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Transfusion in the Intensive Care Unit

http://libcat.nshealth.ca/permalink/provcat39084
Nicole P. Juffermans, Timothy S. Walsh, editors. Springer , c2015.
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In the last decade, there have been several clinical trials that have studied red blood cell transfusion triggers in various Intensive Care Unit patient populations. Moreover, critically ill patients often suffer from coagulopathy. Recent studies have addressed the effectiveness of fresh frozen plasma and platelets to prevent or treat bleeding. This book offers a comprehensive summary of transfusion triggers for red blood cells in specific ICU patient populations and specific conditions with th…
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Other Authors
Juffermans, Nicole P
Walsh, Timothy S
Responsibility
Nicole P. Juffermans, Timothy S. Walsh, editors
Place of Publication
Cham
Publisher
Springer
Date Published
c2015
Physical Description
1 online resource (vi, 187 p. : 21 illus., 6 illus. in color)
ISBN
9783319087344 (print ed.)
9783319087351
Subjects (MeSH)
Blood Transfusion - methods
Critical Care - methods
Intensive Care Units
Abstract
In the last decade, there have been several clinical trials that have studied red blood cell transfusion triggers in various Intensive Care Unit patient populations. Moreover, critically ill patients often suffer from coagulopathy. Recent studies have addressed the effectiveness of fresh frozen plasma and platelets to prevent or treat bleeding. This book offers a comprehensive summary of transfusion triggers for red blood cells in specific ICU patient populations and specific conditions with the aim to personalize transfusion strategy.áIn addition, it discusses evidence for triggers for plasma and platelets and outlines the most common adverse effects of blood transfusion in the ICU, underlining the need for a careful assessment of its risks and benefits. Transfusion in the Intensive Care Unit is a practical handbook that can be used in everyday practice to guide transfusion and thus will serve as a valuable resource for physicians, fellows and residents working in Intensive Care, Anesthesiology, and Cardiac Surgery.
Contents
Introduction -- Causes of Anemia in Critically Ill Patients -- Red Blood Cell Transfusion Trigger in Sepsis -- Red Blood Cell Transfusion Trigger in Cardiac Disease -- Red Blood Cell Transfusion Trigger in Cardiac Surgery -- Red Blood Cell Transfusion Trigger in Brain Injury -- Red Blood Cell Transfusion in the Elderly -- ScvO2 as an Alternative Transfusion Trigger -- Alternatives to Red Blood Cell Transfusion -- Blood Sparing Alternatives in the Intensive Care Unit -- Massive Transfusion in Trauma -- Transfusion in Gastrointestinal Bleeding -- Platelet Transfusion Trigger in the Intensive Care Unit -- FFP Transfusion in Intensive Care Medicine -- Transfusion-Related Acute Lung Injury -- Transfusion-Associated Circulatory Overload.
Format
e-Book
Location
Online
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Quality Management in ART Clinics : A Practical Guide

http://libcat.nshealth.ca/permalink/provcat32300
Fabiola Bento, Sandro Esteves, Ashok Agarwal, editors. Springer , c2013.
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In the last decades, major advances have been made in assisted reproductive technologies (ART) and the public demand for these procedures has increased globally. All ART clinics, from those just starting out to the well established, must employ the latest equipment and implement the best practices, while ensuring that their resources are effectively engaged to optimize patient outcomes. This is a tenet of the fiduciary role of physicians and it is increasingly recognized as a quantifiable goal …
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Other Authors
Agarwal, Ashok
Bento, Fabiola
Esteves, Sandro
Responsibility
Fabiola Bento, Sandro Esteves, Ashok Agarwal, editors
Alternate Title
Quality management in assisted reproductive technology clinics
Place of Publication
New York, NY
Publisher
Springer
Date Published
c2013
Physical Description
1 online resource (xviii, 244 p. : 65 ill., 54 ill. in color)
ISBN
9781441971395
Subjects (MeSH)
Practice Management, Medical
Reproductive Techniques, Assisted - standards
Subjects (LCSH)
Endocrinology
Obstetrics
Reproductive Medicine
Abstract
In the last decades, major advances have been made in assisted reproductive technologies (ART) and the public demand for these procedures has increased globally. All ART clinics, from those just starting out to the well established, must employ the latest equipment and implement the best practices, while ensuring that their resources are effectively engaged to optimize patient outcomes. This is a tenet of the fiduciary role of physicians and it is increasingly recognized as a quantifiable goal regulated by formal certifications and accreditations. Quality management protocols such as those proposed by the International Organization for Standardization (ISO) are being rapidly adopted as standards of measure. Quality Management in ART Clinics: A Practical Guide provides easily adoptable ways to implement and improve formalized quality management systems. Essential to any clinic to achieve best practices and maintenance of formal regulatory certifications, this book brings together the know-how of experienced opinion leaders operating in key areas worldwide. The book offers an overview of primary regulations in the ART field, with attention to quality management demands, and links specific requirements to practical steps for implementation. Filled with process and procedure examples, flow diagrams and administrative form templates, this book is the first of its kind, gathering the necessary elements for optimizing practice, management, and quality assurance.
Contents
Part I: Establishing a Quality Management System -- 1. Introduction to Quality Management in ART Clinics -- 2. Quality Management Systems -- 3. Where to Start -- 4. Defining Processes and Procedures -- 5. Training Personnel -- 6. How To Get Information -- Part II: Reproductive Laboratories -- 7. The Role of Reproductive Laboratories in the ART Clinic -- 8. Defining What Reproductive Laboratories Do -- 9. Explaining How Reproductive Laboratories Work -- 10. Ensuring that Reproductive Laboratories Provide High-Quality Services -- Part III: International Experience -- 11. Singapore -- 12. India -- 13. South Africa: A Laboratory Perspective on Quality Control -- 14. Nigeria: Experience with Quality Management and IVF in a Developing Country -- 15. Gulf Countries -- 16. United States of America -- 17. Chile -- 18. Brazil -- 19. Belgium: ISO 9001:2000 Certification as a Base for Total Quality Management in ART -- 20. The Netherlands -- 21. Australia: QMS in IVF Centres -- Index.
Format
e-Book
Location
Online
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Pediatric Hydrocephalus

http://libcat.nshealth.ca/permalink/provcat40494
G. Cinalli, W.J. Maixner, C. Sainte-Rose (eds.). Springer , c2005.
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In the last ten years the pediatric neurosurgeon has witnessed a real revolution in the diagnosis and treatment of pediatric hydrocephalus, the most frequently encountered condition in everyday clinical practice. The evolution of MRI and the advent of neuroendoscopic surgery have resuscitated the interest in the classification, etiology and pathophysiology of hydrocephalus. The book offers an updated overview on the recent progress in this field, and a new approach to hydrocephalus: the reader …
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Other Authors
Cinalli, Giuseppe
Maixner, Wirginia June
Sainte-Rose, Christian
Responsibility
G. Cinalli, W.J. Maixner, C. Sainte-Rose (eds.)
Place of Publication
Milan
Publisher
Springer
Date Published
c2005
Physical Description
1 online resource (xv, 461 p.)
ISBN
9788847021211
9788847021730 (print ed.)
Subjects (MeSH)
Child
Hydrocephalus
Infant
Abstract
In the last ten years the pediatric neurosurgeon has witnessed a real revolution in the diagnosis and treatment of pediatric hydrocephalus, the most frequently encountered condition in everyday clinical practice. The evolution of MRI and the advent of neuroendoscopic surgery have resuscitated the interest in the classification, etiology and pathophysiology of hydrocephalus. The book offers an updated overview on the recent progress in this field, and a new approach to hydrocephalus: the reader will find in it a modern and new presentation of an old disease, where genetics, endoscopy, cost-effectiveness analyses and many other aspects of the various therapies are extensively discussed. The volume will be useful not only for neurosurgeons, but for all specialists interested in the various aspects of hydrocephalus: pediatricians, radiologists, endocrinologists, pathologists and geneticists.
Contents
1. Genetics of Hydrocephalus -- 2. Development of the Cerebrospinal Fluid Pathways During Embryonic and Fetal Life in Humans -- 3. Cerebrospinal Fluid Dynamics -- 4. Pathophysiology of Hydrocephalus -- 5. Modern Imaging of Pediatric Hydrocephalus -- 6. Classification and Definition of Hydrocephalus: Origin, Controversy, and Assignment of the Terminology -- 7. Hydrocephalus: Intracranial Pressure, Myelination, and Neurodevelopment -- 8. Posthemorrhagic Hydrocephalus of Prematurity -- 9. Hydrocephalus with Myelomeningocele -- 10. Benign Pericerebral Collections in Children -- 11. Hydrocephalus in Pediatric Patients with Posterior Fossa Tumours 155 -- 12. Treatment of Hydrocephalus in Suprasellar Lesions -- 13. Hydrocephalus and Colloid Cysts -- 14. Hydrocephalus and Spinal Tumors -- 15. Postinfectious Hydrocephalus in Children -- 16. Multiloculated Hydrocephalus -- 17. Hydrocephalus in Neurocysticercosis and Other Parasitic and Infectious Diseases -- 18. Hydrocephalus and the Dandy-Walker Malformation -- 19. Hydrocephalus and Aqueductal Stenosis -- 20. Shunt Hardware and Surgical Technique -- 21. Abdominal Complications of Peritoneal Shunts -- 22. Patterns of Shunt Failure According to the Hydrodynamic Features of the Valve: Lessons from the Shunt Design Trial -- 23. Slit Ventricle Syndrome or Syndromes: Diagnosis and Management -- 24. Endoscopic Anatomy of the Ventricles -- 25. Endoscopic Third Ventriculostomy -- 26. Third Ventriculostomy in Shunt Malfunction -- 27 Dynamic MRI of Cerebrospinal Fluid in Children -- 28. The CISS Sequence in the Preoperative MRI Assessment of Neuroendoscopic Third Ventriculostomy -- 29. Complications of Endoscopic Third Ventriculostomy -- 30. Repeat Third Ventriculostomy -- 31. Economic Analysis of Endoscopic Third Ventriculostomy and Ventricular Shunts -- 32. Growth and Puberty in Hydrocephalus -- 33. Epilepsy in Childhood Shunted Hydrocephalus.
Format
e-Book
Location
Online
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Development of Normal Fetal Movements : The Last 15 Weeks of Gestation

http://libcat.nshealth.ca/permalink/provcat39518
Alessandra Piontelli. Springer , c2015.
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In the later stages of gestation, fetal functions undergo increasing change and development, preparing the fetus for the transition to its postnatal environment. Rapid maturation is witnessed in breathing, swallowing, sensory functions, sleep, and many other processes, with corresponding behavioral changes. By 35 to 40 weeks of gestation, fetuses are capable of living ex utero without support, but it is increasingly appreciated that even infants born at between 35 and 36 weeks can suffer long-t…
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Author
Piontelli, Alessandra
Responsibility
Alessandra Piontelli
Place of Publication
Milan
Publisher
Springer
Date Published
c2015
Physical Description
1 online resource (xi, 145 p. : 67 illus., 16 illus. in color)
ISBN
9788847053724 (print ed.)
9788847053731
Subjects (MeSH)
Fetal movement - physiology
Fetus
Abstract
In the later stages of gestation, fetal functions undergo increasing change and development, preparing the fetus for the transition to its postnatal environment. Rapid maturation is witnessed in breathing, swallowing, sensory functions, sleep, and many other processes, with corresponding behavioral changes. By 35 to 40 weeks of gestation, fetuses are capable of living ex utero without support, but it is increasingly appreciated that even infants born at between 35 and 36 weeks can suffer long-term consequences. This book, which complements the author's previous volume on development of normal fetal movements during the first 25 weeks of gestation, discusses in detail the full range of behavioral phenomena observed during the final 15 weeks of gestation, with careful analysis of their mutual relationships. A key feature is the outstanding photographic material, difficult to obtain at this late stage, and the instructive graphs thatááare also included. The information provided will alert clinicians to deviations from the norm and to physiologic phenomena that can turn pathologic in infants born prematurely.
Contents
Introduction -- General Movements -- Localized or Isolated Movements -- Fetal Breathing Movements and Shallow Fetal Breathing Movements -- Swallowing, Sucking, and Mouthing -- Startles, Twitches and Clonuses - Seemingly Trivial Fetal Motions: Yawning and Hiccups -- Fetuses: Facial Motions or Facial Expressions? -- Fetal Behavioral States -- Twin Fetuses: Facts and Late-Pregnancy Twin Myths -- Fetal Sensory Abilities -- Conclusions.
Format
e-Book
Location
Online
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Benzel's spine surgery : techniques, complication avoidance, and management

http://libcat.nshealth.ca/permalink/provcat31987
editors Michael P. Steinmetz, Edward C. Benzel. (4th ed.) Elsevier Saunders , c2017.
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In the latest edition of Benzel’s Spine Surgery, renowned neurosurgery authority Dr. Edward C. Benzel, along with new editor Dr. Michael P. Steinmetz, deliver the most up-to-date information available on every aspect of spine surgery. Improved visuals and over 100 brand-new illustrations enhance your understanding of the text, while 26 new chapters cover today's hot topics in the field. A must-have resource for every neurosurgeon and orthopedic spine surgeon, Benzel's Spine Surgery provides th…
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Other Authors
Benzel, Edward C
Steinmetz, Michael P
Responsibility
editors Michael P. Steinmetz, Edward C. Benzel
Edition
4th ed.
Alternate Title
Spine surgery
Place of Publication
Philadelphia, PA
Publisher
Elsevier Saunders
Date Published
c2017
Physical Description
1 online resource, 2072 p.
ISBN
9780323400305
Subjects (MeSH)
Intraoperative Complications - prevention & control
Spinal diseases - surgery
Spine - surgery
Subjects (LCSH)
Spine - Surgery
Spine - Wounds and injuries - Treatment
Abstract
In the latest edition of Benzel’s Spine Surgery, renowned neurosurgery authority Dr. Edward C. Benzel, along with new editor Dr. Michael P. Steinmetz, deliver the most up-to-date information available on every aspect of spine surgery. Improved visuals and over 100 brand-new illustrations enhance your understanding of the text, while 26 new chapters cover today's hot topics in the field. A must-have resource for every neurosurgeon and orthopedic spine surgeon, Benzel's Spine Surgery provides the expert, step-by-step guidance required for successful surgical outcomes.
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e-Book
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Dear Ashley : A Father's Reflections and Letters to His Daughter on Life, Love and Hope

http://libcat.nshealth.ca/permalink/provcat9430
Blackwell, Don. Imbue Publications , 2012.
Call Number
155.5 B5678 2012
Location
IWK Family Resource Library
In the midst of his daughter's illness from Anorexia Nervosa, this father comes to realize that such events provide opportunities for growth-that if we are willing to step back and reflect on the matters of the heart that surround those events, they can lead to a deeper understanding of ourselves and those who we love. Dear Ashley is a collection of these reflections and the intimate father/daughter letters used to convey them.
Call Number
155.5 B5678 2012
Author
Blackwell, Don
Place of Publication
New York, NY
Publisher
Imbue Publications
Date Published
2012
Physical Description
156 p.
Subjects (LCSH)
Anorexia Nervosa --
Eating disorders --
Abstract
In the midst of his daughter's illness from Anorexia Nervosa, this father comes to realize that such events provide opportunities for growth-that if we are willing to step back and reflect on the matters of the heart that surround those events, they can lead to a deeper understanding of ourselves and those who we love. Dear Ashley is a collection of these reflections and the intimate father/daughter letters used to convey them.
Location
IWK Family Resource Library
Copies
1

Comprehensive cytopathology

http://libcat.nshealth.ca/permalink/provcat33111
editors Marluce Bibbo, David C. Wilbur. (4th ed.) Saunders , c2015.
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In the newly updated edition of Comprehensive Cytopathology, a team of international experts provides criteria and techniques in diagnosis, testing, and new insights in cytology. This accessible guide to diagnostic investigation and screening is ideal for daily laboratory use, taking a systematic approach to helping you understand major diagnostic criteria as well as the pitfalls and limitations of cytology. Quickly find the answers you need through a consistent chapter structure.Realize every…
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Other Authors
Bibbo, Marluce
Wilbur, David C
Responsibility
editors Marluce Bibbo, David C. Wilbur
Edition
4th ed.
Place of Publication
Oxford, UK
Publisher
Saunders
Date Published
c2015
Physical Description
1 online resource, 954 p.
ISBN
9780323265768 (eBook)
Subjects (MeSH)
Cytodiagnosis
Cytological techniques
Subjects (LCSH)
Cytodiagnosis
Cytological Techniques
Pathology, Cellular
Abstract
In the newly updated edition of Comprehensive Cytopathology, a team of international experts provides criteria and techniques in diagnosis, testing, and new insights in cytology. This accessible guide to diagnostic investigation and screening is ideal for daily laboratory use, taking a systematic approach to helping you understand major diagnostic criteria as well as the pitfalls and limitations of cytology. Quickly find the answers you need through a consistent chapter structure.Realize every possibility. Appropriate histopathological correlations and a consideration of the possible differential diagnosis accompany the cytological findings.
Contents
The Cell : Basic Structure and Function, and Molecular Basis of Neoplasia -- Basic Cytogenetics and the Role of Genetics in Cancer Development -- Cytologic Screening Programs -- Diagnostic Quality Assurance in Cytopathology -- Evaluation of the Non-gynecologic Sample in Smears and Liquid-based Preparations -- The Bethesda System for Reporting Cervical Cytology -- Microbiology, Inflammation, and Viral Infections -- Benign Proliferative Reactions, Intraepithelial Neoplasia, and Invasive Cancer of the Uterine Cervix -- Glandular Neoplasms of the Uterine Cervix -- Endometrial Hyperplasia and Carcinoma, Extrauterine Cancer, and Unusual Tumors -- Vulva, Vagina, and Anus -- Peritoneal Washings and Ovary -- Respiratory Tract -- Alimentary Tract (Esophagus, Stomach, Small Intestine, Colon, Rectum, Anus, Biliary Tract) -- Urinary Tract -- Central Nervous System -- Eye -- Cytology of Soft Tissue, Bone, and Skin -- Pleural, Peritoneal, and Pericardial Effusions -- Fine-needle Aspiration Biopsy Techniques -- Fine-needle Aspiration Biopsy Techniques -- Salivary Glands and Rare Head and Neck Lesions -- The Bethesda System for Reporting Thyroid Cytopathology -- Thyroid -- Lymph Nodes : Cytomorphology and Flow Cytometry -- Breast -- Mediastinum -- Kidneys, Adrenals, and Retroperitoneum -- Liver -- Pancreas -- Pediatric Tumors -- Effects of Therapy on Cytologic Specimens -- Cytopreparatory Techniques -- Digital Pathology/Telepathology -- Automation in Cervical Cytology -- Immunocytochemistry -- Molecular Techniques -- HPV Detection Techniques.
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e-Book
Location
Online
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Hand Bone Age : A Digital Atlas of Skeletal Maturity

http://libcat.nshealth.ca/permalink/provcat31143
Vicente Gilsanz, Osman Ratib. (2nd ed.) Springer , c2012.
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In the past, determination of bone maturity relied on visual evaluation of skeletal development in the hand and wrist, most commonly using the Greulich and Pyle atlas. The Gilsanz and Ratib digital atlas takes advantage of digital imaging and provides a more effective and objective approach to assessment of skeletal maturity. The atlas integrates the key morphological features of ossification in the bones of the hand and wrist and provides idealized, sex- and age-specific images of skeletal dev…
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Author
Gilsanz, Vicente
Other Authors
Ratib, Osman
Responsibility
Vicente Gilsanz, Osman Ratib
Edition
2nd ed.
Place of Publication
Berlin, Heidelberg
Publisher
Springer
Date Published
c2012
Physical Description
1 online resource (vii, 96 p. : 77 ill.)
ISBN
9783642237621
Subjects (MeSH)
Age Determination by Skeleton - Atlases
Hand - anatomy & histology
Hand - growth & development
Hand Bones - growth & development
Radiographic Image Interpretation, Computer-Assisted
Subjects (LCSH)
Pediatrics
Radiology, Medical
Abstract
In the past, determination of bone maturity relied on visual evaluation of skeletal development in the hand and wrist, most commonly using the Greulich and Pyle atlas. The Gilsanz and Ratib digital atlas takes advantage of digital imaging and provides a more effective and objective approach to assessment of skeletal maturity. The atlas integrates the key morphological features of ossification in the bones of the hand and wrist and provides idealized, sex- and age-specific images of skeletal development. New to this revised second edition is a description and user manual for Bone Age for iPad’, iPhone’ and iPod touch’, which can be purchased and used separately from this book. Bone Age enables users to rapidly browse through the set of idealized atlas images and select the one that best matches the image being interpreted. The calculated deviation of the patient's age from the normal range is immediately presented to help predict possible growth delays. This easy-to-use atlas and the related App will be invaluable for radiologists, endocrinologists, and pediatricians and also relevant to forensic physicians.
Contents
Introduction -- Bone Development -- Clinical Applications for Skeletal Determinations -- Cenventional Techniques for Skeletal Determinations -- Computer Assisted Techniques for Skeletal Determinations -- Indicators of Skeletal maturity in Children and Adolescents -- Digital Bone Age Atlas -- iPhone / iPad App User Manual -- Reference Images -- Tables.
Format
e-Book
Location
Online
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Imaging of the Hand and Wrist : Techniques and Applications

http://libcat.nshealth.ca/permalink/provcat40775
A. Mark Davies, Andrew J. Grainger, Steven J. James, editors. Springer , c2013.
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In the past, radiographs of the hand have been described as the "skeleton's calling card", showing manifestations of many different diseases. As hand and wrist imaging has become increasingly sophisticated, this observation has become more true than ever. This is a comprehensive, up-to-date textbook on imaging of the hand and wrist. In the first part of the book, the various imaging techniques are discussed in detail. Individual chapters are devoted to radiography, ultrasound, CT, MRI and nucle…
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Other Authors
Davies, A. Mark
Grainger, Andrew J
James, Steven J
Responsibility
A. Mark Davies, Andrew J. Grainger, Steven J. James, editors
Place of Publication
Berlin, Heidelberg
Publisher
Springer
Date Published
c2013
Physical Description
1 online resource (x, 386 p. : ill.)
Series
Medical radiology. Diagnostic Imaging
Series Title
Medical radiology (Series)
ISBN
9783642111433 (print ed.)
9783642111464
ISSN
0942-5373
Subjects (MeSH)
Hand Injuries - diagnosis
Wrist Injuries - diagnosis
Abstract
In the past, radiographs of the hand have been described as the "skeleton's calling card", showing manifestations of many different diseases. As hand and wrist imaging has become increasingly sophisticated, this observation has become more true than ever. This is a comprehensive, up-to-date textbook on imaging of the hand and wrist. In the first part of the book, the various imaging techniques are discussed in detail. Individual chapters are devoted to radiography, ultrasound, CT, MRI and nuclear medicine. The second part of the book gives an authoritative review of the various pathologies that may be encountered in the hand and wrist, encompassing congenital and developmental abnormalities, trauma, and the full range of localized and systemic disorders. Each chapter is written by an acknowledged expert in the field, and a wealth of illustrative material is included. This book will be of great value to musculoskeletal and general radiologists, orthopaedic surgeons and rheumatologists.
Contents
Radiography and Arthrography -- Computed Tomography of Hand and Wrist -- MRI and MR Arthrography -- Radionuclide Imaging of the Hand and Wrist -- Ultrasound Imaging Techniques and Procedures -- Skeletal Development and Aging -- Congenital and Developmental Abnormalities -- Hand Trauma -- Imaging of Wrist Trauma -- Wrist Instability -- Nerve Entrapment Syndromes -- Osteonecrosis and Osteochondrosis -- Metabolic and Endocrine Disorders -- Arthritis -- Soft Tissue and Bone Infections -- Tumours and Tumour-Like Lesions of Bone -- Tumor and Tumor-Like Lesions of Soft Tissue -- Miscellaneous Conditions with Manifestations in the Hand and Wrist -- Imaging the Post-Operative Wrist and Hand.
Format
e-Book
Location
Online
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Coronary Microvascular Dysfunction

http://libcat.nshealth.ca/permalink/provcat39663
Filippo Crea, Gaetano A. Lanza, Paolo G. Camici. Springer Milan , c2014.
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In the past two decades a number of studies have shown that abnormalities in the function and structure of coronary microcirculation can be detected in several cardiovascular diseases. On the basis of the clinical setting in which it occurs, coronary microvascular dysfunction (CMD) can be classified into four types: CMD in the absence of any other cardiac disease; CMD in myocardial diseases; CMD in obstructive epicardial coronary artery disease; and iatrogenic CMD. In some instances CMD represe…
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Author
Crea, Filippo
Other Authors
Camici, Paolo G
Lanza, Gaetano A
Responsibility
Filippo Crea, Gaetano A. Lanza, Paolo G. Camici
Place of Publication
Milan
Publisher
Springer Milan
Date Published
c2014
Physical Description
1 online resource (xii, 257 p. : 110 illus., 78 illus. in color)
ISBN
9788847053663 (print ed.)
9788847053670
Subjects (MeSH)
Coronary Vessels - physiopathology
Microvessels - physiopathology
Abstract
In the past two decades a number of studies have shown that abnormalities in the function and structure of coronary microcirculation can be detected in several cardiovascular diseases. On the basis of the clinical setting in which it occurs, coronary microvascular dysfunction (CMD) can be classified into four types: CMD in the absence of any other cardiac disease; CMD in myocardial diseases; CMD in obstructive epicardial coronary artery disease; and iatrogenic CMD. In some instances CMD represents an epiphenomenon, whereas in others it represents an important marker of risk or may contribute to the pathogenesis of myocardial ischemia, thus becoming a possible therapeutic target. This book provides an update on coronary physiology and a systematic assessment of microvascular abnormalities in cardiovascular diseases, in the hope that it will assist clinicians in prevention, detection and management of CMD in their everyday activity.
Contents
Part I. Physiology, Pathophysiology and Assessment of Coronary Microcirculation -- 1. Physiology of coronary microcirculation -- 2. Mechanisms of coronary microvascular dysfunction -- 3. Methods to assess coronary microvascular function -- Part II. Clinical Manifestations of Coronary Microvascular Dysfunction -- 4. CMD in the absence of myocardial diseases and obstructive CAD -- 5. CMD in myocardial diseases -- 6. CMD in obstructive CAD -- 7. Iatrogenic coronary microvascular dysfunction -- Part III. Therapeutic Approaches to Coronary Microvascular Dysfunction -- 8. Treatment of primary CMD -- 9. Treatment of CMD in myocardial diseases -- 10. Treatment of CMD in obstructive CAD -- 11. Prevention of iatrogenic CMD.
Format
e-Book
Location
Online
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