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Percutaneous Coronary Interventions for Chronic Total Occlusion: A Guide To Success
by Yangsoo JangThis book equips readers with the knowledge required in order to successfully treat coronary chronic total occlusion by means of percutaneous coronary interventions. All the essential background knowledge is provided, including with regard to procedurally relevant histopathology, assessment of chronic total occlusion by means of angiography and computed tomography, patient preparation, and selection and use of guidewires. Both basic and advanced techniques employing antegrade and retrograde approaches are then described in detail with the aid of numerous high-quality illustrations that ensure ease of understanding. Helpful tips and tricks are highlighted, and guidance provided on the troubleshooting of problems and the prevention and management of complications. The book will serve as a superb guide for all who are involved in percutaneous coronary interventions for chronic total occlusion, including interventional cardiologists, fellows in training, nurses, and technicians in catheterization laboratories.
Percutaneous Image-Guided Biopsy
by Kamran Ahrar Sanjay GuptaThis book provides a comprehensive source for all aspects of percutaneous image-guided biopsy. A synthesis of rationale, technique and evidence-based medicine, it offers a clear approach to imaging, devices, procedures and patient care. Replete with case studies, radiological images, illustrative diagrams and tables, this valuable reference is an indispensable addition to the bookshelves of all radiologists in training as well as practicing radiologists who would like to expand their biopsy service and refine their skills. The easy to follow format, organization and graphic presentations create a high-yield approach to practical information such as indications, technical considerations, anatomical considerations, outcomes and complications. This timely compendium is a necessity in this rapidly progressing field.
Percutaneous Intervention for Coronary Chronic Total Occlusion
by Stéphane RinfretA practical and technical handbook providing operators with a step-by-step description of how to perform some of the techniques involved in the procedures, and how to troubleshoot some of the problems along the way. Examples with pictures will be provided, along with live angiographies. At the end of each chapter, the author will be provided with 3 questions to answer. Those questions will be developed by the editor and the contributors. The idea is to provide a quick reference to the most current problems encountered with a specific issue developed in the chapter. Nowadays, the busy clinician is unlikely to exclusively rely on lengthy textbooks to learn specific complex techniques. That is one of the reasons for the popularity of CTO courses, live demonstrations, and conferences and, there are consequently many courses offered around the world to help new operators in the field. CTO PCI has emerged as a very effective procedure to help patients with CTOs, with very high success and low complications rates. It is however a very challenging procedure with multiple pitfalls along the way to success, both in specific cases, but also in the learning process. There are currently no single reference or "one-stop shop" for the operator who wants to learn a given technique that he or she may has seen performed live in a dedicated proctorship event, or in a live demonstration, or to even troubleshoot a problem encountered in daily CTO PCI practice. This will be the first handbook formatted for the busy interventional cardiologist. This book will become a "must have" for operators who are practicing CTO PCI and who want a quick reference. However, it will also provide tips and tricks currently used in the field.
Percutaneous Interventions for Structural Heart Disease
by Bernhard Reimers Issam Moussa Andrea PacchioniThis book presents the percutaneous techniques and technologies most frequently employed in structural interventional cardiology, focusing especially on how to optimize outcomes and minimize risk. Interventional procedures for aortic stenosis, mitral regurgitation, left atrial appendage closure, patent foramen ovale closure, and closure of interatrial and interventricular defects are clearly presented step by step with the aid of a wealth of images. These descriptions are complemented by a case-based analysis of the various structural pathologies and their complications. Clear guidance is also provided on patient selection, preoperative evaluation, and choice of available devices. The authors are all acknowledged experts with extensive experience in laboratories and surgical units. The book fully reflects the rapid changes in structural interventional cardiology that have occurred during recent years. These advances are in particular due to the introduction of transcatheter aortic valve implantation, which allows cardiac surgeons to achieve excellent outcomes in patients at high surgical risk. Other exciting developments include new technologies that permit better treatment of other structural cardiac pathologies and valid alternatives to medical therapy in particular patient groups.
Percutaneous Nephrolithotomy
by Guohua Zeng Kemal SaricaThis book provides a comprehensive overview of percutaneous nephrolithotomy, covering topics including its history, anatomy, preoperative preparation, clinical operation, and postoperative treatment. It presents both basic and advanced techniques, such as micro-PNL, mini-PNL, ultra-mini-PNL, and super mini-PNL, together with representative clinical cases. In addition, the book describes potential technical issues, complications, indications and contraindications in detail, making it a valuable reference guide for urologists, especially those who wish to improve their PCNL skills in clinical practice.
Percutaneous Penetration Enhancers Chemical Methods in Penetration Enhancement
by Nina Dragicevic Howard I. MaibachPercutaneous Penetration Enhancers in a mini-series format comprising five volumes, represents the most comprehensive reference on enhancement methods - both well established and recently introduced - in the field of dermal/transdermal drug delivery. In detail the broad range of both chemical and physical methods used to enhance the skin delivery of drugs is described. All aspects of drug delivery and measurement of penetration are covered and the latest findings are provided on skin structure and function, mathematics in skin permeation and modern analytical techniques adapted to assess and measure penetration. In offering a detailed description of the methods currently in use for penetration enhancement, this book will be of value for researchers, pharmaceutical scientists, practitioners and also students.
Percutaneous Penetration Enhancers Drug Penetration Into/Through the Skin
by Nina Dragicevic Howard I. MaibachPercutaneous Penetration Enhancers in a mini-series format comprising five volumes, represents the most comprehensive reference on enhancement methods - both well established and recently introduced - in the field of dermal/transdermal drug delivery. In detail the broad range of both chemical and physical methods used to enhance the skin delivery of drugs is described. All aspects of drug delivery and measurement of penetration are covered, and the latest findings are provided on skin structure and function, mathematics in skin permeation, and modern analytical techniques adapted to assess and measure penetration. In offering a detailed description of the methods currently in use for penetration enhancement, this book will be of value for researchers, pharmaceutical scientists, practitioners, students and dermatological scientists or dermatologists.
Percutaneous Renal Surgery
by John D. Denstedt Evangelos N. LiatsikosIn the ever-evolving field of urology, percutaneous renal surgery (PCNL) for kidney stones stands at the forefront of innovation and excellence and offers an alternative to traditional open surgery. This book, Percutaneous Renal Surgery, delves into the intricacies of percutaneous renal surgery, providing a thorough exploration of the latest techniques, advancements, and best practices. Featuring contributions from international experts in the field, each chapter covers the key aspects of percutaneous renal surgery, including patient selection, preoperative evaluation, procedural nuances, postoperative care, and potential complications. From navigating renal anatomy to mastering the latest instruments and technologies, you'll gain the knowledge and confidence needed to excel in this specialized discipline. Discover the benefits of percutaneous renal surgery, such as reduced invasiveness, shorter hospital stays, enhanced patient outcomes, and improved quality of life. Explore its applications in treating kidney stones, urothelial cancer, and other urological conditions. Delve into the art of accessing the kidney through percutaneous techniques, utilizing fluoroscopy, ultrasound, and other imaging modalities.With its comprehensive coverage and insightful guidance, Percutaneous Renal Surgery empowers urologists to push the boundaries of patient care and redefine what is possible in the field of urology.
Percutaneous Renal Surgery
by Abhay Rane Manoj MongaPercutaneous Renal Surgery will provide surgeons and urologists/nephrologists with a well-illustrated, full-colour expert guide to performing these complex and difficult surgical procedures safely and effectively.Focus throughout is on percutaneous management of three major conditions: large renal calculi (percutaneous nephrolithotomy), transitional cell cancer (percutaneous resection of tumor) and renal cell cancer (percutaneous cryotherapy and radiofrequency ablation).For each of these conditions, leading surgeons and urologists will cover:Epidemiology of the diseaseEvolution of evidence-based outcomes for percutaneous managementPatient selection and informed consentInstrumentationSurgical technique10 high-quality videos of surgery in action will provide an excellent visual guide to best practice and tips/tricks while performing surgery, making this a perfect multi-media teaching tool.
Percutaneous Renal Surgery
by David R WebbThis is the first textbook devoted entirely to percutaneous renal surgery. The text explains the basic anatomy, instruments, track dilation and creation, kidney access and surgical treatment of all complex stone scenarios. The book is written in simple sections and is extensively illustrated with more than 250 illustrations. All diagrams have been drawn by the author and reproduced by a professional graphic artist. The book describes the basic techniques, then progresses clinically through to more difficult clinical and surgical scenarios. In this way, it is akin to a "cook book" in style, that is easily referenced and readable. As percutaneous renal surgery is a team effort, the book contains descriptors for ward and theatre technicians and nurses, as well as equipment lists. The book also contains a "do it yourself" six-stage percutaneous renal surgery workshop program. This workshop can be performed in any department practising PCNL. Percutaneous Renal Surgery: A Practical Clinical Handbook represents a practical manual, suitable for medical students, nurses and technicians and is a unique manual for all urology trainees and urologists treating renal stone disease worldwide.
Percutaneous Tracheostomy in Critically Ill Patients
by Giuseppe Servillo Paolo PelosiThis book provides an up-to-date and comprehensive overview on percutaneous tracheostomy (PT) in critically ill patients. The various PT techniques that may be employed in the intensive care unit are fully described, with discussion of the available tracheostomy tubes and selection criteria and with clear evaluation of the risks and benefits of each procedure. A further individual chapter is devoted to the methods of airway management that may be used during PT. Detailed attention is also paid to medical and nursing management inside and outside hospital, to quality of life issues in tracheostomized patients, and to the problem of informed consent. The book concludes by addressing the need for standard guidelines. Percutaneous Tracheostomy in Critically Ill Patients will be an excellent source of information and guidance for novice and more experienced physicians working in intensive care units, operating rooms, and emergency departments as well as for those responsible for patient aftercare.
Percutaneous Treatment of Cardiovascular Diseases in Women
by Patrizia Presbitero Julinda Mehilli Anna Sonia PetronioThis book describes a wide range of interventional procedures currently employed in the treatment of cardiac diseases in women with the aim of enabling not only interventional cardiologists but also cardiologists and cardiac surgeons to refine their approach to female patients and thus improve outcomes. The book reflects the increasing awareness of gender differences with regard to coronary artery disease and structural valve heart disease. Examples include myocardial infarction, which carries a worse prognosis in women in part because they suffer from this disease mostly in the 7th decade of life, present more frequently with hemodynamic instability and later from symptom onset, and have fragile, small and tortuous coronary arteries that are more technically demanding in the context of primary percutaneous coronary intervention. Another example is symptomatic aortic stenosis, which carries a better prognosis in women who undergo trans-catheter aortic valve implantation partially due to a better annulus-prosthesis match, which leads to less residual paravalvular regurgitation, better left ventricular function and lower aggregation of comorbidities. Further, in women left ventricular response to aortic stenosis is typified by muscle hypertrophy with a small ventricular cavity. These differences are reflected in the clinical manifestations and their impact on diagnosis, treatment, and choice of tools and devices for use in interventional procedures. By explaining the at times subtle variances in disease and treatment techniques for female and male patients, this book will help practitioners select the most appropriate procedures and materials in a range of settings.
Percutaneous Treatment of Left Side Cardiac Valves: A Practical Guide For The Interventional Cardiologists
by Corrado Tamburino Marco Barbanti Davide CapodannoAfter the success of the first two editions, this expanded and extensively revised edition provides the interventional cardiologist with detailed, state of the art information on key techniques and approaches to percutaneous treatment of left side cardiac valve disease, keeping pace with the rapid and dynamic evolution in the discipline. Many new techniques and resources are now available, including new devices for transcatheter aortic valve implantation and new approaches to transcatheter mitral valve replacement. Numerous images will help the reader to understand the steps of each procedure and the characteristics of the different devices available. The potential complications and expected or potential morbidity from each procedure are discussed in depth, along with the best ways to manage them. Transcatheter aortic valve implantation has revolutionized the field of interventional cardiology. Initially envisaged as a palliative technique for inoperable patients, it now offers high-risk patients a viable alternative to surgery. Several techniques are also available of transcatheter mitral valve repair, and initial cases of transcatheter mitral valve replacement have also been reported: the interest in these techniques is such that further significant technological advances are expected to be seen over the next few years. This highly informative, easy to read, and carefully structured guide provides interventional cardiologists with updated knowledge on the application of transcatheter techniques to cardiac valves.
Perez & Brady's Principles and Practice of Radiation Oncology
by Edward C. Halperin David E. Wazer Carlos A. Perez Luther W. BradyPublisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. For more than 30 years, Perez and Brady's Principles and Practice of Radiation Oncology has been the must-have standard reference for radiation oncologists and radiation oncology residents who need a comprehensive text covering both the biological and physical science aspects of this complex field as well as disease site-specific information on the integrated, multidisciplinary management of patients with cancer. The book has established itself as the discipline’s "text-of-record," belonging on the shelf of all of those working in the field. The Seventh Edition continues this tradition of excellence with extensive updates throughout, many new chapters, and more than 1,400 full-color illustrations that highlight key concepts in tumor pathogenesis, diagnosis, and targeted radiation therapy.
The Perfect Christmas
by Caroline AndersonThe Perfect Christmas by Caroline Anderson released on Dec 1, 2015 is available now for purchase.
A Perfect Father
by Laura IdingComing soon! A Perfect Father by Laura Iding will be available Sep 12, 2016.
The Perfect Lie: the gripping new thriller from the bestselling author of Dirty Little Secrets
by Jo Spain'A fabulous page-turner that will keep you guessing and guessing' CARA HUNTER'Intense, clever writing and packed with twists and turns' DERVLA MCTIERNAN'Another twisty and intense thriller from the great Jo Spain' ADRIAN MCKINTYHe jumped to his death in front of witnesses. Now his wife is charged with murder.Five years ago, Erin Kennedy moved to New York following a family tragedy. She now lives happily with her detective husband in the scenic seaside town of Newport, Long Island. When Erin answers the door to Danny's police colleagues one morning, it's the start of an ordinary day. But behind her, Danny walks to the window of their fourth-floor apartment and jumps to his death.Eighteen months later, Erin is in court, charged with her husband's murder. Over that year and a half, Erin has learned things about Danny she could never have imagined. She thought he was perfect. She thought their life was perfect.But it was all built on the perfect lie.'Superbly written, cinematic and pacy!' STEVE CAVANAGH'Domestic noir at its best' M. T. EDVARDSSON'Grabs you by the throat' LIZ NUGENT'A top-notch thriller' T. M. LOGAN'Chilling and all too plausible' JAMES OSWALD'I loved this book and it deserves to fly to the top of the charts' ELLY GRIFFITHS'A sure-fire smash hit!' CAZ FREAR'The Perfect Lie will pin you to your seat until you reach the last page' JANE CASEY'So good you won't want it to end' DAILY MAIL'A jewel of a thriller' HEAT'With so many "oh my gosh" moments, this will have you absolutely gripped' PRIMA'Be warned: this book will keep you up all night!' CLOSER
The Perfect Lie: The addictive and unmissable heart-pounding thriller
by Jo SpainTHE LATEST PSYCHOLOGICAL THRILLER FROM THE INTERNATIONAL BESTSELLING AUTHOR OF THE CONFESSION"The Perfect Lie will pin you to your seat until you reach the last page" - Jane Casey"Another twisty and intense thriller from the great Jo Spain" - Adrian McKinty********He jumped to his death in front of witnesses. Now his wife is charged with murder.Five years ago, Erin Kennedy moved to New York following a family tragedy. She now lives happily with her detective husband in the scenic seaside town of Newport, Long Island. When Erin answers the door to Danny's police colleagues one morning, it's the start of an ordinary day. But behind her, Danny walks to the window of their fourth-floor apartment and jumps to his death.Eighteen months later, Erin is in court, charged with her husband's murder. Over that year and a half, Erin has learned things about Danny she could never have imagined. She thought he was perfect. She thought their life was perfect.But it was all built on the perfect lie.********Discover DI Tom Reynolds in the first instalment of Jo Spain's acclaimed detective series, With Our Blessing.For even more Jo Spain, check out her exciting and gripping thriller yet, Six Wicked Reasons.(P)2021 Quercus Editions Limited
The Perfect Lie: The addictive and unmissable heart-pounding thriller
by Jo Spain'Superbly written, cinematic and pacey' Steve Cavanagh'Will keep you guessing and guessing' Cara Hunter'Another twisty and intense thriller from the great Jo Spain' Adrian McKinty********He jumped to his death in front of witnesses. Now his wife is charged with murder.Five years ago, Erin Kennedy moved to New York following a family tragedy. She now lives happily with her detective husband in the scenic seaside town of Newport, Long Island. When Erin answers the door to Danny's police colleagues one morning, it's the start of an ordinary day. But behind her, Danny walks to the window of their fourth-floor apartment and jumps to his death.Eighteen months later, Erin is in court, charged with her husband's murder. Over that year and a half, Erin has learned things about Danny she could never have imagined. She thought he was perfect. She thought their life was perfect.But it was all built on the perfect lie.********'A jewel of a thriller' Heat'This will have you absolutely gripped' Prima
A Perfect Life: A Novel
by Eileen PollackA luminous and insightful novel that considers the moral complexities of scientific discovery and the sustaining nature of love. A young researcher at MIT, Jane Weiss is obsessed with finding the genetic marker for Valentine’s Disease, a neurodegenerative disorder. Her pursuit is deeply personal—Valentine’s killed her mother, and she and her freewheeling sister, Laurel, could be genetic carriers; each has a fifty percent chance of developing the disease. Having seen firsthand the devastating effect Valentine’s had on her parents’ marriage, Jane is terrified she might become a burden on whomever she falls in love with and so steers clear of romantic entanglement. Then, the summer before her father’s second wedding, Jane falls hard for her future stepbrother, Willie. But Willie’s father also died from Valentine’s, raising the odds that their love will end in tragedy.When Willie bolts at a crucial moment in their relationship, Jane becomes obsessed with finding the genetic marker to the disease that threatens both their families. But if she succeeds in making history, will she and her sister have the courage to face the truth this newfound knowledge could hold for their lives? A Perfect Life is a novel of scientific and self discovery, about learning how to embrace life and love, no matter what may come. Eileen Pollack conjures a thought-provoking, emotionally resonant story of one woman’s brilliance and bravery as she confronts her deepest fears and desires—and comes to accept the inevitable and the unexpected.
The Perfect Medicine: How Running Makes Us Healthier and Happier
by Brodie RaminImagine a medicine that could make you live longer, healthier, happier, and stronger. What if that medicine was already right at your feet? Running is the miracle drug that can do all this and more — it is the perfect medicine.Throughout his career, Dr. Brodie Ramin has seen cases of diabetes, hypertension, and anxiety, which he has traced back to inactivity. Now more than ever, people are looking for inspiration and motivation to get fit, change their lives, and improve their overall wellness. In The Perfect Medicine, Dr. Ramin shares with us his discovery that we already have the perfect medicine to treat and prevent these common illnesses and improve our health: running. However, too few people are taking the right dose or using it at all.The Perfect Medicine explores the science of running and exercise and provides advice on how to maximize its benefits and be your best self. After rediscovering the joy of running in his early thirties, Dr. Ramin became fascinated by the activity. This book takes the reader on a personal journey of discovery, traces the evolution of running, shares strategies to get fit and run faster, and shows how exercise can even help people recover from addiction and mental health conditions.
The Perfect Mother for His Son
by Emily ForbesA doctor and his son……could she be the nurse to complete this family?Pediatric nurse Daisy has never reacted to anyone the way she does to new doctor Ajay. She&’s stunned by their outrageous chemistry—and the way he instinctively understands her on a level she&’s never experienced before. It has perfectionist Daisy throwing her usual checklist straight out the window! Are this single dad and his adorable son the ready-made family she&’s never allowed herself to want? Bondi Beach Medics quartetBook 1 – Rescuing the Paramedic&’s HeartBook 2 – A Gift to Change His LifeBook 3 – The Perfect Mother for His SonLook out for the next bookComing soon &“…touching and full of intense chemistry. And intense emotions, actually. Reunited by Their Secret Daughter was a feel-good romance where the characters were destined to be together, their circumstances were extremely interesting, and which had a HEA magical enough for a fairy tale.&”-Harlequin Junkie&“Overall, Ms. Forbes has delivered a delightful read in this book where emotions run high because of everything this couple go through on their journey to happy ever after…and where the chemistry between this couple was strong; the romance was delightful and had me loving these two together….&”-Harlequin Junkie on Rescued by the Single Dad
The Perfect Sleeve Gastrectomy: A Clinical Guide to Evaluation, Treatment, and Techniques
by Michel Gagner Almino Ramos Cardoso Mariano Palermo Patrick Noel David NoccaSleeve gastrectomy (SG) is the most common bariatric procedure performed worldwide, more than 55% of bariatric procedures are sleeve gastrectomies. This title will be comprehensive and detail all the approaches used in performing sleeve gastrectomy, offering readers all the tools needed to perform the perfect SG. Obesity has become a major global problem that continues to spread in both developed and developing countries. It costs more than any other health problem due to its prevalence and its many costly complications such diabetes and heart disease as well as in disability and loss of productivity. While prevention of obesity is the best approach for the future, the current problem lies with managing those who are already obese or morbidly obese who constitute close to two thirds of the population in many countries such as the US. Diet, exercise, and behavioral change are the mainstays for any meaningful attempt for significant and durable weight loss. Unfortunately, for those who are morbidly obese, these measures alone almost consistently fail to achieve acceptable weight loss in the long term. Today, bariatric surgery is the only evidence-based treatment for morbid obesity with a low complication rate and acceptable results in the long-term for both weight loss and resolution of comorbidities. Despite the data, the acceptance of these operations was limited due to fear of what was perceived as major surgery. Today, applying minimally invasive technology to these complex operations made them more acceptable to patients due to decreased pain, faster recovery and fewer overall complications. This, in addition to improved outcomes as we went further along the learning curve, has made these operations more common and helped growing the field to be an independent specialty for surgeons and perhaps a new specialty for gastroenterologist. In these exciting times, the 5 international editors (one of them, Michel Gagner, is the creator of the SG) wanted to capture the global standards of practice at a time of change, excitement, and lots of controversy, regarding this common procedure. We an aim to shed light on best practices across the borders, the intention of this volume is to develop a reliable reference to guide the practicing physician anywhere in the world, and from whatever specialty (surgeon, gastroenterologist or endoscopist) to navigate through the many current options of therapy in this rapidly changing field. We also aim to provide high quality illustrations and high-definition videos of these techniques to go with the didactic chapters written by thought leaders. In this book we will focus first on the clinical problems of the patients and the indications for the sleeve. Regarding the technical aspects, we will describe the technique step-by-step (including videos) and also we will detail the staplers, its size and different colors -- and the different sizes of the bougies, and also special description of the reinforcement of the sutures after the sleeve. We know that mainly the SG has a restrictive function, but we will also describe the metabolic effects of this surgery. Then we will describe the nontraditional SG techniques, such as the endoscopic approach, staples sleeve and robotic technologies. Bariatric surgery has very few rates of complications, but when complications happen, they are severe. Thus we will describe how to identify them immediately and also the different approaches to treat them by endoscopy, laparoscopy and percutaneous image guided surgery. A chapter will also cover revisional surgery and the different revisional procedures, not only from sleeve to other procedures but also from other procedures to SG. For the last section,we will include the lessons learned from almost 20 years now since the SG was first described, providing an overview on how we imagine the future will be for the most common bariatric procedure performed worldwide. This titl
Perfecting Pregnancy
by Kristin Savell Isabel KarpinPrenatal and preimplantation testing technologies have offered unprecedented access to information about the genetic and congenital makeup of our prospective progeny. Future developments such as preconception testing, noninvasive prenatal testing, and more extensive preimplantation testing promise to increase that access further still. The result may be greater reproductive choice, but it also increases the burden on women and men to avail themselves of these technologies in order to avoid having a child who has a disability. The overwhelming question for legislators has been whether and, if so, how to regulate the use of these technologies in the face of compelling but seemingly contradictory claims about the advancement of reproductive choice and the dangers of eugenic or discriminatory effects. This book examines the evolution of this legislative oversight across a number of jurisdictions and explores the tensions and ambiguities that inform these laws.
Perfection Salad: Women and Cooking at the Turn of the Century
by Laura ShapiroPerfection Salad presents an entertaining and erudite social history of women and cooking at the turn of the twentieth century. With sly humor and lucid insight, Laura Shapiro uncovers our ancestors widespread obsession with food, and in doing so, tells us why we think as we do about food today. This edition includes a new Introduction by Michael Stern, who, with Jane Stern, is the author of Gourmet magazine's popular column Roadfood and the book Eat Your Way Across the U. S. A.