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An Introduction to Health Information Technology in LTPAC Settings (HIMSS Book Series)
by Gregory L. Alexander, PhD, RN, FAAN Derr F. John, RPh, FASCP Lorren Pettit, MS, MBAA multiplicity of factors converging together suggest the long term/post-acute care (LTPAC) provider community (e.g. nursing homes, behavioral health facilities, home health agencies, etc.) will accelerate in importance within the healthcare ecosystem during the next few years. The challenge for many LTPAC providers in this emerging environment will be to advance their clinical health information technologies (health IT) capabilities in order to "play" with other providers in the healthcare "sandbox." This book is designed to assist LTPAC leaders in identifying and exploring the array of critical issues one needs to consider in order to operate within an advanced clinical health IT ecosystem. This book surveys key issues surrounding the use of clinical health IT in LTPAC settings, to include providing readers with a suggested strategic plan and roadmap for selecting and installing digital health technologies in LTPAC organizations. Though the focus of the book primarily centers on the U.S. LTPAC provider’s experience, the authors also spend time addressing global and future LTPAC considerations.
Evidence-Based Patient Handling: Techniques and Equipment
by Pat Alexander Emma Crumpton Brian Fletcher Mike Fray Sue Hignett Sue RuszalaProviding care and treatment for patients usually requires moving and handling activities associated with high rates of back injuries. The personal and financial cost of back pain and injuries to health staff means there is an urgent need to improve practice in this area. Over the past twenty years a number of guidelines have been published, however, these have been based on professional consensus rather than evidence. Evidence-Based Patient Handling tackles the challenge of producing an evidence base to support clinical practice and covers tasks, equipment and interventions. This book questions previously held opinions about moving and handling and provides the foundation for future practice.
New Dimensions In Women's Health (Seventh Edition)
by Linda Lewis Alexander William Alexander Judith H. Larosa Helaine BaderExtensively revised and updated with the latest statistics and developments in the field, New Dimensions in Women's Health, Seventh Edition provides a modern and comprehensive look at the health of women of all cultures, races, ethnicities, socioeconomic backgrounds, and sexual orientations. Written for undergraduate students studying health education, nursing, and women's studies, the text provides women with the critical information needed to optimize their well-being, avoid illness and injury, and support their overall health. Each chapter presents in-depth coverage of an important aspect of women's health and examines the contributing epidemiological, historical, psychosocial, cultural, ethical, legal, political, and economic influences. NEW TO THIS EDITION!- NEW - 17 new Animations can be found in the Navigate 2 eBook (free with every new print copy of the text)- NEW - Includes new material on healthcare reform and its implications for individual women and the country as a whole- NEW - Includes a new section on electronic cigarettes and vaping, as well as their impact on public health- NEW - Provides new tips and strategies for individuals who wish to quit smoking, reduce problem drinking, and quit illicit drug use- NEW - Incorporates a new section on the abuse and misuse of prescription and over-the-counter drugs- NEW - Includes a new section on dissociative disorders, including common forms of these disorders, how they can occur, and their effects on the psyche- Expanded discussion of STI risk for LGBT populations and how to reduce risk- Expanded discussion regarding gender identity, transgender, and gender neutralThe new digitally enhanced Seventh Edition is available with Navigate 2 Advantage Access which includes an interactive eBook, informative animations, labeling exercises, audio clips, practice activities and assessments.
Stroke Book: The Diary of a Blindspot
by Jonathan AlexanderAn archive of personal trauma that addresses how a culture still toxic to queer people can reshape a bodyIn the summer of 2019, Jonathan Alexander had a minor stroke, what his doctors called an “eye stroke.” A small bit of cholesterol came loose from a vein in his neck and instead of shooting into his brain and causing damage, it lodged itself in a branch artery of his retina, resulting in a permanent blindspot in his right eye. In Stroke Book, Alexander recounts both the immediate aftermath of his health crisis, which marked deeper health concerns, as well as his experiences as a queer person subject to medical intervention.A pressure that the queer ill contend with is feeling at fault for their condition, of having somehow chosen illness as punishment for their queerness, however subconsciously. Queer people often experience psychic and somatic pressures that not only decrease their overall quality of life but can also lead to shorter lifespans. Emerging out of a medical emergency and a need to think and feel that crisis through the author’s sexuality, changing sense of dis/ability, and experience of time, Stroke Book invites readers on a personal journey of facing a health crisis while trying to understand how one’s sexual identity affects and is affected by that crisis. Pieceing and stitching together his experience in a queered diary form, Alexander’s lyrical prose documents his ongoing, unfolding experience in the aftermath of the stroke. Through the fracturing of his text, which almost mirrors his fractured sight post-stroke, the author grapples with his shifted experience of time, weaving in and out, while he tracks the aftermath of what he comes to call his “incident” and meditates on how a history of homophobic encounters can manifest in embodied forms.The book situates itself within a larger queer tradition of writing—first, about the body, then about the body unbecoming, and then, yet further, about the body ongoing, even in the shadow of death. Stroke Book also documents the complexities of critique and imagination while holding open a space for dreaming, pleasure, intimacy, and the unexpected.
Advanced Reconstruction: Foot And Ankle 2 Ebook (Advanced Reconstruction Ser.)
by Ian J. AlexanderConfer with leading surgeons on the most effective way to solve complex surgical problems. 110+ pioneering surgeons share tips, pearls, and strategies Step-by-step guidance for 65+ challenging techniques 600+ illustrations demonstrate crucial details
Urgent Care (The Healing Touch, Book #3)
by Hannah AlexanderAfter years in pastoral ministry, Archer Pierce has begun to question his calling. In the midst of a violent storm, he disappears, and the citizens of Dogwood Springs begin a frantic race to find him. Lauren McCaffery is falling deeply in love with the widowed Dr. Grant Sheldon but when he pops the question, she panics. Is she prepared to take on a ready-made family? And, can she ever live up to the image of "perfect wife and mother" Grant's late wife seemed to portray? Dr. Mitchell Caine's personal struggles are affecting his practice and his work in the ER and now he is experiencing glimmers of a memory that is too horrifying to believe ... And, his troubled daughter has returned home after years of estrangement. Can Mitchell hope to help her when he has his own dark secrets?
La prueba del cielo: el viaje de un neurocirujano a la vida después de la muerte
by Eben AlexanderMiles de personas han tenido experiencias cercanas a la muerte, pero los científicos han sostenido de que son imposibles. El doctor Eben Alexander era uno de esos científicos. Un neurocirujano altamente entrenado, Alexander sabía que las experiencias cercanas a la muerte se sienten reales, pero que simplemente son fantasías producidas por el cerebro bajo un estrés extremo. Luego, el cerebro del propio doctor Alexander fue atacado por una extraña enfermedad. La parte del cerebro que controla los pensamientos y las emociones —y en esencia nos hace humanos— se le apagó por completo. Estuvo en coma durante siete días. Entonces, mientras sus médicos consideraban parar su tratamiento, los ojos de Alexander se abrieron. Volvió. La recuperación de Alexander es un milagro médico. Pero el verdadero milagro de su historia yace en otro lugar. Mientras su cuerpo estaba en coma, Alexander viajó más allá de este mundo y se encontró con un ser angelical que lo guió a los terrenos más profundos de la existencia suprafísica. Allá conoció a, y habló con, la fuente Divina del universo. La historia de Alexander no es una fantasía. Antes de comenzar su viaje, no podía reconciliar su conocimiento de la neurociencia con ninguna creencia del cielo, Dios ni el alma. Hoy en día, Alexander es un médico que cree que la verdadera salud se puede adquirir solo cuando nos damos cuenta de que Dios y el alma son reales y la muerte no es el final de la existencia personal, sino solo una transición. Esta historia sería extraordinaria sin importar a quién le haya ocurrido. Que le haya ocurrido al doctor Alexander la hace revolucionaria. Ningún científico ni persona de fe la podrá ignorar. Leerla te cambiará la vida.
Proof of Heaven: A Neurosurgeon's Journey into the Afterlife
by Eben AlexanderA scientist's case for the afterlife...Thousands of people have had near-death experiences, but scientists have argued that they are impossible. Dr. Eben Alexander was one of those scientists. A highly trained neurosurgeon, Alexander knew that NDEs feel real, but are simply fantasies produced by brains under extreme stress. Then, Dr. Alexander's own brain was attacked by a rare illness. The part of the brain that controls thought and emotion--and in essence makes us human--shut down completely. For seven days he lay in a coma. Then, as his doctors considered stopping treatment, Alexander's eyes popped open. He had come back. Alexander's recovery is a medical miracle. But the real miracle of his story lies elsewhere. While his body lay in coma, Alexander journeyed beyond this world and encountered an angelic being who guided him into the deepest realms of super-physical existence. There he met, and spoke with, the Divine source of the universe itself. Alexander's story is not a fantasy. Before he underwent his journey, he could not reconcile his knowledge of neuroscience with any belief in heaven, God, or the soul. Today Alexander is a doctor who believes that true health can be achieved only when we realize that God and the soul are real and that death is not the end of personal existence but only a transition. This story would be remarkable no matter who it happened to. That it happened to Dr. Alexander makes it revolutionary. No scientist or person of faith will be able to ignore it. Reading it will change your life.re it. Reading it will change your life.
Presidential Takedown: How Anthony Fauci, the CDC, NIH, and the WHO Conspired to Overthrow President Trump
by Dr. Paul Elias Alexander Kent HeckenlivelyAn explosive behind-the-scenes look at Donald Trump's final months in office and how the COVID crisis response was a carefully crafted plan to ruin him.In January 2020, Donald Trump was on the fast track to an easy re-election. While his first two years had been stymied by House Speaker Paul Ryan, Senate Majority Leader Mitch McConnell, and the Democrats, his third year had been one of remarkable success. The United States had low unemployment and was making strides across the globe. The president's rallies were well-attended, and he was being projected to win four hundred electoral votes and about forty-five states. Then came COVID-19.Dr. Paul Elias Alexander, former Senior Advisor to COVID Pandemic policy in the US government for President Trump and former COVID Pandemic evidence-synthesis advisor to WHO-PAHO, was on the frontlines to watch how Trump's world, and his reelection hopes, slowly collapsed leading up to November 2020—due to the CDC, NIH, and WHO conspiring to overthrow him with the worst response possible to the COVID crisis.Supported by emails and documents, career epidemiologist Alexander and New York Times-bestselling author Kent Heckenlively, JD, will not only show proof of a presidential takedown, but also of the personal vendetta of the CDC and HHS against Alexander himself. From unnecessary lockdowns, school closures, and mask mandates to the dismissal of effective treatments like hydroxychloroquine, ivermectin, and vitamin D and even threats against President Trump and his family, Presidential Takedown: How Anthony Fauci, the CDC, NIH, and the WHO Conspired to Overthrow President Trump is the inside story of what really happened from those first COVID-19 reports to President Trump's "loss" in November.
The Hospital: Life, Death, and Dollars in a Small American Town
by Brian AlexanderUSA Today's 5 BOOKS NOT TO MISS | The Washington Post's 10 BOOKS TO READ IN MARCH | Fortune's 11 BOOKS TO READ IN MARCH"Takes readers into the world of the American medical industry in a way no book has done before....details how we’ve created the dilemma we’re in." —Fortune"With his signature gut-punching prose, Alexander breaks our hearts as he opens our eyes to America’s deep-rooted sickness and despair by immersing us in the lives of a small town hospital and the people it serves." —Beth Macy, bestselling author of Dopesick An intimate, heart wrenching portrait of one small hospital that reveals the magnitude of America’s health care crises.By following the struggle for survival of one small-town hospital, and the patients who walk, or are carried, through its doors, The Hospital takes readers into the world of the American medical industry in a way no book has done before. Americans are dying sooner, and living in poorer health. Alexander argues that no plan will solve America’s health crisis until the deeper causes of that crisis are addressed. Bryan, Ohio's hospital, is losing money, making it vulnerable to big health systems seeking domination and Phil Ennen, CEO, has been fighting to preserve its independence. Meanwhile, Bryan, a town of 8,500 people in Ohio’s northwest corner, is still trying to recover from the Great Recession. As local leaders struggle to address the town’s problems, and the hospital fights for its life amid a rapidly consolidating medical and hospital industry, a 39-year-old diabetic literally fights for his limbs, and a 55-year-old contractor lies dying in the emergency room. With these and other stories, Alexander strips away the wonkiness of policy to reveal Americans’ struggle for health against a powerful system that’s stacked against them, but yet so fragile it blows apart when the pandemic hits. Culminating with COVID-19, this book offers a blueprint for how we created the crisis we're in.
ABC of Pediatric Surgical Imaging
by Angus Alexander Tracy Kilborn Alastair J. Millar Savvas Andronikou Alan DanemanThis book has been designed to serve as a quick reference that will assist in decision making. The book is ordered alphabetically according to diagnoses. The intention is that the clinician consults the information on a suspected diagnosis, and then considers the listed surgical and radiological differential diagnoses. A total of 80 common diagnoses are covered. For each diagnosis, the left-hand page presents information relevant to the surgeon, while the right-hand page is designed for the radiologist. The information for the surgeon comprises clinical insights, including symptoms, warnings, controversies, other important facts, and the surgical differential diagnosis. The radiologist is provided with lists of the primary and follow-on investigations, the imaging findings, and helpful tips, as well as the radiological differential diagnosis. Informative supporting images are included for each diagnosis. The authors are all experts in their fields, with extensive practical experience.
Horse Secrets
by A. S. AlexanderDr. A. S. Alexander, the writer and compiler of &“Horse Secrets,&” has had upward of 25 years&’ experience in matters pertaining to agriculture, horse breeding, veterinary science, press writing and teaching. He was the author of the first stallion service legislation and inspection regulation in America, the first law of the kind having been written by him and enacted by the Wisconsin Legislature in 1905. Similar legislation now is in force in some 16 other states, and it is accomplishing much for the improvement of horse breeding. Horse trading offers unusual opportunities and temptations for sharp practises. Both buyer and seller equally need to be horse-wise and alert. Dishonesty is discountenanced in the great horse markets, but it is common among scalpers, &“gyps&” and small traders outside of the recognized markets and is likely to be practised by either the buyer or the seller. The items published in these pages disclose many sharp practises which, aside from their interest as facts not generally known, are valuable as information for the man who would engage intelligently in horse buying and selling. The writer and publishers of this book desire to expose these tricks, and to decry their practise in the markets and among outside dealers and breeders. &“Forewarned is forearmed,&” and the information here given will doubtless save many a man from loss, and tend to make dishonesty less rife because less likely to succeed. In mentioning the various tricks herein disclosed, the exact methods have not been given in detail. We have no desire to instruct readers so that they may &“go and do likewise&”; for the same reason doses have not been given for the administration of the various drugs and &“dopes&” used by tricksters.
Rehabilitation Engineering: Principles and Practice (Rehabilitation Science in Practice Series)
by Alex Mihailidis and Roger SmithThis book will provide an overview of the rehabilitation engineering field, including key concepts that are required to provide a solid foundation about the discipline. It will present these concepts through a mix of basic and applied knowledge from rehabilitation engineering research and practice. It's written as an introductory text in order to provide access to the field by those without previous experience or background in the field.These concepts will include those related to engineering and health that are necessary to understand the application of rehabilitation engineering to support human function.
Clinical Trial Optimization Using R (Chapman & Hall/CRC Biostatistics Series)
by Alex Dmitrienko; Erik PulkstenisClinical Trial Optimization Using R explores a unified and broadly applicable framework for optimizing decision making and strategy selection in clinical development, through a series of examples and case studies. It provides the clinical researcher with a powerful evaluation paradigm, as well as supportive R tools, to evaluate and select among simultaneous competing designs or analysis options. It is applicable broadly to statisticians and other quantitative clinical trialists, who have an interest in optimizing clinical trials, clinical trial programs, or associated analytics and decision making. This book presents in depth the Clinical Scenario Evaluation (CSE) framework, and discusses optimization strategies, including the quantitative assessment of tradeoffs. A variety of common development challenges are evaluated as case studies, and used to show how this framework both simplifies and optimizes strategy selection. Specific settings include optimizing adaptive designs, multiplicity and subgroup analysis strategies, and overall development decision-making criteria around Go/No-Go. After this book, the reader will be equipped to extend the CSE framework to their particular development challenges as well.
Dynamiek van het menselijk bindweefsel: Functie, beschadiging en herstel
by Jeroen Alessie Karl Jacobs Jan Jaap de MorreeDit boek biedt een functionele beschrijving van verschillende typen bindweefsels en vertaalt die naar kennis over lichamelijke belasting, beschadiging en herstel. Het is bedoeld voor studenten fysiotherapie, bewegingstherapie, manuele therapie, ergonomie en kinesitherapie aan hogescholen en universiteiten. Ook voor professionals is het een handig naslagwerk. De eerste versie van Dynamiek van het menselijk bindweefsel verscheen 30 jaar geleden. Deze zevende druk is inhoudelijk ingrijpend gewijzigd, op basis van nieuwe inzichten en recent onderzoek naar bindweefsel. En dan met name op het gebied van de anatomie en de rol van het fasciale systeem als kracht-geleidend en proprioceptief systeem. Hoofdstuk 2 gaat nu in op de embryologische ontwikkeling van bindweefsel en hoofdstuk 9 staat volledig in het teken van de diverse functies van het fasciale systeem. Ook zijn nieuwe foto’s toegevoegd ter illustratie van spier-, pees-, en fasciaweefsel. Dynamiek van het menselijk bindweefsel is een goed aanknopingspunt om de juiste vorm van therapie te kunnen bepalen. Het laatste hoofdstuk helpt daar expliciet bij, daarin staan overwegingen om de therapeutische interventie te ondersteunen. Dynamiek van het menselijk bindweefsel heeft een nieuwe auteursteam. Jeroen Alessie is hogeschooldocent fysiotherapie. Ook is hij is coauteur van paramedische studieboeken. Karl Jacobs is voormalig fysiotherapeut, studeerde Functional and Clinical Anatomy en is als anatoom verbonden aan het Amsterdam UMC. Beide auteurs zijn ervaren sprekers op congressen en betrokken bij diverse bij- en nascholingen.
A Promise Worth Making
by Michelle AlerteWatch the sparks fly when a woman who doesn't believe in love, family, or happily-ever-after meets a hopeless romantic who does. Michelle Alerte brings you Book 1 of her new romance series Love At First Sight. A Promise Worth Making will make you laugh, cry, and cheer our hero on to victory.Dr. Rachelle Joseph has no time to dally with a man. She is on her way to Haiti to contribute her medical expertise in the aftermath of the earthquake. Having grown up in a New York orphanage, neither fostered nor adopted, independent Rachelle has recently discovered her Haitian heritage and seeks to embrace it. But life throws her a curveball. On the plane to Port-au-Prince, Rachelle meets Nicolas Marchand, a handsome French architect who, for some reason, gets her heart racing.Nicolas' father had always told him the Marchand men were "gifted with knowing, when they know, that they know" when they meet the woman with whom they'll fall in love. Though this had been true for his father, grandfather, and great-grandfather, Nicolas had never truly believed this would happen to him--until Rachelle Joseph, that is.The hard part now is convincing the lucky lady the two of them belong together in spite of Rachelle's trust issues and fear of depending on another person. Will Rachelle overcome her determination to keep control of her life by shutting Nicolas out, or will he persuade her that loving and trusting another person is better than living only on the surface of life?Content Notes: Spicy, Contemporary, Interracial, Multi-Cultural
Occupational Therapy in Psychiatry and Mental Health
by Vivyan Alers Rosemary CrouchComprehensive and informative, the extensively revised fifth edition of Occupational Therapy in Psychiatry and Mental Health is an accessible overview of occupational therapy in psychiatry, providing key information on a range of international models of occupational therapy as well as their practical applications. The fifth edition includes: * Case studies throughout to illustrate application of theory to practice * Coverage of key concepts and issues in occupational therapy * New material on emerging areas of practice * Comprehensive information on assessment and treatment for children, adolescents and adults, covering key mental health conditions Occupational Therapy in Psychiatry and Mental Health is an ideal resource for students in occupational therapy, newly qualified and experienced practitioners, and other allied health professionals seeking an up-to-date, globally relevant resource on psychiatry and mental health care.
Emerging Technologies During the Era of COVID-19 Pandemic (Studies in Systems, Decision and Control #348)
by Mostafa Al-Emran Gonçalo Marques Ibrahim Arpaci Mohammed A. Al-SharafiThis book tackles the recent research directions in using the newly emerged technologies during the era of COVID-19 pandemic. It mainly focuses on using emerging technologies and their impact on health care, education, and society. It also provides insights into the current challenges and constraints in using technologies during the era of COVID-19 pandemic and exposes new opportunities for future research in the domain.
Big Data in Healthcare: Statistical Analysis of the Electronic Health Record
by Farrokh AlemiBig Data in Healthcare: Statistical Analysis of the Electronic Health Record provides the statistical tools that healthcare leaders need to organize and interpret their data. Designed for accessibility to those with a limited mathematics background, the book demonstrates how to leverage EHR data for applications as diverse as healthcare marketing, pay for performance, cost accounting, and strategic management. Topics include: using real-world data to compare hospitals' performance; measuring the prognosis of patients through massive data; distinguishing between fake claims and true improvements; comparing the effectiveness of different interventions using causal analysis; benchmarking different clinicians on the same set of patients, and more. This book can be used in introductory courses on hypothesis testing, intermediate courses on regression, and advanced courses on causal analysis. It can also be used to learn SQL language. Its extensive online instructor resources include course syllabi, PowerPoint and video lectures, Excel exercises, individual and team assignments, answers to assignments, and student-organized tutorials. Big Data in Healthcare applies the building blocks of statistical thinking to the basic challenges that healthcare leaders face every day. Prepare for those challenges with the clear understanding of your data that statistical analysis can bring—and make the best possible decisions for maximum performance in the competitive field of healthcare.
Interface between Regulation and Statistics in Drug Development (Chapman & Hall/CRC Biostatistics Series)
by Demissie Alemayehu Birol Emir Michael GaffneyWith the critical role of statistics in the design, conduct, analysis and reporting of clinical trials or observational studies intended for regulatory purposes, numerous guidelines have been issued by regulatory authorities around the world focusing on statistical issues related to drug development. However, the available literature on this important topic is sporadic, and often not readily accessible to drug developers or regulatory personnel. This book provides a systematic exposition of the interplay between the two disciplines, including emerging themes pertaining to the acceleration of the development of pharmaceutical medicines to serve patients with unmet needs. Features: Regulatory and statistical interactions throughout the drug development continuum The critical role of the statistician in relation to the changing regulatory and healthcare landscapes Statistical issues that commonly arise in the course of drug development and regulatory interactions Trending topics in drug development, with emphasis on current regulatory thinking and the associated challenges and opportunities The book is designed to be accessible to readers with an intermediate knowledge of statistics, and can be a useful resource to statisticians, medical researchers, and regulatory personnel in drug development, as well as graduate students in the health sciences. The authors’ decades of experience in the pharmaceutical industry and academia, and extensive regulatory experience, comes through in the many examples throughout the book.
Statistical Topics in Health Economics and Outcomes Research (Chapman & Hall/CRC Biostatistics Series)
by Demissie Alemayehu Joseph C. Cappelleri Birol Emir Kelly H. ZouWith ever-rising healthcare costs, evidence generation through Health Economics and Outcomes Research (HEOR) plays an increasingly important role in decision-making about the allocation of resources. Accordingly, it is now customary for health technology assessment and reimbursement agencies to request for HEOR evidence, in addition to data from clinical trials, to inform decisions about patient access to new treatment options. While there is a great deal of literature on HEOR, there is a need for a volume that presents a coherent and unified review of the major issues that arise in application, especially from a statistical perspective. Statistical Topics in Health Economics and Outcomes Research fulfils that need by presenting an overview of the key analytical issues and best practice. Special attention is paid to key assumptions and other salient features of statistical methods customarily used in the area, and appropriate and relatively comprehensive references are made to emerging trends. The content of the book is purposefully designed to be accessible to readers with basic quantitative backgrounds, while providing an in-depth coverage of relatively complex statistical issues. The book will make a very useful reference for researchers in the pharmaceutical industry, academia, and research institutions involved with HEOR studies. The targeted readers may include statisticians, data scientists, epidemiologists, outcomes researchers, health economists, and healthcare policy and decision-makers.
Anesthesia of the Upper Limb: A State of the Art Guide
by Fernando Alemanno Mario Bosco Aldo BarbatiLoco-regional anesthesia offers evident advantages in almost all branches of surgery since it couples perfect anesthesia with prolonged postoperative analgesia. Furthermore, new drugs and techniques are ensuring constant progress, and in the past decade the advent of ultrasound-guided regional anesthesia has played a key role by allowing direct visualization of all anatomic structures involved in regional blocks. In conjunction with electrostimulation, it has significantly increased the success rate of loco-regional anesthesia. This book, comprising 16 chapters and more than 140 color illustrations, provides detailed coverage of the techniques currently employed in upper limb anesthesia. It opens by reviewing the anatomy of the brachial plexus and the topographic anatomy as it is of the utmost importance for anesthesiologists to have a deep knowledge of anatomy despite the assistance offered by new tools. Subsequently the various techniques, including supraclavicular, infraclavicular, and axillary brachial plexus blocks, peripheral blocks, and intravenous regional anesthesia, are discussed in depth, with due attention to potential complications. Up-to-date information is also provided on the role of ultrasound, and an entire chapter is devoted to ultrasound-guided interscalene and supraclavicular blocks. The book will be an invaluable learning tool for students and an excellent aid in daily clinical practice for anesthesiologists.
Biochemistry for Anesthesiologists and Intensivists
by Fernando AlemannoThis book discusses and explains the importance of biochemistry knowledge in understanding what happens to patients during anesthesia and/or to those being in intensive care. It covers a wide range of topics, such as Cerebral Edema, Shock, Blood-Brain Barrier, The Pulmonary surfactant, The Acid – Base equilibrium, Local anaesthetics, Perineural adjuvants, Normobaric Oxygen Therapy, Theories of Narcosis. Hyperventilation effects and consequences are also presented. For instance, by hyperventilating a patient with a PaCO2 significantly below 25 mmHg, we risk blocking pyruvic acid carboxylation and transforming it into oxalacetic acid, which in turn knocks out the Krebs cycle, possibly leading to a complication, i.e. to metabolic acidosis and not to compensation for respiratory alkalosis. It is also worth remembering that vitamins are actually molecules of pretty considerable potency and should not be simply intended as integrators. If we inject a patient under intensive care with vitamin C, this not only plays a capillary-protective role but facilitates the conversion of dopamine to noradrenaline. As far as vitamin B6 goes, not only is it the most natural of antiemetics but the coenzyme responsible for transforming glutamate as one of the most powerful excitatory mediators into GABA, one of the fiercest inhibitors. Anesthesiological and intensive care practice require a detailed biochemistry knowledge to avoid onset of complications and/or to deal with unexpected events promptly and appropriately. The book is intended for anesthesiologists, intensivists, anesthesia teachers, anesthesia trainees and residents.
Regulating Lifestyle Risks
by Alberto Alemanno Amandine GardeThis collection of essays looks at the role the European Union could and should play in promoting healthier lifestyle, in light of the moral, philosophical, legal and political challenges associated with the regulation of individual choices. By tackling the main non-communicable diseases (NCD) risk factors (tobacco consumption, harmful use of alcohol, unhealthy diets and lack of physical activity), the contributors endeavour to identify common themes and determine whether and, if so, to what extent the lessons learned in relation to each area of EU intervention could be transposed to the others. By focusing on the European Union legal order, the book highlights both the opportunities that legal instruments offer for NCD prevention and control agenda in Europe, as well as the constraints that the law imposes on policy-makers.
Therapeutic Interventions with Ethnic Elders
by Sara Aleman Tanya Fitzpatrick Thanh V. Tran Elizabeth GonzalezDiscusses various approaches to therapy for the aging in different cultures