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This extensive clinically focused book is a detailed practical 3D echocardiography imaging reference that addresses the concerns and needs of both the novice and experienced 3D echocardiographer. Chapters have been written in a highly instructive and practical disease- and problem-oriented approach supported by illustrative high-quality images (and corresponding 3D echo video clips where applicable) that demonstrate the incremental value of 3D echocardiography over 2D echocardiography in practice.Practical 3D Echocardiography is an intuitive guide to 3D imaging ¿ what to look for, how to look for it, the best and special views, caveats and pitfalls when applicable, and clinical pearls and pointers ¿ that can be used in daily practice. It is therefore of immense value to any practicing or trainee echocardiographer, cardiologist and internist.

This book provides the most recent update on the management of neuroendocrine neoplasia (NEN), a term covering all tumors of various organs and/or with a particular histology, including MEN (multiple endocrine neoplasia) related tumors, MiNEN (mixed neuroendocrine-non-neuroendocrine neoplasms), NEC (neuroendocrine carcinoma) and Merkel¿s carcinoma. NENs are heterogeneous in their biology, clinical presentation and prognosis, showing a great variability in aggressiveness and therapy response. As a result, their treatment is based on a large spectrum of options. The standard therapies are surgery in early disease, various loco-regional procedures in certain conditions and mostly of a palliative nature in metastatic disease. At present, thanks to our increased understanding of molecular signaling pathways, several pharmacological approaches can be used in patients with advanced NENs. Somatostatin analogs display both anti-tumor effects and symptom control. Novel peptide-radio-receptor treatment (PRRT) is used in patients with well differentiated tumors. The agents targeting angiogenesis and/or PI3K/AKT/mTOR pathway, alone or in combination with analogues, have provided encouraging results in advanced disease. The first part of the book focuses on the history, epidemiology and the most relevant scientific achievements, covering the discoveries in genetic and molecular biology, the endoscopic techniques with guided biopsy, and the metabolic imaging with hybrid PET/CT and MRI/CT. It particularly highlights the emerging strategies in therapy, surgery and mini-invasive surgery as well as loco-regional and systemic treatments, including targeted therapy and/or biological therapies. The second part then explores the management of NENs of various anatomical origins and/or with peculiar biology. It describes the range of the current options and the most relevant results from the clinical trials. This informative book provides valuable insights for all those interested in the management of neuroendocrine neoplasia.

This book presents the nuances of dermatology from the African diaspora and the tropics. It not only addresses the dark pigmentation of the patient¿s skin and the occurrence of tropical infections, but also the socioeconomic conditions which lead to unique features and the development of skin diseases. Chapters present numerous dermatological cases, with clear/relevant pictures, to serve as illustration of how skin conditions present in African/dark skin. Of these specific conditions, the book includes chapters on eczema, bullous diseases, hair disorders, acne, and papulosquamous disorders. Additionally, chapters address emotionally sensitive and socioeconomic-related issues such as skin bleaching and dermatological manifestations of HIV/AIDS, an infectious condition that disproportionately affects those residing in sub-Saharan Africa. Expertly written text is supplemented by hundreds of high-quality, real patient photos. Written by doctors living and treating patients in the tropical environment of Africa, Atlas of Dermatological Conditions in Populations of African Ancestry is an essential tool in broadening the scope of care for professionals and residents in dermatology alike.

This book highlights remarkable new endoscopic, laparoscopic, and thoracoscopic approaches to the removal of surgical lesions for different pathologic conditions under general endotracheal anesthesia in infants and children. It details how newer techniques in airway management, monitoring, regional nerve blocks for these innovative minimally invasive approaches have resulted in a decrease in intraoperative and postoperative morbidity and early recovery process after pediatric anesthesia.This unique book contains features that provide the audience with several clinical scenarios where exceptional surgical outcomes are achieved with optimum pre-op preparation via collaborative team efforts. To date there is no other textbook emphasizing the anesthetic and surgical management during the most innovative advances in endoscopic surgery in children. Per oral endoscopic myotomy (POEM) for the definitive treatment of achalasia in children is probably the most advanced endoscopic surgery done successfully in children. POEM is the best example of endoscopic surgery performed via natural orifices known as the Natural orifice transluminal endoscopic surgery (NOTES). Another new laparoscopic surgical intervention -Median Arcuate Ligament surgical release for Median Arcuate Ligament Syndrome (MALS) for patients with Postural Orthostatic Tachycardia Syndrome (POTS) is described with established perioperative protocols emphasizing the need for early admission, intravenous hydration, and premedication. Novel approaches in the anesthetic management in children with short bowel syndrome for bowel lengthening techniques like the serial transverse enteroplasty (STEP) and in teenagers for laparoscopic bariatric surgery with adjustable gastric banding (AGB) and vertical sleeve gastrectomy (VSG) for morbid obesity are new areas that would enlighten the readers. Anesthetic Management in Pediatric General Surgery is an invaluable resource for pediatric anesthesiologists, surgeons, and their trainees specializing in the care of pediatric patients.

This book provides an in-depth review of the sutures of the skull. The premature closure of the sutures of the skull (craniosynostosis) due to genetic or metabolic etiologies results in typical progressive skull deformity, due to both the inhibition of growth caused by the affected cranial suture and associated compensatory expansion of the skull along the open ones. Today, it is well known that early diagnosis of craniosynostosis is crucial for the best surgical outcomes and for the normal development of the brain and cosmetic appearance of the skull. As such, in addition to the anatomy, biology, genetics and embryology of the sutures of the skull, the book also covers the diagnosis and treatment of different forms of craniosynostosis such as metopism, and animal models for cranial suture research.This comprehensive work is a valuable resource for neuroscientists at all levels, from graduate students to researchers, as well as neurosurgeons, neuroanatomists, pediatricians, andneurologists seeking both basic and more advanced information on the unique structure of the sutures of the human skull.

This textbook provides a practically applicable sport-centred guide to fracture management for athletes. It features extensive evidence-based guidance on how fracture management can be adapted in athletic patients, to facilitate an accelerated return to sport. Descriptions of a variety of both acute and stress fracture types are included, covering both the appendicular and axial skeleton, in locations such as the shoulder, knee, ankle and spine. Throughout the book, the focus is on enabling the reader to develop a deeper understanding of the ideal management principles that are available for managing fractures in high-functioning patients. Fractures in Sport comprehensively covers the available strategies for managing fractures in professional and amateur athletes, and is ideal for use by practising and trainee orthopaedic surgeons, sports physicians, and general practitioners.

This book provides a comprehensive and up-to-date overview of current endoscopic ultrasound use in all aspects of pancreatology, from diagnosis to therapy, i.e., from tissue acquisition, with standard fine-needle aspiration and the newer biopsy needles, to less invasive techniques such as contrast-enhanced ultrasound and elastography. It also covers novel therapeutic strategies, with a particular focus on ablative treatments and lumen-apposing stents, and describes techniques developed by the editors, in particular combined celiac plexus neurolysis with pancreatic tumor ethanol ablation and elastography-guided fine-needle aspiration. All topics are developed by pursuing an evidence-based approach and several recent meta-analyses, the majority of which were published by the authors. Due to several recent advances in the field, endoscopic ultrasound has taken on a pivotal role in the diagnosis, staging, and treatment of pancreatic lesions; as such, the present volume offers an invaluable tool for staying abreast of the state-of-the-art in this field.

This book focuses on bladder cancer pathology, including primary bladder malignancies and other tumor varieties, with an emphasis on diagnostic pitfalls and clinical relevance. It also describes normal bladder histology, benign abnormalities with cancer mimickers, and cancer carcinogenesis, which are important subject matter for understanding bladder cancers, correct diagnosis, and differential diagnoses. Accurate diagnosis of bladder cancer plays a central role in daily pathology practice, clinical management, and prognosis. Advances in immunohistochemistry and molecular pathology have enhanced the accuracy of cancer pathology diagnoses. In addition to covering the anatomic and histologic features of bladder tumors, this book also reviews recent molecular and immunohistochemical advances in these areas. Recently updated clinical management information is also presented in this book.Written by experts in the field, Urinary Bladder Pathology serves as a useful resource for practicing pathologists, pathology trainees, and other health professionals who treat patients with bladder cancers.

This text provides background on the history of perinatal psychiatry, and discusses future directions in the field. It clearly defines perinatal mood and anxiety disorders (PMADs), which are the most common complication of pregnancy. When left untreated, PMADs are morbid and devastating for both the patient and their entire family. It reviews gold standard recommendations for the treatment of PMADs, including evidence-based psychotherapies, as well as risk-benefit analysis of psychotropic medication use in pregnancy and lactation. Additionally, common presentations of depression, anxiety, and trauma in pregnancy and postpartum women, as well as mania, psychosis, suicidal and homicidal thoughts are reviewed. Women¿s Mood Disorders: A Clinician¿s Guide to Perinatal Psychiatry highlights special considerations in pregnancy, including teenage pregnancies, hyperemesis gravidum, eating disorders, substance abuse disorders, as well as infertility, miscarriageand loss. The text concludes with outlining the importance of collaborative care in providing gold standard treatment of perinatal women and review documentation and legal considerations. This handbook will help educate and train future psychiatrists and OBGYNs in feeling confident and comfortable assessing and treating pregnant women who suffer from PMADs.

In recent years, there have been a number of exciting advances in biologic and nanoarthroscopic approaches in sports medicine, giving the clinician even more options for safe and effective minimally invasive treatments for the active patient. This practical text presents these breakthrough techniques in detail and describes the authors' experiences and lessons learned.This book is broken into two main sections. The first section presents the history of the use of biologics in sports medicine and will have several chapters describing novel techniques using platelet-rich plasma (PRP) and bone marrow concentrate (BMC), all-inside allograft ACL reconstruction, minimally invasive quad tendon harvest with endoscopic closure, and cartilage transfer (ACT) using an autologous tissue collector, among others. The second section describes the history of arthroscopy and the most recent use of nanoarthroscopy, including several novel techniques utilizing thenanoscope, such as incisionless partial medial meniscectomy, synovectomy of the knee, and single incision approaches for the anterior labrum and rotator cuff.Practical and cutting edge, Biologic and Nanoarthroscopic Approaches in Sports Medicine is an exciting exploration of the most recent management approaches for both sports medicine and orthopedic surgeons.

Access to approved scientific medical literature is vital in the context of providing standard, evidence-based health care. Despite the abundance of medical information, ensuring that it is available to health care professionals in the field remains a challenge. Remote areas in economically disadvantaged sub-Saharan Africa often lack internet facilities or reference libraries. At the same time, the long-term storage of books and other documents is a problem due to climatic factors such as humidity and heat, the presence of pests like insects and rodents, as well as environmental hazards and the lack of trained staff to adequately manage, maintain and distribute literary material.Against this background and based on practical experience, this book compiles a series of common disease management protocols adapted for minimal-resource facilities, formulas for national healthcare schemes (vaccination, antenatal, child care) and other useful documents that can facilitate effective hospital management in low-resource countries. Primarily intended for healthcare workers in The Gambia and other nations with a similar socio-economical background, the book is also a valuable resource for international students and healthcare workers from regions like Europe and the Americas intending to do internships in economically underprivileged geographic areas.

This atlas provides a practically applicable didatic case-based guide to the use of cardiac imaging in patient care during and after cancer therapy. It features detailed information on a variety of imaging modalities, including transesophageal echocardiography, magnetic resonance angiography and positron emission tomography. A range of actual patient presentations are included covering both diagnosis and management during curative and palliative surgery, as well as cancer pharmacotherapy with the use of drugs including Trastuzumab, Anthracycline, Cisplatin and Carboplatin. Topics relevant to survivorship are also described. Atlas of Imaging in Cardio-Oncology enables the reader to develop a deep understanding of how to utilise a variety of imaging modalities used in cardio-oncology in a range of scenarios. It provides a critical and timely resource for the trainee and experienced cardiologist, oncologist and radiologist.

This book provides a comprehensive, state-of-the-art overview of cholangiocarcinoma (CCA). The text is structured to effectively present a broad yet concise overview of bile duct cancer, its relevant definitions, classification schemata, clinical management tenets, translational (including molecular and cellular) facets, and future directions. The book features numerous high-yield illustrations and is authored by an eclectic range of renowned experts in various areas of CCA, reflecting the multidisciplinary nature of the field.Filling a critical gap in the field, Diagnosis and Management of Cholangiocarcinoma: A Multidisciplinary Approach is a valuable resource for clinicians and practitioners who treat patients with bile duct cancer.

This book provides healthcare professionals, the medical community, residents and students with an up-to-date handbook on current female and male contraceptive options. It illustrates the process of contraceptive development, from ancient times to steroid discovery up to the most recent formulations that provide not only an optimal contraceptive efficacy but also complimentary health benefits for women. It offers a comprehensive overview of the current knowledge on this topic, ranging from biological contraceptive mechanisms to the challenges of contraceptive use in different clinical conditions. It also presents reviews of the current latest, including preclinical and clinical research, to provide detailed and up-to-date information on recently developed contraceptives. It also features a section on counseling, which is highly relevant to optimal contraceptive provision and compliance. Each chapter has been written by a leading expert in the field and provides a comprehensive reference on the topic as well as practical implications. As such, this book provides accessible and authoritative information for clinicians in their everyday practice and for students interested in expanding their knowledge on the topic.

This book offers a comprehensive guide to peritoneal dialysis (PD). Home dialysis, and more specifically PD, is growing in popularity in the US. By conservative estimates, experts suggest that 45 percent of dialysis patients in the US can be on home dialysis. However, the current penetration rate is only 10 percent. This is changing with an expected major increase in the next 5 years. One of the reasons for the low uptake is that many nephrologists lack comfort and confidence in using PD as a dialysis modality.This book addresses those concerns by covering all aspects of PD. Chapters include its history, patient selection, implementation options, comorbidities, quality of life concerns, and developing approaches to treatment. This comprehensive resource fills the unmet need for a practical, hands-on book that is both detailed and can work as a quick reference.This is an ideal guide for academic nephrologists, private practice nephrologists, NPs, PAs, nurses, fellows, and residents.

This book describes in detail a clinical project that reveals the tumoricidal efficacy of Auger and internal conversion electrons, emitted from n.c.a. 111In and implemented in oncology as a treating armamentarium for peptide receptor radionuclide therapy (PRRT), targeting small size (ø ¿ 20 mm) tumors and micro-metastases.The keen interest in n.c.a. 111In began when it was observed that its Auger electron emission could be highly radiotoxic, due to its high LET when it decayed in the vicinity of cellular DNA. The somatostatin analog octreotide, labeled with [111In-diethylenetriaminepentaacetic acid (DTPA0-D-Phe1)] is an established diagnostic agent for the imaging of somatostatin receptor-positive neuro- (or non-neuro) endocrine tumors. It relies on receptor-mediated binding, internalization and installation in the lysosomes in the proximity of the nucleus; administered in large doses, loco-regionally, via the feeding artery of solid tumors, can be highly radiotoxic if they over-express somatostatin receptors, mainly of the sst2 histotype.The book compares the results between i.v. and i.a. implementation in more than 80 patients after over 800 i.a. infusions in neuroendocrine tumors, meningiomas, paragangliomas and colorectal carcinomas in a single Institute (Aretaieion University Hospital) and encourages the i.a. way, leading to ¿tumor melting¿, while minimizing the toxicity to healthy peritumoral liver tissue and critical organs (kidneys and bone marrow).The volume is an invaluable tool for nuclear medicine physicians, interventional radiologists and oncologists dealing with radiopeptide therapies.

This book provides a practical, comprehensive, state-of-the-art review of bladder cancer. A valuable resource for anyone with an interest in urothelial tumors, this text brings together a multidisciplinary team of experts who have distilled their vast years of experience and knowledge into a concise, easy to digest format. Topics covered range from importance of a pattern recognition in diagnosis and pathologic evaluation to ¿how I do it¿ tips on patient selection for appropriate therapies such as chemotherapy, immunotherapy, surgery and radiation. Bridging the gap between a traditional textbook and hands-on experience, this book provides a practical guide to managing day-to-day issues and challenges and brings an algorithmic approach to avoid common pitfalls. Bladder Cancer: A Practical Guide provides a concise yet comprehensive summary of the current status of the field of bladder cancer treatment, guiding patient management and stimulating investigative efforts.

This book presents standard imaging techniques, basic anatomy and an approach to common pathology encountered in temporal bone imaging. Intended as a survival guide for residents and general radiologists, it covers all topics comprehensively, and provides intuitive point-by-point summaries, similar to those of popular radiology reference sites, for easy comprehension at a glance. The book also offers guidance on the pertinent points that need to be included in a report and how to answer basic questions that are likely to be asked by the referring clinician or supervising radiologist.This book will be a valuable resource for general radiologists, radiology residents, ENT residents, otology surgeons and anyone involved in the occasional temporal bone study.

This textbook provides a detailed resource introducing the subdiscipline of mental health informatics. It systematically reviews the methods, paradigms, tools and knowledge base in both clinical and bioinformatics and across the spectrum from research to clinical care. Key foundational technologies, such as terminologies, ontologies and data exchange standards are presented and given context within the complex landscape of mental health conditions, research and care. The learning health system model is utilized to emphasize the bi-directional nature of the translational science associated with mental health processes. Descriptions of the data, technologies, paradigms and products that are generated by and used in each process and their limitations are discussed. Mental Health Informatics: Enabling a Learning Mental Healthcare System is a comprehensive introductory resource for students, educators and researchers in mental health informatics and related behavioral sciences. It is an ideal resource for use in a survey course for both pre- and post-doctoral training programs, as well as for healthcare administrators, funding entities, vendors and product developers working to make mental healthcare more evidence-based.