Download Etomidate: An Intravenous Hypnotic Agent First Report on by R. S. Reneman, P. A. J. Janssen (auth.), Prof. Dr. med. A. PDF

By R. S. Reneman, P. A. J. Janssen (auth.), Prof. Dr. med. A. Doenicke (eds.)

The query tips to result in basic anaesthesia without difficulty has been requested many times by means of anaesthetists and pharmacologists. P. A. JANSSEN constructed etomidate and released this substance in 1971 as "a powerful short-acting and comparatively atoxic intravenous hypnotic agent in rats". In 1974 after a number of years of experimental and medical trial the barbiturate-free hypnotic etomidate (soon advertised as Hypnomidate) used to be brought to varied auditors on the get together of the IV. eu Congress of Anaesthesiologists in Madrid. because the authors prolonged their essays, the reality of the current e-book is given. the belief mentions the recent resolution of etomidate base in 35 % propylene glycol. it's anticipated that the disadvantageous results - venous soreness in the course of injection and linked involuntary muscle stream- will principally be eradicated through the use of the hot formulation of etomidate after premedication of fentanyl. Mlinchen, August 1977 Alfred DOENICKE desk OF CONTENTS The Experimental Pharmacology of Etomidate, a brand new powerful, Short-Acting Intravenous Hypnotic (R. S. RENEMAN and P. A. JANSSEN) •. . . . •• 1 Protein Binding of Etomidate (G. A. MANNES and A. DOENICKE) ••••. . . 6 The impact of Intra-Arterial Injection of Etomidate and Thiopental at the Skeletal Muscle- and Arterial Wall-Structures (R. S. RENEMAN, F. VERHEYEN, R. KRUGER, W. VAN GERVEN and M. BORGES) . . •. . •• nine interplay among Etomidate and the Antihypertensive brokers Propanolol andoC-Methyl-Dopa (R. S. RENEMAN, W. VAN GERVEN and R. KRUGER) ••. •. . . 15 Teratogenicity of Etomidate (A. DOENICKE and M. HAEHL) •. ••. •.

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Download Tissue Characterization in MR Imaging: Clinical and by H. P. Higer (auth.), Dr. med. H. Peter Higer, Dr. med. PDF

By H. P. Higer (auth.), Dr. med. H. Peter Higer, Dr. med. Gernot Bielke (eds.)

H.P. HIGER 1 within the 17th century humans dreamed a couple of computing device to dispose of evil spirits and obsessions, that have been regarded as the most resource of mis­ fortune and ailment. i'm really not going to query this method, simply because in a fashion it sounds moderate. They dreamed of a computing device that might reveal im­ a long time from the interior global of fellows that could be simply pointed out and named. someway those are the roots of MR imaging. in fact, we now view sickness from a unique standpoint yet our targets stay an identical, particularly to make illnesses seen and to aim to signify them with the intention to therapy them. This was once the cause of establishing a symposium on tissue characterization. approximately three hundred years later the scientific advent of MRI has nice strength for making this dream come precise, and that i desire that this symposium has con­ stituted one other step towards its consciousness. while Damadian released his article in 1971 approximately adjustments in T1 leisure instances among fit and pathological tissues, this used to be a milestone in tissue characterization. His effects initiated extensive learn in­ to MR imaging and tissue parameters. truly his encouraging discovery used to be not just the 1st but additionally the final for a very long time within the box of MR tissue characterization.

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Download Yen & Jaffe's Reproductive Endocrinology: Physiology, by Jerome F. Strauss III MD PhD, Robert L. Barbieri MD PDF

By Jerome F. Strauss III MD PhD, Robert L. Barbieri MD

Yen & Jaffe's Reproductive Endocrinology is helping you successfully diagnose and deal with the spectrum of male and female reproductive approach diseases, from impaired fertility, infertility, and recurrent being pregnant loss via difficulties of sexual improvement, puberty, menstrual disturbances, fibroids, endometriosis, and reproductive getting older. This relied on endocrinology reference booklet is perfect for fellows, endocrinologists, or as a brief reference whilst making day-by-day diagnostic and healing judgements. it's just the source you want to supply your sufferers the very best reproductive care.

  • Get unequalled advice you could trust, corresponding to clean insights into cutting-edge box and destiny advances, in the course of the wisdom gleaned from around the world fertility specialists in reproductive medicine.
  • Further your research of Reproductive Endocrinology with a listing of prompt readings on the finish of every chapter.
  • Conveniently entry the absolutely searchable text and view the entire photographs online at Expert Consult.
    • Apply the most recent reproductive endocrinology advances in uncomplicated and medical technology, together with molecular, mobile, and genetic strategies, and snatch their relevance to pathophysiology, prognosis, and remedy.
    • Maximize fertility in men and women present process chemotherapy and different melanoma treatments, and guidance sufferers on environmental elements affecting reproduction.
    • Stay on best of modern developments together with the impression of weight problems on fertility; ovarian tissue banking; cryopreservation; pre-implantation genetic analysis; ovulation induction; and dangers and coverings for steroid hormone-responsive cancers.
    • View uncomplicated anatomic buildings, endocrine approaches, and cellphone functionality and disorder with absolute clarity via full-color illustrations and new photos throughout.
    • Confidently practice procedures via accelerated insurance of reproductive and infertility surgical procedure and on-line video clips demonstrating key techniques.
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      Download End of Life Care in the ICU: From advanced disease to by Graeme Rocker, Élie Azoulay, Kathleen Puntillo, Judith PDF

      By Graeme Rocker, Élie Azoulay, Kathleen Puntillo, Judith Nelson

      The Oxford professional Handbooks sequence presents readers with transparent, concise info on all that's had to effectively educate within the clinical sub-specialties. every one publication provides an summary of truly outlined techniques, abilities, guidance, and applied sciences and offers sensible counsel and case reports to complement hands-on adventure. the place applicable, each one e-book enhances the revised curriculum as built by way of the professional Advisory Committees.

      As palliative drugs doesn't have the assets to deal with all sufferers with malignant and non-malignant continual disorder, executive guidance have driven for its inclusion within the curriculum of such a lot scientific and surgical specialties. All specialties are being inspired to develop into actively engaged in dealing with finish of existence deal with their very own patients.

      End of lifestyles care within the ICU provides its personal distinctive demanding situations, and this publication highlights actual scientific concerns which have to be addressed if caliber palliative care inside ICUs is to be always introduced. It info thoughts and evidence-based suggestion at the nature of powerful palliative care within the ICU environment, facing matters equivalent to diagnosing the demise, speaking with sufferers and households, the help of households and carers, multidisciplinary operating, TPN and fluids, dialysis, inotropic aid, autonomy, dignity, powerful symptom regulate, functional ethics, and the method of determination making, administration of demise, and bereavement care. This ebook is perfect for medical professionals, nurses, and allied well-being execs operating within the ICU and palliative care.

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      Download Clinical Electroencephalography and Topographic Brain by Frank H. Duffy M.D., Vasudeva G. Iyer M.D., D.M., Walter W. PDF

      By Frank H. Duffy M.D., Vasudeva G. Iyer M.D., D.M., Walter W. Surwillo Ph.D. (auth.)

      Electroencephalography is actually an interdisciplinary recreation, concerning options and strategies from a number of diverse disciplines. integrated are uncomplicated physics, neuro­ body structure, electrophysiology, electrochemistry, electronics, and electric engineer­ ing, in addition to neurology. Given this attention-grabbing and numerous mix of parts, the educate­ ing of an EEG technician, a neurology resident, or an EEG researcher within the fundamentals of medical electroencephalography offers an unusual problem. within the realm of know-how, it really is really effortless to acquire a technically enough EEG just by studying to stick to a protocol and via appropriately atmosphere many of the switches at the EEG computer on the correct time. yet adventure has proven that the facility to procure fine quality EEGs on a regimen, daily foundation from a large choice of sufferers calls for figuring out and data past what's realized by means of rote. Likewise, wisdom above and past what's received via basic participation in an EEG studying is important to properly and comprehensively interpret the checklist. Such wisdom comes from an realizing of the fundamental ideas upon which the perform of medical EEG is based - rules that derive from a few of the disciplines cited.

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      Download Magnetic Resonance Imaging of Bone and Soft Tissue Tumors by A.M.A. de Schepper PDF

      By A.M.A. de Schepper

      Magnetic resonance imaging has already turn into a Most worthy imaging modality within the diagnostic work-up of musculoskeletal neoplasms. whereas excessive accuracy of MRI for staging reasons has been confirmed, we'll concentration during this monograph at the characterization of basic bone and delicate tissue tumors by means of MRI. the main objective of this monograph is to supply an atlas of magnetic resonance beneficial properties of fundamental bone and smooth tissue tumors for radiologists, orthopedic surgeons and physiotherapists. the consequences provided are in line with investigations of ninety four fundamental bone and smooth tissue tumors and mimicking stipulations by way of magnetic resonance imaging. even though the size of the cloth permits statistical dealing with, the variety of sufferers according to subgroup is just too small to return to convinced conclusions. we are going to as a result restrict ourselves to the outline of and reviews on lots of situations to demonstrate the diagnostic strength of this new imaging modality. we wish to thank the nameless cooperators: referring clinicians, pathologists, nurses, technicians and secretaries whose aid enabled us to give this monograph. we might additionally prefer to exhibit our gratitude to the corporations Siemens AG and Schering AG for technical support.

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      Download Clinical Cardiac Pacing, Defibrillation and by Kenneth A. Ellenbogen MD, Bruce L. Wilkoff MD, G. Neal Kay PDF

      By Kenneth A. Ellenbogen MD, Bruce L. Wilkoff MD, G. Neal Kay MD, Chu Pak Lau

      Medical Cardiac Pacing, Defibrillation and Resynchronization remedy, 4th variation, by means of Drs. Kenneth A. Ellenbogen, Bruce L. Wilkoff, G. Neal Kay, and Chu-Pak Lau, is helping you carry improved medical results utilizing the most recent, so much profitable cardiac electrophysiology options. Expertly and virtually comprise state-of-the-art technical advancements in gadget and ablation treatments into your perform, and remain at the fringe of this quickly advancing box. boost your talents in difficult new components like ICD treatment in hereditary arrhythmias, interventional recommendations for gadget implantation, implantable cardiovascular displays, leadless pacing, and the biologic pacemaker. Watch specialists practice those state-of-the-art tactics on-line at www.expertconsult.com to aid maximize your potency and resolve a broader variety of middle rhythm demanding situations than ever prior to. deal with extra sufferers and deal with a broader diversity of stipulations by means of following the most recent criteria in pacing, defibrillation, and resynchronization applied sciences. practice the newest methods with information from international specialists who give a contribution clean views at the not easy scientific quarter of cardiac electrophysiology. optimistically deal with your sufferers with the most recent, state of the art strategies for atrial and ventricular pacing modes; ICD remedy in hereditary arrhythmias; interventional ideas for equipment implantation; guidance for handling gadget and lead advisories; implantable cardiovascular displays; leadless pacing and ICDs; and the biologic pacemaker. replicate the functionality of the specialists as they practice step by step strategies in intervention, implantation, and ablation remedies within the on-line movies. seek the whole contents on-line, hyperlink to PubMed, obtain the picture gallery, assessment perform instructions, and consider all the video clips at www.expertconsult.com. deal with extra sufferers and recover results with the most recent tactics in pacing, defibrillation and resynchronization remedy from Dr. Ellenbogen.

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      Download The Complete Spleen: Structure, Function, and Clinical by Ronald A. Bergman PhD, Paul M. Heidger Jr. PhD, Carol E. H. PDF

      By Ronald A. Bergman PhD, Paul M. Heidger Jr. PhD, Carol E. H. Scott-Conner MD,PhD (auth.), Anthony J. Bowdler MD, PhD, FRCPLOND, FRCPATH, FACP (eds.)

      Since the e-book of the total Spleen: constitution, functionality, and medical problems lower than the identify of The Spleen in 1990, there has seemed a wealth of recent details that now calls for incorporation into the analysis and administration of sufferers with splenic issues. during this second variation, a world panel of extraordinary medical and clinical investigators has completely revised and up to date Professor Anthony Bowdler's vintage paintings, emphasizing these services mostly reserved to the spleen, in particular the spleen's microvasculature, uniquely tailored to particle filtration, and the resultant mechanisms of its immune responses.
      one of the affliction elements severely surveyed in wealthy element are the motives of splenic expansion, the that means of hypersplenism, hyposplenism and its motives and administration, and the weird cytopenias that accompany the issues of the spleen, together with these brought on by maldistribution and dilutional anemias. illnesses given concentrated cognizance contain the myelo- and lymphoproliferative issues, hemolytic ailments, and the sickle-cell issues. those are by means of info of the radiological exam of the spleen, of the current prestige of surgical intervention, with emphasis on tissue and practical conservation, and of the lately constructed laparoscopic equipment.
      complete and cutting-edge, the whole Spleen: constitution, functionality, and scientific problems makes to be had to all physicians and medical researchers a coherent account of trendy dramatically extra distinctive wisdom of the spleen and its particular capabilities as a part of the immune method, in addition to our optimum present techniques for the administration of its pathologies.

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