Samuels and Ropper's Neurological CPCs from the New England Journal of Medicine PDF Download

Author: Martin A. Samuels
Publisher: Oxford University Press, USA
ISBN: 0199927510
Category : Medical
Languages : en
Pages : 353

View

Book Description
Samuels and Ropper's Neurological CPCs from the New England Journal of Medicine is a collection of clinicopathological cases (CPCs) authored by two of the most frequent discussors of the storied "Clinical Pathologic Conference" first introduced by Richard Cabot in the early 1900s and published in the "New England Journal of Medicine." In one concise volume, the authors present 18 cases, assembled chronologically, that encompass the wider variety of neurologic conditions encountered by every resident and practicing clinician. Each case concludes with a modern perspective to bring the classic case in to a modern setting. These cases exemplify the traditional method of neurologic diagnosis and are the perfect catalyst with which to stimulate discussions with students and residents as well as a supplement to standardized course material.

Author:
Publisher:
ISBN: 9780199971572
Category :
Languages : en
Pages : 0

View

Book Description

Author: Loring B. Rowell
Publisher: Oxford University Press, USA
ISBN: 9780195073621
Category : Medical
Languages : en
Pages : 522

View

Book Description
This new analysis of reflex and hormonal control of the human cardiovascular system developed from questions raised in Human Circulation: During Physical Stress (Rowell, 1986) and from recent findings. The goal is to help students, physiologists and clinicians understand the control of pressure, vascular volume, and blood flow by examining the cardiovascular system during orthostasis and exercise, two stresses that most affect these variables. A discussion of the passive physical properties of the vascular system provides a basis for explaining how vascular control is modified by mechanical, neural, and humoral factors. Interactive effects of the vasculature on cardiac performance are emphasized; they reveal the importance of autonomic control, supplemented by muscle pumping, in maintaining adequate ventricular filling pressure. The author's detailed analysis of how total oxygen consumption is restricted focuses on limitations in cardiac pumping ability, oxygen diffusion from lungs to blood and from blood to active muscle, oxidative metabolism and neural control of organ blood flow. An unsolved mystery is the nature of the signals that govern the cardiovascular responses to exercise. This is discussed in a new and critical synthesis of ideas and evidence concerning the "error signals" that are sensed and then corrected by activation of the autonomic nervous system during exercise.

Author: Martin Brüne
Publisher: Oxford University Press
ISBN: 0192506781
Category : Medical
Languages : en
Pages : 992

View

Book Description
Medicine is grounded in the natural sciences, among which biology stands out with regard to the understanding of human physiology and conditions that cause dysfunction. Ironically though, evolutionary biology is a relatively disregarded field. One reason for this omission is that evolution is deemed a slow process. Indeed, macroanatomical features of our species have changed very little in the last 300,000 years. A more detailed look, however, reveals that novel ecological contingencies, partly in relation to cultural evolution, have brought about subtle changes pertaining to metabolism and immunology, including adaptations to dietary innovations, as well as adaptations to the exposure to novel pathogens. Rapid pathogen evolution and evolution of cancer cells cause major problems for the immune system to find adequate responses. In addition, many adaptations to past ecologies have turned into risk factors for somatic disease and psychological disorder in our modern worlds (i.e. mismatch), among which epidemics of autoimmune diseases, cardiovascular diseases, diabetes and obesity, as well as several forms of cancer stand out. In addition, depression, anxiety and other psychiatric conditions add to the list. The Oxford Handbook of Evolutionary Medicine is a compilation of cutting edge insights into the evolutionary history of ourselves as a species, and how and why our evolved design may convey vulnerability to disease. Written in a classic textbook style emphasising physiology and pathophysiology of all major organ systems, the Oxford Handbook of Evolutionary Medicine will be valuable for students as well as scholars in the fields of medicine, biology, anthropology and psychology.

Author: Jerome B. Posner
Publisher: Contemporary Neurology
ISBN: 0190208872
Category : Medical
Languages : en
Pages : 521

View

Book Description
Plum and Posner's Diagnosis and Treatment of Stupor and Coma, 5th edition, is a major update of the classic work on diagnosing the cause of coma, with the addition of completely new sections on treatment of comatose patients, by Dr. Jan Claassen, the Director of the Neuro-ICU at Columbia New York Presbyterian Hospital. The first chapter of the book provides an up-to-date review on the brain mechanisms that maintain a conscious state in humans, and how lesions that damage these mechanisms cause loss of consciousness or coma. The second chapter reviews the neurological examination of the comatose patient, which provides the basis for determining whether the patient is suffering from a structural brain injury causing the coma, or from a metabolic disorder of consciousness. The third and fourth chapters review the pathophysiology of structural lesions causing coma, and the specific disease states that result in coma. Chapter five is a comprehensive treatment of the many causes of metabolic coma. Chapter 6 review psychiatric causes of unresponsiveness and how to identify and treat them. Chapters 7 and 8 review the overall emergency treatment of comatose patients, followed by the treatment of specific causes of coma. Chapter 9 examines the long term outcomes of coma, including the minimally conscious state and the persistent vegetative state, and how they can be distinguished, and their implications for eventual useful recovery. Chapter 10 reviews the topic of brain death and the standards for examination of a patient that are required to make the determination of brain death. The final chapter 11 is by J.J. Fins, a medical ethicist who was invited by the other authors to write an essay on the ethics of diagnosis and treatment of patients who, by definition, have no way to approve of or communicate about their wishes. While providing detailed background for neurological and neurosurgical specialists, the practical nature of the material in this book has found its greatest use among Internists, Emergency Medicine, and Intensive Care specialists, who deal with comatose patients frequently, but who may not have had extensive neurological training.

Author: Anthea Hatfield
Publisher: OUP Oxford
ISBN: 0191644145
Category : Medical
Languages : en
Pages : 627

View

Book Description
The care that a patient receives in the first hours after surgery is crucial to minimizing the risk of complications such as heart attacks, pneumonia, and blood clots. As the patient awakes from their drug-induced coma, it takes time for them to metabolize and excrete these drugs, during which period they remain unable to care for themselves, and at increased risk of harm. The recovery room staff must manage both comatose and physiologically unstable patients, and deal with the immediate post-operative care of surgical patients. The fifth edition of this popular book provides nurses, surgeons and anaesthetists with clear guidance on how to manage day-to-day problems and how to make difficult decisions. Previous editions of this book have established it as the definitive guide to setting-up, equipping, staffing, and administering an acute care unit. It includes basic science such as physiology and pharmacology, specific symptoms including pain and vomiting, and has chapters devoted to the unique post-operative needs of individual types of surgery. This new edition brings this important text up to date and new drugs and techniques for monitoring are described. A new section looks ahead to the future development and design of recovery rooms and how they can contribute to patient well being.

Author: Jill E. Boulton
Publisher: Oxford University Press
ISBN: 0197525229
Category : Medical
Languages : en
Pages : 473

View

Book Description
The Acute Care of at-Risk Newborns (ACoRN) program trains health care providers to stabilize that most challenging and enigmatic of medical patients: the unwell newborn.Early assessment, intervention, and management of at-risk or unstable infants can be critical for their survival and long-term health. Clinical care standards and educational programs to address these requirements are needed. The ACoRN program provides a unique, prioritized, and systematic approachto newborn stabilization for health care professionals (HCPs) with any degree of experience. ACoRN-trained providers learn to gather information, prioritize, intervene appropriately, and deliver high quality care to at-risk and unwell newborns in any setting.Because research and practice have advanced dramatically in recent years, the need for a new ACoRN text, the program's centrepiece, became essential: hence the development of this new edition, which reflects current guidelines and evidence-based best practices.ACoRN teaches the concepts and skills required to stabilize unwell newborns through system-based algorithms ('Sequences'), each with its own chapter:- Respiratory- Neurology- Surgical Conditions- Cardiovascular- Fluid and Glucose- Jaundice- Thermoregulation- InfectionThe ACoRNS pneumonic defines stabilization steps and chapter structure: Alerting Signs, Core Steps, Organization of Care, Response, Next Steps, and Specific Diagnosis and Management. Each chapter includes educational objectives, key concepts, learning points, and at least one case scenario withquestions and answers to reinforce content and learnings.This book is written for any health professional who may be required to participate in the stabilization of sick or preterm babies within their scope of practice.The Canadian Paediatric Society (CPS) has worked to improve the health of children and youth since 1922. Backed by the expertise of more than 3,000 paediatricians, the CPS makes sure that parents and professionals have the best possible information about child and youth health and well-being. TheCPS is also involved in advocacy, research and education for health care providers.

Author: George Williams
Publisher: Oxford University Press
ISBN: 0190908068
Category : Medical
Languages : en
Pages : 432

View

Book Description
Anesthesiology Critical Care Board Review fills a much-needed niche, not only in improving board examination test-taking skills but also as a tool for educating critical care physicians, anesthesiology practitioners, and advanced practice providers with the most relevant, up-to-date, state of the art considerations in critical care medicine. Content is specifically designed to prepare Anesthesiology and Emergency Medicine critical care fellows for the American Board of Anesthesiology Critical Care Medicine Certification Examination. The book offers diagnostic and therapeutic management considerations, divided into sections on technical aspects of critical care and organ systems, in a question-and answer format with clear, concise explanations and targeted references for each question.

Author: Jehan Bseiso
Publisher: Oxford University Press
ISBN: 0197514642
Category : Business & Economics
Languages : en
Pages : 241

View

Book Description
"In February 2012, in its first public position on the unfolding armed conflict in Syria, Médecins Sans Frontières (MSF) published a series of testimonies gathered from Syrian doctors working in the country. The testimonies described the challenges and horrors facing doctors trying to treat wounded patients and protesters injured by Syrian authorities (MSF 2012). In its report, MSF denounced the use of "medicine as a weapon of persecution" in Syria and called on the government to "re-establish the neutrality of healthcare facilities" (Ibid.) In a press release published a year later, MSF further decried that aid was not being distributed "equally" between government- and opposition-controlled areas and argued that "areas under government control receive nearly all international aid, while opposition-held zones receive only a tiny share." (MSF 2013) In an opinion piece, two MSF staff members criticized humanitarian actors working with the authorization of the Syrian government and called on those aid agencies to recognise "the de-facto partitioning of the state" (Weissman and Rodrigue 2013). Such calls from humanitarian actors, which on other occasions claimed neutrality, played into the polarization of the Syrian conflict. The Syrian government actively controlled aid delivery and distribution from Damascus, with the support of Russia and Iran. Aid from Damascus was distributed by the United Nations, the Syrian Arab Red Crescent society, and a handful of other organizations working in government-controlled areas. Meanwhile, aid was delivered across the borders from neighboring countries by opposition groups, civil society activists, and Western humanitarian actors"--

Author: Ian Greaves
Publisher: Oxford University Press, USA
ISBN: 0198734948
Category : Disaster medicine
Languages : en
Pages : 753

View

Book Description
Fully updated for a second edition, the Oxford Handbook of Pre-hospital Care is the invaluable guide to providing high-quality care in a pre-hospital environment. Evidence-based and reflecting new developments in regulation and practice, this second edition is designed to provide key information for all immediate care practitioners, including doctors, paramedics, emergency medical technicians, and community responders. The text has been cross-referenced with the Joint Royal Colleges Ambulance Liaison Committee (JRCALC) handbook to ensure full clinical relevance. Reflecting the major advances in delivery of pre-hospital care, including the greater survival benefits for heart attacks and major trauma when delivering patients directly to higher levels of care, the evolution of the paramedic role into critical care paramedics, roadside rapid sequence induction of anaesthesia, and the introduction of mechanical chest compression devices, this new edition is the ideal companion for those involved in delivering pre-hospital care. It also links to relevant online databases and mobile apps that can assist with calculations, and contains key algorithms and formulae to ensure good care. The Oxford Handbook of Pre-hospital Care is the comprehensive quick-reference guide to all medical and trauma conditions regularly encountered in the immediate care setting.