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Obstetrics in Family Medicine : A Practical Guide

The key points for each topic are summarized in tabular form for quick reference, and diagnostic flow charts illuminate all aspects of the decision-making process. Expert advice based on years of experience is also presented concerning physical and ultrasound examinations, laboratory tests, drug toxicities, and screening techniques.

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Obstetric medicine : A problem-based approach

This book is a collection of exam questions and case studies which illustrates both common and more unusual problems in obstetric medicine. Using a problem–based approach to both teach and test knowledge, it incorporates many different approaches to obstetric medicine, in Q & A format. The ‘Extended Matched Questions’ section covers the breadth of theoretical knowledge. The ‘Short Answers / Data Interpretation’ section requires a systematic approach to a clinical problem. Most of the case reports are based on real cases and all are accompanied by a brief literature review to further broaden the learning experience.

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Obstetric life support manual

A comprehensive review in normal and abnormal pregnancy physiology, the most common etiologies of maternal medical emergencies, recognition of maternal deterioration and pending cardiopulmonary arrest, modifications to cardiopulmonary resuscitation in pregnant and postpartum patients, special procedures that can assist in diagnosing and treating maternal medical emergencies tailored to the setting (e.g., point-of-care ultrasound, resuscitative cesarean delivery, extracorporeal cardiopulmonary resuscitation), treatment of trauma/stroke in pregnancy, and postpartum maternal medical emergencies. There are streamlined algorithms and cognitive aids designed to improve a team’s ability to successfully implement techniques unique to treating maternal medical emergencies and car..

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Obstetric Anesthesia Handbook

As the field of obstetric anesthesia continues to change rapidly, both in technique and in specific pharmaceutical agents used, it is essential for all practitioners caring for the pregnant patient to be familiar with current anesthetic protocols and general concepts in obstetric anesthesia. The Handbook appeals to a wide audience, as it was written with the practicing anesthesiologists in mind, as well as nurse anesthetists, obstetricians, housestaff, and residents. The Obstetric Anesthesia Handbook supplies expert advice on every facet of anesthesia for childbirth and related obstetric procedures. The text is authoritative, succinct, and highly practical. It is accompanied by over 100 illustrations and tables making the text a convenient reference to the busy practitioner.

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Neonatal Pain : Suffering, Pain and Risk of Brain Damage in the Fetus and Newborn

Until the 1980s it was denied that fetuses and neonates feel pain. With the advent of a deeper understanding of the pathophysiology and new diagnostic tools, the last 30 years have seen great developments in this field. This volume aims to give an overview of current knowledge in the field.

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Medicina delletà prenatale : Prevenzione, diagnosi e terapia dei difetti congeniti e delle principali patologie gravidiche = Prenatal medicine: Prevention, diagnosis and therapy of congenital defects and the main pathologies of pregnancy

This text aims to respond to the actual need to bring together in a single and updated reference text notions and data from different backgrounds, all essential for optimal monitoring of pregnancy.

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Medical Malpractice : A Physician's Sourcebook

In Medical Malpractice: A Physician's Sourcebook, a panel of physicians, attorneys, academics, researchers, and insurance industry experts consider these and other questions about the origin, nature, and ramifications of the medical malpractice litigation crisis, as well as possible solutions and alternatives to the current system. The authors focus on the clinical face of litigation from the perspective of the practicing physician in a variety of specialties, ranging from family and emergency medicine to anesthesiology, obstetrics, gynecology, and plastic surgery. Special consideration is given to breast cancer and Pap smear litigation, risk management for the family physician, and the importance of effective patient communication.. Authoritative and wide-ranging, Medical Malpractice: A Physician's Sourcebook gets to the heart of issues facing physicians and surgeons today. It focuses on the practical aspects of medical malpractice lawsuits, and prepares physicians and surgeons to participate in the public policy debate by addressing current topics that will help them understand the crisis, the threat to healthcare access, and the possibilities for legal reform.

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Hypoplastic Left Heart Syndrome

Hypoplastic Left Heart Syndrome draws together the experiences of the leading experts in the field. Through their work in all aspects of congenital cardiac care, they have become acknowledged as the world leaders in the diagnostic, medical and social needs of children born with hypoplasia of the left heart. More importantly, for the first time the book recognizes the crucial contributions made by the families of these children. Diagnostic possibilities, options for medical and surgical treatment and a history of their evolution are looked into and the book also gives an insight into the longer-term effects that treatment has on the child and its family. As well as including contributions from medical clinicians, nurses, and psychologists, for the first time a forum is provided for the parents, who have complemented the contributions from the medical and nursing experts to provide a holistic view of the lives and experiences of the children born with this condition. No other publication, currently available, offers such a comprehensive overview of the care required by a child with hypoplasia of the left heart. This book provides the ultimate reference for anyone treating children with this heart condition, particularly paediatric cardiac clinical and nursing teams, radiologists and radiographers, obstetric medical and nursing teams, psychologists, pathologists, geneticists and workers in social care.

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Fetal compromise in labor

Sixty years ago, the purpose of introducing electronic fetal heart rate monitoring (EFM) was to reduce the incidence of intrapartum stillbirth. However, by the early 1980s, with falling stillbirth rates, fetal blood sampling had been widely abandoned, as many considered that EFM was sufficient on its own. Unfortunately, while the sensitivity of EFM for the detection of potential fetal compromise is high, specificity is low, and there is a high false positive rate which has been associated with a rising cesarean section rate. The authors suggest that EFM is considered and analyzed as a classic screening test and not a diagnostic test. Furthermore, it requires contextualization with other risk factors to achieve improved performance. A new proposed metric, the Fetal Reserve Index, takes into account additional risk factors and has demonstrated significantly improved performance metrics. It is going through the phases of further development, evaluation, and wider clinical implementation.

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Feldman and Pike's vitamin D; Vol. 2 : Health, disease and therapeutics

Covers the evidence for new roles of vitamin D, ranging from organ transplantation to cancer, diabetes, inflammatory bowel disease, multiple sclerosis, and renal disease. The coverage is appropriately broad, drawing on aspects of internal medicine, pediatrics, nutrition, orthopedics, oncology, neurology, obstetrics and gynecology, and immunology, as well as, new areas for vitamin D including sports medicine, opthalmology, veterinary medicine and ICU care – including COVID-19. Clinical researchers will gain a strong understanding of the molecular basis for a particular disease and better understand future directions for research in this still-growing field.

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Evidence Based Global Health Manual for Preterm Birth Risk Assessment

This book is based on global literature, published international, national and regional guidance and it is structured into six chapters providing: an overview of the domains for risk assessment and the summary recommendations in greater depth maternal demographics and past pregnancy histories, accurate pregnancy dating, and the contribution of infection, nutritional status and substance misuse to preterm birth risk. Each chapter has structured sections which include a) background information, b) an evidence statement highlighting the risk factors covered, and c) practical recommendations for evaluating those risks as well as the evidenced recommended and effective interventions for women deemed to be at risk.

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Early Development of the Human Pelvic Diaphragm

A sound and detailed knowledge of the anatomy of the pelvic floor is of the utmost importance to gynecologists, obstetricians, surgeons, and urologists, since they all share the same responsibility in treating patients with different pathological conditions caused by pelvic floor dysfunction. The most common clinical expressions of pelvic floor dysfunction are urinary incontinence, anal incontinence, and pelvic organ prolapse. Most often these clinical expressions are found in women, and they are briefly discussed below based on the outline presented in the Third International Consultation on Incontinence, a joint effort of the International Continence Society and the World Health Organization.

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Drug delivery : An integrated clinical and engineering approach

Offers a much needed comprehensive overview and patient-oriented approach for enhanced drug delivery optimization and advancement. Starting with an introduction to the subject and pharmacokinetics, it explores advances for such topics as oral, gastroretentive, intravitreal, and intrathecal drug delivery, as well as insulin delivery, gene delivery, and biomaterials-based delivery systems. It also describes drug delivery in cancer, cardiac, infectious diseases, airway diseases, and obstetrics and gynecology applications.

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Doppler Ultrasound in Obstetrics and Gynecology

Doppler Ultrasound in Obstetrics & Gynecology encompasses the full spectrum of clinical applications of Doppler ultrasound for the practicing obstetrician-gynecologist, including the latest advances in 3D and color Doppler and the newest techniques in 4D fetal echocardiography. Written by preeminent experts in the field, the book covers the basic and physical principles of Doppler ultrasound; the use of Doppler for fetal examination, including fetal cerebral circulation; Doppler echocardiography of the fetal heart; and the use of Doppler for postdated pregnancy and in cases of multiple gestation. Chapters on the use of Doppler for gynecologic investigation include ultrasound in ectopic pregnancy, for infertility, for benign disorders and for gynecologic malignancies.

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Manual of intracytoplasmic sperm injection in human assisted reproduction

For around half of the couples who have trouble conceiving the cause of infertility is sperm-related. Intracytoplasmic sperm injection (ICSI) is the most common and successful treatment for male infertility. Here, the pioneers for the technique, along with authorities in the field, describe the underlying science of ICSI and other micromanipulation techniques. Practical advice for performing the techniques is covered in depth, including sperm selection, laser-assisted ICSI, and the use of piezo in ICSI. Examining the safety of ICSI in animal models as well as the impact of ICSI on the health and well-being of the children conceived through the procedure is discussed. This manual is an essential resource for clinical embryologists and laboratory personnel wishing to refine or develop techniques and improve outcomes.

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Le Distilbène trente ans après : Les enfants des 2èmes et 3èmes générations = Distilbene thirty years later : The children of the 2nd and 3rd generations

The various consequences on the anatomy and physiology of the female genitalia, as well as male, of children exposed in utero are reviewed. The impact on girls is greater than on boys: modification of the uterine cervix, reduction in the volume of the uterus with its consequences on fertility and the progress of pregnancies, risk of cancer of the vagina and the cervix. . The potential repercussions on the third generation are analyzed from experimental studies. Finally, the medico-legal implication is studied from the various trials that took place in the United States and from the first French trial that took place in Nanterre in November 2003. This work is the result of the collaboration of several experts recognized for their competence in this field. It will be of interest to all obstetrician gynecologists, urologists, but also public health physicians and midwives.

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Complications of Regional Anesthesia

This book is an essential text for all anesthesiologists and nurse anesthetists who seek advice on avoiding some of the most common and, more importantly, preventable complications of regional anesthesia and pain medicine. Chapters cover a variety of neurologic complications and pain management issues. Critically important both to patient care and practice management are the chapters focusing on safety and best practice guidelines and the compendium of outcome studies that compare regional and general anesthesia. The book includes an invaluable chapter addressing the important topic of the medical legal aspects of regional anesthesia.

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Chemotherapy and pharmacology for leukemia in pregnancy : Guidelines and strategies for best practices

The book addresses a broad range of subjects, including: pregnancy and its characteristics; staging, pathology, morbidity and what to expect in each type of leukemia; chemotherapy for leukemia in pregnant women with complete trials; dose adjustment of chemotherapy for leukemia in pregnancy based on serum dosages; and pharmacokinetics and pharmacodynamics for this unique group of patients. In turn, subsequent chapters focus on protecting the fetus and neonatal management regarding chemotherapy for leukemia in pregnancy, including the treatment and risks for the fetus (for each type of leukemia), intrathecal therapy and its effects on the fetus; supportive drugs, antibiotics and antifungals for pregnant patients during chemotherapy, including intervention and dose adjustments; palliative care for women with leukemia in pregnancy; breastfeeding during treatment for leukemia; pharmacological aspects of supplements, vitamins and nutrition in pregnancy during leukemia treatment; and more.

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Benign anorectal diseases : Diagnosis with endoanal and endorectal ultrasound and new treatment options

New three-dimensional endoanal and endorectal ultrasonographic and magnetic resonance imaging techniques have given better insight into the complex anatomy of the pelvic floor and its pathologic modification in benign anorectal diseases. Obstetrical events leading to fecal incontinence in females, the relationship between fistulous tracks and the sphincter complex, and mechanisms of obstructed defecation syndrome can now be accurately evaluated, which is of fundamental importance for decision making.

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Atlas of Emergency Medicine Procedures

Provides a step-by-step, visual guide to the most common procedures in emergency medicine. Completely revised, it also includes new procedures such as REBOA, the HINTS test, sphenopalatine ganglion block, occipital nerve block, and lung ultrasonography. Procedures are described on a single page, or two-page spreads, so that the physician can quickly access and review the procedure at hand. The atlas contains more than 700 diagnostic algorithms, schematic diagrams, and photographic illustrations to highlight the breadth and depth of emergency medicine. Topics are logically arranged by anatomic location or by type of procedure, and all procedures are based on the most current and evidence-based practices.

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