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This book explores various practices and policies related to ageing issues in India. It addresses ageing concerns from a theoretical and empirical viewpoint with in-depth analyses of existential dimensions of ageing. It provides deep insights into ageing in India by discussing demographics related to health and social differentials, gender concerns, retirement problems, epidemiological transition taking place in the country with rising problem of dementia and mental health problems. It consists of 23 chapters written by various established as well as upcoming scholars in the field. The authors cover a broad range of topics with regard to provisions for institutional care, geriatric practice and emerging issues of elder abuse. The book will appeal to professionals and to lay people getting interested in ageing India from a social, health, gender, economic, psychological and emotional aspects.

The number of Americans 65 years of age or older is projected to more than double to over 98 million by 2060, making them 24% of the overall population. Women constitute more than 50% of this group. Most clinicians who provide primary care for older women receive minimal training about their unique health issues and needs during residency however, and few resources exist to guide them regarding these issues in practice.This book provides user-friendly, evidence-based guidance to manage common challenges in healthcare for women during menopause and beyond, filling a huge and growing unmet need for primary care clinicians. Edited by a multidisciplinary team with content expert authors from family medicine, oncology, urogynecology, obstetrics and gynecology, psychology, and more, this text provides clinically relevant information about important conditions impacting the health of older women, including suggested guidelines for management and helpful resources for patient counselling and care. The first half of the book covers general topics such as menopause, bone health, depression and grief, cancer survivorship, and obesity. The second half focuses on issues below the belt that are difficult to talk about, such as incontinence, vulvar pathology, and sexual health after menopause.While there is copious literature about the menopausal transition, few resources for clinicians exist about caring for women beyond the 6th decade. Challenges in Older Women's Health: A primer for clinicians provides focused, evidence-based information about high-yield topics for a too often neglected group of patients.

This book is a comprehensive and easy-to-read guide to obstetrics and gynecology in developing countries. Although significant progress has been made towards the reduction of maternal mortality and morbidity globally, they are still unacceptably high in developing countries. This can be directly or indirectly tied to poor quality maternal health care and lack of access to cost-effective, comprehensive healthcare. Health practitioners in developing countries also contend with trying to keep abreast of recent developments in obstetrics and gynecology while dealing with lack of time, resources, and access to relevant information. This textbook was thus created by experts in obstetrics and gynecology with extensive experience in African clinical settings and consultants in developed countries to teach proper and accurate diagnosis, treatment and management of gynecologic and obstetric health issues within the context of developing countries.This second edition has been fully updated throughout with an added 25+ chapters that cover topics such as reproductive health, gynecological cancers and research methods. The book is divided into six sections: Women's Reproductive Health; Obstetrics; Medical and Surgical Disorders in Pregnancy; General Gynecology; Gynecological Malignancies; Health Systems Organization, Research Methodology and Biostatistics. These section topics have been carefully covered by expert authors with the use of valid scientific data, policy instruments, and adapted to the cultural and social context of developing countries, with particular in depth coverage of conditions that have greater prevalence and incidence in developing countries. Each chapter also focuses on filling gaps in knowledge with a distinct pedagogical approach, starting with a set of learning objectives and ending with key takeaways for the chapter.This is an ideal guide for residents, medical students, practitioners of obstetrics and gynecology, midwives, general practitioners, and pediatricians, particularly those working in developing companies.

This book showcases cutting-edge research papers from the 8th International Conference on Research into Design (ICoRD 2021) written by eminent researchers from across the world on design processes, technologies, methods and tools, and their impact on innovation, for supporting design for a connected world. The theme of ICoRD‘21 has been “Design for Tomorrow”. The world as we know it in our times is increasingly becoming connected. In this interconnected world, design has to address new challenges of merging the cyber and the physical, the smart and the mundane, the technology and the human. As a result, there is an increasing need for strategizing and thinking about design for a better tomorrow. The theme for ICoRD'21 serves as a provocation for the design community to think about rapid changes in the near future to usher in a better tomorrow. The papers in this book explore these themes, and their key focus is design for tomorrow: how are products and their development be addressed for the immediate pressing needs within a connected world? The book will be of interest to researchers, professionals and entrepreneurs working in the areas on industrial design, manufacturing, consumer goods, and industrial management who are interested in the new and emerging methods and tools for design of new products, systems and services.

The fully updated edition of this text provides a state-of-the-art surgical review of female pelvic surgery, and will serve as a valuable resource for clinicians and surgeons dealing with, and interested in the treatment of pelvic floor disorders. The book reviews the basic indications for treatment and details the many surgical approaches to the management of all pelvic floor disorders, including stress urinary incontinence, transvaginal prolapse, transabdominal sacrocolpopexy, robotic/laparoscopic sacrocolpopexy, vaginal and vulvar cysts, and interstitial cystitis/bladder pain syndrome. In addition to step-by-step descriptions, the text is augmented with illustrations and photographs of surgical techniques demonstrating the major repairs described in each section.Written by experts in their fields, the second edition of Female Pelvic Surgery provides a concise and comprehensive review of all surgical approaches to female pelvic surgery.

This book provides a comprehensive overview of secondary hypertension for clinicians, including cardiologists as well as primary training physicians and general practitioners. A large number of patients suffer from high blood pressure, and it was previously thought that secondary hypertension accounted for 10% of all cases. However, according to new studies, the proportion of secondary hypertension is much higher than this. While hypertensive patients are usually treated in the cardiovascular department, secondary hypertension involves diseases in various fields, such as renal, endocrinological, immunological and urological diseases. This book allows readers to gain a thorough understanding of the screening, diagnosis and treatment of secondary hypertension. It first discusses screening strategies for secondary hypertension, including clinical manifestations, general tests and special tests. It then addresses specific aspects of hypertension related to other diseases, like renal parenchymal diseases; transplantation; congenital diseases; endocrine, neurogenic and psychosocial disorders; vascular conditions; sleep apnoea syndrome, connective tissue disease and metabolic-associated hypertension. Lastly, it covers secondary hypertension related to rare heredity conditions.

This is the first comprehensive book exclusively dedicated to anorectal physiology and the importance of diagnostic tools in guiding the evaluation and treatment of anorectal dysfunction. Functional disorders, and specifically fecal incontinence and evacuatory disorders, are prevalent in the general population, affecting up to 20% of individuals. As many of these conditions have extremely complex mechanisms, a thorough understanding of anorectal physiology is a crucial element in the surgeon's “arsenal'to ensure accurate evaluation and to inform treatment.At this time, there is no other title that specifically addresses all aspects of anorectal physiology, as well as anorectal and pelvic floor disorders, including fecal incontinence and defecation disorders. Specifically, the book provides detailed descriptions of diagnostic methods and treatment algorithms for a range of anorectal conditions, including modern treatment modalities such as sacral neuromodulation.A unique and comprehensive reference covering all aspects of the evaluation and treatment of anorectal disorders, Anorectal Physiology – A Clinical and Surgical Perspective will be of significant interest to proctologists and coloproctologists, gastroenterologists, colorectal surgeons, gynecologists and all other professionals interested in anorectal physiology.

This excellent textbook provides up-to-date information on all aspects of pelvic floor disorders. After an opening section on anatomy and physiology, it explains the methodology, role and application of the integrated imaging approach in detail, including the most advanced 3D, 4D, and dynamic ultrasound techniques, illustrated with hundreds of images. It then discusses in depth the epidemiology, etiology, assessment, and management of the full range of pelvic floor disorders from multidisciplinary and practical perspectives. The book also provides information on the various forms of obstetric perineal trauma, urinary incontinence and voiding dysfunction, anal incontinence, pelvic organ prolapse, constipation and obstructed defecation, pelvic pain and sexual dysfunction, and fistulas, and includes treatment algorithms as well as helpful guidance on what to do when surgical treatment goes wrong. The authors are leading experts in the field from around the globe. Since the first edition from 2010 (more than 200,000 chapter downloads), the book has been extensively rewritten and features numerous additional topics. The result is a comprehensive textbook that is invaluable for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists, beginners and veterans alike.

This new edition updates the previous one and adds additional content related to postoperative management, pain management, LGBTQ care, and uroradiology. This book is designed to meet the needs of nurse practitioners, advanced practice nurses globally and physician assistants working in urology. Content assumes some background knowledge regarding the normal anatomy and physiology of the genitourinary system and the pathophysiology underlying specific urologic health-related problems. This ensures that the provider can pursue exemplary management of patients with acute and chronic urologic conditions in a wide variety of settings, including independent practices, and academic urologic practices. This manual fills the gaps that traditional curricula may have left, permitting the reader to proceed with confident management of adult patients with urologic care needs, promoting the role of a skilled clinician in urology, especially for chronic, non-operativeurologic conditions while recognizing those conditions which may benefit from surgical management.As the burden of urologic disease increases with an aging U.S. population, it is increasingly clear that nurse practitioners and physician assistants will be called on to move into roles caring for patients with urologic disease. Use of NPs and PAs to their highest education will become an increasingly important strategy for maintaining access and reducing costs, in the context of urologist workforce that is shrinking. However, urology topics receive sporadic attention in NP and PA curricula, leaving practicing NPs and PAs with gaps in their knowledge concerning trends and recommendations for management of urologic health conditions. As this demand for provider visits for urologic concerns increases, the demand for provider services to care for patients with urologic health concerns will also increase, and presents the opportunity for both NPs and PAs to move into specialty practice environments within urology.

This updated volume provides a concise evidence based overview of the field of contemporary urological practice. There are new chapters covering urologic imaging, the upper tract urothelial carcinoma, the treatment of adult male hormonal disorders, the management of urethral stricture disease, and the treatment of renal cancer. The anatomy and physiology of the urinary tract, the basis and principles for development of urologic diseases, and the evaluation and management of urologic diseases are also covered. Urologic Principles and Practice is relevant for practicing urologists, urology trainees, allied health professionals, medical students, and researchers.

Textbook of Palliative Care is a 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 we still find ourselves having to explain its nature and practice to colleagues and to the public in general. 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 our understanding concerning many aspects of palliative care is developing rapidly. The book is divided into separate sections for ease of use. Over 100 chapters written by experts in their given fields provide 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 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 we aim to keep this Textbook updated as the authors find new evidence and approaches to care.

Supported by the latest scientific data, this book serves as a guide to the clinical assessment of women's health during the second half of life (post-reproductive years), including approaches to the management of the most frequent age-related diseases and disorders and the most recent advances in treatment. In addition, it discusses preventive aspects of healthcare in post-reproductive women, identifying lifestyle measures to enhance healthy aging. By highlighting research gaps, it promotes the development of quick and easy-to-use assessment tools and predictive markers of age-related co-morbidities. As such, the book is a valuable resource for researchers and clinicians alike.

This book introduce 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. All the topics are written by internationally recognized specialists in their field.

This book is a comprehensive and current guide to the diagnosis and treatment of the entire spectrum of anorectal diseases. It focuses mainly on anorectal problems, as anorectal pathology is often more complex and challenging for surgeons than colonic diseases.The book covers anorectal anatomy, physiology, and embryology as a foundation to a detailed description of preoperative, intraoperative, and post-operative patient management. All surgical procedures are shown in step-by-step detail by leading surgeons and gastroenterologists. This book will be relevant to general, colon, and rectal surgeons in training and practice, gastroenterologists, and other practitioners with an interest in anorectal diseases.

This book compiles the best evidence in procedural dermatology, including skin cancer surgery, laser techniques, minimally invasive cosmetic surgery, and emerging techniques. Building on the highly successful first edition, this volume provides much expanded coverage of a range of topics. The best information is provided to reveal the most appropriate interventions for particular indications, optimal treatment techniques, and strategies for avoiding adverse events. Evidence-Based Procedural Dermatology, 2nd edition, includes two types of chapters: procedures and indications. Each chapter is designed to be clear and concise, with tables and flowcharts to showcase main findings. Each cited study is tagged with a level of evidence, and every recommendation includes a strength of evidence score.More than double the length of the first edition, this newest edition includes added procedures and interventions like: new lasers and energy devices for skin resurfacing and pigmentation; non-invasive fat reduction and skin tightening using cryolipolysis, radiofrequency, ultrasound, and chemical adipocytolysis; specific post-skin cancer excision reconstruction techniques; and novel approaches for melanoma.

This book weaves all of these factors together to engage in and promote medical, biomedical and psychosocial interventions, including lifestyle changes, for healthier aging outcomes. The text begins with an introduction to age-related changes that increase in disease and disability commonly associated with old age. Written by experts in healthy aging, the text approaches the principles of disease and disability prevention via specific health issues. Each chapter highlights the challenge of not just increasing life expectancy but also deceasing disease burden and disability in old age. The text then shifts into the whole-person implications for clinicians working with older patients, including the social and cultural considerations that are necessary for improved outcomes as Baby Boomers age and healthcare systems worldwide adjust. Healthy Aging is an important resource for those working with older patients, including geriatricians, family medicine physicians, nurses, gerontologists, students, public health administrators, and all other medical professionals.

Durch die steigenden Überlebensraten in der Krebstherapie trägt die onkologische Rehabilitation wesentlich zur Verbesserung des funktionellen Status, der Lebensqualität und der Partizipation onkologischer Patienten bei. Erstmalig im deutschen Sprachraum präsentiert dieses Buch unter Einbindung der jeweiligen Experten die Aspekte und Vielfalt der Methoden sowie die unterschiedlichen Verfahren in der Rehabilitation von Krebspatienten. Der Grundlagenteil geht dabei auf Rahmenbedingungen, Voraussetzungen und Bausteine der onkologischen Rehabilitation ein. Des Weiteren werden rehabilitative Strategien zur Verbesserung von relevanten Begleitsymptomen, wie u.a. Erschöpfbarkeit, Tagesmüdigkeit, Polyneuropathie, Schmerz, Beweglichkeits- und Ernährungsstörungen, reaktive Traurigkeit (Depression), sexuelle Funktionsstörungen, Inkontinenz und Lymphödem vorgestellt. Eine zunehmend wichtige Rolle für Patienten im arbeitsfähigen Alter spielen Zukunftsthemen wie „Arbeitsfähigkeit“ und „Returnto work“. Das Buch ist ein unverzichtbarer Leitfaden für Ärzte und Therapeuten, die in der Nachbetreuung onkologischer Patienten tätig sind.

This book gathers the joint proceedings of the VIII Latin American Conference on Biomedical Engineering (CLAIB 2019) and the XLII National Conference on Biomedical Engineering (CNIB 2019). It reports on the latest findings and technological outcomes in the biomedical engineering field. Topics include: biomedical signal and image processing; biosensors, bioinstrumentation and micro-nanotechnologies; biomaterials and tissue engineering. Advances in biomechanics, biorobotics, neurorehabilitation, medical physics and clinical engineering are also discussed. A special emphasis is given to practice-oriented research and to the implementation of new technologies in clinical settings. The book provides academics and professionals with extensive knowledge on and a timely snapshot of cutting-edge research and developments in the field of biomedical engineering.

This text provides a central resource for physicians, entrepreneurs, and the MBA students about how innovation occurs in medical device industry. The book uses the rise and fall of vaginal mesh kits to highlight the evolution of responses by the physicians, patients and the regulatory bodies. There are specific chapters reviewing the US regulatory issues and business practices that were consequential to withdrawal of most vaginal mesh kits from the US market. The book is meant to be concise, evidence-based, and practical for the first time readers to understand the innovation forces. Concise textual information from acknowledged experts is complemented by high-quality diagrams and images to provide a thorough update of this rapidly evolving medical device industry. The case study chapters fully elucidate the anatomical basis that led to conceptualization of vaginal mesh kits, their introduction into the market, medicolegal and business implications followed with innovation that occurred by the surgeons to utilize ultrasound for and innovative surgeries to overcome device complications. With a luxurious number of well-marked pictures, readers will gain a clear understanding of the medical device innovation and evolution. Innovation and Evolution of Medical Devices: The vaginal Mesh Kits provides a rich practical resource written in a simple a step-by- step approach for all readers in their approach to new medical devices and technologies.

Research is defined by the Australian Research Council as “the creation of new knowledge and/or the use of existing knowledge in a new and creative way so as to generate new concepts, methodologies, inventions and understandings”. Research is thus the foundation for knowledge. It produces evidence and informs actions that can provide wider benefit to a society. The knowledge that researchers cultivate from a piece of research can be adopted for social and health programs that can improve the health and well-being of the individuals, their communities and the societies in which they live. As we have witnessed in all corners of the globe, research has become an endeavor that most of us in the health and social sciences cannot avoid. This Handbook is conceived to provide the foundation to readers who wish to embark on a research project in order to form knowledge that they need. The Handbook comprises four main sections: Traditional research methods sciences; Innovative research methods; Doing cross-cultural research; and Sensitive research methodology and approach. This Handbook attests to the diversity and richness of research methods in the health and social sciences. It will benefit many readers, particularly students and researchers who undertake research in health and social science areas. It is also valuable for the training needs of postgraduate students who wish to undertake research in cross-cultural settings, with special groups of people, as it provides essential knowledge not only on the methods of data collection but also salient issues that they need to know if they wish to succeed in their research endeavors.

This book covers all the gynecological areas where nurses undertake a key role in managing and leading the care of women. With the constant evolving role of nurses, many of them have been at the forefront of changing practice and breaking through boundaries in areas traditionally carried on by medics. This volume guides those nurses in enhancing their role and moving the practice forward. Paramount within this care is the desire to ensure that women are treated by the right person with the right skills and with dignity to manage intimate and personal issues that have a great effect on quality of life. This book offers best practice guidelines and references to underpin practice and practical tips and hints. It examines many aspects of women's health, from menstrual dysfunction and bleeding, specific adolescent issues, fertility and infertilty, to early pregnancy problems, management of pregnancy's termination, urogynecological issues, ambulatory and outpatient procedures and menopause. This volume provides readers with a guide to care for women from the nurse specialist expertise. Many different subspecialties exist in gynecology, and nurses have to take the lead in caring for women, especially for those looked after within the outpatient setting. In addition to the nursing management of these women, some nurses undertake procedures as hysteroscopy and move the care of these women from surgery to an ambulatory setting. This work is written by and dedicated to specialist and practitioners nurses.

Sichere, aber auch wirksame Arzneitherapie für ältere Patienten!Also nicht nur ungeeignete, sondern vor allem auch geeignete Arzneimittel erkennen!Welche Besonderheiten gibt es?Welche Nebenwirkungen/Wechselwirkungen müssen insbesondere beachtet werden – und können ggfs. als eigenständige Erkrankungen fehlinterpretiert werden? Menschen im Alter über 65 Jahre bilden die am stärksten wachsende Bevölkerungsgruppe.Ältere Patienten haben häufig mehrere - oft chronische – Erkrankungen. Unerwünschte Arzneimittelwirkungen sind überdurchschnittlich häufig u.a. wegen:geänderter biologischer Eckdaten (u.a. Nierenfunktion vermindert, mehr Fett- weniger Muskelmasse)mangelnder AdhärenzVielfachmedikation mit kaum vorhersagbaren Wechselwirkungen Empfehlungen zu allen relevanten Erkrankungen, inkl.SuchterkrankungenWechselwirkungen von Medikamenten mit Lebensmitteln (z.B. Grapefruit) oder mit pflanzlichen Arzneimitteln (z.B. Johanniskrautpräparate). NEU u.a.Neueste Daten, Statistiken, Key EvidencesWertungssystem der Alterstauglichkeit von Arzneimitteln nach FORTA: top-aktuelle Liste nach 3. Delphi-Prozess 2018!Vollständig überarbeitet Choosing wiselyDie Lösungsvorschläge und Antworten für die tägliche Praxis:Medizinische Sicherheit: Welche Medikamente haben Priorität? Was kann/muss ich weglassen?Ökonomische Sicherheit: Bessere Arzneitherapie mit weniger Verschreibungen (= Einhaltung des Arzneimittelbudgets).

This book offers mental health guidelines for all medical professionals facing the emerging challenges presented by an aging population worldwide. The text acknowledges that as the geriatric demographic grows, limited resources and infrastructures demand quality protocols to deliver inpatient geriatric psychiatric care, and that many physicians may not be trained to address these specific needs. This text fills this gap with guidelines assessing, diagnosing, and treating aging patients as they present in the emergency room and other settings. Unlike any other text, this book focuses on how to optimize the use of the inpatient setting by recommending evaluations and treatments, and offering flow-charts and figures of key points, to guide both general workup and continued evaluation and treatment. This approach aims to minimize instances of premature release or readmissions and to improve outcomes. Chapters cover the various issues that clinicians face when working with an older patient, including legal topics, limitations to treatment, prescription-related complications, patients struggling with substance abuse, and various behavioral concerns. Written by experts in the field, the text takes a multidisciplinary approach to deliver high-quality care as needs of the aging population evolve. Inpatient Geriatric Psychiatry is a vital resource for all clinicians working with an aging population, including geriatricians, psychiatrists, neurologists, primary care providers, hospitalists, psychologists, neuropsychologists, emergency room and geriatric nurses, social workers, and trainees.

The rapidly growing developments in medicine and science in the last few decades has evoked a greater need for modern institutions, with modern medicine, advanced technologies, and cutting edge research. Today, the modern hospital is a highly competitive, multibillion dollar industry that plays a large role in our healthcare systems. Far different from older institutions, modern hospitals juggle the dynamics of running a business that proves financially fruitful and sustainable, with maintaining and staying ahead of medical developments and offering the best possible patient care. This comprehensive book explores all aspects of the inner workings of a modern hospital, from research and technology driven treatment and patient centered care, to the organizational, functional, architectural, and ergonomic aspects of the business. The text is organized into three parts. The first part covers a number of importantaspects of the modern hospital including hospital transformation over the centuries, the new medical world order, overall concept, academic mission and economics of new healthcare. Additionally, experts in the field address issues such as modern design functionally and creating an environment that is ergonomically friendly, technologically advanced, and easy to navigate for both worker and patient. Other topics covered include, the role of genomics and nano-technologies, controversies that come with introducing new technologies, the world-wide pharmaceutical industry, electronic medical health records, informatics, and quality of patient care. Part II addresses nine specific elements of modernization of the hospital that deal with high acuity, life and death situations, and complex medical and surgical diseases. These chapters cover the organization of new emergency departments, trauma room, hybrid operating rooms, intensive care units, radiology, pharmaceutical and nutritional support, and most essential, patient and public relation services. These nine elements reflect the most important and most visible indicators of modernization and transformation of the hospital. Part III examines and highlights the team approach as a crucial component of the transformation, as well as specific perspectives on the modern hospital from nurses, physicians, surgeons and administrators. Finally, a chapter dedicated to patient perspective is also presented. The Modern Hospital provides an all-inclusive review of the hospital industry. It will serve as a valuable resource for administrators, clinicians, surgeons, nurses, and researchers. All chapters will be written by practicing experts in their fields and include the most up-to-date scientific and clinical information.

This clinically and practice oriented, multidisciplinary book is intended to fill the gap between evidence-based knowledge on the benefits of physical activity and exercise during pregnancy and the implementation of exercise programmes and related health promotion measures in pregnant women. It will provide medical, sports, and fitness professionals both with the knowledge needed to allay undue fears regarding the consequences of exercising during pregnancy and with the practical expertise to offer optimal guidance on exercising to pregnant exercisers and athletes. 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. Detailed descriptions are provided of the components of exercise testing and prescription for pregnant women, the current evidence-based and practice-oriented guidelines, and exercise selection and adaptation during pregnancy. Exercises specifically targeting musculoskeletal health are discussed separately, and a concluding chapter explains the nutritional requirements in pregnant women who exercise.

This text provides a comprehensive, state-of-the art review of pharmacotherapy for the overactive bladder, and serve as a valuable resource forclinicians, surgeons, and researchers with an interest in OAB. The early chapters will describe the pathophysiology of OAB, algorithm, and provide the readers with a practical guide for evaluating the OAB patient. The next section describes the unique challenges involved in the study of OAB and helps the reader navigate the complexities of the literature on the topic. All chapters are written by experts in their fields and include the most up-to-date scientific and clinical information. The text includes a review of the clinical guidelines for OAB, and a detailed description of the individual therapies, including antimuscarinics, Beta-3 agonists, (insert comma) and chemodenervation. Extensive tabulation of contemporary literature makes this a matchless resource that provides a detailed account of the current evidence for the use of each of these therapies. The text concludes with chapters on unique populations with OAB, and future directions in the research field.Contemporary Pharmacotherapy of Overactive Bladder unites a unique set of thought leaders in the field of voiding dysfunction to create a comprehensive resource that will be useful for a variety of clinicians who treat OAB, including urologists, urogynecologists, general gynecologists, family practitioners, and geriatricians.

This book reveals the structures of poverty, power, patriarchy and imperialistic health policies that underpin what the World Health Organization calls the “hidden disease” of vaginal fistulas in Africa. By employing critical feminist and post-colonial perspectives, it shows how “leaking black female bodies” are constructed, ranked, stratified and marginalised in global maternal health care, and explains why women in Africa are at risk of developing vaginal fistulas and then having adequate treatment delayed or denied. Drawing on face-to-face, in-depth interviews with 30 Kenyan women, it paints a rare social portrait of the heartbreaking challenges for Kenyan women living with this most profound gender-related health issue – an experience of shame, taboo and abjection with severe implications for women's wellbeing, health and sexuality. In absolutely groundbreaking depth, this book shows why research on vaginal fistulas must incorporate feminist understandings of bodily experience to inform future practices and knowledge.

Die 100 wichtigsten Krankheitsbilder übersichtlich und kompakt Ob Gonarthrose, Schlaganfall oder BWS-Syndrom – Dieses Buch stellt in alphabetischer Reihenfolge die 100 wichtigsten Krankheitsbilder im Alltag eines jeden Physiotherapeuten knapp und übersichtlich dar. Physiotherapeuten in Ausbildung und Studium, Berufseinsteiger und erfahrene Therapeuten erhalten einen schnellen Überblick über essentielle Basisinformationen und Ideen für die Gestaltung der Therapie. Neu in der 2. Auflage: komplett aktualisiert und erweitert um die Themen: Demenz, Burnout und Spinalkanalstenose Einfach unentbehrlich – im Praktikum und in der beruflichen Praxis!

This book provides an in-depth insight into the symptoms and symptom complexes affecting the lower urinary tract and the underlying causative conditions. The emphasis throughout is practical and clinical, with coverage of all levels of the patient pathway. In addition to the extensive guidance on diagnostic assessment and interpretation, the management of voiding and storage lower urinary tract symptoms, including incontinence, is fully described and potential complications and neurological conditions are discussed. Information is also included on relevant basic science and epidemiology. Lower Urinary Tract Symptoms in Adults: A Clinical Approach will be an ideal source of expert knowledge for practitioners in functional urology, urogynecology, and neuro-urology gerontology..

This book reports on the state of the art in physical ergonomics and addresses the design of products, processes, services, and work systems to ensure they are productive, safe, and enjoyable for people to use. The human body's responses to physical and physiological work demands, strain injuries from repetition, vibration, force, and posture are the most common types of issues examined, along with their design implications. The book explores a wide range of topics in physical ergonomics, including the consequences of repetitive motion, materials handling, workplace safety, the usability of portable devices, design, working postures, and the work environment. Mastering physical ergonomics and safety engineering concepts is fundamental to creating products and systems that people can safely and conveniently use, as well as avoiding stresses and minimizing the risk of accidents. Based on the AHFE 2018 Conference on Physical Ergonomics and Human Factors, held on July 21–25, 2018, in Orlando, Florida, USA, this book provides readers with a comprehensive perspective on the current challenges in physical ergonomics, which is a critical aspect in the design of any human-centered technological system, and for factors influencing human performance.

This book focuses on particular mental and physical aspects of women's health, presenting topics concerning the pelvis and pelvic floor dysfunction and the breast during a woman's life, such as rehabilitation for pelvic and breast disorders, and the benefits of biomechanical analysis in treating these conditions. With each chapter providing a brief survey of a major research area related to the theme, the book offers an integrated overview of topics such as the bio-psycho-social model of women's health, pelvic floor evaluation in sports, the breast, pregnancy and delivery. It is a valuable resource for a wide range of readers, including researchers, graduates and professionals.

Auch in der 3. Auflage des Buches ist das gesamte Spektrum der proktologischen Erkrankungen, ihrer Diagnostik und Therapie beschrieben. Der Schwerpunkt liegt auf den Möglichkeiten der chirurgischen Therapie, der gezielten Indikationsstellung und der Durchführung der Verfahren. Wie in den Vorauflagen sind die Beschreibungen durch zahlreiche vierfarbige Zeichnungen illustriert, die durch klinische und radiologische Bilder ergänzt werden. Die Neuauflage wurde durchgängig aktualisiert, neue Autoren sind hinzugekommen, viele Kapitel sind komplett neu geschrieben; diagnostische und Operationsverfahren, die in den letzten Jahren neu eingeführt wurden, werden dargestellt und in ihren Anwendungsmöglichkeiten bewertet. Zusätzlich zeigen zwei Videos die Durchführung der TEM bei Rektumtumoren. So ist wieder eine umfassende und detaillierte Gesamtdarstellung der modernen chirurgischen Proktologie entstanden.

This multidisciplinary book provides up-to-date information on clinical approaches that combine stem or progenitor cells, biomaterials and scaffolds, growth factors, and other bioactive agents in order to offer improved treatment of urologic disorders including lower urinary tract dysfunction, urinary incontinence, neurogenic bladder, and erectile dysfunction. In providing clinicians and researchers with a broad perspective on the development of regenerative medicine technologies, it will assist in the dissemination of both regenerative medicine principles and a variety of exciting therapeutic options. After an opening section addressing current developments and future perspectives in tissue engineering and regenerative medicine, fundamentals such as cell technologies, biomaterials, bioreactors, bioprinting, and decellularization are covered in detail. The remainder of the book is devoted to the description and evaluation of a range of cell and tissue applications, with individual chapters focusing on the kidney, bladder, urethra, urethral sphincter, and penis and testis.

This book initiates the descriptions of the practical performance of different hysterectomies with conventional and robotically assisted laparoscopy, laparotomy and vaginal surgery. Laparoscopic hysterectomy has been out as an additional technique for hysterectomies for the last couple of decades. As the necessary light, augmentation and advanced skill has only been introduced into this already 200 year old surgical procedure within the last few decades by laparoscopy, the editors aim to look at the laparoscopic procedures followed by the traditional techniques of hysterectomy with laparotomy and vaginal surgery.

This textbook presents real-world cases and discussions that introduce the various mental health 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 students of geriatric psychiatry. With the latest DSM-5 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 American 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 credentialing and/or 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, eldercare and the law, substance misuse, mental health following a physical condition, medical psychiatry, and palliative care.Written by experts in the field, Geriatric Psychiatry: A Case-Based Textbook is 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 provides a comprehensive review of mental health topics for pre- and postsurgical patients. The book discusses general aspects of psychiatric care during the immediate pre- and postsurgical phase, such as pain management, psychopharmacological management or legal aspects of informed consent. The volume dedicates one section to specific subspecialties, including cardiac surgery, neurosurgery, organ transplantation, plastic surgery, bariatric surgery, and many others. Each of these chapters address preoperative psychiatric risk factors, evaluations, impact, and management recommendations for prevention and treatment of the most common psychiatric complications. The final section reviews the current dilemmas and questions for future research in this field, including delirium and capacity evaluation. The text concludes with commentary written by experts in the fields of consultation-liaison psychiatry and surgery on future directions and considerations. Perioperative Psychiatry is a valuable resource for psychiatrists, psychologists, surgeons, trainees, nurses, social workers, and all medical professionals concerned with the behavioral health of surgical patients.

Much research has focused on the basic cellular and molecular biological aspects of stem cells. Much of this research has been fueled by their potential for use in regenerative medicine applications, which has in turn spurred growing numbers of translational and clinical studies. However, more work is needed if the potential is to be realized for improvement of the lives and well-being of patients with numerous diseases and conditions. With a goal to accelerate advances by timely information exchange, this new book series'Cell Biology and Translational Medicine (CBTMED)'as part of SpringerNature's longstanding and very successful Advances in Experimental Medicine and Biology book series is launched. Emerging areas of regenerative medicine and translational aspects of stem cells will be covered in each volume. Outstanding researchers are recruited to highlight developments and remaining challenges in both the basic research and clinical arenas. This current book is the first volume of a continuing series.

This volume is a useful handbook for medical doctors involved in the diagnosis and treatment of neuro-urological problems. The first section reviews the relevant neuro-anatomy and neuro-physiology and provides a practical overview of specific neuro-urological pathologic conditions. The second section discusses the various clinical entities that can be encountered and focuses on the clinical entities neuro-urological consquences. The third section is devoted to the different diagnostic possibilities. Internationally accepted algorithms are presented and put into perspective. Section 4 deals with the triad of major clinical problems in this area: urinary (incontinence, retention and voiding dysfunction as well as upper urinary tract problems), anorectal (faecal incontinence and constipation) and sexual (erectile dysfunction and ejaculatory failure) dysfunctions. The final section covers the specific management of patients with neuro-urological problems and describes conservative and surgical treatments, providing the most recent information. Throughout, the text is accompanied by numerous illustrated case reports and discussions as well as tips and tricks based on the personal experience of the different authors.

In the last 25 years, minimally invasive surgery techniques have had a great impact on all gynecologic surgery areas, becoming the technique of choice in most leading health centers around the world. Nowadays, due to such developments, the employment of minimally invasive techniques is a feature for every gynecological surgery service, being part of their daily routine. To the same extent, it is a requirement for every gynecological surgeon to be aware and up to date regarding these techniques and their uses. The book describes and discusses minimally invasive techniques in gynecological surgery by means of an evidence-based analysis, providing clinical correlations for a practical purpose. Techniques covered include vaginal radical trachelectomy, laparoscopic radical hysterectomy, robotic surgery in gynecological cancer, hysteroscopic myomectomy, LESS surgery, deep endometriosis surgery, and laparoscopic supra cervical hysterectomy. Some of the most renowned internationalreferences in minimally invasive surgery are included in this title, making Minimally Invasive Gynecology: an Evidence Based Approach fundamental reading for all gynecologists and gynecological surgeons.

This text is designed to present a comprehensive and state-of the-art approach to robotic female pelvic reconstructive surgery. Written by experts in both urology and urogynecology, each of these sections address patient selection, pre-operative considerations, surgical technique, and management of intra and post –operative complications. Furthermore, each chapter includes the most current evidence in the literature that supports specific techniques. Extensive illustrations make this an interactive text.Emphasis is placed on sacrocolpopexy, the mostly commonly performed robotic procedure performed in female pelvic medicine. The set up of this operation, surgical technique, and tips and tricks are discussed. In addition, the management of the uterus is also be addressed in detail, including supracervical and total hysterectomy, as well as uterine-sparing techniques. The appropriate preoperative evaluation, including decisions to be made in addressing concomitant surgical conditions such as stress urinary incontinence, is addressed so that the reader can provide comprehensive management for all surgical pelvic floor disorders. Other reconstructive procedures covered include controversial topics such as power morcellation of the uterus and placement of vaginal mesh. The text will also include elements that pertain to male and female patients, such as ureteral reimplantation and sigmoid resection.The Use of Robotic Technology in Female Pelvic Floor Reconstruction will be invaluable to both urologists and gynecologists in the field.

This book is aimed to bring the reader into the heart of the action of any health professional consulted for a patient with a neurogenic bladder (NB). Extensive textbooks of the NB exist but there is a lack of an actual practical guide for diagnosis and management of patients suffering from NB. This book provides a single source of information on consultation in neurourology. The text covers both urinary incontinence and retention resulting from NB dysfunction. The book also discusses complications of NB which include urinary tract infections, hydronephrosis, renal failure or autonomic dysreflexia. Sections address these clinical issues faced by physicians. This book provides a useful guide with comprehensive and practical instructions for all practitioners dealing with NB in their day-to-day clinical practice. It will serve as a valuable resource for those with a special interest in NB. The book reviews new data about diagnostic and management options. It also provides a conciseyet comprehensive summary of the current NB guidelines from different societies. All chapters include the most up to date scientific and clinical information with the relevant level of clinical evidence and grade of recommendation.

This book clearly explains when and how different rehabilitation techniques should be applied in the aging patient, thereby enabling readers to identify and apply those rehabilitation strategies that will maximize quality of life and functional independence in individual cases. It is specifically designed for ease of consultation and rapid retrieval of the information most relevant to clinical practice. Prominence is given to the benefits of a multidisciplinary approach to rehabilitation, with discussion of a very wide range of aspects of rehabilitation in different disease settings. The breadth of coverage is illustrated by the attention paid to less commonly addressed topics such as visual and hearing rehabilitation, the role of robotics and 3D imaging techniques, variations in approach among health care systems, and rehabilitation in end-of-life care. The authors are international academic experts in their fields, guaranteeing a high scientific standard throughout. This manual will be an invaluable tool and source of knowledge for geriatricians and physiatrists but will also appeal to a wider range of clinicians, practitioners, and students.

This book offers gynecologists and urogynecologists a pocket guide to urodynamic testing in women with lower urinary tract symptoms. In female urology, the main indications for urodynamics are urinary incontinence, pelvic organ prolapse, urgency-frequency syndrome (also known as overactive bladder), emptying disorders and painful bladder. By collecting quantitative measurements while reproducing the patient's voiding symptoms where appropriate and possible, urodynamics helps to identify the cause of symptoms, supports management and facilitates prognoses. However, despite the undeniable advantages, the role of urodynamics in female urology is hotly debated. The book starts by describing the physiological background and methodological considerations for urodynamic best practice in the preclinical setting. It then explains how to perform urodynamics correctly – so-called “good urodynamic practice” – to increase the readers'confidence and ability to perform and interpret urodynamic investigations. Lastly, it reviews the advantages and disadvantages of urodynamic testing in each of the key clinical female urology conditions. A separate chapter focuses on the peculiarities of diagnosis and management for female patients with neurogenic bladder. This guide offers a valuable tool for gynecologists, urologists and urogynecologists, as well as a ready source of information for all physicians involved in diagnosing and treating lower urinary tract disorders in women.

This book provides a detailed guide to neonatal surgery and its related disciplines including: fetal medicine, fetal surgery, radiology, newborn anaesthesia, intensive care, neonatal medicine, medical genetics, pathology, cardiac surgery, and urology. The book aims to cover all the latest advances in newborn surgery, with contributions from the basic sciences and laboratory research to reflect the steady progress in our current working knowledge and understanding of many neonatal surgical disorders. As huge advances have been made in neonatal surgery in the past decades, ethical issues, long term outcomes, and quality of life are also emphasised. This book is an authoritative reference for surgical residents in training, consultant surgeons, general surgeons with an interest in paediatric surgery, neonatologists, paediatricians, intensive care specialists, and nursing staff.

This book provides a comprehensive and up-to-date overview of the surgical treatment of pelvic organ prolapse, focusing especially on issues that continue to arouse controversy. In the first section, leading experts present detailed information on the surgical anatomy, pathophysiology, and epidemiology of prolapse and also the impact of concomitant functional disorders. The second section focuses on diagnostic work-up and the third is dedicated to the various treatment options aimed at resolution of the condition. The closing chapters discuss outcome measures and analyze the effects of prolapse surgery on urinary, bowel, and sexual symptoms. In 1966 Richard TeLinde stated that, “Every honest surgeon of extensive and long experience will have to admit that he is not entirely and absolutely satisfied with his long-term results of all his operations for prolapse and allied conditions.” Although many uncertainties in the field have since been resolved, some major issues still require clarification. Often it can be difficult to find the right balance between treatment effectiveness in the long term and risk reduction, including with respect to complications. This book will help trainees and less experienced surgeons to make appropriate treatment choices and achieve optimal outcomes.

Dieses Buch führt den Leser praxisnah durch die ganze Bandbreite der geburtshilflichen und gynäkologischen Sonografie. Informieren Sie sich zu physiologischen Grundlagen, machen Sie sich mit den neuesten Ultraschalltechnologien vertraut, sehen Sie hilfreiche und exzellente Bilder zu allen Organsystemen, finden Sie Tipps und Tricks zu vermeidbaren Fehlern und vieles mehr. Alle Kapitel wurden für die 2. Auflage sorgfältig aktualisiert und sind auf dem neuesten Stand der klinischen Forschung. So erhalten Sie ein umfassendes Nachschlagewerk für den optimalen Einsatz der Sonografie.

This text provides a comprehensive, state – of – the art review of this new and emerging field, as the number of men who suffer from post-prostatectomy incontinence increases by greater than 10,000 per year. How to evaluate and manage this devastating disorder has become a necessary part of nearly every urologic practice. This book serves a valuable resource for physicians with an interest in managing patients with post-prostatectomy incontinence. In addition, treatment includes algorithms and suggested office evaluation that will help guide conservative management that is appropriate for most patients. The text provides insight into the history of male incontinence surgery, as well as the current surgical techniques for the operative management of post-prostatectomy incontinence in those who fail conservative management. This text reviews current data regarding surgical outcomes for the most common and newly developed incontinence procedures, as well as step-by-step descriptions of the key surgical steps necessary for success. All chapters are written by world renowned experts in this field and include the most up to date clinical information.

This book provides an evidence-based approach to the universal experience of menopause. Its structured format clearly separates the biological basis from the clinical impact and quality of life, while also examining menopause within the context of healthy ageing in females. Accordingly, the book addresses factors including lifestyle, frailty, sarcopenia, and new ICT technologies. Written by respected experts in the field, the book offers a valuable guide for gynecologists and professionals devoted to women's healthcare and ageing quality of life, while also sharing revealing insights for non-professionals.

This book will assist the reader by providing individually tailored, high-quality bio-psycho-social care to patients with a wide range of problems within the fields of obstetrics, gynaecology, fertility, oncology, and sexology. Each chapter addresses a particular theme, issue, or situation in a problem-oriented and case-based manner that emphasizes the differences between routine and bio-psycho-social care. Relevant facts and figures are presented, advice is provided regarding the medical, psychological, and caring process, and contextual aspects are discussed. The book offers practical tips and actions within the bio-psycho-social approach, and highlights important do's and don'ts. To avoid a strict somatic thinking pattern, the importance of communication, multidisciplinary collaboration, and creation of a working alliance with the patient is emphasized. The book follows a consistent format, designed to meet the needs of challenged clinicians.

This volume includes the full proceedings from the 2011 World Marketing Congress held in Reims, France with the theme The Customer is NOT Always Right? Marketing Orientations in a Dynamic Business World. The focus of the conference and the enclosed papers is on marketing thought and practices throughout the world. This volume resents papers on various topics including marketing management, marketing strategy, and consumer behavior. Founded in 1971, the Academy of Marketing Science is an international organization dedicated to promoting timely explorations of phenomena related to the science of marketing in theory, research, and practice. Among its services to members and the community at large, the Academy offers conferences, congresses and symposia that attract delegates from around the world. Presentations from these events are published in this Proceedings series, which offers a comprehensive archive of volumes reflecting the evolution of thefield. Volumes deliver cutting-edge research and insights, complimenting the Academy's flagship journals, the Journal of the Academy of Marketing Science (JAMS) and AMS Review. Volumes are edited by leading scholars and practitioners across a wide range of subject areas in marketing science.​