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Books in Health

  • Sobotta Tables of Muscles, Joints and Nerves, English

    Tables to 15th ed. of the Sobotta Atlas
    • 1st Edition
    • Friedrich Paulsen + 1 more
    • English
    Learning with the Sobotta system Sobotta – tables of muscles, joints and nerves 60 tables assist in deepening and reviewing your knowledge: All muscles of the human body including origin, insertion, innervation and function. Matching the atlas, volumes 1 to 3, you find a schematic illustration of the original Sobotta figure for each muscle. The described muscle is highlighted in colour.Branches and supply areas of the cervical, brachial and lumbosacral plexus Joints and cranial nerves A practical learning tool for studying on the go! Each table refers to the corresponding figures in Sobotta Atlases Volumes 1 to 3

  • Bioquímica clínica

    • 7th Edition
    • William J. Marshall + 3 more
    • Spanish
    La obra plantea fundamentalmente cómo se ve alterada la química del organismo cuando éste se ve afectado por diferentes patologías. Su abordaje es bastante básico, sin profundizar demasiado en el aspecto molecular y, a través de sus 21 capítulos presenta un amplio abanico de trastornos fisiológicos que se reflejan gracias a las alteraciones en los diferentes niveles de elementos químicos del organismo (niveles de Na, K…) y de biomoléculas (hormonas, enzimas...). Cada uno de los capítulos se inicia con una introducción en donde se hace un recordatorio de los aspectos correspondientes a ciencias básicas referentes a los trastornos que se van a tratar. Incluye también capítulos específicos relativos a: alteraciones metabólicas en los procesos oncológicos y diferentes respuestas en franjas de edad extrema (población anciana y pediátrica). Cada capítulo presenta los siguientes recursos didácticos: negrita para resaltar aquellos conceptos más relevantes; cuadros de fondo verde en donde se dan "pistas" para el correcto diagnóstico, o se enumeran las características y causas de diferentes trastornos metabólicos (ej: hiperprolactinemia, diabetes insipidus…); algoritmos diagnósticos; cuadros de casos clínicos (aprox. 100), en donde tras una presentación y los resultados de laboratorio obtenidos, se comenta cuál es el diagnóstico y el porqué del razonamiento; cuadro resumen en fondo rojo, en donde en forma de puntos se recogen las ideas y conceptos más importantes tratados en el capítulo. La obra cuenta con material adicional online en inglés disponible a través de StudentConsult en la que se incluye todas las imágenes del libro impreso y un banco de preguntas de autoevaluación.

  • Chronic Lymphocytic Leukemia, An Issue of Hematology/Oncology Clinics of North America

    • 1st Edition
    • Volume 27-2
    • Jennifer R. Brown
    • English
    This issue of Hematology/Oncology Clinics is edited by Dr. Jennifer Brown and focuses on Chronic Lymphocytic Leukemia. Article topics include: What Have Recent Genomic Advances Taught us About CLL?, Biology of CLL in Different Microenvironments,Wh... is the Significance of Stereotyped BCRs in CLL?, Understanding Immunodeficiency in CLL, MBL vs CLL: How Important is the Distinction?, Risk Stratification of CLL in 2012, Minimal Residual Disease Measurement in CLL, The BTK Inhibitor PCI-32765 in CLL, and Evolving Role of Stem Cell Transplantation in CLL.

  • Year Book of Emergency Medicine 2013

    • 1st Edition
    • Volume 2013
    • Richard J Hamilton
    • English
    The Year Book of Emergency Medicine brings you abstracts of the articles that reported the year's breakthrough developments in emergency medicine, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed! Topics covered in the 2012 edition include Trauma, Resuscitation, Cardiovascular Emergencies, Gastrointestinal Emergencies, Infections and Immunologic Disorders, Neurology, and Pediatric Emergency Medicine. Focused, fast, and insightful information for the busy Emergency Room Physician!

  • Accident & Emergency

    Theory into Practice
    • 3rd Edition
    • Brian Dolan + 1 more
    • English
    Accident & Emergency: Theory into Practice is the comprehensive textbook for emergency nurses, covering the full range of emergency care issues, including trauma management and trauma care, the lifespan, psychological issues, physiology for practice, practice and professional issues. This book is about more than what a nurse should do; it is about why it should be done, leading to sustainable and safer practice.The third edition of this ever-popular text expands its horizons to include contributions from emergency care professionals in New Zealand, Australia and the Republic of Ireland, as well as the United Kingdom.

  • Respiratory Muscle Training

    Theory and Practice
    • 1st Edition
    • Alison McConnell
    • English
    Respiratory Muscle Training: theory and practice is the world’s first book which provides an "everything-you-need... guide to respiratory muscle training (RMT). Authored by an internationally-accl... leading expert, it is an evidence-based resource, built upon current scientific knowledge, as well as clinical experience at the cutting-edge of respiratory training in a wide range of settings. The aim of the book is to give readers: 1) an introduction to respiratory physiology and exercise physiology, as well as training theory; 2) an understanding of how disease affects the respiratory muscles and the mechanics of breathing; 3) an insight into the disease-specific, evidence-based benefits of RMT; 4) advice on the application of RMT as a standalone treatment, and as part of a rehabilitation programme; and finally, 5) guidance on the application of functional training techniques to RMT. The book is divided into two parts – theory and practice. Part I provides readers with access to the theoretical building blocks that support practice. It explores the evidence base for RMT as well as the different methods of training respiratory muscles and their respective efficacy. Part II guides the reader through the practical implementation of the most widely validated form of RMT, namely inspiratory muscle resistance training. Finally, over 100 "Functional" IMT exercises are described, which incorporate a stability and/or postural challenge, including exercises that address specific "dyspnoeagenic" movements. Respiratory Muscle Training: theory and practice is supported by a dedicated website (www.physiobreathe.c... which provides access to the latest information on RMT, as well as video clips of all exercises described in the book. Purchasers will also receive a three-month free trial of the Physiotec software platform, which allows clinicians to create bespoke training programmes (including video clips) that can be printed or emailed to patients. "[More importantly] it provides an evidence base for the incorporation of respiratory muscle training for a variety of conditions." Reviewed by Margot Skinner on behalf of the New Zealand Journal of Physiotherapy, January 2015

  • Lupus érythémateux

    • 1st Edition
    • Dan Lipsker + 1 more
    • French
    Le lupus érythémateux est une maladie chronique, qui résulte d'un dérèglement multifactoriel du système immunitaire et qui illustre parfaitement le concept de maladie auto-immune systémique. Affection aux symptômes multiples, elle se déclare le plus souvent par des manifestations cutanées ou articulaires, mais elle peut toucher n'importe quel organe. De par la complexité de son diagnostic et de son traitement, le lupus érythémateux est une maladie parfois grave dont le diagnostic et la prise en charge font appel à un grand nombre de spécialités médicales : dermatologie, rhumatologie, médecine interne, néphrologie, hématologie, pédiatrie, biologie médicale, mais aussi parfois pneumologie, cardiologie, gastro-entérologie..... Ce livre didactique, organisé sous la forme de mises au point et d'interrogations que le professionnel de santé est amené à se poser, propose : - un ancrage diagnostique et thérapeutique par des mises au point, dans la première partie, offrant un rappel de la physiopathologie du lupus érythémateux, de ses manifestations cliniques et biologiques et de son traitement ; - un approfondissement des différentes manifestations, des situations particulières et des complications que peut présenter le patient lupique : lupus chez l'enfant, grossesse et lupus, risque infectieux, ostéonécrose, ischémie cutanée, douleurs abdominales, etc. ; - une évaluation des multiples traitements, chaque symptôme nécessitant une cure spécifique. Les syndromes plus rares associés au lupus, comme le syndrome d'Evans ou encore le syndrome d'activation macrophagique par exemple, sont ainsi abordés spécifiquement, afin de déterminer le remède le plus adapté. Cet ouvrage exhaustif, illustré par de nombreux tableaux et figures, éclaire une maladie complexe et polymorphe. Il guidera les nombreux praticiens pour lesquels le lupus érythémateux est un enjeu majeur de diagnostic, véritable cas d'école de diagnostic différentiel. Il apportera une aide considérable dans la prise en charge thérapeutique en abordant concrètement les nombreuses situations cliniques auxquelles les malades lupiques sont exposés.

  • Treatment of Infertility with Chinese Medicine

    • 2nd Edition
    • Jane Lyttleton
    • English
    The second edition of this popular text systematically addresses all aspects of treatment of infertility using Chinese medicine. Clinically focused and with a new easy-to-navigate design, the book begins by covering all the essential fundamentals you will need to understand and treat infertility, before going on to look at what Chinese medicine offers in the way of treatment for functional infertility in men and women, gynecological disorders which contribute to infertility and relevant lifestyle factors. Jane Lyttleton importantly devotes a large part of the book to discussing ways in which Chinese medicine and Western medicine might work together to overcome infertility, and details the increased experience over the past decade in working with IVF patients and their specialists. Leaps forward have also been made in the understanding of conditions such as Polycystic ovarian syndrome and immune infertility. New Features · Greatly expanded section on the place of Chinese medicine and IVF in treatment of infertility · New information on Polycystic ovarian disease and immune infertility and how Chinese medicine approaches their treatment · Updated and balanced advice on pre-conception care · Clinically focused, with easy-to-navigate design

  • Lehrbuch Handdiagnostik

    Persönlichkeits- und Krankheitsdiagnostik aus der Hand
    • 5th Edition
    • Irmgard Wenzel
    • German
    Kurzbeschreibung Handdiagnostik: Was die Hände über den Gesundheitszustand verraten Was verrät die Hand über Persönlichkeit und Krankheitsgeschichte eines Menschen? Lernen Sie, chirologische Merkmale sicher zu erkennen! Irmgard Wenzel ist die bekannte Expertin für Handdiagnostik - in ihrem reich bebildertem Buch fasst sie ihr Wissen aus über 45-jähriger Erfahrung zusammen. Langbeschreibung Expertenwissen: 45 Jahre chirologische Erfahrung In dem Werk Lehrbuch Handdiagnostik fasst die bekannte Expertin Irmgard Wenzel ihr Wissen aus über 45-jähriger chirologischer Erfahrung eindrucksvoll in Wort und Bild zusammen. Als Nachschlagewerk zeigt Praxis der Chirologie alle wichtigen handdiagnostischen Merkmale, als Praxisbuch gibt es bei der Interpretation der Befunde sichere Hilfestellung. Tabellarische Übersichten, Diagnosebögen und Fallbeispiele erleichtern den Einstieg ins Thema und helfen spezifische Merkmale und Dispositionen frühzeitig zu erkennen. - chirologische Merkmale der Außen- und Innenhand - psychologische Diagnostik, um bestimmte psychisch betonte Fragestellungen, z.B. Ängste, Konflikte, Selbstbewusstsein zu erarbeiten - Sonderkapitel zum Thema Kinderhände - Krankheitsdiagnostik mit den Merkmalen zur Disposition bestimmter funktioneller und organischer Erkrankungen - die 5., komplett überarbeitete Auflage jetzt inkl. Handflächentherapie (Palm Therapy®) nach Moshe Zwang

  • Orthopaedics for Physician Assistants E-Book

    • 1st Edition
    • Sara D Rynders + 1 more
    • English
    The first reference of its kind designed specifically for PAs, Orthopaedics for Physician Assistants is a comprehensive, portable handbook that helps you master orthopaedic physical examination and history taking, imaging interpretation and diagnosis, and treatment strategies – essential knowledge that directly affects your patient care. Authors Sara Rynders and Jennifer Hart present precisely the diagnostic and procedural information you need with this easy-to-use, PA-focused orthopaedic resource!

  • Lung Cancer, Part I: Screening, Diagnosis, and Staging, An Issue of Thoracic Surgery Clinics

    • 1st Edition
    • Volume 23-2
    • Jean Deslauriers + 2 more
    • English
    This issue of Thoracic Surgery Clinics covers the screening for and diagnosis and staging of lung cancer. Expert authors review the most current information available about fluorescence and navigational bronchoscopy, integrated PET/CT for mediastinal nodal staging, contraindications to pulmonary resection, approach to patients with multiple lung nodules, and more. Keep up-to-the-minute with the latest developments in this important aspect of thoracic surgery practice.

  • Geriatric Dermatology, An Issue of Clinics in Geriatric Medicine

    • 1st Edition
    • Volume 29-2
    • David R. Thomas + 1 more
    • English
    This issue of Clinics in Geriatric Medicine features expert clinical reviews on Geriatric Dermatology which includes current information on topics such as diagnosis and management of bullous disease, common skin cancers in older adults, psoriasis, management of pressure ulcers, management of venous stasis disease, approach to diabetic and vascular ulcers, diagnosis and management of soft tissue infections, cutaneous fungal infections in older adults, management of scabies and generalized pruritus, herpes zoster and other herpes infections, and adverse drug effects in aging skin.

  • Endoscopic Ear Surgery, an Issue of Otolaryngologic Clinics

    • 1st Edition
    • Volume 46-2
    • Muaaz Tarabichi + 4 more
    • English
    The subject of Endoscopic Ear Surgery is a cutting edge subject and this is one of the first practical guides on this subject. Presented here in Otolaryngologic Clinics are topics on Endoscopic Anatomy, Ventilation Routes, as well as the Endoscopic Management of Cholesteatomas, Neuromas and Inner ear surgery, Endoscopic Ear Surgery for Tympanic Perforations, for Otosclerosis, for Cochlear Implants, each topic discussing the current indications, advantages, disadvantages, instruments needed, surgical technique, and complications. The Editors take part in the International Working Group on Endoscopic Ear Surgery and bring to the Otolaryngologic Clinics the most practical and recent information for surgeons from their scientific and clinical presentations at ENT academy meetings in the United States and around the globe.

  • Veterinary Dentistry for the General Practitioner

    • 2nd Edition
    • Cecilia Gorrel
    • English
    The new edition of Veterinary Dentistry for the General Practitioner has been thoroughly revised and updated to ensure it continues to meet the needs of today’s veterinarians and veterinary students. The book offers all the theoretical knowledge and practical help any general practitioner needs in order to practise good dentistry, providing comprehensive and detailed knowledge of how to diagnose, prevent and treat common oral conditions in the dog and cat. It also presents information as to diagnosis and initial management of less common diseases, where the ultimate treatment will generally be performed by a specialist but the general practitioner needs to be able to identify a problem and have a basic understanding of the pathophysiology of the tissues involved. Dental conditions of lagomorphs and rodents are also covered. In its new second edition Veterinary Dentistry for the General Practitioner remains the complete resource for the general veterinarian and unique in its detailed focus on common dental conditions.

  • Anatomie in Frage und Antwort

    Fragen und Fallgeschichten - mit Zugang zum Elsevier-Portal
    • 6th Edition
    • Falk von Samson-Himmelstjerna
    • German
    Anatomie – da bleiben keine Fragen offen! Die Anatomie ist eine ganz wesentliche Grundlage der Medizin. Das Wissen dazu ist nicht nur in den operativen Fächern von unschätzbarem Wert. „Anatomie in Frage und Antwort" ist entstanden, um angehenden Ärzten die Prüfungsvorbereitung auf das mündliche Physikum im Fach Anatomie zu erleichtern. Es simuliert mögliche Prüfungsfragen aus dem Physikum und dem Präparierkurs. Dabei wurde besonders viel Wert darauf gelegt, klinische Zusammenhänge aufzuzeigen und Praxisbeispiele einfließen zu lassen. Die „In Frage und Antwort"-Reihe steht für die effiziente Vorbereitung auf mündliche Prüfungen während des Semesters und im Examen: lebensechte Prüfungsfragen mit mustergültigen Antworten und anschaulichen Kommentaren zum Selbst- und gegenseitigen Abfragen. Die Auswahl der Fragen basiert streng auf der Auswertung von Prüfungsprotokollen. Das erwartet Sie in „Anatomie in Frage und Antwort": Fragen wie in der mündlichen Prüfung Antworten und Kommentare mit Hinweisen auf Stolpersteine und Fallstricke Fallbeispiele zum Üben von klinischen Denkabläufen Besonders geeignet zur Simulation der Prüfung (z.B. in der Lerngruppe) Tipps und Tricks zum Umgang mit der Prüfungssituation

  • Les muscles : actions et palpation

    • 1st Edition
    • Annie Gouriet + 3 more
    • French
    Cet ouvrage s'adresse à tous ceux qui désirent mieux connaître et comprendre le fonctionnement de tous les muscles et la manière de les palper. L'auteur, Joseph E. Muscolino, détaille avec une grande pédagogie les raisonnements, les techniques mais aussi les pièges à éviter pour pratiquer les massages. Les cinq premiers chapitres présentent les éléments fondamentaux permettant la compréhension du fonctionnement articulaire et musculaire du corps humain : la terminologie cinésiologique de base grâce à laquelle les soignants communiquent entre eux avec un vocabulaire commun, les repères d'anatomie palpatoire et les insertions musculaires. Les chapitres suivants forment le coeur de l'ouvrage. Ils sont consacrés aux muscles, classés par région corporelle. La remarquable iconographie, particulièrement riche et explicite, facilite considérablement la compréhension, la mémorisation et l'apprentissage de la palpation. L'auteur propose aussi des cas cliniques, des exercices de révision à la fin de chaque chapitre ainsi qu'un atlas des étirements afin de faciliter l'acquisition des connaissances.

  • Prise en charge des troubles du langage écrit chez l'enfant

    • 1st Edition
    • Séverine Casalis + 2 more
    • French
    La maîtrise de la lecture est aujourd'hui un enjeu fondamental pour l'enfant tant du point de vue de son épanouissement, de sa réussite scolaire que de son insertion professionnelle future. Cet ouvrage permettra au lecteur d'appréhender les troubles spécifiques du langage écrit et les différentes prises en charge possibles de ces troubles. Dans une première partie, les troubles spécifiques du langage écrit sont présentés à partir de l'analyse des différentes composantes de la lecture. Une place très importante est accordée aux dyslexies de l'enfant (95% de la recherche). Les auteurs abordent ensuite la dysorthographie et les liens entre troubles du langage oral et écrit. Dans une deuxième partie, les auteurs s'attachent à décrire les solutions pour remédier aux troubles et proposent une synthèse des grandes orientations en rééducation, présentée à la fois selon un point de vue chronologique, géographique et théorique. Le lecteur, orthophoniste, rééducateur, psychologue, trouvera aussi un chapitre sur les entraînements rééducatifs et les stratégies de compensation illustrés d'études de cas.

  • Essential Clinical Procedures

    Expert Consult - Online and Print
    • 3rd Edition
    • Richard W. Dehn + 1 more
    • English
    Written by foremost experts in the field, the 3rd Edition of Essential Clinical Procedures presents the latest common diagnostic and treatment-related procedures that you need to know as a physician assistant! Clear and concise, this medical reference book leads you step-by-step through over 70 techniques commonly seen in primary care and specialist settings, equipping you to deliver the best and safest care to your patients.

  • Osteoporosis and Fragility Fractures, An Issue of Orthopedic Clinics

    • 1st Edition
    • Volume 44-2
    • Jason A. Lowe + 1 more
    • English
    This issue, focusing on Osteoporosis and Fragility Fractures, will open with a general overview of fragility fractures, common treatments, and costs involved. The issue then focuses on a variety of different topics, like new therapies, atypical and extraordinarily complex fractures, and an update on treatment protocols. Because of the very nature of fragility fractures, much of the content is focused on the geriatric patient, though not all.

  • Pet Imaging of Brain Tumors, An Issue of PET Clinics

    • 1st Edition
    • Volume 8-2
    • Sandip Basu + 1 more
    • English
    This issue discusses the clinical application of PET Imaging in assessing brain tumors, Including what a neuro-oncologist’s expectations should be. One article discusses how PET can help in developing reliable response evaluation criteria in brain tumors; another reviews modern tracers for brain tumors. The evolving role of PET-MRI in brain tumors is examined. Parametric mapping of multiple PET tracers with MRI response evaluation is reviewed. Another article discusses the role of early and delayed PET imaging and novel quantitative techniques in hybrid imaging for brain tumors. The perspective of pediatric imaging is also given.

  • Diagnosis, Evaluation, and Treatment of Non-Muscle Invasive Bladder Cancer: An Update, An Issue of Urologic Clinics

    • 1st Edition
    • Volume 40-2
    • Sam S. Chang
    • English
    Of the three types of bladder cancer, Non-Muscle Invasive Bladder Cancer (NMIBC) is the most common form and is diagnosed in over 70% of cases. This issue of the Urologic Clinics focuses on NMIBC and includes articles on periopertive chemotherapy, office fulguration, TURBT, surveillance strategies, and radiation therapy in type-1 tumors.

  • Saphenous Vein Graft Lesions and Thrombectomy for Acute Myocardial Infarction, An Issue of Interventional Cardiology Clinics

    • 1st Edition
    • Volume 2-2
    • Samir R. Kapadia + 1 more
    • English
    This issue of Interventional Cardiology Clinics covers bypass graft lesions and thrombectomy. Expert authors review the most current information available about saphenous vein grafts, including distal embolic protection devices, drug eluting stents vs bare metal stents, management of complications, optimal stenting, and more. Adjunctive pharmacotherapy for thrombotic coronary lesions and thrombectomy devices in coronary intervention are also discussed. Keep up-to-the-minute with the latest developments in this important aspect of interventional cardiology practice.

  • Cholestatic Liver Diseases, An Issue of Clinics in Liver Disease

    • 1st Edition
    • Volume 17-2
    • Cynthia Levy
    • English
    Dr. Levy is a key leader in the field of hepatology , and she has enlisted authors who are top experts in their fields to submit state-of-the-art clinical reviews on cholestatic liver diseases. Articles are devoted to genetic determinants of cholestasis, nuclear receptors as drug targets, drug-induced cholestasis, primary sclerosing cholangitis, therapeutic advances in primary biliary cirrhosis, overlap syndromes, autoimmune sclerosing cholangitis, secondary sclerosing cholangitis, Focus is also on familial cholestasis, allagile syndrome and other hereditary causes of cholestasis, Systemic causes of cholestasis, advances in pathogenesis and treatment of pruritus, care of the cholestatic patient, and transplantation for cholestatic diseases . Readers will come away with a full overview of the diagnosis and treatment of cholestatic liver diseases.

  • Pediatric Critical Care, An Issue of Critical Care Clinics

    • 1st Edition
    • Volume 29-2
    • Margaret M. Parker
    • English
    This issue of Critical Care Clinics edited by Dr. Margaret Parker on Pediatric Critical Care features topics such as:1. Acute Respiratory Failure,Post-op Cardiac Surgery,Septic Shock, Acute Renal Failure ,Traumatic Brain Injury,Encephalitis,... Asthmaticus ,Status Epilepticus, Bleeding/coagulopath... , and Transfusion.

  • Endoscopic Approach to the Patient with Biliary Tract Disease, An Issue of Gastrointestinal Endoscopy Clinics

    • 1st Edition
    • Volume 23-2
    • Jacques Van Dam
    • English
    Dr. Van Dam is one of key leaders in the field of diagnostic endoscopy, and he has enlisted authors who are top experts in their fields to submit state-of-the-art clinical reviews on endoscopy and biliary tract disease. Articles are devoted to infections, choledoscopy, common bile duct stones, benign and malignant bile duct strictures, motility disorders, and EUS access and drainage of the common bile duct. Attention is also given to patients with bile duct injury, congenital anomalies, and to liver transplant patients. Readers will come away with a full overview of endoscopy and the patient with biliary tract disease.

  • Psychodynamic Treatment Approaches to Psychopathology, vol 2, An Issue of Child and Adolescent Psychiatric Clinics of North America

    • 1st Edition
    • Volume 22-2
    • Rachel Z Ritvo + 1 more
    • English
    Psychodynamic Psychotherapy in Child and Adolescent Psychiatric Clinics covers topics in three major categories in two volumes of this series: 1. Approaches to Specific Conditions; 2. Special Features in Working with Children; 3. Research Presented for the Clinician. Specific conditions covered are: Anxiety, Trauma, Depression, Eating Disorders, Incipient Borderline Personality Disorders, and the Medically Ill Youth. Special Features include the various therapies in Psychodynamic psychotherapy: Play Techniques, Use of Boardgames, Perspectives on Psychotropic Medications for Children, Parent Work, Family Therapy, and Dyadic Therapies. Research for Clinicians includes Neuroscience, Evidence Base, and Developmental Perspectives.

  • 100 situations clés en médecine générale

    Évaluation, Diagnostic, Thérapeutique
    • 1st Edition
    • Jean-Louis Schlienger
    • French
    Le médecin traitant, en première ligne dans le parcours de soin, responsable et acteur clé du premier diagnostic, du soin et/ou de l'orientation du malade doit faire face à des situations extrêmement variées et souvent complexes. Il doit faire preuve en toutes circonstances de savoir mais aussi de savoir-être et de savoir-faire. Destiné à l'aider dans cette mission, ce guide pratique décrit en détail 100 situations essentielles de la pratique quotidienne du médecin traitant. Ces situations sont consacrées à des champs aussi divers que la relation médecin-malade, la réparation, le dépistage, la prescription, la petite chirurgie, le suivi du diabète, l'évaluation du risque, l'altération de l'état général, les céphalées, les otalgies ou les gastro-entérites du nourrisson. Il propose des réponses concrètes, claires et précises aux questions que se posent le praticien et l'oriente dans ses décisions. Ce guide pratique, très richement illustré et documenté, offre un grand nombre d'arbres diagnostics, de tableaux récapitulatifs, d'encadrés et de points clés pour accéder rapidement à l'information recherchée. Rédigé pour les médecins de famille et ceux qui aspirent à le devenir, il s'appuie sur la formation continue pour les médecins généralistes dispensée à la faculté de médecine de Strasbourg. Il est le fruit de toutes les demandes et interrogations de ces derniers durant les sessions de formation. Un contenu en ligne de plus de 150 QCM et de cas cliniques permettra également aux lecteurs de s'auto-évaluer et de se tester sur des cas réels. Cet ouvrage, conçu pour répondre aux besoins des médecins généralistes, intéressera également les jeunes internes et les étudiants en médecine qui y trouveront toutes les informations indispensables à leur pratique quotidienne.

  • Shiatsu für Schwangerschaft und Geburt

    • 1st Edition
    • Suzanne Yates
    • German
    Shiatsu als "sanfte", aber wirkungsvolle Behandlungsmethode während der Schwangerschaft! Das Buch informiert Sie umfassend in Wort und Bild über die ganze Bandbreite der Möglichkeiten und worauf Sie bei schwangeren Patientinnen besonders achten müssen.

  • Echocardiographie fÅ“tale

    • 1st Edition
    • Philippe Pézard + 1 more
    • French
    L'examen cardiaque fœtal, étape cruciale autant lors du dépistage que de l'échographie diagnostique, doit être maîtrisé par le praticien pour identifier toutes les pathologies, malformatives ou secondaires à une affection plus générale, maternelle ou fœtale, y compris génétique. C'est l'objectif de cet ouvrage, qui facilite la pratique quotidienne de l'échocardiographie fœtale en donnant toutes les clés pour analyser, interpréter et poser un diagnostic aussi bien face au cœur normal que pathologique. Il décrit toutes les techniques d'examen ultrasonores, détaille l'analyse du cœur normal et de l'hémodynamique fœtale, et indique la marche à suivre pour détecter et prendre en charge les troubles du rythme et de la conduction. Pour chacune des cardiopathies, de la plus commune à la plus rare, sont rappelés l'anatomie, les signes d'appel et de certitude ainsi que les conséquences et possibilités de prise en charge anté- et postnatales. De nombreux schémas, clichés d'échocardiographie, tableaux, encadrés et arbres de décision, ainsi que des séquences vidéo disponibles sur Internet, viennent enrichir ce contenu destiné tout autant à l'échographiste obstétrical — médecin ou sage-femme – qu'au cardiopédiatre ou néonatalogiste désirant s'investir ou se perfectionner en cardiologie fœtale.

  • Essential Echocardiography

    Expert Consult - Online & Print
    • 2nd Edition
    • Alisdair Ryding
    • English
    This book is a step-by-step manual for the complete echo-novice. It should be the only book needed to become a proficient echocardiographer. The text focuses on the practicalities of performing an examination, and the interpretation of images. Avoiding unnecessary technicalities, it places particular emphasis on the diagnostic features of sample cases and covers the entire breadth of adult cardiology. The majority of the echo images are also available in a dynamic form on the Expert Consult platform. Also included is access to 100 case scenarios and images for self-assessment interpretation. The combination of the book and the website materials provides an unparalleled learning experience for people who do not routinely practise echocardiography.

  • Surgery for Urinary Incontinence

    Female Pelvic Surgery Video Atlas Series: Expert Consult: Online and Print
    • 1st Edition
    • Roger R. Dmochowski + 2 more
    • English
    Surgery for Urinary Incontinence, by Drs. Roger Dmochowski, Mickey M. Karram, and W. Stuart Reynolds, is the ideal way to sharpen your skills in the diagnosis and management of this condition. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, detailed discussions and illustrations, case studies, and video footage clarify how to most effectively select and perform a variety of procedures and manage complications.

  • Le syndrome dys-exécutif chez l'enfant et l'adolescent

    Répercussion scolaires et comportementales
    • 1st Edition
    • Michèle Mazeau + 1 more
    • French
    Parmi les troubles dys-, ou troubles cognitifs spécifiques développementaux, ceux affectant les fonctions exécutives sont encore trop méconnus. Touchant des fonctions dites « transversales », qui irriguent et gèrent toutes les autres, ils n'ont pas de répercussions circonscrites, ce qui rend leur repérage difficile. Favoriser l'établissement d'un diagnostic précoce et rigoureux et ainsi permettre aux sujets qui en souffrent de bénéficier des stratégies thérapeutiques et pédagogiques susceptibles de les améliorer : tel est le double objectif de ce livre. Cet ouvrage est composé de deux parties aux approches très différentes mais qui s'imbriquent pour atteindre le même but : aider tous ceux qui seront amenés à côtoyer et à accompagner les jeunes souffrant de troubles dys-exécutifs. La première partie fait un point synthétique sur les aspects médicaux du syndrome dys-attentionnel (TDA/H) et dys-exécutif. Après une description du développement normal de ces fonctions chez l'enfant, sont abordés leurs aspects pathologiques : symptômes, répercussions dans les apprentissages, puis les stratégies et évaluations qui conduisent au diagnostic. Enfin, sont indiquées les grandes lignes des préconisations thérapeutiques (médicamenteuses et rééducatives). La seconde partie est consacrée au jeune dys-exécutif à l'école. C'est dans ce cadre en effet qu'il passe une bonne part de sa vie, où s'exprime l'essentiel de ses difficultés et où se décide son avenir, personnel, professionnel et social. À travers un grand nombre d'exemples de devoirs choisis dans l'éventail des disciplines scolaires (sciences, littérature, histoire-géographie…... et de tous les niveaux (collège et lycée), les auteurs dessinent une « méthodologie générale de l'adaptation » et au delà jettent les bases d'une réflexion sur les principes qui aideront à l'élaboration de stratégies palliatives pertinentes, indispensables pour ces jeunes. Ce livre s'adresse à tous ceux, professionnels du soin (médecins pratiquant la neuropsychologie infantile, médecins et psychologues scolaires, neuropédiatres, neuropsychologues), professeurs (enseignants, spécialisés ou non, enseignants référents), auxiliaires de vie scolaire (AVS), parents qui cherchent à comprendre les ressorts de ces troubles et à apporter une aide efficace aux jeunes qui en souffrent. Son originalité réside dans le fait d'articuler le médical et le pédagogique.

  • L'essentiel en hépato-gastro-entérologie

    • 1st Edition
    • Paul Collins + 1 more
    • French
    Cet ouvrage propose une synthèse claire, concise et accessible des connaissances les plus importantes en hépato-gastro-entéro... Fondé sur la pratique médicale et le déroulé d'une consultation, l'ouvrage aborde en premier les symptômes présentés par le patient (dyspepsie, dysphagie, douleur abdominale, distension abdominale, perte de poids, anorexie, vomissements, anémie, ictère, anomalies hépatiques, etc.). Il rappelle ensuite l'anatomie, la physiologie et le fonctionnement des différents organes (œsophage, estomac, intestin grêle, côlon, foie, voies biliaires et pancréas) puis les principales pathologies de chaque organe. Sont également détaillés tous les éléments pour établir le diagnostic : anamnèse, examen clinique et examens complémentaires indispensables. Le lecteur trouvera en fin d'ouvrage de nombreux cas cliniques qui lui permettront de s'auto-évaluer et de fixer des éléments clefs. Comportant de nombreux encadrés, tableaux de synthèse, algorithmes diagnostiques, schémas et images radiologiques facilitant la compréhension et l'apprentissage, cet ouvrage donne toutes les informations utiles et fondamentales en hépato-gastroentérol... pour la pratique quotidienne. Il pourra servir d'outil de révision aux internes de la spécialité et s'adresse également aux médecins généralistes souhaitant mettre à jour leurs connaissances.

  • Thoracic Anesthesia, An Issue of Anesthesiology Clinics

    • 1st Edition
    • Volume 31-1
    • Edmund Cohen
    • English
    This issue of Anesthesiology Clinics brings the reader up to date on the most important advances and controversies in thoracic anesthesia. The latest techniques and current standards of care are presented, and controversies are discussed.

  • Neuroendocrine Control of Metabolism, An Issue of Endocrinology and Metabolism Clinics

    • 1st Edition
    • Volume 42-1
    • Christoph Buettner
    • English
    This issue of Endocrinology Clinics brings the reader up to date on the important advances in research surrounding the neuroendocrine control of metabolism. Guest edited by Christoph Buettner, the topics covered include leptin signaling, hypothalamic inflammation, hypoglycemia awareness, perinatal programming of metabolic disease, substrates, and more.

  • Sleep and Anesthesia, An Issue of Sleep Medicine Clinics

    • 1st Edition
    • Volume 8-1
    • Frances Chung
    • English
    This issue of Sleep Medicine Clinics, Guest Edited by Frances Chung, MBBS FRCPC of the University of Toronto, will focus on Sleep and Neurorehabilitation. Article topics will include Sleep and Anesthesia; Neurobiology, Medicine, and Society; Upper airway, OSA and anesthesia ; Positions, sleep and anesthesia; Sleep Deprivation, OSA and inflammation; Preoperative Screening for OSA; and PAP therapy for perioperative patients.

  • Current Issues in Treatment of Osteochondral Defects, An Issue of Foot and Ankle Clinics

    • 1st Edition
    • Volume 18-1
    • Mark S. Myerson
    • English
    This issue will provide a comprehensive overview of OCD, from the perspective of the Foot and Ankle surgeon. Topics to be covered include basic biology, advances in synthetic cartilage technology, surgical approaches, pediatric care, allografts, and the use of other surgical revision technology.

  • Placental Pathology, An Issue of Surgical Pathology Clinics

    • 1st Edition
    • Volume 6-1
    • Rebecca Baergen
    • English
    Obstetricical care and the growing number of pregnancies in older women or medically challenged women creates an expanding need for placental pathology that can provide information on neonatal care, risk assessment, and infant and mother outcomes. In the Surgical Pathology Clinics, Essential Gross Examination of the Placenta is presented with an abundance of images along with clear steps in the examination. Also presented are Placenta Accreta and Percreta; Ascending Infection – Acute Chorioamnionitis; Maternal Floor Infarction and Massive Perivillous Fibrin Deposition. Additionally, Umbilical Cord Pathology, Monozygotic Twinning, and Fetal Thrombotic Vasculopathy, Neonatal Stroke and other sequelae are discussed. Each of the topics presents abundant clinical photos and histology slides supporting diagnosis. Editor Rebecca Baergen, whose specialty areas are fetal pathology, placental pathology, gynecology and perinatal pathology, leads a group of authors who are experts in placental pathology, including her mentor and one of the pioneers in placental and perinatal pathology, Dr. Kurt Benirschke.

  • Imaging of Athletic Injuries of the Upper Extremity, An Issue of Radiologic Clinics of North America

    • 1st Edition
    • Volume 51-2
    • Martin L. Lazarus
    • English
    Imaging plays a key role in the diagnosis and treatment of athletic injuries. This issue focuses on athletic injuries of the upper extremity, and best-practices approach to imaging these areas. Shoulder injuries are given their own review, as are football injuries to the upper extremity, throwing injuries to the upper extremity, and injuries associated with club and racquet sports. Use of MR Imaging in particular is discussed for the labrum and elbow, and MR Arthrography of the upper extremity is reviewed. Wrist and hand injuries are discussed in detail in separate articles, and imaging of the pediatric athlete is addressed as well.

  • Complementary and Integrative Therapies for Psychiatric Disorders, An Issue of Psychiatric Clinics

    • 1st Edition
    • Volume 36-1
    • Philip R. Muskin + 2 more
    • English
    That patients self-treat for such disorders as anxiety, depression, addictions, sleep disorders, attention deficit, is no surprise among psychiatrists. Hearing from patients, or parents of patients who use alternative therapies on themselves or their children, more scientifically-based facts are needed on non-pharmacologic, non–analysis approaches. The Guest Editors of this issue in Psychiatric Clinics have been using, researching, and analyzing alternative approaches since the 1990s and present a scientifically based presentation of select therapies, such as Nutrients, Herbals, Off-label Medication uses, Mind-Body approaches, Meditation, Hypnosis, Electrotherapy, Light treatments and more. Mechanisms of action, Outcomes, Evidence, and Complications are part of the outline for this material, with intent to provide the most current and the strongest science available.

  • Community Acquired Pneumonia: Controversies and Questions, an Issue of Infectious Disease Clinics

    • 1st Edition
    • Volume 27-1
    • Thomas M. File Jr.
    • English
    Pneumonia is the leading cause of death due to infectious disease. This issue of Infectious Disease Clinics, guest edited by Tom File, focuses on the controversies and questions surrounding community-acquired pneumonia, including the potential benefits of identifying biomarkers for management of CAP (which could someday become a part of routine diagnostic testing for CAP), the best therapies for influenza/viral causes of pneumonia (the most common form of the disease in children), and clinical scoring tools to help predict long term outcomes. The issue also discusses how to approach MRSA as a cause of CAP and how to approach the non-responding patient.

  • A System of Orthopaedic Medicine

    • 3rd Edition
    • Ludwig Ombregt
    • English
    Since its first publication, almost two decades ago, A System of Orthopaedic Medicine has proven to be a reliable resource and guide for those clinicians working in the field of orthopaedic medicine who assess and treat the effects of musculoskeletal pain. This third edition remains focused on clinical reasoning and diagnosis, with detailed guidance on palpation of the anatomical structures and the correct performance of each therapeutic technique. Following the ‘System’, the clinician first completes a systematic clinical assessment of the joints involved, and then, after interpreting the results, groups the disorders and conditions into clinical syndromes. Finally, the natural history and the conservative treatment of each condition are discussed accordingly. NEW! Building on the previous edition, A System of Orthopaedic Medicine now comes with access to online resources designed to support and enhance the learning experience of each and every clinician using the book. The new edition has been streamlined for easier access and handling by transferring all the applied anatomy chapters, references, links and other selected chapters onto the online resources. LOG ON TO www.orthopaedicmedic... TO START YOUR EXPERIENCE AND ACCESS: x100 video clips of examination and treatment techniques (referenced in the book) all the references with access to the abstracts on Medline online only chapters which includes applied anatomy (referenced in the book)

  • Patient Centered Care in Medical Imaging and Radiotherapy

    • 1st Edition
    • Aarthi Ramlaul + 1 more
    • English
    Health investigation and treatment have moved from a clinician-centred approach to a patient-centred approach during the past few decades. Patients are now rightly regarded as empowered and informed users of health services, not passive recipients. Motivated by this philosophical shift, this new book identifies the key issues underpinning the complete delivery of ‘good’ patient care and considers their application in the medical radiation sciences. Taking a UK/European perspective, the authors examine how a holistic approach is related to legislation, human rights and perceived patient needs. Medical imaging and radiotherapy are front line services experienced by vast numbers of patients with acute and chronic medical conditions, including trauma and cancer. The book includes coverage of behavioural science and health psychology together with practical applications such as safe manual handling, infection control and radiation safety. This provides the reader with a comprehensive understanding of what contributes to the patient’s experience in diagnostic imaging and radiotherapy. It also considers other aspects of the patient experience, such as inter-professional team working, disability, communication, clinical procedures and practice.

  • Outcomes Measures in Plastic Surgery, An Issue of Clinics in Plastic Surgery

    • 1st Edition
    • Volume 40-2
    • Kevin C. Chung + 1 more
    • English
    Outcomes . . .familiar in medicine fields, but only in recent decades becoming more of an issue for surgeons . . .the highly subspecialized nature of the surgical profession and breadth of procedures along with variance in patient population creates a challenge in achieving useful, informative outcomes. Here, in this issue of Clinics in Plastic Surgery, the focus is on evidence-based practice and outcomes in plastic surgery, spanning the major areas of cosmetic and reconstructive surgery. Outcomes as guidance for the surgeon’s decision regarding approaches and techniques for procedures is the approach. Some of the topics covered are: Measuring Outcomes in Aesthetic Surgery; Measuring Outcomes in Craniofacial and Pediatric Surgery; Measuring Outcomes in Hand Surgery; How to Link Outcomes Data to Quality Initiatives in Plastic Surgery; along with How to Use the Outcomes Questionnaire, Pearls and Pitfalls; among others. Guest Editors Kevin Chung and Andrea Pusic lead this review. Dr. Chung is involved with structuring evidence-based practice and research in hand surgery to derive the best evidence to guide treatment for upper extremity conditions and he developed the Michigan Hand Outcomes Questionnaire. Dr Pusic developed the BREAST-Q, which measures satisfaction and quality-of-life outcomes among breast reconstruction patients. Out of the BREAST-Q has come the FACE-Q, which provides a clinically useful patient-reported outcome measure of satisfaction and quality of life following elective surgical and non-surgical facial rejuvenation.

  • Interventional Ultrasound,An Issue of Ultrasound Clinics

    • 1st Edition
    • Volume 8-2
    • David L. Waldman
    • English
    This issue of Ultrasound Clinics addresses interventional procedures in Ultrasound. Topics include: Breast-Ultrasound Surveillance and Intervention; Ultrasound-Guided Abscess Drainage: Technical and Clinical Aspects; The Use of Ultrasound in TIPS: Pre-Procedural Role in Evaluating the Need for Intervention; Dialysis Fistula Surveillance; Ultrasound-Guided Solid Organ Biopsy; Ultrasound-Guided Biopsies of Superficial Structures (Thyroids and Lymph Nodes); Ultrasound-Guided Biliary Intervention; Tumor Ablation: US vs CT; Ultrasound-Guided Vascular Access and Intervention; The Use of Ultrasound in Musculoskeletal Interventions; Ultrasound and GPS Technology; High-Intensity Focused Ultrasound; Varicose Vein Ablation; Diagnosis and Intervention in the Venous Portal System; and Ultrasound Evaluation of Hepatic Artery Stenosis.

  • Craniomaxillofacial Trauma, An Issue of Atlas of the Oral and Maxillofacial Surgery Clinics

    • 1st Edition
    • Volume 21-1
    • David A Bitonti
    • English
    Guest Editor David Bitonti has assembled a comprehensive, illustrated review of craniomaxillofacial trauma management. Topics include management of acute trauma, characteristics of ballistic and blast injury, maxillofacial imaging in the trauma patient, soft tissue trauma, wound management and nutrition for optimal wound healing, characterization and management of mandibular fractures, management of midface maxillofacial injuries, occular injuries, triage, and management, triage and management of cranial injuries, otologic injuries, triage and management, and reconstruction of hard and soft tissue defects.

  • Organon der Heilkunst Sonderausgabe

    Neufassung mit Systematik und Glossar von Josef M. Schmidt
    • 2nd Edition
    • Josef M. Schmidt
    • German
    Jeder, der sich ernsthaft mit der Homöopathie auseinandersetzt, muss das Organon sehr genau kennen. Aber: Das Organon ist in der Sprache des 19. Jahrhunderts mit den wissenschaftlichen und philosophischen Hintergründen dieser Zeit verfasst. Der Text ist für einen Leser ohne fundierte philologische Grundkenntnisse kaum verständlich. Verständlich: Das Grundlagenwerk der Homöopathie endlich in gut lesbarer Form! Schnelle Orientierung: Durch die klare Gliederung und die Einführung von Überschriften zu den Paragraphen erschließen sich die Inhalte dem Leser optimal; er kann sich aber auch jeder Zeit in den Original-Quellentext vertiefen, wenn er dies für nötig hält. Verbindung von Theorie und Praxis: Besonders für den Anfänger (u.a. Prüflinge für die Zusatzbezeichnung Homöopathie) wird klar, welche Auswirkungen die jeweiligen Hahnemannschen Paragraphen auf die heutige Arbeit der homöopathisch tätigen Therapeuten haben! Situation: Das "Organon der Heilkunst" von Hahnemann bildet auch heute noch die verbind-liche, theoretische Grundlage für alle homöopathisch arbeitenden Therapeuten. Eine genaue Kenntnis dieses Werkes ist unumgänglich. Das Organon wurde 1842 von Hahnemann, dem Begründer der Homöopathie verfasst, konnte aber erst im Jahre 1921 publiziert werden. Ver-schiedene Fassungen liegen vor, die am meisten verbreitete Version ist die Standardausgabe der 6. Auflage, bearbeitet und herausgegeben von Josef M. Schmidt. Dieses Werk garantiert maximale "Originaltexttreue" ist aber durch die altertümliche Sprache und ohne entsprechen-de philologische Vorbildung sehr schwer lesbar. Zielsetzung: Hahnemanns Organon der Heilkunst soll auf lange Sicht das Organon aus dem Haug-Verlag ersetzen und zum Standardwerk des Homöopathie-Grundlag... werden. Besonders sollen diejenigen angesprochen werden, die sich mit der Homöopathie beschäfti-gen, aber kein jahrelanges, fundiertes homöopathisches Literaturstudium betrieben haben, also typische Praktiker und Einsteiger. Dieses Werk soll aber auch höchsten Qualitätsansprüchen gerecht werden, was durch die Wahl des Verfassers - Herrn Dr. Schmidt, dem anerkannten Experten auf diesem Gebiet - garantiert wird. Herr Dr. Schmidt verbindet optimal fundierte Kenntnisse zu Philosophie und Medizingeschichte mit der praktischen homöopathi-schen Medizin. Aufbau: Das Buch wird in zwei Teile gegliedert. Im ersten Teil wird das Organon nach den ursprünglichen Paragraphen geordnet dargestellt, zusätzlich werden die Inhalte der Paragraphen in klarer moderner Sprache (kurze Sätze, zeit-gemäße Formulierungen) zusammengefasst. Durch ein klares, einheitliches Layout sind Quel-lentext und Zusammenfassung deutlich voneinander abgegrenzt (z.B. Kasten, farblich hinter-legt, unterschiedliche Schriften). Der Originaltext wurde vom Autor vorsichtig und mit großer Textsicherheit unserem heutigen Sprachgebrauch angepasst. Durch neu generierte Überschriften, die jeweils Sinn-Einheiten zusammenfassen, wird der Text sinnvoll gegliedert. Diese Überschriften werden zusätzlich in Form eines Inhaltsverzeich-niss... dem Text vorangestellt und ermöglichen durch diese neue Strukturierung eine rasche Orientierung und eine logische Erschließung der Inhalte. -> Aus dem unübersichtlichen Aufbau des Originalwerkes wird ein modernes, heutigen Standards entsprechendes Lehrbuch! Ein zweiter Teil behandelt die Grundthemen der heute praktizierten Homöopathie. Verweise verknüpfen Teil 1 und Teil 2 des Buches miteinander. Durch diese Vernetzung entsteht ein völlig neuer Zugang zu dem historischen Quellentext, ausgehend von der heutigen homöopa-thischen Praxis.

  • Asthma, An Issue of Nursing Clinics

    • 1st Edition
    • Volume 48-1
    • Cathy D. Catrambone + 1 more
    • English
    This issue of Nursing Clinics, Guest Edited by Cathy Catrambone, PhD, RN, at Rush University, focuses on Asthma. Article topics will include Assessment of Asthma, Pharmacotherapy, Asthma management, Asthma action plans, Pediatric Asthma, and Asthma and Obesity.

  • Multidisciplinary Breast Management, An Issue of Surgical Clinics

    • 1st Edition
    • Volume 93-2
    • George M. Fuhrman + 1 more
    • English
    A comprehensive and important issue devoted to multidisciplinary breast management! Topics will include neoadjuvant chemotherapy, pathology of invasive breast disease, management of high risk lesions, genetic predisposition syndromes, radiation therapy, surgical management of the breast–mastectomy and breast conservation, management of the axilla, management of ductal carcinoma in situ, breast reconstruction, adjuvant therapy, screening, imaging, and image guided biopsy techniques for breast cancer, benign breast disease, and much more!

  • Obstetric Emergencies, An Issue of Obstetrics and Gynecology Clinics

    • 1st Edition
    • Volume 40-1
    • James M. Alexander
    • English
    This issue of Obstetrics and Gynecology Clinics covers the most common and uncommon obstetric emergencies, including emergency caesarean section, resuscitation of the newborn, and hypertensive crisis. Other articles include coverage of the most daunting ob complications--shoul... dystocia and intrapartum hemorrhage. James Alexander, MD, serves as Guest Editor for this important issue.

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