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Tortured by Her Touch
by Dianne DrakeThe first kiss is the deepest! Ex-army doc Marc Rousseau might be devastatingly sexy, but he specializes in being difficult! No longer able to practice as a surgeon, he's working with injured war veterans alongside stunning Dr. Anne Sebastian...the one woman who sees beyond his gruff exterior. Marc knows Anne is off-limits-especially as she's unlikely to trust any man again-but being around her is such sweet torture! And when a late-night swim leads to a steamy kiss, Marc and Anne start to wonder...dare they take a chance on a future together?
The Tortured Rebel
by Alison RobertsHes the only one with the key to unlock her heart SAS medic and emergency specialist James Jet Munroe thrives on danger. Physical danger never emotional. Beautiful helicopter pilot Becca Harding has spent long years trying to forget Jet, but shes never been able to forgive him. Now, trapped together for the first time in years, its time to stop running from the shadows that have marked their relationship and the scorching attraction that lingers between them.
Total allergisch - na und?: Das Mutmacherbuch bei Neurodermitis, Heuschnupfen, Asthma & Co
by Daniela HalmJuckreiz, Niesattacken, Atemnot – wer allergisch ist, kennt diese Symptome und auch den Frust, dass es schon wieder losgeht, mit dem Heuschnupfen, mit einem Neurodermitisschub oder einer allergischen Reaktion auf Lebensmittel. Dabei gibt es viele Tipps und Tricks für den Alltag, um Allergien in den Griff zu bekommen. Auch Herausforderungen wie ein Kindergeburtstag, ein Schulausflug oder eine Urlaubsreise lassen sich mit guter Vorbereitung meistern. Das Miteinander ist ebenfalls Thema des Buchs: Wie gehe ich mit Belastungen oder mit unsensiblen Kommentaren anderer um? Sicher ist: Man steht nicht alleine da, es gibt Hilfe!Die Medizinjournalistin Daniela Halm ist selbst Mutter einer Tochter mit verschiedenen Allergien und kennt beides: persönliche Erfahrungen im Umgang mit der Erkrankung, aber auch die medizinischen Fakten rund um Allergien und was Patienten in Zukunft helfen könnte. Mit diesem Buch will sie vor allem Kindern und Jugendlichen mit Allergien und ihren Familien Mut machen und ihnen mit praktischen Tipps das Leben erleichtern. Eine spannende Reise durch die Welt der Allergie, nicht nur informativ, sondern auch mit einem Augenzwinkern erzählt.Empfehlung des Deutschen Allergie- und Asthmabunds: "Aus Sicht des DAAB schließt das Buch "Total allergisch - na und?" von Frau Halm eine Lücke auf dem deutschen Bücher- und Ratgebermarkt. Die Kombination aus praktischen Tipps, gut verständlich dargestelltem Stand der Wissenschaft und eigenen Erfahrungen und Erlebnissen aus dem Alltag einer Familie, die von Allergien, Asthma und Neurodermitis betroffen ist, macht die Besonderheit des Buches aus. Es ist dadurch ein hilfreicher Begleiter nicht nur für Betroffene selber, sondern auch für Fachpersonal, das mit allergischen Patienten zu tun hat.“
Total Ankle Replacement: A Practical Guide to Surgical Management
by Beat Hintermann Roxa RuizThis book offers a comprehensive and up-to-date overview of ankle osteoarthritis pathologies and solutions for successful ankle replacement surgery. The opening chapters examine the anatomical basics and biomechanical features essential for understanding each pathological condition and achieving a well-balanced and stable replaced ankle. The authors further illustrate the diagnostic work-up, pre-operative planning, indications, and contraindications. Providing step-by-step guidance through the most updated surgical techniques, many of which they have pioneered themselves, they complement the path toward successful replacement surgery. Besides primary arthroplasty, the volume focuses particularly on revising failed total ankle arthroplasty and provides new insights into the possibilities and limitations of salvaging a painful ankle arthrodesis with an ankle prosthesis. A wealth of intraoperative photographs of unique quality, combined with a consistent structureand a problem-oriented approach, make this book a must-read for all foot and ankle surgeons. Moreover, it is a valuable source of information for residents wishing to gain insights into end-stage osteoarthritic ankles and for researchers and physiotherapists seeking to understand the clinician’s view on their work.
Total-Body PET/CT: Prospective Clinical Applications
by Hongcheng Shi Guobing Liu Yiqiu Zhang Hui Tan Pengcheng HuThis book systemically introduces physical properties and clinical applications of total-body PET/CT. Firstly, based on the results of a comparative study between total-body PET/CT and conventional digital PET/CT, the feasibility and diagnostic efficacy of rapid scanning are overviewed. Following chapters present the unique value of total-body PET/CT dynamic acquisition in pharmacokinetic research and its potential advantages, feasibility and optimized imaging of half-dose and one-tenth-dose total-body PET/CT scans. In addition, new technologies that are still being explored and perfected, such as gating technology and ultra-low dose CT are also included. It will be a useful reference for nuclear medicine physicians and radiologists who are interested in total body PET/CT.
Total Diet Studies
by Gerald G. Moy Richard W. VannoortUnless a food is grossly contaminated, consumers are unable to detect through sight or smell the presence of low levels of toxic chemicals in their foods. Furthermore, the toxic effects of exposure to low levels of chemicals are often manifested slowly, sometimes for decades, as in the case of cancer or organ failure. As a result, safeguarding food from such hazards requires the constant monitoring of the food supply using sophisticated laboratory analysis. While the food industry bears the primary responsibility for assuring the safety of its products, the overall protection of people's diets from chemical hazards must be considered one of the most important public health functions of any government. Unfortunately, many countries do not have sufficient capability and capacity to monitor the exposure of their populations to many potentially toxic chemicals that could be present in food and drinking water. Without such monitoring, public health authorities in many countries are not able to identify and respond to problems posed by toxic chemicals, which may harm their population and undermine consumer confidence in the safety of the food supply. From a trade perspective, those countries that cannot demonstrate that the food they produce is free of potentially hazardous chemicals will be greatly disadvantaged or even subject to sanctions in the international marketplace. The goal of a total diet study (TDS) is to provide basic information on the levels and trends of exposure to chemicals in foods as consumed by the population. In other words, foods are processed and prepared as typical for a country before they are analyzed in order to better represent actual dietary intakes. Total diet studies have been used to assess the safe use of agricultural chemicals (e. g. , pesticides, antibiotics), food additives (e. g. , preservatives, sweetening agents), environmental contaminants (e. g. , lead, mercury, arsenic, cadmium, PCBs, dioxins), processing contaminants (e. g. , acrylamide, polycyclic aromatic hydrocarbons, chloropropanols), and natural contaminants (e. g. , aflatoxin, patulin, other mycotoxins) by determining whether dietary exposure to these chemicals are within acceptable limits. Total diet studies can also be applied to certain nutrients where the goal is to assure intakes are not only below safe upper limits, but also above levels deemed necessary to maintain good health. International and national organizations, such as the World Health Organization, the European Food Safety Agency and the US Food and Drug Administration recognize the TDS approach as one of the most cost-effective means of protecting consumers from chemicals in food, for providing essential information for managing food safety, including food standards, and for setting priorities for further investment and study. Total Diet Studies introduces the TDS concept to a wider audience and presents the various steps in the planning and implementation of a TDS. It illustrates how TDSs are being used to protect public health from chemicals in the food supply in many developed and developing countries. The book also examines some of the applications of TDSs to specific chemicals, including contaminants and nutrients.
Total Hip Arthroplasty
by Karl KnahrDuring the 2011 EFORT Congress in Copenhagen, many interesting topics relating to tribology in total hip arthroplasty were discussed during a special day devoted entirely to the subject. EFORT decided that, given the wide interest in these discussions, publication of the presentations would be warmly welcomed by all fellow professionals who were unable to attend. This book is the result. It provides detailed information on currently used articulating materials and their wear performance. Clinical outcomes are discussed, and important new frontiers are carefully considered. The book will be of interest both to novices who want to learn more about the field and to experienced orthopaedic surgeons wishing to keep abreast of the latest developments.
Total Hip Arthroplasty: Tribological Considerations and Clinical Consequences
by Karl KnahrIn recent years the 'Tribology Day' has become a recognized highlight of the EFORT Congress, and at the 2012 Congress in Berlin an entire day was once again devoted to tribology in total hip arthroplasty. EFORT decided that, given the wide interest in tribology, publication of the presentations would be warmly welcomed by fellow professionals who were unable to attend. The resulting book includes all presentations delivered on the day and covers a range of interesting topics. Up-to-date information is provided on the various articulating materials, and all the articulations recently used in total hip arthroplasty are discussed, with provision of clinical data. The book will be of interest not only to experienced surgeons but also to trainees and residents who wish to extend their knowledge of total hip arthroplasty.
Total Hip Arthroplasty: Medical and Biomedical Engineering and Science Concepts
by Emre TokgozTotal Hip Arthroplasty: Medical and Biomedical Engineering and Science Concepts provides an extensive overview of the most recent advancements in total hip arthroplasty (THA) through a thorough review of the literature in medicine, engineering, mathematics, computing, and related technologies. Coverage includes the most recent engineering and computing techniques such as robotics, biomechanics, artificial intelligence, and optimization, as well as the medical and surgical aspects of pre-existing conditions, surgical procedure types, postoperative complications, and patient care. This book will be a valuable introductory reference for academics, students, and researchers to THA concepts and advances.
Total Hip Replacement: Effect of Inclination and Anteversion Angle on the Performance of Epoxy-UHMWPE Acetabular Cup (SpringerBriefs in Applied Sciences and Technology)
by Solehuddin Shuib Ahmad Zafir Romli Muhammad Faris ManapThis book highlights the critical challenges faced in total hip replacement (THR) procedures, particularly concerning the performance and longevity of acetabular components. Despite advancements in implant technology, issues such as improper orientation and material failure continue to result in complications, including dislocation and wear. Recognizing the need for more reliable solutions, this book explores the optimization of safe zone orientation and the development of composite materials, specifically focusing on metal-on-polymer (MoP) implants. By investigating these factors through numerical analysis, finite element analysis (FEA), and experimental studies, the book seeks to enhance implant performance, reduce failure rates, and ultimately improve patient outcomes in THR surgeries.
Total Intravenous Anesthesia and Target Controlled Infusions
by Keira P. Mason Anthony R. AbsalomThis is a comprehensive and authoritative presentation of total intravenous anesthesia (TIVA) and target controlled infusion (TCI). The editors' international reputation has enabled them to recruit leading experts from around the world to write single-author chapters in their area of expertise. Total Intravenous Anesthesia and Target Controlled Infusions is the first multi-disciplinary, globally authored volume on the topic. Providing a single source of information on all aspects of TIVA and TCI, from pharmacologic modeling and the pharmacology of intravenous anesthetic drugs to practical considerations in the clinical setting and the requirements of special populations, Total Intravenous Anesthesia and Target Controlled Infusions examines the debate about the risks and advantages of TIVA, analyze outcome studies, and provides guidance on creating a curriculum to teach TIVA and TCI.
Total Knee Arthroplasty
by E. Carlos Rodríguez-Merchán Sam OussedikThis book offers a comprehensive guide to total knee arthroplasty (TKA) that will assist in achieving excellent outcomes based on a sound understanding and technique. After an introductory section on the native knee that covers the anatomy, physiology, biomechanics, and patterns of disease, all aspects of primary knee arthroplasty are discussed in detail. Individual chapters are devoted to topics such as acute pain management, the role of technological aids, prosthetic kinematics, alignment targets, unicompartmental arthroplasty, patellar resurfacing, outcome measures, and cost-effectiveness. An extensive section explains the causes and management of potential complications, including aseptic failure, infections, and periprosthetic fracture. The surgical techniques appropriate for revision knee arthroplasty are described separately, and guidelines on how to deal with bone loss, instability, and extensor mechanism failure are provided. The authors are all respected experts from the United Kingdom, United States, Australia and Europe.
Total Knee Arthroplasty
by Theofilos KarachaliosThis book focuses on the current clinical practice, outcome and the future development of Total Knee Arthroplasty (TKA) in surgical settings. A major objective of this work is to address "What is the optimal design and fixation of the implants we use for knee arthroplasty reconstruction? What are the gold standards? and, Can we do better?". In an attempt to throw light on these questions, the authors evaluate data from clinical studies and assess various factors which may influence the long term outcome of TKA. Many variables such as age, severity, implant design and surgical techniques for appropriate component placement and soft tissue balancing are explored in great detail by expert surgeons in the field. Total Knee Arthroplasty: Long Term Outcomes will be a useful resource for recently qualified surgeons in search of an introduction to this topic and for more experienced surgeons seeking an in-depth critical review of current practices in TKA.
Total Knee Arthroplasty: A Review of Medical and Biomedical Engineering and Science Concepts
by Emre Tokgoz Sarah Levitt Diana Sosa Nicholas A. Carola Vishal PatelTotal Knee Arthroplasty: Medical and Biomedical Engineering and Science Concepts provides an extensive overview of the most recent advancements in total knee arthroplasty (TKA) through a thorough review of the literature in medicine, engineering, and technology. Coverage includes the most recent engineering and computing techniques, such as robotics, biomechanics, artificial intelligence (AI), deep learning (DL), machine learning (ML), and optimization, as well as the medical and surgical aspects of pre-existing conditions, surgical procedure types, surgical complications, patient care, and psychological factors. This book will be a valuable introduction to TKA concepts and advances for academics, students, and researchers.
Total Marrow Irradiation: A Comprehensive Review
by Jeffrey Y. C. Wong Susanta K. HuiThis book, written by a team of international experts, concisely reviews the rationale and clinical application of image-guided total marrow irradiation, a rapidly emerging area in radiation oncology and hematopoietic cell transplantation. The aim is to provide the practicing radiation oncologist, hematologist, medical physicist, and bone marrow transplant researcher with a fundamental understanding of key aspects and an appreciation of the increasing significance of total marrow irradiation as conditioning for bone marrow transplantation. Detailed attention is paid to the impacts of recent advances in radiation therapy technology, functional PET and MRI, and understanding of the response of bone marrow to radiation. Full consideration is also given to the ways in which technological advances in image-guided radiation therapy have created new opportunities to treat bone marrow transplant patients with limited transplant options due to advanced disease, age, or co-morbidities. Further topics covered include the ways in which cancer stem cells and the marrow microenvironment influence response to radiation therapy and the implementation of new-generation predictive radiobiologic factors in the clinic.
Total Parenteral Nutrition in the Hospital and at Home
by Khursheed N. JeejeebhoyIt is therefore obvious that good patient management necessitates the use of an alternative route of nutritional support in patients unable to eat or absorb an oral diet. This alternative is parenteral nutrition, which is the subject of this book. While there are many texts on the subject of parenteral nutrition, very few if any are directed to the practical details of organizing the delivery of parenteral nutrition from a multidisciplinary point of view. In this publication we present the practice of parenteral nutrition as viewed by a team of a physician, nurse, and pharmacist.
Total Purchasing: A Model for Locality Commissioning
by Rod Smith Fran Butler Mike PowellThis text is based on the practical experience of pilot schemes which have identified a variety of opportunities and innovative ideas which others can adopt and develop. This book is a reference for principals and managers of fundholding practices, those thinking about becoming fundholders, and for the managers of provider units seeking to expand their services, including the commissioning authorities.
Total Quality in Radiology: A Guide to Implementation
by Sudhir AroraTotal Quality is a practical, proven approach to management that is successfully being applied throughout American industry-and more recently in health care organizations. Total Quality in Radiology: A Guide to Implementation is designed to be used by the neophyte or experienced quality improvement practitioner. Written by two authors with extensive experience in departmental leadership, problem solving, and improvement programs, this new book provides the reader with a step-by-step, practical approach for implementing total quality in a radiology department.The book covers all the principles of total quality and provides the basic tools necessary to begin and implement a detailed QI program.For the administrator, there are examples of actual radiology improvement projects that have been implemented in U.S. hospitals-including successes and setbacks. Lessons learned and pitfalls are openly discussed.For the radiologist, there is a fresh new look at quality from the "customer's" perspective-the patient and referring physician. Examples of programs "in operation" are provided as well as suggestions for other areas where radiology-initiated quality programs may have a positive impact on patient outcome.This book has something for those who want relief from crisis management and wish to maintain an abiding commitment to an improved health care workplace.
Total R & D Management: Strategies and Tactics for 21st Century Healthcare Manufacturers
by Roger DabbahDrawing on a lifetime of experience, Roger Dobbah gives readers an in-depth view of R&D survival strategies and tactics and demonstrates how to apply them to any organization. The author provides insights into the role of R&D, the crucial topic of creativity and innovation, and the differences and similarities between general management and R&D man
Total Recall: How the E-memory Revolution Will Change Everything
by Gordon Bell Jim GemmellIt will soon be possible to record, store, and recall everything one has ever seen, heard, read, or done. It's not science fiction; it will be the result of new innovations in memory and search technologies. Authors Bell (principal researcher, Microsoft Research) and Gemmell (senior researcher, Microsoft Research) illustrate the inevitability of the new technologies, entitled Total Recall, and how they will change lives and enable people to maintain their health, improve their education, and improve the quality of their work lives. The authors discuss the technologies and research, show readers how to begin creating their own e-memory with today's technology, and address potential drawbacks, such as piracy and ethics issues. Annotation c2010 Book News, Inc. , Portland, OR (booknews. com)
Total Reflexology of the Hand: An Advanced Guide to the Integration of Craniosacral Therapy and Reflexology
by Martine Faure-AldersonHow to apply the precise treatment techniques of Total Reflexology, which combines craniosacral therapy and foot reflexology, to the hands • Explains the special relationship between the hand and the brain, making hand reflexology ideal for treatment of neurological, mental, and emotional disorders • Details how to use the occipital zones of craniosacral therapy to pinpoint which zones and points on the hands to treat • Includes full-color detailed maps of the pressure points and zones of the hands One of the most defining physical characteristics of humanity, the hands contain reflex zones and pressure points related to the systems and organs of the body just like the feet. The reflex zones and points of the hands present the most effective means of treating psychological and neurological disorders due to their sophisticated relationship with the brain. Applying her ground-breaking combination of reflexology and craniosacral therapy to the hands, Dr. Martine Faure-Alderson explains how to use hand reflexology to treat the brain and each of the body’s systems, from the digestive system to the human energetic system. She provides precise full-color mapped hand diagrams illustrating the exact placement of the points according to the bones of the hands, the result of more than 40 years of research and clinical practice. She explains how to use the occipital zones of craniosacral therapy to pinpoint which zones and points on the hands to treat. Examining the psychological level of brain-hand interactions, the author reveals how neurological dysfunctions and mental disorders respond more readily to hand reflexology than to other forms of therapies. She explains how many physical ailments have a psychological component and how reflexology automatically triggers the release of endorphins by working directly on the autonomic nervous system. The author explores the role of nutritional supplements, including Omega 3s, as a support to reflexology therapy and shows how finely tuned reflexology stimulates the body’s self-healing abilities and cellular regeneration, making this an indispensable resource for holistic health practitioners and for home self-care.
Total Scar Management: From Lasers to Surgery for Scars, Keloids, and Scar Contractures
by Rei OgawaThe purpose of this book is to discuss available treatments for “scars” and analyze their mechanisms from an international perspective. “Scars” are now receiving considerably more attention internationally, because the topic of patients’ quality of life (QOL) of patients has gained in importance. Total Scar Management highlights many “new” and “practical” topics related to scars such as various treatments for post-burn scars, traumatic scars, keloids and hypertrophic scars, aesthetic management of scars, reconstructive surgery of scar contractures, basic researches, etc. Written by an international team of prominent experts in their respective fields, the book presents the latest and most helpful advances regarding “scars,” offering a unique resource for all plastic surgeons, dermatologists, aesthetic surgeons, wound surgeons, wound healing specialists, and general surgeons who are interested in the aesthetic outcomes of their work.
Total, Subtotal and Proximal Gastrectomy in Cancer
by Walter SiquiniThis richly illustrated volume describes the performance of total and subtotal gastrectomy with extended D2 lymphadenectomy by providing a detailed step-by-step guide to both manual and mechanical procedures. Gastric cancer is the fourth most commonly occurring cancer and the second most common cancer-related cause of death worldwide, and surgery remains the only potentially curative treatment. Although several aspects of surgical management are still controversial, all guidelines for the treatment of curable gastric cancer recommend subtotal gastrectomy (for tumors located in the antrum and corpus) or total gastrectomy (for tumors located in the fundus) with extended D2 lymphadenectomy. Various technical tips and secrets are revealed that serve to simplify the procedure and simultaneously make it more effective: by rendering esophagojejunal and gastrojejunal anastomosis more secure, the risk of leakage is minimized. High-quality intraoperative color photographs and drawings covering all steps facilitate understanding of these complex operations and will prove an invaluable tool for surgeons, residents and professionals in the field.
Total Synthesis of Indole Alkaloids: Based on Direct Construction of Pyrrolocarbazole Scaffolds via Gold-Catalyzed Cascade Cyclizations (Springer Theses)
by Junpei MatsuokaThis book explores efficient syntheses of indole alkaloids based on gold-catalyzed cascade cyclizations, presenting two strategies for total synthesis of these natural products based on gold-catalyzed reactions of conjugated diyne or ynamide. The book first describes the total and formal synthesis of dictyodendrins A–F based on direct construction of the pyrrolo[2,3-c]carbazole core using the gold-catalyzed annulation of azido-diynes and protected pyrrole. This synthetic strategy features late-stage functionalization of the pyrrolo[2,3-c]carbazole scaffold at several positions and allows diverse access to dictyodendrins and their derivatives. Secondly, the book discusses the formal synthesis of vindorosine based on the pyrrolo[2,3-d]carbazole construction using the gold-catalyzed cascade cyclization of ynamide. Importantly, the reaction using a chiral gold complex provides the optically active pyrrolo[2,3-d]carbazole. This strategy facilitates the rapid construction of the pyrrolocarbazole core structure of aspidosperma and related alkaloids, including vindorosine. These methodologies can accelerate the medicinal application of pyrrolocarbazole-type alkaloids and related compounds.
Total Synthesis of Natural Products
by Jie Jack Li E. J. Corey'Total Synthesis of Natural Products' is written and edited by some of today's leaders in organic chemistry. Eleven chapters cover a range of natural products, from steroids to alkaloids. Each chapter contains an introduction to the natural product in question, descriptions of its biological and pharmacological properties and outlines of total synthesis procedures already carried out. Particular emphasis is placed on novel methodologies developed by the respective authors and their research groups. This text is ideal for graduate and advanced undergraduate students, as well as organic chemists in academia and industry.