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Clinical Dilemmas in Diabetes (Clinical Dilemmas (UK) #3)

by Adrian Vella Robert A. Rizza

Clinical Dilemmas in Diabetes provides evidence-based clinical guidance on the most common and problematic areas of concern encountered in diagnosing, treating and managing patients with diabetes. Each chapter is highly topical and has been selected due to current interest, specific recent developments, and areas of controversy. This valuable guide provides assistance in managing the life-long treatment of diabetes and the complications that often develop in patients. Clinical Dilemmas in Diabetes guides the medical team in their decision-making, particularly when there are conflicts in the treatment for the disease and the complications. Part of the Clinical Dilemmas series, the well-focused chapter structure allows for quick retrieval of information, and each opens with a “Learning Points” box to aid easy assimilation of the main issues. With a leading team of contributors and editors, Professor Robert A. Rizza is the immediate Past-President of the American Diabetes Association. This book is perfect for use on the wards and clinics as well as for self-study by diabetologists, diabetes specialist nurses, endocrinologists, GPs and cardiologists.

Clinical Dilemmas in Inflammatory Bowel Disease: New Challenges

by Peter M. Irving Mrcp

The second edition of Clinical Dilemmas in Inflammatory Bowel Disease: New Challenges, is a practical, up-to-date handbook providing expert guidance on specific clinical dilemmas and areas of difficulty that the gastroenterologist regularly faces in day-to-day practice. In this new edition, 75% of the “dilemmas” are brand new dilemmas facing the IBD specialist concerning emerging treatment therapies, such as the use of cannabinoids and Viagra for Crohn’s disease. The remaining 25% of the dilemmas are fully updated from the previous edition, incorporating the latest clinical thinking. Each of the 57 evidence-based chapters contains clear learning points, addresses different topics, and provides sound guidance on subjects ranging from optimizing current management through to special management problems and novel treatments. This book is suitable for all medical professionals involved in the care of patients with IBD: established and trainee gastroenterologists, colorectal surgeons, pathologists, radiologists, specialist nurses, pharmacists, dieticians and counselors.

Clinical Dilemmas in Inflammatory Bowel Disease

by Peter Irving David Rampton Fergus Shanahan

Evidence-based guidance to answer more than 60 controversial clinical questions on inflammatory bowel disease Clinical Dilemmas in Inflammatory Bowel Disease is a practical handbook providing quick but detailed answers to the questions and challenges that you are faced with daily in the clinical setting. Each short chapter addresses a different topic and provides evidence-based guidance on subjects ranging from optimising current management through to special management problems and novel treatments. This book is suitable for all medical professionals involved in the care of patients with IBD: established and trainee gastroenterologists, colorectal surgeons, pathologists, radiologists, specialist nurses, pharmacists, dieticians and counsellors

Clinical Dilemmas in Inflammatory Bowel Disease: New Challenges

by Peter Irving Corey A. Siegel David Rampton Fergus Shanahan

The second edition of Clinical Dilemmas in Inflammatory Bowel Disease: New Challenges, is a practical, up-to-date handbook providing expert guidance on specific clinical dilemmas and areas of difficulty that the gastroenterologist regularly faces in day-to-day practice. In this new edition, 75% of the “dilemmas” are brand new dilemmas facing the IBD specialist concerning emerging treatment therapies, such as the use of cannabinoids and Viagra for Crohn’s disease. The remaining 25% of the dilemmas are fully updated from the previous edition, incorporating the latest clinical thinking. Each of the 57 evidence-based chapters contains clear learning points, addresses different topics, and provides sound guidance on subjects ranging from optimizing current management through to special management problems and novel treatments. This book is suitable for all medical professionals involved in the care of patients with IBD: established and trainee gastroenterologists, colorectal surgeons, pathologists, radiologists, specialist nurses, pharmacists, dieticians and counselors.

Clinical Dilemmas in Non-Alcoholic Fatty Liver Disease (Clinical Dilemmas (UK))

by Roger Williams Simon D. Taylor-Robinson

Clinical Dilemmas in Non-Alcoholic Fatty Liver Disease offers hepatologists practical, up-to-date and expert guidance on the most topical dilemmas, difficulties and areas of controversy/difficulty surrounding this ever-increasing area of liver disease they face in daily practice. Roger Williams and Simon Taylor-Robinson, two of Europe’s leading hepatologists, have recruited leading figures from across the world to assist them, resulting in a truly international approach. Each chapter covers a specific area of difficulty, containing clear learning points and providing evidence-based expert guidance on the latest hot topics in clinical management such as: Is NAFLD different in absence of Metabolic Syndrome? Are the pros outweighed by the cons of obtaining a liver biopsy? Is progression to cirrhosis more likely in children with NAFLD? What are the dangers as well as the true benefits of bariatric surgery? How is it best to use antifibrotic agents in clinical practice? Clinical Dilemmas in Non-Alcoholic Fatty Liver Disease provides the answers to the questions and challenges that clinicians face every day in this area. It is essential reading for hepatologists of all levels and researchers in hepatology, as well as all those involved in the care of patients with NAFLD, including gastroenterologists, pathologists and specialist hepatology nurses.

Clinical Dilemmas in Non-Alcoholic Fatty Liver Disease (Clinical Dilemmas (UK))

by Roger Williams Simon D. Taylor-Robinson

Clinical Dilemmas in Non-Alcoholic Fatty Liver Disease offers hepatologists practical, up-to-date and expert guidance on the most topical dilemmas, difficulties and areas of controversy/difficulty surrounding this ever-increasing area of liver disease they face in daily practice. Roger Williams and Simon Taylor-Robinson, two of Europe’s leading hepatologists, have recruited leading figures from across the world to assist them, resulting in a truly international approach. Each chapter covers a specific area of difficulty, containing clear learning points and providing evidence-based expert guidance on the latest hot topics in clinical management such as: Is NAFLD different in absence of Metabolic Syndrome? Are the pros outweighed by the cons of obtaining a liver biopsy? Is progression to cirrhosis more likely in children with NAFLD? What are the dangers as well as the true benefits of bariatric surgery? How is it best to use antifibrotic agents in clinical practice? Clinical Dilemmas in Non-Alcoholic Fatty Liver Disease provides the answers to the questions and challenges that clinicians face every day in this area. It is essential reading for hepatologists of all levels and researchers in hepatology, as well as all those involved in the care of patients with NAFLD, including gastroenterologists, pathologists and specialist hepatology nurses.

Clinical Dilemmas in Primary Liver Cancer (Clinical Dilemmas (UK) #6)

by Roger Williams Simon D. Taylor-Robinson

Clinical Dilemmas in Liver Cancer follows the successful format of the other books in the Clinical Dilemmas series, with each chapter focused on a specific dilemma, or issue facing doctors in their day-to-day job, and providing them with practical clinical information and help to better assessment and treat their patients – in this case patients suffering from liver cancer, the third commonest cancer in terms of mortality worldwide. Chapters feature up-to-date information on the basic mechanisms, epidemiological risk factors, screening and surveillance strategies, diagnosis and treatment. It is an extremely practical and clinically-orientated book, and as most patients around the world present with advanced disease, a main focus is on the most recent advances allowing early diagnosis and use of locoregional and systemic therapy, surgery, transplantation and combination therapies. Each chapter is authored by an international expert in the relevant area.

Clinical Dilemmas in Primary Liver Cancer (Clinical Dilemmas (UK) #5)

by Roger Williams Simon D. Taylor-Robinson

Clinical Dilemmas in Liver Cancer follows the successful format of the other books in the Clinical Dilemmas series, with each chapter focused on a specific dilemma, or issue facing doctors in their day-to-day job, and providing them with practical clinical information and help to better assessment and treat their patients – in this case patients suffering from liver cancer, the third commonest cancer in terms of mortality worldwide. Chapters feature up-to-date information on the basic mechanisms, epidemiological risk factors, screening and surveillance strategies, diagnosis and treatment. It is an extremely practical and clinically-orientated book, and as most patients around the world present with advanced disease, a main focus is on the most recent advances allowing early diagnosis and use of locoregional and systemic therapy, surgery, transplantation and combination therapies. Each chapter is authored by an international expert in the relevant area.

Clinical Dilemmas in Viral Liver Disease (Clinical Dilemmas (UK))

by Graham R. Foster K. Rajender Reddy

The only evidence-based book to approach viral liver disease by focusing exclusively on the clinical dilemmas encountered by hepatologists and their medical teams Although viral hepatitis is a growing public health risk around the world, the World Health Organization (WHO) views the elimination of hepatitis infection over the next several as an achievable goal. Effective pharmaceutical therapies are now available, yet medical teams caring for patients with viral hepatitis are challenged when looking for answers to specific questions in the current medical literature. The second edition of Clinical Dilemmas in Viral Liver Disease provides evidence-based guidance for medical teams involved in diagnosing, treating, and managing patients with viral liver disease. This fully updated book explores developments in new treatments and new diagnostic approaches that are contributing to WHO goals of viral elimination. Brief, easily referenced chapters examine clearly defined topics, addressing the clinical questions and difficulties encountered by medical teams in day-to-day practice. Contributions by an international team of investigators and clinicians address clinical questions and issues which are seldom found in standard textbooks and online repositories. Offering practical guidance on the specific challenges and dilemmas of treating viral liver disease, this unique volume: Provides practical, evidence-based guidance on topical and controversial issues Addresses understudied questions that arise in day-to-day clinical practice Discusses the challenges surrounding global elimination programs Presents focused approach that is supported by current literature and expert opinion The second edition of Clinical Dilemmas in Viral Liver Disease is required reading for practicing and trainee hepatologists, gastroenterologists, transplant surgeons, virologists, and other practitioners involved in caring for patients with liver disease.

Clinical Dilemmas in Viral Liver Disease

by Graham Foster K. Rajender Reddy

Clinical Dilemmas in Viral Liver Disease is a practical up-to-date handbook providing answers to the questions and challenges that arise in day-to-day practice. Each short chapter addresses a different topic and provides evidence-based guidance on subjects ranging from optimizing current management through to special management problems and novel treatments. This book is suitable for all medical professionals involved in the care of patients with viral liver disease: established and trainee hepatologists, pediatric hepatologists, pathologists, radiologists, transplant surgeons and nurse specialists

Clinical Dilemmas in Viral Liver Disease (Clinical Dilemmas (UK))

by K. Rajender Reddy Graham Foster

The only evidence-based book to approach viral liver disease by focusing exclusively on the clinical dilemmas encountered by hepatologists and their medical teams Although viral hepatitis is a growing public health risk around the world, the World Health Organization (WHO) views the elimination of hepatitis infection over the next several as an achievable goal. Effective pharmaceutical therapies are now available, yet medical teams caring for patients with viral hepatitis are challenged when looking for answers to specific questions in the current medical literature. The second edition of Clinical Dilemmas in Viral Liver Disease provides evidence-based guidance for medical teams involved in diagnosing, treating, and managing patients with viral liver disease. This fully updated book explores developments in new treatments and new diagnostic approaches that are contributing to WHO goals of viral elimination. Brief, easily referenced chapters examine clearly defined topics, addressing the clinical questions and difficulties encountered by medical teams in day-to-day practice. Contributions by an international team of investigators and clinicians address clinical questions and issues which are seldom found in standard textbooks and online repositories. Offering practical guidance on the specific challenges and dilemmas of treating viral liver disease, this unique volume: Provides practical, evidence-based guidance on topical and controversial issues Addresses understudied questions that arise in day-to-day clinical practice Discusses the challenges surrounding global elimination programs Presents focused approach that is supported by current literature and expert opinion The second edition of Clinical Dilemmas in Viral Liver Disease is required reading for practicing and trainee hepatologists, gastroenterologists, transplant surgeons, virologists, and other practitioners involved in caring for patients with liver disease.

Clinical Director of Pathology: Tackling the Role

by Mike Galloway

First Published in 2018. Routledge is an imprint of Taylor & Francis, an Informa company. These practical books written by members of the British Association of Medical Managers (BAMM) help clinical directors tackle their role as medical managers. They provide information and guidance, to enable their readers to benefit from the sharing of learning, good ideas and best practice. It is also useful for laboratory business managers as an induction to pathology. It summarises the key management issues within pathology and is based on practical case studies rather than theoretical management concepts. It highlights a number of key areas that clinical directors of pathology should be tackling in order to maintain the quality and cost effectiveness of their service.

Clinical Director of Pathology: Tackling the Role

by Mike Galloway

First Published in 2018. Routledge is an imprint of Taylor & Francis, an Informa company. These practical books written by members of the British Association of Medical Managers (BAMM) help clinical directors tackle their role as medical managers. They provide information and guidance, to enable their readers to benefit from the sharing of learning, good ideas and best practice. It is also useful for laboratory business managers as an induction to pathology. It summarises the key management issues within pathology and is based on practical case studies rather than theoretical management concepts. It highlights a number of key areas that clinical directors of pathology should be tackling in order to maintain the quality and cost effectiveness of their service.

The Clinical Directorate

by Noel Austin Sue Dopson

* A practical introduction to the business of management for doctors and managers at all levels * This simple guide provides easy-to-use tools and techniques * It explains jargon presents managerial tasks in context and provides managerial models

The Clinical Directorate

by Noel Austin Sue Dopson

* A practical introduction to the business of management for doctors and managers at all levels * This simple guide provides easy-to-use tools and techniques * It explains jargon presents managerial tasks in context and provides managerial models

Clinical Disorders of Membrane Transport Processes

by Thomas E. Andreoli Darrell D. Fanestil Joseph F. Hoffman Stanley G. Schultz

Clinical Disorders of Membrane Transport Processes is a softcover book containing a portion of Physiology of Membrane Disorders (Second Edition). The parent volume contains six major sections that deal with general aspects of the physiology of transport processes and specific aspects of transport processes in cells and in organized cellular systems, namely epithelia. This text contains the last section, which deals with the application of the physiology of transport processes to the understanding of clinical disorders. We hope that this smaller volume will be helpful to individuals particularly interested in clinical derangements of membrane transport processes. THOMAS E. ANDREOLI JOSEPH F. HOFFMAN DARRELL D. FANESTIL STANLEY G. SCHULTZ Vll Preface to the Second Edition The second edition of Physiology of Membrane Disorders represents an extensive revision and a considerable expansion of the fIrst edition. Yet the purpose of the second edition is identical to that of its predecessor, namely, to provide a rational analysis of membrane transport processes in individual membranes, cells, tissues, and organs, which in tum serves as a frame of reference for rationalizing disorders in which derangements of membrane transport processes playa cardinal role in the clinical expression of disease. As in the fIrst edition, this book is divided into a number of individual, but closely related, sections. Part V represents a new section where the problem of transport across epithelia is treated in some detail. Finally, Part VI, which analyzes clinical derangements, has been enlarged appreciably.

Clinical Disorders of Memory (Critical Issues in Psychiatry)

by Aman U. Khan

Memory is essential for the retention of learning. In the presence of memory deficits, new learning is impaired and performance of previously learned habits deteriorates. What is the nature of memory? Where does it reside in the brain? What biological events are associated with the formation and retrieval of memory? These questions are explored in the first chapter of this volume. The answers are not final, but we have learned a great deal about memory processes during the past few decades. Memory is influenced by most of the pathological processes that influ­ ence the brain such as infection, trauma, cerebrovascular disorders, and met­ abolic and degenerative diseases. The nature and course of memory impairment are unique for each of the disorders and are fairly distinguishable. More than fifty conditions are known to cause dementia, which now affects several million Americans. In Alzheimer's disease, memory disorder predominates for two to three years before other intellectual functions are affected. Many neurological diseases, such as Huntington's disease, Friedreich's ataxia, and multiple sclerosis, are associated with progressive memory deficits. Forgetting is a problem that becomes progressively worse with age. Most individuals in their forties begin to experience some difficulty in quick recall of past events. By age sixty definite changes are evident in the process of registration, storage, and recall of memory. At this age the material that is to be remembered is processed more slowly, stored less firmly, and poorly recalled.

Clinical Doppler Ultrasound E-Book: Expert Consult: Online

by Myron A. Pozniak Paul L Allan

Clinical Doppler Ultrasound offers an accessible, comprehensive introduction and overview of the major applications of Doppler ultrasound and their role in patient management. The new edition of this medical reference book discusses everything you need to know to take full advantage of this powerful modality, from anatomy, scanning, and technique, to normal and abnormal findings and their interpretation. It presents just the right amount of Doppler ultrasonography information in a compact, readable format!Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Make the most informed Doppler imaging decisions possible by gaining a thorough understanding of the advantages and disadvantages of using Doppler ultrasound, as well as the basic principles behind its techniques and technologies.Acquire optimal images and avoid errors with the help of detailed protocols and high-quality, full-color illustrations throughout. Understand and apply the latest Doppler imaging techniques with a new chapter on interventional and intraoperative applications of Doppler ultrasound and a new chapter on dialysis grafts, plus coverage of the most recent information on the role of contrast agents and how best to administer them.View real-time videos of Doppler imaging, and search across the complete text online at Expert Consult.

Clinical Drug Trials and Tribulations, Revised and Expanded

by Allen Cato Allen Sutton Allen Cato III

Aimed at those already involved in drug development or those considering entering the field, Clinical Drug Trials and Tribulations, Second Edition comprehensibly addresses the new, day-to-day challenges of drug development with valuable assessments of the areas affecting the conduction of nonclinical and clinical studies.Addressing which de

Clinical Echocardiography

by Michael Y. Henein Mary Sheppard John Pepper Michael Rigby

-Integrates the investigation of the echocardiographic findings with the pathologic, clinical and surgical aspects of heart disease -Includes stunning color echocardiographic images of various heart diseases with reference to their pathologic appearance and physiology -Includes clinical comments on patient management, which is not included in other echocardiography texts

Clinical Echocardiography (Developments in Cardiovascular Medicine #95)

by M. Iwase Iwao Sotobata

Recently, much progress has been made with echocardiography and Doppler techniques and these ultrasound methods have grown in importance and reliability as non-invasive diagnostic procedures for many cardiovascular disorders. The objective of this t~xtbook is to offer a detailed yet concise overview of the echocardiographic diagnosis of the various cardiovascular diseases. The book focuses upon the practical echocardiographic (including Doppler) exam­ ination. Accordingly, the fundamental principles of echocardiography and the Doppler techniques (pulsed and continuous wave and color flow mapping are covered briefly but comprehensively). A copious amount of representative figures and illustrations is included so that the reader is able to understand the clinical application of each modality in the various cardiovascular pathologies and the echocardiographic diagnosis. In keeping with the concept of an integrated echocardiographic examination, the two-dimensional, M-mode and Doppler echocardiographic findings are included in many of the diseases. Usually, the echocardiographic examination is approached first by two-dimensional imag­ ing to give an understanding of the anatomical correlations, if necessary adding M-mode to clarify the time course of intracardiac movements, and secondly by each Doppler technique to evaluate the hemodynamic conditions. When familiar with these approaches, one can make not only the diagnosis of many cardiovascular diseases with echocardiography alone, but also the rational and expeditious management of patients. Today, some of the cardiac diseases (Atrial Myxoma, Atrial Septal Defect, Infective endocarditis and so forth) have been oper­ ated based only on echocardiographic findings.

Clinical Echocardiography

by Mary Sheppard John R. Pepper Michael Rigby

-Integrates the investigation of the echocardiographic findings with the pathologic, clinical and surgical aspects of heart disease-Includes stunning color echocardiographic images of various heart diseases with reference to their pathologic appearance and physiology-Includes clinical comments on patient management, which is not included in other echocardiography texts

Clinical Echocardiography and Other Imaging Techniques in Cardiomyopathies

by Bruno Pinamonti Gianfranco Sinagra

This book describes the role of basic and advanced imaging techniques in the diagnosis of different types of cardiomyopathy, including dilated cardiomyopathy, hypertrophic cardiomyopathy, restrictive cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy and infiltrative/storage cardiomyopathies. While the main focus is on echocardiography, the applications of cardiac magnetic resonance imaging and computed tomography are also described. Throughout, a clinically oriented approach is employed: detailed attention is paid to differential diagnosis and numerous high-quality images depict the main features of the various types of cardiomyopathy. Consideration is also given to the genetics of cardiomyopathies, with analysis of genotype-phenotype relationships. Finally, the potential value of imaging in prognostic assessment and in guiding treatment is described.

Clinical Echocardiography of the Dog and Cat - E-Book

by Eric de Madron Valérie Chetboul Claudio Bussadori

Covering both classical modalities of echocardiography and newer techniques, Clinical Echocardiography of the Dog and Cat shows how to assess, diagnose, and treat canine and feline heart disease. A clinical approach demonstrates how these modalities may be used to acquire images, and then how you can recognize and identify patterns, relate them to different diseases, and manage patient care with those findings. The print book includes a companion website with 50 videos of cardiac ultrasound exams and procedures. Written by veterinary cardiology specialists and echocardiographers Eric de Madron, Valerie Chetboul, and Claudio Bussadori, this indispensable echocardiology resource is ideal for general practitioner veterinarians as well as specialists, including cardiologists and radiologists.Dedicated coverage of canine and feline echocardiography emphasizes a more in-depth discussion of cardiac ultrasound, including the newest ones such as Tissue Doppler and speckle tracking imaging, and transesophageal and 3D echocardiography.A practical, clinical approach shows how these echocardiographic modalities are not just research tools, but useful in diagnosing and staging heart disease in day-to-day practice. Book plus website consolidates offers current information into a single cohesive source covering classical modalities and newer techniques, as well as updates relating to normal echocardiographic examinations and values.50 videos on the companion website demonstrate how to perform echocardiography procedures, illustrating points such as swirling volutes, color flow display of blood flows, dynamic collapses secondary to pericardial effusion, and tumors flicking in and out of the echocardiographic field. A section on presurgical assessment helps you assess risk and prepare for catheter-based correction of cardiac defects — accurate measurements and proper device selection are key to a successful procedure.Over 400 full-color illustrations and 42 summary tables help you achieve precise, high-quality imaging for accurate assessment, including photographs of cadaver animal specimens to clarify the relationship between actual tissues in health and disease and their images.

The Clinical Education and Supervisory Process in Speech-Language Pathology and Audiology

by Elizabeth McCrea Judith Brasseur

As with the actual practices of speech-language pathologists and audiologists, clinical education and supervision practices work best when they are grounded not only in concept and theory but also in research. Designed to act as a complete guide to both the theory and the research, The Clinical Education and Supervisory Process in Speech-Language Pathology and Audiology provides the most up-to-date information on these crucial topics. Following in the footsteps of their mentor, Jean Anderson, Drs. Elizabeth McCrea and Judith Brasseur have taken on the task of assembling important current research and best practices in clinical education and supervision into one comprehensive resource. With their prestigious team of contributing authors, this text represents the culmination of decades of study and real-world best practices.The Clinical Education and Supervisory Process in Speech-Language Pathology and Audiology covers clinical education and supervision across five unique constituent groups: clinical educators of graduate students, preceptors of audiology externs, mentors of clinical fellows, supervisors of support personnel, and supervisors of professionals transitioning between work settings. It also includes the latest information on certification and accreditation requirements for preparation in supervision.Topics include Foundations: Anderson’s Continuum of Supervision Components of the Process Expectations for Supervision Practical Research in Supervision Literature from other Disciplines Obtaining Feedback About the Supervisory Process The Ethics of Clinical Education and Supervision Supervisor Self-Study and Accountability Interprofessional Education and Practice in Clinical Education and Supervision Chapter appendices add numerous ancillary materials, allowing readers to easily adopt the most successful processes and strategies the research has revealed. Sample scripts of supervisory conferences, self-assessment tools, action plan tools, and analysis systems can all be found inside.The Clinical Education and Supervisory Process in Speech-Language Pathology and Audiology is intended as a primary resource for anyone in those professions in any setting who is engaged in the process of clinical education and supervision. With this text as their guide, clinical educators and supervisors will be able to ground their practices in the vast compiled research and study contained within.

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