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This comprehensive text delivers cutting-edge scientific knowledge and expert clinical guidance on anesthesia for the vascular surgical patient or the patient with cardiac disease undergoing major noncardiac surgery. It covers cardiovascular anatomy, physiology, and pharmacology; preoperative assessment and management, specific perioperative considerations, and postoperative management. This 2nd Edition features eight completely rewritten chapters and six new chapters. Extensive updates throughout reflect all the new procedures, drugs, techniques, and monitoring modalities that have emerged over the last decade. Delivers cutting-edge scientific knowledge that serves as a basis for clinical practice. Provides comprehensive coverage of anesthesia, including cardiovascular anatomy, physiology, and pharmacology preoperative assessment and management specific perioperative considerations and postoperative management. Integrates recent developments from the fields of anesthesiology, cardiology, cardiovascular pharmacology, vascular surgery, and critical care medicine to present a complete clinical picture Offers fresh perspectives from many new contributors who are leaders in their fields. Explores all the new procedures, drugs, techniques, and monitoring modalities that have emerged over the last decade. Devotes more coverage to regional anesthesia or combined regional and general anesthesia for modification of stress responses, improved pain control, better wound healing, and control of inflammatory/immunomodulatory changes associated with surgery. Places increased emphasis on the physiology, diseases, and surgery of the peripheral vasculature throughout, including a new chapter on The Peripheral Circulation in Patients with Vascular Disease (Chapter 1). Includes a new chapter on Imaging of the Vasculature(Chapter 2), that is completely up to date and easy to read. Covers anesthesia and perioperative care for all of the latest procedures, including new information on minimally invasive techniques and new chapters on Interventional Vascular Radiologic Procedures (Chapter 4) and Choice of Invasive vs. Noninvasive Surgery (Chapter 7). Features expanded material on postoperative care, especially on new techniques for pain management, and includes new chapters on Respiratory Complications and Management (Chapter 18) and Ethical Decisions/End of Life Care in Patients with Vascular Disease (Chapter 20).
Lithuanian Jewish Communities is a remarkable resource for students of Lithuanian Jewish history and for people descended from Lithuanian Jews. This volume lists, in alphabetical order, the major Jewish communities that existed in Lithuania before World War II. The name of each community is accompanied by information about it: when it was founded, the Jewish population in different years, shops and synagogues, and the names of citizens. An appendix locates each town on a map of Lithuania. Since most of the Jewish communities in Lithuania were destroyed in the Holocaust, this volume will be a valuable tool in recreating a picture of Lithuanian Jewry. Other appendices provide member lists from Lithuanian Jewish organizations throughout the world and list agencies that will provide help in further research on Lithuanian Jewry. Descendants of Lithuanian Jews who wish to trace their genealogy will be greatly helped by Lithuanian Jewish Communities.
How does one become a successful leader? This book teaches the theories and concepts behind leadership and explains the skills and traits needed to become a good leader. Teaching surgical faculty and trainees (i.e., residents and fellows) how to successfully lead will create more effective surgeon leaders. The skills and theories reviewed in this Volume are highly useful for numerous leadership situations, ranging from heading a committee, leading a research laboratory, directing a clinical effort, leading a Division, leading a Department, among others. By gathering these skills and theories into one comprehensive, portable book, more readers will have access to them.
Previous edition published under the title Redeeming the dream: the case for marriage equality.
The most accurate and comprehensive picture of homelessness to date, this study offers a powerful explanation of its causes, proposes short- and long-term solutions, and documents the striking contrasts between the homeless of the 1950s and 1960s and the contemporary homeless population, which is younger and contains more women, children, and blacks.
The first text on molecular diagnostics specifically designed for clinical laboratory science programs is back! This exceptional resource introduces the fundamentals of nucleic acid, as well as more advanced concepts. With a focus on the application of molecular concepts in the clinical laboratory to diagnosis diseases, the 2nd Edition includes important updates and improvements to keep up with the rapidly developing field. Inside youll find in-depth explanations of the principles of molecular-based assays as well as reference material, trouble-shooting tips for the laboratory, and discussions that emphasize the continuing emergence of new diagnostic technologies.
100% pure MR imaging of the CNS...comprehensive, up to date, essential The imaging quality achievable in MR imaging today was inconceivable just a few years ago. No other subdiscipline has evolved so swiftly while placing ever-greater emphasis on fast and accurate results. This book is intended as an indispensable tool at the workplace, as reference for image interpretation, and even for fast orientation during the examination. Adjunct information is provided that fosters the dialogue with referring physicians: for most diseases and conditions there are summaries of epidemiology, clinical findings, pathogenesis and pathophysiology, as well as basic therapy concepts. Special features: A fast-reference guide, even in tricky cases-differential diagnosis made easy, with high clinical relevance Tips for organizing examinations Reference images for comparison with actual images A reference book for looking up equivocal findings More than 1,300 vivid, high-resolution images from the latest generation of scanners Coverage of peripheral nervous system diseases and MR neurography Answers to questions such as: What technique is best for answering a specific question? What does normal anatomy look like, and what landmarks should be sought? Which differential diagnoses should I consider? What are the optimal equipment settings at my workplace? What therapeutic options does interventional radiology provide? For all radiologists in hospital or office settings, also for neurologists and neurosurgeons.
Over the past century, we have made great strides in reducing rates of disease and enhancing people's general health. Public health measures such as sanitation, improved hygiene, and vaccines; reduced hazards in the workplace; new drugs and clinical procedures; and, more recently, a growing understanding of the human genome have each played a role in extending the duration and raising the quality of human life. But research conducted over the past few decades shows us that this progress, much of which was based on investigating one causative factor at a time—often, through a single discipline or by a narrow range of practitioners—can only go so far. Genes, Behavior, and the Social Environment examines a number of well-described gene-environment interactions, reviews the state of the science in researching such interactions, and recommends priorities not only for research itself but also for its workforce, resource, and infrastructural needs.