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Renal Vascular Disease
by Lilach O. Lerman Stephen C. TextorFew references have been published on the renal vascular system and its effect on the cardiovascular system as a whole. Clearly the kidney exerts a huge influence on the circulation and hypertension in particular, but there is a growing concentration on its function across many diseases. This book details the diagnosis, treatment and management of all renal vascular disease.
Renegade Millionaire
by Kristi GoldA stranger's kiss on New Year's Eve had Joanna Blake nearly swooning-the last thing the struggling midwife needed. She never dreamed they'd meet again in a hospital delivery room, where she'd be working at the side of sexy-as-sin Dr. Rio Madrid, and on the verge of accepting his dangerously tempting invitation.When their lips touched at the stroke of midnight, Rio was lost in the sweetest sensual torment he'd ever known. Opening his lavish home to the strapped single mother was just borrowing trouble, for his reluctant Cinderella would soon learn that he was no fantasy prince. Unless Joanna found a way to liberate this rebel healer from his lonely life and free his heart to love...
The Renegade Returns: Expecting The Rancher's Child Saying Yes To The Boss The Renegade Returns (Mill Town Millionaires #3)
by Dani WadeAn injured race-car driver is on the road to recovery with a familiar face from his past at the wheel in this contemporary romance.Champion race-car driver Lucas Blackstone made it his mission to escape small-town life and his dark family legacy. But then an injury sidelined the superstar, forcing him to return home. At least he has Avery Prescott as a physical therapist. The shy young girl is all grown up and impossible to resist. Now he’s ready to have a little fun.Having her girlhood crush right there on her massage table is pretty awkward for Avery. But soon her teenage fantasies become reality. Will she help Luke heal, only to have him run again? Or will he choose to stay . . . for her?
Renegotiating Health Care: Resolving Conflict to Build Collaboration
by Leonard Marcus Barry C. Dorn Phyllis B. Kritek Velvet G. Miller Janice B. WyattPresents pragmatic and effective tools for understanding conflict, negotiating difference, and creating a balance among those who work in health care. Uses narrative, example, and theory to demonstrate techniques. Stories present problems, solutions, and outcomes achieved through interest-based negotiation. Of interest to physicians, hospital management, nurses, and policy leaders. Marcus is founding director of the Program for Health Care Negotiation and Conflict Resolution at the Harvard School of Public Health. First published in 1995.
Renegotiating Health Care
by Eric J. Mcnulty Leonard J. Marcus Barry C. DornSince the first edition of Renegotiating Health Care was published in 1995, new treatments, technologies, business models, reimbursement methods, and regulations have tangibly transformed the substance of health care negotiation.This thoroughly revised and updated edition of Renegotiating Health Care offers a practical guide to negotiation and conflict resolution in the health care field. It explores why unresolved conflict can hamper any organization's ability to make timely, cost-effective decisions and implement new strategies. The book focuses on the complex interactions between those who deliver, receive, administer, and oversee health care. It defines negotiation techniques and conflict resolution approaches that can improve efficiency, quality of care, and patient safety. Renegotiating Health Care outlines strategies and methods to resolve the myriad thorny issues encompassing the health care enterprise. It should be required reading for students and professionals in health services management, clinicians, leaders, policy makers, and conflict resolution experts working in the health care field.Praise for Renegotiating Health Care"An outstanding book! I learned their principles of meta-leadership while at the CDC and continue to use them at ABC News. This book is a must for anyone in leadership: practical, intuitive, and priceless." -Richard E. Besser, MD, chief health and medical editor, ABC News"This book is a must-read to assist today's health professional navigate the ever-changing health care delivery system. Leadership will be the key to success." -Pat Ford-Roegner, RN, MSW, FAAN, senior health consultant and former CEO, American Academy of NursingLeonard J. Marcus is founding director of the Program for Health Care Negotiation and Conflict Resolution and founding co-director of the National Preparedness Leadership Initiative at the Harvard School of Public Health.Companion Web site: www.renegotiatinghealthcare.com
The Renin-Angiotensin System: Current Research Progress in The Pancreas
by Po Sing LeungThe human pancreas has vital roles in the regulation of glucose homeostasis and digestion and its dysfunction leads to pancreatic disease as diabetes and pancreatitis. Recent researches have highlighted the novel roles of a local renin-angiotensin system (RAS) in the pancreas and its clinical relevances; its inapprporiate activation leads to pancreatic endocrine and exocrine disease, notably type 2 diabetes. As such, manipulation of the overactive RAS may improve pancreatic islet cell function, cell mass and insulin sensitivity, as well as enhancing the growth and differentiation of pancreatic stem cells. Blockade of the RAS may be protective against pancreatitis and pancreatic cancer. The research outcome of current progress on the RAS in the pancreas should provide an alternative approach to preventing and treating, as well as curing pancreatic disease. This book discusses the progress of research on the renin-angiotensin system in the pancreas from the science to the bedside, providing a timely review of this expanding area. It consists of ten interrelated chapters covering subjects as: - Structure, physiology and disease of the pancreas - Biochemistry and physiology of the pancreatic renin-angiotensin system - RAS in diabetes, stem cells and pancreatitis This book is of special value to basic and clinical scientists, clinicians, graduate students, as well as novices in this field.
Renin Angiotensin System and Cardiovascular Disease
by Edward D. Frohlich Walmor C. DemelloThe renin angiotensin system plays an essential role on cardiac and vascular functions and their connection in the generation of cardiovascular diseases. Renin Angiotensin System and Cardiovascular Disease covers indispensable aspects such as intracellular signaling, regulation of cell volume in the failing heart, the presence of an intracrine renin angiotensin system, and the influence of prorenin/renin, angiotensin II, angiotensin (1-7) and aldosterone. Furthermore, the role of the mineralocorticoid receptor as an imperative component of the intracrine renin angiotensin system and as a regulator of extracellular action of angiotensin II is described, reinforcing the view that aldosterone inhibitors are helpful in the treatment of heart failure and hypertension. Renin Angiotensin System and Cardiovascular Disease provides readers with an outstanding review of the major topics involving the renin angiotensin system and cardiovascular disease. With contributions by an international panel of experts, Renin Angiotensin System and Cardiovascular Disease presents the most relevant aspects of the role of the renin angiotensin aldosterone system on cardiovascular diseases including hypertension, congestive heart failure, atherosclerosis and diabetes. The volume Editors, Dr. Walmor C. DeMello and Dr. Edward Frohlich, both established specialists in their respective fields, team up to discuss a range of topics from Renin Angiotensin Aldosterone System and Pathobiology of Hypertension to Inhibiting the Renin Angiotensin Aldosterone System in Patients with Heart Failure and Myocardial Infarction.
The Renin Angiotensin System in Cancer, Lung, Liver and Infectious Diseases (Advances in Biochemistry in Health and Disease #25)
by Sukhwinder K. Bhullar Paramjit S. Tappia Naranjan S. DhallaThis book of the series on “Advances in Biochemistry in Health and Disease” includes state-of-the-art information on the status of renin-angiotensin system (RAS) in the form of 24 chapters. This book has been organized into three sections: (i) General Implications of RAS in human health and Infectious Diseases, (ii) Lung, Liver and Kidney Diseases, and (iii) Development of Cancer. Each chapter has discussed comprehensive knowledge regarding the molecular and cellular aspects of the role of RAS in the pathophysiology and pharmacotherapy of different disease processes. Biochemical mechanisms associated with angiotensin II type 1 and type II receptors, and angiotensin (1-7) MAS receptors for the occurrence of both harmful and beneficial effects of prolonged activation of RAS in different diseases have been outlined. It is noteworthy to point out that different chapter in this book were prepared by recognized global expertise in the area of inflammation, oxidative stress and signal transduction pathways to highlight the role of RAS in different diseases. It is our sincere hope that this book will be of great interest to both biomedical investigators and health professionals as well as graduate students and postdoctoral fellows all over the world.
The Renin Angiotensin System in Cardiovascular Disease (Advances in Biochemistry in Health and Disease #24)
by Naranjan S. Dhalla Sukhwinder K. Bhullar Anureet K. ShahThis book on “Renin-Angiotensin System in Cardiovascular Disease” includes 25 chapters, which are organized in three sections, namely (i) modulatory aspects, (ii) pathophysiological aspects, and (iii) pharmacotherapeutic aspects. It includes an updated as well as comprehensive knowledge about molecular and cellular aspects for the role of the renin-angiotensin system (RAS) in the pathophysiology and therapy of cardiovascular diseases such as hypertension, atherosclerosis, ischemic heart disease, and heart failure. This book emphasizes the molecular and cellular mechanisms, signaling transduction pathways involved in the development of different cardiovascular diseases due to the prolonged activation of RAS. Furthermore, biochemical mechanisms are outlined for the inhibition of this system by the blockade of angiotensin converting enzyme as well as angiotensin II type 1 receptors in patients suffering from cardiovascular abnormalities. Since cardiovascular disease is the number one cause of death worldwide, leading to approximately 17.9 million deaths each year, there is a keen interest in understanding the pathogenesis and improving its therapy. In this regard, we can attest that this book provides ample information about essential components of RAS and their role in the development of cardiovascular disease.From the selection of recognized global experts in their area of investigation, this book can be seen to cover diverse cardiovascular aspects and molecular and cellular mechanisms of angiotensin II action for the development of different cardiovascular abnormalities. It is our contention that this book will be most suitable for promoting knowledge in the field of RAS biology and will be of great interest to health professionals involved in both experimental and clinical cardiology as well as academic investigators and cardiovascular scientists, graduate students, and fellows worldwide.
Reoperative Hand Surgery
by Scott F.M. DuncanReoperative Hand Surgery is a major contribution to the literature, offering a wide range of reoperative options for challenging problems that face the reconstructive hand surgeon after failed primary surgery. Concise and discussing all of the more common issues that hand surgeons often face in performing revision surgery, this invaluable title is unique in that it looks specifically at the problem of what to do when the original index procedure did not go as planned. Topics covered include the hand, wrist, forearm and elbow, and several sections of the book discuss some of the psychological and social factors that also go into the decision process to reoperate or not. The chapters are tightly focused so that the important aspects to consider for reoperation can be quickly reviewed. There is also a component that discusses how to avoid other pitfalls and to minimize as well as manage any complications that may occur with reoperative procedures. Importantly, the book is replete with original art work to help describe and demonstrate how to perform many reoperative procedures. The artwork is simple and straightforward but yet detailed enough to convey the important steps and aspects for the surgical intervention it is outlining. Developed by renowned experts in the hand surgery field, Reoperative Hand Surgery is an indispensable, state-of-the-art reference, offering the busy hand and upper extremity surgeon easily accessible information relating to the evaluation, diagnosis, and possible surgical interventions for the diagnoses discussed.
Reoperative Parathyroid Surgery
by Ralph P. Tufano Phillip K. PellitteriThis text outlines the underlying reasons primary surgery for primary hyperparathyroidism may be unsuccessful as well as give tips on how to avoid this scenario. It also discusses the potential pitfalls in primary surgery that can lead to recurrent hyperparathyroidism, recognizing current localization techniques available for reoperative parathyroid surgery and their indications, and applying surgical algorithms for reoperative parathyroid surgery. Reoperative Parathyroid Surgery: Tips for Success will serve as a useful resource for physicians and trainees dealing with this type of surgery and provide a concise yet comprehensive summary of the current status of the field that will help guide patient management.
Reoperative Pelvic Surgery
by Richard P. Billingham Kathleen C. Kobashi William A. PetersThe close anatomical proximity of the colon, rectum and anus to the gynecologic and urologic organs often results in a disease affecting one of these organ systems to create complications in another. Many colorectal, gynecologic, and urologic diseases, and the management of their complications, necessitate technically-challenging reoperations. Reoperation on this anatomic area is often necessitated by cancer recurrence, adhesive disease, recurrence of pelvic prolapse disorders as well as in the execution of multi-staged procedures. Divided into three main sections, Reoperative Pelvic Surgery addresses benign and malignant colorectal, gynecologic, and urologic diseases specifically as they are managed in the reoperative setting with a multi-disciplinary emphasis on decision-making, operative strategies, and complications management. Authors discuss important anatomical landmarks, including surgically altered anatomy and function, as well as strategies for the often adhesive nature of the previously operated pelvis. Topics include cancer of the colon, rectum, anus, ovary, uterus, bladder, and prostate, ulcerative colitis, Crohn's disease, rectal prolapse, bowel obstruction, endometriosis, vaginal prolapse, fistulae, incontinence, cystocele, and ureteral strictures. With 200 illustrations and 75 tables, Reoperative Pelvic Surgery will provide a comprehensive resource of technical material not found in standard surgery references. For the colorectal surgeon, general surgeon, gynecologic or urologic surgeon facing the challenges of reoperative surgery in the pelvis, Reoperative Pelvic Surgery will provide the surgeon with the information needed for optimal surgical management of these difficult conditions.
Reparable Harm: Executive Summary
by Lois M. Davis Dana Schultz M. Rebecca KilburnThe summary discusses some of the greatest disparities for boys and men of color relative to their white counterparts across specific socioeconomic, health, safety, and school readiness indicators in California and provides information about different strategies for reducing the disparities--including effective programs, practices, and policies--that can begin making an important difference in changing the life course of boys and men of color.
Reparable Harm
by Lois M Davis Dana Scultz M. Rebecca KilburnThe Los Angeles area has the most severe traffic congestion in the United States. Trends in many of the underlying causal factors suggest that congestion will continue to worsen in the coming years, absent significant policy intervention. Excessive traffic congestion detracts from quality of life, is economically wasteful and environmentally damaging, and exacerbates social-justice concerns. Finding efficient and equitable strategies for mitigating congestion will therefore serve many social goals. The authors recommend strategies for reducing congestion in Los Angeles County that could be implemented and produce significant improvements within about five years. To manage peak-hour auto travel, raise transportation revenue, improve alternative transportation options, and use existing capacity more efficiently, they recommend 10 primary strategies: improve signal control and timing; restrict curb parking on busy thoroughfares; implement paired one-way streets; promote ride-sharing, telecommuting, and flexible work schedules; develop a high-occupancy toll-lane network; vary curb-parking rates with demand, enforce the current parking cash-out law; promote deep-discount transit passes; expand bus rapid transit and bus-only lanes; and implement a regionally connected bicycle network. In addition, three recommendations may help, depending on the outcome of current events: evaluate arterial incident management, consider cordon congestion tolls, and levy local fuel taxes to raise transit revenue. Given that some of the recommendations may prove controversial, the authors also outline complementary strategies for building political consensus.
Repatriierung: Eine Einführung in internationale Verlegungstransporte (essentials)
by Rolando RossiRolando Rossi liefert die Kernformationen über die logistischen und medizinischen Erfordernisse, die Möglichkeiten und die Grenzen der Repatriierung. Er beantwortet Fragen nach Organisationskonzepten für boden- und luftgebundene Patiententransporte und schildert den praktischen Ablauf der Überwachung und Behandlung von der Übernahme bis zur Übergabe in der aufnehmenden Einrichtung. Checklisten zur Vorbereitung und Durchführung von Repatriierungen runden die kompakte Einführung ab.
Repeat Prescription
by Michael SparrowDr Sparrow is back, coping with more bizarre, macabre and hilarious situations. Following his successful debut with Country Doctor: Hilarious True Stories from a Country Practice, Dr Sparrow once more guides us through the daily rounds of the weird and wonderful in his practice on the Devon/Cornwall border. What would you do if faced with the unsuccessful resuscitation of the wrong patient, being held at gunpoint as a suspected terrorist or confronting a blind man who refuses to stop driving? And what about the little old lady who presents you with a supermarket bag stuffed with £20 notes? Add to this jets crashing on the runway, fleeting glimpses of the Royal Genitalia and the haunting tale of the suicidal stranger and an abducted child - and you will start to have some idea of the unpredictable life of Dr Sparrow.
Repeated Measures Design with Generalized Linear Mixed Models for Randomized Controlled Trials (Chapman & Hall/CRC Biostatistics Series)
by Toshiro TangoRepeated Measures Design with Generalized Linear Mixed Models for Randomized Controlled Trials is the first book focused on the application of generalized linear mixed models and its related models in the statistical design and analysis of repeated measures from randomized controlled trials. The author introduces a new repeated measures design called S:T design combined with mixed models as a practical and useful framework of parallel group RCT design because of easy handling of missing data and sample size reduction. The book emphasizes practical, rather than theoretical, aspects of statistical analyses and the interpretation of results. It includes chapters in which the author describes some old-fashioned analysis designs that have been in the literature and compares the results with those obtained from the corresponding mixed models. The book will be of interest to biostatisticians, researchers, and graduate students in the medical and health sciences who are involved in clinical trials. Author Website:Data sets and programs used in the book are available at http://www.medstat.jp/downloadrepeatedcrc.html
Reperfusion Therapy for Acute Myocardial Infarction (Fundamental and Clinical Cardiology)
by Eric R. BatesReperfusion Therapy for Acute Myocardial Infarction provides a comprehensive review of reperfusion therapy for ST-segment elevation myocardial infarction (STEMI). Professor Eric R. Bates and his international team of contributors examine current and future reperfusion therapies for STEMI, in conjunction with the latest clinical trials and guideline
Repetitive Transcranial Magnetic Stimulation Treatment for Depressive Disorders
by Paul B Fitzgerald Z. Jeff DaskalakisRepetitive transcranial magnetic stimulation (rTMS) treatment is increasingly being used in the management of patients with depression. Nevertheless, considerable ignorance still exists about the treatment in general psychiatric practice. This concise clinical guide will serve as a reference and practical tool for clinicians working with or learning about this treatment technique. The opening chapters provide basic information on the history and development of rTMS treatment and its mechanism of action. Use of the treatment in depression is then addressed in detail, with explanation of the evidence base and discussion of a variety of clinical issues. Side-effects of treatment are explored, and careful consideration is given to the establishment of rTMS treatment programs and the training of clinicians. The final chapters will provide a brief overview of potential rTMS applications in other psychiatric conditions and some background on related treatments.
Repetitorium Anästhesiologie: Für die Facharztprüfung und das Europäische Diplom
by Michael Heck Michael Fresenius Cornelius BuschDieses Buch ist ein absoluter Klassiker zur Vorbereitung auf die Facharztprüfung und auf das Europäische Diplom im Fach Anästhesiologie. Alle Inhalte sind systematisch und übersichtlich dargestellt, viele Tabellen und Schemazeichnungen helfen beim Lernen, Wiederholen und Nachschlagen. Die 9. Auflage erscheint komplett überarbeitet und aktualisiert. Das Repetitorium Anästhesiologie: ein zuverlässiger Ratgeber bei allen klinischen oder prüfungsrelevanten Fragestellungen rund um das Fachgebiet Anästhesiologie.
Repetitorium Anästhesiologie: Für die Facharztprüfung und das Europäische Diplom
by Michael Heck Michael Fresenius Cornelius BuschDieses Buch ist ein absoluter Klassiker zur Vorbereitung auf die Facharztprüfung und auf das Europäische Diplom im Fach Anästhesiologie. Die 8. Auflage erscheint komplett überarbeitet, neu strukturiert, korrigiert und aktualisiert. Alle Inhalte sind systematisch und übersichtlich dargestellt, viele Tabellen und Schemazeichnungen helfen beim Lernen, Wiederholen und Nachschlagen.Neue Themen in der 8. Auflage sind u.a.:Medikamenteninteraktionen in der AnästhesieGrundlagen der Physik für AnästhesistenLagerungIntraoperative BeatmungSonographiegestützte RegionalanästhesieAnästhesie bei ambulanten OperationenAnästhesie bei Patienten mit DemenzDas Repetitorium Anästhesiologie: ein zuverlässiger Ratgeber bei allen klinischen oder prüfungsrelevanten Fragestellungen rund um das Fachgebiet Anästhesiologie. l>
Repetitorium Ernährungsmedizin: Zur Vorbereitung und Prüfung für die Zusatzweiterbildung
by Anja Bosy-Westphal K. Georg Kreymann Manfred J. MüllerDas Buch vermittelt in knapper und verständlicher Form die Grundlagen und Besonderheiten der Ernährungsmedizin, wobei dieses breit angelegte Fach nahezu alle klinischen Disziplinen betrifft. Das besondere Kennzeichen des Buches ist sein handlungs- und lösungsorientierter Ansatz. Als Orientierungshilfe ist es nicht nur wissensvermittelnd, sondern kann für viele Fragestellungen als praktisches Nachschlagewerk für den beruflichen Alltag dienen. Die Inhalte orientieren sich an dem aktualisierten (Muster)-Kursbuch der BÄK für die Zusatz-Weiterbildung „Ernährungsmedizin“. Es werden physiologische und biochemische Grundlagen von Ernährung, Verdauung und Stoffwechsel sowie ernährungsmedizinische Probleme bei verschiedenen Krankheitsbildern einschließlich von enteraler und parenteraler Ernährung beschrieben. Die Strategien von Prävention und Therapie werden gleichwertig dargestellt, sodass auch Public Health Themen nicht zu kurz kommen.Das Buch eignet sich hervorragend zur Prüfungsvorbereitung, ist aber auch aufgrund der vielen praktischen Hinweise ein wertvoller Begleiter für alle ernährungsmedizinisch tätigen Ärzte..
Repetitorium Kinder- und Jugendmedizin: Zur Vorbereitung auf die Facharztprüfung
by Cihan Papan Lutz T. WeberDas ideale Werk zur Prüfungsvorbereitung - orientiert am Weiterbildungscurriculum Kinder- und Jugendmedizin: Praxisnah und auf den Punkt gebracht, wiederholt das Buch für alle Assistenten, aber auch für Pädiater in den ersten Berufsjahren, auf knappem Raum die wesentlichen Fakten rund um die Versorgung von Kindern - vom Neugeborenen bis zum Jugendlichen. Tipps zu juristischen Aspekten der Tätigkeit des Pädiaters runden das Buch ab.Als Begleiter und Leitfaden während der Weiterbildungszeit gut geeignet, verfolgt das Repetitorium den Anspruch, jeder Unterdisziplin der Pädiatrie gerecht zu werden.
Repetitorium Krankenhaushygiene, hygienebeauftragter Arzt und ABS-beauftragter Arzt
by Sebastian Schulz-StübnerIn diesem Buch finden Sie für Ihre Fort- und Weiterbildung rund um das Thema Hygiene und Infektionsprävention das geforderte Fachwissen. Ausgewiesene Experten für Hygiene, Infektiologie und Umweltmedizin fassen in Anlehnung an die Curricula die Inhalte zur Weiterbildung „Krankenhaushygiene“ und den Fortbildungskursen „Hygienebeauftragter Arzt“ und „ABS-beauftragter Arzt“ übersichtlich, praxisnah und umsetzbar zusammen. Die 2. Auflage wurde komplett aktualisiert und um den Themenkomplex „Antibiotika Stewardship“ und „ABS-beauftragter Arzt“ erweitert. Auch für Hygienefachkräfte in der Weiterbildung ideal zum Nachschlagen, Lernen und Wissenserweiterung.
Repetitorium Krankenhaushygiene und hygienebeauftragter Arzt
by Sebastian Schulz-Stübner17 Millionen Menschen werden jährlich in deutschen Krankenhäusern behandelt, 400.00-600.000 davon erleiden noskomiale Infektionen und ca. 10.000 dadurch bedingte Todesfälle. Insofern sind alle Träger von Krankenhäusern und Tageskliniken verpflichet, eine ausreichende Infektionsprävention und Hygienemaßnahmen zu gewährleisten. Für die praktische Umetzung sind sowohl der Ekrankenhaushygieniker" als auch der "hygienebeauftragte Ärzt/Ärztin" verantwortlich. Für diese Weiterbildungen finden Sie alles notwendige Wissen rund um die Krankenhaushygiene und Infektionsprävention: · Rechtliche Grundlagen und relevante Gesetzgebung · Grundlagen der mikrobiologischen Diagnostik und Infektiologie · Allgemeine und spezielle Hygienemaßnahmen · Wundmanagement · Infektionsprävention, u.v.m Die Texte ausgewiesener Experten auf ihren Gebieten haben in übersichtlicher Form und prägnanter Sprache Fakten, Zahlen und Maßnahmen zusammengetragen. Die Inhalte decken sowohl die Fortbildung zum"Hygienebeauftraten Arzt / Ärztin" als auch die curriculäre Fortbildung Krankenhaushygiene ab. So fällt die Wissensüberprüfung und das Nachschlagen in der Praxis leicht!