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Resistant Hypertension: Epidemiology, Pathophysiology, Diagnosis and Treatment
by Giuseppe ManciaA growing number of people suffer from so-called resistant hypertension, that is to say, high blood pressure that does not respond to treatment. This disorder is of great current interest and importance for public health, being a common clinical problem faced by both primary care clinicians and specialists. Furthermore, as older age and obesity are among the strongest risk factors for uncontrolled hypertension, the incidence of resistant hypertension will likely increase as the population becomes more elderly and heavier. While the prognosis of resistant hypertension is unknown, cardiovascular risk is undoubtedly increased since patients often have a history of long-standing, severe hypertension complicated by multiple other cardiovascular risk factors. This volume, compiled by a panel of world-renowned experts, offers a comprehensive exploration of resistant hypertension, covering epidemiology, complex diagnostic aspects, and the therapeutic options currently available, with due attention to overall treatment strategies. New therapeutic agents and procedures, such as renal denervation and baroreceptor stimulation, are also described. In addition, the book addresses the economic aspects of resistant hypertension and the role of the different professional figures, from GPs to hypertension specialists, in dealing with it.
Resistant Hypertension
by Massimo SalvettiThis book is designed to assist physicians in the everyday management of hypertensive patients, with a particular focus on difficult-to-treat and resistant hypertension. The selected clinical cases are representative of the patients who are seen in the real world, rather than rare clinical cases, and provide examples of management according to current international guidelines. The scenarios considered include not only cases in which arterial hypertension is truly resistant but also instances of pseudo-resistant hypertension, including cases in which resistance is related to comorbidities, concomitant treatments, or the use of drugs. The ultimate objective is to provide paradigmatic examples of evidence-based approaches to difficult-to-treat patients that will help physicians to select the most appropriate diagnostic tools and evidence-based treatment strategy for each individual patient. "
Resistant Hypertension in Chronic Kidney Disease
by Adrian Covic Mehmet Kanbay Edgar V. LermaThis comprehensive volume provides a detailed review on the general work up of chronic kidney disease-associated resistant hypertension. This title is separated into four parts; the first of which provides definitions, epidemiology, characteristics, risk stratification and outcomes of resistant and apparent treatment resistant hypertension. The next two sections explore pathophysiology and diagnosis, treatment in the light of new guidelines, as well as procedures and devices for neural modulation. Part four discusses public health approaches to resistant hypertension, educational programs, and resistant hypertension for general practitioners. Resistant Hypertension in CKD brings up-to-date information to nephrologists, internists, cardiologists and a wide array of other clinicians and health professionals taking care of chronic kidney disease patients.
Resisting Her Army Doc Rival
by Sue MacKayTwo military doctors face past trauma and guilt in order to heal their broken hearts—and move into the future together . . . Flirting with danger! Infuriating, irresistible army doc Sam Lowe is the last person Madison Hunter wants to work with. He challenges her, and soon the only thing hotter than their rivalry is their growing chemistry! But Maddy hides scars that tell a heartbreaking story, and Sam has his own emotional wounds. He’s determined to take his heart with him when he leaves the army base, yet as he starts to see beneath Maddy’s tough exterior, it becomes more and more clear that his heart belongs with her . . .
Resisting Her Rebel Doc
by Joanna NeilWorking beneath her bad-boy first love yields trouble for a beautiful doctor in this contemporary romance.Pediatrician Caitlin Braemar has moved back home to Buckinghamshire for a fresh start! She never expected to find her first love, Brodie Driscoll—who’s still drop-dead gorgeous—living next door . . . or that he’d be her new boss!In the past, Brodie always lived up to his bad-boy reputation, but as they work to save the little lives in their care, Caitlin starts to see Brodie in a whole new light!And it’s becoming clear that she might just be the woman to tame him . . .
Resisting Her Rebel Hero
by Lucy RyderEveryone loves a rebel...The county jail is the last place Dr. Cassidy Mahoney expects to be called to when she trades city life for a quiet mountain town. Especially when her patient is notorious national hero turned bad boy Major Sam Kellan!Sam might have enough testosterone to whip all the women of Crescent Lake into a frenzy, but Cassidy is determined to resist his charms-she can't risk her heart on another rebel! But with the shadows haunting Sam's eyes, a scorching hot, unforgettable kiss could lead to more than she's bargained for....
Resisting Her Rescue Doc: A Single Dad To Heal Her Heart (yoxburgh Park Hospital) / Resisting Her Rescue Doc (rescue Docs) (Rescue Docs)
by Alison RobertsAn irresistible attraction…That won’t be denied!Paramedic Cooper Sinclair’s carefully planned first day at New Zealand’s Aratika Rescue Base goes awry when he joins forces with fiery Felicity “Fizz” Wilson to rescue a car crash victim from the sea! The stunning adrenaline junkie should be off-limits to a brooding, guarded man like him, but her skill and vitality are undeniable. Cooper’s avoided love for so long, but can he ignore his attraction to Fizz?“Utterly beautiful and enchanting book, this story was as completely adorable as the photograph on the cover and most definitely a joy to read.”— Goodreads on Their Newborn Baby Gift“The first three books of this series are engrossing and fast-paced and this story is no different. Really, right from the beginning, this story had me hooked….”— Harlequin Junkie on Rescued by Her Mr. Right
Resisting the Off-Limits Pediatrician
by Kate MacGuireTheir wild attraction to one another is a complication these doctors don&’t need! And yet they can&’t seem to shake it… Read on in Kate MacGuire&’s debut novel for Harlequin Medical Romance! RESCUING PATIENTS…AND HER? Dr. Charlotte has traveled the world extensively to outrun her painful past. Yet her latest assignment in a clinic for homeless teens seems different. Maybe it&’s the satisfaction of helping troubled adolescents? Not to mention the attraction she feels for her compassionate colleague, pediatrician John! But he&’s got his hands full as guardian to his niece, so she puts him firmly off-limits. Except their spark is just too powerful to resist!From Harlequin Medical: Life and love in the world of modern medicine.
Resisting the Single Dad Next Door (Rawhiti Island Medics #1)
by Louisa GeorgeJust when she thought she wanted to leave, she finds an irresistible reason to stay…in the form of a new GP! Find out what happens in the latest Harlequin Medical Romance by Louisa George.New doc in town?Irresistible! Carly lost her husband years ago and it's finally time to move on from the beautiful island they called home. Until she meets new neighbour, GP Owen and his adorable son. Carly hasn&’t felt sparks like this in a long time, but Owen&’s still reeling from his ex-wife&’s abandonment. Since neither can commit to anything long-term, she must resist their undeniable attraction—but that's easier said than done after he kisses her under the stars!From Harlequin Medical: Life and love in the world of modern medicine.Rawhiti Island Medics Book 1: Resisting the Single Dad Next Door
Resisting the Single Dad Surgeon
by Louisa HeatonA close call with the paparazzi leaves a nurse with no choice but to hide out with the very same single dad celebrity surgeon she was photographed with in Louisa Heaton&’s latest Harlequin Medical Romance. RUNNING FROM THE LIMELIGHT… Nurse Isla is starting over. She&’s relocated to the city and has a new job—nothing can distract her. That is, until she meets single dad and handsome celebrity surgeon Gabe! Working with the widower wouldn&’t normally be an issue, but when they share an almost intimate moment and it&’s publicized, the press relentlessly pursues Isla&’s identity. Now, to protect herself, she has no choice but to move in with Gabe and his adorable daughter. Resisting each other soon becomes impossible, but after everything they&’ve been through, can they move on and build a life—together?From Harlequin Medical: Life and love in the world of modern medicine.
Resolving Dilemmas in Ophthalmology: Challenging Cases, Diagnosis and Management
by Sagarika Patyal Tulika ChauhanThis book reflects the ever-changing field of ophthalmology, and includes challenging ophthalmology case scenarios, diagnosis and management. It presents over 50 cases, covering the full spectrum of clinical, preoperative, intraoperative, and postoperative challenges. It is carefully compiled, and presents the material in an accessible form; being concise, and at the same time sufficiently elaborate for ophthalmologists. The book emphasizes the necessity of recognizing the adverse situations and dealing with it using clinical examples. This serves as a pocket guide and assists ophthalmologists in practicing, in training and students. It is a user-friendly manual of evaluation and technique with a wealth of wisdom in the indexed cases chosen by experts for their teaching value with “Take-Home Points” following each presentation.
Resolving Dilemmas in Perimetry: Illustrated Manual of Visual Field Defects
by Sagarika Patyal Monica GandhiThis book covers interpretation of visual fields by Humphrey and Octopus perimeters and discussion of Humphrey visual fields in a variety of ocular disorders.It examines dilemmas faced by an ophthalmologist while evaluating visual fields which do not match with the clinical picture. Glaucoma, the commonest condition for visual field investigation is discussed in detail. Logical reasoningfor incorporating perimetry in glaucoma management with a clear understanding of the challenges in its interpretation is delved into. The book progresses to advanced glaucoma and glaucoma progression. It discusses a systematic evaluation of various parts of the visual field so that the reader can make a calculated management plan for their patient. Each chapter attempts to clearly enunciate factors that help in the diagnosis and features which may be confused with other conditions. Fields which help diagnosing early, advanced glaucoma and glaucoma progression with images and methods of ensuring reasonable diagnostic accuracy are included. The book incorporates separate chapters on ocular conditions which also mimic visual field defects of glaucoma with detailed modes of correct diagnosis, diagnostic dilemmas arising from retinal, macular, vascular, visual pathway lesions mimicking visual field defects of glaucoma or while coexisting with glaucoma, supported by algorithms to achieve a quick diagnosis in a busy OPD without missing the clinical findings and by using minimal investigative modalities. This book helps clinicians to prevent over diagnosis or under diagnosis of glaucoma and helps diagnose cases with morbidities causing visual field defects.
Resolving Ethical Dilemmas: A Guide For Clinicians
by Bernard LoPublisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. What are the ethical issues raised by the increasing use of big data and artificial intelligence in health care? How should physicians respond when they have a conscientious objection to an intervention requested by a patient? How should health care organizations respond to physician requests? How can physicians best help patients make informed decisions about end-of-life and life-sustaining care? How should interns and residents respond to ethical dilemmas created by duty hours restrictions? Resolving Ethical Dilemmas: A Guide for Clinicians helps residents, students, and practitioners work through these and many more common and challenging ethical questions that affect patient care. The 6th Edition reflects important changes in medicine and healthcare policy and provides additional clarity to complex concepts. Offering practical, real-world advice, it helps you think through and resolve difficult cases, prompting thoughtful, well-reasoned answers to the question of “What do I do in this situation?”
The Resonance Effect: How Frequency Specific Microcurrent Is Changing Medicine
by Carolyn Mcmakin James L. OschmanThe Resonance Effect is both the author's story of her inspirational journey of having the courage to find her true calling and an account of the development of a remarkable newly rediscovered treatment, frequency specific microcurrent (FSM), that takes advantage of the body's ability to respond to frequencies in order to heal a number of chronic conditions. Carolyn McMakin, a chiropractor specializing in fibromyalgia and myofascial pain, describes her experience using a two-channel microcurrent device that has achieved astounding results that have changed medicine and created new possibilities for suffering patients over the past twenty years. Nerve pain, fibromyalgia, diabetic neuropathies, muscle pain, athletic performance, injury repair, joint pain, low back pain, neck pain, kidney stone pain, the kidney stones themselves, liver disease, diabetic wounds, brain and spinal cord injuries, PTSD, depression, shingles, asthma, ovarian cysts, abdominal adhesions, and scarring all respond to specific frequencies. McMakin explains that results are predictable, reproducible, and teachable—all without side effects—offering hope and healing to millions of people.McMakin tells the story of how thousands of patients with conditions that did not respond to other medical therapies recovered from pain and disability through the non-invasive treatment that she developed. For example, asthma resolves with specific frequencies that remove inflammation, allergy reaction, and spasm from the bronchi. One frequency combination eliminates shingles pain in minutes and stops the shingles attack with a single three-hour treatment. Since 2005, a series of frequencies has been used to treat hundreds of PTSD patients. Post-surgical patients use FSM to reduce pain, prevent bruising, and increase healing. NFL, NHL, and Olympic athletes use it to heal injuries and improve performance. McMakin includes case histories that illustrate the efficacy of the treatment and shares the specific frequencies that each condition requires so that patients direct their own treatments.
Resonant Tunneling
by Lev Baskin Pekka Neittaanmäki Boris Plamenevskii Oleg SarafanovThis volume studies electron resonant tunneling in two- and three-dimensional quantum waveguides of variable cross-sections in the time-independent approach. Mathematical models are suggested for the resonant tunneling and develop asymptotic and numerical approaches for investigating the models. Also, schemes are presented for several electronics devices based on the phenomenon of resonant tunneling. Devices based on the phenomenon of electron resonant tunneling are widely used in electronics. Efforts are directed towards refining properties of resonance structures. There are prospects for building new nano size electronics elements based on quantum dot systems. However, the role of resonance structure can also be given to a quantum wire of variable cross-section. Instead of an "electrode - quantum dot - electrode" system, one can use a quantum wire with two narrows. A waveguide narrow is an effective potential barrier for longitudinal electron motion along a waveguide. The part of the waveguide between two narrows becomes a "resonator" , where electron resonant tunneling can occur. This phenomenon consists in the fact that, for an electron with energy E, the probability T(E) to pass from one part of the waveguide to the other part through the resonator has a sharp peak at E = Eres, where Eres denotes a "resonant" energy. Such quantum resonators can find applications as elements of nano electronics devices and provide some advantages in regard to operation properties and production technology. The book is addressed to mathematicians, physicists, and engineers interested in waveguide theory and its applications in electronics.
Resorbable Fiber-Forming Polymers for Biotextile Applications
by Chirag R. Gajjar Martin W. KingThis book summarizes the properties and applications of conventional and commercially available fiber-forming, bioresorbable polymers, as well as those currently under study, for use as biotextiles. Factors affecting the performance of these biomaterials are presented, and precautionary measures to reduce premature, hydrolytic degradation during manufacturing and processing are discussed. Because of the structural requirements of medical devices and the technological advancements in synthetic fibers and textile technology, the new field of "Biotextiles" has evolved to exploit the potential of various woven, knitted, braided and non-woven textile structures for biomedical applications. Textile substrates provide certain unique mechanical properties to the medical device and because of an inherently high level of porosity, they can encourage cell growth and promote migration and proliferation. Bioresorbable devices that assist in the repair and regeneration of damaged tissues have in recent years replaced many of the permanent prosthetic devices. Thus, the topic of "Bioresorbable Biomaterials" generates much interest and research activity in the field of biomaterials science today. For this reason, the use of bioresorbable polymers as fibers is currently dominating the field of resorbable biomaterials for applications from sutures to tissue engineering scaffolds.
Resource Scarcity in Austere Environments: An Ethical Examination of Triage and Medical Rules of Eligibility (Military and Humanitarian Health Ethics)
by Sheena M. Eagan Daniel MesselkenThis book focuses on resource allocation in military and humanitarian medicine during times of scarcity and austerity. It is in these times that health systems bend, break, and even collapse and where resource allocation becomes a paramount concern and directly impacts clinical decision-making. Such times are challenging and this book covers this very important, yet, scarcely researched topic within the field of bioethics. This work brings together experts and practitioners in the fields of military health care, philosophy, ethics, and other disciplines to provide analysis on a variety of related topics ranging from case studies and first-hand experiences to policy and philosophical analysis. It is of great interest to to academics, practitioners, policy makers and students who are looking for analyses and guidance regarding the fair provision of medical care and the use of medical rules of eligibility under adverse conditions.
Resources for Optimal Care of Emergency Surgery (Hot Topics in Acute Care Surgery and Trauma)
by Fausto Catena Ernest E. Moore Federico Coccolini Michael Sugrue Yoram Kluger Ron MaierVariability in care in emergency surgery is well known, particularly in abdominal surgery, and reducing it is fundamental to improving outcomes. It is therefore vital to identify the factors that are key to improving mortality and reducing complications in various surgical emergencies. Under the leadership of the World Society of Emergency Surgery, over 200 leading experts in emergency surgery, critical care and surgical infections established a template to help define and optimise emergency surgery, particularly that relating to the abdomen. This book refines this initial work, crystallising it into a meaningful resource for practising surgeons and health care administrators alike, and paving the way for advances in emergency surgery around the globe. This book sets a benchmark for Emergency Surgery and is a must read for those wanting their patients to do better.
Respectable Deviance and Purchasing Medicine Online
by Lisa SugiuraThis is a unique interdisciplinary exploration of the contemporary phenomenon of online medicine purchasing. In this research, Sugiura provides a criminological understanding of the sale of online medicines as well as the traditional illegal markets. Crucially, the practice is investigated from the perspective of web users, moving beyond the headlines and warning campaigns to contextualise the provision of medicines online, to describe this practice and subjective accounts of purchasing medicines from the Web. Drawing together established deviance theories, Respectable Deviance and Purchasing Medicine Online considers the construction of online medicine purchasing, the justifications presented to challenge how it is labelled, and how the behaviour is managed to show how the framing of risks and deviance is challenged online. Offering a much-needed a critical overview of the UK healthcare regulatory system, Sugiura also analyses literature, data and policy documents originating from different countries highlighting that the geographical locations of participants in web forums, online surveys and non-face-to-face interviews cannot always be verified. With broad implications for regulation and safety surrounding medicines online, this innovative and timely study contributes to current online healthcare debates and broadens our understanding of cybercrime. It will be of particular interest to scholars of cybercrime and those interested in the changing nature of deviance.
Respiratory Carcinogenesis
by Mieczyslaw PokorskiThe book blends basic and clinical research on respiratory carcinogensis. The contributions tackle a variety of respiratory-related cancers, notably non-small cell lung carcinoma, pleural mesothelioma, mediastinal tumors, or larynx cancer. The focus is on the search for novel molecular markers, derived from easily accessible tissues in clinical settings, such as the serum or bronchoalveolar lavage fluid, which could help diagnose cancer at an early stage and have a prognostic therapeutic value. The transcriptional mechanisms which endow cells with the capacity for unlimited proliferation are considered, with silencing of tumor suppressor genes is the exemplar. Chapters provide insight into a variety of cancer-related disorders of the respiratory tract, novel ways of differential diagnosis and treatment. The aim is to bring the current clinical procedures into alignment with the latest basic research findings. The book is a text for respiratory researchers, clinicians, and pathologists.
Respiratory Care: Principles and Practice
by Dean R. Hess Neil R. MacIntyre William F. GalvinMore than an introductory text, Respiratory Care: Principles and Practice, Fourth Edition by Dean Hess is a comprehensive resource will be referenced and utilized by students throughout their educational and professional careers.
Respiratory Care: Principles And Practice
by Dean R. Hess Neil R. Macintyre William F. Galvin Shelley C. MishoeWith contributions from over 75 of the foremost experts in the field, the third edition of best-selling Respiratory Care: Principles and Practice represents the very best in clinical and academic expertise. Taught in leading respiratory care programs, it continues to be the top choice for instructors and students alike. The Third Edition includes numerous updates and revisions that provide the best foundational knowledge available as well as new, helpful instructor resources and student learning tools. Respiratory Care: Principles and Practice, Third Edition is a complete and up-to-date exploration of the technical and professional aspects of respiratory care. With foundations in evidence-based practice, this essential resource reviews respiratory assessment, respiratory therapeutics, respiratory diseases, basic sciences and their application to respiratory care, the respiratory care profession, and much more. Respiratory Care: Principles and Practice, Third Edition incorporates the latest information on the practice of respiratory care into a well-organized, cohesive, reader-friendly guide to help students learn to develop care plans, critical thinking skills, strong communication and patient education skills, and the clinical leadership skills needed to succeed.
Respiratory Care
by Vanessa Gibson and David WatersRespiratory conditions are a leading cause of death and disability and account for a massive proportion of hospital admissions. This comprehensive text provides a detailed overview and discussion of respiratory care, with chapters on assessment, investigations, treatments and a wide range of conditions, as well as anatomy and physiology. Taking an inter-professional and patient-focused approach, Respiratory Care is evidence-based and linked to key practice guidelines to enable postgraduate students and professionals to provide the most effective care. Each chapter includes learning outcomes and makes use of case studies to provide an explicit and practical application of the topic to patient care. Respiratory Care is essential reading for all nurses and healthcare professionals in respiratory care in hospital or community settings. Vanessa Gibson is a Teaching Fellow, and Learning and Teaching Lead at the Department of Healthcare at Northumbria University, UK. David Waters is Head of Academic Department, Faculty of Society and Health, Buckinghamshire New University, UK.
Respiratory Care Anatomy And Physiology: Foundations For Clinical Practice
by Will BeacheyPrepare to think critically, take a more clinical perspective, and connect theory with practice! Written specifically for respiratory care students in an easy-to-understand format, Respiratory Care Anatomy and Physiology: Foundations for Clinical Practice, 4th Edition details applied respiratory and cardiovascular physiology and how anatomy relates to physiological functions. Content spans the areas of detailed anatomy and physiology of the pulmonary, cardiovascular, and renal systems, and covers the physiological principles underlying common therapeutic, diagnostic, and monitoring therapies and procedures. Thoroughly updated to reflect changes in the NBRC exam, this comprehensive, clinically relevant text features open-ended concept questions that help you learn how to think like the expert you aim to become.
Respiratory Care Made Incredibly Easy (Incredibly Easy! Series®)
by Rose KnappPublisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Time to master the complexities of respiratory care. The newly updated Respiratory Care Made Incredibly Easy!®, 3rd Edition, explains the essentials with humor, expert guidance, and numerous colorful images. Offering the essential terms, skills, and equipment how-to’s you need to successfully treat the most common respiratory disorders, this down-to-earth guide helps you grasp respiratory physiology, pathophysiology, and pharmacology in clear and simple language. Prepare for success in the classroom and on the job, with this enjoyable guide to creating positive respiratory outcomes.