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Thoracic Outlet Syndrome
by Karl A. Illig Robert W. Thompson Julie Ann Freischlag Dean M. Donahue Sheldon E. Jordan Ying Wei Lum Hugh A. GelabertThis extensively revised edition is an essential reference for physicians involved in the diagnosis, referral and treatment of the thoracic outlet syndrome (TOS). TOS is made up of a constellation of problems resulting from pathology at the thoracic outlet in the neck. Busy specialty practice sees multiple affected patients in every clinic, but TOS can often be difficult to diagnosis. Thoracic Outlet Syndrome explores all possible ancillary care issues surrounding this complex condition, including rehabilitation, disability, natural history and medicolegal issues, and aims to stimulate research, discussion and a sense of community between professionals involved in this area. Vascular and thoracic surgeons, neurosurgeons, neurologists, psychiatrists and psychologists, physical therapists, occupational medicine specialists and pain specialists will find this book a must read for successful treatment, referral and diagnosis of TOS in clinical practice.
Thoracic Radiology: A Guide for Beginners
by Michele Anzidei Iacopo CarboneThis book offers a comprehensive overview of all major pathologic conditions involving the lung and mediastinum and the related diagnostic procedures. Oncologic and non-oncologic conditions are reviewed and described in detail, featuring, besides normal anatomy, also high quality images from several modalities (including X-ray, CT, MR and PET), as well as b/w and color illustrations and line drawings. Complications associated with surgical and oncological treatments are also presented in detail with extensive imaging examples. The book provides a thorough coverage of the topic of thoracic imaging, yet considering a concise and synthetic approach essential to optimal learning. The book will be a useful reference guide for the everyday clinical practice of young radiologists, residents and medical students.
Thoracic Surgery: Cervical, Thoracic and Abdominal Approaches
by Claudiu E. Nistor Steven Tsui Kaan Kırali Adrian Ciuche Giuseppe Aresu Gregor J. KocherThis book provides a guide to the anatomy and the surgical techniques required in thoracic and cardiothoracic surgery. It discusses the advantages and disadvantages of certain surgical procedures in relation to the lymphatic system, thyroid gland, chest wall and parathyroid glands, as well as pulmonary endarterectomy. Further, it addresses intraoperative and postoperative complications, and explores newer fields like microthymectomy, microlobectomy, and pain management for thoracic surgery patients. Providing an update on the latest advances in thoracic surgery, it appeals to general, thoracic, cardiothoracic, and cardiovascular surgeons. It also offers trainees insights into the foundation of the techniques and the relevant anatomy.
Thoracic Surgery: 50 Challenging Cases
by Wickii VigneswaranIn Thoracic Surgery: 50 Challenging Cases, editor Wickii T. Vigneswaran has selected 50 challenging cases presented by leading thoracic surgeons. Each case highlights a unique situation from which other surgeons can learn. The selection of Cases includes patients with diagnostic challenges, unconventional and innovative solutions, unexpected findings, and new techniques to treat old problems. The discussions after each case provide a useful starting point for further inquiry. Amply illustrated, this book reflects the wisdom and experience of world leaders in thoracic surgery and teaches junior surgeons how to approach the key thoracic surgical procedures, and how to manage in unexpected and difficult situations. This is a Masterclass in thoracic surgery.
Thoracic Surgery Clerkship: A Guide for Senior Medical Students (Contemporary Surgical Clerkships)
by Thomas Ng Travis GeraciThis quick-reference guide is the first book written specifically for the many third- and fourth-year medical students rotating on the thoracic surgery service. The book focuses on the diagnosis and management of the most common pathologic entities. Each chapter covers history, physical examination, imaging, and common diagnoses. For each diagnosis, the book sets out the typical presentation, options for non-operative and operative management, and expected outcomes. Chapters include key illustrations, quick-reference charts, tables, diagrams, and bulleted lists. Students can read the text from cover to cover to gain a general foundation of knowledge that can be built upon when they begin their rotation, then use specific chapters to review a sub-specialty before starting a new rotation or seeing a patient with a sub-specialty attending. Topics covered include lung cancer, pulmonary resection, pleural empyema, thoracic outlet syndrome, esophageal disorders, tracheal malignancies, and much more.Practical and user-friendly, Thoracic Surgery Clerkship is the ideal, on-the-spot resource for medical students and practitioners seeking fast facts on diagnosis and management. Its bullet-pointed outline format makes it a perfect quick reference, and its content breadth covers the most commonly encountered problems in clinical practice.
Thoracic Surgery for the Acute Care Surgeon (Hot Topics in Acute Care Surgery and Trauma)
by Joseph M. Galante Raul CoimbraThis volume is a “how-to guide” to treating thoracic trauma and emergencies for acute care surgeons. It highlights the diagnosis and management of thoracic disease and injuries, and each chapter includes algorithms that lead readers through the process of identifying and treating many common and some uncommon thoracic pathologies. The international team of authors provides readers with a unique and diverse approach to the operative and non-operative challenges encountered by ACS surgeons. The large number of figures offers readers insights into what they can expect to see when caring for these patients. The editors understand that the management of adults and children differ and have included a specific chapter on pediatrics. Given the broad audience and diverse settings in which the text can be used, the authors also provide details of care in limited-resource environments. The volume is a valuable tool for professionals interested in thoracic surgery and acute care surgery.
Thoracic Surgical Techniques
by Francis C. Wells Aman S. CoonarThis heavily revised second edition of this book provides a comprehensive overview of both common and rarely performed thoracic surgical techniques. Techniques covered include thymectomy, left and right lower lobectomy, rib resection for empyema, median sternotomy and lung biopsies. Emphasis is focused on the practical steps necessary to successfully and reliably perform the techniques covered, while acknowledgement is also given to individual variations in how these techniques are performed. Thoracic Surgical Techniques provides a detailed clinical illustrative guide for successfully performing a range of procedures reliably. Its large number of detailed illustrations and concise technical descriptions provides an invaluable resource for all practising and trainee thoracic surgeons.
Thoracic Ultrasound and Integrated Imaging
by Andrea Aliverti Francesco Feletti Bruna MaltaThis book focuses on thoracic ultrasound, a versatile, diagnostically accurate, low-cost, noninvasive and non-ionizing imaging technique. Thanks to portable devices, the method can be used to provide quick and accurate diagnoses in emergency settings, during transport, or at the patient’s bedside in intensive care units. In addition, as a dynamic examination that allows “real-time” assessment, it can be used to optimize diagnoses, the use of respiratory support equipment, surgical interventions and physiopathological assessments, both in critical patients and those with chronic conditions. Lastly, since it avoids ionizing radiation, thoracic ultrasound offers a first-line diagnostic tool for thoracic disease assessment in connection with pregnancy, neonatology and pediatrics. Pursuing a practical approach, this book also addresses the technological components that are needed in order to adequately set up the equipment. This integrated approach provides non-radiologists with essential know-how on using thoracic ultrasound as an extension of their physical examinations. Specific chapters are dedicated to thoracic ultrasound applications in neonatology, pediatrics and emergency medicine, as well as guided procedures and diaphragm function studies. Thoracic ultrasound has been a central element in the editors’ clinical and experimental work for several years, and the book also includes contributions by prominent international experts on specific applications. Given its content and scope, the book will be of interest to all medical practitioners seeking a practical approach to thoracic ultrasound.
Thoracoscopic Repair of Esophageal Atresia
by Ravi P KanojiaEsophageal atresia is a common neonatal emergency, and surgical repair in the newborn period is conventionally achieved by thoracotomy. With the development in pediatric minimal access surgery, esophageal atresia repair has been done with thoracoscopy after its first description in 1999. Many centers now prefer the thoracoscopic approach, which is claimed to be beneficial in terms of outcome both in the short and long term. Neonatal thoracoscopy is a difficult procedure and has a long learning curve. It requires a team approach with a competent anesthetist and surgical assistant. A surgeon alone cannot accomplish this procedure. This book presents comprehensive details on the procedure of thoracoscopic repair of esophageal atresia. The chapters sequentially explain all the procedure steps, from setup, instrumentation, patient selection, and ergonomics to detailed stepwise descriptions of the operative procedure. Since esophageal atresia can have so many variations in anatomy, the chapters cover how to tackle these variations. To keep the reader's interest, a detailed review of history and current literature, along with controversies, is presented. Interested readers will start from the history as the first chapter and can go through the descriptions of the entire procedure from start to finish. Any Pediatric surgery trainee interested in Pediatric Minimal access discipline will find this book as a one-stop resource on everything he wants to know about Thoracoscopic repair of esophageal atresia. The book also includes coverage of non-surgical aspects such as anesthesia and ventilation and effects on cerebral oxygenation during thoracoscopy. The book provides easy-to-understand English and is richly supplemented with illustrations and high-resolution operative photographs. Video clips also supplement the text wherever an operative step is explained. These videos are linked to the publisher’s website for easy access.
Thoracoscopy for Pulmonologists: A Didactic Approach
by Gianfranco Tassi Jean-Marie Tschopp Philippe AstoulThere is an increasing need for medical thoracoscopy performed by pulmonologists, which may be video assisted and has the advantage of being very cost-effective. This book is a comprehensive and up-to-date guide to thoracoscopy for pulmonologists that documents the considerable progress in endoscopic telescopes and instrumentation. Clear practical guidance is provided on technique, and diagnostic, therapeutic, and interventional applications of thoracoscopy are all carefully examined with the aid of high-quality illustrations. Although medical thoracoscopy is much less invasive than thoracotomy, complications can occur in a small number of cases; these are discussed and advice on prevention is provided. The concluding section examines the future of the field, covering developments such as 'mini' thoracoscopy, autofluorescence thoracoscopy, and flexi-rigid thoracoscopy.
The Thorax: Medical, Radiological, and Pathological Assessment
by Cesar A. Moran Mylene T. Truong Patricia M. de GrootThe current medical practice has become more of a team effort rather than an isolated practice. The current evaluation of patients in the daily practice is essentially performed by medical assessment of the patient in question followed by diagnostic imaging, and when needed and possible the evaluation of tissue for diagnosis with its subsequent assessment of biomarkers and other ancillary tools that play an important role in the evaluation and prognosis. The book herein proposed will exactly provide such assessment focused in the thoracic assessment of patients afflicted with any particular disease of the thorax. Expert clinician in pulmonary medicine will provide the state of the art in the evaluation of such patients, which will provide the most important background in the clinical impression and further assessment of these patients. This assessment in most cases is followed by the evaluation of imaging, which provides a highly important information of not only the exact location of the process but also of the nature of whether is localized, infiltrative, diffuse, bilateral, etc., as well as the possible compromise of other adjacent structures. Such information is crucial as imaging and clinical information will provide a working diagnosis, which ultimately will be defined by the pathological assessment. Therefore, in real practice neither one of these subspecialties works alone or in isolation. On the contrary, each one depends on the other for the final diagnosis and proper management of patients with thoracic diseases. Based on such experience is that the current text will provide in the same text of the needed information that a clinician, radiologist or pathologist will need in order to arrive to the best possible conclusion. The scope of this book is unique in its nature as currently, even though there are several text on either one of those specialties, those publication are strictly on the either radiology, medicine or pathology. Our proposed text will bring all those together in a single text and written by experts in their respective field. This book should be of interest to all of those in the practice of thoracic medicine (radiologist, pulmonologist, pathologists) and any one who in the general practice is confronted with the evaluation of these patients.
The Thorax: An integrated approach
by Catherine Ryan Diane Lee Nancy Keeney SmithThis clinical textbook will update the reader on the relevant anatomy, known biomechanics, clinical assessment, musculoskeletal conditions and treatment of the thorax and how these relate to the function of the whole body. An integrated biopsychosocial model (the Integrated Systems Model - ISM) will be highlighted in this text and used as a foundation for clinicians to organize their knowledge from multiple sources. The text emphasizes the current suggestion from the evidence that treatment be individualized and that clinical reasoning form the basis for treatment decisions.Richly illustrated with 3D-rendered colour anatomical drawings, and over 250 clinical photographs, The Thorax: An integrated approach is the definitive manual on the thorax for all bodyworkers helping patients improve mobility and control of the trunk.
The Thorax (Cancer Dissemination Pathways)
by Nicola Sverzellati Mario SilvaThis book highlights the differences, in terms of neoplastic dissemination pathways, between various types of thoracic cancers. It presents and discusses a comprehensive schematic overview of tumors of the lung parenchyma, of the mediastinum, of the pleura, and of the chest wall. For each tumor, it details the local spread and the lymphatic and vascular dissemination, and it describes the challenging staging of lung tumors with mutations. Illustrations and artwork enrich the content and help readers to understand and visualize tumor spread. The book is of great interest to professionals involved in the study, diagnosis and treatment of thoracic pathologies, as well as to residents in radiology, oncology and pulmonology.
The Thorax -- Part A: Physiology (In Three Parts), Second Edition (Lung Biology in Health and Disease)
by Charis RoussosThis book provides a comprehensive, authoritative, and contemporary discussion of the physiology and pathophysiology of the chest wall as well as an overview of the diagnostic and therapeutic modalities. It is an invaluable aid to clinical investigators.
The Thorax, ---Part B: Applied Physiology (In Three Parts)
by Charis Roussos Theodoros VassilakopoulosThis timely Second Edition of a landmark reference furnishes in-depth examinations of the latest developments in the physiology, pathophysiology, and clinical relevance of the respiratory muscles and chest wall-reflecting the explosion of information that has occurred since the publication of the previous edition.
Thoraxchirurgie (Operatieve zorg en technieken)
by Jeanette Beukema Daniël PollackDit boek beschrijft de basisprincipes en -procedures van thoraxchirurgie, de meest voorkomende operaties in het specialisme en alle aspecten van de zorg op de operatiekamer die daarbij horen. Het boek is geschreven voor operatieassistenten in opleiding. Het leerboek is ook geschikt als naslagwerk voor gediplomeerd operatieassistenten en andere beroepsgroepen in de gezondheidszorg.Het boek is opgebouwd uit vijf delen. Het eerste deel behelst algemene informatie omtrent geschiedenis van de thoraxchirurgie, de anatomie van thorax en hart, de diagnostiek en een beschrijving van de standaard openhartoperatie. Hierbij wordt ook de speciale apparatuur van de cardiothoracale operatiekamer behandeld. Deel 2 houdt zich bezig met specifieke ingrepen aan het hart, namelijk de coronaire bypassoperaties, een tweetal hartklepoperaties en de aortachirurgie. Longchirurgische ingrepen worden in deel 3 beschreven. In deel 4 staan de transplantaties en de mogelijkheden voor mechanische ondersteuning van hart en/of longen binnen het specialisme thoraxchirurgie centraal. Deel 5 gaat over minimaalinvasieve en endoscopische technieken. Thoraxchirurgie is onderdeel van de reeks operatieve zorg en technieken en is bestemd voor de opleiding tot operatieassistent. Naast het basisboek bestaat de reeks uit een aantal vervolgdelen, waarin de verschillende chirurgische subspecialismen van de chirurgie worden behandeld. De reeks benadert de beroepsuitoefening van de operatieassistent zo dicht mogelijk, waarbij de talrijke gebruikte afbeeldingende benaderingen onderbouwen.
Thoraxchirurgie (Springer Reference Medizin)
by Hans Hoffmann Corinna Ludwig Bernward PasslickZahlreiche Experten haben in Kooperation mit der Deutschen Gesellschaft für Thoraxchirurgie zu der umfassenden und praxisnahen Darstellung des Fachgebietes in allen Facetten beigetragen. Alle relevanten thoraxchirurgischen Erkrankungen und ihre Therapie sind detailliert und fundiert beschrieben: diagnostisches Vorgehen, Indikationsstellung zur Therapie, Auswahl und Durchführung des geeigneten Eingriffs, postoperative Betreuung, Krankheitsverlauf und Prognose.Seltene Erkrankungen und Krankheitsformen werden ausführlich berücksichtigt. Zahlreiche Abbildungen und Zeichnungen tragen zur Anschaulichkeit und zum Verständnis der chirurgischen Anatomie, der Krankheitsentstehung und des operativen Vorgehens bei.Das Buch sieht sich in der Tradition des 1991 im gleichen Verlag erschienenen Werkes „Lunge und Mediastinum“. Parallel zur gedruckten Ausgabe erscheint eine online-Version, die als Live Reference-Ausgabe kontinuierlich aktualisiert wird.Auch bei komplexen Fragestellungen: immer die richtige Antwort!
Thoraxchirurgie für den Allgemein- und Viszeralchirurgen
by Paul Schneider Martin Kruschewski Heinz J. BuhrIn 26 präzisen und praxisnahen Kapiteln fasst dieses Buch das Wissen zusammen, das Allgemein- und Viszeralchirurgen in der Weiterbildung und in ihrem klinischen Alltag zu thoraxchirurgischen Fragestellungen benötigen. Neben der Diagnostik und speziellen Techniken werden die Themenkomplexe thorakale Notfälle und Traumata, Entzündungen und Neoplasien ausführlich behandelt. Die möglichen Vorgehensweisen und die Auswahl der adäquaten Therapie sind dargestellt, die wichtigsten Eingriffe in Wort und Bild ausführlich beschrieben, ebenso die thorakale Bildgebung, das spezifische perioperative Management und spezielle thoraxchirurgische Instrumentarien und Techniken. Die 2. Auflage geht zusätzlich auf Tumoren und Verletzungen des Ösophagus ein.
Thorn in the Starfish: The Immune System And How It Works
by Robert S. Desowitz“Gives the reader the feeling of being granted a ringside seat to an exciting series of events. . . .This eminent scientist and writer conveys his enthusiasm for the subject. . . .He has managed to entertain, educate, and enthuse without either trivializing the complexity of the subject or underestimating the intelligence of the reader.” —British Medical Journal Dr. Desowitz describes the revolutionary discoveries made by Jenner, Pasteur, Metchnikoff, and Ehrlich and what we know about immunology today. His topics include the role of nutrition, the challenge of developing an AIDS vaccine, and the potential of genetic-engineering techniques.
Thorny Issues in Clinical Ethics Consultation: North American and European Perspectives (Philosophy and Medicine #143)
by Katherine Wasson Mark KuczewskiThis book addresses new and evolving thorny issues in clinical ethics consultation. It is a book for our time. The contributors provide essential critical reflection on the standards and methods of training clinical ethics consultants as the field seeks to professionalize. This collection incorporates both North American and European experts, offering different perspectives on issues such as marginalized populations, the opioid epidemic, complex discharge, micro-managing families, and continually challenging issues at the end-of-life, such as determinations of brain death, physician-assisted death, and futility. The authors engage the complexities of choosing for others when making decisions for incapacitated adults and pediatric patients. This volume engages with the growing literature in these debates and offers new perspectives from both academics and practitioners. The readings are of particular interest to bioethicists, clinicians, ethics committees, and students in bioethics and beyond. These new essays advance discussions in the professionalization and certification of ethics consultants and offer crucial insights on new and evolving thorny issues in the practice of clinical ethics consultation.
Though They Come from the Ends of the Earth: A Novel of the Iran Nuclear Weapons Interdiction Project (Iran Nuclear Weapons Interdiction Project Ser. #1)
by Carl DouglassThis is the first book in the trilogy, The Trojan Horse in the Belly of the Beast, by Carl Douglass. The two young mental giants who dominate this trilogy could not have come from more different backgrounds if they had been born on separate planets. Though they come from the ends of the earth, the similarities between the two geniuses--math prodigies--are striking and of serious import to the deputy director of the defense intelligence agency of the United States. His task is to undermine and to interdict the secret Iranian project to build nuclear weapons of mass destruction--Project Jahannam Adur [Hell's Fire]. The effort to subvert the planned Iranian holocaust will eventually take more than a decade and a terrible amount of sacrifice, but it could avert a war with the potential to wreak more havoc and loss that WW I and II combined.
Thought and the Brain (International Library Of Psychology Ser.)
by Piron, HenriFirst Published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.
Thoughtful Health Care: Ethical Awareness and Reflective Practice
by Professor David SeedhouseThoughtful Health Care offers a timely antidote to a climate dominated by endless rules, regulations, mission statements and codes of practice. Fixation on avoiding risk at all costs has created a checkbox culture where everyone is treated according to standardised plans. But people are complicated, and cannot be understood disconnected from the complex histories, values, and environments that shape us. Obsessive focus on ‘safety first’ has obscured this reality and drastically undervalued critical thinking and insightful practice. David Seedhouse explains how simplistic labelling, mindless targets and empty slogans have created a delusion of control and efficiency, obscuring actual patient and carer realities. Using thought-provoking examples from health care and beyond, the book advocates the restoration of thoughtfulness, creativity, and independence in health work. By reading this book, students and practitioners alike will be aided in developing their decision making and critical thinking skills, and ultimately serve those in their care better and with more honesty. The book ends with a powerful and practical toolkit that can be used thoughtfully and effectively by every open-minded health worker. Thoughtful Health Care is for any health worker committed to caring with ethical awareness and practical sensitivity.
Thoughtful Health Care: Ethical Awareness and Reflective Practice
by Professor David SeedhouseThoughtful Health Care offers a timely antidote to a climate dominated by endless rules, regulations, mission statements and codes of practice. Fixation on avoiding risk at all costs has created a checkbox culture where everyone is treated according to standardised plans. But people are complicated, and cannot be understood disconnected from the complex histories, values, and environments that shape us. Obsessive focus on ‘safety first’ has obscured this reality and drastically undervalued critical thinking and insightful practice. David Seedhouse explains how simplistic labelling, mindless targets and empty slogans have created a delusion of control and efficiency, obscuring actual patient and carer realities. Using thought-provoking examples from health care and beyond, the book advocates the restoration of thoughtfulness, creativity, and independence in health work. By reading this book, students and practitioners alike will be aided in developing their decision making and critical thinking skills, and ultimately serve those in their care better and with more honesty. The book ends with a powerful and practical toolkit that can be used thoughtfully and effectively by every open-minded health worker. Thoughtful Health Care is for any health worker committed to caring with ethical awareness and practical sensitivity.
Thoughts on Hospital Design and Construction in China
by Lun Ge Zhe WangThis book gathers the thoughts of 8 hospital presidents, 9 vice presidents focusing on construction management in hospitals, and 6 hospital architects regarding the hospital design and construction in China. These experts are from top hospitals in Beijing, Shanghai, Zhenjiang, Gansu, Shangdong, Sichuang, and Neimenggu Province and have an average of 21 years of experience managing and developing hospitals in China. The book shares their thoughts on the soul of a hospital, the history and standards of Chinese healthcare systems, and the development of environments for healthcare in China.