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MDCT and MRI of the Liver, Bile Ducts and Pancreas (A-Z Notes in Radiological Practice and Reporting)
by Giulia Zamboni Sofia GourtsoyianniThis handbook is a concise practical guide for residents and general radiologists that will offer reliable assistance during the performance and reporting of multidetector row computed tomography and magnetic resonance imaging in patients with Liver Bile Ducts and Pancreas conditions. It is organized alphabetically, primarily according to disease or condition, permitting easy and fast consultation. Entries typically include a short description of pathological and clinical characteristics, guidance on selection of the most appropriate imaging technique, a schematic review of potential diagnostic clues, and useful tips and tricks. Some helpful illustrations and schemes are also included. The book is the fourth in the new Springer handbook series, A-Z Notes in Radiological Practice and Reporting.
MDCT Protocols
by Andrea LaghiMultidetector-row computed tomography (MDCT) has become a fundamental imaging technique for the study of many anatomical districts in different clinical situations, as it provides a fast, reliable, and accurate simultaneous evaluation of different organs, including parenchyma, hollow viscera, vessels, and bony structures. It has also equipped the radiologist with the ability to explore areas that in the last decade were largely ignored by CT, especially the coronary arteries and the colon, and to limit invasive diagnostic tests (e.g., catheter angiography) to those cases in which interventional procedures are required. The examination quality and the consequent diagnostic accuracy of MDCT are the results of an optimized study technique, which nonetheless needs to be adapted to the particular clinical situation of the patient, while bearing in mind the radiation exposure. Another fundamental parameter in the optimization of MDCT is the protocol for the intravenous injection of iodinated contrast material; in these studies, multiple variables, some modifiable by the operator and others patient-dependent, must be considered based on the aims of maximizing arterial and venous enhancements whilst minimizing the dose of iodine injected, saving money, and increasing patient safety. Through the presentation of cases addressing different anatomical regions and various clinical indications, including emergency and neuro-imaging, this volume seeks to provide the general radiologist and trainee specialist with a guide to the main study protocols to be implemented in order to optimize examination quality and, consequently, facilitate the diagnostic process.
Me Before/ Me After: A Group Rehabilitation Programme for Brain Injury Survivors
by Leyla ZiyalMe Before, Me After is a complete programme for professionals who run rehabilitation groups for brain injury survivors. The programme's overarching goal is to retrieve the person behind the injury by helping survivors master the consequences of their brain injury. The approach combines CBT principles that develop awareness and recognition of mental events with CBT techniques that are instrumental in achieving behaviour change. The manual focuses on the three aspects of acquired brain injury that are integral to achieving gains through rehabilitation: 1) Change-awareness: develops awareness of the changes that are consequent upon brain injury. 2) Change-investigation: helps understand why these changes occur; how we interpret them and how we cope with them. 3) Change-mastery: helps gain mastery over these changes by developing and mobilising adaptive capability. Including extensive resources for practitioners, clients and support workers, this comprehensive manual provides everything you need in order to run the most effective brain injury rehabilitation groups in one place.
Me Medicine vs. We Medicine: Reclaiming Biotechnology for the Common Good
by Donna DickensonPersonalized healthcare—or what the award-winning author Donna Dickenson calls "Me Medicine"—is radically transforming our longstanding "one-size-fits-all" model. Technologies such as direct-to-consumer genetic testing, pharmacogenetically developed therapies in cancer care, private umbilical cord blood banking, and neurocognitive enhancement claim to cater to an individual's specific biological character, and, in some cases, these technologies have shown powerful potential. Yet in others they have produced negligible or even negative results. Whatever is behind the rise of Me Medicine, it isn't just science. So why is Me Medicine rapidly edging out We Medicine, and how has our commitment to our collective health suffered as a result? In her cogent, provocative analysis, Dickenson examines the economic and political factors fueling the Me Medicine phenomenon and explores how, over time, this paradigm shift in how we approach our health might damage our individual and collective well-being. Historically, the measures of "We Medicine," such as vaccination and investment in public-health infrastructure, have radically extended our life spans, and Dickenson argues we've lost sight of that truth in our enthusiasm for "Me Medicine." Dickenson explores how personalized medicine illustrates capitalism's protean capacity for creating new products and markets where none existed before—and how this, rather than scientific plausibility, goes a long way toward explaining private umbilical cord blood banks and retail genetics. Drawing on the latest findings from leading scientists, social scientists, and political analysts, she critically examines four possible hypotheses driving our Me Medicine moment: a growing sense of threat; a wave of patient narcissism; corporate interests driving new niche markets; and the dominance of personal choice as a cultural value. She concludes with insights from political theory that emphasize a conception of the commons and the steps we can take to restore its value to modern biotechnology.
The Meals to Heal Cookbook: 150 Easy, Nutritionally Balanced Recipes to Nourish You during Your Fight with Cancer
by Susan Bratton Jessica IannottaFrom the founder and the chief operating officer of Meals to Heal (a company that provides vetted nutritional information and prepared meals delivery to cancer patients and their families): 150 nutritionally balanced recipes created with an eye toward the special needs of cancer patients (e. g. mouth sores, nausea, and difficulty swallowing) who often suffer from malnutrition.
Mealtimes and Milestones: A Teenager's Diary Of Moving On From Anorexia
by Constance BarterAn astonishingly moving and mature account of a young woman's struggle with anorexia nervosa, a serious mental illness affecting 1.1 million people in the UK. At fourteen years of age, Constance Barter was admitted as an in-patient to a specialist eating disorders unit where she remained for seven months. During that time, she kept a diary which sheds light on what it means to have anorexia, how it affects your life, and how it is not just a faddy diet or attention seeking disorder. Constance is an example to anyone suffering from this potentially life-threatening illness that with perseverance and support it can be beaten and sufferers can go on and lead a fulfilling, everyday life. This inspirational diary will help and inspire other sufferers to seek help and overcome their illness as well as providing an invaluable insight into the nature of the illness to families and friends.
Mealtimes and Milestones: A teenager's diary of moving on from anorexia
by Constance BarterAn astonishingly moving and mature account of a young woman's struggle with anorexia nervosa, a serious mental illness affecting 1.1 million people in the UK. At fourteen years of age, Constance Barter was admitted as an in-patient to a specialist eating disorders unit where she remained for seven months. During that time, she kept a diary which sheds light on what it means to have anorexia, how it affects your life, and how it is not just a faddy diet or attention seeking disorder. Constance is an example to anyone suffering from this potentially life-threatening illness that with perseverance and support it can be beaten and sufferers can go on and lead a fulfilling, everyday life. This inspirational diary will help and inspire other sufferers to seek help and overcome their illness as well as providing an invaluable insight into the nature of the illness to families and friends.
The Meaning of Everyday Occupation
by Betty Risteen Hasselkus Virginia DickieNewly updated to address emerging directions in occupational therapy and occupational science, The Meaning of Everyday Occupation, Third Edition encourages occupational therapy personnel—students, educators, researchers, and practitioners—to recognize humans as occupational beings and to understand the meaning and significance of everyday occupation in day-to-day life. Written by award-winning and internationally known authors Drs. Betty Risteen Hasselkus and Virginia Allen Dickie, the Third Edition explores the concept of meaning as it relates to occupation in daily life. Each chapter is augmented by the authors’ personal reflections, narratives from occupational therapists in practice, and quotations from participants in the authors’ occupational research, creating a text in which the concepts and theories of occupation and occupational therapy come alive for the reader. Themes in the Third Edition include: Meaning in everyday life and its occupations Space and place as sources of meaning Culture in everyday occupation and in the context of therapy Well-being and development through everyday occupation Occupation as connection Disability and occupation Occupation and the human spirit Everyday creativity Emphasizing occupation as experience, the comprehensive Third Edition champions the contributions of meaning to a client-centered approach to practice. This brings forward a new understanding of how to therapeutically affect the systems in which we all live and work. The everyday occupation of our lives is often overlooked. By increasing the visibility of everyday occupation, The Meaning of Everyday Occupation, Third Edition offers readers the opportunity for personal reflection on day-to-day occupational patterns. By recognizing and acknowledging these patterns in their own lives, occupational therapy personnel can better understand how day-to-day occupation and disruption of that occupation affects the lives of clients.
The Meaning of Illness
by Marc Auge Claudine HerzlichFirst Published in 1988. Routledge is an imprint of Taylor & Francis, an informa company.
The Meaning of Illness
by Marc Augé Claudine HerzlichThis book is based on collective research carried out during the 1980s. This edition appears ten years after the original publication in French. Since then we have experienced many changes. In the late decade, disciplines have changed, as have the societies being researched. The outbreak of AIDS in Africa and the industrial world is not the least of these major and influential changes. The reader today will be sensitive to these changes and this research maintains its value as an intellectual endeavour and a useful model.
Meaningful Healthcare Experience Design: Improving Care for All Generations
by Scott GoodwinThis book offers a new perspective on improving healthcare that draws inspiration from sources as diverse as American healthcare history, Lean Six Sigma, patient experience, employee engagement, clinical microsystems, physician burnout, and industrial design thinking. This work focuses on the three value streams that form the foundation of all healthcare service processes: healthcare-worker value stream, patient value stream, and organizational process. The interaction of patients and healthcare workers in the context of these three value streams creates the meaningful experience that is essential to healing and to the success of healthcare organizations. Meaningful healthcare experience design guides the work of designing these value streams and improving them to promote experiences that are meaningful and healing for both patients and healthcare workers.
Meaningful Information
by Anthony ReadingThe book introduces a radically new way of thinking about information and the important role it plays in living systems. It opens up new avenues for exploring how cells and organisms change and adapt, since the ability to detect and respond to meaningful information is the key that enables them to receive their genetic heritage, regulate their internal milieu, and respond to changes in their environment. It also provides a way of resolving Descartes' dilemma by explaining the workings of the brain in non-mechanical terms that are not tainted by spiritual or metaphysical beliefs. The types of meaningful information that different species and different cell types are able to detect are finely matched to the ecosystem in which they live, for natural selection has shaped what they need to know to function effectively in those circumstances. Biological detection and response systems range from the chemical configurations that govern genes and cell life to the relatively simple tropisms that guide single-cell organisms, the rudimentary nervous systems of invertebrates, and the complex neuronal structures of mammals and primates. The scope of meaningful information that can be detected and responded to reaches its peak in our own species, as exemplified by our special abilities in language, cognition, emotion, and consciousness, all of which are explored within this new framework.
Meanings of Pain
by Simon RysewykAlthough pain is widely recognized by clinicians and researchers as an experience, pain is always felt in a patient-specific way rather than experienced for what it objectively is, making perceived meaning important in the study of pain. The book contributors explain why meaning is important in the way that pain is felt and promote the integration of quantitative and qualitative methods to study meanings of pain. For the first time in a book, the study of the meanings of pain is given the attention it deserves. All pain research and medicine inevitably have to negotiate how pain is perceived, how meanings of pain can be described within the fabric of a person's life and neurophysiology, what factors mediate them, how they interact and change over time, and how the relationship between patient, researcher, and clinician might be understood in terms of meaning. Though meanings of pain are not intensively studied in contemporary pain research or thoroughly described as part of clinical assessment, no pain researcher or clinician can avoid asking questions about how pain is perceived or the types of data and scientific methods relevant in discovering the answers.
Meanings of Pain: Volume 2: Common Types of Pain and Language
by Simon Van RysewykExperiential evidence shows that pain is associated with common meanings. These include a meaning of threat or danger, which is experienced as immediately distressing or unpleasant; cognitive meanings, which are focused on the long-term consequences of having chronic pain; and existential meanings such as hopelessness, which are more about the person with chronic pain than the pain itself. This interdisciplinary book - the second in the three-volume Meanings of Pain series edited by Dr Simon van Rysewyk - aims to better understand pain by describing experiences of pain and the meanings these experiences hold for the people living through them. The lived experiences of pain described here involve various types of chronic pain, including spinal pain, labour pain, rheumatic pain, diabetic peripheral neuropathic pain, fibromyalgia, complex regional pain syndrome, endometriosis-associated pain, and cancer-related pain. Two chapters provide narrative descriptions of pain, recounted and interpreted by people with pain.Language is important to understanding the meaning of pain since it is the primary tool human beings use to manipulate meaning. As discussed in the book, linguistic meaning may hold clues to understanding some pain-related experiences, including the stigmatisation of people with pain, the dynamics of patient-clinician communication, and other issues, such as relationships between pain, public policy and the law, and attempts to develop a taxonomy of pain that is meaningful for patients. Clinical implications are described in each chapter.This book is intended for people with pain, their family members or caregivers, clinicians, researchers, advocates, and policy makers.“It is my opinion that this ... work will stand as the definitive reference work in this field. I believe it will enrich the professional and personal lives of health care providers, researchers and people who have persistent pain and their family members. The combination of framework chapters with chapters devoted to analysing the lived experience of pain conditions gives the requisite breadth and depth to the subject.” - Dr Marc A. Russo, MBBS DA(UK) FANZCA FFPMANZCA, Newcastle, Australia, from the Foreword
Meanings of Pain: Volume 3: Vulnerable or Special Groups of People
by Simon Van RysewykThis book, the third and final volume in the Meaning of Pain series, describes what pain means to people with pain in “vulnerable” groups, and how meaning changes pain – and them – over time.Immediate pain warns of harm or injury to the person with pain. If pain persists over time, more complex meanings can become interwoven with this primitive meaning of threat. These cognitive meanings include thoughts and anxiety about the adverse consequences of pain. Such meanings can nourish existential sufferings, which are more about the person than the pain, such as loss, loneliness, or despair. Although chronic pain can affect anyone, there are some groups of people for whom particular clinical support and understanding is urgently needed. This applies to “vulnerable” or “special” groups of people, and to the question of what pain means to them. These groups include children, women, older adults, veterans, addicts, people with mental health problems, homeless people, or people in rural or indigenous communities. Several chapters in the book focus on the lived experience of pain in vulnerable adults, including black older adults in the US, rural Nigerians, US veterans, and adults with acquired brain injury. The question of what pain experience could mean in the defenceless fetus, neonate, pre-term baby, and child, is examined in depth across three contributions.This book series aspires to create a vocabulary on the “meanings of pain” and a clinical framework with which to use it. It is hoped that the series stimulates self-reflection about the role of meaning in optimal pain management. Meanings of Pain is intended for people with pain, family members or caregivers of people with pain, clinicians, researchers, advocates, and policy makers. Volume I was published in 2016; Volume II in 2019.
Meant-to-Be Family
by Marion LennoxMeant to be a daddy? When obstetrician Oliver Evans walked away from his wife, Emily, he hoped it would allow her the chance to be a mom-something he just couldn't give her. But now Emily has crashed back into his life, and Oliver knows that this time he can never let her go! Midwife Emily has pieced together her own little family, and Oliver's return changes everything. It's clear that what they once had isn't over, but if Oliver wants her back he'll have to believe that being a dad can finally heal his heart...
Measles: Global Status 2010 edition
by Dr Stephen Berger Gideon InformaticsMeasles: Global Status is one in a series of GIDEON ebooks which summarize the status of individual infectious diseases, in every country of the world. Data are based on the GIDEON database (www.gideononline.com) which relies on standard text books, peer-review journals, Health Ministry reports and ProMED, supplemented by an ongoing search of the medical literature. Chapters are arranged alphabetically, by country name. Each section is divided into five subsections. 1. Descriptive epidemiology 2. Summary of clinical features 3. Global status of the disease 4. Status of the disease in a specific country 5. References
Measles and Related Morbilliviruses: Methods and Protocols (Methods in Molecular Biology #2808)
by Dzwokai Z. Ma Christian K. PfallerThis volume covers the latest protocols used to study the molecular biology of morbilliviruses, including cell entry, replication, and virus-host interactions. The chapters in this book also cover methods for studying morbillivirus infection through the use of novel tissue culture and in vivo models; analyzing the biological implications of infection by using primary tissues isolated from infected animals; and exploring diagnostic tools to evaluate humoral immunity against human-pathogenic measles virus (MeV). Written in the highly successful Methods in Molecular Biology series format, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls.Cutting-edge and comprehensive, Measles and Related Morbilliviruses: Methods and Protocols is a valuable resource for researchers studying MeV,and will be useful to researchers studying other members of Paramyxoviridae and Mononegavirales.
Measles Book: Thirty-Five Secrets the Government and the Media Aren't Telling You about Measles and the Measles Vaccine (Children’s Health Defense)
by Children's Health DefenseDiscover thirty-five secrets that the media, US government, and Big Pharma don't want you to know about vaccines. Measles! We all have seen or heard the scary stories about &“outbreaks&” in the media. It has even been declared a &“public health emergency&” at various times. Is it true? Are we and our children at risk? The Measles Book: Thirty-Five Secrets the Government and the Media Aren&’t Telling You about Measles and the Measles Vaccine will help you answer these questions. You will find out if this is just another example of the media, government, and industry misleading us or whether we really have a lot to worry about. The Measles Book presents reliable medical information from the most credible sources available. It is intended to help you make an informed choice about vaccinating your child. The main focus is measles, but many of the issues are relevant to other childhood vaccines. Within the book's pages, the reader will discover thirty-five secrets being kept from the general public about childhood vaccines, especially the measles vaccine. Just a sampling of these secrets include: Vaccines are not safe for every child and the government and pharmaceutical companies have known this for years.Some children will get injured or die from vaccines and the government and pharmaceutical companies know this, too.Pharmaceutical companies have developed an incredible way to make money from vaccines, and not be held accountable.When a child is injured or killed by a vaccine, the pharmaceutical company does not pay for the damage it caused—we do! Learn the other thirty-one secrets when you read The Measles Book by Children's Health Defense, a nonprofit organization committed to the health of our children and challenging misinformation spread by Big Pharma, the government, and the media. The information in The Measles Book is vital for parents to know so they can make informed decisions for their children.
The Measure of Darkness
by Liam Durcan"A deft exploration of the heart and mind that offers the pathos of a Sam Shepard play nested within the unreliable storytelling of Christopher Nolan's Memento." -Kirkus ReviewsMartin, an acclaimed architect, emerges from a coma after a roadside accident to find his world transformed: not only has the commission of a lifetime been taken from him, but his injury has left him with neglect syndrome, a loss of spatial awareness that has rendered him unfit to practice and unable to recognize the extent of his illness. Despite support from his formerly estranged brother and two grown daughters, his paranoia builds, alienating those closest to him. His only solace is found in the parallels he draws between himself and gifted Soviet-era architect Konstantin Melnikov, who survived Stalin's disfavor by retreating into obscurity. As Martin retraces Melnikov's life and his own fateful decisions, he becomes increasingly unsettled, until the discovery of the harrowing truth about the night of his accident hurtles him toward a deadly confrontation.A gripping journey into the depths of a fractured mind, The Measure of Darkness is ultimately a resonant tale of resilience and healing. Liam Durcan is the author of García's Heart, winner of the Arthur Ellis Best First Novel Award. He lives in Montreal, Quebec, where he works as a neurologist at McGill University.
Measurement and Analysis in Transforming Healthcare Delivery
by Peter J. FabriThis volume provides the important concepts necessary for a physician to participate in a reengineering process, develop decision-making skills based on probability and logic rather than "rules," and to measure and analyze meaningful outcomes of care delivery. This approach has been developed over ten years in a medical student-based program and has been enthusiastically embraced by medical students without backgrounds in engineering or statistics. More specifically, this text will introduce physicians to relevant and available computer software, combined with an in depth knowledge of measurement, variation, and uncertainty. It provides a basis for the transformation of data into information, information into knowledge, and knowledge into wisdom. The first quarter of the book will address understanding and visualizing data, using statistical and graphic analysis. The next quarter addresses the fundamentals of applied statistics, and the application of conditional probability to clinical decision making. The next quarter addresses the four "cornerstones" of modern analytics: regression, classification, association analysis, and clustering. The final section addresses the identification of outliers and their importance in understanding, the assessment of cause and effect and the limitations associated with retrospective data analysis. This toolbox will prepare the interested physician to actively engage in the identification of problem areas, the design of process-based solutions, and the continuous assessment of outcomes of clinical practice. Armed with this toolbox, the reader will be "prepared to make a difference" in the rapidly changing world of healthcare delivery. Measurement and Analysis in Transforming Healthcare Delivery is an excellent resource for general practitioners, health administrators, and all medical professionals interacting with healthcare delivery.
Measurement and Analysis in Transforming Healthcare Delivery
by Harry C. SaxThis volume is complementary to Volume 1: Quantitative Approaches in Health Systems Engineering which provides in-depth analysis of the statistical and quantitative aspects of Health Systems Engineering. Volume 2: Practical Applications to Engage and Align Providers and Consumers builds upon these concepts with the integration of additional economic, performance and quality measures. Stressing the importance of changes in the economics of health care financing, it will serve as a resource for not only leaders of organizations, but also providers who will be practicing a different type of medicine from that of which they were trained. After defining the challenges, the authors will quantify and define funds flows and various margins necessary for viability, how providers will be measured and rewarded for quality, and the importance of accurate dashboard of physician performance. Types of payment systems, including capitation, ACOs, risk contracts, and hybrid forms of fee for service will be defined and their relative advantages discussed. Lessons from other countries that provide high quality care at a lower cost will be examined for applicability to our challenges. Finally, experts in leadership will focus on influencing behavior to achieve results while remembering that healthcare is about the patient. This textbook will serve as a useful resource for clinicians, healthcare executives, governmental agencies, and emerging leaders in organizations.
Measurement and Analysis of Human Locomotion (Series in Biomedical Engineering)
by Vladimir MedvedThis book addresses instruments, methodologies and diagnostic methods used to evaluate and diagnose human movement, locomotion and physical status in general. Starting from historical perspective, the idea of understanding human locomotion by applying technical measurement devices and incorporating measurement data into physical representation of gross body movement is presented and explained, an approach known as inverse dynamics. With this approach as a kind of umbrella concept, components of measurement systems including relevant signal and data processing methods are described. Modern instruments to capture body movement by measuring its kinematics, kinetics and surface electromyography (sEMG) are thus described; all systems being used dominantly—if not exclusively—in a movement analysis laboratory setting. Focusing mainly on human posture and gait, but including also examples of movement patterns from selected kinesiological and sports activities, the book attempts to present essentials of biomechanics and biomedical engineering approach to this subject matter. It illustrates how data collected and elaborated by modern engineering technology can complement traditional expert knowledge of a kinesiologist or a medical doctor. The book is applicable in the fields of sports, physical activities, as well as in medical diagnostics and rehabilitation. The examples of this book’s practical application might be in evaluation of efficiency of human gait, in evaluation of skeletal muscle fatigue in physical exercise, in biomechanical diagnostics of traumatological conditions requiring orthopaedic treatment and the like. This book can also be used in planning and executing research endeavours, particularly in a clinical context as a reference for various diagnostics procedures. It presents the lecture notes of a course carrying the same name within Medical Studies in English at the University of Zagreb for more than a decade.
Measurement and Detection of Radiation
by Nicholas Tsoulfanidis Sheldon LandsbergerAs useful to students and nuclear professionals as its popular predecessors, this fifth edition provides the most up-to-date and accessible introduction to radiation detector materials, systems, and applications. There have been many advances in the field of radiation detection, most notably in practical applications. Incorporating these important developments, Measurement and Detection of Radiation, Fifth Edition provides the most up-to-date and accessible introduction to radiation detector materials, systems, and applications. It also includes more problems and updated references and bibliographies, and step-by-step derivations and numerous examples illustrate key concepts. New to the Fifth Edition:• Expanded chapters on semiconductor detectors, data analysis methods, health physics fundamentals, and nuclear forensics.• Updated references and bibliographies.• New and expanded problems.
Measurement in Medicine
by Henrica C. W. de Vet Caroline B. Terwee Lidwine B. Mokkink Dirk L. KnolThe success of the Apgar score demonstrates the astounding power of an appropriate clinical instrument. This down-to-earth book provides practical advice, underpinned by theoretical principles, on developing and evaluating measurement instruments in all fields of medicine. It equips you to choose the most appropriate instrument for specific purposes. The book covers measurement theories, methods and criteria for evaluating and selecting instruments. It provides methods to assess measurement properties, such as reliability, validity and responsiveness, and interpret the results. Worked examples and end-of-chapter assignments use real data and well-known instruments to build your skills at implementation and interpretation through hands-on analysis of real-life cases. All data and solutions are available online. This is a perfect course book for students and a perfect companion for professionals/researchers in the medical and health sciences who care about the quality and meaning of the measurements they perform.