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Fitzpatrick's Dermatology In General Medicine (Eighth Edition)
by Lowell A. Goldsmith Thomas B. FitzpatrickFitzpatrick's Dermatology In General Medicine Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. <P><P>However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. <P><P>Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. <P><P>This recommendation is of particular importance in connection with new or infrequently used drugs.
Five Big Ideas for Effective Teaching: Connecting Mind, Brain, and Education Research to Classroom Practice
by Donna Wilson Marcus ConyersAs the 21st century ushers in the era of Common Core State Standards, the goal of teaching expands from a basic transmission of facts to the development of cognitive skills that equip students to achieve more of their unique potential. This seminal book focuses on five essential concepts from neuroeducation that should underlie all teaching decisions: (1) neuroplasticity, findings that the structure and function of the brain change in response to learning; (2) potential, the capacity for all students to make learning gains; (3) malleable intelligence, which stands in opposition to traditional views of fixed intellect; (4) the Body-Brain System, the role of physical fitness, healthy nutrition, and positive emotions in facilitating learning; and (5) metacognition, teaching students to "think about their thinking". To support classroom implemenation, these discussions include vignettes, examples, teaching strategies, reflective questions, and connections between brain-based learning principles and the Common Core. The text concludes by unmasking myths and misconceptions that may obscure these core concepts.
Five Constraints on Predicting Behavior
by Jerome KaganA distinguished psychologist considers five conditions that constrain inferences about the relation between brain activity and psychological processes. Scientists were unable to study the relation of brain to mind until the invention of technologies that measured the brain activity accompanying psychological processes. Yet even with these new tools, conclusions are tentative or simply wrong. In this book, the distinguished psychologist Jerome Kagan describes five conditions that place serious constraints on the ability to predict mental or behavioral outcomes based on brain data: the setting in which evidence is gathered, the expectations of the subject, the source of the evidence that supports the conclusion, the absence of studies that examine patterns of causes with patterns of measures, and the habit of borrowing terms from psychology. Kagan describes the important of context, and how the experimental setting—including the room, the procedure, and the species, age, and sex of both subject and examiner—can influence the conclusions. He explains how subject expectations affect all brain measures; considers why brain and psychological data often yield different conclusions; argues for relations between patterns of causes and outcomes rather than correlating single variables; and criticizes the borrowing of psychological terms to describe brain evidence. Brain sites cannot be in a state of “fear.” A deeper understanding of the brain's contributions to behavior, Kagan argues, requires investigators to acknowledge these five constraints in the design or interpretation of an experiment.
Five Days at Memorial: Life and Death in a Storm-Ravaged Hospital
by Sheri FinkOne of the New York Times's Best Ten Books of the YearWinner of the National Book Critics Circle Award for NonfictionWinner of the 2014 J. Anthony Lukas Book Prize, the PEN/John Kenneth Galbraith Award, the Los Angeles Times Book Prize, the Ridenhour Book Prize, the 2014 American Medical Writers Association Medical Book Award (Public/Healthcare Consumers), a 2014 Science in Society Journalism Award, and the SIBA 2014 Book Award for NonfictionAn ALA Notable Book, finalist for the NYPL 2014 Helen Bernstein Award, shortlisted for the PEN/E.O. Wilson Award and the ALA Andrew Carnegie MedalAn NPR "Great Reads" Book, a Chicago Tribune Best Book, a Seattle Times Best Book, a Time Magazine Best Book, Entertainment Weekly's #1 Nonfiction Book, a Christian Science Monitor Best Book, and a Kansas City Star Best BookPulitzer Prize winner Sheri Fink's landmark investigation of patient deaths at a New Orleans hospital ravaged by Hurricane Katrina - and her suspenseful portrayal of the quest for truth and justice.In the tradition of the best investigative journalism, physician and reporter Sheri Fink reconstructs 5 days at Memorial Medical Center and draws the reader into the lives of those who struggled mightily to survive and to maintain life amid chaos.After Katrina struck and the floodwaters rose, the power failed, and the heat climbed, exhausted caregivers chose to designate certain patients last for rescue. Months later, several health professionals faced criminal allegations that they deliberately injected numerous patients with drugs to hasten their deaths. Five Days at Memorial, the culmination of six years of reporting, unspools the mystery of what happened in those days, bringing the reader into a hospital fighting for its life and into a conversation about the most terrifying form of health care rationing.In a voice at once involving and fair, masterful and intimate, Fink exposes the hidden dilemmas of end-of-life care and reveals just how ill-prepared we are in America for the impact of large-scale disasters--and how we can do better. A remarkable book, engrossing from start to finish, Five Days at Memorial radically transforms your understanding of human nature in crisis.
Five Days at Memorial: Life and Death in a Storm-Ravaged Hospital
by Sheri FinkPulitzer Prize winner Sheri Fink's landmark investigation of patient deaths at a New Orleans hospital ravaged by Hurricane Katrina - and her suspenseful portrayal of the quest for truth and justice. <P><P>In the tradition of the best investigative journalism, physician and reporter Sheri Fink reconstructs 5 days at Memorial Medical Center and draws the reader into the lives of those who struggled mightily to survive and to maintain life amid chaos. <P> After Katrina struck and the floodwaters rose, the power failed, and the heat climbed, exhausted caregivers chose to designate certain patients last for rescue. <P>Months later, several health professionals faced criminal allegations that they deliberately injected numerous patients with drugs to hasten their deaths. <P>Five Days at Memorial, the culmination of six years of reporting, unspools the mystery of what happened in those days, bringing the reader into a hospital fighting for its life and into a conversation about the most terrifying form of health care rationing. <P>In a voice at once involving and fair, masterful and intimate, Fink exposes the hidden dilemmas of end-of-life care and reveals just how ill-prepared we are in America for the impact of large-scale disasters--and how we can do better. <P> A remarkable book, engrossing from start to finish, Five Days at Memorial radically transforms your understanding of human nature in crisis.
Five Disciplines for Zero Patient Harm: How High Reliability Happens (ACHE Management)
by Charles MowllSafe care for every patient, in every setting, every time. Is this really an achievable goal for all healthcare organizations? Yes, it is. The vast majority of occurrences of harm to patients during their care are preventable. But simply aiming for improvement won’t do; healthcare organizations must reset their patient safety goal to zero patient harm.Five Disciplines for Zero Patient Harm: How High Reliability Happens offers real-world, how-to guidance for driving fundamental change that consistently achieves safe patient care. Drawing on best practices from high-hazard industries such as aviation, nuclear power, and air traffic control, this book details the safety habits and disciplines that are ingrained in such organizations’ cultures and behaviors. Specifically, five disciplines of performance excellence, when consistently applied to healthcare organizations, can save lives and protect patients from harm:Prepare for excellent performance through simulation, deliberate practice, and training.Apply proven offensive strategies that exhibit consistent, excellent individual and team performance.Minimize both individual and team errors through immediate feedback and coach interventions.Employ strong defensive strategies that effectively block the potential negative effects of errors, latent hazards, and emerging threats.Coach individuals and teams to achieve consistent, excellent performance in the first four disciplines.Zero preventable patient harm can be the norm, not the stretch goal, when the practices and action steps in this comprehensive resource are implemented. Five Disciplines for Zero Patient Harm provides an evidence-based guide for hospitals and healthcare systems to transform unsafe behaviors into safe behaviors and safe behaviors into safe habits. That’s how high reliability happens.
Five Element Constitutional Acupuncture (Second Edition)
by Angela Hicks John Hicks Peter MoleThis exciting new edition of Five Element Constitutional Acupuncture gives a clear, detailed, and accessible presentation of the main features of constitutional Five Element acupuncture. It covers the context and history of this form of acupuncture, as well as the relevant Chinese medicine theory. After examining the Elements themselves and the functions of the Organs, the book explores the basis of diagnosis in Five Element acupuncture, possible blocks to treatment and the treatment itself. It puts this style of treatment into the context of other styles of acupuncture treatment - especially Traditional Chinese Medicine (TCM) as it is used in the West today.
A Five Element Legacy (Five Element Acupuncture)
by Nora FranglenExplore Nora Franglen's insights derived from decades of practice as a five element acupuncturist in this new collection. Covering tips on patient care and the patient-practitioner relationship to advice on a deeper understanding of the elements, of the healing practice, and of humanity's links to nature, the book also touches on the spiritual aspects of the work and the need for self-awareness in the practitioner. For acupuncturists and Chinese medicine practitioners, or anyone interested in the healing arts, this book is full of useful guidance.
The Five Horsemen of the Modern World: Climate, Food, Water, Disease, and Obesity
by Daniel CallahanIn recent decades, we have seen five perilous and interlocking trends dominate global discourse: irreversible climate change, extreme food and water shortages, rising chronic illnesses, and rampant obesity. Why can't we make any progress in counteracting these problems, despite vast expenditures of intellectual, institutional, and societal capital? What makes these global emergencies the "wicked problems" that resist our best efforts and only grow more daunting?Daniel Callahan, noted author and the nation's preeminent scholar in bioethics, takes a cross-cutting look at these global problems and shines a light on the institutions, practices, and actors that block major change. We see partisan political and ideological forces, old fashioned hucksters, and trumped up scientific disagreements, but also the problem of modern progress itself. Obesity, anthropocentric climate change, wasting illnesses, ecological degradation, and global famine are often the unintended consequences of unchecked industrial growth, reckless eating habits, and artificially extended lifespans. Only through well-crafted political, regulatory, industrial, and cultural counterstrategies can we change enough minds to check these threats. Big thinking on issues that are usually evaluated separately, this book is sure to scramble partisan divides and provoke unusual, heated debate.
The Five Horsemen of the Modern World: Climate, Food, Water, Disease, and Obesity
by Daniel CallahanIn recent decades, we have seen five perilous and interlocking trends dominate global discourse: irreversible climate change, extreme food and water shortages, rising chronic illnesses, and rampant obesity. Why can't we make any progress in counteracting these problems despite vast expenditures of intellectual, institutional, and social capital? What makes these global emergencies the "wicked problems" that resist our best efforts and only grow more daunting?Daniel Callahan, noted author and the nation's preeminent scholar in bioethics, examines these global problems and shines a light on the institutions, practices, and actors that block major change. We see partisan political and ideological forces, old-fashioned hucksters, and trumped-up scientific disagreements but also the problem of modern progress itself. Obesity, anthropogenic climate change, degenerative diseases, ecological degradation, and global famine are often the unintended consequences of unchecked industrial growth, insatiable eating habits, and technologically extended life spans. Only through well-crafted political, regulatory, industrial, and cultural counterstrategies can we change enough minds to check these threats. With big thinking on issues that are usually evaluated separately, this book is sure to scramble partisan divides and provoke unusual, heated debate.
The Five Osteopathic Models: Rationale, Application, Integration - from an Evidence-Based to a Person-Centered Osteopathy
by Giampiero Fusco Ray Hruby Christian Lunghi Paulo TozziFar from being simply a sequence of techniques, as practised in many countries osteopathy is an independent primary health care system based on principles applied through a manual practice: a unique profession that takes care of the whole person through the application of five models (biomechanical, neurological, respiratory-circulatory, metabolic, and behavioral). These conceptual models of the relationship between structure and function allow osteopaths to evaluate treatment with the aim of promoting health rather than curing disease.This book is intended as a manual for both students and osteopathic professionals interested in exploring the principles, objectives, origins and application of the five osteopathic models, from traditional concepts up to a modern vision, based on evidence and critical thinking. The selection criteria and rules for the application of each model, with their limitations and potential, are examined, to enable the reader to understand the rationale behind their use in a comprehensive, holistic and patient-centered practice.
Five Patients
by Michael CrichtonNon-fictional look at 5 patients at a Massachusetts hospital, when Crichton was a medical student at Harvard.
The Five Simple Steps to Emotional Healing
by Gloria ArensonTap Your Troubles Away It's that simple. Meridian Therapy is a self-healing system that can be learned in minutes and can relieve a lifetime of emotional pain. A cutting-edge technique based on the ancient art of acupressure, it involves stimulating the energy meridians in the body by tapping on specific energy points and awakening their healing power. In Five Simple Steps to Emotional Healing, noted therapist Gloria Arenson explains the scientific basis of Meridian Therapy and teaches readers the five easy-to-follow steps that will allow them to break free from stress and negative emotions. Meridian Therapy can be practiced any time, anywhere, in order to Improve performance in sports, work, and the bedroom Stop the fears that limit activities and ruin relationships Eliminate the urge to procrastinate Conquer cravings and compulsions Heal emotional scars and painful memories Improve self-esteem Dissolve panic attacks before they start
Five Ways of Doing Qualitative Analysis
by Kathy Charmaz Frederick WertzThis unique text provides a broad introduction to qualitative analysis together with concrete demonstrations and comparisons of five major approaches. Leading scholars apply their respective analytic lenses to a narrative account and interview featuring "Teresa," a young opera singer who experienced a career-changing illness. The resulting analyses vividly exemplify what each approach looks like in action. The researchers then probe the similarities and differences among their approaches; their distinctive purposes and strengths; the role, style, and subjectivity of the individual researcher; and the scientific and ethical complexities of conducting qualitative research. Also included are the research participant's responses to each analysis of her experience. A narrative account from another research participant, "Gail," can be used by readers to practice the kinds of analysis explored in the book.
Fix What You Can: Schizophrenia and a Lawmaker's Fight for Her Son
by Mindy GreilingOne mother&’s fight to support her son and change a broken system In his early twenties, Mindy Greiling&’s son, Jim, was diagnosed with schizoaffective disorder after experiencing delusions that demanded he kill his mother. At the time, and for more than a decade after, Greiling was a Minnesota state legislator who struggled, along with her husband, to navigate and improve the state&’s inadequate mental health system. Fix What You Can is an illuminating and frank account of caring for a person with a mental illness, told by a parent and advocate. Greiling describes challenges shared by many families, ranging from the practical (medication compliance, housing, employment) to the heartbreaking—suicide attempts, victimization, and illicit drug use. Greiling confronts the reality that some people with serious mental illness may be dangerous and reminds us that medication works—if taken. The book chronicles her efforts to pass legislation to address problems in the mental health system, including obstacles to parental access to information and insufficient funding for care and research. It also recounts Greiling&’s painful memories of her grandmother, who was confined in an institution for twenty-three years—recollections that strengthen her determination that Jim&’s treatment be more humane. Written with her son&’s cooperation, Fix What You Can offers hard-won perspective, practical advice, and useful resources through a brave and personal story that takes the long view of what success means when coping with mental illness.
Fixed Orthodontic Appliances: A Practical Guide (BDJ Clinician’s Guides)
by Padhraig Fleming Jadbinder SeehraThis guide to fixed appliance-based orthodontics is designed to serve as a comprehensive ‘how to’ manual. With the aid of a wealth of superb illustrations, instruction is provided on all aspects of fixed appliance treatment, including bracket placement and positioning, archwire selection and engagement, use of auxiliaries, placement of fixed retainers, and wire bending. The supporting text presents important information underpinning the selection of attachments and mechanics, emphasising the relative merits and demerits of the various approaches with appropriate use of key referencing. It will offer detailed support on the use of fixed orthodontic appliances for undergraduates and postgraduates and those starting with practical orthodontic treatments, while providing a valuable refresher and reference for more experienced clinicians.
Fixierungen vermeiden: Alternativen Zu Freiheitsentziehenden Maßnahmen In Der Pflege
by Michael Thomsen Tamara BachlerFreiheitsentziehende Maßnahmen sind mit einer eklatanten Einschränkung der Lebensqualität verbunden, in erster Linie natürlich für jene Personen, denen die Freiheit entzogen wird aber auch für das Fachpersonal, das die entsprechenden Entscheidungen trifft bzw. durchführen muss. Das Buch beschreibt praxisnah, wie Fixierungen im Pflegealltag vermieden werden können und zeigt zahlreiche Impulse und Ideen zur Vermeidung von freiheits- und bewegungseinschränkenden Maßnahmen auf, wobei die Rolle der Pflegenden und der Verfahrenspfleger deutlich hervorgehoben wird. Insbesondere geht der Autor auf die Phänomene Sturzgefahr und Hinlauftendenz bei Demenzerkrankten ein. Zudem wird auf die aktuelle Rechtsgrundlage, bisherige Praxis und Expertenstandards und die Wichtigkeit der Dokumentation eingegangen. Das Buch richtet sich an Pflegefachkräfte, Altenbetreuer, Verfahrenspfleger und andere Pflegedienstleistungen.
Fixing Drugs
by Sue PryceIn this unique and engaging book, Sue Pryce tackles the major issues surrounding drug policy. Why do governments persist with prohibition policies, despite their proven inefficacy? Why are some drugs criminalized, and some not? And why does society care about drug use at all? Pryce guides us through drug policy around the world.
Fixing Medical Prices
by Miriam J. LaugesenMiriam Laugesen goes to the heart of U.S. medical pricing: to a largely unknown committee of organizations affiliated with the American Medical Association. Medicare's ready acceptance of this committee's advisory recommendations sets off a chain reaction across the American health care system, leading to high--and disproportionate--rate setting.
Fixing Sex: Intersex, Medical Authority, and Lived Experience
by Katrina KarkazisWhat happens when a baby is born with "ambiguous" genitalia or a combination of "male" and "female" body parts? Clinicians and parents in these situations are confronted with complicated questions such as whether a girl can have XY chromosomes, or whether some penises are "too small" for a male sex assignment. Since the 1950s, standard treatment has involved determining a sex for these infants and performing surgery to normalize the infant's genitalia. Over the past decade intersex advocates have mounted unprecedented challenges to treatment, offering alternative perspectives about the meaning and appropriate medical response to intersexuality and driving the field of those who treat intersex conditions into a deep crisis. Katrina Karkazis offers a nuanced, compassionate picture of these charged issues in Fixing Sex, the first book to examine contemporary controversies over the medical management of intersexuality in the United States from the multiple perspectives of those most intimately involved.Drawing extensively on interviews with adults with intersex conditions, parents, and physicians, Karkazis moves beyond the heated rhetoric to reveal the complex reality of how intersexuality is understood, treated, and experienced today. As she unravels the historical, technological, social, and political forces that have culminated in debates surrounding intersexuality, Karkazis exposes the contentious disagreements among theorists, physicians, intersex adults, activists, and parents--and all that those debates imply about gender and the changing landscape of intersex management. She argues that by viewing intersexuality exclusively through a narrow medical lens we avoid much more difficult questions. Do gender atypical bodies require treatment? Should physicians intervene to control the "sex" of the body? As this illuminating book reveals, debates over treatment for intersexuality force reassessment of the seemingly natural connections between gender, biology, and the body.
Fixing the Poor: Eugenic Sterilization and Child Welfare in the Twentieth Century
by Molly Ladd-TaylorHow state welfare politics—not just concerns with "race improvement"—led to eugenic sterilization practices.Honorable Mention, 2018 Outstanding Book Award, The Disability History AssociationShortlist, 2019 Wallace K. Ferguson Prize, Canadian Historical AssociationBetween 1907 and 1937, thirty-two states legalized the sterilization of more than 63,000 Americans. In Fixing the Poor, Molly Ladd-Taylor tells the story of these state-run eugenic sterilization programs. She focuses on one such program in Minnesota, where surgical sterilization was legally voluntary and administered within a progressive child welfare system.Tracing Minnesota's eugenics program from its conceptual origins in the 1880s to its official end in the 1970s, Ladd-Taylor argues that state sterilization policies reflected a wider variety of worldviews and political agendas than previously understood. She describes how, after 1920, people endorsed sterilization and its alternative, institutionalization, as the best way to aid dependent children without helping the "undeserving" poor. She also sheds new light on how the policy gained acceptance and why coerced sterilizations persisted long after eugenics lost its prestige. In Ladd-Taylor's provocative study, eugenic sterilization appears less like a deliberate effort to improve the gene pool than a complicated but sadly familiar tale of troubled families, fiscal and administrative politics, and deep-felt cultural attitudes about disability, dependency, sexuality, and gender. Drawing on institutional and medical records, court cases, newspapers, and professional journals, Ladd-Taylor reconstructs the tragic stories of the welfare-dependent, sexually delinquent, and disabled people who were labeled "feebleminded" and targeted for sterilization. She chronicles the routine operation of Minnesota's three-step policy of eugenic commitment, institutionalization, and sterilization in the 1920s and 1930s and shows how surgery became the "price of freedom" from a state institution. Combining innovative political analysis with a compelling social history of those caught up in Minnesota's welfare system, Fixing the Poor is a powerful reinterpretation of eugenic sterilization.
Flagging the Therapy: Pathways out of depression and anxiety (The Flag Series #3)
by Dr Harry Barry'Mandatory reading for all those who have the slightest interest in good health and human happiness SUNDAY INDEPENDENTA practical, step-by-step guide to identify and cope with depression by bestselling author and GP Dr Harry Barry. Depression and anxiety can have a debilitating effect on sufferers and their families. However, in many cases, these afflictions can be treated and risks of recurrence significantly reduced. Applying a system using colour-coded flags for various mental states and problems, Dr Barry explains the role our minds and brains play in the manifestation of depression and anxiety, and how these in turn can be shaped to lead us out of illness. Flagging the Therapy uses relatable case studies and examines the numerous medical, psychological and complimentary therapies that can all help in negotiating a pathway out of depression and anxiety.Previously published as Flagging the Therapy: Pathways Out of Depression and Anxiety, this edition has been fully revised and updated.
Flammer Syndrome: From Phenotype to Associated Pathologies, Prediction, Prevention and Personalisation (Advances in Predictive, Preventive and Personalised Medicine #11)
by Olga GolubnitschajaUnmet healthcare needs of young populations and individuals in suboptimal health conditions are the key issue of currently observed epidemics of non-communicable disorders. Moreover, an unprecedented decrease in the average age of onset of these disorders is recorded. The majority of non-communicable disorders carry a chronic character by progressing over a couple of years from a reversible suboptimal health condition to irreversible pathology with collateral complications. The time-frame between both conditions is the operational area for predictive diagnosis and identification of persons at risk by innovative screening programmes followed by the most cost-effective personalised treatment possible, namely primary prevention tailored to the person.The book propagates the paradigm change from delayed, costly but frequently ineffective medical services to the holistic approach by predictive, preventive and personalised medicine clearly demonstrating multifaceted benefits to the individual, healthcare sector and society as a whole.The book is focused on the needs ofyoung people: teenagers, adolescents and young adults; regardless of the age, individuals in suboptimal health conditions, who are interested in remaining healthy by optimising their modifiable risk factors – both endogenous and exogenous ones;several patient cohorts demonstrating similar phenotype of Flammer syndrome.The book is based on the multi-professional expertise, scientific excellence and practical experiences of the world-acknowledged experts in Flammer syndrome, predictive diagnostics, targeted prevention and personalised medicine, amongst others. The topic of this book is particularly relevant to general practitioners, experts in non-communicable diseases, phenotyping, genotyping, multilevel diagnostics, targeted prevention, personalised medicine, as well as the readers interested in advancing their health literacy.
Flanging Techniques in Anterior Segment Surgery: Mastering Aphakia, IOL-exchange and IOL-refixation
by Michael AmonThis book highlights the great achievements made in order to overcome challenging situations with different flanging techniques. Liliana Werner will discuss the different causes of IOL luxation. Shin Yamane, Sergio Canabrava, Gabor Scharioth and Ehud Assia will describe their disruptive techniques for scleral IOL fixation.Even though it is impossible to describe and discuss the plethora of surgical techniques, implants and instruments completely, we also tried to create a systematic approach for decision making and give an overview on instrumentation.As flanging techniques represent a very demanding surgery, the aim of this book is to steepen the learning curve and to encourage surgeons to add the presented techniques to their surgical armamentarium.
Flaps in Plastic and Reconstructive Surgery
by John Van Aalst Babak Mehrara Joseph DisaPart of the best-selling Operative Techniques series, Operative Techniques in Plastic Surgery provides superbly illustrated, authoritative guidance on operative techniques along with a thorough understanding of how to select the best procedure, how to avoid complications and what outcomes to expect. This stand-alone book offers focused, easy-to-follow coverage of flaps for all anatomic regions, taken directly from the larger text. It covers nearly all flap techniques hat are in current use, and is ideal for residents and physicians in daily practice.