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Virtually invisible to all diagnostic tests, adhesions are powerful internal scars that form whenever and wherever the body heals. Adhesions form as the first step in healing from surgery, injury, or infection. Once formed, they can bind our internal structures with a strength estimated at 2,000 pounds per square inch (140 kilograms per square centimeter.) Physical Therapist Belinda Wurn was in debilitating pain and dysfunction in her early 30s due to adhesions that formed in her pelvis after a surgery. Unable to move or breathe without pain, she and her husband Larry, a massage therapist, have devoted their lives to the study of adhesions. What they discovered has astounded physicians around the world. They learned was that adhesions act like glue in the body, squeezing internal structures, or binding them to other structures - organs, muscles and nerves. Because they do not appear on most diagnostic tests, doctors may dismiss patient complaints of pain or dysfunction - while their inner structures are squeezed in powerful adhesive straight-jackets. Once formed, adhesions can stay in the body for a lifetime, and can spread to other structures, causing a host of unusual and confusing symptoms. Surgeons can sometimes remove adhesions, but surgery has been named as the primary cause of adhesions. In this book, the Wurns explain the processes that create adhesions. They examine major problems adhesions cause, and point to vulnerabilities in adhesions that may lead to a cure. With stories from patients and data published in peer-reviewed medical journals, this book opens the door to understanding a pervasive but little-known problem in medicine; it points the way to a return to life for many people. If you or a loved one suffers from chronic pain, infertility, or small bowel obstructions, your doctors have been unable to find the cause of your pain or dysfunction, you need to read this book.
The Mechanics of Adhesion shows that adhesion science and technology is inherently an interdisciplinary field, requiring fundamental understanding of mechanics, surfaces, and materials. This volume comprises 19 chapters. Starting with a background and introduction to stress transfer principles; fracture mechanics and singularities; and an energy approach to debonding, the volume continues with analysis of structural lap and butt joint configurations. It then continues with discussions of test methods for strength and constitutive properties; fracture; peel; coatings, the case of adhesion to a single substrate; elastomeric adhesives such as sealants. The role of mechanics in determining the locus of failure in bonded joints is discussed, followed by a chapter on rheology relevant to adhesives and sealants. Pressure sensitive adhesive performance; the principles of tack and tack measurements; and contact mechanics relevant to wetting and surface energy measurements are then covered. The volume concludes with sections on fibermatrix bonding and reinforcement; durability considerations for adhesive bonds; ultrasonic non-destructive evaluation of adhesive bonds; and design of adhesive bonds from a strength perspective. This book will be of interest to practitioners in the fields of engineering and to those with an interest in adhesion science.
Musculoskeletal Pain - Assessment, Prediction and Treatment presents a common sense approach to interpreting and applying existing clinical knowledge and new research to help clinicians make sense of the complex phenomena of acute and chronic post-traumatic musculoskeletal pain. Built upon the Assess, Predict, Treat framework, the authors offer a method to help clinicians better understand their patients' pain. They present evidence-based decision tools to predict the natural and clinical course of common conditions, such as neck and low back pain, and they then synthesize that information into a logical, integrated treatment approach, which respects the individuality of the patient, the experiences of the clinician, and the value of evidence-informed practice. David Walton and James Elliott are leaders in the field of post-traumatic pain and recovery. Their work provides a valuable framework to facilitate novice clinicians in their transition towards experts and helps mid- and late-stage clinicians better interpret, synthesize, and discuss complex information on pain with the goal of optimised outcomes for patients.
Adhesions can cause a wide range of problems, complaints and hazards, even after simple abdominal procedures, such as appendectomy, with complications ranging from recurrent discomfort and pain to intestinal obstruction. Postsurgical adhesions increase the risk of following operations of the abdominal and thoracic cavity. They impair peritoneal dialysis and chemotherapy and play a crucial part in laparoscopic procedures. Adhesion-related problems account for a large amount of clinical work and have a significant socioeconomic impact. This book presents the current knowledge on the aetiopathogenesis of adhesion formation as well as the available methods for their prevention and control. Experts in the field contribute to clinical standards for preventive measures to control the formation of postoperative adhesions
Explains the physics and chemistry of adhesion, surface preparation and testsPresents new strategies for formulating superior strong, weak and pressure-sensitive adhesivesIncludes access to unique electronic apps that enable numerical modeling of adhesives This technical bound book explains the basic principles of adhesion and shows how they are used to formulate and improve adhesives. The volume starts by laying out key physical and chemical concepts underlying adhesion and adhesives, including strong and weak bonds plus pressure-sensitive (PSA) across multiple polymer, metal and ceramic adherends. The ideas are expressed in clear and easily understood mathematical formulas that explain surface properties as well as "good" and "bad" adhesion, with the latter covering multiple types of adhesive failure. In this context, the book presents a detailed explanation of methods to predict, test and formulate adhesives and critically analyzes test results and traditionally accepted rules for adhesive formulation. The eBook version includes online access to a unique set of applied computer programs or "apps" that automate a wide range of adhesive formulas and enable readers to input their own data and numerically model adhesion properties in conjunction with, or prior to, chemical compounding and empirical testing. This volume constitutes a lucid and practical introduction to adhesion and adhesives appropriate for specialists at all levels.
Gain confidence in the surgical management of female and male infertility. Authored by leading experts in operative gynecology and urology, in collaboration with the Society of Reproductive Surgeons, this valuable handbook provides readers with a comprehensive understanding of the indications, techniques, and outcomes of modern reproductive surgery. This manual presents clear step-by-step instructions illustrated with intraoperative photographs and surgical videos in order to offer patients surgical options and avoid, or improve, IVF.
Over the last decade, or so, the growth in the use of adhesives, especially in ever more technically demanding applications, has been rapid and many major developments in the technology of adhesives have been reported. This growth has also led to attention being focused on somewhat more basic studies of the science of adhesion and adhesives, and in recent years our level of fundamental knowledge concerning the formation and mechanical performance of adhesive joints has increased dramatically. Such studies have, of course, been aided greatly by the development of the tools at the disposal of the investigators. For example, specific surface analytical techniques, such as X-ray photoelectron and secondary-ion mass spectroscopy, and the increasingly sophisticated methods of stress analysis and fracture mechanics have been put to good use in furthering our understanding of the science of adhesion and adhesives. The present book attempts to review the multidisciplined subject of adhesion and adhesives, considering both the science and technology involved in the formation and mechanical performance of adhesive joints. The author would like to thank his friends and colleagues for useful discus sions and help in the preparation of this book. I am particularly grateful to P. Cawley, J. Comyn, W. A. Lees, A. C. Roulin-Moloney, W. C. Wake, J. G. Williams and R. J. Young who have read and commented on various chapters and P. Farr for preparing the diagrams.
The use of adhesives is widespread and growing, and there are few modern artefacts, from the simple cereal packet, to the jumbo jet, that are without this means of joining. Adhesion Science provides an illuminating account of the science underlying the use of adhesives, a branch of chemical technology which is fundamental to the science of coatings and composite materials and to the performance of all types of bonded structures. This book guides the reader through the essential basic polymer science, and the chemistry of adhesives in use at present. It discusses surface preparation for adhesive bonding, and the use of primers and coupling agents. There is a detailed chapter on contact angles and what can be predicted from them. A simple guide on stress distribution joints and how this relates to testing is included. It also examines the interaction of adhesives and the environment, including an analysis of the resistance of joints to water, oxygen and ultra-violet light. Adhesion Science provides a comprehensive introduction to the chemistry of adhesives, and will be of interest not only to chemists, but also to readers with a background in physical or materials science.
The book covers the entire aspect of intrauterine adhesions and Asherman's syndrome highlighting important points. It discusses etiopathogenesis to diagnosis and the current guidelines with effective treatment policies. It covers new treatment techniques, use of stem cell therapy and various scenarios with the best management of them. The book also covers pregnancy and associated complications. It takes into account the vast clinical experience of the authors all over the world clubbed with the academic evidence available to date. The book is relevant for endoscopic surgeons, hysteroscopists, infertility specialists and obstetricians at large, and anyone who wishes to know more about this subject.