. Anaesthesia in Remote Hospitals: A Guide for Anaesthesia Providers covers the most important fields of anaesthesia in a typical district or referral hospital in a place where resources are limited. It provides many useful tables with doses of drugs, sizes of airway equipment, infusion rate, examples of observation charts and anaesthesia records. Nurse Anaesthetists, Clinical Officers and Resident Physicians will find this book to be an essential guide to Anaesthesia within low resource and remote settings.
Anaesthesia on the Move (Medicine on the Move)
by Sally Keat Simon Bate Alexander Bown Sarah LanhamThe Medicine on the Move series provides fully flexible access to subjects across the curriculum in a unique combination of print and mobile formats ideal for the busy medical student and junior doctor. No matter what your learning style, whether you are studying a subject for the first time or revisiting it during exam preparation, Medicine on the Move will give you the support you need. This innovative print and app package will help you to connect with the topic of anaesthesia in preparation for exams and future clinical practice.By using this resource in print or as an app, you really will experience the opportunity to learn medicine on the move.
Anaesthesia, Pharmacology, Intensive Care and Emergency A.P.I.C.E.: Proceedings of the 23rd Annual Meeting - International Symposium on Critical Care Medicine
by Antonino GulloInnovation, training and research are the pillars that support a process deriving from basic science and multi-professional/multidisciplinary interventions. The APICE 2012 yearbook deals with several innovations for optimising prevention and management measures for the critically ill, by integrating diagnostic procedures with pharmacological and technological options. Peri- and postoperative managements as well as treatment of surgical infections and of pain, new and old artificial ventilation strategies are some of the most relevant topics the volume deal with in this new edition. The volume focuses also on the improvement standards and quality of care; on the expanding concept of clinical governance and professionalism and on the importance of ethical principles for establishing a process of patient-centered and evidence-based care.
Anaesthesia: Illustrated Clinical Cases (Illustrated Clinical Cases)
by Magnus Garrioch Bosseau MurrayContaining 220 challenging clinical cases and illustrated with superb, high-quality images, this book covers a wide range of anaesthesia-related questions and answers from straightforward cases through to more challenging presentations. It is an invaluable text for anaesthesia professionals in practice and in training, both for those doctors prepar
Anaesthetic and Perioperative Complications
by Jane Sturgess Kamen Valchanov Stephen T. WebbAnaesthetic and Perioperative Complications dissects the nature of complications and helps anaesthetists and anaesthetic practitioners understand, avoid and manage them efficiently. Leading experts combine the detailed clinical management of common and important anaesthetic and perioperative complications with discussion of the key philosophical, ethical and medico-legal issues that arise with assessing a medical complication. Initial chapters discuss how and why complications occur, the prevention of complications and risk management. The main body of the text reviews the clinical management of airway, respiratory, cardiovascular, neurological, psychological, endocrine, hepatic, renal and transfusion-related complications, as well as injury during anaesthesia, complications related to regional and obstetric anaesthesia, drug reactions, equipment malfunction and post-operative management of complications. Each chapter contains sample cases of complications and medical errors, giving clinical scenario, outcomes and recommendations for improved management. This is an important practical and clinical text for all anaesthetists and anaesthetic practitioners, both trained and trainees.
Anaesthetics for Junior Doctors and Allied Professionals: The Essential Guide
by Daniel Cottle Laha ShondiponArriving in the anaesthetic room for the first time can be a daunting experience. You will be closely supervised, but everything will seem very new. Surgery is a stressful life-event for the patient and your job as an anaesthetist is to make it as safe and as comfortable as you can whilst ensuring the best outcome possible. Anaesthesia is no longer the preserve of the medical anaesthetist. It increasingly features in undergraduate and postgraduate healthcare education, and many of the competencies required need to be attained quickly, in conjunction with new drugs and equipment. This guide provides practical and clinically relevant advice in easily understandable sections to give you confidence and prepare you for your days in theatre - without the complicated physiology, pharmacology and physics. It allows you to understand the most common drugs and provides a rationale for using them. It's the perfect quick, clinical reference for dealing with common problems and emergencies; ideal for everyday use. This book is invaluable for anaesthetists starting out in their career, but is also highly recommended for Foundation, ACCS, ICM trainees, medical students, operating department trainees and nurses. It also provides an excellent revision basis for Primary FRCA candidates. 'This book provides the basic background and ground rules for how anaesthetists work, how they approach a problem and how one can prepare for it. Some of the initial chapters could be usefully read by all surgeons, especially those in Foundation Training posts, and medical students considering an anaesthetic or intensive placement. The use of lists, key points and limited use of references help make the book easy to read, or dip into between cases, and keep it a manageable size whilst still providing a mine of information for the target audience.' From the Foreword by Peter Nightingale
Anal Cancer: A Comprehensive Guide
by Jeffrey Meyer Lisa KachnicThis book is a comprehensive overview of the epidemiology, pathogenesis, and treatment options available for anal cancer. Anal cancer is a relatively rare disease, but one increasing in incidence. Strides have been made in developing treatment paradigms through clinical trials, and proper management requires multidisciplinary interaction between radiation oncologists, surgeons, and medical oncologists as well as other physicians, nurses, and other medical professionals. The book thus covers all aspects of the disease to give clinicians and their teams the information necessary to develop a treatment program that focuses on improved patient outcomes. Chapters cover evaluation of the patient and cancer staging, current standard treatments, epidemiology, pathogenesis, issues involved in survivorship, and ongoing and future avenues of research into disease biology and novel treatments. This book is an ideal resource for clinicians involved in the care of patients with anal cancer.
Anal Fissure: Symptoms, Diagnosis and Therapies
by Volker Wienert Franz Raulf Horst MlitzThis highly informative monograph offers a comprehensive and interdisciplinary reference guide for the management and treatment of the whole spectrum of painful tears in the anus and anal canal. Based upon a systematic review of all relevant papers on the topic since 1865, it addresses primary, acute and chronic anal fissures - providing a new definition of the last form - and secondary anal fissures in detail, particularly their medical history, etiology, signs and symptoms, medical findings, therapy and its evaluation, and differential diagnosis. The book also covers all available evidence-based therapeutic strategies. As such, it will appeal to a wide readership, from proctologists and surgeons to gynecologists, urologists, dermatologists and gastroenterologists.
Anal Fistula and Abscess (Coloproctology)
by Carlo Ratto Angelo Parello Francesco Litta Veronica De Simone Paola CampennìThis volume comprehensively describes the anatomy, pathophysiology, diagnostics, and modalities of treatment of one of the most complex and debated clinical conditions in coloproctology: anal fistulas and abscesses. It also debates current controversies and presents the best approaches based on the authors’ clinical expertise. Providing an in-depth understanding of the anal canal anatomy and surrounding area, it enables readers to manage anal sepsis and avoid excessive damage, in particular to the anal sphincters. Further, the book presents insights into the pathophysiological processes (in cryptoglandular and Crohn’s disease) causing abscess and fistula, which have a significant impact on the management of these conditions. It also discusses diagnostic assessments crucial for selecting the optimal surgical technique and offers guidance on the timing. Lastly, it assesses the pros and contras of the various surgical procedures, evaluating the possible outcome in terms of both therapeutic success and detrimental effects on the anorectal functions. As such it is a valuable resource for all physicians involved in the management of anal fistulas and abscesses (coloproctologists, general surgeons, gastroenterologists, radiologists).
Anal Fistula: Principles and Management
by Herand AbcarianAnal Fistula: Principles and Management provides a comprehensive and state of the art review of major issues specific and related to the treatment of anal fistulas. An important section of the book covers the large number of alternative procedures which have been developed in the last two decades. Needless to say, none of these procedures have been uniformly successful, otherwise there would be no need for all the different operations. The book addresses each alternative procedure, discusses the benefits of each procedure, includes the most up-to-date results. Other important chapters cover the causes and failure of treatment and operations for fistulas. Also included is a Cochrane Review of all available randomized controlled trials with levels of evidence culled from the literature. Written by specialists in their respective fields, Anal Fistula: Principles and Management fills a void in available texts on a subject matter very commonly encountered by surgeons, physicians and specialists.
Anal Incontinence: Clinical Management and Surgical Techniques (Updates in Surgery)
by Ludovico Docimo Luigi BruscianoThis open access book describes the latest advances in the anal incontinence diagnostic and therapeutic processes. Anal incontinence is a devastating condition heavily impacting on the patients’ lives. Those suffering from this disorder are generally very embarrassed and reluctant to undergo an appropriate clinical evaluation, thus becoming more isolated and worsening the quality of their life. Luckily, nowadays a wide range of treatments is available to improve this oppressive condition; however, the recognition of the related pathophysiological alterations is mandatory to grant its successful management. This volume will help the surgeons community to keep abreast of developments in diagnostics and treatment of this impairing condition. and will provide all health professionals with the appropriate tools to face this impairing condition.
Anal and Perianal Conditions in Children
by Ahmed H. Al-SalemPediatric Surgery is rapidly growing, and there is a need for specialized books that cover specific topics in greater detail. This book is based on Dr Al-Salem’s extensive experience in pediatric surgery, with an emphasis on etiology, clinical features, diagnosis, and management. It is written in a straightforward, easy to read, and well-illustrated manner. The book focuses on anal and perianal conditions in children and serves as a useful and quick reference for pediatric surgeons, pediatricians, general surgeons, family physicians, emergency room physicians, fellows, residents, nurses, and students. Anal and perianal diseases are not rare in children and can cause significant discomfort, pain, disability, and disruption to the daily routine of both the child and their family. These conditions include both congenital and acquired diseases, such as anal fissures, rectal prolapse, hemorrhoids, perianal abscesses, and fistulas. Other disorders include sacrococcygeal teratoma, anorectal malformations, and anterior ectopic anus. Additionally, perianal dermatitis, which can be allergic, bacterial, fungal, diaper-related, or contact-induced, is a common inflammatory condition affecting infants and children. While anal and perianal diseases in children are usually benign, it is crucial to diagnose and treat them early to exclude more serious conditions, including inflammatory bowel diseases. Diagnosis relies on a thorough medical history, careful physical examination, and, rarely, endoscopy and radiology. Management includes both medical and surgical options, and with early diagnosis and treatment, the prognosis is excellent.
Anal and Rectal Diseases: A Concise Manual (Remedica Explained S. Ser.)
by Mark Singer Eli D. Ehrenpreis Shmuel AvitalAnal and Rectal Diseases: A Concise Manual provides a succinct reference on the subject for clinicians, including primary care physicians, gastroenterologists, general surgeons, physician's assistants and nurse practitioners. Presented in a consistent structural style that provides both a general summary of individual topics within the field along with additional details to assist those with some background knowledge in the subject area, this handy volume provides information related to the field of anorectal disease in a format that is easily accessible for rapid acquisition of knowledge. Each topic is outlined in a multidisciplinary fashion with the medical, surgical, and pathological aspects clearly detailed in each section. Each section clearly describes the condition with up-to-date management guidelines and precious clinical pearls. The volume features high quality illustrations in the form of elegant hand drawn figures, tables, photographs of physical findings, endoscopic finds and radiographs. The clinical photographs and x-rays will be of great value to gastroenterologists whose specialty is not coloproctology. Chapters on computerized tomographic colography (virtual colonoscopy) and others cover the newer technologies employed for diagnostic purposes in these diseases. Anal and Rectal Diseases: A Concise Manual provides clinicians with a tool for rapid consultation for direct patient care and management.