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Author : Gianfranco Parati,Carlo Lombardi
Publisher : Unknown
Page : 112 pages
File Size : 46,9 Mb
Release : 2010
Category : Medical
ISBN : 8881602148
Author : Nico de Vries,Ottavio Piccin,Olivier M. Vanderveken
Publisher : Thieme
Page : 442 pages
File Size : 50,8 Mb
Release : 2020-11-11
Category : Medical
ISBN : 9783132403666
The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists.
Author : Kathryn Fitch,Steven J. Bernstein,Maria Delores Aguilar,Mary S. Aguilar,Bernard Burnand,Pablo Lazaro,Juan Ramon LaCalle
Publisher : Rand Corporation
Page : 109 pages
File Size : 42,8 Mb
Release : 2001
Category : History
ISBN : 0833029185
Health systems should function in such a way that the amount of inappropriate care is minimized, while at the same time stinting as little as possible on appropriate and necessary care. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the "RAND/UCLA Appropriateness Method" was developed in the 1980s. It has been further developed and refined in North America and, increasingly, in Europe. The rationale behind the method is that randomized clinical trials--the "gold standard" for evidence-based medicine--are generally either not available or cannot provide evidence at a level of detail sufficient to apply to the wide range of patients seen in everyday clinical practice. Although robust scientific evidence about the benefits of many procedures is lacking, physicians must nonetheless make decisions every day about when to use them. Consequently, a method was developed that combined the best available scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history, and test results. This manual presents step-by-step guidelines for conceptualising, designing, and carrying out a study of the appropriateness of medical or surgical procedures (for either diagnosis or treatment) using the RAND/UCLA Appropriateness Method. The manual distills the experience of many researchers in North America and Europe and presents current (as of the year 2000) thinking on the subject. Although the manual is self-contained and complete, the authors do not recommend that those unfamiliar with the RAND/UCLA Appropriateness Method independently conduct an appropriateness study; instead, they suggest "seeing one" before "doing one." To this end, contact information is provided to assist potential users of the method.
Author : Ronald D. Chervin
Publisher : Cambridge University Press
Page : 391 pages
File Size : 47,5 Mb
Release : 2014-04-10
Category : Medical
ISBN : 9781107611535
An accessible, case-based teaching tool for all clinicians treating patients with sleep-related disorders.
Author : Giuseppe Mancia,Guido Grassi,Konstantinos Tsioufis,Anna Dominiczak,Enrico Agabiti Rosei
Publisher : CRC Press
Page : 650 pages
File Size : 50,5 Mb
Release : 2019-06-06
Category : Health & Fitness
ISBN : 9780429583346
The Manual of Hypertension of the European Society of Hypertension reflects emerging concepts that have the potential to impact diagnostic and therapeutic approaches to hypertension. Updating all material, this new edition also delves into a number of areas that have received heightened interest in recent years or have become a matter of debate due to the controversial interpretation of the available data. FEATURES Reflects emerging concepts impacting diagnostic and therapeutic approaches Explores background, history, epidemiology, and risk factors Describes pharmacological, nonpharmacological, and medical treatments Examines hypertension in special populations and treatment
Author : David N. F. Fairbanks,Samuel A. Mickelson,B. Tucker Woodson
Publisher : Lippincott Williams & Wilkins
Page : 304 pages
File Size : 43,6 Mb
Release : 2003
Category : Medical
ISBN : 0781740797
Completely updated, this volume is a practical, authoritative guide to the diagnosis and management of sleep-related breathing disorders. This Third Edition provides a more comprehensive treatment approach, focusing on surgical treatment but recognizing the growing importance of medical management of snoring/sleep disorders. Noted experts in the fields of otolaryngology, head and neck surgery, pulmonology, and sleep medicine examine the pathophysiology of these disorders, their clinical presentations in adults and children, the diagnostic workup, and the latest and most effective drugs, devices, oral appliances, and surgical procedures. An in-depth discussion of patient selection and treatment decisions is also included.
Author : Ki Beom Kim,Reza Movahed,Raman K. Malhotra,Jeffrey J. Stanley
Publisher : Springer Nature
Page : 646 pages
File Size : 52,6 Mb
Release : 2021-01-04
Category : Medical
ISBN : 9783030541460
This book provides comprehensive information on the etiology, pathophysiology, medical implications, diagnosis, and surgical and nonsurgical treatment of obstructive sleep apnea (OSA). Divided into five parts, the book begins with principles and fundamentals of OSA and its diagnostic considerations. Subsequent parts then address non-surgical management, surgical management, and maxillomandibular advancements for OSA. Chapters seek to approach this common disorder from the viewpoint of multiple specialties, thereby promoting the development of a broad strategy for the evaluation and management of OSA patients that draws on each of them. An invaluable reference, Management of Obstructive Sleep Apnea: An Evidence-Based, Multidisciplinary Textbook meets the needs of advanced dental and medical students, orthodontic, maxillofacial, ENT, neurology, and plastic surgery residents, and sleep medicine and pulmonary physicians.
Author : Ian McConachie
Publisher : Cambridge University Press
Page : 501 pages
File Size : 52,6 Mb
Release : 2014-09-04
Category : Medical
ISBN : 9781107690578
A concise summary of perioperative management of high-risk surgical patients, bridging the gap between the operating theatre and ICU.
Author : Institute of Medicine,Board on the Health of Select Populations,Committee on Social Security Cardiovascular Disability Criteria
Publisher : National Academies Press
Page : 304 pages
File Size : 41,7 Mb
Release : 2010-12-04
Category : Medical
ISBN : 9780309156981
The Social Security Administration (SSA) uses a screening tool called the Listing of Impairments to identify claimants who are so severely impaired that they cannot work at all and thus immediately qualify for benefits. In this report, the IOM makes several recommendations for improving SSA's capacity to determine disability benefits more quickly and efficiently using the Listings.
Author : Karl Hörmann,Thomas Verse
Publisher : Springer Science & Business Media
Page : 298 pages
File Size : 45,8 Mb
Release : 2010-03-01
Category : Medical
ISBN : 9783540777861
Nasal continuous positive airway pressure ventilation is the gold standard in the treatment of obstructive sleep apnea. Long-term compliance rates are about 60%. Therefore, several alternative treatment options are of special interest. Beside conservative therapies, various surgical concepts exist. The field of surgery for sleep disordered breathing has rapidly grown with new instrumentation and surgical techniques in the last 10 years. Surgeons in these fields have to attend scientific meetings, participate in workshops, and read the literature to stay up to date. In our sleep laboratories we conduct 30 polysomnographies each night. Each year, we perform almost 1,000 surgical procedures for sleep disordered breathing apart from numerous other conservative and apparative treatment modalities. Referring to our expe- ence and the present literature, we tried to give new information on surgical techniques in this second edition. The chapters are grouped in different anatomical fields of interest. We wanted to give general advice and specific new hints for the surgery of sleep disordered breathing so that the reader learns basic techniques followed by more advanced surgery. In addition to the illustrated surgical descriptions, the chapters contain informations about indications and contraindications of each surgical procedure and the postoperative care. Special interest has been dedicated to evidence-based medicine. So in each chapter, there is a table of references summarizing the effectiveness of the procedure and EBM grade.
Author : Samy I. McFarlane,George L. Bakris
Publisher : Springer Science & Business Media
Page : 196 pages
File Size : 54,6 Mb
Release : 2012-10-19
Category : Medical
ISBN : 9781603273572
Diabetes and hypertension have evolved as two of the modern day epidemics affecting millions of people around the world. These two common co-morbidities lead to substantial increase in cardiovascular disease, the major cause of morbidity and mortality of adults around the world. In Diabetes and Hypertension: Evaluation and Management, a panel of renowned experts address a range of critical topics -- from basic concepts in evaluation and management of diabetes and hypertension, such as dietary interventions, to evaluation and management of secondary hypertension in clinical practice. Other chapters focus on high cardiovascular risk populations such as those with coronary heart disease, chronic kidney disease and minority patients. In addition, evolving concepts and new developments in the field are presented in other chapters, such as prevention of type 2 diabetes and the epidemic of sleep apnea and its implication for diabetes and hypertension evaluation and management. An important title covering two of the most troubling disorders of our time, Diabetes and Hypertension: Evaluation and Management will provide the busy practitioner with cutting edge knowledge in the field as well as practical information that can translate into better care provided to the high-risk population of diabetics and hypertensive patients.
Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Sleep Medicine and Research
Publisher : National Academies Press
Page : 425 pages
File Size : 45,5 Mb
Release : 2006-10-13
Category : Medical
ISBN : 9780309101110
Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.
Author : Bipan Chand
Publisher : Springer
Page : 180 pages
File Size : 40,6 Mb
Release : 2017-09-18
Category : Medical
ISBN : 9783319635286
This text will provide a comprehensive, state-of-the art review of endoscopy in the management of the obese patient. It will serve as a valuable resource for clinicians, surgeons, endoscopists and researchers with an interest in endoscopy in the role of obesity care. The book will review how endoscopy plays a crucial role in the preoperative evaluation of a patient undergoing a surgical or endoluminal intervention, how intra-operative endoscopy allows evaluation of the newly reconstructed gastrointestinal tract and how post bariatric surgery complications can be managed. Endoscopic evaluation of normal and abnormal surgical anatomy will also be covered. A section dedicated to current and future endoluminal therapies, with a focus on safety, efficacy and technique, will also be thoroughly reviewed. This text will serve as a very useful resource for endoscopy in both a surgical and gastroenterology practice. Training, credentialing and the implementation of EBTs into ones practice, endoscopy suite and hospital will also be discussed.
Author : Anna F. Dominiczak,J. M. C. Connell
Publisher : Elsevier Health Sciences
Page : 284 pages
File Size : 53,9 Mb
Release : 2007-01-01
Category : Medical
ISBN : 9780444514561
Classic and modern tools of genetics have been applied to hypertension research for some 20 years. This volume in the Handbook of Hypertension series aims to go beyond a simple summary of discoveries and provides a critical commentary on many controversial issues. It will be particularly useful for clinician scientists at all stages of their careers, graduate students and post-doctoral scientists as well as all those interested in cardiovascular medicine and research throughout the entire spectrum from bench to bedside. As in every relatively young area of research, the initial excitement over the early positive observations has not always been confirmed by subsequent larger studies with greater statistical power. Issues related to current recommendations on design of studies and their analysis are therefore included. Pharmacogenetics and pharmacogenomics have been the subjects of many debates in recent years and are of particular importance in hypertension as life-long treatments, frequently with multiple drugs are given to millions of people world-wide. A critical appraisal of this controversial topic is provided. Several chapters on experimental genetics of hypertension with a special focus on physiological genomics are also included.
Author : Elizabeth Combeer,Mitul Patel
Publisher : CRC Press
Page : 648 pages
File Size : 50,5 Mb
Release : 2023-12-28
Category : Medical
ISBN : 9781003809494
This up-to-date study guide for the Final FRCA CRQ comprises questions based on every topic examined in the Royal College of Anaesthetists' (RCoA) Final written exam from the past 12 years. It therefore covers the areas of the syllabus that are key to exam success, offering factual learning and the opportunity to practise CRQ-style questions, with chapters that reflect the RCoA syllabus format to help organise learning. The inclusion of diagrams and additional commentary ensure that that this book will help candidates to learn rather than just providing a list of suggested model answers. Advice is offered about revision approaches, best sources of learning for the examination and guidance on structuring answers, which will support exam success in all parts of the Final FRCA. This resource will save hours of work for anaesthetists preparing for the Final FRCA.