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This book offers a comprehensive overview of the use of breast MRI for screening high-risk women, including those with familial-genetic hereditary predisposition and previous chest radiation therapy, typically lymphoma survivors. It discusses the historical background of studies and research that provided the body of evidence in favor of MRI screening of these women. Technical and clinical topics are treated in dedicated chapters, including models for individualized risk estimation, radiogenomics of breast cancer in high-risk women, computer-aided detection/diagnosis and machine learning systems applied to breast MRI, and psycho-oncology issues. Alternatives to breast MRI screening such as pharmaco-prevention and prophylactic mastectomy are also discussed, taking into account the public debate on the ¿Angelina Jolie¿ effect. The high breast cancer risk model is proposed as a paradigm for personalized medicine. This book will be of interest to radiologists, surgeons, oncologists and to all professionals devoted to female healthcare.

This book provides a thorough, multidisciplinary review of the latest research and clinical approaches in the field of sleep disorders. It illustrates the variance of complications, symptoms, and issues sleep disorders cause during different stages of a woman¿s life. This updated, comprehensive edition begins with an overview of sleep disorders in women, followed by a section dedicated to examining sleep disorders in women during adolescence. Subsequent chapters then focus on treating pregnant women with sleep disorders, which include conditions such as restless legs syndrome, that arise during the gestational period as well as those like narcolepsy, whose management offers unique challenges during pregnancy and lactation. The book concludes with information on the specific issues caused by sleep disorders faced by women during and after menopause. Sleep Disorders in Women, 3rd Edition serves as an important addition to the literature and is an invaluable resource for neurologists, sleep medicine specialists, OB/GYNs, internal medicine physicians, family practitioners, psychiatrists, nurse practitioners, and physician assistants.

This 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.

This book provides a thorough description of hexapod external fixators, from the theoretical basis to their practical application. Indications and practical use in current Orthopaedic practice are addressed in detail, offering the reader essential insights into the strengths and limitations of these devices. The main aspects covered, include primary (congenital) and secondary (acquired) deformities of the limbs: the etiology, pathomechanics, clinics, technical ¿tips and tricks¿ and suggested frame assemblies are presented.Each chapter addresses a specific Orthopaedic problem and includes representative clinical cases commented on by the authors. Illustrations and X-ray images support the discussion of the various themes treated in the textbook. Special attention is also given to deformity morphology and the consequent geometry of correction, as well as economical aspects and the biological risks of radiation exposure. A review of current nomenclature in external fixation is also provided as a quick-reference resource.Offering clear and straightforward descriptions of these devices and their current use in practice, prepared by leading international experts, this book will benefit expert surgeons and residents alike.

This is the first comprehensive book on the new elastographic techniques discussing the early assessment of liver fibrosis. The book covers all aspects of measuring liver stiffness starting from the methodology, the molecular basis of liver stiffness elevation up to current clinical algorithms and interpretation. Future directions and novel implications that go beyond diagnosis but are relevant for understanding of liver cirrhosis per se are also discussed in detail.Liver Elastography, is an essential companion for hepatologists and gastroenterologists that provides an overview of its basic principles and gives a detailed account of how to use elastrography in clinical practice.

This book covers an up-to-date review of advances in the management strategies for patients with breast cancer and their co-morbidities. Oncoplasty has become the standard of care for breast conservation surgery and can lead to improving aesthetic outcomes of breast cancer surgery, without compromising oncological outcomes. The goal of the text is to increase the competencies and performance of healthcare professionals involved in treating this patient population, which will ultimately improve the aesthetic outcomes, quality of life and overall survival of patients with breast disease and breast cancer. Written by experts in the field, chapters address a wide range of breast surgery techniques that help the general surgeon provide improved oncologic and aesthetic results for patients. The authors have detailed not only best practice for conventional procedures but also new and evolving techniques.Oncoplastic Breast Surgery Techniques for the General Surgeon serves asa valuable resource not only for medical students but also for the general surgeon seeking to improve results in private practice and for professors learning and teaching new breast surgery techniques.

This book covers an up-to-date review of advances in the management strategies for patients with breast cancer and their co-morbidities. Oncoplasty has become the standard of care for breast conservation surgery and can lead to improving aesthetic outcomes of breast cancer surgery, without compromising oncological outcomes. The goal of the text is to increase the competencies and performance of healthcare professionals involved in treating this patient population, which will ultimately improve the aesthetic outcomes, quality of life and overall survival of patients with breast disease and breast cancer. Written by experts in the field, chapters address a wide range of breast surgery techniques that help the general surgeon provide improved oncologic and aesthetic results for patients. The authors have detailed not only best practice for conventional procedures but also new and evolving techniques.Oncoplastic Breast Surgery Techniques for the General Surgeon serves asa valuable resource not only for medical students but also for the general surgeon seeking to improve results in private practice and for professors learning and teaching new breast surgery techniques.

This superbly illustrated book equips readers with a detailed, up-to-date understanding of the surgical and nonsurgical complications that may arise during cranio-maxillofacial and oral surgery for a range of conditions, including malformations, infections, trauma, and tumors. It will aid both in the prevention of complications and in their effective management, across all age groups. Among the diverse surgical settings considered are cleft lip and palate, odontogenic and non-odontogenic infections, temporomandibular joint disorders, cranio-maxillofacial trauma, oral cancer, and skull base tumors. Potential complications during and after reconstructive procedures, including donor site morbidity, are considered. The book is designed to heighten awareness and to fill gaps in knowledge by providing novel insights. It will be of value for all clinicians, residents, and medical and dental students who are interested in oral, maxillofacial, craniofacial, plastic, reconstructive, and headand neck surgery.

This superbly illustrated book equips readers with a detailed, up-to-date understanding of the surgical and nonsurgical complications that may arise during cranio-maxillofacial and oral surgery for a range of conditions, including malformations, infections, trauma, and tumors. It will aid both in the prevention of complications and in their effective management, across all age groups. Among the diverse surgical settings considered are cleft lip and palate, odontogenic and non-odontogenic infections, temporomandibular joint disorders, cranio-maxillofacial trauma, oral cancer, and skull base tumors. Potential complications during and after reconstructive procedures, including donor site morbidity, are considered. The book is designed to heighten awareness and to fill gaps in knowledge by providing novel insights. It will be of value for all clinicians, residents, and medical and dental students who are interested in oral, maxillofacial, craniofacial, plastic, reconstructive, and headand neck surgery.

This book focuses on the modern clinical management of acute and chronic pain syndromes. It not only presents information in a clinically illuminating format, but in a manner that is cognizant of the current prescription opioid epidemic. Divided into seven sections, this book covers acute pain, common pain conditions, regional pain problems, interdisciplinary evaluation and treatment, medical treatments and pain in different stages of life. Concluding with the exploration of several special topics, the last section includes an important discussion on the regulatory and legal issues in the use of controlled substances. Chapters are concise and relevant, with an emphasis on treatment based upon evidence from clinical trials and interpretation by practitioners in the field. Expertly written text is further supplemented by high-quality figures, images and tables outlining proven treatments with drug, dose or other information describing details oftreatment. Timely, informative, and socially conscious, Pain Management for Clinicians: A Guide to Assessment and Treatment is a valuable reference for clinicians who manage patients with chronic and common pain problems.

The goal of this book is not to follow a traditional systems or organ-based approach but rather to encourage our readers to think of the patients as complex biochemical systems. The book provides information that supplements the more traditional approaches and provides a detailed overview of the metabolic knowledge needed for surgical practice. The text reviews normal physiology, the pathophysiology of starvation and surgical stressors. It also focuses on appropriate nutritional repletion for various common disease states. Specifically, chapters address the severe metabolic demands created by systemic inflammation, infection, and major insults such as trauma and burns. All chapters are written by experts in their fields and include the most up-to-date scientific and clinical information. As biochemical aspects of modern medicine are advancing rapidly, chapters have been updated and several new chapters have been added in order to help readers keep pace in this race for state-of-the-art knowledge. Surgical Metabolism: The Metabolic Care of the Surgical Patient 2nd Edition is designed for clinicians across levels of training and provides clear and concise evidence based guidelines for the metabolic management and nutritional support of the surgical patient.

In the new edition of this very successful book, European and North American experts present the state of the art in diagnostic and therapeutic radionuclide procedures. The aim is to examine established and emerging clinical applications in detail, rather than to consider everything included in the comprehensive texts already available within the field. This ¿practical¿ approach ensures that the book will be a valuable guide for nuclear medicine physicians, technologists, students, and interested clinicians alike. This edition of Clinical Nuclear Medicine has been extensively revised to take account of recent developments. The roles of SPECT/CT, PET/CT, and PET/MRI are clearly explained and illustrated, and the coverage extended to encompass, for example, novel PET tracers and therapeutic radionuclides, advanced techniques of brain imaging, and the development of theranostics. Readers will be fully persuaded of the ever-increasing value of nuclear medicine techniques in depicting physiology and function and complementing anatomic modalities such as CT, MRI, and ultrasound.