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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.
A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back
by Kevin HazzardA former paramedic&’s "thrilling, captivating" (Booklist), and mordantly funny account of a decade spent as a first responder in Atlanta saving lives and connecting with the drama and occasional beauty that lies inside catastrophe.In the aftermath of 9/11 Kevin Hazzard felt that something was missing from his life—his days were too safe, too routine. A failed salesman turned local reporter, he wanted to test himself, see how he might respond to pressure and danger. He signed up for emergency medical training and became, at age twenty-six, a newly minted EMT running calls in the worst sections of Atlanta. His life entered a different realm—one of blood, violence, and amazing grace. Thoroughly intimidated at first and frequently terrified, he experienced on a nightly basis the adrenaline rush of walking into chaos. But in his downtime, Kevin reflected on how people’s facades drop away when catastrophe strikes. As his hours on the job piled up, he realized he was beginning to see into the truth of things. There is no pretense five beats into a chest compression, or in an alley next to a crack den, or on a dimly lit highway where cars have collided. Eventually, what had at first seemed impossible happened: Kevin acquired mastery. And in the process he was able to discern the professional differences between his freewheeling peers, what marked each—as he termed them—as “a tourist,” “true believer,” or “killer.” Combining indelible scenes that remind us of life’s fragile beauty with laugh-out-loud moments that keep us smiling through the worst, A Thousand Naked Strangers is an absorbing read about one man’s journey of self-discovery—a trip that also teaches us about ourselves.
Thread Lifting Techniques for Facial Rejuvenation and Recontouring
by Souphiyeh SamizadehThis book provides a practical guide to thread lifting techniques for facial rejuvenation and re-contouring of the face. It systematically describes the evidence base for the use of a range of available techniques for thread lifting, providing detailed guidance on how to analyse the face, take clinical photographs and correctly apply polydioxanone (PDO) threads, polycaprolactone (PCL) threads, Silhouette Soft threads and Aptos threads. Thread Lifting Techniques for Facial Rejuvenation and Recontouring comprehensively covers the use of a range of non-surgical techniques for thread lifting and provides a valuable resource for a range of medical professionals and trainees including dermatologists, plastic surgeons, nurses and aesthetic doctors seeking an up-to-date resource on the topic.
The Thread of Evidence: The Sixties Crime Series (The\sixties Crime Ser. #2)
by Bernard KnightA classic murder mystery by acclaimed author Bernard Knight.When some boys find a human bone in a cave in Cardiganshire, Wales, a case that has gone unresolved for over thirty years suddenly springs back into life. For that grisly find is only the start of things...When the rest of the skeleton is soon discovered, the disappearance of a local woman decades earlier comes back to public attention. The woman’s husband has recently returned to the area after years out of the country, and he has no explanation as to why his wife suddenly went missing. The local gossips consider him guilty of murder, as do some in the police force…but not everyone is convinced. It’s up to Superintendent Pacey to work out which bits of the whole sorry tale are fact and which are fiction – and there are some unpleasant surprises along the way…
Threat Talk: The Comparative Politics of Internet Addiction
by Mary Manjikian'Threat Talk' exposes how US and Chinese scientists and policy-makers have understood and responded to the problem of internet addiction in their societies. Is the internet good or bad for society? American analysts like Lessig and Zittrain suggest that the internet is inherently liberating and positive for society, while Morozov and Sageman warn that the internet poses risks to citizens and societies. Using a comparative framework to illustrate how the two states differ in their assessments of the risks to citizens posed by the introduction of new technology, Mary Manjikian compellingly argues that both 'risk' and 'disease' are ideas which are understood differently at different historic periods and in different cultures. Her culturalist approach claims that the internet is neither inherently helpful, nor inherently threatening. Rather, its role and the dangers it poses may be understood differently by different societies. Is the internet good or bad for society? The answer, it appears, is 'it depends'.
Threats to Fetal, Placental and Myometrial Oxygenation: A Unified Hemodynamic Approach
by Thomas L. ArcherThis book presents the theory that positional obstruction of the inferior vena cava by the gravid uterus might contribute to the causation of preeclampsia, fetal growth restriction, preterm birth, dysfunctional labor and uterine atony. Investigating this possibility is timely, since non-invasive technology now exists which detects hemodynamically significant obstruction of the inferior vena cava in real time, by relying on the fact that such obstruction causes an immediate decrease in maternal cardiac output. If further research shows that obstruction of uterine venous return at the inferior vena cava can cause maternal or fetal injury, systematic reduction of this obstruction during gestation might improve maternal and fetal outcomes. Written in a direct, informal and engaging style-- and enriched with clinical insights and abundant colorful graphics-- this thought-provoking and potentially ground-breaking work should be of interest to maternal and neonatal health professionals, including obstetricians, maternal-fetal medicine specialists, neonatologists, obstetric anesthesiologists and midwives.
Threats to Food and Water Chain Infrastructure
by Magdalena Ujevic Otto Premstaller Virginia KoukouliouThe malicious contamination of food and water supplies for terrorist purposes is a real and current threat: deliberate contamination at one location could have severe global public health, trade and consumer confidence implications. The NATO Advanced Research Workshop responded to increasing concern in many countries that chemical, biological or radionuclear agents might be used intentionally to harm civilian populations and that food and water might be used a vehicle for disseminating such agents. Throughout human history drinking water and food supplies of civilians have been the target of attacks and sabotage. Initially these targets were attacked as a part of military campaign but more recently, drinking water and food have been attacked by terrorists in order to generate fear and panic in the civilian population, to create economic disruption or to undermine the people's confidence in their government and political systems. The key to minimizing the effect of food and water terrorism is the establishment and enhancement of existing food and water safety management programs and the implementation of reasonable security measures. Prevention is best achieved through a cooperative effort such Workshops, that give the opportunity to exchange knowledge, ignite fruitful discussions, create networking contacts and finally together make the next step forwards peace and security. A detailed review of the characteristics of biological, chemical and radioactive agents that would make them attractive for use as possible weapons against a given population, as well as the potential consequence bio- or agro-terrorism attack were presented by the speakers, often using actual examples.
Three Decades of HIV/AIDS in Asia
by Jai P NarainA work by health and development experts and professionals, this well-researched compilation traces the evolving and highly dynamic nature of HIV/AIDS and its unprecedented health and development threat in Asia. Three decades of HIV/AIDS in Asia studies how the region has responded to this epidemic in the last three decades. It contains country-specific chapters on the HIV/AIDS problem--low-prevalence countries such as Bangladesh and Sri Lanka as well as countries with advanced epidemics such as Cambodia, China, India, Pakistan, Thailand and Vietnam--and the evolving response to it. There is recognition of the fact that Asia remains the hardest hit after Africa. The lesson learnt from the Asian countries show that HIV can be prevented and clinically managed with sustained political commitment, adequate human and financial resources, and inter-sectoral action. With the modus operandi of real-life stories and case studies, this work is highly relevant in assessing the ground reality and the measures required for effective prevention, treatment, and care across the continuum.
Three Dimensional Biomedical Imaging: Volume II (CRC Press Revivals)
by Richard A. RobbThe best known of the new 3-D imaging modalities is X-ray computed tomography, but exciting progress has been made and practical systems developed in 3-D imaging with radioisotopes, ultrasound, and nuclear magnetic resonance (NMR). These volumes will feature up-to-date reviews by leading scientists in each of these imaging areas, providing a timely and informative comparison of the intrinsic capabilities, complementary attributes, advantages and limitations, and medical significance among the different three-dimensional medical imaging modalities.
Three Dimensional Biomedical Imaging: Volume I (CRC Press Revivals)
by Richard A. RobbThe best known of the new 3-D imaging modalities is X-ray computed tomography , but exciting progress has been made and practical systems developed in 3-D imaging with radioisotopes, ultrasound, and nuclear magnetic resonance (NMR). These volumes will feature up-to-date reviews by leading scientists in each of these imaging areas, providing a timely and informative comparison of the intrinsic capabilities, complementary attributes, advantages and limitations, and medical significance among the different three-dimensional medical imaging modalities.