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Approximately 45 chapters written by leading international authorities. Each chapter analyses the available literature to produce an authoritative statement about the management of urological disorders. The book includes a concise summary of the best available scientific evidence providing up-to-date information.
To the abdominal surgeon a first successful Whipple procedure is what a first combat mission is to the fighter pilot: a symbol of competence -- the fruits of prolonged training. Not many surgeons managed to incorporate their names into a commonly used eponym; Allen Whipple did and so became immortalised as a household name to surgeons world-wide. Yet, little has been known and written about Whipple, the great American surgeon -- the person and his other interests. This is what this book is about: an edited version of Whipple''s previously unpublished memories, which until now -- for more than forty years -- has collected dust. In these pages the retired Whipple describes the journey of his life from the very beginning in Persia, where he was born, to the very end in New Jersey where he died. He provides snap shots of himself, his family and friends, his colleagues, and the changing times in which he lived. The editors have abbreviated the original manuscript by a third and have added footnotes and illustrations. An introduction and ''end page'' adds perspective to the memoirs. It has been said "God put the pancreas in the back because he did not want surgeons messing with it". Allen Whipple had the courage to mess with the pancreas and to show us how to mess with it successfully. But what kind of man was he and how did he arrive at his achievements? Find out in this book.
David Gray is a disillusioned surgeon approaching retirement. One night, on the way home from an emergency aneurysm repair, he has a car crash and meets the spirit of the patient he''s just operated on -- a man called Alf Angel. Alf, a simple and straightforward character, becomes Gray''s guardian and travelling companion on a fantastic journey through time. They visit scenes from Gray''s formative years as a young medic, before moving further back in time to learn something of the early trials and tribulations of scientific surgery. Through it all, Gray earnestly seeks the worth of his calling as a doctor and surgeon and ultimately, the nature and meaning of life itself. This is a short novella told in a tongue-in-cheek style using a mixture of amusing whimsy and, at times, profound insight into the minds of men who wield scalpels for a living. Although this short tale is clearly fiction, the historical figures and operations depicted are real, though the characterisation is down to poetic license. Read it and wonder.
This remarkable book is long overdue. It provides the insights essential for the lay reader to take personal control of their long-term health, and physical and emotional well-being. It empowers and educates the non-doctor like no book before it. The complexities and limitations of both modern medicine and alternative therapies, are explained in a way that is entertaining and easy to understand. More importantly however, the book provides access to state-of-the-art advice, not only for effective diet and weight control, but also for side-stepping Syndrome X and the other common serious illnesses, that confront all of us in the new millennium. Using a patient-centred and evidence-based approach, it reflects the dramatic changes in the way medical care will be delivered in the future i.e. as an equal and mutually respectful partnership between well-informed patient and hopefully, well-informed doctor. Although written to provide the perfect medical advice manual for the lay public, the book is an excellent source of current medical knowledge, relating to the common diseases, and provokes and challenges in such a way, that it is likely to be widely read by the profession at large.
For eleven years, the world's leading drivers contested international races at the Aintree circuit on the outskirts of Liverpool. Fangio, Surtees, Clark, Moss, Hawthorn and many more were on the grid. The British Grand Prix was held there five times, along with many other major events at the venue that shared its ground with the famous horse-racing track. But in April 1964, the final Aintree 200 was run and the sights and sounds of Grand Prix cars were never to be experienced at Aintree again. Club and national level racing continued until July 1982, when it ceased altogether and there appears to be little likelihood of it ever returning. So what is the story behind the dramatic rise and fall of Aintree as a premier motor sport venue in Britain? How and why did motor racing come to be staged there? What caused its eventual demise as a circuit? This book explores the fascinating history of Aintree, before, during and after its all-too-brief reign as Britain's Grand Prix venue. Supported by around 200 rare photographs, many never before published, this book fills a significant gap in the history of post-war racing in Britain.
The treatment of hypertension is now evolving into a decision-making process of ever greater complexity. Not only has the range of drugs available increased but so too has our knowledge of the diversity of individual patients' responsiveness to therapy, and the need to tailor their treatment with reference to a wide variety of additional factors. In order to provide effective patient care, the clinician needs to be aware of all the options available, but also of the evidence supporting their use and the extent to which that evidence justifies the choices made. In this new volume, leading authorities in their fields draw on the available evidence to provide answers to a series of key clinical questions facing the clinician treating hypertension: Should we treat prehypertension? How does the choice of therapy change in the presence of comorbidities such as obesity, ischemic heart disease, left ventricular hypertrophy, diabetes or cerebrovascular disease? Evidence-based Management of Hypertension provides answers to these and many other questions, as the authors present an expert analysis of the available evidence and offer authoritative recommendations for treatment planning. In each chapter, tables highlight evidence from a variety of sources, and every chapter concludes with a series of key practice points that present a summary of evidence-based recommendations for best practice, graded according to the quality of that evidence. For any clinician concerned with the care of the hypertensive patient, this volume will be a valuable aid to treatment planning and long-term management.
This book provides details of all the currently available information concerning the causes, prevention and treatment of prostate cancer, and aims to explain all aspects of the disease in terms that can be easily understood. It deals with the roles of complementary medicine and diet and other aspects for which there is growing evidence, but which many clinicians are reluctant to discuss with their patients.
This book offers a carefully argued approach to the postgraduate preparation of surgeons and doctors. At a time when surgical/medical education is undergoing profound change this text will prove an invaluable resource for those both reorganizing teaching programmes and those working with learning surgeons/doctors. It emphasizes what is involved in learning to be a surgeon and/or doctor who can engage in professional conduct and exercise professional judgement, as opposed to being trained in surgical/medical activities in order to demonstrate the behaviour expected by assessors. It provides many examples and ideas which have been developed and refined over the past three years in partnership with a wide range of working surgeons and doctors in practical settings and in reflective seminars. The authors have together brought to the production of this book a unique combination of a practising surgeon who is dedicated to the development of excellence in surgical practice, and a practising teacher educator who is dedicated to developing expertise in educational practice, particularly in clinical settings.
The endovascular specialist has arrived. Times are changing and it is vital for all those interested in endovascular intervention to train in and embrace these new technologies. The chapters in this book have all been written by carefully selected internationally renowned endovascular specialists. Each author is at the cutting edge of the endovascular revolution and they are the architects of change in the treatment of vascular disease. The topics have been chosen to reflect the multidisciplinary nature of modern endovascular practice. None are specialty-based and will appeal to surgeons, radiologists, cardiologists and all practitioners involved in the endovascular management of vascular disease. The management of aortic, thoracic, carotid, mesenteric and venous disease is changing. This book is designed to update you on these developments and to encourage you to participate in this exciting phase in the treatment of patients with vascular disease. Enjoy the read.
Several studies have looked at populations of volunteers, women from the electoral roll and women attending general practices, and have reported the ultrasound appearance of polycystic ovaries in as many as one in three to one in five. If groups of women with irregular periods are looked at, up to 90% will have polycystic ovaries at ultrasound. Similarly, when women with increased facial and body hair are screened, about 90% will have polycystic ovaries, as will three out of four women with acne. It has also been suggested by some studies that women with recurrent miscarriage or early pregnancy loss after in-vitro fertilisation have an increased incidence of polycystic ovaries. However, not all studies support this hypothesis, and additional research is needed to evaluate this further. This book looks at the historical background of this condition; the structure and function of the female genital organs; symptoms and signs; diagnostic techniques; the inheritance of polycystic ovary syndrome; long-term effects; lifestyle factors; polycystic ovaries and the skin; ovulation induction; surgical treatment to induce ovulation; in-vitro fertilisation; pregnancy outcomes.
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