Clinical Ambulatory Anesthesia (Cambridge Clinical Guides) - 2010 Edition

Ambulatory care can be a challenging setting in which to provide anesthesia – not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author’s continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care.

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Neurology and Neurosurgery Illustrated

* Covers both neurology and neurosurgery in a single source.
* Examines localized as well as multifocal neurological diseases and their diagnosis and management.
* Includes over 950 outstanding illustrations and line diagrams to clarify every concept.

* Reflects the latest developments in molecular diagnosis and genetics.
* Presents state-of-the-art coverage of interventional radiology.
* Discusses the newest approaches to tumor imaging


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Endolymphatic Shunt Operation

The endolymphatic shunt operation consists of opening the mastoid bone and identifying the endolymphatic sac which is located in the posterior fossa dura.
To find the sac, the sigmoid sinus is denuded of its bony cover except for a small rectangle of thin bone named Bill's Island, after Dr. William House. The sigmoid sinus is then collapsed with gentle pressure and the sac exposed behind the posterior semicircular canal.
The sac is then incised and a shunt tube is inserted. The picture shows a Huang-Gibson tube with a one-way valve that allows fluid to seep out but not back into the sac. This procedure decreases the endolymphatic fluid pressure

3 Exercises to lose weight fast

It is not difficult to lose your weight when you have the right information, at the right time, and the right tools to put it to use. If you will do these 3 best popular exercises on a consistent basis, week in and week out, then combined with a good diet, you will lose weight fast.


1. Interval running: Running has the potential to burn more calories per amount of time worked than any other exercise there is. No, I don’t mean jogging. Although you can use walking, then jogging as a way to prepare yourself to be able to run in the future. Interval running is just running with short breaks in between. For example: run for 30 seconds, then take a 30 second break then repeat.

2. Rowing: ..wow I love it, Rowing is a complete body workout and can be done outside on a lake, in the comfort of your own home, or at a gym. It burns a lot of calories and builds lean muscle.

3. Squat Presses: This exercise is well known to trainers and athletes alike, but not to the mainstream. It is simply taking a dumbbell or a barbell, then doing a squat. As you come to the top of your squat, you press the dumbbells (or barbell) above your head and then bring it back down and repeat. This exercise works every large muscle in the body and if done with short rest periods can be a good cardio workout (gets the heart rate up).

If you really want to lose weight, and want to do it fast, then you will have to use exercise. If you do these exercises 3-5 times per week (and be sure to mix it up), then you will reach your weight loss goals.

Localized osteoporosis in Inflammatory disease

Localized osteoporosis often is the first (though nonspecific) radiographic manifestation of inflammatory diseases such as osteomyelitis, tuberculosis, and rheumatoid arthritis.
In pyogenic infections, bone destruction typically precedes osteoporosis, whereas in tuberculosis the reverse is true.
Periarticular demineralization is a classic early sign of rheumatoid arthritis.

Staphylococcal osteomyelitis. (A) Initial film of the first metatarsophalangeal joint shows soft-tissue swelling and periarticular demineralization due to hyperemia. (B) Several weeks later, there is severe bony destruction about the metatarsophalangeal joint.

Practical Paediatric Problems: A Textbook for MRCPCH

The problem based approach of the book presents the reader with a slightly different perspective from that found in the traditional system based textbook. Junior doctors deal with and learn from dealing with children with problems – so this textbook with its alternative approach will be a useful additional source of advice and help to many starting off their careers in paediatrics.

This innovative text, modelled on the current RCPCH syllabus for paediatric training, provides all the information that the senior house officer and specialist registrar in paediatrics will need during training and when preparing for the MRCPCH examination. A series of chapters discussing general principles in paediatric medicine is followed by a section covering the problems associated with the major body systems. Each chapter within this latter section is divided into three elements. Element A covers the background basic science to the particular problems being discussed in the chapter, including basic embryology and anatomy, biology and physiology. A description of the techniques involved in investigation where these will be critical to the diagnoses that follow is also included here; Element B presents the core system problems for the chapter. Tables are provided to summarise the different causes, classifications and differential diagnoses, clinical features, key investigations, therapeutic options and outcomes. Concise supporting text provides more detailed information where appropriate. Selected short case histories are also included to highlight the key issues covered in the chapter. Element C is a concise bibliography, incorporating a short series of key primary papers and review articles and suggestions for further reading. Subjects covered under general principles include developmental paediatrics, behavioural issues and learning difficulties, community paediatrics and clinical pharmacology. Clinical chapters include the respiratory, cardiovascular, endocrine and all other body systems. Haematology, oncology, psychiatry, surgical problems and tropical paediatric medicine are also covered here. All chapters contain up-to-date and appropriate information written by practising paediatricians who are each acknowledged specialists in their own field. This textbook will fast become an indispensable guide to the specialty for all trainee paediatricians in preparation for the MRCPCHexamination and beyond.

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