Böcker utgivna av TFM Publishing Ltd

The Objective Structured Clinical Examination (OSCE) is a highly reliable and valid tool for the evaluation of trainees in anaesthesia. It enables examiners and trainers to assess a number of competencies in an organised way. Performance in the OSCE is considered to be a fair reflection of the level of knowledge and skill attained during anaesthesia training. Apart from having a wide and deep knowledge on the subject, trainees are expected to have the capacity to demonstrate their competency in a short period of time allotted for each station. The authors of this book have a rich experience in successfully conducting OSCE courses in the United Kingdom. The sample OSCE sets in the book closely simulate the style and content of the Royal College of Anaesthetists' examination format. The book contains 100 OSCE stations with answers based on key practical procedures, clinical skills, communication skills, data interpretation, anaesthetic equipment and the management of critical incidents on a simulator. The answers are presented thoroughly and clearly. The tutorial on the relevant topic and additional key points at the end of each station, together with more than 100 illustrations throughout the book will complement the reader's overall understanding. The marking system signifies the relevance of each question, enabling objective assessment of knowledge and practical skills. This book will also help candidates all over the world to pass highly competitive postgraduate examinations in anaesthesia. It is an invaluable educational resource for all anaesthetists.

This book represents a review of all the subjects with which a junior doctor needs to be effortlessly conversant in their postgraduate surgical exams in order to qualify as a specialist trainee. It covers a full range of subjects, concisely written to aid the revision process and includes basic science, physiology, anatomy, examination techniques, operative surgery and clinical surgery topics. The latter two sections are further subdivided into their relevant surgical specialty for clarity and ease of learning: general surgery, orthopaedics, vascular surgery, ENT surgery, breast and endocrine surgery, and urology. The physiology section is further subdivided into the following areas: respiratory, cardiac, renal, gastrointestinal, endocrine, and general. The purpose of this book is to pull together the main subject areas to provide a coherent overview of the facts, as well as the principles, which examiners are looking for when deciding whether a doctor has the requisite skills and knowledge to proceed further with their training in surgery as a specialist. It contains essential required information, which would otherwise take months to gather by reading a variety of textbooks, each one specifically aimed at its own specialist topic.

As techniques have become established, technology has moved forward at a pace making regular update vital to stay abreast of this expanding speciality. Covering main aspects of vascular disease, this work is useful to specialists who practice endovascular intervention in the fields of interventional radiology, vascular surgery and cardiology.

Divided into sections, each dealing with a different aspect of the consultation process, covering the general observation of the patient, aspects of the case history, physical evaluation and specific systemic examination procedures. This workbook forms a part of the therapist's continuing professional development portfolio.

This book is a succinct set of notes in a question and answer format covering the fundamental principles of surgery. It is aimed at anyone who works in a surgical specialty, not only surgeons, but also nurses, operating department assistants, assistants in surgical practice, trainee surgeons, junior doctors, dentists, podiatrists and medical students of all surgically-oriented disciplines. Many facts and principles are important to those who work in a surgical field, but there is no single unifying book that has covered all the basic, essential material that EVERYONE should know, regardless of their discipline. Equally, many of the existing surgical principle books are written purely for surgeons and, of course, eighty percent of their content is relevant only to surgeons and medical students, and not the wider audience. There is a lot of redundancy, not to mention expense, in reading these books. This book is essential reading in order to have a firm grasp of the fundamental principles of surgery before specialising into one of today's surgical disciplines.

The complete guide to getting started in motor racing, from going to a racing school to buying a car and learning race-craft. This book Is full of useful information and practical advice, written by experts and ideal for anyone considering making a start in one of the world's most exciting sports. More importantly, this book also shows how you can get into motor racing on a very limited budget.

Any breast operation is a significant event. This book provides information to help to lessen the fear and gives practical advice for patients returning to a normal life.

Choosing an easy life as an anaesthetist over the cut and thrust of art college, the author has been drawing medical cartoons, whilst waiting for surgeons to turn up or his regional blocks to work. This collection of drawings represents a wry look at life in the operating theatre, wards and clinic, as seen from the Head End.

Back pain is the commonest form of rheumatism and it is estimated to affect between 65 to 80 per cent of populations sampled. The actual symptom of back pain is one of the commonest and most perplexing encountered in medical practice. A proper understanding of what it means is crucial for further medical advance. This book deals with this topic.

Intensive research over the last fifteen years has yielded a vast expansion in our understanding of the role of inheritance and genetics in a variety of cancers. Several inherited conditions have been identified which result in a high risk of various cancers; some of these were previously recognised, but the genetic basis underlying them has now been elucidated. This knowledge is now entering the sphere of routine clinical care. Once the preserve of researchers and highly specialised units, genetic testing for cancer predisposition is now accessible to most clinicians via regional genetics units; in the USA patients can access commercial genetic testing facilities. There is a growing evidence base to guide family screening and clinical management of affected individuals. Surgeons, gastroenterologists, gynaecologists, oncologists, endocrinologists and many others need an awareness of these disorders, an understanding of genetic testing and when it is indicated, and how to manage patients with inherited cancer predisposition and their families. Testing for these conditions has potential legal, ethical and financial implications different from those which most clinicians regularly encounter, and continuing scientific and clinical advance means that patients and their doctors will face regular changes in management. This book covers the basic concepts of cancer genetics. The common inherited cancer syndromes are each dealt with in greater depth, with the current management outlined. This book is aimed at all clinicians who may encounter these conditions in their practice. It aims to facilitate identification of high-risk individuals and families, to inform interaction with geneticists and other sub-specialists, to provide a basis for patient management and to stimulate interest in these fascinating conditions.

The proposed self-help book is different from all previous IBS books, for it approaches IBS from a new and exciting viewpoint -- that of coping with IBS using concepts and skills based on the individual''s own psychological profile. The rationale is that there is uncertainty about the diagnosis and causes of IBS, and there are no treatments which are lastingly effective -- therefore, people with IBS must learn to cope with IBS as best they can. Psychological and social factors are known to influence the course of an illness, and the way people cope with that illness, even when illnesses have demonstrable physiological/biochemical causes. This book discusses the psychosocial factors which are involved in IBS, as a two-way relationship. It discusses the complex way in which mind/brain and body interact, in producing a different IBS experience'' for each person who suffers with it. The book shows how a greater knowledge of IBS can lead to a reduction in feelings of being stigmatised and depressed, to a feeling of greater well-being. It shows how sufferers can reduce the impact symptoms have on their day-to-day lives. Complex psychological constructs are explained simply and with the aid of examples and real-life vignettes taken from case studies.

A multi-disciplinary team approach within this new book which evaluates the current state-of-play with regard to blood conservation, including a fresh look at the evidence. Contents will cover the Supply and Demand issues; why/how changes have occurred; a historical overview; transfusion transmitted diseases; changing demographics and the projected impact on blood supplies; considerations for transfusion practice; surgical peri-operative techniques; medical management; risk management issues; the role of the Hospital Transfusion Team; educational issues; National Reports/Edicts; clinical networks in blood transfusion.

What is the evidence? Evidence-based medicine, or EBM which slips off the tongue more readily, seeks to offer proof that what we offer patients whenever we treat them, do a diagnostic test, or recommend anything from an operation to change in life style, is known to be effective. Fifty to 100 years ago, health care was delivered patchily, much less of it was effective, and was based on an image of a kindly doctor treating the sick, who were glad of whatever help could be offered. Now, medicine is effective and whether you look at it as major government expense or big business in private health care insurance, there is no sense in spending money on ineffective treatments, while we do not have enough to spend on what is of proven worth. Individual doctors cannot read everything and cannot possibly synthesise what they do read, so that they are aware of what is proven to be effective and what probably is not. The "The Evidence for ..." series seeks to fill that need. Into "The Evidence for Cardiothoracic Surgery" we have commissioned systematic reviews of the common operations and some innovative treatments, to present the facts to busy doctors. Where is there and where is there not evidence?

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.

The assessment of medical knowledge is evolving and Extended Matching Questions (EMQs) are fast becoming one of the preferred structured question assessment of how well medical knowledge is applied in the clinical setting. The editors have enlisted the help of specialists in all relevant clinical specialties to create a bank of questions typical of the assessment of candidates in postgraduate examinations such as the MRCS/FRCS in the United Kingdom. It is likely that the Board Exams in the United States may follow and the question structure is of considerable help in self assessment at all levels.

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.

...The Park Hospital in Brooklyn, New York City. Two established top knives lead the local Medical-Surgical Mafia. They control the medical board, bully the hospital president, intimidate the chairman of surgery, elevate their cronies, repress their enemies and extort dollar-producing referrals. They also systemically kill their patients through sloppy and negligent practice but remain beyond scrutiny for many years. Until Professor Z arrives... learn how malpractice, negligence, greed, corruption, whistle blowing, friendships and treachery thrive at the New York Park Hospital...

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.