Libros de medicina, página 77 de 1610

La población en los países industrializados y en vías de desarrollo cada día tiene una mayor esperanza de vida. El aumento de la población geriátrica unido al incremento de la demanda asistencial y de una mayor calidad sanitaria (mayor especialización y alta tecnología) por parte de la sociedad supone un fuerte incremento sanitario. La prolongada supervivencia favorece el desarrollo de enfermedades degenerativas, neoplásicas y de inmunosupresión, condicionando que algunos procedimientos quirúrgicos se realicen casi exclusivamente en pacientes geriátricos. Debido a la edad y patología asociada, estos pacientes tienen una mayor morbimortalidad. Además precisan de mayores cuidados perioperatorios por una mayor incidencia de enfermedades crónicas asociadas, polifarmacia y un mayor porcentaje de intervenciones quirúrgicas por procesos agudos o crónicos. La atención perioperatoria de los pacientes de edades avanzadas, comporta el trabajo conjunto entre distintos equipos (anestesiólogos, geriatras, especialistas quirúrgicos, rehabilitadores, fisioterapeutas, enfermeras especializadas, etc.). La atención multidisciplinar perioperatoria especializada tendrá una gran repercusión en los meses y años siguientes a la cirugía, para conseguir el objetivo de disminuir la morbimortalidad y reintegrar al paciente a su situación basal o con las mínimas dependencias posibles.....

Seminarios de medicina interna Hospital Universitario La Paz

Actualmente todos los niños se benefician de una exploración de salud que se lleva a cabo en los primeros días de vida mediante la llamada prueba del talón o cribado metabólico neonatal. Muy a menudo los sanitarios y muy especialmente los pediatras tienen que dar una respuesta a los resultados del cribado. El abanico de necesarias explicaciones es muy amplio: desde comunicar sencillamente lo que significa un resultado dentro de los limites de la normalidad, una peticion de repeticion de una muestra o dar respuesta a una emergencia. En ocasiones el medico tendra que dar una indicacion rapida a una situacion desafiante en la que una investigacion o la instauracion de un tratamiento adecuado son esenciales para una buena evolucion. En todas estas situaciones es cuando podra apreciarse hasta que punto resultara util tener este Manual clinico del cribado metabolico al alcance de la mano. Los errores congenitos del metabolismo han dejado de ser una rareza, pues forman ya parte del quehacer cotidiano de las consultas clinicas. Esta realidad hace que la informacion contenida en este manual sea practica y altamente aprovechable no solo para los pediatras sino tambien para los medicos de familia y otros especialistas asi como para otros profesionales sanitarios y estudiantes.

An essential quick reference for the office, the hospital, or anywhere, this book provides all the instructions you need to handle common, non-life-threatening emergencies with speed and expertise. Whether youre called on to remove a bean from a child's nose or treat accidental tear gas exposure, this quick reference is ready to provide fast, efficient guidance just when you need it.

An all-in-one resource covering the basics of point-of-care assessment and intervention, Mosbys Field Guide to Occupational Therapy for Physical Dysfunction helps you master the skills you need to become competent in occupational therapy (OT) or as an occupational therapy assistant (OTA). It is ideal for use as a clinical companion to Mosbys bestselling texts, Pedrettis Occupational Therapy: Practice Skills for Physical Dysfunction and Physical Dysfunction Practice Skills for the Occupational Therapist Assistant. Expert information covers anatomy, assessment tools, screening tools, and more, and is provided in a compact format thats easy to use on the go.

Providing a solid foundation in sonography, Essentials of Sonography and Patient Care, 3rd Edition prepares you to succeed in the classroom and in practice. It describes the origins and evolution of diagnostic medical sonography, and includes proven study techniques such as note taking, effective listening, and test-taking strategies. Addressing the clinical environment, this book covers topics such as taking a patient's vital signs, safety considerations, body mechanics, patient transfer, infection control, emergency procedures, and assisting patients with special needs. Career discussions include the sonographer's role in various clinical settings, ethics and professionalism, and job search and interview techniques. Written by expert sonographer Marveen Craig, Essentials of Sonography and Patient Care points you toward a sound future in sonography

By Ram S Dhillon, FRCS, Consultant ENT, Head and Neck Surgeon, Northwick, Park Hospital and Clinical Research Centre, Middlesex, London and Charles A. East, FRCS, Consultant ENT, Head and Neck Surgeon, Royal National Throat, Nose and Ear Hospital, The Royal Free Hampstead NHS Trust, London, UK A textbook in the Illustrated Colour Text series on ENT, aimed at medical students and junior doctors.

With detailed descriptions of orthopedic surgeries, Rehabilitation for the Postsurgical Orthopedic Patient, 3rd Edition provides current, evidence-based guidelines to designing effective rehabilitation strategies. Coverage of each condition includes an overview of the orthopedic patient''s entire course of treatment from pre- to post-surgery. For each phase of rehabilitation, this book describes the postoperative timeline, the goals, potential complications and precautions, and appropriate therapeutic procedures. New to this edition are a full-color design and new chapters on disc replacement, cartilage replacement, hallux valgus, and transitioning the running athlete. Edited by Lisa Maxey and Jim Magnusson, and with chapters written by both surgeons and physical therapists, Rehabilitation for the Postsurgical Orthopedic Patient provides valuable insights into the use of physical therapy in the rehabilitation process.

This book aims to provide insight and practical illustrations on how modern statistical concepts and regression methods can be applied in medical prediction problems, including diagnostic and prognostic outcomes. Many advances have been made in statistical approaches towards outcome prediction, but these innovations are insufficiently applied in medical research. Old-fashioned, data hungry methods are often used in data sets of limited size, validation of predictions is not done or only in a simplistic way, and updating of already available models is not considered. A sensible strategy is needed for model development, validation, and updating, such that prediction models can better support medical practice. Clinical Prediction Models presents a practical checklist with seven steps that need to be considered for development of a valid prediction model. These include preliminary considerations such as dealing with missing values; coding of predictors; selection of main effects and interactions for a multivariable model; estimation of model parameters with shrinkage methods and incorporation of external data; evaluation of performance and clinical usefulness; internal validation; and presentation format. The steps are illustrated with many small case studies and R computer code, with data sets made available in the public domain [http://www.clinicalpredictionmodels.org/]. The book further focuses on generalizability of prediction models, including patterns of invalidity that may be encountered in new settings, approaches to modifying and extending a model, and comparisons of centers after case-mix adjustment by a prediction model. The text is primarily intended for epidemiologists and applied biostatisticians. It can be used as a textbook for a graduate course on predictive modeling in diagnosis and prognosis. It is beneficial if readers are familiar with common statistical models in medicine: linear regression, logistic regression, and Cox regression. The book is practical in nature. But it also provides a philosophical perspective on data analysis in medicine that goes beyond predictive modeling. In this era of evidence-based medicine, randomized clinical trials are the basis for assessment of treatment efficacy. Prediction models are key to individualizing diagnostic and treatment decision-making. --------------------------------------------------------------------------------

In the nearly three years since the publication of the ActivEpi companion text, the authors received several suggestions to produce an abbreviated version that narrows the discussion to the most "essential" principals and methods. A Pocket Guide to Epidemiology contains less than half as many pages as the ActivEpi Companion Text and is a stand-alone introductory text on the basic principals and concepts of epidemiology.

This book summarizes present knowledge of different mechanisms involved in the development of positive and negative consequences of cardiac adaptation. Particular attention is paid to the still underestimated adaptive cardiac responses during development, to adaptation to the frequently occurring pressure and volume overload as well as to cardiac changes, induced by enduring exercise and chronic hypoxia. Cardiac Adaptations will be of great value to cardiovascular investigators, who will find this book highly useful in their cardiovascular studies for finding solutions in diverse pathological conditions; it will also appeal to students, fellows, scientists, and clinicians interested in cardiovascular abnormalities.

Clinical epidemiology provides the scientific basis for the practice of medicine due to its focus on the diagnosis, prognosis and management of human disease using appropriate research design, measurement and evaluation. In Clinical Epidemiology: Practice and Methods, leading experts contribute selections intended to educate researchers on how best to undertake clinical research. Divided into two categories, the volume first covers issues of design, measurement and analysis associated with various research designs, then continues with methods to better inform medical decision-making, including aggregation of multiple studies using meta-analysis, health economics, clinical practice guidelines and health technology assessment. As a part of the highly successful Methods in Molecular Biologya series, this comprehensive text collects the kind of detailed, up-to-date information and implementation advice that is crucial for getting optimal results. Essential and advantageous, Clinical Epidemiology: Practice and Methods is an ideal reference for medical practitioners, basic scientists and allied health professionals who desire to improve clinical outcomes.

Questo libro offre una panoramica dei temi, dei problemi, dei concetti che costituiscono la materia di cui si occupa la bioetica. Una nuova disciplina che possiede una caratteristica singolare: quella di non proporre risposte rigide, ma di mantenere una costante sintonia con lo sviluppo delle scienze della vita, rispettando la pluralita delle posizioni espresse dal dibattito.