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The Most Comprehensive Set of Quality Guidelines Available to the Pharmacy Profession ASHP positions and more than 80 ASHP guidance documents of varying scope provide ongoing advice to practitioners and health systems to help improve the medication-use process, patient care and safety, and patient outcomes and quality of life. ASHP Statements ASHP Guidelines Technical Assistance Bulletins Therapeutic Position Statements Therapeutic Guidelines ASHP-Endorsed Documents

With more international contributors than ever before, Block's Disinfection, Sterilization, and Preservation, 6th Edition, is the first new edition in nearly 20 years of the definitive technical manual for anyone involved in physical and chemical disinfection and sterilization methods. The book focuses on disease prevention—rather than eradication—and has been thoroughly updated with new information based on recent advances in the field and understanding of the risks, the technologies available, and the regulatory environments.

INSIDE: ASHP positions and more than 80 ASHP guidance documents of varying scope that provide ongoing advice to practitioners and health systems to help improve the medication-use process, patient care and safety, and patient outcomes and quality of life.ASHP StatementsASHP GuidelinesTechnical Assistance BulletinsTherapeutic Position StatementsTherapeutic GuidelinesASHP-Endorsed DocumentsSubstantial content has been added or revised since the release of the 2018-2019 edition. New or revised material in this edition includes:ASHP Guidelines on Pharmacy Services in Solid Organ TransplantationASHP Guidelines on Perioperative Pharmacy ServicesASHP Statement on the Role of the Medication Safety Leader

The most comprehensive set of quality guidelines available to the pharmacy profession.More than half a century ago, ASHP® developed its earliest proposed practice standard—the Proposed Minimum Standards for Pharmacies in Hospitals.Today, ASHP continues to foster concrete improvements in pharmacy practice and in the therapeutic use of drugs with its annual compilation of ASHP guidance documents: ASHP Best Practices. These guidance documents have stimulated improvements in pharmacy practice and operations, influenced accreditation standards, laws, and regulations (both in the United States and in other countries), and contributed to an awareness among consumers and policymakers of the vital patient care role of pharmacists.INSIDE: ASHP positions and more than 70 ASHP guidance documents of varying scope that provide ongoing advice to practitioners and health systems to help improve the medication-use process, patient care and safety, and patient outcomes and quality of life.

The most comprehensive set of quality guidelines available to the pharmacy profession. More than half a century ago, ASHP® developed its earliest proposed practice standard—the Proposed Minimum Standards for Pharmacies in Hospitals. Today, ASHP continues to foster concrete improvements in pharmacy practice and in the therapeutic use of drugs with its annual compilation of ASHP guidance documents: ASHP Best Practices. These guidance documents have stimulated improvements in pharmacy practice and operations, influenced accreditation standards, laws, and regulations (both in the United States and in other countries), and contributed to an awareness among consumers and policymakers of the vital patient care role of pharmacists. ASHP positions and more than 70 ASHP guidance documents of varying scope that provide ongoing advice to practitioners and health systems to help improve the medication-use process, patient care and safety, and patient outcomes and quality of life. ·ASHP Statements ·ASHP Guidelines ·Technical Assistance Bulletins ·Therapeutic Position Statements ·Therapeutic Guidelines ·ASHP-Endorsed Documents Substantial content has been added or revised since the release of the 2014-2015 edition. New or revised material in this edition includes: ASHP Guidelines on Outsourcing Sterile Compounding ServicesASHP Guidelines: Minimum Standard for Ambulatory Care Pharmacy PracticeASHP Guidelines on the Design of Database-Driven Clinical Decision SupportASHP Guidelines on Pharmacist Involvement in HIV CareASHP Statement on the Roles and Responsibilities of the Pharmacy ExecutiveASHP Statement on Pharmacist's Role in Substance Abuse, Prevention, Education, and AssistanceASHP Statement on the Pharmacist's Role in Clinical Informatics ASHP is the national professional organization whose more than 40,000 members include pharmacists, student pharmacists, and pharmacy technicians who serve as patient care providers on healthcare teams in acute and ambulatory settings. For over 70 years, ASHP has been on the forefront of efforts to improve medication use and advance healthcare. For more information about the wide array of ASHP activities and the many ways in which pharmacists help people make the best use of medicines, visit ASHP's website, www.ashp.org, or its consumer website, www.safemedication.com.

Im vorliegenden Buch beschreibt ein namhaftes Autorenteam die vielfältigen Aspekte des chronischen Myokardschadens, wobei den Grundlagen die Beschreibung spezieller Krankheitsbilder folgen.

In the past few years it has become clear that left ventricular dysfunction, even of severe degree, may be reversible after coronary revascularization in some patients. As a result, myocardial viability has captured the imagination of researchers and clinicians seeking to unravel the cellular and subcellular mechanisms and define appropriate diagnostic modalities. These diagnostic modalities include: cardiac catheterization, positron-emission tomography, magnetic resonance imaging, two-dimensional echocardiography and single-photon imaging. This book, for the first time, brings together a diverse array of information in a comprehensive and concise fashion using a template of ten chapters written by experts in the field. It will be required reading for cardiologists, radiologists, nuclear medicine specialists, cardiac surgeons, anesthesiologists, internists and basic researchers and their trainees who are involved in the management of patients with coronary artery disease in whom myocardial viability is a clinically relevant issue.

Much has been written about reperfusion injury in the past decade but unfortunately the information has been generally presented in the form of original specialist papers and little if any integral publication exists on the topic, summarising and analysing the clinical impact of the condition and its management. The pathophysiology and molecular mechanisms of reperfusion injury are complex and, regarding diagnosis, individual diagnostic techniques have been proposed but without a proper assessment of the relative values of these methods. A publication dealing with integral diagnostic strategies would be welcome by the managing physician. Management of the condition is also problematic, as strategies that appear to work in the experimental models do not translate into beneficial interventions in patients. There is a need for these issues to be addressed and discussed in a monographic fashion. Management of Myocardial Reperfusion Injury will tackle these issues in a modern and systematic way and the information will be delivered in a fashion that will be appealing to the reader.

Cardiovascular disease affects 20% of all Americans and is the leading cause of death in the USA. Every year approximately 1,500.000 Americans suffer from an acute myocardial infarction, and over 25% of the total number of deaths in this country are attributable to coronary artery disease. Unstable angina causes over 650,000 hospital admissions, and in the absence of medical therapy, the rate of progression from unstable angina to infarction is 12-20%. Since plaque disruption, plaque erosion, and acute intracoronary thrombus formation play major roles in the pathophysiology of both unstable angina and acute myocardial infarction, and since the two disease entities represent a continuum of coronary ischemic syndromes, it is appropriate to discuss the two disease states in a single monograph. Unstable Coronary Artery Syndromes, Pathophysiology, Diagnosis and Treatment will offer the clinician a reference book which coherently discusses the pathophysiology of acute ischemic syndromes as well as remarks diagnosis and treatment strategies. Geared toward internists and cardiologists, the book should allow the reader to understand the pathophysiology of unstable coronary artery syndromes and subsequently apply this knowledge to patient care.

Nuclear Imaging of the Chest provides up-to-the minute information on the diagnostic nuclear imaging of chest disorders. The authors habe endeavored to integrate and consonsolidate the many different subspecialities in order to enable a holistic understanding of chest diseases from the nuclear medicine standpoint. Highlights of the book include the description of aerosol lung imaging in COPD and the updates on breast and lung cancer imaging. It is required reading not only for nuclear medicine practitioners and researchers but also for all interested radiologists, traumatologists, pulmonologists and cardiologists.

Clinical Cardiac MRI is a comprehensive textbook intended for everyone involved in magnetic resonance imaging of the heart. It is designed both as a useful guide for newcomers to the field and as an aid for those who routinely perform such studies. The first edition, published in 2004-5, was very well received within the cardiac imaging community, and has generally been considered the reference because of its completeness, its clarity, and the number and quality of the illustrations. Moreover, the addition of a CD-ROM showing 50 real-life cases significantly enhanced the value of the book. In this second edition, the aim has been to maintain the same quality while incorporating the newest insights and developments in this rapidly evolving domain of medical imaging. The four editors, all experts in the field, have taken great care to ensure a homogeneous high standard throughout the book. Finally, the selection of 100 real-life cases, added as online material, will further enhance the value of this textbook.

AMI E. ISKANDRIAN & ERNST E. VAN DER WALL The first edition of this book was published in 1994. Since then important advances have occurred in the field of myocardial viability. This, coupled with increasing interest by the scientific community in the broader issues of its relevance to patient care, suggested to us the need to write the second edition. We are most fortunate to have the help of a distinguished group of experts who have helped shape the field; we appreciate their commitments and contributions. Almost all chapters have been radically modified. Chapter 1 deals with pathophysiology of myocardial hibernation and stunning; Chapter 2 with apoptosis; Chapter 3 with the role of positron emission tomography; Chapters 4 and 5 with the role of single photon emission computed tomography with thallium-201 and technetium agents, respectively; Chapter 6 with the role of SPECT fatty acid imaging; Chapter 7 with the role of SPECT FDG imaging; Chapter 8 with the role of cardiac catheterization angiography; Chapter 9 with the role of echocardiography; Chapter 10 with the role of magnetic resonance imaging; and Chapter 11 with clinical applications. Finally, Chapter 12 provides a short summary.

The clinical use of nuclear cardiology for the assessment of myocardial ischemia continues to grow at an unprecedented rate. Part of the reason for this growth is the technical advances in single photon emission computerized tomography (SPECT). SPECT has been shown to provide high contrast images superior to planar imaging techniques. An important and recent technical advancement in SPECT has been ECG-gated myocardial perfusion SPECT to generate simultaneous myocardial perfusion and function information from a single study. Automated, quantitative techniques have facilitated the widespread application of this breakthrough. Another recent advancement has been the use of attenuation correction techniques to help remove the effects of the physical phenomena that degrades the visual and quantitative accuracy of SPECT images. Another reason for the growth of the clinical use of nuclear cardiology is the large body of published evidence documenting the effectiveness of SPECT techniques for assessing myocardial ischemia, myocardium at risk, viable myocardium and stunned or hibernating myocardium. These assessments have been shown to be important not only in diagnosis but also in prognosis. This book is divided into three major sections, each addressing the important topics of nuclear cardiology. The first section is a that have led to the clinical success description of the technical aspects of state-of-the-art myocardial perfusion SPECT imaging. This section deals with the radionuclides, instrumentation, image acquisition and analysis, interpretation and quantification techniques used in the most progressive nuclear cardiology clinics.

ASHP position statements and more than 70 guidance documents of varying scope provide ongoing advice to managers and practitioners to help improve the medication-use process, patient care and safety, and patient outcomes and quality of life. New material in this edition includes a revised minimum standard for pharmacies in hospitals; statements on the pharmacist's role in medication reconciliation, the role of the medication safety leader, and pharmacy professionals use of social media; and therapeutic recommendations regarding institutional use of 0.9% sodium chloride injection to maintain the patency of peripheral indwelling intermittent infusion devices and the role of pharmacotherapy in the prevention of venous thromboembolism in hospitalized patients.

Coronary heart disease remains the leading cause of death for men and women in the United States and other industrialized nations. Acute myocardial infarction accounts for a majority of these deaths, approaching 750,000 yearly. Thrombolytic therapy has revolutionized the treatment of myocardial infarction, saving lives to a greater extent than any treatment developed to date. The identification of patients best suited for thrombolytic therapy has been a challenging task, as has the ideal adjuvant strategy. Further, the noninvasic diagnosis of treatment successes and failures, as well as the expeditious triaging of patients requiring mechanical/surgical revascularization have been difficult to define, but progress has been made recently. The emergence of information vital for patient care has appeared at an extraordinary pace, with hundreds of articles being published yearly. Unfortunately, a resource devoted to the area of thrombolysis does not exist, making the dissemination of information to physicians, scientists and health care providers problematic. The Modern Era of Coronary Thrombolysis is designed to bring the medical and scientific communities up to date. It will serve as a foundation for future investigation, as well as a resource which can be referred to for many years to come.

A complete guide to using multimodal imaging in cardiac practice 4 STAR DOODY'S REVIEW!'In addition to compiling the various imaging modalities used for clinical diagnosis in cardiovascular disease, the book also summarizes the present and future applications of combined imaging modalities for better understanding the underlying pathophysiologic basis of cardiovascular diseases....This book is unique in the way it comprehensively reviews both the current and future applications of multiple imaging modalities.'--Doody's Review Service Multimodal Cardiovascular Imaging: Principles and Clinical Applications offers a unique “matrix” approach to help you choose the most appropriate combination of imaging modalities for the management of patients with cardiovascular disease. The book discusses the various options available, how they work, the benefits and drawbacks of each, and what modalities will best work in conjunction with each other for a specific condition. Featuring contributions from more than 60 international authors and enriched by 225 half-tone modality images and 130 full-color illustrations, Multimodal Cardiovascular Imaging: Principles and Clinical Applications is divided into three sections: Section 1 contains chapters that focus on the use of ten specific clinically available diagnostic modalities and their broad application to clinical cardiology. Modalities discussed include: Echocardiography Phonocardiography Myocardial Perfusion SPECT and PET Coronary Angiography Cardiac CT Section 2 includes six chapters that present “visions of the future” for combining multiple diagnostic modalities. They form the foundation for understanding the pathophysiologic basis of clinical cardiovascular conditions using prototypes, simulations, models, and tutorials. Section 3 considers several cardiovascular conditions and how multimodal imaging can provide diagnostic and therapeutic decision support to optimize the clinical care for each of them. Some chapters in this section also include case reports of how clinicians/scientists are using multimodal imaging modalities to improve their clinical therapeutic decision support. Conditions include: Congenital Heart Disease Ischemic Heart Disease Acute Myocardial Infarction Aortic Disease Atrial Fibrillation

A Doody's Core Title 2012New applications of echocardiography, nuclear magnetic resonance, cardiovascular magnetic resonance, and cardiac computed tomography are rapidly developing and it is imperative that trainees and practitioners alike remain up to date in the latest developments. It is becoming increasingly difficult to remain abreast of these advances in each individual modality and thus it is no longer practical to focus on one at a time. In addition, training guidelines are changing and multimodality training has become the norm. Multimodality Imaging in Cardiovascular Medicine presents a clear and in-depth review of the available technologies and evidence supporting their appropriate clinical applications. Hundreds of outstanding images are included to support and augment the discussions from the leading experts in each modality. For maximum clinical value, rather than organize the content by imaging modality, the book is organized by disease so that the reader can utilize the book in real-time problem solving and decision making in daily clinical practice. Features of Multimodality Imaging in Cardiovascular Medicine Include More than 350 multimodality imaging examples of cardiovascular pathophysiology Corresponding text places the images into context at the interface with patient care State-of-the-art chapters contributed by the leading imaging experts

Clinical Nuclear Cardiology—now in its fourth edition—covers the tremendous clinical growth in this field, focusing on new instrumentation and techniques. Drs. Barry L. Zaret and George A Beller address the latest developments in technology, radiopharmaceuticals, molecular imaging, and perfusion imaging. Thoroughly revised to include 20 new chapters—Digital/Fast SPECT, Imaging in Revascularized Patients, and more—this new edition provides state-of-the-art guidance on key areas and hot topics with stunning visuals. Online access to the fully searchable text at expertconsult.com includes highly illustrated case studies that let you see the problem using a variety of imaging modalities. In other words, this is an invaluable resource no clinician or researcher in nuclear cardiology should be without. - Features an editorial and contributing team of worldwide leaders in nuclear cardiology to provide you with current and authoritative guidance. - Includes a section focusing on acute coronary syndromes to provide you with practical management tools for these conditions. - Presents a full-color design that allows color images to be integrated throughout the text. - Includes access to the fully searchable contents of the book online at expertconsult.com, along with highly illustrated case studies that let you see the problem using a variety of imaging modalities. - Features 20 new chapters including Cellular Mechanisms of Tracer Uptake and Clearance; Attenuation/Scatter Corrections: Clinical Aspects; Hybrid Imaging; Digital/Fast SPECT; Imaging in Revascularized Patients; and more. - Focuses on perfusion imaging in a section dedicated to this hot topic so you get all the information you need to stay current.

This handbook provides a consolidated, comprehensive information resource for engineers working with mission and safety critical systems. Principles, regulations, and processes common to all critical design projects are introduced in the opening chapters. Expert contributors then offer development models, process templates, and documentation guidelines from their own core critical applications fields: medical, aerospace, and military. Readers will gain in-depth knowledge of how to avoid common pitfalls and meet even the strictest certification standards. Particular emphasis is placed on best practices, design tradeoffs, and testing procedures. - Comprehensive coverage of all key concerns for designers of critical systems including standards compliance, verification and validation, and design tradeoffs - Real-world case studies contained within these pages provide insight from experience

Empower your staff to improve safety, quality and compliance with the help of new guidelines and standards. We've updated every chapter of this popular review of the fundamentals of preparing sterile products in hospital, home-care, and community pharmacy settings to reflect the most recent revisions to USP. Included are the latest guidelines for the compounding process, quality assurance methods, and comprehensive coverage of all aspects of the dispensing process. Comprehensive documentation for the guidelines is included in the appendices.Chapters new to this edition focus on: Gap analysis and action plans Safe use of automatic compounding devices Cleaning and disinfecting Radiopharmaceuticals as CSPs Allergen extracts as CSPs.

Nuclear cardiac imaging refers to cardiac radiological diagnostic techniques performed with the aid of radiopharmaceuticals, which are perfused into the myocardium as markers. These imaging studies provide a wide range of information about the heart, including the contractility of the heart, the amount of blood supply to the heart and whether parts of the heart muscle are alive or dead. This is essential information for cardiologists, and nuclear imaging has become an increasingly important part of the cardiologist's armamentarium. Iskandrian's text has become a leading book in the field and the fourth edition will continue the tradition. The text is completely updated to reflect the many advances in the field, and, as a new feature, each chapter concludes with a Q&A session on important and difficult clinical issues.

'Cardiovascular Medicine, 3rd edition'offers the most up-to-date, user-friendly guidance on the evaluation, diagnosis and medical and surgical treatment of heart and vascular disease and will be relevant to the practice of every cardiologist, cardiac surgeon, vascular surgeon, diabetologist, cardiac radiologist and any physician who manages cardiac patients. Drs Willerson, Cohn, Wellens and Holmes – and over 150 world authorities – offer their decades of scientific and clinical experience. The book and DVD are designed to provide comprehensive coverage of every aspect of cardiovascular medicine from cardiac signs and symptoms and the full range of cardiac imaging techniques through management of peripheral vascular disease and the genetic basis for cardiovascular disease to preventive cardiology. DVD content: Video imagery for selected chapters; Full text of the book; Interactive narrated heart sounds database containing correlative videos and images

'This book will be useful for all physicians involved in cardiac imaging, whether they are in radiology, nuclear medicine, or cardiology, and should be mandatory for physicians engaged in gated cardiac SPECT. It is recommended without reservation.'—from a review of the first edition in Radiology With gated cardiac SPECT now firmly established for the management of the cardiac patient, Drs. Germano and Berman bring you completely up to date with the multiple clinical applications as well as the recent technical developments of the modality. Clinical Gated Cardiac SPECT, Second Edition: covers all the available protocols describes a systematic approach for interpretation and reporting provides guidance for the recognition of artifacts includes flowcharts on the management of patients The relationship of gated cardiac SPECT to PET, MRI and CT is explored in separate chapters devoted to each modality. This book is essential reading for all clinicians involved in cardiac imaging.