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This second edition provides the most up-to-date information on all aspects of palliative care including recent developments (including COVID-19), global policies, service provision, symptom management, professional aspects, organization of services, palliative care for specific populations, palliative care emergencies, ethical issues in palliative care, research in palliative care, public health approaches and financial aspects of care. This new Textbook of Palliative Care remains a unique, comprehensive, clinically relevant and state-of-the art book, aimed at advancing palliative care as a science, a clinical practice and as an art. Palliative care has been part of healthcare for over fifty years but it still needs to explained to many. Healthcare education and training has been slow to recognize the vital importance of ensuring that all practitioners have a good understanding of what is involved in the care of people with serious or advanced illnesses and their families. However, the science of palliative care is advancing and this new edition will contribute to a better understanding. This new edition offers 86 updated or new chapters out of 108, written by experts in their given fields, providing up-to-date information on a wide range of topics of relevance to those providing care towards the end of life no matter what the disease may be. We present a global perspective on contemporary and classic issues in palliative care with authors from a wide range of disciplines involved in this essential aspect of care. The Textbook includes sections addressing aspects such as symptom management and care provision, organization of care in different settings, care in specific disease groups, palliative care emergencies, ethics, public health approaches and research in palliative care. This new Textbook will be of value to practitioners in all disciplines and professions where the care of people approaching death is important, specialists as well as non-specialists, in any setting where people with serious advanced illnesses are residing. It is also an important resource for researchers, policy-and decision-makers at national or regional levels. Neither the science nor the art of palliative care will stand still so the Editors and contributors from all over the world aim to keep this Textbook updated so that the reader can find new evidence and approaches to care.

The book covers all aspects of menopause, from the physiology of menopause to all the associated health risks. It provides concise and easy-to-understand literature. It includes algorithms and tables to help in a deeper understanding of the subject. The book covers the latest evidence on hormone therapy describing its risks and benefits. It discusses the effect of menopause on bone health and breast cancer and the latest research studies related to it at length. It deliberates lifestyle interventions that can help manage menopausal symptoms and reduce health risks, including diet, exercise, stress reduction, and complementary therapies such as acupuncture. In addition, it describes sexual health, psychological issues, and bone health at menopause. Chapters include recent scientific studies and guidelines.The book is a useful reference for consultants, menopause practitioners, healthcare providers, graduate students, residents and trainees.

This is an open access book.How Designers are Transforming Healthcare is a bold manifesto for change, demonstrating the value of a strategic design-led approach. Drawing on a rich array of real-world projects, this book illustrates how designers, in collaboration with clinicians and consumers, are co-creating transformative change across healthcare environments, products, services, and systems.In a fascinating multi-voice conversation, this book outlines how design methods and mindsets, including co-design, prototyping, design and futures thinking, facilitates creative problem-solving. The ideas, tools, and challenges in How Designers are Transforming Healthcare make it a vital text - a doer's guide - for designers, clinicians, academics, consumers, and policymakers seeking innovative strategies for engagement, innovation and improvement in healthcare.

This book sheds new light on the anatomy, pathophysiology, clinical implications, and surgical interventions for diastasis of the rectus abdominis muscles. Diastasis recti is a prevalent condition, affecting approximately one-third of women post-delivery. Often dismissed as merely an aesthetic issue, recent research over the past 15 years has revealed its profound functional implications on core stability, lumbar support, pelvic floor function, and the overall integrity of the antero-lateral abdominal wall. The chapters cover topics such as the latest advancements in minimally invasive surgery—including laparoscopic, endoscopic, and robotic techniques—highlighting how these methods effectively address the functional issues associated with diastasis recti. Readers will discover insights into how this condition can be a significant risk factor for linea alba hernias and the recurrence of umbilical and median incisional hernias. Contributions from renowned experts provide a comprehensive analysis of current research and personal experiences, making this book an essential resource for understanding and treating diastasis recti.

This thoroughly revised second edition features a collection of case studies of cerebrovascular disease. The cases are carefully selected to provide an insight into the different kinds of stroke syndromes from the common through to more rare presentations of cerebrovascular pathology. New topics covered include mechanical thrombectomy and advanced imaging techniques which have been developed and brought into clinical practice over the past five years. A range of diagnostically challenging cases are also discussed. Each case is worked through with a discussion on presentation, clinical features, examination, radiological findings and management. Key clinical and radiological learning points are highlighted assisting the reader to quickly extrapolate the most important information covered in each chapter. Stroke Medicine: Case Studies from Queen Square is a detailed case-based resource based-upon the experiences of leading figures in the field. Therefore, itis ideal for use by both medical students and physicians in all stages of training from foundation years through to consultancy who wish to learn more about this subject.

This books focuses on all main medical disorders that affect the sexual health of patients. From the medical disorder and its impact on sexuality and from the sexual symptom as signal of underlying disease, this book highlights the importance of the sexual interview as essential element of medical history. The aim is to increase the scientific knowledge in human sexuality and sexual health in order to optimize the identification of the pathophysiology of sexual dysfunction from disease and to increase the quality of life of patients, promoting the proactivity of doctors in the care of the sexual sphere. Many medical disorders have negative effects on the different dominions of sexual function (desire, arousal, orgasm, ejaculation, and pain). Chronic disease also affects subsidiarily sexual function in many ways, including fatigue, pain, dependency impairment of self-image and impacting relationships. On the other hand sexual symptoms may be a signal of serious underlying disease. This book will be of benefit to GPs, gynecologists, andrologists, sexual medicine professionals, and all healthcare providers interested in the topic.

This volume contains the proceedings of the 2023 iteration of the ISPGAYA conference, titled “Digital Sustainability: Inclusion and Transformation” and held in Vila Nova de Gaia, Portugal. The conference and resulting book intend to explore the involvement of Portugal, a country on the semi-periphery of the world system, in developments regarding the understanding of and progress toward sustainability. The conference was organized by ISPGAYA, an institution belonging to the private polytechnic higher education system in Portugal, and brought together participants from around the world. This volume intends to establish a milestone in the multidimensional approach to the theme of sustainability, affirming the concept's multi and interdisciplinary nature and bringing together scholars across disciplines.

Pelvic Floor, Perineal, and Anal Sphincter Trauma During Childbirth is a comprehensive text that focuses on the maternal morbidity associated with childbirth. The book is edited by a reputable international team of obstetricians and urogynaecologists who have an in-depth knowledge of the subject and are actively involved in training and research. In recognition of the longstanding global diversity in obstetric practice and the management of its sequelae, the authors have compiled the ultimate evidence-based textbook that examines the diagnosis, pathophysiology, management, and prevention of obstetric trauma. It is known that the majority of doctors and midwives have suboptimal training in the anatomy and repair of perineal and anal sphincter trauma. This book aims to address these deficiencies by providing a comprehensive approach in the understanding of this anatomy and provides tips on making an accurate diagnosis and classification of perineal trauma. The dilemmas surrounding repair techniques and management of subsequent pregnancies are fully debated and preventative strategies are highlighted. Chapters on female genital mutilation, the management of faecal incontinence, caesarean section, pre-existing bowel conditions, sexual dysfunction and litigation are also Included. This book is essential reading for all who are involved in obstetric care both in the labour ward and even years after parturition; obstetricians, midwives, family practitioners, colorectal surgeons, gastroenterologists, physiotherapists, continence advisors and lawyers can all glean knowledge applicable to their own specialty. In everyday practice, the text can also serve as a handbook for quick reference and should therefore be easily accessible in all antenatal clinics labour ward rooms and perineal/pelvic floor clinics.

This handbook constitutes state-of-the-art research covering topics such as chemical constituents of biomass, their specific properties, characterization and different applications. The contents also discuss challenges and issues involved in its applications. This volume brings together a number of biomass-derived potential renewable elements and its circular economy approach in one place. The content includes industrial applications and fills the gap in laboratory research works to practical applications in related industries. The book gives an insight towards the circular economy approach by the biomass, different gross morphologies of biomasses and the valuable chemical constituents that can be derived from the biomass and moreover the potential applications of all those constituents. It enables researchers and scientists to get informed of the designs to improve existing utilization of biomass in an efficient manner and deliver better products at lower cost.The volume isuseful reference for professionals, researchers, industrial practitioners, graduate students and senior undergraduates in the fields of polymer science, bioscience and bioengineering. It also provides an in-depth reference for biomass processors and fabricators and for industry sectors utilizing biomass such as packaging, sensors, film manufacturers, medical device manufacturers and biomedical engineers.

This book constitutes the refereed post-conference proceedings of the 12th International Conference on Mobile Communication and Healthcare, MobiHealth 2023, held in November 29-30, 2023 in Vila Real, Portugal. The 35 full papers of MobiHealth 2023 were carefully selected from 111 submissions and present science and technology aspects in the field of wireless communication, mobile computing and healthcare applications. The conference papers are organized in topical sections on: Medical, communications and networking; Digital imaging and communications in medicine (DICOM). Biomedical, and health informatics; Multimedia e-Health data exchange services. Signal/Data processing and computing for health systems.

This textbook presents real-world cases and discussions that introduce the various psychiatric syndromes found in the aging population before delving into the core concepts covered by geriatric psychiatry curricula. The text follows each case study with the vital information necessary for physicians in training, including key features of each disorder and its presentation, practical guidelines for diagnosis and treatment, clinical pearls, and other devices that are essential to trainees in geriatric psychiatry. With the latest DSM-5-TR guidelines and with rich learning tools that include key points, review questions, tables, and illustrations, this text is the only resource that is specifically designed to train both US and Canadian candidates for specialty and subspecialty certification or recertification in geriatric psychiatry. It will also appeal to audiences worldwide as a state-of-the-art resource for practice guidance. The text meets the needs of the future head on with its straightforward coverage of the most frequently encountered challenges, including neuropsychiatric syndromes, psychopharmacology, elder care and the law, substance use disorders, psychiatric comorbidities in systemic medical illness, consultation-liaison psychiatry, palliative care, climate change and health, and equity/diversity/inclusion matters in the care of older adults. Written by experts in the field, Geriatric Psychiatry: A Case-Based Textbook, 2nd edition will be the ultimate resource for graduate and undergraduate medical students and certificate candidates providing mental health care for aging adults, including psychiatrists, psychologists, geriatricians, primary care and family practice doctors, neurologists, social workers, nurses, and others.

This book introduces neurourology as an emerging interdisciplinary area that covers the basic and clinical studies of the neural control on the normal lower urinary tract and the lower/upper urinary tract dysfunction due to neuropathy disorders. It systematically describes all aspects of neurourology from the epidemiology of the neurogenic bladder; to the pathology and pathophysiology of the lower urinary tract; to the diagnosis and treatment of the neurogenic bladder by conservative therapies or surgeries. This book provides a useful resource for medical doctors, nurses and students in the field of neurourological conditions.In this 2nd edition, 15 chapters are added, e.g. on urodynamic practice, psychogenic reasons of LUTDs, standard of care, physiotherapy, upper urinary tract rehabilitation to enable self-catheterization, pediatric neurourology, new surgical procedures. The editors have invited an impressive number of renowned contributors, including 98 internationally recognized specialists in this field from 25 countries in Europe, Asia, North America, and South America. This handbook provides a useful resource for medical doctors, nurses and students in the field of neurourological conditions.

This open access book describes the latest advances in the anal incontinence diagnostic and therapeutic processes. Anal incontinence is a devastating condition heavily impacting on the patients'lives. Those suffering from this disorder are generally very embarrassed and reluctant to undergo an appropriate clinical evaluation, thus becoming more isolated and worsening the quality of their life. Luckily, nowadays a wide range of treatments is available to improve this oppressive condition; however, the recognition of the related pathophysiological alterations is mandatory to grant its successful management. This volume will help the surgeons community to keep abreast of developments in diagnostics and treatment of this impairing condition. and will provide all health professionals with the appropriate tools to face this impairing condition.

This book offers practitioners a comprehensive reference to light-based treatments that combines theory and best practices. It is unique in that it compares the various modalities and platforms of laser and IPL treatments while also discussing the most recent technological advancements. It also includes comprehensive treatment protocols, settings, and laser operating procedures. Furthermore, the book compares the mechanism of action of different lasers based on the skin-light interaction according to wavelength, pulse width, and delivery methods, making it invaluable to new practitioners and medical directors in the aesthetic medicine field.The book includes over 100 colour images and videos to help readers better understand techniques and treatment procedures. This visual aid makes the book especially useful when following treatment protocols. Chapters delve into every aspect of laser and IPL in aesthetics, including skin anatomy, hair reduction, vascular lesions, pigmentary conditions, scar remodelling, stretch mark revision, facial rejuvenation, skin toning technologies and wrinkle reduction methods. Furthermore, the book includes two chapters that will help practitioners invest in new and refurbished laser machines. The Ultimate Guide for Laser and IPL in the Aesthetic Field, with its comprehensive coverage of laser and IPL treatments in aesthetics, is an indispensable resource for healthcare professionals looking to refine their skills or refresh their knowledge on light-based treatments. It combines theories with practical aspects to provide the reader with everything they need to know about effective treatment delivery, making it an invaluable reference for any aesthetic practitioner!

Dieses Buch richtet sich an Alle, die sich mit der Beratung und Betreuung zum Thema „Sport in und nach der Schwangerschaft“ differenzierter auseinander setzen wollen. Hierzu bietet es ein fundiertes Wissen, um Schwangere optimal zu betreuen, zu beraten oder zu begleiten. Das Buch gibt einen Überblick über die Grundlagen von sportbezogener Beratung in der Schwangerschaft und beschreibt die Auswirkungen von Bewegung auf den mütterlichen und fetalen Organismus sowie die Effekte auf Psyche und Wohlbefinden. Weiterhin gibt der Leitfaden konkrete Trainingsempfehlungen auf Basis der aktuellen Studienlage, informiert zu Kontraindikationen und geht auf spezielle Themen wie beispielsweise Risikoschwangerschaft und Beckenboden ein.

Pediatric Surgery provides an authoritative, up-to-date and comprehensive analysis of current practice in the field. It is divided into three topical volumes, with a total of seven sections focusing on general principles, newborn surgery, general pediatric surgery, tumor surgery, trauma, transplantation, and pediatric urology surgery. Detailed descriptions of surgical techniques and pre- and postoperative management are provided by experts from various parts of the world.The result is an international reference on the surgical management of both common and rare diseases of infants and children that will be an ideal source of information and guidance for pediatric surgeons, pediatric urologists, neonatologists, pediatricians, and all those seeking more detailed information on surgical conditions in children. The three topical volumes are as follows:General Principles and Newborn SurgeryGeneral Pediatric Surgery, Tumors, Trauma andTransplantationPediatric Urology

The present work corresponds to a compilation of independent contributions in the fields of endocrinology, immunity, cancer, neurobiology, and myology. Revision of current advances as well as novel findings in the form of original articles are presented in a balanced fashion. The book has been divided into three sections in line with the main subject: Molecular pathology of immune, inflammatory, and hemostatic disorders; Molecular pathology of endocrine and muscular disorders; and Molecular pathology of cancer: determinants and potential therapies. In the first section, contributing authors take the reader through the molecular pathology of immune responses, inflammation, and hemostasis, by collating an update on systemic autoimmune diseases, the therapeutic potential of statins in hemostasis, the effects of adrenergic stimulation on coagulation, the emerging field of physical burnout due to the mobility restrictions in response to the 2020 SARS-CoV-2 pandemic imposed worldwide, and the success of community-oriented muscular kinesic rehabilitation. The second section presents engaging results from a survey of iodine intake through the diet of pregnant females, an appraisal of the neuroprotective effect of dexmedetomidine, novel evidence on muscle physiopathology, describing the upregulation of CCL5/RANTES during cholestatic liver disease, the fibrotic response emerging in response to cholic and deoxycholic acids, and the altering effects of bile acids in autophagy and mitogenesis. In the third section, a comprehensive revision of cancer literature is offered with an emphasis on melanoma, myeloid-derived suppressor cells, microRNA-based diagnostic approaches, and new avenues for cancer immunotherapy. Altogether, these individual contributions offer a comprehensive and up-to-date outlook of the current state in the field of molecular pathology.Chapter 14 is available open access under a CreativeCommons Attribution 4.0 International License via link.springer.com.

This book is a comprehensive, up-to-date reference on general and subspecialty gynecology. Covering all aspects of gynecology commonly encountered in day-to-day practice, this exhaustive and fully updated new edition provides a practical, one-stop reference work for clinicians working in the field.This carefully-designed volume includes ten sections, beginning with comprehensive coverage of office-based gynecology, and continuing on to present disease processes and management information by patient age group. Each chapter includes background information, current recommendations for screening, diagnostic criteria, common and uncommon associated problems, approach to diagnosis, summary of treatment options, and an overview of ICD-10 codes for specific diagnoses. Importantly, many areas that are covered in the handbook as subspecialty problems are pertinent and important information to many of the general practitioners who handle and develop some expertise in these areas. These include ovulation induction, medical management of incontinence, management of abnormal Pap smears, and work-up of abnormal bleeding. The handbook concludes with an easy-to-navigate presentation of minimally-invasive operations, surgical procedures, neoplasms, and pathology. Advantages and risks associated with management of particular diseases are covered, along with multiple tips for avoiding complications.This second edition is fully updated. With extensive updates on cervical cancer screening, pelvic organ prolapse, and more, many chapters will be completely rewritten to reflect the latest guidelines, procedures, and methods of care in women's health. The text additionally includes two new chapters, covering the impact of COVID on gynecology care, and the work-up and surgical management of chronic pelvic pain.This is an ideal guide for practicing gynecologists, family and internal medicine physicians, physician assistants, nurse practitioners, fellows, residents, medical students, and all women's health care providers.

This book provides a comprehensive guide to the latest techniques in female genitourinary and pelvic floor disorders. It features detailed insight into these conditions along with detailed descriptions of how treatment has changed in recent times for these disorders. The latest methodologies for pharmacological treatment, conservative therapy, surgical techniques, and how to avoid potential complications are discussed. Topics including relevant neurophysiology, measurement of urinary symptoms, pelvic organ prolapse and ureteral reconstruction are covered. Female Genitourinary and Pelvic Floor Reconstruction is a detailed resource detailing the latest developments in the field, making it an ideal resource for all clinicians who encounter these patients in their daily practice.

Neuauflage in 3 Bänden: Standardwerk der Urologie für Klinik und PraxisDas in 3 Bänden gegliederte Standardwerk gilt als das umfassendste Nachschlage-Kompendium zum Fachbereich der Urologie. In Zusammenarbeit mit der Deutschen Gesellschaft für Urologie (DGU) und der Akademie der Deutschen Urologen haben die Experten aus Deutschland, Österreich und der Schweiz ein einzigartiges Buch für alle Urologen geschaffen.Die ganze Urologie in 3 Bändenvon der bildgebenden Diagnostik bis zur medikamentösen und operativen Therapieumfangreiche Ausstattung mit hervorragenden Zeichnungen, Fotos, Grafiken und Tabellen an den neuesten Leitlinien orientiertspezielle Tipps für Praxis und Klinikhervorragend didaktisch strukturiert: ideal zum Lernen für die FacharztprüfungZusammenfassung der wichtigsten Fakten eines Kapitels erleichtert die schnelle Informationsaufnahme, wenn die Zeit knapp istNeu in der 2. Auflagekomplett aktualisiert und erweitertneue Abbildungen und Grafikenneue Sektionen: Individuelle Tumortherapie, Geschlechtsinkongruenz, Prothetik, Laparoskopie, Geschichte der Urologie, Prinzipien der Bildgebung'Die Urologie': Ein Buch, an dem man als Urolog•in nicht vorbeikommt.

Plastination is currently considered one of the most innovative forms of conservation of complete bodies, sections and organs, both human and animal, for use in undergraduate and postgraduate teaching, as well as morphological research. In this sense, to develop the various plastination techniques, specific equipment and specialized training of academics are required, who have the ability to carry out the diversity of protocols that exist, depending on the anatomical material to be preserved. The decomposition of organic matter is a vital process in nature, but it is also an impediment to morphological studies and research. This is particularly important in biological specimens that shrink considerably when exposed to normal atmospheric conditions. For this reason, it has always been a constantly pursued objective for anatomists. Plastination, in this regard, is a true alternative in the conservation of perishable biological tissues (complete bodies, complete organs such asbrains, livers, lungs, kidneys, hearts, muscles, joint preparations, cuts in sections of complete corpses) - or from isolated regions, etc.) reaching a dry and imperishable state through the use of different polymers and special plastics, ensuring that the organs, limbs and entire bodies do not lose their texture and apparently normal disposition. This original book describes in detail and in an updated way the plastination techniques for the conservation of human and animal biological material, demonstrating the applications in teaching and research of anatomy, morphological sciences and health sciences. The didactic chapters present the history and the fundamentals of plastination techniques (steps, equipment, supplies, material, temperature), as well as its clinical, surgical and research applications. The work also features biosafety issues and provides Ethical Considerations in Plastination. Advances in Plastination Techniques is intended for a cross-section of academics, technicians and advanced students from all areas of Health Sciences - including Physicians and Dentists - and Veterinary Sciences.

This book is the first to assess the science and techniques used to restore women's figures after pregnancy and breastfeeding, and to explore the anatomical changes in different parts of the body. Post-maternity procedures are the result of a constantly evolving field at the intersection of gynecology and plastic surgery, and consist of a personalized set of surgical and non-surgical cosmetic treatments designed to help women to regain or improve upon their pre-pregnancy appearance. Leaders in the field shed new light on the science behind the natural changes to the body during and after pregnancy, helping readers understand which changes can be treated, and which ones should instead be respected. Divided into sections that anatomically assess the changes in the different parts of the body after pregnancy and breastfeeding, the book clarifies surgical procedures but also investigates the latest non-surgical treatments to improve women's body image. Moreover, readers will learn about the most relevant aspects of psychology and sexuality recovery treatment after pregnancy. Covering all aspects of the evolution and involution of the female body, the book offers essential information for those readers who want to learn about the changes accompanying pregnancy. It will also benefit residents and specialists in gynecology and plastic surgery, helping them understand how and why performing post-maternity procedures can be challenging for young and veteran doctors alike. In addition, it offers an important resource for fellowships in body shaping techniques and an invaluable reference guide for those readers who wish to specialize in post-maternity procedures.

Ovarian aging is a core factor in female aging, leading not only to reduced reproductive function such as infertility, recurrent pregnancy loss and congenital anomalies, but also to perimenopausal syndromes, genitourinary syndrome of menopause and related diseases (osteoporosis, cognitive disorders, cardiovascular disease, etc.). This book comprehensively presents the latest research progress of ovarian aging worldwide, and systematically explain the mechanism of the rise and fall of ovarian function. It will be a valuable reference for gynecologists and practitioner working in ovarian aging.

This book is focused on a clinical-based diagnostic approach of autonomic dysfunctions, highlighting main diagnostic tools and pharmacological and non-pharmacological therapies available nowadays. The autonomic nervous system (ANS) is a subcomponent of the peripheral nervous system (PNS) and dysfunction of one or more subdivisions of the ANS, when accompanying other diseases, is linked to a worse prognosis of the latter. In some circumstances or when severe, dysfunction of ANS itself results in symptoms and disability. A myriad of factors can cause autonomic dysfunction and more than one can concur even in the same patient; due to the expansive nature of the ANS, patients can be affected by a wide range of conditions. Each chapter is characterized by a similar structure and is devoted to a different dysfunction. For each pathology, the book offers the essential information on mechanisms of action, treatments and outcomes. Written by experts in the research of these disorders, the volume addresses primarily Neurologists, but will be a useful tool also for Gastroenterologists, Ophthalmologists, Urologists, Cardiologists and Internal medicine specialists.

This book provides a practically orientated resource that details the use a range of imaging techniques across major specialties plus those that are less well represented in standard textbooks (e.g. cardiothoracic surgery, palliative care, geriatric medicine, skin conditions from diverse ethnic groups). Emphasis is placed on enabling the reader to interpret images and clinical data, while avoiding mistakes and pitfalls in their day-to-day practice. Detailed question and answer sections along with insightful videos reinforce key messages (e.g. visualizing heart murmurs). Grading of questions aids navigation, with more difficult questions to benefit the high-flying students/junior doctors preparing for postgraduate exams/physician associates and advanced nurse practitioners working in a specialist area.Practical Guide to Visualizing Medicine: A Self-Assessment Manual concisely covers how to use imaging techniques in medicine, surgery, pediatrics, obstetrics and gynecology. It emphasizes the value of being able to accurately visualize signs and symptoms to make accurate diagnoses and provide patient-centered care. The added insight given from experienced medical educators on how to select an appropriate medical specialty makes this work critical for all trainee and early-career medical practitioners and allied healthcare professionals.

This heavily revised third edition gives an essential textbook which provides a comprehensive guide to robotic surgical techniques in urology. Extensively updated chapters cover general aspects of surgery such as aspects of operating room preparation and anesthesia. Instructions on how to use a variety of the latest techniques for procedures associated with the kidney, prostate, bladder and testicle are covered. Detailed information on how to improve outcomes, avoid potential complications and pitfalls is also provided. Instructive video clips assist the reader in being able to visualize how to enhance their methodologies further.Robotic Urologic Surgery is a detailed up-to-date resource that includes contributions from leading robotic urologic surgeons from around the world. It assists readers in refining their surgical technique and improving their patient care. Therefore, it is a critical resource for all practicing and trainee physicians involvedin the care of these patients.

Obwohl sich zahlreiche Fachgruppen als auch die Deutsche Rentenversicherung und die Krankenkassen an der Rehabilitation von Patienten mit urologischen und uro-onkologischen Erkrankungen beteiligen, existiert für diese Patienten kein standardisiertes Rehabilitationsprogramm. Zurzeit ist es den Rehakliniken noch weitgehend selbst überlassen, welche Beratungsangebote und Leistungen sie zur Behandlung von charakteristischen postinterventionellen Beschwerden und sozialen Situationen unabhängig von vorgehaltener fachspezifischer personeller und apparativer Infrastruktur und Kompetenz anbieten.Dieses Buch verbindet Praxis- und Fachwissen aus der Rehabilitation von urologisch Erkrankten und stellt es interessierten Kollegen zur Verfügung.Dazu zählt sowohl die Rehabilitation von Störungen der Blasenfunktion als auch von Störungen der Sexualfunktion. Weiterhin werden die Maßnahmen aufgrund der spezifischen Veränderungen nach einer Zystektomie mit den verschiedenen Formen der Harnableitung besprochen. Auch Komplikationen und Folgeschäden nach invasiver Intervention, z.B. einer Operation wie z.B. Lymphödeme im Bein- und unteren Rumpfbereich sollten mit behandelt werden. Für die uro-onkologische Rehabilitation werden sowohl bewegungstherapeutische Maßnahmen als auch psychooonkologische Angebote erläutert. Aber auch flankierende Themen wie Ernährung und eine gesunde Lebensweise sind wichtige Bausteine für eine interdisziplinäre Rehabilitation dieser Patientengruppe. Ein kompaktes Praxisbuch für Ärzte aller Fachrichtungen, die Patienten mit urologischen Erkrankungen in der Rehabilitation bestmöglich versorgen möchten.

This heavily revised third edition concisely covers the latest evidence-based treatment strategies for urinary incontinence and prolapse. Chapters cover methodologies relevant to continence procedures, prolapse management, and potential complications. New topics discussed include Colpocleisis, principles associated with managing Mesh complications and the Mirabegron mechanism.Urogynecology: Evidence-Based Clinical Practice 3rd Edition is a vital how-to guide, which is ideal for junior registrars assigned to work in a urogynecology department, as well as for those with no previous formal urogynecological training seeking to develop their understanding of the subject.

In the last 10 years, the management of paediatric urological pathologies has been radically transformed; over 70% of all cases can now be treated with minimally invasive techniques.This book is unique in its format, because for each pathology it explores all MIS techniques available for its treatment (laparoscopy, retroperitoneoscopy, robotics, prone position, pneumovesicoscopy, endourology, laser, fetoendoscopy, etc.). Each technique is described in a dedicated chapter, which includes a video of the procedure that can be viewed online. Written by internationally renowned paediatric urology experts, the book offers a valuable toolkit for surgeons, paediatricians and urologists.

This is the second edition of a well-received, practice oriented, multidisciplinary book filling the gap between evidence-based knowledge on the benefits of physical activity and exercise during pregnancy and postpartum and the implementation of exercise programs and related health promotion measures in pregnant women.Readers will find up-to-date evidence on the psychological, social, physiological, body composition, musculoskeletal, and biomechanical changes that occur during pregnancy and their implications for physical activity and exercise. Further, the authors equip the reader with the latest guidelines and detailed description of exercise testing, prescription, selection and adaptation for pregnant and postpartum women, including those with clinical conditions.This new edition has been thoroughly updated, and includes additional chapters focused on the pedagogical intervention in pre and postnatal exercise programs, exercise prescription and adaptation during postpartum and diet recommendations for the pregnant exerciser and athlete. Written by recognized experts in the field, the book aims to allay undue fears regarding the consequences of exercising during pregnancy. Moreover, it provides medical, sports, and fitness professionals both with the knowledge and the practical expertise needed to offer an optimal guidance on exercising to pregnant exercisers and athletes.

Since the publication of the 7th edition of this book, there has been a remarkable increase in information in several clinical areas, including cardiology, immunology and oncology. This rapid knowledge expansion has led to practice changes for family physicians and other primary care providers. Patients are now discharged from tertiary care hospitals to their home communities with life sustaining left ventricular assist “heart pumps”. Hepatitis C, once an incurable illness, is now routinely cured. Oncology treatment regimens are increasingly becoming ambulatory and individualized. The decreased cost and increasing availability of health monitoring devices will make it possible for physicians to remotely check on the health status of their patients in their homes. With the ongoing and worsening shortage of family physicians across the US, the practice model for family medicine in the future may tend toward a family physician supervising a cast of mid-level providers as they care for a panel of patients, versus the physician providing the majority of care. All of these changes will require practice pattern changes and a need for up to date sources of information for the family physician. In addition, the “family” of family medicine academic organizations is undertaking a major review of the practice, training, funding and evaluation of all aspects of family medicine. Eight family medicine organizations have launched the “Family Medicine for America's Health” (FMAHealth) with the expressed purpose “to strategically align work to improve practice models, payment, technology, workforce and education, and research to support the triple aim”. This project has moved past the study phase and will soon move to the implementation phased. This book is organized into short, focused chapters almost exclusively dedicated to topics relevant to daily practice. All lead authors are themselves accomplished family physicianswho can specifically address the needs, concerns, and interests of this crucial profession. As one of the key reference textbooks for family medicine, it is very important to provide the most up-to-date knowledge to support learners and practitioners of family medicine in the face of rapidly expanding clinical knowledge and the extensive self-examination of family medicine. Family Medicine: Principles and Practice, 8th Edition, is a must-have reference for medical students, residents, practicing physicians, nurse practitioners and physician assistants with an active role in patient care.

This book explores rehabilitation methodology in Evidence Based Medicine (EBM), providing a description of the main traditional strategies used by physiotherapists. It supplies both physiotherapists and students with updated information on scientific professional choices for the patient's benefit by collecting traditional knowledge and trying to answer a fundamental question: is there an objective way of rehabilitating patients by using traditional concepts at the light of new evidences? Every physiotherapist experiences the need of updating his knowledge and professional actions. Research can help but personal experience remains fundamental for clinical reasoning. The book examines rehabilitation strategies, main rehabilitation techniques, as well as scientific practice and suggestions stemming from research. The various rehabilitation strategies and techniques converge in the daily work becoming the basis for operative choices finalizedto solve the patient's needs. Methodology characterizes the work of a physiotherapist who should take care of his scientific education by means of effective teaching plans, educational rules and ethic professional code. This book will be a useful tool for physiotherapy students but also for professionals.

Die systematische Integration der Patientenperspektive in medizinische Entscheidungsprozesse durch Patient-Reported Outcome Measures (PROMs) gewinnt weiter an Bedeutung. Dies gilt insbesondere für Erkrankungen, die mit einem hohen Leidensdruck verbunden sind. Hierzu zählt auch die Harninkontinenz – eine Erkrankung, die überwiegend Frauen betrifft und mit vielfältigen Einschränkungen assoziiert ist. Wichtige PROMs in der Harninkontinenzversorgung sind der Questionnaire for Urinary Incontinence Diagnosis (QUID), der bei der Abgrenzung zwischen Belastungs- und Dranginkontinenz – den beiden häufigsten Inkontinenzformen – unterstützt, sowie der Incontinence Severity Index (ISI), der auf eine Beurteilung des Schweregrads fokussiert. Gegenstand dieses Buchs ist eine Studie unter 161 inkontinenten Frauen, in der QUID und ISI erstmals ins Deutsche übersetzt und evaluiert wurden. Im Zentrum stand die Untersuchung klassischer psychometrischer Gütekriterien wie Sensitivität, Spezifität, Reliabilität und Validität. Im Ergebnis kann der Einsatz beider Fragebögen empfohlen werden. Die mäßige Spezifität des QUID bei der Unterscheidung zwischen Belastungs- und Dranginkontinenz ist jedoch zu berücksichtigen.

Das deutschsprachige Standardwerk zur Urodynamik – jetzt in 4. Auflage! Urodynamik – ein für viele Anwender komplexes Verfahren – wird in diesem Buch praxisnah und strukturiert erläutert. Die Experten aus dem Arbeitskreis „Urologische Funktionsdiagnostik und Urologie der Frau“ der DGU, haben als Herausgeber und Autoren eine detaillierte Darstellung der Funktionsdiagnostik des unteren Harntrakts und ihrer Anwendungsmöglichkeiten geschaffen. Hier finden Sie alle wichtigen Informationen zu Indikation, Durchführung der Untersuchung und Interpretation der Befunde. Zahlreiche Beispiele aus der Praxis erläutern die komplexe Diagnostik anschaulich und verständlich. Auch die spezielle Urodynamik der Frau, des Mannes, des Kindes und des alten Menschen sowie Urodynamik bei Patienten mit neurologischen Erkrankungen werden besprochen. Die Neuauflage des bewährten Standardwerkes wurde komplett überarbeitet und aktualisiert. Ein echtes Praxisbuch und hilfreicher Begleiter in der urodynamischen Diagnostik.

This book collects valuable studies in the field of pelvic medicine, reflecting the latest technologies and innovations for maintaining pelvic floor health and managing incontinence and pelvic floor disorders in both men and women. It provides an authoritative and multidisciplinary perspective from Mediterranean experts in the field, mainly focusing on obstetrics and gynecology, urogynecology, urology, female urology, colorectal surgery, and physiotherapy. Collecting innovative ideas and studies based on recent developments, with detailed background information, the book will shed new light on the subject and serve as a valuable reference guide for graduate students, researchers, and practicing professionals interested in continence and pelvic floor management.

Aesthetic or cosmetic gynecology is a rapidly expanding and much in demand field worldwide. This book covers all aspects of cosmetic gynecology in great details and interdisciplinary fields. It provides information and practical tips on the new evolving and fast growing branch of aesthetic and regenerative gynecology. The book covers basics along with illustrations, practical tips and troubleshooting points. Chapters include anatomy, physiology, pathology and comprehensive management of diseases in relation to cosmetic gynecology. The book explains the basics of techniques and devices used in this field such as several energy based and high tech devices like lasers, Hifu, HIFEM, their safety profile, scope and uses in an easy to understand language supported by illustrations. It also covers complications, controversies and medicolegal issues surrounding this field. The book includes chapters from national and international experts of each technique and helps in systematic evidence based learning.The book serves as a comprehensive book for postgraduates and consultants in gynecology, plastic surgery, dermatology, urogynecology, vascular surgery, general surgery, for cosmetologists and those interested in regenerative sciences.

This book provides a complete and thorough guide to the performance of robotic urinary tract reconstruction procedures, including the principals of successful reconstructive techniques in the kidney, ureter, bladder, prostate and urethra. Reviewing patient positioning, trocar placement, instrumentation, detailed steps of procedure, and available outcome data, it outlines both common and advanced techniques, such as revision of uretero-intestinal anastomoses, buccal mucosa graft for long segment ureteral strictures, management of complex fistulas and urethral stricture. Illuminating unusual anatomy, including horseshoe kidney, retrocaval ureter, ureteral duplication, ectopic/malrotated kidneys, and retroperitoneal fibrosis, this book also highlights potential complications, their avoidance and management. Written by experts in the field, Techniques of Robotic Urinary Tract Reconstruction: A Complete Approach guides clinical practitioners in the utilization of advanced novel technology to aid intraoperation and demonstrates the ways in which robotics enables the performance of reconstructive procedures in an area difficult to reach via open techniques.

This book applies a multi-disciplinary lens to examine obstetric fistula, a childbirth injury that results from prolonged, obstructed labor. While obstetric fistula can be prevented with emergency obstetric care, it continues to occur primarily in resource-limited settings. In this volume, specialists in the anthropological, psychological, public health, and biomedical disciplines, as well as health policy experts and representatives of governmental and non-governmental organizations discuss a scoping overview on obstetric fistula, including prevention, treatment, and reducing stigma for survivors. This comprehensive resource is useful in understanding the risk factors, epidemiology, and social, psychological, and medical effects of obstetric fistula.Topics explored include:A Human Rights Approach Toward Eradicating Obstetric FistulaObstetric Fistula: A Case of Miscommunication – Social Experiences of Women with Obstetric FistulaClassification of Female Genital Tract FistulasTraining and Capacity-Building in the Provision of Fistula Treatment ServicesDesigning Preventive Strategies for Obstetric FistulaSexual Function in Women with Obstetric FistulaSocial and Reproductive Health of Women After Obstetric Fistula RepairMaking the Case for Holistic Fistula CareAddressing Mental Health in Obstetric Fistula PatientsPhysical Therapy for Women with Obstetric FistulaA Multidisciplinary Approach to Obstetric Fistula in Africa is designed for professional use by NGOs, international aid organizations, governmental and multilateral agencies, healthcare providers, public health specialists, anthropologists, and others who aim to improve maternal health across the globe. Although the book's geographic focus is Africa, it may serve as a useful resource for individuals who aim to address obstetricfistula in other settings. The book may also be used as an educational tool in courses/programs that focus on Global Health, Maternal and Child Health, Epidemiology, Medical Anthropology, Gender/Women's Studies, Obstetrics, Global Medicine, Nursing, and Midwifery.

The book encompasses the different concepts and designs using magnets for surgical purposes. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. The text reviews new data about interventions in all medical and surgical fields. Written by experts in their fields, topics focus on endoluminal and laparoscopic operations, techniques from vascular and GI anastomosis. The book demonstrates the use of magnets to treat a variety of diseases such as reflux, back pain, and fecal incontinence. The reader will learn how to retract and gain exposure, dissect tissue planes, achieve hemostasis, and create anastomosis in a totally different way. Physical properties of external surface and internal magnets are discussed. The authors emphasize the importance of partnering with industry leaders to develop novel surgical tools.By harnessing the power of attraction, the energy and might of magnets, Magnetic Surgery serves as a valuable resource for clinicians, surgeons and researchers in biomedical engineering interested in this form of energy and physical metal properties. In utilizing these properties, the book seeks to improve surgical outcomes of patients worldwide.

This book covers the management of various metabolic, nutritional and hormonal complications that arise after bariatric surgery. Until now bariatric surgeons have focused on mastering the surgical technique and reducing surgical complications. A number of metabolic and nutritional complications in the post-surgical phase can remain undiagnosed or unreported with a potential for irreversible morbidity. The book is edited by a team of experienced surgeons and bariatric nutritionists to provide a balanced perspective on the subject. It includes chapters on the prevention and subsequent diagnosis and management of these complications early in the course and explaining each complication with one or more suitable case reports. This book is relevant for practicing as well as aspiring bariatric surgeons, nutritionists/dieticians and bariatric physicians.

This handbook examines health and medical care in the Arab world from a systems biology approach. It features comprehensive coverage that includes details of key social, environmental, and cultural determinants. In addition, the contributors also investigate the developed infrastructure that manages and delivers health care and medical solutions throughout the region.More than 25 sections consider all aspects of health, from cancer to hormone replacement therapy, from the use of medications to vitamin deficiency in emergency medical care. Chapters highlight essential areas in the wellbeing and care of this population. These topics include women's health care, displaced and refugee women's health needs, childhood health, social and environmental causes of disease, health systems and health management, and a wide range of diseases of various body systems. This resource also explores issues related to access and barriers to health delivery throughout the region.Health in the Arab world is complex and rapidly changing. The health burden in the region is distributed unevenly based on gender, location, as well as other factors. In addition, crises such as armed conflicts and an expanding migrant population place additional stress on systems and providers at all levels. This timely resource will help readers better understand all these major issues and more. It will serve as an ideal guide for researchers in various biological disciplines, public health, and regulatory agencies.

This book is designed as a guide for management of advanced clinical scenarios encountered by the contemporary pelvic floor surgeon. It is organized by pelvic floor disorder (PFD) and covers the evaluation and treatment of urinary incontinence, fecal incontinence, and pelvic organ prolapse. Opening chapters in each section cover the fundamentals of proper and comprehensive assessment of patient PFDs, as well as the treatment options that are available for each disorder. The book then focuses on more complex and challenging situations that are becoming more frequently encountered as the number of patients being treated for PFD increases and the length of patient follow-up grows. Each chapter finally includes an expert commentary to address these new scenarios and offers a shifted approach from that required for treatment-naïve patients.Female Pelvic Medicine: Challenging Cases with Expert Commentary teaches the reader how to approach the most difficultof clinical situations in a multidisciplinary fashion.

This book provides to nurses an understanding of female sexual function and dysfunction specifically in relation to common gynecological conditions. It offers evidence based overview of assessment of sexual function, including available questionnaires and provides a multidisciplinary approach to managing sexual dysfunction, from incontinence to pelvic organ prolapse and recurrent urinary tract infections. It also covers a holistic approach including over the counter and home treatments, psychological therapies, physical therapies, pharmacological options and if necessary more invasive interventions. Sexual function and pelvic floor dysfunction is often a neglected area due to the taboo nature of discussions. This book aims to educate nurses, to help them understand the types of treatment options available, and encourage them to engage in conversations about sexual function with women, so that they can be referred to appropriate healthprofessionals and access the right care.