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Multiple pregnancy

Multiple pregnancy affects 0.9-3.1% of births worldwide. Prevalence rates vary significantly due to differences in dizygotic twinning rates and use of assisted reproduction. Both maternal and fetal/neonatal complications are more common in multiple compared to singleton pregnancies, and there are specific problems for the fetuses related to monochorionicity. Multiple pregnancies require specialised and individualised care. Complicated multiple pregnancies should be managed in a tertiary care centre where there is additional expertise, such as the laser ablation needed to treat monochorionic monozygotic pregnancies with conjoined circulations. Cornerstones of management in pregnancy are the need for accurate fetal measurement to optimise dating of gestational age, and documentation of chorionicity. High-level ultrasound expertise is needed. The mothers need frequent assessment to detect hypertension and anemia, and early identification and management of preterm labour.

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Minimally Invasive Tumor Therapies

In the age of the World Wide Web, informed patients continue to surprise oncologists with detailed questions about popular tumor therapies. Although minimally invasive tumor therapies (MITT) have become daily clinical practice for palliative treatment of liver tumors, the acceptance of these palliative modalities still varies enormously. In addition, promising results have been published for in situ ablation of lung metastases, bone tumors, and renal cell carcinoma. This book gives an up-to-date overview of the popular techniques and clinical results of MITT, with a clarification of the actual indications including the size, tumor entities, and clinical benefits. Moreover, the book focuses on the prospectives and limitations of imaging methods - ultrasound, computed tomography, and magnetic resonance imaging - used for MITT.

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Interventional Radiology in Pain Treatment

Disease whether it is acute, chronic, or at end stage, is all too regularly accompanied by pain. Pain is often difficult to control, in malignant disease in particular, even by using appropriate medications. Anesthesiologists and pain therapists have developed new invasive therapies including nerve block, sympatholysis, and neurolysis useful for both diagnosis and pain management. To insure the efficiency and safety of these procedures, and furthermore for elaborate techniques such as vertebroplasty, cementoplasty, and radio frequency bone ablation, imaging guidance becomes mandatory. This state-of-the-art book describes the techniques elaborated by interventional radiologists in the treatment and palliation of a variety of benign and malignant painful conditions.

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Focal liver lesions : Detection, characterization, ablation

Few fields of medicine have witnessed such impressive progress as the diagnosis and treatment of liver tumors. Advances in imaging technology, the development of novel contrast agents, and the introduction of optimized scanning protocols have greatly facilitated the non-invasive detection and characterization of focal liver lesions. Furthermore, image-guided techniques for percutaneous tumor ablation have become an accepted alternative treatment for patients with inoperable liver cancer. This book provides a comprehensive and up-to-date overview of the role of diagnostic and interventional radiology in respect of liver tumors. The volume moves from background sections on methodology and segmental liver anatomy to the main sections on the diagnosis of benign and malignant liver lesions. An integrated approach, focused on the correlation of ultrasound, CT, and MR imaging findings, is presented. Finally, a full section describes the principles, methods, and results of percutaneous tumor ablation techniques.

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Endourooncology : New Horizons in Endourology

Recent research and clinical work have demonstrated that the rapid urologic innovation in minimally invasive treatment is creating exciting new horizons in endourology. This sixth volume in the series Recent Advances in Endourology brings that knowledge to a wider audience, focusing on the new concept of endourooncology, which is the merging of endourology and oncology. In the surgical treatment of urologic malignancies, bipolarization - that is, radical extended resection or organ-sparing surgery - is making remarkable advances. Further developments in sophisticated reconstructive surgery using robotic systems and image-guided ablation technology will allow surgeons to formulate minimally invasive, tailor-made procedures for each patient with urologic cancer. In this book, the current status and future prospects of these new technologies are reviewed, illuminating their roles in the future of endourooncology.

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Emerging Pathologies in Cardiology ; Proceedings of the Mediterranean Cardiology Meeting 2005

The book aims to give the most up-to-date information about the epidemiology, the pathophysiology, the diagnosis and the new treatments of the Emerging Pathologies in Cardiology. It presents the state of the art on Acute Coronary Syndromes, Sudden Cardiac Death, Heart Failure, Atrial Fibrillation, Syncope and Prevention of Global Cardiovascular Risk which are some of the emerging pathologies urging investigators to develop many and more sophisticated pharmacological, electrical or mechanical therapies. The volume chapters are written by world-renowned leading experts in these fields, and present a detailed analysis of the most recent developments in the treatment of the above mentioned cardiac pathologi

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Digital Restorative Dentistry : A Guide to Materials, Equipment, and Clinical Procedures

Offers up-to-date, readily understandable guidance on the materials and equipment employed in digital restorative dentistry and on the specific clinical procedures that may be performed using the new technologies. The key components of digital restorative dentistry – image acquisition, prosthetic/restorative design, and fabrication – are fully addressed. Readers will find helpful information on scanners, the software for prosthetic design, and the materials and technologies for prosthesis fabrication, including laser sintering, 3D printing, CAD/CAM, and laser ablation. The section on clinical procedures explains all aspects of the use of digital technologies in the treatment of patients requiring removable partial dentures, complete dentures, fixed partial prostheses, crowns, endodontics, and implant surgery and prosthodontics. The field of restorative and prosthetic dentistry is undergoing rapid transition as these new technologies come to play an increasingly central role in everyday dental practice. In bridging the knowledge gap that this technological revolution has created in the field of dentistry, the book will satisfy the needs of both dentists and dental students.

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Cognitive Supervision for Robot-Assisted Minimally Invasive Laser Surgery

This thesis lays the groundwork for the automatic supervision of the laser incision process, which aims to complement surgeons’ perception of the state of tissues and enhance their control over laser incisions. The research problem is formulated as the estimation of variables that are representative of the state of tissues during laser cutting. Prior research in this area leveraged numerical computation methods that bear a high computational cost and are not straightforward to use in a surgical setting. This book proposes a novel solution to this problem, using models inspired by the ability of experienced surgeons to perform precise and clean laser cutting. It shows that these new models, which were extracted from experimental data using statistical learning techniques, are straightforward to use in a surgical setup, allowing greater precision in laser-based surgical procedures.

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Management of Heart Failure ; Vol.2 : Surgical

Management of Heart Failure has been conceived as a rapid but comprehensive review for practitioners of all persuasions involved in the management of patients with heart failure. Heart failure is a problem of epidemic proportions in all parts of the world. State of the art treatment may not be accessible to all, but simply creating an awareness of simple methods of diagnosis and treatment would assist in promoting a better global response to this epidemic. This practical volume, written by a panel of world-renown cardiology experts, focuses on the surgical management of heart failure. Surgery for heart failure is an evolving and new area in cardiac surgery with many exciting developments.

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Lasers in the Conservation of Artworks ; LACONA V Proceedings, Osnabrück, Germany, Sept. 15-18, 2003

Since 1995, when Costas Fotakis first brought together restorers and scientists to discuss the potential of lasers in art conservation, the field has grown enormously in importance, and today restorers and laser scientists work together to develop new applications. This book presents the more than six dozen research papers prepared for LACONA V (Lasers in Art Conservation), held in Osnabrueck/Germany in September 2003. The fifth congress once again gathers restorers, art historians, museum staff, laser scientists and laser manufacturers. The topics include, among others: laser cleaning of artworks (case studies and side effects), removal of former conservation layers, fundamentals of laser-artwork interaction, online monitoring and process control, laser diagnostics, spectroscopy for monitoring and identification, networks and co-operation projects.

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Laser Ablation and its Applications

Laser Ablation and its Applications emphasizes the wide range of these topics rather than focusing on one specialty or discipline. It is intended for a graduate course in laser interactions with plasmas and materials, but it should be accessible to anyone with a graduate degree in physics or engineering.

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Comparison of scalpel and lasers technique in the treatment of gingival melanin pigmentation

Gingival hyperpigmentation is a common esthetical concern in patients with gummy smile or excessive gingival display. Laser ablation has been recognized recently as the most effective, pleasant and reliable technique. It has the advantage of easy handling, short treatment time, hemostasis, decontamination, and sterilization effect. The objective of this study is to evaluate and compare scalpel and lasers techniques for gingival depigmentation and to evaluate their effect on re pigmentation.

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Clinical Cardiac Electrophysiology in the Young

This volume focuses on the practical aspects of clinical electrophysiology of cardiac arrhythmias in the young as practiced by current and former faculty and fellows in the Department of Pediatric Cardiology at the University of Michigan.

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Catheter Ablation of Cardiac Arrhythmias : A Practical Approach

Catheter ablation of cardiac arrhythmias is an important field of interventional cardiology. This comprehensive overview is a practical guide for exact diagnosis of cardiac arrhythmias, mapping of cardiac arrhythmias with newest 3D technology and catheter ablation of various arrhythmias from WPW syndrome to atrial fibrillation.

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Cardiac Arrhythmias 2005 ; Proceedings of the 9th International Workshop on Cardiac Arrhythmias (Venice, October 2-5, 2005)

Written by world-renowned leaders in the fields of clinical electrophysiology and arrhythmology, the volume has represented since many years a biannual update on the most recent advances in the diagnosis, prognosis and treatment of cardiac arrhythmias.

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Breast MRI : Diagnosis and Intervention

This superbly illustrated practical guide is an excellent resource on all aspects of breast MRI for practicing radiologists, oncologists, and surgeons, as well as residents and fellows. Drs. Elizabeth Morris and Laura Liberman, two experts in the field from the Memorial Sloan-Kettering Cancer Center, have collaborated with colleagues from their institution and selected medical centers to share their expertise. Introductory chapters are devoted to diagnosis and cover the basics of performing breast MRI exams, setting up a breast MRI program, and understanding clinical indications. Additional chapters discuss breast interventional procedures including MRI-guided needle localization, MRI-guided biopsy, and percutaneous ablation of breast cancer; MRI of breast implants.

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Atrial Fibrillation : From bench to bedside

This book is a single source that provides a multi-perspective look at and approach to Atrial Fibrillation. Because Atrial Fibrillation is so prevalent and affects all areas of medicine, the information in this book will be useful to cardiologists, cardiac surgeons, researchers, and all those in the medical field.

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Atlas of electroanatomic mapping in supraventricular arrhythmias

For decades clinical electrophysiology has been considered a discipline for adepts, able to interpret not so obvious intracardiac signals. With the advent of new technologies, offering a three-dimensional reconstruction of cardiac anatomy and generating colour-coded maps, the approach to the complex world of electrophysiology is changing: A three-dimensional colour-coded electroanatomic map of a left atrium could be a precise and self-explanatory representation based on intracavitary signals, on which correct diagnosis is made and successul ablation is performed. As expected, this makes the difference especially in cases exhibiting complex arrhythmias (atypical atrial flutters, postsurgical arrhythmias), in which the task could be really tough.

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Arrhythmogenic RV cardiomyopathy / dysplasia : Recent advances

This book covers all aspects (biological, pathological, genetic, clinical and therapeutical) of arrhythmogenic right ventricular cardiomyopathy/dysplasia, a recent cardiomyopathy which represents a very high risk of sudden death in the young and in athletes. The monograph presents the results of 5-year research program on ARVC/D supported by grants of both the European Commission and the NIH, which enabled the discovery of seven disease-causing genes, thus opening new avenues for the early identification of affected patients and for sudden death prevention.

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An Atlas of Radioscopic Catheter Placement for the Electrophysiologist

Atlas of Radioscopic Catheter Placement for the Electrophysiologist is unique because it is the first book that provides a teaching tool for fellows in training, allied health professionals and accomplished electrophysiologists on relevant X-ray views commonly encountered in different electrophysiology procedures, and how these views correlate with cardiac anatomy.

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