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  • 46500lei 400.00 lei


    Make the most effective diagnostic and therapeutic decisions quickly and efficiently!
    Practical and highly organized, The 5-Minute Clinical Consult 2021 is a reliable, go-to resource for primary care physicians, nurse practitioners, and physician assistants.  This bestselling title provides rapid access to guidance on diagnosis, treatment, medications, follow-up, and associated factors for more than 540 diseases and conditions. The 5-Minute Clinical Consult 2021 delivers clinical confidence efficiently, allowing you to focus your valuable time on giving your patients the best possible care.

    ·         Find the answers you need quickly thanks to an intuitive, at-a-glance format, with concise, bulleted text; hundreds of diagnostic and therapeutic algorithms; ICD-10 codes, DSM-5 criteria; and much more.

    ·         Make confident decisions aided by current evidence-based designations in each topic.

    ·         10-day access to Sign up for a trial and experience how easy it is to use 5MinuteConsult at the point of care. Your credentials also give you access to the 5Minute app, available in the Apple and Google Play stores.

    Written by esteemed internal medicine and family medicine practitioners and published by the leading publisher in medical content, The 5-Minute Clinical Consult 2021, 29th Edition is your best resource for patient care. is an evidence-based, online workflow tool easily integrated at the point of care and provides online-exclusive content, including:

    ·         More than 1,200 additional topics, including the full contents of The 5-Minute Pediatric Consult and The 5-Minute Sports Medicine Consult

    ·         New online-exclusive topics and algorithms on COVID-19 and Telemedicine

    ·         Differential diagnosis support from an expanded collection of algorithms

    ·         Current evidence-based designations highlighted in each topic

    ·         Thousands of images to help support visual diagnosis of all conditions

    ·         A video library of procedures, treatment, and physical therapy techniques

    ·         An A-to-Z Drug Database from Facts & Comparisons®

    ·         Guidance on laboratory test interpretation from Wallach’s Interpretation of Diagnostic Tests

    ·         More than 3,500 patient handouts in English and Spanish

    ·         Approximately 100 Diseases and Conditions in Spanish

    ·         ICD-10 codes and DSM-5 criteria

    ·         FREE point-of-care CME and CE: 0.5 credits each time you search the site to find the best treatment for your patients. This activity has been reviewed and is acceptable for up to 20 prescribed credits by the AAFP and the ANCC.

    Subscribe to and experience all the benefits of using 5MinuteConsult on the go! A subscription also comes with free access to the all-new 5MinuteConsult App, available for download in the Apple and Google Play stores. Go to to learn more and subscribe today!

  • 1,15500lei 980.00 lei



    This expert volume in the Diagnostic Pathology series is an excellent point-of-care resource for practitioners at all levels of experience and training. Covering all areas of nonneoplastic dermatopathology, it incorporates the most recent clinical, pathological, and molecular knowledge in the field to provide a comprehensive overview of all key issues relevant to today’s practice. Richly illustrated and easy to use, Diagnostic Pathology: Nonneoplastic Dermatopathology is a one-stop reference for accurate, complete pathology reports, ideal as a day-to-day reference or as a reliable training resource. 

    Table Of Contents:

    Integument Normal Histology

    Epidermis (Including Keratinocytes and Melanocytes)


    Adnexal Structures


    Spongiotic and Psoriasiform Dermatoses

    Atopic Dermatitis

    Contact Dermatitis

    Nummular Eczema

    Asteatotic Eczema

    Dyshidrotic Eczema

    Id Reaction

    Seborrheic Dermatitis

    Pityriasis Rosea

    Stasis Dermatitis

    Lichen Simplex Chronicus

    Prurigo Nodularis

    Frictional Keratosis


    Zoon Balanitis

    Reactive Arthritis


    Lichenoid and Vacuolar Interface Dermatoses

    Lichen Planus

    Lichenoid Keratosis

    Erythema Multiforme and Related Disorders

    Pigmented Purpuric Dermatoses

    Lichen Sclerosus et Atrophicus

    Graft-vs.-Host Disease

    Pityriasis Lichenoides

    Pityriasis Rubra Pilaris

    Erythema Dyschromicum Perstans

    Lichen Striatus

    Lichen Nitidus


    Vesiculobullous Dermatoses

    Bullous Pemphigoid

    Pemphigus and Variants

    Dermatitis Herpetiformis

    Cicatricial Pemphigoid

    Hailey-Hailey Disease

    Epidermolysis Bullosa Acquisita

    Epidermolysis Bullosa (Inherited)

    Linear IgA Bullous Dermatosis

    Erythema Toxicum Neonatorum

    Transient Neonatal Pustular Melanosis

    Acropustulosis of Infancy

    Pemphigoid Gestationis

    Bullous Diabeticorum

    Palmoplantar Pustulosis

    Erosive Pustular Dermatosis

    Porphyria Cutanea Tarda

    Vasculitis, Vasculopathy, and Perivascular Dermatoses

    Leukocytoclastic Vasculitis

    Granuloma Faciale

    Erythema Elevatum Diutinum

    Urticaria and Variants

    Thrombotic Vasculopathy

    Livedoid Vasculopathy

    Polyarteritis Nodosa

    Gyrate Erythemas

    Giant Cell Arteritis

    Pruritic Urticarial Papules and Plaques of Pregnancy

    Granulomatosis With Polyangiitis

    Eosinophilic Granulomatosis With Polyangiitis

    Behçet Disease

    Malignant Atrophic Papulosis

    Livedo Reticularis




    Erythema Nodosum


    Traumatic Panniculitis

    Eosinophilic Panniculitis

    Erythema Induratum

    Sclerema Neonatorum

    Subcutaneous Fat Necrosis of the Newborn

    Post-Steroid Panniculitis

    Cold Panniculitis

    Pancreatic Panniculitis

    Connective Tissue/Soft Tissue Diseases


    Lupus Erythematosus and Variants




    Eosinophilic Fasciitis

    Nodular Fasciitis

    Pseudoxanthoma Elasticum

    Relapsing Polychondritis

    Nephrogenic Fibrosing Dermopathy (Nephrogenic Systemic Fibrosis)


    Favre-Racouchot Syndrome

    Collagenous and Elastotic Marginal Plaques of the Hands

    Erythema Ab Igne


    Cutis Laxa


    Middermal Elastolysis

    Degenerative and Perforating Diseases

    Chondrodermatitis Nodularis Helicis

    Perforating Dermatoses

    Elephantiasis Nostras Verrucosa

    Metabolic/Deposition Diseases

    Acanthosis Nigricans

    Confluent and Reticulated Papillomatosis


    Colloid Milium

    Calcinosis Cutis

    Osteoma Cutis


    Tattoo Ink

    Reaction to Cosmetic Fillers

    Silicone Reaction

    Amalgam Tattoo


    Minocycline Deposition

    Monsel Reaction



    Lipoid Proteinosis

    Necrolytic Migratory Erythema


    Focal Cutaneous Mucinosis


    Papular Mucinosis


    Reticular Erythematous Mucinosis


    Cutaneous Myxoma

    Follicular Mucinosis

    Granulomatous Diseases


    Granuloma Annulare

    Necrobiosis Lipoidica

    Foreign Body Granuloma

    Rheumatoid Nodule

    Actinic Granuloma

    Annular Elastolytic Giant Cell Granuloma

    Melkersson-Rosenthal Syndrome

    Necrobiotic Xanthogranuloma

    Perioral Dermatitis

    Lupus Miliaris Disseminatus Faciei

    Cutaneous Crohn Disease

    Interstitial Granulomatous Dermatitis

    Palisaded Neutrophilic Granulomatous Dermatitis

    Pilosebaceous Diseases




    Hidradenitis Suppurativa


    Eosinophilic Pustular Folliculitis

    Fox-Fordyce Disease




    Androgenetic Alopecia

    Telogen Effluvium


    Alopecia Areata

    Lichen Planopilaris

    Discoid Lupus Alopecia

    Central Centrifugal Cicatricial Alopecia

    Folliculitis Decalvans

    Acne Keloidalis Nuchae

    Dissecting Cellulitis

    Traction Alopecia

    Hair Shaft Disorders


    Bubble Hair

    Pili Torti

    Pili Annulati

    Trichorrhexis Nodosa


    Hair Cast


    Reactions to Drugs

    Cutaneous Reactions to Immune Checkpoint Inhibitors

    Morbilliform Drug Reactions

    Fixed Drug Eruption

    Lichenoid Drug Eruptions

    Photodrug Eruptions

    Phototoxic Dermatitis

    Acute Generalized Exanthematous Pustulosis

    Drug Rash With Eosinophilia and Systemic Symptoms

    Toxic Erythema of Chemotherapy

    Psoriasiform Drug Eruptions

    Disorders of Epidermal Maturation and Keratinization


    Grover Disease

    Darier Disease



    Epidermolytic Hyperkeratosis

    Granular Parakeratosis

    Incontinentia Pigmenti

    Keratosis Pilaris

    Circumscribed Acral Hypokeratosis


    Disorders of Pigmentation


    Postinflammatory Pigment Alteration

    Pityriasis Alba

    Becker Nevus


    Idiopathic Guttate Hypomelanosis

    Dowling-Degos Disease

    Neutrophilic Dermatoses

    Sweet Syndrome

    Pyoderma Gangrenosum

    Subcorneal Pustular Dermatosis

    Neutrophilic Eccrine Hidradenitis

    Nutritional Deficiencies

    Necrolytic Acral Erythema



    Acrodermatitis Enteropathica

    Photosensitivity Dermatoses

    Polymorphous Light Eruption

    Chronic Actinic Dermatitis

    Hydroa Vacciniforme

    Bacterial Infections



    Necrotizing Fasciitis

    Ecthyma Gangrenosum

    Staphylococcal Scalded Skin Syndrome

    Lyme Disease and Its Manifestations


    Atypical Mycobacterial Infections


    Cat Scratch Disease/Bacillary Angiomatosis

    Nocardiosis and Actinomycosis

    Rocky Mountain Spotted Fever




    Cutaneous Malakoplakia


    Spirochetal Diseases




    Endemic Syphilis (Bejel)

    Viral Infections

    Gianotti-Crosti Syndrome

    Viral Exanthem

    Cutaneous Manifestations of COVID-19


    Varicella/Herpes Zoster

    Molluscum contagiosum

    Epstein-Barr Virus Infections


    Orf and Milker's Nodule

    Hand, Foot, and Mouth Disease


    Fungal Infections


    Majocchi Granuloma


    Pityriasis (Tinea) Versicolor

    Tinea Nigra















    Talaromycosis (Penicilliosis)



    Demodex Infestations

    Bite Reactions



    Larva Migrans and Currens







    Human Filariasis


    Cutaneous Endometriosis

    Wells Syndrome

    Thermal Injury

    Black Heel

    Accessory Tragus

    Supernumerary Nipple

    Cutaneous Lymphoid Hyperplasia

    Adult-Onset Still Disease


  • 89000lei 525.00 lei


    Provides an overview of both minimal invasive and open reduction approaches

    Clearly presents all types of reduction tools and equipment and their appropriate use

    Includes step-by-step guidance for preserving the biology of the surrounding soft issues in lower extremity and Spine-Pelvis


    About this book


    This book is the second volume on Osteosynthesis of Fractures and focuses on fractures of the spine-pelvis and lower extremities. It illustrates the techniques of fracture reduction clearly, using a step-wise approach with real time intra-operative photographs. Tips and tricks for how to avoid pitfalls are presented by a panel of experts  to give the readers a complete overview of how to perform reduction techniques for different fracture types.

    This book will be an essential guide for surgeons to utilise the available reduction instruments and preserve the vitality of the bone and surrounding soft tissues.




    “The primary audience are orthopedists and traumatologists who care for patients with skeletal trauma. Trainees in these areas would also benefit. … This is an important and mature contribution to an already crowded field and is highly recommended to surgeons and their trainees who care for adult patients with skeletal trauma.” (Edward Abraham, Doody’s Book Reviews, May 8, 2020)


    Table of contents (34 chapters)


    Cervical Spine Fracture-Dislocation

    Pages 1-13

    Loughenbury, Peter Robert

    Thoracolumbar Fractures

    Pages 15-30

    Dunsmuir, Robert A.

    Spino Pelvic Dissociation

    Pages 31-41

    Guerado, Enrique (et al.)

    Pelvic Lateral Compression Fracture Patterns

    Pages 43-65

    Kanakaris, Nikolaos K.

    Pelvic Open Book Injuries

    Pages 67-75

    Alzahrani, Abdullah M. (et al.)

    Pelvic Vertical Shear Injuries and Sacroiliac Joint Disruptions

    Pages 77-90

    White, Michael A. (et al.)

    Sacral Fractures

    Pages 91-123

    Fritz, Tobias (et al.)

    Posterior Wall/Column Fractures

    Pages 125-133

    Giannoudis, Vasileios P. (et al.)

    Acetabulum Anterior Wall and Anterior Column Fractures

    Pages 135-148

    Douras, Panagiotis (et al.)

    Acetabulum Two Column Fractures

    Pages 149-163

    Cole, Peter A. (et al.)

    Central Dislocation of Acetabulum Fractures

    Pages 165-174

    Bastian, Johannes Dominik (et al.)

    Combined Fractures of the Pelvis and Acetabulum

    Pages 175-182

    Carlos Mario, Olarte S. (et al.)

    Femoral Head Fractures

    Pages 183-191

    Johal, Herman (et al.)

    Intracapsular Femoral Neck Fractures

    Pages 193-204

    Kojima, Kodi E. (et al.)

    Extracapsular Proximal Femoral Fractures (Pertrochanteric Intertrochanteric and Fractures with Reverse Obliquity)

    Pages 205-214

    Giannoudis, Peter V. (et al.)

    Subtrochanteric Femoral Fractures

    Pages 215-223

    Ntourantonis, Dimitris I. (et al.)

    Femoral Shaft Fractures

    Pages 225-234

    Tatani, Irini (et al.)

    Complex Bifocal Femoral Fractures

    Pages 235-251

    Nollin, Zachary (et al.)

    Supracondylar/Intracondylar Distal Femoral Fractures

    Pages 253-266

    Chellam, William B. (et al.)

    Distal Femoral Fractures (Hoffa/Periprosthetic)

    Pages 267-275

    Johnson, Joey P.

    Patella Fractures

    Pages 277-288

    Papachristos, Ioannis V. (et al.)

    Schatzker Type III and Complex Bicondylar Tibial Plateau Fractures

    Pages 289-298

    Peter, Reynders-Frederix (et al.)

    Posterior Tibial Plateau Fractures

    Pages 299-306

    Tosounidis, Theodoros H. (et al.)

    Schatzker Type VI Tibial Plateau Fractures

    Pages 307-324

    Foster, Patrick

    Proximal Tibial Shaft Fractures

    Pages 325-339

    Kfuri, Mauricio (et al.)

    Segmental Tibia Shaft Fractures – IM Nailing

    Pages 341-350

    Gathen, Martin (et al.)

    Segmental Tibia Shaft Fractures – Extra Articular Ilizarov Reduction Techniques

    Pages 351-371

    Harwood, Paul (et al.)

    Distal Tibia Fractures

    Pages 373-385

    Vun, James S. H. (et al.)

    Ankle Fractures

    Pages 387-401

    Douras, Panagiotis (et al.)

    Talar Fractures and Fracture Dislocations

    Pages 403-416

    Li, Yuneng (et al.)

    Calcaneal Fractures

    Pages 417-426

    Tosounidis, Theodoros H. (et al.)

    Chopart Fracture Dislocation

    Pages 427-436

    Pountos, Ippokratis (et al.)

    Lisfranc Injuries-Fracture Dislocations

    Pages 437-506

    Monkhouse, Ray (et al.)

    Metatarsal and Phalangeal Fractures

    Pages 507-523

    Babhulkar, Sushrut (et al.)


  • 45000lei 400.00 lei




    A definitive manual covering everything you need to know about the core procedures in dentistry

    The Manual of Clinical Procedures in Dentistry comprehensively explains the core procedures in dentistry, how to do them, and the rationale that underpins them. Full of useful and easy-to-access information, it acts as a compendium of practical procedures in primary dental care, supporting students and dental practitioners in their daily professional and academic lives.

    This manual is a complete, practical guide to the delivery of effective, state of the art oral healthcare--the ‘what, when, and how’ of clinical practice. It compiles chapters written by expert clinicians on topics such as dental imaging, the management of dental pain, conscious sedation, operative dentistry, implant dentistry, oral medicine and surgery, paediatric dentistry, periodontics, prosthodontics, special care dentistry, dental trauma, aesthetic dentistry, and much more.

    Provides step-by-step guidance on procedures in primary dental care 

    Comprehensive coverage of all dental disciplines, from endodontics to orthodontics

    Compiled by two highly experienced editors with contributions from expert authors

    Covers essential non-clinical areas, such as communicating with patients, obtaining valid consent, audit procedures, and handling of complaints

    The Manual of Clinical Procedures in Dentistry is an invaluable text for dental students and new graduates, as well as a definitive guide for the whole dental team.



    Table of Contents:


    List of Contributors

    1 The Changing Nature of the Practice of Dentistry

    Big Picture

    Oral and Dental Disease

    The Dental Team

    The Practice Environment


    Scope of Practice

    PatientCentred Care

    Preventatively Orientated Care

    Minimum Intervention

    Patient Empowerment

    Pain and Anxiety


    Continuous Quality Improvement

    Ethics versus Cosmetics

    The Unexpected

    Further Reading

    2 An Overview of Patterns and Trends in Oral and Dental Diseases


    The Global Population

    Oral Health

    Oral Health Needs

    Chapter Aims

    Surveys of Oral Health – Epidemiology

    Challenges of Measuring Oral Diseases and Conditions

    What Do We Learn from Countries with Surveys of Oral Health?


    Functional Dentition

    Excellent Oral Health

    Urgent Conditions


    Oral Health Related Quality of Life

    Dental Caries (Tooth Decay)

    Periodontal Diseases

    Tooth Wear

    Orthognathic Abnormalities

    Oral Cancer

    Trauma to Teeth



    Cleft Lip and/or Palate (CL&P)

    Oral Health and General Health

    Oral Health – Largest 24 Countries Globally

    Global Oral Health Goals



    Do Dentists Make a Difference to Oral Health?


    3 Requirements in the Clinical Environment

    Infection Control Requirements

    Dental Instrument Management

    Clinical Waste Disposal

    Risk Assessment

    Sharps Injuries and Exposure Prone Procedures

    Dental Surgery Design


    Further Reading

    4 Communicating With Patients



    What Is Communication?

    The Purpose of Communication in Healthcare Settings

    Models of Communication in Healthcare Settings

    Dentist–Patient Communication: Basic Components and their Assessment

    Special Issues in Communication: Giving Bad News

    Special Issues in Communication: Motivating Behavioural Change


    Further Reading

    5 Obtaining Valid Consent


    Patient Autonomy

    Update in Law in Relation to Consent

    Informed Consent versus Valid Consent


    The Consent Communication Process

    Department of Health Guidance

    General Dental Council Principles

    Care Quality Commission

    Practical Tips

    Consent in Research


    6 Procedures in the Assessment and Examination of Patients


    The History

    The Examination

    Diagnostic Tests

    7 Procedures and Arrangements for the Prevention of Oral and Dental Diseases


    Rationale for Prevention of Oral and Dental Diseases

    Health Promotion

    A Common Risk Factor Approach

    Supporting Behaviour Change and Adherence

    Plaque Control and the Use of Fluoridated Toothpastes

    Dietary Change

    Tobacco and Alcohol

    Dental Attendance

    What Might Predict Adherence to Healthcare Advice?

    Chairside Dental Health Education

    Written Materials for Dental Health Education


    Risk Assessment

    Communicating Risk



    8 Procedures in Dental Imaging


    Procedures in Radiation Protection for Dental Imaging

    Procedures in Dental Radiography

    Quality Assurance in Dental Radiography

    Procedure Guidelines – Creating a Quality Assurance Programme for Dental Radiography

    Performing a Coin Test


    9 Procedures in the Management of Dental Pain

    So What Is Pain?


    Management of Dental Pain

    Management of Acute Pain

    Management of Intraoperative Pain

    Management of Postsurgical Pain

    Management of Chronic Pain

    10 Procedures in Conscious Sedation


    Patient Assessment and Treatment Planning

    Physiological Control and Monitoring

    Inhalation Sedation Using Nitrous Oxide and Oxygen (Crawford, 1990; Roberts, 1990a, b; Shaw et al., 1996)

    Intravenous Sedation Using Midazolam (National Patient Safety Agency, 2008)

    Oral and Intranasal Sedation Using Midazolam (Boyle, Manley and Fleming, 2000; Manley, Skelly and Hamilton, 2000)

    Sedation for Younger Patients

    Management of SedationRelated Complications


    11 Procedures in Operative Dentistry


    Dental Caries

    NonOperative Management of Caries

    Dental Adhesives

    Placement of Composite Resin

    GlassIonomer/Resin Modified GlassIonomer Cement

    Dental Amalgam

    Rehabilitation of a Worn Dentition Using Adhesive Techniques and Minimal Loss of Tooth Tissue

    Repairing Fractured Restorations

    Restoring the Endodontically Treated Tooth


    12 Procedures in Endodontics


    Preparation for Endodontic Treatment

    Access Cavity Preparation

    Root Canal Preparation

    Root Canal Obturation Techniques

    Surgical Endodontics


    13 Procedures in Implant Dentistry


    Clinical and Radiographic Examination and Planning

    Implant Placement

    Prosthodontic Treatment

    ReEvaluation and Maintenance

    Radiographic Evaluation


    14 Procedures in Oral Medicine



    Chairside Diagnostic Tests for Mucosal Disease

    Salivary Flow

    Ophthalmological Assessment

    Candidal Assay



    Allergy Testing


    15 Procedures in Oral Surgery


    Part 1: Examination, Medical Complexities and Considerations, and Consent

    Part 2: Dentoalveolar Surgery – Routine Dental Extraction

    Part 3: Surgery Indicated for Impacted Teeth or Fractured Roots

    Part 4: Management of Acute and Chronic Orofacial Infections with Medical and or Surgical Techniques

    Part 5: Management of Patients with Temporomandibular Disorders, Including Dysfunction, Arthritides and Myalgia

    Part 6: Prevention and Management of Complications Related to Oral Surgery


    16 Procedures in Orthodontics


    Orthodontic Examination

    Orthodontic Referral Criteria

    Orthodontic Emergencies

    Further Reading

    17 Procedures in Paediatric Dentistry


    Radiographic Assessment

    Care Planning


    Fissure Sealants in First Permanent Molars

    Restorations in Primary Teeth: Materials

    Restorative Techniques: Occlusal and Occlusal–Proximal Cavities in Primary Teeth (Figure 17.7)

    Preformed Metal Crowns

    Pulp Therapy

    Anterior Restorations In Primary Teeth



    18 Procedures in Periodontics


    Oral Hygiene Techniques

    Behavioural and Systemic Secondary Factors

    Treatment Planning for Therapy

    Basic NonSurgical Instrumentation

    Advanced NonSurgical Instrumentation

    Basic Surgical Treatment of Periodontitis

    Advanced Surgical Treatment of Periodontitis

    Further Reading

    19 Procedures in Prosthodontics

    Crowns and Bridges

    Partial Dentures

    Complete Dentures

    20 Procedures in Special Care Dentistry



    Learning Disability

    Clinical Holding


    Bleeding Disorders

    Infection Control

    General Anaesthesia

    Conscious Sedation

    Oral Sedation

    Domiciliary Dental Care

    Prison Dentistry

    Further Reading

    21 Procedures in the Management of Acute Dental Trauma


    What Do I Ask the Patient?

    What Should I Expect to Learn from The History?


    Equipment and Materials to Manage Dental Trauma

    When Should I See the Patient Again?

    Is There Anyone I Can Refer the Patient To?

    Where Can I Get More Information?


    22 Procedures in Aesthetic Dentistry


    Smile Assessment

    Patient Expectations

    Minimally Invasive Techniques

    Indirect Aesthetic Restorations (Figure 22.10)

    Review and Maintenance


    Further Reading

    23 Medical Emergencies


    Chain of Survival

    Medical Risk Assessment


    Calling an Ambulance

    Resuscitation Council (UK) Standards

    Assessment of the Sick Patient and the ABCDE Approach

    Respiratory Problems: Shortness of Breath

    Airway Management

    Cardiac Emergencies in the Dental Practice



    Epilepsy and Adult Seizure Management

    Diabetes Mellitus

    Adrenal Crisis

    Emergency Drugs and Equipment in Dental Practice

    Techniques and Procedures for Medical Emergencies




    24 Audit in Dental Practice

    What Is Clinical Audit?

    The Audit Spiral

    Planning a Clinical Audit

    The Audit Template

    Audit Ideas and Recipes

    25 Procedures for the Management of Patient Concerns and Complaints


    Complaints in Risk Management

    Why Do Patients Complain?

    Complaints about Dental Care

    The Principles of Good Complaints Handling

    Stages of Managing a Complaint

    Vexatious Complaints

    What Can Be Done to Reduce the Number of Patient Complaints Received?

    How Can Patients’ Dissatisfaction and Complaints Be Used to Improve Service?


    End User License Agreement


  • 99100lei 840.00 lei




    This popular and practical book is a comprehensive guide to diagnosing joint conditions and the benefits, and potential pitfalls, of steroid injections, an important tool in managing these problems used by an increasing range of practitioners. It considers all the practical aspects of injection as well as providing general information, discussing medico-legal issues and highlighting clinical errors to avoid. This sixth edition has been completely revised and expanded. Key features include: two new chapters on the evidence base and inflammatory arthropathy updated physiotherapy assessment and treatment options now incorporated within the chapters on joint injections full-colour photographs and additional explanatory illustrations The book describes, step-by-step, the required skills for each procedure, providing every practitioner with the knowledge needed to inject with confidence.



    Table of Contents:


    Preface to the first edition

    Preface to the second edition

    Preface to the third edition

    Preface to the fourth edition

    Preface to the fifth edition

    Preface to the sixth edition


    About the author



    1 Incidence and general principles

    Frequency of injection


    Choice of steroid

    Contraindications to the use of steroids

    Local anaesthetic

    Post-injection advice


    Further reading

    2 Joint and soft tissue corticosteroid injection: what is the evidence?


    Upper limb




    Lower limb




    What should we inject?

    How often do we inject?

    Is it safe to inject in the diabetic patient?

    What is the role of image-guided injection?


    3 Medico-legal issues, complications and consent


    Technique of the procedure

    Untoward complications of steroid injection


    Loss of skin pigment



    Pain after injection

    Potential complications from injection

    Informed consent

    ‘Prudent doctor/prudent patient’

    Implied consent

    Express consent

    Injection procedures

    Written consent

    Documentation of consent


    Further reading

    4 The challenge of recognising and managing inflammatory arthritis


    Background: the burden of inflammatory disease

    Challenges to diagnosis

    How to diagnose

    Clinical findings

    Special investigations


    Injecting in inflammatory arthritis



    5 The shoulder


    Presentation and diagnosis

    Pitfalls in diagnosis

    Referred pain to the tip of the shoulder

    Pain referred to the deltoid insertion

    Functional anatomy

    The acromioclavicular joint

    Examination of the shoulder

    What the pain means

    Pain on resisted abduction

    Resisted external rotation

    Resisted internal rotation

    Resisted supination and flexion of the forearm

    Injection technique

    Anterior approach

    Lateral (subacromial) approach

    Posterior approach

    Bicipital tendinosis

    Injection technique

    Acromioclavicular joint arthritis

    Injection technique

    Physiotherapy: the shoulder


    Shoulder impingement

    ‘Frozen’ shoulder/shoulder capsulitis

    Acromioclavicular joint arthritis


    6 The wrist and hand


    Common problems treated with steroid injections

    The first carpometacarpal joint

    Presentation and diagnosis

    Functional anatomy

    Injection technique

    Metacarpal and interphalangeal joints

    Functional anatomy

    Injection technique

    Carpal tunnel syndrome

    Presentation and diagnosis

    Tinel’s test

    Phelan’s test

    Functional anatomy

    Injection technique

    De Quervain’s tenosynovitis

    Presentation and diagnosis

    Functional anatomy

    Injection technique

    Post-injection advice

    Trigger finger

    Presentation and diagnosis

    Functional anatomy

    Injection technique

    Physiotherapy: wrist and hand

    First carpometacarpal, metacarpal and interphalangeal joint osteoarthritis

    Carpal tunnel syndrome

    De Quervain’s tenosynovitis

    Trigger finger


    7 The elbow


    Tennis elbow

    Presentation and diagnosis

    Functional anatomy

    Injection technique

    Golfer’s elbow

    Presentation and diagnosis

    Functional anatomy

    Injection technique

    Post-injection advice


    Physiotherapy: tennis and golfer’s elbow

    Olecranon bursitis

    Elbow joint


    Functional anatomy

    Injection technique

    Physiotherapy: elbow joint

    8 Conditions around the hip and thigh

    The hip

    Trochanteric bursitis

    Injection technique

    Ischiogluteal bursitis (hamstring tendinopathy)

    Injection technique

    Meralgia paraesthetica

    Injection technique

    Iliotibial band friction syndrome

    Presentation and diagnosis

    Functional anatomy

    Injection technique

    Physiotherapy: conditions around the hip and thigh

    Trochanteric bursitis

    Ischiogluteal bursitis

    Meralgia paraesthetica

    Iliotibial band friction syndrome


    9 The knee joint


    Presentation and diagnosis

    Functional anatomy

    Aspiration and injection therapy

    Technique of aspiration and injection



    Physiotherapy: the knee


    Further reading

    10 The ankle and foot


    Functional anatomy

    Presentation of some common problems

    Injection technique

    Ankle sprains

    Achilles tendon

    Plantar fasciitis: the painful heel

    Injection technique

    Tarsal tunnel syndrome

    The ankle joint

    Injection technique

    Tibialis posterior tendinosis

    Functional anatomy

    Injection technique

    Physiotherapy: the ankle and foot

    Ankle sprains

    Plantar fasciitis

    Tarsal tunnel

    Ankle arthritis

    Tibialis posterior tendinosis


    11 Musculoskeletal imaging and therapeutic options in soft tissue disorders



    When to image

    Imaging modalities


    Magnetic resonance imaging


    Relative merits for different imaging modalities

    Imaging of joints

    General principles

    The shoulder

    Achilles tendon

    The ankle

    Plantar fascia

    The knee

    Ultrasound in inflammatory disease

    Ultrasound-guided injection

    Calcific tendinosis

    Shockwave therapy

    Educational aspects of reporting

    Resource implications


    Further reading



  • Practical Cardiovascular Medicine
    La comanda in aproximativ 4 saptamani
    48300lei 400.00 lei




    Prepare yourself for success with this unique cardiology primer which distils the core information you require and presents it in an easily digestible format.  

    Provides cardiologists with a thorough and up-to-date review of cardiology, from pathophysiology to practical, evidence-based management

    Ably synthesizes pathophysiology fundamentals and evidence based approaches to prepare a physician for a subspecialty career in cardiology

    Clinical chapters cover coronary artery disease, heart failure, arrhythmias, valvular disorders, pericardial disorders, and peripheral arterial disease

    Practical chapters address ECG, coronary angiography, catheterization techniques, ecnocardiography, hemodynamics, and electrophysiological testing

    Includes over 650 figures, key notes boxes, references for further study, and coverage of clinical trials

    Review questions at the end of each chapter help clarify topics and can be used for Board preparation - over 375 questions in all!



    Table of Contents:



    Preface, xix

    Abbreviations, xx

    PART 1. Coronary Artery Disease, 1

    1. Non-ST-Segment Elevation Acute Coronary Syndrome, 1

    Appendix 1. Complex angiographic disease, moderate disease, 13

    Appendix 2. Women and ACS, elderly patients and ACS, CKD, 14

    Appendix 3. Bleeding, transfusion, prior warfarin therapy, gastrointestinal bleed, 15

    Appendix 4. Antiplatelet and anticoagulant therapy, 16

    Appendix 5. Differences between plaque rupture, plaque erosion, and spontaneous coronary dissection, 19

    Appendix 6. Harmful effects of NSAIDs and cyclooxygenase-2 inhibitors in CAD, 19

    Questions and answers, 19

    References, 25

    2. ST-Segment Elevation Myocardial Infarction, 30

    1. Definition, reperfusion, and general management, 31

    2. STEMI complications, 42

    Appendix 1. Out-of-hospital cardiac arrest: role of early coronary angiography and therapeutic hypothermia, 52

    Questions and answers, 54

    References, 59

    3. Stable CAD and Approach to Chronic Chest Pain, 65

    Appendix 1. Note on outcomes with various surgical grafts, 77

    Appendix 2. Coronary vasospasm (variant angina, Prinzmetal angina), 79

    Appendix 3. Women with chest pain and normal coronary arteries, 81

    Appendix 4. Myocardial bridging, 81

    Appendix 5. Coronary collaterals, chronic total occlusion, 82

    Appendix 6. Hibernation, stunning, ischemic preconditioning, 82

    Questions and answers, 83

    References, 87

    PART 2. Heart Failure (Chronic and Acute Heart Failure, Specific Cardiomyopathies, and Pathophysiology), 93

    4. Heart Failure, 93

    Definition, types, causes, and diagnosis of heart failure, 94

    1. Definition and types of heart failure, 94

    2. Causes of heart failure, 97

    3. Diagnostic tests, 100

    Chronic treatment of heart failure, 102

    1. Treatment of systolic heart failure, 102

    2. Treatment of HFpEF, 114

    Acute heart failure and acutely decompensated heart failure, 115

    Appendix 1. Management of isolated or predominant RV failure, 125

    Questions and answers, 127

    References, 135

    5. Additional Heart Failure Topics, 142

    1. Specific cardiomyopathies, 142

    2. Advanced heart failure: heart transplant and ventricular assist devices (VADs), 146

    3. Pathophysiology of heart failure and hemodynamic aspects, 149

    References, 155

    PART 3. Valvular Disorders, 157

    6. Valvular Disorders, 157

    1. Mitral regurgitation, 158

    2. Mitral stenosis, 167

    3. Aortic insufficiency, 173

    4. Aortic stenosis, 178

    5. Tricuspid regurgitation and stenosis, 186

    6. Pulmonic stenosis and regurgitation, 187

    7. Mixed valvular disease; radiation heart disease, 188

    8. Prosthetic valves, 189

    9. Auscultation and summary ideas, 193

    Questions and answers, 197

    References, 206

    PART 4. Hypertrophic Cardiomyopathy, 211

    7. Hypertrophic Cardiomyopathy, 211

    Questions and answers, 221

    References, 222

    PART 5. Arrhythmias and Electrophysiology, 225

    8. Approach to Narrow and Wide QRS Complex Tachyarrhythmias, 225

    Questions and answers: Practice ECGs of wide complex tachycardias, 235

    Further reading, 241

    9. Ventricular Arrhythmias: Types and Management, Sudden Cardiac Death, 242

    Questions and answers, 254

    References, 256

    Further reading, 257

    10. Atrial Fibrillation, 258

    Appendix 1. Antiarrhythmic drug therapy (indications and examples), 265

    Appendix 2. Catheter ablation of atrial fibrillation, surgical ablation, AV nodal ablation, 267

    Appendix 3. INR follow-up in patients receiving warfarin; new anticoagulants, 268

    Appendix 4. Bridging anticoagulation in patients undergoing procedures and receiving warfarin, 270

    Appendix 5. Management of elevated INR values, 270

    Appendix 6. A common special situation: AF and symptomatic pauses (sinus or AF pauses) or bradycardia, 271

    Appendix 7. DC cardioversion in patients with a slow ventricular response, 271

    Appendix 8. AF occurring post-cardiac surgery and AF related to acute transient triggers, 271

    Appendix 9. Brief asymptomatic runs of AF seen on telemetry or device interrogation, 272

    Questions and answers, 272

    References, 274

    Further reading, 277

    11. Atrial Flutter and Atrial Tachycardia, 278

    Questions and answers, 285

    References, 287

    Further reading, 287

    12. Atrioventricular Nodal Reentrant Tachycardia, Atrioventricular Reciprocating Tachycardia, Wolff–Parkinson–White Syndrome, and Junctional Rhythms, 288

    Questions and answers, 301

    Further reading, 302

    13. Bradyarrhythmias, 304

    Questions and answers, 317

    References, 319

    14. Permanent Pacemaker and Implantable Cardioverter Defibrillator, 320

    Questions and answers: Cases of PM troubleshooting, 338

    References, 344

    15. Basic Electrophysiologic Study, 346

    Further reading, 357

    16. Action Potential Features and Propagation: Mechanisms of Arrhythmias, Antiarrhythmic Drugs, 358

    Further reading, 365

    PART 6. Pericardial Disorders, 367

    17. Pericardial Disorders, 367

    1. Acute pericarditis, 368

    2. Tamponade, 370

    3. Pericardial effusion, 373

    4. Constrictive pericarditis, 376

    Questions and answers, 384

    References, 386

    Further reading, 387

    PART 7. Congenital Heart Disease, 389

    18. Congenital Heart Disease, 389

    1. Acyanotic congenital heart disease, 389

    2. Cyanotic congenital heart disease, 398

    3. More complex cyanotic congenital heart disease and shunt procedures, 401

    Questions and answers, 404

    References, 407

    PART 8. Peripheral Arterial Disease, 409

    19. Peripheral Arterial Disease, 409

    1. Lower extremity peripheral arterial disease, 409

    2. Carotid disease, 418

    3. Renal artery stenosis, 421

    Questions and answers, 422

    References, 425

    20. Aortic Diseases, 428

    References, 437

    PART 9. Other Cardiovascular Disease States, 439

    21. Pulmonary Embolism and Deep Vein Thrombosis, 439

    1. Pulmonary embolism, 439

    2. Deep vein thrombosis, 445

    3. Immune heparin-induced thrombocytopenia, 446

    Questions and answers, 447

    References, 447

    22. Shock and Fluid Responsiveness, 449

    1. Shock, 449

    2. Fluid responsiveness, 452

    Appendix. Hemodynamic equations, transfusion, and miscellaneous concepts, 454

    References, 455

    23. Hypertension, 456

    1. Hypertension, 456

    2. Hypertensive urgencies and emergencies, 465

    Questions and answers, 467

    References, 469

    24. D yslipidemia, 472

    Questions and answers, 476

    References, 477

    25. Pulmonary Hypertension, 479

    Questions and answers, 484

    References, 486

    26. Syncope, 488

    Questions and answers, 495

    References, 497

    27. Chest Pain, Dyspnea, Palpitations, 499

    1. Chest pain, 499

    2. Acute dyspnea, 502

    3. Palpitations, 504

    References, 505

    28. Infective Endocarditis and Cardiac Rhythm Device Infections, 507

    1. Infective endocarditis, 507

    2. Cardiac rhythm device infections, 511

    References, 513

    29. Preoperative Cardiac Evaluation, 514

    Questions and answers, 518

    References, 519

    30. Miscellaneous Cardiac Topics: Cardiac Masses and Tumors, Pregnancy, HIV and Heart Disease, Cocaine and the Heart, Chemotherapy and Heart Disease, Chest X-Ray, 521

    1. Cardiac masses, 522

    2. Pregnancy and heart disease, 523

    3. HIV and heart disease, 527

    4. Cocaine and the heart, 527

    5. Chemotherapy and heart disease, 528

    6. Chest X-ray, 529

    Questions and answers, 532

    References, 534

    PART 10. Cardiac Tests: Electrocardiography, Echocardiography, and Stress Testing, 537

    31. Electrocardiography, 537

    Appendix 1. Supplement on STEMI and Q-wave MI: phases and localization, 589

    Appendix 2. Spread of electrical depolarization in various disease states using vector illustration, 594

    Questions and answers, 595

    References, 598

    Further reading, 601

    32. Echocardiography, 602

    1. General echocardiography, 602

    2. Transesophageal echocardiography (TEE) views, 639

    Further reading, 648

    33. Stress Testing, Nuclear Imaging, Coronary CT Angiography, 649

    Appendix 1. Mechanisms of various stress modalities, 656

    Appendix 2. Nuclear stress imaging, 657

    Appendix 3. Coronary CT angiography, 660

    References, 663

    Further reading, 664

    PART 11. Cardiac Tests: Invasive Coronary and Cardiac Procedures, 665

    34. Angiographic Views: Coronary Arteries and Grafts, Left Ventricle, Aorta, Coronary Anomalies, Peripheral Arteries, Carotid Arteries, 665

    Questions and answers, 697

    Further reading, 699

    35. Cardiac Catheterization Techniques, Tips, and Tricks, 700

    36. Hemodynamics, 720

    Appendix 1. Advanced hemodynamic calculation: a case of shunt with pulmonary hypertension, 737

    Questions and answers: Additional hemodynamic cases, 738

    References, 740

    37. Intracoronary Imaging, 741

    1. Intravascular ultrasound (IVUS), 741

    2. Optical coherence tomography (OCT), 749

    References, 751

    Further reading, 751

    38. Percutaneous Coronary Interventions and Complications, Intra-Aortic Balloon Pump, Ventricular Assist Devices, and Fractional Flow Reserve, 752

    Questions and answers, 770

    Further reading, 773

    Index, 775


  • 33000lei 315.00 lei




    Now in its third edition, Veterinary Hematology: Atlas of Common Domestic and Non-Domestic Species continues to offer veterinarians and veterinary technicians an essential guide to veterinary hematology. Comprehensive in scope, the atlas presents the fundamentals of both normal and abnormal blood cell morphologies, with coverage of a wide range of species, including dogs, cats, horses, ruminants, llamas, rats, mice, nonhuman primates, ferrets, rabbits, guinea pigs, birds, amphibians, and reptiles.

    Designed as a useful and accessible guide, the updated third edition presents more than 300 color images and includes a new chapter that describes the best techniques for using hematology instruments. The authors--noted experts on the topic--clearly show how to identify and interpret the hematological changes that may occur in a variety of species. In addition, a companion website offers a wealth of additional hematological images. This vital atlas: 

    •    Provides an updated edition of the popular veterinary hematology atlas for veterinarians, veterinary students, and veterinary technicians

    •    Contains a new instructive chapter on hematology instrumentation

    •    Presents hundreds of high-quality color photographs that help in identification

    •    Covers a range of species from dogs and cats to birds and reptiles

    •    Features a companion website that provides a wealth of additional hematological images

    Written for both novice and experienced veterinarians, Veterinary Hematology provides a complete resource to blood morphologic abnormalities in domestic and non-domestic species. 



    Table of Contents:


    CHAPTER ONE Hematopoiesis

    General Features




    Megakaryocytopoiesis and Platelet Production


    Other Cells of the Bone Marrow

    CHAPTER TWO Normal Red Blood Cell Morphology

    CHAPTER THREE Variations in Red Blood Cell Morphology

    Regenerative Response

    Immune-Mediated Damage

    Oxidative Injury

    Metabolic/Membrane Disorders

    Mechanical Fragmentation

    CHAPTER FOUR Red Blood Cell Inclusions and Parasites

    CHAPTER FIVE Normal White Blood Cell Morphology

    Segmented Neutrophil

    Band Neutrophil





    CHAPTER SIX Variations in White Blood Cell Morphology



    CHAPTER SEVEN White Blood Cell Inclusions and Parasites

    CHAPTER EIGHT Platelets

    CHAPTER NINE Lymphoproliferative and Myeloproliferative Disorders

    General Features

    Lymphoproliferative Disorders

    Myeloproliferative Disorders

    CHAPTER TEN Miscellaneous Findings

    CHAPTER ELEVEN Avian Hematology

    General Features

    Normal Red Blood Cell Morphology

    Variations in Red Blood Cell Morphology

    Normal White Blood Cell Morphology

    Variations in White Cell Morphology

    White Blood Cell Inclusions and Parasites

    Thrombocyte Morphology in Health and Disease

    Extracellular Blood Parasites

    CHAPTER TWELVE Reptilian and Amphibian Hematology

    General Features

    Normal Red Blood Cell Morphology

    Variations in Red Blood Cell Morphology

    Normal White Blood Cell Morphology

    Variations in White Cell Morphology

    White Blood Cell Inclusions and Parasites

    Thrombocyte Morphology in Health and Disease

    Extracellular Blood Parasites and Other Cells

    CHAPTER THIRTEEN Integration of Blood Film and Hematology Analyzer Cytograms


    Impedance Analyzers

    Multiple Technology Analyzers

    Erythrocyte Abnormalities

    Leukocyte Abnormalities

    Platelet Abnormalities

    Case Examples

    Appendix A Semiquantitative Grading Scheme for Evaluation of Red Blood Cell Morphology*


    Appendix B Semiquantitative Grading Scheme for Evaluation of Neutrophil Toxicity






  • 55100lei 540.00 lei




    Edited by past presidents of the American Medical Society for Sports Medicine, Netter’s Sports Medicine, 2nd Edition, is a superbly illustrated, go-to sports medicine resource for the outpatient office, the training room, on the sideline, and for certification preparation. Designed for quick reference, this interdisciplinary reference by Drs. Christopher Madden, Margot Putukian, Eric McCarty, and Craig Young, is organized by both topic and sport, so you can find what you need quickly. New Expert Consult online access includes the fully searchable eBook, example downloadable medical forms, videos, downloadable patient education handouts, and handy links to consensus statements.

    Whether you are a primary care physician managing a common or unique musculoskeletal injury in an ambulatory setting … an orthopaedic surgeon gaining insight about a medical or psychological problem foreign to the cast or operating room … an athletic trainer figuring out a diagnosis in the training room … or a physical therapist pursuing further in-depth sports medicine knowledge, this reference gives you the guidance you need to keep athletes and other active patients at the top of their game.


    More than 1,000 superb Netter graphics, tables, figures, pictures, diagnostic images, and other medical artwork highlight the easy-to-read, bulleted text.

    Ideal for the sports clinician, team physician, and any health care professionals who provide care to athletes and active individuals.

    Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, videos, and references from the book on a variety of devices.

    New To This Edition:

    New chapters on travel considerations for the athlete, EKG interpretation, cardiac disease, diagnostic imaging and ultrasound, injury prevention protocols, equestrian sports and rodeo medicine, mixed martial arts, and many more.

    Up-to-date coverage of nutritional supplements, eating disorders, sports and pharmacology for chronic conditions and behavioral medicine, and extreme and adventure sports.

    Table Of Contents:

    Section I Medical Care and Supervision of the Athlete

    1 The Team Physician

    2 The Certified Athletic Trainer and the Athletic Training Room

    3 The Preparticipation Physical Evaluation

    4 Sideline Preparedness and Emergencies on the Field

    5 Sports Nutrition

    6 Sports Supplements

    7 Sports Pharmacology of Pain and Inflammation Control in Athletes

    8 Sports Pharmacology of Chronic Disease

    9 Sports Pharmacology of Psychiatry and Behavioral Medicine

    Section II Special Considerations for Athlete Populations

    10 The Pediatric Athlete

    11 The High School Athlete: Setting Up a High School Sports Medicine Program

    12 The Female Athlete

    13 The Senior Athlete

    14 The Physically Challenged Athlete

    15 Care of Athletes at Different Levels, From Pee-wee to Professional

    16 The Wilderness Athlete and Adventurer

    Section III Conditioning

    17 Exercise Prescription and Physiology

    18 Aerobic Training

    19 Resistance Training

    20 Flexibility

    Section IV Environment

    21 Exercise in the Heat and Heat Illness

    22 Exercise in the Cold and Cold Injuries

    23 High Altitude Training and Competition

    24 Travel Considerations for the Athlete and Sports Medical Team

    Section V Behavioral and Psychological Problems

    25 The Role of Sport Psychology and Psychiatry

    26 Drugs and Doping in Athletes

    27 Eating Disorders in Athletes

    28 Overtraining

    Section VI General Medical Problems in Athletes

    29 Infections in Athletes

    30 Gastrointestinal Problems

    31 Hematologic Problems in Athletes

    32 Renal and Genitourinary Problems

    33 The Athlete with Diabetes

    34 EKG Interpretation in Athletes

    35 Cardiac Disease in Athletes

    36 The Hypertensive Athlete

    37 Exercise Induced Bronchospasm, Anaphylaxis, and Urticaria

    38 Neurologic Problems in the Athlete

    39 Headache in the Athlete

    40 Skin Problems in the Athlete

    41 Connective Tissue Diseases and Rheumatologic Problems in Athletes

    Section VII Injury Prevention, Diagnosis, and Treatment

    42 Musculoskeletal Injuries in Sports

    43 Comprehensive Rehabilitation of the Athlete

    44 Physical Modalities in Sports Medicine

    45 Head Injuries

    46 Neck Injuries

    47 Eye Injuries

    48 Maxillofacial Injuries

    49 Shoulder Injuries

    50 Elbow Injuries

    51 Hand and Wrist Injuries

    52 Thorax and Abdominal Injuries

    53 Thoracic and Lumbosacral Spine Injuries

    54 Pelvis, Hip and Thigh Injuries

    55 Knee Injuries

    56 Ankle and Leg Injuries

    57 Cartilage Problems in Sports

    58 Acute Fractures and Dislocations in Athletes

    59 Stress Fractures

    60 Foot Problems

    61 Taping and Bracing

    62 Injections in the Athlete

    63 Diagnostic Imaging in Sports Medicine

    64 Sports Ultrasound

    65 Injury Prevention Protocols

    Section VIII Specific Sports

    66 Football

    67 Soccer

    68 Rugby

    69 Lacrosse

    70 Field Hockey

    71 Ultimate Frisbee

    72 Basketball

    73 Volleyball

    74 Baseball

    75 Softball

    76 Tennis

    77 Alpine Skiing

    78 Cross-Country Skiing

    79 Snowboarding

    80 Ice Hockey

    81 Ice Skating (Figure Skating and Speed Skating)

    82 Swimming and Diving

    83 Scuba Diving

    84 Sailing

    85 Rowing

    86 Martial Arts

    87 Boxing

    88 Wrestling

    89 Mixed Martial Arts

    90 Gymnastics

    91 Cheerleading

    92 Dance

    93 Track and Field

    94 Road Biking

    95 Mountain Biking

    96 In-Line Skating, Skateboarding, and Bicycle Motocross

    97 Mass Participation Endurance Events

    98 Ultra Endurance and Adventure Racing and Events

    99 Rock Climbing

    100 Rodeo and Equestrian Sports

    101 The Extreme Athlete



  • 1,10800lei 995.00 lei





    For specialists and non-specialists alike, returning an athlete to pre-injury performance safely and quickly is uniquely challenging. To help you address these complex issues in everyday practice, Baxter’s The Foot and Ankle in Sport, 3rd Edition, provides focused, authoritative information on the examination, diagnosis, treatment, and rehabilitation of sports-related foot and ankle injuries - ideal for returning both professional and recreational athletes to full use and function.


    Table Of Contents:


    Contributors, v
    Preface, xi
    David A. Porter and Lew Schon

    SECTION 1 An Introduction to Athletic Evaluation

    1 The Basic Foot and Ankle Physical Exam, 2
    David A. Porter
    SECTION 2 Sport Syndromes

    2 Impingement Syndromes of the Ankle, 8
    Michel A. Taylor and Annunziato Amendola
    3 Stress Fractures: Their Causes and Principles of Treatment, 22
    Christopher Kreulen, Karim Boukhemis, and Eric Giza
    4 Medical and Metabolic Considerations in Athletes With Stress Fractures, 30
    Elliott N. Schwartz
    5 Problematic Stress Fractures of the Foot and Ankle, 95
    Christopher E. Gross and James A. Nunley
    6 Ankle and Midfoot Fractures and Dislocations, 105
    William C. McGarvey and Michael C. Greaser
    7 Midfoot Fractures and Dislocations, 125
    William McGarvey and J. Chris Coetzee
    8 Rupture of the Anterior Tibial and Peroneal Tendons, 144
    Mark S. Myerson and Shuyuan Li
    Peroneal Tendon Dislocation and Subluxation, 156
    David A. Porter
    9 Achilles Tendon Disorders Including Tendinosis and Tears, 163
    Thomas O. Clanton and Lew C. Schon
    10 Posterior Tibialis Tendon Injury in the Athlete, 206
    Kenneth J. Hunt
    11 Functional Nerve Disorders and Plantar Heel Pain, 224
    David A. Porter
    12 Arthritic, Metabolic, and Vascular Disorders, 230
    Gregory Rowdon and David Taylor
    13 Dermatologic, Infectious, and Nail Disorders, 239
    Andrew M. Tucker

    SECTION 3 Anatomic Disorders in Sports
    14 Nonsurgical Treatment of Acute and Chronic Ankle Instability, 247
    Mary Hastings, Devon Nixon, and Jeremy McCormick
    15 Ankle Sprains, Ankle Instability, and Syndesmosis Injuries, 255
    Thomas O. Clanton
    16 Osteochondral Lesions and Occult Fractures of the Foot and Ankle, 275
    Richard D. Ferkel
    17 Disorders of the Subtalar Joint, Including Subtalar Sprains and Tarsal Coalitions, 312
    Gregory P. Guyton
    18 Diagnostic and Operative Ankle and Subtalar Joint Arthroscopy, 326
    C. Niek. van Dijk, Peter A. de Leeuw, Rover Krips, and Pim van Dijk
    19 Foot and Ankle Endoscopy, 349
    Cristian A. Ortiz Sr., Emilio Wagner, and Nathaly Caicedo Cruz
    20 Lesser Toe Disorders, 368
    Jim Jastifer
    21 Great-Toe Disorders, 390
    Robert B. Anderson and Scott B. Shawen
    22 Bunions in the Elite Athlete: The Philosophy and Principles, 411
    Don Baxter
    23 Chronic Leg Pain, 416
    Adam M. Huff, Jonathan P. Smerek, Peter Edwards, and Peter Maurus
    SECTION 4 Unique and Exceptional Problems in Sports

    24 Dance Injuries and Rehabilitation Back to Dance, 436
    Martin O’Malley
    25 An International Perspective on the Foot and Ankle in Sports, 454
    Lew C. Schon
    An International Perspective on the Foot and Ankle in Sports: BRAZIL, 455
    Lucas Fonseca, Pedro Augusto Pontin, Gustavo Damasio Magliocca Sr., Gustavo Gonçalves Arliani Sr., Andrew Roney, Joaquim Grava, and Cesar de Cesar Netto
    An International Perspective on the Foot and Ankle in Sports: CHILE, 460
    Gonzalo F. Bastias and Felipe Andres Chaparro
    An International Perspective on the Foot and Ankle in Sports: CHINA, 463
    ?? Zhu and Xiangyang Xu
    An International Perspective on the Foot and Ankle in Sports: COLOMBIA, 465
    Juan Pedro Kalb and Carlos Enrique Ramirez
    An International Perspective on the Foot and Ankle in Sports: EGYPT, 468
    Mostafa M. Abousayed, Ahmed Khedr, and Amgad M. Haleem
    An International Perspective on the Foot and Ankle in Sports: INDIA, 472
    Rajiv Sumanlal Shah, Dave Himanshu Malhar, and Nikesh Shah
    An International Perspective on the Foot and Ankle in Sports: IRAN, 474
    Alireza Mousavian
    An International Perspective on the Foot and Ankle in Sports: JAPAN, 475
    Yasuhito Tanaka
    An International Perspective on the Foot and Ankle in Sports: MEXICO, 479
    Elias Hermida and Luis Felipe Hermida
    An International Perspective on the Foot and Ankle in Sports: SOUTH AFRICA, 481
    Adriaan van Zyl
    An International Perspective on the Foot and Ankle in Sports: THAILAND, 483
    Apisan Chinanuvathana, Jakrapong Orapin, LCDR. Apiporn Garnjanagoonchorn, and Wisutthinee Thueakthong
    An International Perspective on the Foot and Ankle in Sports: UNITED ARAB EMIRATES, 486
    Moosa Kazim
    An International Perspective on the Foot and Ankle in Sports: VENEZUELA, 488
    Gabriel E. Khazen and Cesar Khazen
    26 The Military Athlete, 497
    Scott B. Shawen
    27 Pediatric Problems and Rehabilitation Geared to the Young Athlete, 503
    Walter Klyce and R. Jay Lee
    28 Unique Considerations for Foot and Ankle Injuries in the Female Athlete, 516
    Lara Atwater and Rebecca Cerrato

    SECTION 5 New Advances and Augmentations in the Foot and Ankle
    29 Orthobiologics in Foot and Ankle Surgery, 523
    Lew C. Schon, David Karle, Robert B. Anderson, and Zijun Zhang

    SECTION 6 Rehabilitation and Recovery: Principles, Collaboration, and Teamwork
    30 Rehabilitation of Specific Foot and Ankle Issues, 542
    Norman E. Waldrop III
    31 Principles of Rehabilitation for the Foot and Ankle, 555
    Erin Richard Barill, Debbie Carroll, and David A. Porter
    32 The Team in the Care of the Athlete, 576
    David A. Porter
    Index, 583


    Video TOC

    CHAPTER 1: The Basic Foot and Ankle Physical Exam
    1-1 General Complete Physical Exam of the Foot and Ankle
    1-2 Mini C-arm Evaluation for Turf Toe
    1-3 Mini C-arm Evaluation of the Syndesmosis
    1-4 Mini C-arm Evaluation of the Os Trigonum
    1-5 Mini C-arm Evaluation of an Apophyseal Nonuninon of the 5th Metatarsal
    1-6 Ultrasound Evaluation for Base 5th Metatarsal Fracture
    1-7 Ultrasound Evaluation for Anterior Tibial Tendon Pathology
    1-8 Ultrasound Evaluation for Achilles Tendon Tendinopathy
    1-9 Ultrasound Evaluation for Achilles Tendon Partial Tear
    1-10 Ultrasound Evaluation for Dislocating Peroneal Tendon
    1-11 Ultrasound Evaluation for Intrasheath Peroneal Tendon
    1-12 Ultrasound Evaluation of Posterior Tibial Tendon Tear
    1-13 Ultrasound Evaluation of the Plantar Fascia
    1-14 Ultrasound Evaluation of the Peroneal Tendons
    1-15 Ultrasound Evaluation of the Peroneal Muscles
    1-16 Ultrasound Evaluation of the Plantar Foot for Neuroma

    CHAPTER 2: Impingement Syndromes of the Ankle
    2-1 Posterior Ankle Arthroscopy for Evaluation of Flexor Hallucis Longus Tendon and Os Trigonum
    2-2 Posterior Ankle Arthroscopy for Resection of Posterior Process Talus

    CHAPTER 7: Midfoot Fractures and Dislocations
    7-1 Clinical Evaluation for Midfoot and Lisfranc Instability
    7-2 Radiographic Demonstration of Midfoot Instability

    CHAPTER 8: Rupture of the Anterior Tibial and Peroneal Tendons
    8-1 Clinical Evaluation for Peroneal Tendon Dislocation

    CHAPTER 9: Achilles Tendon Disorders Including Tendinopathies and Ruptures
    9-1 The Thompson Test for Evaluation of Acute Achilles Rupture

    CHAPTER 14: Nonsurgical Treatment of Acute and Chronic Ankle Instability
    14-1 Clinical and Radiographic Evaluation of Lateral Ankle Instability

    CHAPTER 24: Foot and Ankle Injuries in Dancers
    24-1 About Dance Smart
    24-2 Airplane Test
    24-3 Example of modern dance
    24-4 Example of musical theater dance
    24-5 Example of newer dance form example blend of jazz/ hip hop/house/street styles
    24-6 Jete
    24-7 Neural Mobility
    24-8 P to TO Yard Stick Test
    24-9 Pirouette
    24-10 Plie Passe
    24-11 Plie
    24-12 ROM-Beighton Scale
    24-13 ROM-hip rotation
    24-14 SauteTest
    24-15 Stability-Hip
    24-16 Stability-Toes
    24-17 Stability Core
    24-18 Tendu
    24-19 Torsion-Hip Knee
    24-20 Triple Hop



  • 1,06000lei 980.00 lei



    One of the hallmarks of a master surgeon is the ability to navigate a wide variety of inevitable difficult situations in surgery, whether errors in judgment, technical mistakes, or unavoidable outcomes. Complications in Orthopaedic Surgery is a new series designed to provide real-world guidance on recognizing and avoiding errors, as well as how to “course-correct” during surgery. In this inaugural volume dedicated to sports medicine surgery, series editor Dr. Stephen R. Thompson and Dr. Matthew Schmitz describe and demonstrate practical solutions that are integral to improving patient outcomes.

    Covers a wide variety of procedures, including meniscus repair and transplantation, revision ACL reconstruction, pediatric ACL surgery, cartilage surgery in adults and children, knee osteotomies, acromioclavicular surgery, hip arthroscopy, and much more.

    Describes and offers solutions to the most common or most devastating errors and complications in the practice of sports medicine surgery, combining the breadth of knowledge of academic

    surgeons with the in-the-trenches skills of community surgeons. 

    Uses an easy-to-follow, standardized chapter format that covers preoperative errors, intraoperative issues, and postoperative complications.

    Includes procedural video clips to reinforce discussions in the text. 

    Features a full-color design with numerous photographs, radiographs, and illustrations.



    Table of Contents:


    Part I. The Meniscus

    1. Partial Meniscectomy


    2. Meniscus Repair


    Preoperative Management

    Intraoperative Management

    Postoperative Complications


    3. Meniscus Transplantation


    Preoperative Assessment and Complications

    Preventing Complications With Concomitant Procedures

    Postoperative Follow-Up and Complications



    Part II. Complications in Anterior Cruciate Ligament Surgery

    4. Preoperative Issues



    5. Preoperative: Graft Selection (Autograft vs. Allograft, Graft Choice)


    Preoperative Considerations

    Intraoperative Complications

    Postoperative Complications


    6. Intraoperative: Graft Harvest (Bone Patellar Tendon Bone, Hamstring Tendon, Quadriceps Tendon)


    Hamstring Tendon Harvest

    Bone-Patellar Tendon-Bone Harvest

    Quadriceps Tendon

    Other Complications

    7. Intraoperative: Surgical Technique


    Visualization is Key: Three-Portal Knee Arthroscopy


    8. Complications With Fixation Devices in Anterior Cruciate Ligament Surgery


    Suspensory Fixation

    Aperture Fixation

    Press-Fit Anterior Cruciate Ligament Reconstruction


    9. Postoperative: Medical Complications (Deep Venous Thromboembolism, Infection)


    Septic Arthritis

    Venous Thromboembolism

    10. Postoperative: Surgical Complications (Stiffness, Graft Rupture)

    Postoperative Stiffness

    Evaluation of the Failed Graft

    11. Complications in Anterior Cruciate Ligament Revision Reconstruction


    Preoperative Complications in Revision Anterior Cruciate Ligament Reconstruction

    Intraoperative Complications in Revision Anterior Cruciate Ligament Reconstruction

    Postoperative Complications in Revision Anterior Cruciate Ligament Reconstruction


    Part III. Pediatric Anterior Cruciate Ligament

    12. General Considerations and Complications for Pediatric Anterior Cruciate Ligament Reconstruction


    Preoperative Issues

    Intraoperative Issues

    Postoperative Issues


    13. Complications in Pediatric Anterior Cruciate Ligament Surgery: The Iliotibial Band Technique


    Preoperative Planning and Associated Complications

    Surgical Technique and Intraoperative Complications

    Postoperative Complications

    14. Complications in Pediatric Anterior Cruciate Ligament Surgery: All-Epiphyseal Technique



    Preoperative Considerations

    Intraoperative Considerations

    Graft Considerations

    Postoperative Complications

    Rehabilitation Guidelines


    15. Complications in Pediatric Anterior Cruciate Ligament Surgery: Transphyseal in Skeletally Immature Patients


    Intraoperative Complications

    Postoperative Complications

    Postoperative Complications


    Part IV. Other Knee Surgery

    16. Preoperative, Intraoperative, and Postoperative Complications With Posterior Cruciate Ligament


    Preoperative Complications

    Intraoperative Complications

    Postoperative Complications

    17. Medial Collateral Ligament


    Preoperative Complications


    Intraoperative Complications

    Postoperative Complications


    18. Lateral Collateral Ligament


    Intraoperative Complications

    Postoperative Complications


    19. Multiple Ligament Injury


    Preoperative Issues

    Intraoperative Issues

    Postoperative Issues


    20. Cartilage Surgery in the Adult


    Preoperative Complications

    Intraoperative Complications

    Postoperative Complications

    Complications of Cartilage Surgery—Joints Other Than the Knee


    21. Cartilage Surgery in the Juvenile


    Preoperative Considerations

    Intraoperative Issues

    Postoperative Issues


    22. Patellar Instability


    Preoperative Planning

    Intraoperative Complications

    Postoperative Complications


    23. Knee Osteotomies


    Medical Complications

    Failure to Achieve Desired Coronal Plane Correction

    Inadvertent Alteration of Sagittal Plane Alignment

    Intraoperative Complications


    Part V. The Shoulder

    Shoulder Instability

    24. Anterior Instability: Preoperative Issues


    History and Physical Examination

    Preoperative Diagnostic Imaging

    Preoperative Management

    Surgical Outcomes


    25. Anterior Instability: Intraoperative and Postoperative Issues With Arthroscopic Repair


    Intraoperative Complications

    Postoperative Complications


    26. Intraoperative and Postoperative Issues With the Latarjet Procedure


    Preoperative Factors

    Intraoperative Complications

    Postoperative Complications


    27. Posterior Instability


    Preoperative Complications

    Intraoperative Complications

    Postoperative Complications


    28. Multidirectional Instability


    Generalized Joint Laxity

    Scapular Dyskinesis

    Facioscapulohumeral Muscular Dystrophy

    Treatment Failure

    Open Versus Arthroscopic Surgical Approach

    Return to Sport

    Nerve Injuries


    Shoulder Stiffness

    Postoperative Protocol


    Rotator Cuff

    29. Preoperative Issues With Rotator Cuff Surgery


    Common Complications

    Predictors or Factors Associated With Complications

    Anatomic and Tear-Related Factors

    Concomitant Pathology and Procedures Performed

    Patient Factors and Comorbidities

    Revision Rotator Cuff Repair

    30. Intraoperative and Postoperative Issues With Arthroscopic Rotator Cuff Repair


    Patient Selection and Patient-Related Factors

    Intraoperative Issues

    Postoperative Issues


    31. Intraoperative and Postoperative Issues With Open Rotator Cuff Repair


    Intraoperative Complications

    Postoperative Complications

    32. Intraoperative and Postoperative Issues With Subscapularis Repair






    Other Shoulder Surgery

    33. Intraoperative and Postoperative Issues With Acromioplasty and Distal Clavicle Excision


    Anatomic Considerations

    Keys to Avoiding Complications

    Distal Clavicle Excision



    34. Superior Labrum Anterior to Posterior Tears and Proximal Biceps Pathology


    Preoperative Issues

    Intraoperative Issues

    Postoperative Issues

    35. Acromioclavicular Surgery



    Ligament Injury

    Preoperative Complications

    Intraoperative Complications

    Postoperative Complications


    Part VI. The Elbow

    36. Distal Biceps Repair


    Preoperative Considerations

    Intraoperative Complications

    Postoperative Complications

    37. Ulnar Collateral Ligament Reconstruction






    38. Posterolateral Instability Reconstruction


    Preoperative Issues

    Intraoperative Issues

    Postoperative Issues


    39. Complications with Elbow Arthroscopy


    Preoperative Planning to Avoid Complications

    Intraoperative Complications and Management

    Complications Encountered Postoperatively


    40. Complications After Elbow Arthroscopy for Elbow Osteochondritis Dissecans


    Intraoperative Complications

    Technical Pearls and Pitfalls

    Postoperative Complications

    Part VII. The Hip

    41. Preoperative Complications With Hip Arthroscopy


    Patient Selection

    Radiographic Workup

    Disease-Specific Considerations


    42. Intraoperative and Postoperative Complications With Arthroscopic Management of Femoroacetabular Impingement


    Access-Associated Complications

    Traction-Associated Complications

    Fluid-Related Complications

    Heterotopic Ossification

    Fracture, Avascular Necrosis, and Instability

    43. Arthroscopic Management of Other Hip Disorders


    Preoperative Complications

    Intraoperative Complications

    Postoperative Complications




  • 1,24000lei 1200.00 lei



    Discover the latest edition of the cornerstone reference on periodontology and implant dentistry that combines scholarship and science with practical clinical instruction

    The Seventh Edition of Lindhe's Clinical Periodontology and Implant Dentistry brings together a distinguished team of periodontal specialists and academics who deliver another must-have resource for students, researchers, and practitioners specializing in periodontal care and implant dentistry.

    Seamlessly integrating the foundational science behind periodontology with practical clinical protocols in two comprehensive volumes, the chapters cover anatomy, microbiology, occlusion trauma, pathology, tissue regeneration, treatment planning protocols, infection control, reconstructive therapy, occlusal and prosthetic therapy, and more.

    The Seventh Edition of Lindhe's Clinical Periodontology and Implant Dentistry:

    ·         Provides an introduction to anatomy, including periodontal tissues, the edentulous ridge, the mucosa at teeth and implants, and osseointegration

    ·         Discusses the epidemiology of periodontal and peri-implant diseases

    ·         Explores the microbiology, including dental biofilms and calculus, periodontal infections, peri-implant infections, the pathogenesis of gingivitis and periodontitis, and the genetic susceptibility to periodontal disease

    ·         Includes the latest perio- and peri-implant disease classifications

    ·         Contains updated evidence-based preventive and treatment modalities for the treatment of periodontal and peri-implant diseases

    ·         Features the latest evidence-based therapeutic alternatives on the use of dental implants to rehabilitate the lost dentition

    Perfect for postgraduate dental students, researchers, and practitioners specializing in periodontal care and implant dentistry, Lindhe's Clinical Periodontology and Implant Dentistry continues to be the cornerstone reference work on periodontology.




    Table of Contents:


    Volume 1

    Part 1 Anatomy

    1 Anatomy and Histology of Periodontal Tissues
    Dieter D. Bosshardt,Jan Lindhe, Niklaus P. Lang, and Maurício Araújo

    2 Bone as a Living Organ
    Darnell Kaigler and William V. Gannobile

    3 The Edentulous Ridge
    Maurício Araújo and Jan Lindhe

    4 The Mucosa at Teeth and Implants
    Jan Lindhe, Tord Berglundh,Anton Sculean,and Niklaus P. Lang

    5 Osseointegration
    Niklaus P. Lang,Tord Berglundh, and Dieter D. Bosshardt

    Part 2 Epidemiology

    6 Epidemiology of Periodontitis
    Panos N. Papapanou and Ryan T. Demmer

    7 Epidemiology of Peri-Implant Diseases
    Jan Derks, Cristiano Tomasiand Tord Berglundh

    Part 3 Microbiology

    8 Dental Biofilms and Calculus
    Philip D. Marsh,Mariano Sanz, Niklaus P. Lang, and Dieter D. Bosshardt

    9 Periodontal and Peri-Implant Infections
    Mike Curtis, Lisa Heitz-Mayfield, and Mariano Sanz

    Part 4 Host–Parasite Interactions

    10 Pathogenesis of Gingivitis and Periodontitis
    Gregory J. Seymour, Tord Berglundh, and Leonardo Trombelli

    11 Systemic and Environmental Modifying Factors
    Evanthia Lalla and Panos N. Papapanou

    12 Genetic Susceptibility to Periodontal Disease: New Insights and Challenges
    Arne S. Schaefer, Ubele van der Velden, Marja L. Laine, and Bruno G. Loos

    Part 5 Trauma from Occlusion

    13 Effect of Load on Periodontal and Peri-Implant Tissues
    Jan Lindhe, Niklaus P. Lang,and Tord Berglundh

    Part 6 Periodontal Pathology

    14 Non-Plaque-Induced Gingival Diseases
    Palle Holmstrup and Mats Jontell

    15 Plaque-Induced Gingivitis
    Leonardo Trombelli,Roberto Farina, and Dimitris N. Tatakis

    16 Current Classification of Periodontitis
    Panos N. Papapanou, Mariano Sanz, and Kenneth Kornman

    17 Effect of Periodontal Diseases on General Health: Periodontal Medicine
    Francesco D’Aiuto, Filippo Graziani, Panos N. Papapanou, and James Beck

    18 Periodontitis and Systemic Diseases (Cardiovascular Disease and Diabetes): Biological Perspectives for Oral/Periodontal Implications
    Alpdogan Kantarci and Hatice Hasturk

    19 Abscesses, Necrotizing Lesions of the Periodontium, and Endo-Periodontal Lesions
    David Herrera and Magda Feres

    Part 7 Peri-implant Pathology

    20 Peri-Implant Mucositis and Peri-Implantitis
    Tord Berglundh, Jan Lindhe, and Niklaus P. Lang

    Part 8 Tissue Regeneration

    21 Periodontal Wound Healing and Regeneration
    Darnell Kaigler, Giulio Rasperini, Saso Ivanovski, and William V. Giannobile

    Volume 2

    Part 9 Examination Protocols

    22 Examination of Patients
    Giovanni E. Salvi, Tord Berglundh, and Niklaus P. Lang

    23 Diagnostic Imaging of the Periodontal and Implant Patient
    Michael M. Bornstein, Kuofeng Hung, and Dorothea Dagassan-Berndt

    24 Patient-Specific Risk Assessment for Implant Therapy
     Giovanni E. Salvi and Niklaus P. Lang

    Part 10 Treatment Planning Protocols

    25 Treatment Planning of Patients with Periodontal Diseases
    Giovanni E. Salvi, Niklaus P. Lang,and Pierpaolo Cortellini

    26 Systemic Phase of Therapy
    Niklaus P. Lang, Iain Chapple, Christoph A. Ramseier, and Hans-Rudolf Baur

    Part 11 Initial Periodontal Therapy (Infection Control)

    27 Oral Hygiene Motivation
    Jeanie E. Suvan and Christoph A. Ramseier

    28 Mechanical Supragingival Plaque Control
    Fridus Van der Weijden and Dagmar Else Slot

    29 Chemical Dental Biofilm Control
    David Herrera and Jorge Serrano

    30 Non-Surgical Therapy
    Jan L. Wennström and Cristiano Tomasi

    31 Treatment of Acute Periodontal and Endo-Periodontal Lesions
    David Herrera and Magda Feres

    Part 12 Additional Therapy

    32 Periodontal Surgery
    Mariano Sanz, Jan L. Wennström, and Filippo Graziani

    33 Treatment of Furcation-Involved Teeth
    Søren Jepsen, Peter Eickholz, and Luigi Nibali

    34 Non-Surgical Therapy of Peri-Implant Mucositis and Peri-Implantitis
    Lisa Heitz-Mayfield, Giovanni E. Salvi, and Frank Schwarz

    35 Surgical Treatment of Peri-Implantitis
    Tord Berglundh, Jan Derks, Niklaus P. Lang, and Jan Lindhe

    36 Systemic Antibiotics in Periodontal Therapy
    Magda Feres and David Herrera

    37 Local Antimicrobial Delivery for the Treatment of Periodontitis and Peri-Implant Diseases
    Maurizio S. Tonettiand David Herrera

    Part 13 Reconstructive Therapy

    38 Regenerative Periodontal Therapy
    Pierpaolo Cortellini and Maurizio S. Tonetti

    39 Mucogingival Therapy: Periodontal Plastic Surgery
    Mariano Sanz, Jan L. Wennström, Massimo de Sanctis, and Anton Sculean

    Part 14 Surgery for Implant Installation

    40 Timing of Implant Placement
    Christoph H.F. Hämmerle, Maurício Araújo, and Jan Lindhe

    Part 15 Reconstructive Ridge Therapy

    41 Ridge Augmentation Procedures
    Fabio Vignoletti, Darnell Kaigler, William V. Giannobile, and Mariano Sanz

    42 Maxillary Sinus Floor Augmentation
    Gustavo Avila-Ortiz, Bjarni E. Pjetursson, and Niklaus P. Lang

    Part 16 Occlusal and Prosthetic Therapy

    43 Tooth-Supported Fixed Dental Prostheses
    Jan Lindhe, Niklaus P. Lang, and Sture Nyman

    44 Implant-Supported Fixed Dental Prostheses
    Ronald. E. Jung, Franz J. Strauss, and Daniel S. Thoma

    45 Implants in the Zone of Esthetic Priority
    Rino Burkhardt, Franz J. Strauss, and Ronald. E. Jung

    46 Technical Complications in Implant Dentistry
    Clark M. Stanford and Lyndon F. Cooper

    Part 17 Orthodontics and Periodontics

    47 Tooth Movement in the Periodontally Compromised Patient
    Mariano Sanz and Conchita Martin

    Part 18 Supportive Care

    48 Supportive Periodontal Therapy
    Christoph A. Ramseier, Niklaus P. Lang, Janet Kinney, Jeanie E. Suvan, Giedrė Matulienė, and Giovanni E. Salvi



  • 39500lei 360.00 lei



    The Sobotta Clinical Atlas of Human Anatomy is tailored specifically to the needs of medical and health professional students.

    It utilizes a regional approach for learning human anatomy that integrates core concepts of anatomical structure and function with modern methods of diagnostic imaging, cross-sectional anatomy, illustrations of real world functions, clinically relevant surface anatomy and key examples of how anatomical knowledge informs clinical practice.

    The 'Clinical Remarks' and 'Structure/Function' sections provide important and easily identifiable practical examples, which reinforce clinical application of anatomical knowledge. Moreover, all anatomical images are accompanied by descriptive text and summary tables which serve to highlight the key concepts associated with each specific image.

    Key features of the atlas include:

    • More than 1850 anatomical, radiological, cross-sectional and functional images with clinically relevant labels give you a solid grounding in human anatomy
    • Descriptive text provides you with additional information for all images
    • Summary tables allow you to organize valuable key concepts
    • The regional approach to anatomy enables you to place functional, clinical and cross-sectional images in context
    • 'Clinical Remarks' and 'Structure/Function' vignettes give you a head-start in learning anatomy in a clinically relevant manner
    • Surface anatomy illustrations equip you with valuable knowledge for your first physical examinations
    • The perfect study tool for courses in medicine - as well as a range of other courses, including dentistry, pharmacy, nursing, kinesiology or the movement sciences and physician assistants
    • A unique PIN code provides you with bonus access to a complete digital copy of your atlas

    Table Of Contents:

    1. General Anatomy

    2. Back and Spine

    3. Upper Extremity

    4. Lower Extremity

    5. Thorax

    6. Abdomen

    7. Pelvis

    8. Head

    9. Eye

    10. Ear

    11. Neck

    12. Neuroanatomy


  • 1,65900lei 1400.00 lei


    Ideal for both trainees and experienced practitioners, Textbook of Gastrointestinal Radiology, 5th Edition, provides detailed, concise, well-illustrated information on all aspects of GI imaging-now in a single volume for convenient point-of-care reference. Drs. Richard M. Gore and Marc S. Levine lead a team of world-renowned experts to provide unparalleled coverage of all major gastrointestinal disorders as well as the complete scope of abdominal imaging modalities. Every chapter has been thoroughly updated, and new authors provide fresh perspectives on complex imaging topics.

    ·         Offers streamlined, actionable content in a new single-volume format for quicker access at the point of care.

    ·         Highlights the complete scope of imaging modalities including the latest in MDCT, MRI, diffusion weighted and perfusion imaging, ultrasound, PET/CT, PET/MR, plain radiographs, MRCP, angiography, barium studies, and CT and MR texture analysis of abdominal and pelvic malignancies.

    ·         Features more than 1,100 state-of-the art-images, with many in full color.

    ·         Discusses the imaging features of abdominal and pelvic malignancies that are key in an era of personalized medicine, as well as the relationship of abdominal and pelvic malignancies to cancer genomics and oncologic mutations that guide novel molecular, targeted and immunotherapies. 

    ·         Provides a diagnostic approach to incidentally discovered hepatic, pancreatic, and splenic lesions now commonly found on cross-sectional imaging.

    ·         Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.


  • 45000lei 410.00 lei



    This clinically oriented book gives dental practitioners and students a hands-on guide to incorporating dental implants into their practices. Taking a clear and concise approach to the subject, the book offers basic information on all aspects of dental implants. Topics covered encompass the pros and cons of implants, patient factors, clinical considerations to success and failure, and implant restoration. Photographs, radiographs, and illustrations support the text, demonstrating the concepts discussed.

    The ADA Practical Guide to Dental Implants starts with a brief history of the subject then examines the clinical and economic considerations for implants. Patient factors, including systemic, oral, and periodontal health, diet, age, gender, and more are discussed. The book also looks at the experience of the clinician, followed by clinical considerations such as case planning, implant design, surgical techniques, antibiotics, and more. The last chapters cover post-surgical follow-up and the many factors that lead to a successful outcome.

    Discusses all aspects of dental implantology in the practice setting

    Supports dental practitioners in incorporating dental implants into their practices

    Considers pros and cons, patient factors, clinical considerations, success and failure, and implant restoration

    Offers foundational information on dental implants in an easy-to-read format

    Includes photographs and drawings to depict the concepts discussed

    The ADA Practical Guide to Dental Implants is a useful introduction and guide to dental implants for any practitioner interested in incorporating implants into clinical practice.







    1. Why dental implants

    2. A brief history of dental implants

    3. Design of Implants

    4. Patient factors

    5. Patient consults

    6. Treatment planning and Evaluating implant sites

    7. Implant scenarios

    8. Implant surgery: simple healed sites

    9. Bone grafting

    10. Guided surgery

    11. Immediate implant placement: complicated immediate sites                                                                     

    12. Full arch cases

    13. Screw-retention vs. Cement-retention of restorations

    14. Restoring dental implants

    15. Dental implant failures

    16. Economics of dental implants

    17. Maintaining dental implants

    Appendix A: Restoring dental implants

    Appendix B: Abutments

    Appendix C: Bone graft materials


  • 1,15500lei 680.00 lei


    The only book available that covers in a single volume the many agents that provoke the full range of drug-induced allergic hypersensitivities and other adverse reactions

    Content is relevant to practitioners across the medical disciplines from clinicians and surgeons to nurses, pharmacists, dentists, and students

    New and expanded chapters address antimicrobials, drugs used in anesthesia and surgery, a wide range of biologics, opioids, anti-cancer drugs and vaccines


    About this book


    The second edition of this book spans the broad range of modern therapeutic drugs, from small molecules to biologic recombinant proteins. It offers a comprehensive review of the classification and description of different drug-induced systemic and cutaneous hypersensitivities; an up-to-date coverage of individual culprit drugs in each group of therapeutics; the diagnosis and mechanisms of reactions; and important structure-activity relationships.  New content expands to two areas of drug allergy that have recently experienced explosive growth: biological therapies and new targeted chemotherapies. Other new and expanded chapters address antimicrobials; drugs used in anesthesia and surgery; opioids; non-targeted anti-cancer drugs; vaccines; and newly understood reaction mechanisms.

    This new edition includes photographs of a wide variety of cutaneous manifestations that will be of use to other clinicians as well as allergists and dermatologists. In addition to its wide clinical emphasis, the book’s mechanistic and structure-activity detail will provide valuable background for researchers and investigators in universities, medical research institutes, drug companies, and regulatory agencies.

    The second edition of Drug Allergy is an essential reference for practitioners across the medical disciplines from specialist clinicians, surgeons, GPs, residents, and medical students to nurses, pharmacists, dentists, and those taking undergraduate and graduate courses in the biomedical sciences.




    “This is an essential reference for practitioners across medical disciplines from specialist clinicians, surgeons, general practitioners, residents, and medical students to nurses, pharmacists, dentists, and those taking undergraduate and graduate courses in the biomedical sciences. … It is a very helpful resource for any healthcare practitioner who is prescribing, dispensing, or administering medications and may encounter patients with drug allergy.” (Melissa M. Potts, Doody's Book Reviews, April 30, 2021)


    Table of contents (16 chapters)


    Scope of this Book: Adverse Reactions to Drugs and Drug Allergy

    Pages 1-15

    Baldo, Brian A. (et al.)

    Classification and Descriptions of Allergic Reactions to Drugs

    Pages 17-57

    Baldo, Brian A. (et al.)

    Mechanisms of Hypersensitivity

    Pages 59-137

    Baldo, Brian A. (et al.)

    Diagnosis of Allergic Reactions to Drugs

    Pages 139-181

    Baldo, Brian A. (et al.)

    β-Lactam Antibiotics

    Pages 183-243

    Baldo, Brian A. (et al.)

    Other Antimicrobial Drugs

    Pages 245-313

    Baldo, Brian A. (et al.)

    Drugs and Other Agents Used in Anesthesia and Surgery

    Pages 315-409

    Baldo, Brian A. (et al.)

    Opioid Analgesic Drugs

    Pages 411-438

    Baldo, Brian A. (et al.)

    Non-steroidal Anti-inflammatory Drugs

    Pages 439-471

    Baldo, Brian A. (et al.)

    Contrast Media

    Pages 473-506

    Baldo, Brian A. (et al.)


    Pages 507-520

    Baldo, Brian A. (et al.)

    Proton Pump Inhibitors

    Pages 521-531

    Baldo, Brian A. (et al.)

    Biologics: Monoclonal Antibodies for Non-cancer Therapy, Cytokines, Fusion Proteins, Enzymes, and Hormones

    Pages 533-593

    Baldo, Brian A. (et al.)

    Targeted Drugs for Cancer Therapy: Small Molecules and Monoclonal Antibodies

    Pages 595-644

    Baldo, Brian A. (et al.)

    Non-targeted Drugs for Cancer Therapy

    Pages 645-682

    Baldo, Brian A. (et al.)


    Pages 683-714

    Baldo, Brian A. (et al.)


  • 95500lei 800.00 lei



    Equip yourself to make accurate diagnoses and achieve successful treatment outcomes with this highly visual comprehensive atlas. Featuring a substantial number of new high contrast images, Atlas of Normal Radiographic Anatomy and Anatomic Variants in the Dog and Cat, 2nd Edition provides an in-depth look at both normal and non-standard subjects along with demonstrations of proper technique and image interpretations. Expert authors Donald E. Thrall and Ian D. Robertson describe a wider range of "normal" as compared to competing books — not only showing standard dogs and cats, but also non-standard subjects such as overweight and underweight pets and animals with breed-specific variations. Every body part is put into context with a textual description to help explain why a structure appears as it does in radiographs, and enabling practitioners to appreciate variations of normal that are not included, based on an understanding of basic radiographic principles.


    • Radiographic images of normal or standard prototypical animals are supplemented by images of non-standard subjects exhibiting breed-specific differences, physiologic variants, or common congenital malformations.
    • Images that depict a wider range of "normal"  such as images that detail the natural growth and aging characteristics of normal pediatric and senior animals — prevents clinical under- and over-diagnosing.
    • In-depth coverage of patient positioning and radiographic exposure guidelines assist clinicians in producing the very best results.
    • Unlabeled radiographs along side labeled counterparts clarifies important anatomic structures of clinical interest.
    • High-quality digital images provide excellent contrast resolution and better visibility of normal structures to assist clinicians in making accurate diagnoses.
    • Brief descriptive text and explanatory legends accompany all images to help put concepts into the proper context.
    • An overview of radiographic technique includes the effects of patient positioning, respiration, and exposure factors.

    New To This Edition:

    • NEW! Companion website features additional radiographic CT scans and more than 100 questions with answers and rationales.
    • NEW! Additional CT and 3D images have been added to each chapter to help clinicians better evaluate the detail of bony structures.
    • NEW! Breed-specific images of dogs and cats are included throughout the atlas to help clinicians better understand the variances in different breeds.
    • NEW! Updated material on oblique view radiography provides a better understanding of an alternative approach to radiography, particularly in fracture cases.
    • NEW! 8.5" x 11" trim size makes the atlas easy to store.

    Table Of Contents:

    1. Introduction
    2. The Skull
    3. The Spine
    4. The Thoracic Limb
    5. The Pelvic Limb
    6. The Thorax
    7. The Abdomen



  • 50500lei 445.00 lei



    This book presents the essential steps involved in diagnosing and treating pain due to peripheral nerve injury and compression. In the first chapter, the relevant anatomy and diagnostic tools to identify peripheral-nerve-related issues are described. The main part of the book, however, deals with the surgical techniques to address specific types of peripheral nerve pain, e.g. neuroma, thoracic outlet or migraine. A step-by-step, practical approach is provided, including important aspects to consider both       pre- and post-op. The procedures presented are minimally-invasive and maximally effective. Each chapter features detailed surgical illustrations and anatomical images.Chronic pain control is a growing need and minimally invasive yet effective surgical techniques, combining the competences of neurosurgery, plastic surgery, orthopedics, general surgery, pain management and neurology are in high demand. The increasing demand on the part of patients suffering from neuropathic pain is to date not matched by adequate practical training in peripheral nerve surgery to control pain. The authors are experts in this discipline “from head to toe” and present a valuable guide that provides medical students and experienced clinicians alike with useful information for their daily practice.



    Table of Contents:


    Surgical Anatomy and Diagnosis of Peripheral Nerve Compression and Injury

    Diagnosis and Treatment of Painful Neuromas: Targeted Muscle Reinnervation

    Diagnosis and Treatment of Neurovascular Temporal Headaches

    Diagnosis and Treatment of Occipital Neuralgia

    Diagnosis and Treatment of Pectoralis Minor Syndrome (Neurogenic Thoracic Outlet)

    Diagnosis and Treatment of Groin and Genital Pain

    Diagnosis and Treatment of Central Neurogenic Wrist Pain

    Nutritional Recommendations to Address Pain: Focus on Ketogenic/Lo


  • Emergency General Surgery in Geriatrics
    by Latifi
    La comanda in aproximativ 4 saptamani
    1,12400lei 1020.00 lei



    There is a growing need for a book on emergency general surgery in the elderly, as adults age 65 and older are the fastest growing segment of the population  worldwide, and their number is expected to double to 89 million between now and 2050. Based on these changing demographics, it is expected that there will be a concurrent rise in the demand for a variety of surgical services, including vascular surgery (with a projected growth of 31%) and general surgery (with a projected growth of 18%), as well as in all sub-disciplines of surgery (thoracic, cardiac, oncology, hepatobiliary, transplant, plastic colorectal, orthopedic, gynecologic, urology and neurosurgery). In addition, older surgical patients often require a different level of care than younger patients during the preoperative, intraoperative and postoperative phases. Many of our geriatric population have multiple chronic illnesses beyond the one for which surgery is required, and therefore are prone to developing postoperative complications, functional decline, loss of independence, and other undesirable outcomes.  In response, this book offers surgeons, geriatrists and nurses state-of-the-art surgical approaches and essential information on the complex perioperative care of the elderly.  



    Table of Contents:


    Part I. General Consideration in the Management of Elderly Surgical Patients

    1. Emergency General Surgery in the Elderly: An Introduction to the Research Base

    2. Geriatric Decision-Making in the Emergency Department: A Surgeon’s Perspective

    3. Radiologic Evaluation of Elderly Surgical Patients Undergoing Major Emergency Surgeries

    4. Medical Comorbidities in Geriatric Patients Undergoing Major Emergency Surgeries

    5. Reversing the Effect of Anticoagulants Safety in Patients Undergoing Emergency Surgery

    6. Anesthetic Concerns in Advanced Age Undergoing Emergency Surgery

    7. Biology of Perioperative Nutrition: An Update

    8. Gut Access for Nutritional Provision

    9. Antibiotic Management in the Elderly Patients

    10. Enhanced Recovery in Emergency Abdominal Surgery

    11. The Role of the Internist in the Care of Elderly Patients Undergoing Emergency Surgery

    12. Acute Kidney Injury in the Elderly Surgical Patient

    Part II. Specialized Surgical Care in Elderly

    13. Trauma in Elderly

    14. Esophageal Perforation and Incarcerated Hiatal Hernia in the Elderly

    15. Gastric and Duodenal Perforation in Elderly

    16. Gastrointestinal Bleeding in Elderly

    17. Small Bowel Obstructions in the Elderly

    18. Acute Mesenteric Ischemia in the Elderly Patient

    19. Acute Diverticulitis in Elderly

    20. Intestinal Stomas in Elderly

    21. Management of Acute Large Bowel Obstruction in Elderly Patients

    22. Acute Appendicitis in Elderly: Presentation, Diagnosis, and Treatment

    23. Damage Control and Open Abdomen in the Elderly

    24. Abdominal Wall Reconstruction in the Elderly During the Acute Phase: Principles and Techniques

    25. Emergency Hepatobiliary Surgery in Elderly

    26. Emergency Cholecystectomy in the Elderly

    27. Management of Acute Pancreatitis in Elderly

    28. Skin and Soft Tissue Infections in the Geriatric Patient

    29. Incarcerated Inguinal Hernia in Elderly

    30. Laparoscopic Approaches to Emergency General Surgery

    Part III. Post-operative Critical Care in Elderly

    31. Surgical Intensive Care of the Elderly

    32. Postoperative Rehabilitation of the Elderly

    Correction to: Acute Mesenteric Ischemia in the Elderly Patient


  • The Sutures of the Skull
    by Turgut
    La comanda in aproximativ 4 saptamani
    84300lei 770.00 lei



    This book provides an in-depth review of the sutures of the skull. The premature closure of the sutures of the skull (craniosynostosis) due to genetic or metabolic etiologies results in typical progressive skull deformity, due to both the inhibition of growth caused by the affected cranial suture and associated compensatory expansion of the skull along the open ones. Today, it is well known that early diagnosis of craniosynostosis is crucial for the best surgical outcomes and for the normal development of the brain and cosmetic appearance of the skull. As such, in addition to the anatomy, biology, genetics and embryology of the sutures of the skull, the book also covers the diagnosis and treatment of different forms of craniosynostosis such as metopism, and animal models for cranial suture research.This comprehensive work is a valuable resource for neuroscientists at all levels, from graduate students to researchers, as well as neurosurgeons, neuroanatomists, pediatricians, and neurologists seeking both basic and more advanced information on the unique structure of the sutures of the human skull.



    Table of Contents:


    1. Introduction

    2. The Sutures of the Skull: A Historical Perspective

    3. Embryological and Histological Features of the Cranial Sutures

    4. Anatomy of the Sutures of the Calvaria

    5. Anatomy of the Sutures of the Skull Base

    6. Anatomy of the Sutures of the Face

    7. Normal Growth of the Sutures of the Skull

    8. Variations in Sutural Anatomy of the Skull

    9. Metopism: Anatomical, Clinical and Surgical Aspects

    10. Skull Sutures as Anatomical Landmarks

    11. A Brief Introduction to the Biomechanics of Craniofacial Sutures

    12. Radiological Evaluation of the Sutures of the Skull

    13. The Biology of the Sutures of the Skull

    14. Types of Craniosynostosis and their Etiology, Pathophysiology and Epidemiology

    15. Genetic Features of Craniosynostosis

    16. Imaging Modalities for Craniosynostosis

    17. Syndromic Craniosynostosis

    18. Surgery for Craniosynostosis

    19. Experimental Animal Models in Cranial Suture Biology: Mole


  • Anticoagulation and Hemostasis in Neurosurgery
    by Loftus
    La comanda in aproximativ 4 saptamani
    89900lei 810.00 lei


    This book is an up-to-date reference on all aspects of anticoagulation and hemostasis in neurosurgery.  After an opening section on basic principles and drug classes in current use, detailed consideration is given to coagulation issues relevant to all patients, not just neurosurgical ones. The coverage includes, for example, deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. A variety of important issues specific to neurosurgical practice are then addressed, and a summary of current guidelines and best practices is provided. By bringing together the latest knowledge from across the discipline, this book will serve as a sound basis for informed decision making in surgical practice. It will be of daily value for neurosurgeons and trainees worldwide and will also be of interest to emergency room physicians, surgeons in general, critical care physicians, neurologists, and hospital medicine specialists.

  • 84300lei 770.00 lei



    This book brings together findings from research and clinical practice, with comprehensive coverage of the important aspects of mental health in ageing persons with intellectual and developmental  disabilities. It is crucial for professionals involved in the care of persons with all intellectual  and developmental  disabilities to have a broad understanding of the essential range of issues, and therefore this book provides a truly multi-disciplinary perspective, complete with many figures and illustrations to underline the key points. Undoubtedly, research and clinical practice are much more advanced in the general ageing population than in persons with intellectual and developmental disabilities, and so professionals and academics must be made fully aware of commonalities and idiosyncrasies of older people with intellectual and developmental disabilities. This book presents the ongoing developments concerning mental health and aging, which will become relevant to the intellectually disabled population. Through experience, this book also acknowledges that the impact on the persons themselves and on their carers always needs to be taken into account, with treatment programs established with a multi-faceted team approach in mind. Avoiding the jargon of many titles in this area while maintaining the hands-on approach of clinical practice, this book meshes the practical and scientific worlds, with all chapters written by leading experts in the field. Beyond the US, the IASSIDD support expands the book message worldwide.  



    Table of Contents:


    Part I. Clinical Issues

    1. Introduction

    2. Prevalence of Mental, Behavioural, and Neurobehavioural Disorders

    3. Psychopathology in Older Age

    4. Assessment of Psychiatric Disorders

    5. Neurocognitive Disorders Assessments

    6. Depression in Ageing Adults

    7. Behavioural Manifestations of Medical Conditions

    8. Emotional and Behavioural Disturbances in Adults with Down Syndrome

    9. Mental Health in an Ageing Population with Autism Spectrum Disorder

    10. Bereavement, Grief Reactions and End of Life

    Part II. Treatments and Interventions

    11. Psychological Interventions and Psychotherapy

    12. Role of Psychotropic Medications in Older Adults

    13. Role of Anti-dementia Medication

    14. Legal, Ethical and Due Process Issues

    15. Psychosocial Concerns Among Ageing Family Caregivers

    16. Role of Assistive Technology

    17. Healthy Ageing and Healthspan: Planning Ageing Throughout Life

    Part III. Service System Issues

    18. Community Mental Health and Support Services

    19. Living Arrangement Options

    20. Families and Ageing: Working Towards a Positive Partnership with Services

    21. Quality of Life

    22. Disposable Lives: Is Ending the Lives of Persons with Intellectual and Developmental Disabilities for Reasons of Poor Quality of Life an Emergence of a New Eugenics Movement?

    Back Matter




  • Perioperative Pain Control: Tools for Surgeons
    by Svider
    La comanda in aproximativ 4 saptamani
    61800lei 555.00 lei



    According to the Centers for Disease Control and Prevention (CDC), there were nearly 40,000 opioid-related deaths in the U.S in the last year alone. These numbers have increased considerably for a variety of reasons, and the growing role of prescription drug abuse has been widely recognized. There has also been increasing consciousness of the lack of dedicated and formalized training dedicated to prescription of analgesics, particularly among surgical trainees and practicing surgeons. Recent studies demonstrate that only a small minority of training programs mandates any opioid prescribing education, despite the fact that nearly all programs allow trainee prescription of opioids on an outpatient basis. Therefore, it is not surprising that despite a growing body of literature illustrating the value of opioid alternatives and adjuncts, practicing surgeons in all specialties largely ignore these evidence-based practices and continue to prescribe opioids in situations for which alternatives are proven, safe, and effective.  There are many reasons for preparing a concise and practical resource describing evidence-based practices targeting surgeons and surgical subspecialists, including but not limited to: (1) The exponential increase in prescription drug abuse associated with the “opioid epidemic,” as surgeons play an important role in managing perioperative and chronic pain in a variety of practice setting; this issue bears importance from the patient, physician, and policymaker standpoint; (2) With increasing recognition of the role of quality improvement in patient safety initiatives, and literature demonstrating inadequate opioid prescribing education (OPE) in surgical training programs, it is only a matter of time before accreditation bodies including the ACGME incorporate strong recommendations and mandates for OPE; (3) Myriad literature demonstrating the existence of evidence-based alternatives to opioids – All surgeons and surgical subspecialists would benefit from a practical guide concisely laying this literature out. We feel that surgeons of all experience levels may benefit, ranging from the first year surgical intern to an experienced practitioner trying to remain compliant with the evolving opioid regulatory environment. Hence, the appropriate target audience for this text would be for the tens of thousands of current surgical trainees in many specialties, including general surgery, thoracic surgery, otolaryngology, plastic surgery, urology, gynecology, vascular surgery, neurosurgery, and orthopedic surgery. Furthermore, surgeons out of training would be another audience of interest, as there are increasing courses for continuing medical education based on perioperative and chronic pain management. Currently, there are no comparable and competitive guides with these target audiences; all of the existing literature about perioperative and chronic pain is targeted either specifically for patients, anesthesiologists, or pain medicine physicians.  This will be the only up to date guide focusing on evidence-based practices for perioperative pain control, and each section will also include information on chronic pain sequelae relevant to each surgical specialty. The editors envision this text being an interdisciplinary endeavor, incorporating surgeons from multiple specialties, anesthesiologists, pain medicine physicians, and palliative physicians as appropriate. 



    Table of Contents:


    Part I. Overview Chapters

    1. Perioperative Pain Control: Practical Tools for Surgeons

    2. The Surgeon’s Role in the Opioid Epidemic

    3. Pain Prescription Legislation: What You Need to Know as the Surgeon

    4. Opioid Prescribing Education in Surgical Training

    5. Preoperative Optimization

    6. Non-opioid Adjuncts and Alternatives

    7. Postoperative Analgesia for the Chronic Pain Patient

    8. Non-Enteral Pain Management

    9. Pain Psychology and Perioperative Pain Management

    Part II. Specialty-Specific Chapters

    10. Perioperative Analgesia in General Abdominal, Vascular, and Thoracic Surgery

    11. Perioperative Analgesia for Thyroid and Parathyroid Surgery

    12. Evidence-Based Perioperative Analgesia for Otolaryngology: Head and Neck Surgery

    13. Perioperative Analgesia in Cranial and Skull Base Surgery

    14. Perioperative Analgesia for Orthopedic Surgery

    15. Evidence-Based Perioperative Analgesia for Urologic Surgery

    16. Obstetrics and Gynecology

    17. Perioperative Analgesia and Pain Management in Pediatric Patients

    18. Approaches to Perioperative Pain Management in the Plastic Sur


  • Neurocritical Care for Neurosurgeons
    La comanda in aproximativ 4 saptamani
    1,12500lei 1050.00 lei



    This unique book discusses the management of neurocritical care patients, including basic concepts, pathophysiologic principles, monitoring, treatment indications, and factors that affect outcomes in patients requiring neurocritical care assistance. It addresses the need to improve continuing education in this area, highlighting patient care in the perioperative period. This is the first book to provide a simplified overview for neurosurgeons and neurologists to understand the neurocritical patient journey. It is divided into three parts: the first covers the basics concepts, from monitoring to the interpretation of exams; the second explores general management of specific situations encountered in intensive care and the last part includes prognostic and rehabilitation models, as well as new perspectives. Thanks to the accessible, neurosurgical specific language, the book is well suited for all professionals involved in neurocritical care, including students, but is also a valuable resource for residents and researches, as well as experienced neurosurgeons or neurologists looking for updated information and guidelines.



    Table of Contents:


    1. Neurocritical Care: An Overview

    Part I. The Basics and Monitoring

    2. Metabolism and Cerebral Blood Flow

    3. Brain Edema: Pathophysiology, Diagnosis, and Treatment

    4. Intracranial Pressure: Invasive Methods of Monitoring

    5. Noninvasive Intracranial Pressure Monitoring

    6. Brain Tissue Oxygen Monitoring

    7. Brain Microdialysis Monitoring

    8. Jugular Bulb Oximetry

    9. Transcranial Doppler: Practical Applications

    10. Electroencephalogram in the Neurosurgical Intensive Care Unit (When a Single EEG Is Not Enough)

    11. Radiological Evaluation of Postoperative Complications of Intracranial Surgery

    Part II. General Management

    12. Management of Intracranial Hypertension

    13. Neuroprotection in Brain Injury

    14. Decompressive Craniectomy: Breaking Skepticism

    15. Sedation and Analgesia in Neurocritical Patients

    16. Hemodynamic Management in the Neurocritical Patient

    17. Blood Transfusion Strategies in Neurocritical Care

    18. Ventilatory Strategies in the Neurocritical Care

    19. Endotracheal Intubation, Extubation, and Tracheostomy: How, When, and Why?

    20. Infections in Neurocritical Care Units

    21. Acid-Base and Electrolyte Disorders in Neurocritical Care

    22. Basic Aspects of Nutrition in Neurocritical Care

    23. General Principles of Neurosurgical Postoperative Care

    24. Head Injury

    25. Spontaneous Subarachnoid Hemorrhage and the First Week After Aneurysmal Subarachnoid Hemorrhage

    26. Hemorrhagic Stroke

    27. Cerebral Hemorrhage and High INR

    28. Ischemic Stroke

    29. Emergencies in Neuro-oncology

    30. Hemorrhage into a Pituitary Tumor

    31. Status Epilepticus

    32. Systemic (Non-neurological) Complications in the Neurocritical Patient

    33. Acute Spinal Cord Disorders

    34. General Principles of Awake Neurosurgery

    35. TBI in Pediatric Patients

    Part III. The Outcomes

    36. Prognostic Models in Neurocritical Care

    37. Rehabilitation and Palliative Care in Neurocritical Patients

    38. Brain Death and Management of the Potential Donor

    39. New Perspectives

    Back Matter


  • Advances in Vestibular Schwannoma Microneurosurgery
    La comanda in aproximativ 4 saptamani
    47700lei 440.00 lei



    This volume describes the most relevant and cutting-edge technological news on the complex surgical procedure of acoustic neuroma. The clinical-radiological diagnosis and surgical indications are briefly presented and the surgical technique is illustrated step-by-step: video clips show the latest means of treating these patients.  All these indications were prepared by highly experienced experts in the field, based on their personal experience. The new technologies discussed concern e.g. the intraoperative identification and position of the facial nerve, hearing preservation, techniques for dural closure, and the usefulness of laser and ultrasound aspirators. The book also discusses a number of ongoing projects, including those on: diluted papaverine for microvascular protection of cranial nerves, flexible endoscope for IAC control of tumor removal, fluid cement for bone closure, administering aspirin to control residual tumors larger than 7mm, and DTI for preoperative prediction of the position of the facial nerve. This is a highly informative presented book providing surgeon interested in acoustic neuroma with necessary information on modern technologies available for improving the results of patients.



    Table of Contents:


    Part I. General Aspects

    1. Introduction: Clinical and Radiological Diagnosis

    2. Treatment Options and Surgical Indications

    Part II. Illustrated Surgical Technique (Step-by-Step)

    3. Patient Positioning

    4. Instrumentation for Acoustic Neuroma Microneurosurgery

    5. Retrosigmoid Approach

    6. Translabyrinthine Approach

    7. Video Clips of the Surgical Steps

    8. Results in a Personal Series of 160 Cases

    Part III. New Technologies

    9. Intraoperative Identification and Location of Facial Nerve: Type of Facial Nerve Displacement—How to Use Monopolar Stimulator

    10. Hearing Preservation

    11. Usefulness of Laser and Ultrasound Aspirator

    12. Techniques of Dural Closure for Zero CSF Leak

    13. Face-to-Face Two-Surgeons Four-Hands Microsurgery

    Part IV. Projects in Progress

    14. Diluted Papaverine for Microvascular Protection of Cranial Nerves

    15. Flexible Endoscope for IAC Control of Tumor Removal

    16. Fluid Cement for Bone Closure

    17. Aspirin Administration for Control of Tumor Millimetric Residual

    18. DTI for Facial Nerve Preoperative Prediction of Position and Course

    19. Vestibular Testing to Predict the Nerve of Origin of Vestibular Schwannomas

    20. Microsurgery for Vestibular Schwannomas After Failed Radiation Treatment

    Back Matter


  • Textbook of Pediatric Neurosurgery
    La comanda in aproximativ 4 saptamani
    5,33700lei 4420.00 lei


    This book documents the state of the art in pediatric neurosurgery with the intention of providing a comprehensive guide to the management of the full range of pediatric neurosurgical disorders that will aid in the delivery of optimal care. Detailed practical instruction, taking into account recent advances, is provided on the neurosurgical treatment of congenital brain malformations, cerebrovascular diseases, head injuries and spinal trauma, infections, functional disorders, congenital and developmental spinal disorders, and brain and spinal tumors. Pearls and pitfalls are highlighted, and attention drawn to the most useful tips and tricks. Information is also included on relevant related topics, including the principles of neuroimaging, the physiological responses of newborns, infants, and children to neurosurgical trauma, preoperative evaluation, anesthesiology and intensive care, and other forms of therapy. The authors are renowned experts in the field, and the text is supported by a wealth of high-quality images. Handbook of Pediatric Neurosurgery will be of value for neurosurgeons of all levels of experience, as well as for pediatricians, neuroradiologists, neuropathologists, and neuro-oncologists.

  • Treatment of Non-vitamin K Antagonist Oral Anticoagulants
    by Uno
    La comanda in aproximativ 4 saptamani
    78600lei 680.00 lei


    This book describes new concepts and strategies for the clinical application of non-vitamin K antagonist oral anticoagulants (NOACs) for stroke. Although vitamin K antagonists have traditionally been used for the prevention of stroke, there are some problems associated with their use, such as the risk of intracranial hemorrhage, the need for dietary restrictions, and individual variability. Recently, NOACs have been introduced as alternatives to traditional anticoagulants and are becoming an option for treating stroke patients around the globe. However, their use is not without risk.

    Each chapter describes the successful use of NOACs for stroke patients and discusses their future impact from various points of view. The book is primarily written for neurosurgeons and neurologists but is also of interest to cardiologists involved in stroke treatment.


  • Handbook of Spinal Cord Injuries and Related Disorders
    by Ko
    La comanda in aproximativ 4 saptamani
    1,12000lei 995.00 lei


    This easy-to-use handbook is designed to assist in the evaluation and management of spinal cord injuries and the diverse related disorders and conditions. Spinal cord injuries can cause abnormalities in all body systems due to dysfunction of the somatic motor and sensory systems and damage to the autonomic nerve system. The latter gives rise to respiratory and cardiac problems, temperature regulation disorders, endocrine system disorders, and many associated metabolic disorders. Other potential consequences of spinal cord injuries include pressure injuries and various disabilities and obstacles, ranging from physical limitations to social embarrassment. This handbook offers extensive guidance on medical management in different scenarios from the acute phase to long-term care, with a particular focus on information of importance for the solution of clinical problems commonly encountered in daily practice. It will be ideal for practitioners in rehabilitation medicine, neurosurgery, orthopedics, neurology, and other relevant specialties that deal with patients with spinal cord injuries.

  • Management of Cerebrovascular Disorders
    by Spiotta
    La comanda in aproximativ 4 saptamani
    1,00000lei 935.00 lei



      This important title brings together a distinguished panel of thought-leaders, known for their insights into the development and application of minimally-invasive surgical and endovascular techniques, to provide a comprehensive and discerning compendium of our most current knowledge and state-of-the-art procedures in the management of cerebral vascular diseases.  Written in a style that is accessible to students and experienced practitioners alike, the book covers all the important recent advances that have reshaped the field in dramatic ways. Emphasizing how surgical and endovascular techniques are complementary, the volume includes illuminating chapters on the nexus of endovascular and conventional “open” cerebrovascular surgery, including patient assessment and practice in a hybrid operating environment, utilizing the best methods to achieve optimal outcomes.   A major addition to the clinical literature, Management of Cerebrovascular Disorders: A Comprehensive, Multidisciplinary Approach will be of significant interest to neurosurgeons, neurologists, neuroradiologists, neurointensivists, students, residents, fellows, and specialized attending physicians.



    Table of Contents:


    Part I. Introduction

    1. The History of Vascular Neurosurgery: A Journey of Evolution and Revolution

    2. Evolution of Endovascular Technique

    3. Importance of a Comprehensive Approach

    4. The Hybrid Operating Room

    Part II. Hemorrhagic

    5. Diagnosis, Medical Management, and Complications of Aneurysmal Subarachnoid Hemorrhage

    6. Clip Versus Coil Debate

    7. Microsurgical Clipping of Unruptured Aneurysms: The Basics

    8. Complex Intracranial Aneurysms: Strategies for Surgical Trapping and Cerebral Revascularization

    9. Microsurgical Treatment of Complex Intracranial Aneurysms

    10. Unassisted Aneurysm Coil Embolization

    11. Balloon-Assisted Treatment of Intracranial Aneurysms: The Conglomerate Coil Mass Technique

    12. Stent-Assisted Coil Embolization

    13. Complex Stent Reconstruction for the Treatment of Intracranial Aneurysms

    14. Flow Diversion

    15. Dissecting Pseudoaneurysms and Blister Aneurysms

    16. Infectious Intracranial Aneurysms: Epidemiology, Pathophysiology, and Management

    17. Arteriovenous Malformations: Surgical Indications and Technique

    18. Arteriovenous Malformations: Endovascular Indications and Technique

    19. Arteriovenous Malformations: Radiation Therapy

    20. Dural Arteriovenous Fistulae: Surgical Indications and Technique

    21. Dural Arteriovenous Fistulae: Endovascular Embolization Indications and Techniques

    22. Cavernous Malformations

    23. Endovascular Management of Carotid-Cavernous Fistulae

    24. Spontaneous Intracerebral Hemorrhage

    Part III. Ischemic

    25. Carotid Artery Stenting Versus Endarterectomy for Atherosclerosis: An Evidence-Based Review

    26. Carotid Endarterectomy Technique

    27. Steno-occlusive Carotid Artery Disease: Carotid Artery Stenting Technique

    28. Management of Intracranial Stenosis

    29. Counseling and Management of Patients with Intracranial Atherosclerosis Disease

    30. Imaging Selection of Acute Ischemic Stroke

    31. Role for Intra-arterial Therapy for Acute Ischemic Stroke

    32. Evolution of Thrombectomy Approaches, Philosophy, and Devices for Acute Stroke

    33. Tandem Occlusions

    34. The Angiographic Suite: A One-Stop Shop for the Triage and Treatment of Large Vessel Occlusive Acute Ischemic Strokes

    35. Mobile Stroke Units: Field Imaging and Triage for Acute Stroke Emergencies

    36. Role of Decompressive Hemicraniectomy for Intracranial Hypertension Following Stroke

    37. Neurovascular Carotid and Vertebral Arterial Dissection and Blunt Vessel Injury

    38. Moyamoya Disease: Indications for Revascularization and Techniques

    39. Vasculitis and Strokes

    Part IV. Miscellaneous

    40. Cerebral Venous Sinus Thrombosis

    41. Venous Sinus Stenting for Idiopathic Intracranial Hypertension

    42. Microvascular Decompression for Trigeminal Neuralgia and Other Neurovascular Compression Syndromes

    43. Sickle Cell Disease: Considerations for the Cerebrovascular Neurosurgeon

    44. Neuroendovascular Surgery Medications

    Back Matter


  • Clinical Neurological Examination and Localization
    by Suri
    La comanda in aproximativ 4 saptamani
    39000lei 365.00 lei



    Bedside Neurological examination is an important tool in diagnosing neurological disorders .  Despite significant advances in the investigations available for diagnosing neurological disorders bedside neurological examination remains the cornerstone in diagnosing neurological disorders and should  not only  be conducted prior to  the investigations but   should  be  actually be utilized to plan the appropriate investigations .The book provides a focused account of various aspects of the neurological examination leading to clinical localisation and hence obtaining the neurological diagnosis. It includes topics like' how to obtain a appropriate neurological history' , 'higher mental system examination', examination of speech and various cranial nerves and examination of other systems including motor system, sensory system, reflexes , cerebellar and autonomic nervous system.The book also includes  certain interesting topics like 'neurological examination of the unconscious patient 'and 'tricks and tips of neurological localisation. The book is easy to read and memorize due to multiple  self  explanatory illustrations and  important aspects  being highlighted in bulleted format. The book will be of extreme help for  MD and DNB students of Internal Medicine as well as DM and DNB  students of Neurology and DNB and MCH Neurosurgery students , hence covering a fairly large readership base . It will also be read by practising  Internal medicine physicians , neurologists and neurosurgeons who may want  to revise the basics  and tricks of neurological examination and  localization



    Table of Contents:


    1. Introduction

    2. The Neurological History

    3. Higher Mental Function

    4. Cranial Nerve Examination

    5. Examination of Speech

    6. Motor System Examination

    7. Reflexes

    8. Sensory System Examination

    9. Cerebellar Examination and Examination of Posture, Stance, and Gait

    10. Involuntary Movements

    11. Examination of Skull, Spine, Nerves, and Neurocutaneous Markers

    12. Autonomic Nervous System Examination

    13. Examination of the Unconscious Patient

    14. Summary of Localization


  • 61800lei 550.00 lei



    This book is a comprehensive and up-to-date guide to intraoperative neurophysiological monitoring in patients with hemifacial spasm, one of the very few neuromuscular disorders that can be treated surgically. It covers various aspects including brainstem auditory evoked potentials, lateral spread response, free-running EMG and prognosis, and intraoperative hearing loss patterns. In particular, we present detailed explanations and realistic pictures of various and subtle changes in the waveform of brainstem auditory evoked potentials and postoperative hearing. In addition, detailed explanations and actual photos are provided for various cases, such as when the amplitude of the lateral spread response is slightly smaller during surgery, when it is lost and then measured again, or when the surgery is terminated without disappearing.  The various situations that may occur during surgery are fully covered, and the causes of and solutions to particular challenges are clearly described.  In addition, the results of each test and their association with the postoperative prognosis are explained in detail. The authors have vast experience and recognized expertise in the performance of microvascular decompression surgery and intraoperative neuromonitoring.  The book draws on their practical knowledge and many scientific contributions to offer the very latest insights into the management of hemifacial spasm. It will be an excellent guide for young neurosurgeons, neurological  monitoring  technologists, and neurological interpreters.



    Table of Contents:


    1. Principles of Intraoperative Neurophysiological Monitoring During MVD for HFS

    2. Methods of Intraoperative Neurophysiological Monitoring for Microvascular Decompression

    3. Cases of Brainstem Auditory Evoked Potentials

    4. Cases of Lateral Spread Response

    5. Cases of Free-Running Electromyography

    6. Changes in BAEPs Waveform During Surgery in Deafness Patients After Surgery

    7. Artifacts of Intraoperative Neurophysiological Monitoring

    8. BAEPs Wave and Hearing Loss


  • Meningiomas
    La comanda in aproximativ 4 saptamani
    78600lei 705.00 lei




    This book provides a comprehensive overview of the multidisciplinary management of meningiomas, followed by evaluation and management considerations along a spectrum of benign to more malignant behavior. It outlines the management of presumed Grade 1 tumors and how to identify features of tumors radiographically and clinically that may support a benign course rather than aggressive and vice versa. Following a stepwise progression from simple to complex, chapters introduce and tackle more aggressive meningiomas and tumor recurrence (of all Grades), with paradigms for evaluation and treatment. Tumor biology and genomics are fundamental and largely focused in the book. More recent findings which have directed personalized medicine and clinical trials are also addressed.  Meningiomas: Comprehensive Strategies for Management addresses all aspects of the evaluation and care of patients with all WHO grades of meningiomas. It is highly informative and provides clarity for a wide audience of neurosurgeons, reconstructive surgeons, oncologists, neurologists, radiation oncologists, pathologists, radiologists, residents and students who treat these patients and those who are training for a career in managing patients with these potentially challenging tumors.



    Table of Contents:


    Part I. Meningioma Basics

    1. An Overview of Meningiomas

    2. Histopathology and Grading of Meningiomas

    3. Radiographic Assessment of Meningiomas

    4. The Genomic Landscape of Meningiomas

    Part II. Initial Meningioma Management and Treatment Paradigms

    5. The Initial Evaluation and Surveillance of Meningiomas

    6. Surgical Considerations for Newly Diagnosed Meningiomas

    7. Endoscopic and Minimally Invasive Meningioma Surgery

    8. Comprehensive Treatment Strategies for Spinal Meningiomas

    9. Radiation Therapy for Low Grade Meningiomas

    Part III. Treatment Options for more aggressive meningiomas

    10. Low Grade Tumor Recurrence and Management of More Aggressive Meningiomas

    11. Surgical Considerations for Recurrent Meningiomas

    12. Radiotherapy for Aggressive Meningiomas and Recurrent Low Grade Tumors

    13. The Role of Medical Therapy for Menigniomas

    14. Emerging Meningioma Therapies I: Precision Medicine, Targeted Therapies, and Mutation-Specific Approaches

    15. Emerging Meningioma Therapies II: Immunotherapies, Novel R


  • Advanced Techniques of Endoscopic Lumbar Spine Surgery
    by Kim
    La comanda in aproximativ 4 saptamani
    73000lei 655.00 lei



    This book is a superbly illustrated guide to the latest endoscopic approaches employed in surgery to the lumbar spine. In the past, spinal endoscopic surgeries have been performed mainly in the treatment of lumbar disc herniation, but indications have now expanded owing to breakthroughs in surgical methods and instruments. Furthermore, in addition to the traditional percutaneous transforaminal approach, various other approaches are now feasible, including the posterior, paraspinal, transpedicular, and contralateral. This book describes and illustrates the full array of approaches in indications including lumbar central stenosis, lumbar foraminal stenosis, and lumbar disc herniation. Detailed guidance is also provided on endoscopic lumbar interbody fusion, covering the oblique, uniportal, and biportal approaches. Supplementary surgical videos further facilitate understanding and execution of the described procedures. Written by expert spinal endoscopy surgeons with extensive practical experience and a record of academic achievement, the book will be an ideal aid for spine surgeons at all levels of experience.



    Table of Contents:


    Part I. Special Issue of Endoscopic Spine Surgery

    Paradigm Shifting of Endoscopic Spine Surgery

    Nomenclature of Endoscopic Spine Surgery

    Part II. Lumbar Central Stenosis

    Full Endoscopic Posterior Approach, In and Out

    Full Endoscopic Posterior Approach ‘Out and In’ Technique

    Biportal Endoscopic Approach for Lumbar Central Stenosis

    Part III. Lumbar Foraminal Stenosis

    Uniportal Full Endoscopic Contralateral Approach for Lumbar Foraminal Stenosis

    Lumbar Foraminal Stenosis: Full Endoscopic Transforaminal Approach

    Full Endoscopic Paraspinal Approach for Lumbar Foraminal Stenosis

    Contralateral Sublaminar Approach for Lumbar Foraminal Stenosis Using Biportal Endoscopic Surgery

    Biportal Endoscopic Paraspinal Approach for Foraminal and Extraforaminal Disc Herniations

    Part IV. Lumbar Disc Herniation

    Full Endoscopic Approach with Foraminoplasty

    Full-Endoscopic Transpedicular Approach

    Biportal Endoscopic Approach (Biportal Endoscopic Lumbar Discectomy)

    Part V. Endoscopic Lumbar Interbody Fusion

    Endoscope-Assisted Oblique Lumbar Interbody Fusion

    Endoscopic LIF (Uniportal); Endoscopic TLIF; FELIF (Full Endoscopic Lumbar Interbody Fusion)

    Biportal Endoscopic Transforaminal Lumbar Interbody Fusion


  • Intraspinal Variations of Nerve Roots
    La comanda in aproximativ 4 saptamani
    47700lei 435.00 lei



    This book is a superbly illustrated guide to the latest endoscopic approaches employed in surgery to the lumbar spine. In the past, spinal endoscopic surgeries have been performed mainly in the treatment of lumbar disc herniation, but indications have now expanded owing to breakthroughs in surgical methods and instruments. Furthermore, in addition to the traditional percutaneous transforaminal approach, various other approaches are now feasible, including the posterior, paraspinal, transpedicular, and contralateral. This book describes and illustrates the full array of approaches in indications including lumbar central stenosis, lumbar foraminal stenosis, and lumbar disc herniation. Detailed guidance is also provided on endoscopic lumbar interbody fusion, covering the oblique, uniportal, and biportal approaches. Supplementary surgical videos further facilitate understanding and execution of the described procedures. Written by expert spinal endoscopy surgeons with extensive practical experience and a record of academic achievement, the book will be an ideal aid for spine surgeons at all levels of experience.



    Table of Contents:


    Part I. Special Issue of Endoscopic Spine Surgery

    Paradigm Shifting of Endoscopic Spine Surgery

    Nomenclature of Endoscopic Spine Surgery

    Part II. Lumbar Central Stenosis

    Full Endoscopic Posterior Approach, In and Out

    Full Endoscopic Posterior Approach ‘Out and In’ Technique

    Biportal Endoscopic Approach for Lumbar Central Stenosis

    Part III. Lumbar Foraminal Stenosis

    Uniportal Full Endoscopic Contralateral Approach for Lumbar Foraminal Stenosis

    Lumbar Foraminal Stenosis: Full Endoscopic Transforaminal Approach

    Full Endoscopic Paraspinal Approach for Lumbar Foraminal Stenosis

    Contralateral Sublaminar Approach for Lumbar Foraminal Stenosis Using Biportal Endoscopic Surgery

    Biportal Endoscopic Paraspinal Approach for Foraminal and Extraforaminal Disc Herniations

    Part IV. Lumbar Disc Herniation

    Full Endoscopic Approach with Foraminoplasty

    Full-Endoscopic Transpedicular Approach

    Biportal Endoscopic Approach (Biportal Endoscopic Lumbar Discectomy)

    Part V. Endoscopic Lumbar Interbody Fusion

    Endoscope-Assisted Oblique Lumbar Interbody Fusion

    Endoscopic LIF (Uniportal); Endoscopic TLIF; FELIF (Full Endoscopic Lumbar Interbody Fusion)

    Biportal Endoscopic Transforaminal Lumbar Interbody Fusion


  • Laryngopharyngeal Reflux Disease
    by Jamal
    La comanda in aproximativ 4 saptamani
    61800lei 550.00 lei



    This comprehensive text provides the reader with an in-depth understanding of laryngopharyngeal reflux (LPR), and presents a practical and readable evidence-based approach to the diagnosis and management of patients with this condition. It highlights options for management of those patients who fail to improve with traditional reflux treatment and assists in determining the next steps in the management of this population. Information is presented from an inter-disciplinary perspective, including input by otolaryngology, gastroenterology, speech pathology, and complementary/integrative medicine. The first section of the book is dedicated to understanding the fundamentals of laryngopharyngeal reflux as a condition. It begins with a review of the fundamental anatomy and pathophysiology of LPR and summarizes the landmark and most recent advances in the scientific understanding of this condition. Subsequent chapters delve into the typical symptoms and clinical presentations of patients, with information provided on cost-effective work-up strategies to confirm the diagnosis. The second section focuses on management of this condition. It begins with a thorough review of traditional medical management, including use of proton pump inhibitors, histamine receptor antagonists, neutralizing agents, low acid diet, alkalinizing agents, and alginates. Surgical management is reviewed as well, including partial and full fundoplication operations. It concludes with “non-traditional” treatment options for LPR, with chapters dedicated to voice therapy, probiotics, herbal therapies, and integrative East-West medicine approaches. Laryngopharyngeal Reflux Disease will be a definitive guide for otolaryngologists, gastroenterologists, speech pathologists, and general physicians with an interest in traditional and complementary/integrative treatments for patients with laryngopharyngeal reflux.



    Table of Contents:


    Part I. Understanding and Recognizing LPR

    1. Laryngopharyngeal Reflux

    2. The Approach to a Patient with Suspected Laryngopharyngeal Reflux Disease (LPRD)

    3. Commonly Confused Conditions

    Part II. Treatment Options for LPR

    4. Lifestyle and Dietary Modifications

    5. Medical Management of LPR

    6. Surgical Management of Reflux

    7. The Role of Voice Therapy in Treating Symptoms of Laryngopharyngeal Reflux

    8. Probiotics and Herbal Therapies

    9. Integrative East-West Medicine for Reflux Disease


  • Hemifacial Spasm
    by Park
    La comanda in aproximativ 4 saptamani
    56200lei 510.00 lei



    This book is a comprehensive and up-to-date guide to hemifacial spasm, one of the very few neuromuscular disorders that can be treated surgically. All aspects are covered, including classification, pathogenesis, diagnosis and differential diagnosis, surgical principles and practice, medical treatment, the role of botulinum toxin injection, complications, prognosis, and redo surgery. Dr. Kwan Park has performed microvascular decompression surgery, the treatment of choice, in more than 4000 hemifacial spasm patients at Samsung Medical Center in Seoul, Korea. Over the past two decades, important lessons have been learned and new technologies adopted. This book draws together the many scientific contributions of Dr. Park and his team and offers the very latest insights into management of the condition. It will be an excellent guide for young neurosurgeons wishing to master the relevant surgical skills, as well as for all other medical personnel who may encounter patients with involuntary twitching or contraction on one side of the face. 



    Table of Contents:


    1.    Overview of Hemifacial Spasm

    2.    Natural History of Hemifacial Spasm

    3.    Novel Classification Systems for Hemifacial Spasm

    4.    Pathogenesis of Hemifacial Spasm

    5.    Clinical Symptoms and Differential Diagnosis of Hemifacial Spasm

    6.    The Electrophysiological Study for Hemifacial Spasm

    7.    Magnetic Resonance Imaging Evaluation of Hemifacial Spasm

    8.    Surgical Principles of Hemifacial Spasm: How We Do Microvascular Decompression

    9.    Technical Difficulties of Microvascular Decompression Surgery for Hemifacial Spasm

    10.  Various Applications of Microvascular Decompression Other than for Hemifacial Spasm

    11.  Intraoperative Neurophysiological Monitoring in Microvascular Decompression for Hemifacial Spasm

    12.  Anesthetic Management of MVD

    13.  Botulinum Toxin Injection in Hemifacial Spasm

    14.  Medical Treatment of Hemifacial Spasm and Other Involuntary Facial Movement Disorders

    15.  Possible Complications of Microvascular Decompression

    16.  Prognosis of Symptoms After Microvascular Decompression for Hemifacial Spasm

    17.  Redo Surgery for Failed Microvascular Decompression for Hemifacial S


  • Chordoma of the Spine
    by Sciubba
    La comanda in aproximativ 4 saptamani
    78600lei 710.00 lei



    This book provides a comprehensive review of the epidemiology, pathogenesis, diagnosis, and management of chordomas of the mobile spine and sacrum. Historically, knowledge about how to deliver such state-of-the-art care has not been widespread, resulting in inconsistent treatment, and, all too often, suboptimal outcomes for chordoma patients. This text is an important step towards broadening that knowledge, and, in turn, improving the care provided to chordoma patients. The book is divided into 4 parts comprising 16 chapters. The first part focuses on the pathophysiology and molecular drivers of chordoma. The second focuses on the epidemiology and clinical history, as well as the histological, oncologic, and radiographic work-up of chordoma. The third part focuses primarily on the technical aspects of surgery for chordoma. It is broken down by anatomic region, with the final two chapters focusing on the soft tissue and bony reconstruction following chordoma resection. The last part focuses on the exciting field of adjuvant therapies for chordoma. This includes both radiation therapies and novel chemotherapeutic options for recurrent, metastatic, and dedifferentiated chordoma.   Written by world experts from leading chordoma centers, Chordoma of the Spine serves as a valuable reference for spinal oncologists and general spine surgeons who may encounter chordoma patients in their practice. It provides the most up-to-date evidence regarding all aspects of treating patients with this disease. By focusing on this specific pathology of the spine, this resource condenses expert-level research into understandable treatment algorithms.



    Table of Contents:


    Part I. Pathophysiology and Molecular Mechanisms of Chordoma

    1. Notochordal Morphogenesis and the Origin of Chordoma

    2. Molecular Morphogenesis and Genetic Mechanisms of Spinal Chordoma

    Part II. Epidemiology, Clinical History, and Work-Up for Chordoma

    3. Historical Overview, Demographics, and Clinical Presentation of Spinal Chordoma

    4. Clinical Work-Up, Diagnostic Imaging, and Biopsy

    5. Histopathologic Classification of Spinal Chordoma

    6. Multidisciplinary Planning for Treatment of Chordoma

    Part III. Surgical Management of Chordoma

    7. Surgical Management of Chordoma of the Occipitocervical Junction

    8. Surgical Management of Chordoma of the Cervical Spine

    9. Surgical Management of Chordoma in the Thoracic Spine

    10. Surgical Management of Chordoma of the Lumbar Spine

    11. Surgical Management of Chordoma of the Sacrum

    12. Soft Tissue Reconstruction Following Surgery for Sacral Chordoma

    13. Vascular Reconstruction After En Bloc Resection

    Part IV. Radiation and Chemotherapeutic Adjuvants for Chordoma

    14. Conventionally Fractionated and Hypofractionated Photon Radiation Therapy in the Management of Chordoma

    15. Heavy Particle Therapy for Chordoma

    16. Systemic Therapy, Trials, and Future Directions for Chordoma of t


  • Cerebral Ischemic Reperfusion Injuries (CIRI)
    by Jiang
    La comanda in aproximativ 4 saptamani
    84300lei 730.00 lei



    This volume is focused on subjects related to cerebral ischemia and reperfusion injuries after acute stroke. All chapters are selected from the Sixth Elite Stroke meeting named Pangu Stroke Conference and written by members of world leading laboratories of stroke studies. The contents cover both clinical and bench studies, from basic components of cerebral arterial system to clinical reperfusion injury cases, from reperfusion caused programmed cell death and astrocyte activation to oxidative stress and nitric oxide after reperfusion, from extracellular matrix and inflammation to a role of diabetes after reperfusion, from small artery disorders to collateral circulation and blood pressure control after reperfusion. Wei-Jian Jiang, Chairman of New Era Stroke Care and Research Institute of PLA Rocket Force General Hospital, Beijing, China. Wengui Yu, Professor and Director of Comprehensive Stroke & Cerebrovascular Center, University of California, Irvine Yan Qu, Professor and Director of Neurosurgery at the Second Affiliated Hospital of Air Force Medical University, Xi’an, China. Zhongsong Shi, Professor of Neurosurgery at Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. Ben-yan Luo, Professor and Chair of Neurology at the First Affiliated Hospital of Zhejiang University. John H. Zhang, Professor of Anesthesiology and Physiology at Loma Linda University School of Medicine, Loma Linda, CA, USA.



    Table of Contents:


    1. Gelatinase-Mediated Impairment of Microvascular Beds in Cerebral Ischemia and Reperfusion Injury

    2. Characters of Ischemic Stroke and Recanalization Arteries

    3. Cerebral Ischemic Reperfusion Injury (CIRI) Cases

    4. CIRI After Early Recanalization

    5. Programmed Cell Death in CIRI

    6. Reactive Astrocytes in Cerebral Ischemic Reperfusion Injury

    7. Oxidative Stress and Nitric Oxide in Cerebral Ischemic Reperfusion Injury

    8. Extracellular Matrix in Stroke

    9. Inflammation and Ischemic Stroke

    10. Cerebral Vascular Injury in Diabetic Ischemia and Reperfusion

    11. Ischemia/Reperfusion Damage in Diabetic Stroke

    12. Current Understanding of Pathology and Therapeutic Status for CADASIL

    13. Blood Pressure and Cerebral Ischemic Reperfusion Injury

    14. Collateral Circulation and Cerebral Reperfusion After Ischemic Stroke

    15. Controlled Reperfusion Against Ischemia Reperfusion Injury

    16. Therapeutic Window Beyond Cerebral Ischemic Reperfusion Injury


  • Spine Surgery
    by Meyer
    La comanda in aproximativ 4 saptamani
    89900lei 880.00 lei



    This book covers the content of European postgraduate spine surgery courses, using a case-based approach. It describes a stepwise solution to a real-world clinical problem and compares this with the best available evidence. It then provides suggestions on how to bridge the gap (if there is one) between standard of care and evidence-based medicine. Spine Surgery: A Case-Based Approach is aimed at postgraduate students of spine surgery (both trainee neurosurgeons and trainee orthopedic surgeons), and is also of interest to medical students.



    Table of Contents:


    Part I. Basic Module 1: Conservative Therapy

    1. Treatment for Acute, Subacute and Chronic Low Back Pain

    2. Indications for Emergency Surgical Treatment

    Part II. Basic Module 2: Surgical Treatment of Degenerative Cervical, Thoracic and Lumbar Spinal Pathologies

    3. Anterior Cervical Subaxial Treatment (Fusion)

    4. Cervical Motion Preserving Procedures (TDR)

    5. Posterior ‘Motion Preserving’ Procedures (Frykholm)

    6. Cervical Myelopathy: Indication and Operative Procedure

    7. Cervical Posterior Long Construct Stabilization

    8. Thoracic Disc Herniation and Myelopathy

    9. Lumbar Disc Herniation, Nucleo- and Sequesterectomy

    10. Lumbar Spinal Stenosis Requiring Decompression and Fusion

    11. Lumbar Spinal Stenosis

    12. Degenerative Spondylolisthesis

    13. Basic Degenerative Lumbar Scoliosis

    14. Thoracolumbar Instrumentation and Fusion for Degenerative Disc Disease

    15. Lumbar Non-Fusion Techniques

    16. Management of Failed Back Surgery Syndrome

    17. Surgical Treatment Options at the Sacroiliac Joint

    18. Navigation of the Cervical, Thoracic and Lumbar Spine

    Part III. Basic Module 3: Deformity

    19. Natural Course and Classification of Idiopathic Scoliosis

    20. Diagnosis and Conservative Treatment of Adolescent Idiopathic Scoliosis: Case Presentation

    21. Idiopathic Scoliosis: Operative Treatment

    22. A Congenital Scoliosis Case Characterized with Contralateral Hemivertebrae

    23. Delayed Neurological Deficit and Surgical Site Infection After Pedicle Subtraction Osteotomy in a Revision Case

    24. Operative Treatment of High-Grade Spondylolisthesis

    25. Parameters of Spino-Pelvic Balance, Etiology and Pathogenesis of Disturbed Spino-Pelvic Balance

    26. Diagnosis, Classification and General Treatment Options for Hyperkyphosis

    27. Scheuermann Kyphosis and Ankylosing Spondylitis

    28. Surgical Correction and Special Features in Traumatic and Congenital Kyphotic Deformities

    Part IV. Basic Module 4: Spinal Fractures

    29. Epidemiology & Classification

    30. Pre-Hospital Management, Physical Examination & Polytrauma Management

    31. Spinal Cord Injury

    32. Upper Cervical Spine Trauma

    33. Subaxial Cervical Trauma

    34. Management Criteria for Thoracic, Thoracolumbar and Lumbar Fractures

    35. Posterior Surgical Management of Thoracic and Lumbar Fractures

    36. Anterior Surgical Management of Thoracic and Lumbar Fractures

    37. Sacral Fractures

    38. Spine Injuries in the Elderly

    39. Spinal Trauma in Patients with Ankylosing Spinal Conditions

    Part V. Basic Module 5: Tumors of Spine and Inflammatory Diseases

    40. Vertebral Osteomyelitis: Etiology, Pathogenesis, Routes of Spread Symptoms and Diagnosis

    41. Pyogenic Infection Following Single Level Nucleotomy

    42. Diagnostics and Treatment of C1/C2-Instability in Rheumatoid Arthritis

    43. Treatment Options in Severe Cervico-Thoracal Deformity in “Bechterew’s Disease”

    44. Diagnosis and Treatment of the Occipito-Atlantoaxial Complex and Subaxial Cervical Spine in Rheumatoid Diseases

    45. Osteoporosis (Etiology, Diagnosis, Drug Therapy, Surgical Therapy)

    46. Benign Tumors and Tumor Like Lesions

    47. Primary Malignant Tumors

    48. Secondary Malignant Tumors (Diagnosis, Staging, Surgical Treatment and Adjuvant Therapy)

    Part VI. Advanced Module 1: Extended Indications and Advanced Operative Techniques

    49. Indications for Craniocervical Surgery and Anterior Resection Techniques (Endonasal, Transoral)

    50. C0/C1/C2 Instrumentation Techniques

    51. Basilar Invagination

    52. Corpectomies and Osteotomies in the Upper Thoracic Spine and Cervicothoracic Region

    53. Cervicothoracic Kyphosis in Ankylosing Spondilitis

    54. Sagittal Balance and Preoperative Planning

    55. Technical Execution of Correction Osteotomies (SPO, PSO, etc.)

    56. Instrumentation Techniques Including Sacral and Pelvic Fixation

    57. Degenerative Lumbar Scoliosis

    58. Long Versus Short Constructs

    59. In Situ Fusion Versus Realignment

    60. Surgical Management of Developmental High-Grade Spondylolisthesis

    61. Indications and Technique of Thoracic En Bloc Resections

    62. Primary Bone Tumour Indication and Planning of En Bloc Resection

    63. Minimally Invasive (Long) Dorsal Instrumentation Including Augmentation for Metastasis

    64. En Bloc Resection for Metastatic Disease

    65. Principles of Posterior Surgery in Adolescent Idiopathic Scoliosis

    66. Tumors of the Sacrum

    67. Radical Excision Is Beneficial for Chordoma?

    68. Intradural Extramedullary Lesions

    69. Indications and Technique for Intradural Intramedullary Lesions

    Part VII. Advanced Module 2: Complications and Management

    70. Safety Checklist for Spine Patients

    71. Positioning of the Patient and Related Complications

    72. Post-laminectomy Kyphosis

    73. Failed Back Surgery Syndrome: The Scar Is a Myth

    74. Adjacent Segment Disease with 13 Years Follow Up and Five Operations

    75. Management of Postoperative Infections

    76. Management of Pseudarthrosis with Implant Failure

    77. Proximal Junctional Kyphosis Despite Best Efforts in Planning and Execution

    78. Management of Failure of Osteoporotic Fixation

    79. Postoperative C5 palsy

    80. Nonspinal Complications

    81. Management of CSF Fistula

    Correction to: Diagnosis and Treatment of the Occipito-Atlantoaxial Complex and Subaxial Cervical Spine in Rheumatoid Diseases

    Back Matter


  • Head and Neck
    by Marani
    La comanda in aproximativ 4 saptamani
    89900lei 825.00 lei



    This book offers a critical review of the head and neck from an anatomical, physiological and clinical perspective. It begins by providing essential anatomical and physiological information, then discusses historical and current views on specific aspects in subsequent chapters. For example, the anatomy of the skull cap or cranial vault provided in the first chapter is discussed in the context of malformation and identity, as well as the development of the bony skull, in the following chapters. These chapters provide stepping-stones to guide readers through the book. There are new fields of research and technological developments in which Anatomy and Physiology lose track of progress. One of the examples discussed is the automated face recognition.  In some respects, e.g. when it comes to cancers and malformations, our understanding of the head and neck – and the resulting therapeutic outcomes – have been extremely disappointing. In others, such as injuries following car accidents, there have been significant advances in our understanding of head and neck dysfunctions and their treatment. Therefore head movements, also during sleep, and head and neck reflexes are discussed. The book makes unequivocal distinctions between correct and incorrect assumptions and provides a critical review of alternative clinical methods for head and neck dysfunctions, such as physiotherapy and lymphatic drainage for cancers. Moreover, it discusses the consequences of various therapeutic measures for physiological and biomechanical conditions, as well as puberty and aging. Lastly, it addresses important biomedical engineering developments for hearing e.g. cochlear implants and for applying vestibular cerebellar effects for vision. 



    Table of Contents:


    1. 1. Introduction
    2. 2. The Skullcap, Cranial Vault or Calvarium
    3. 3. Malformation and Identity
    4. 4. The Development of the Bony Skull
    5. 5. Gustation, The Act or Sensation of Tasting
    6. 6. Oral Cavity: Tongue, Palate and Teeth
    7. 7. Cut off Your Nose to Spite Your Face: Face, Nose, The Paranasal Sinuses and Smell Related to Taste
    8. 8. Eye and Orbit: The Eye Sees What You Do not Spot
    9. 9. Vestibule, Cochlea and Implants
    10. 10. Posture and Motion of the Cervical Spine
    11. 11. Neurologic and the Cervical Spinal Cord: Nerve, Plexus and Cord Regeneration
    12. 12. Cranial Nerves and Cervical Spinal Nerves
    13. 13. Sleep and Head and Neck
    14. 14. Peripheral Nerve and Blood Supply, and Lympha tic Drainage of Head and Neck
    15. 15. Head and Neck Reflexes
    16. 16. Head and Neck During Puberty and Ageing
    17. 17. Head and Neck Jerks and Tremor


  • Tumors of the Spinal Canal
    by Hanft
    La comanda in aproximativ 4 saptamani
    78600lei 710.00 lei



    This book presents a focused, case-oriented approach to a specific disease entity: tumors located within the spinal canal. Each tumor type constitutes its own chapter and additional chapters focus on more novel trends in the field, such as radiosurgery and minimally invasive surgical techniques. In each chapter, the authors provide expert opinions on preoperative goals, intraoperative techniques and decision-making, and postoperative paradigms, including surveillance guidelines and thresholds for initiating adjuvant therapy. The management of intradural tumors has become increasingly interdisciplinary, and one of the major goals of this text is to familiarize the treating neurosurgeon with the latest advances in both operative and non-operative strategies. The text seeks to answer two questions: 1) what are the detailed surgical steps taken by these neurosurgeons to ensure safe maximal resection of these tumors? and 2) in cases of residual and recurrent disease, what are the most effective management options? Consensus regarding definitive management remains difficult to reach given the overall rarity of these tumors. Tumors of the Spinal Canal is ultimately a practical reference drawn from the experiences of its individual authors, a compendium of surgical pearls, pitfalls, and preferences, all steeped in the most recent and relevant literature on the subject.  



    Table of Contents:


    Part I. Extramedullary Tumors

    1. Schwannoma

    2. Meningioma

    3. Myxopapillary Ependymoma and Rare Tumors

    Part II. Intramedullary Tumors

    4. Ependymoma

    5. Astrocytoma

    6. Hemangioblastoma

    7. Metastases

    Part III. Adjuvant Treatment

    8. Radiotherapy for Extramedullary Tumors

    9. Radiotherapy for Intramedullary Tumors

    Part IV. New Age Surgical Approaches

    10. Minimally Invasive Surgery for Intradural Tumors


  • Spinal Cord Tumors
    La comanda in aproximativ 4 saptamani
    89900lei 840.00 lei



    This book provides state-of-the-art, in-depth knowledge of spinal cord tumor surgery. After an introduction to the history and etiology of spinal cord tumor treatment, the molecular biology, cytogenetics and pathology of this group of tumors is discussed. The pathological anatomy of spinal cord tumors is described and the book focuses in depth on their diagnosis and the surgical approaches that can be used in their treatment. Microsurgery resection techniques, auxiliary treatment options, prognosis and outcomes of spinal cord, and spinal nerve tumors are all covered in detail. Spinal Cord Tumors is aimed at neurosurgeons and may also be of interest to neurologists, neuro-oncologists, radiologists, physiatrists, pathologists, geneticists, orthopedic surgeons, physical and occupational therapists, and other interested scientists.



    Table of Contents:


    1. History of Spinal Surgery and Surgical Treatment of Spinal Intradural Tumors

    2. Epidemiology of Spinal Cord Tumors

    3. Spinal Cord Anatomy

    4. Diagnostics and Differential Diagnostics of Spinal Cord Tumors

    5. Neuropathology of Spinal Cord Tumors

    6. Neurological Aspects of Spinal Cord Tumors

    7. Intraoperative Neurophysiology during Surgery for Spinal Cord Tumors

    8. Neuro-Anesthesiology Considerations in Spinal Cord Tumors

    9. Spinal Meningiomas

    10. Spinal Schwannomas

    11. Management of Intradural and Extradural Spinal Schwannomas

    12. Spinal Cord Tumors in Neurofacomatosis

    13. Spinal Cord Astrocytomas

    14. Spinal Cord Hemangioblastomas

    15. Myxopapillary Ependymomas

    16. Pediatric Spinal Cord Tumors: Diagnosis and Management

    17. Spinal Cord Ependymomas

    18. Malignant Intramedullary Spinal Cord Tumors

    19. Intradural-Extramedullary and Intramedullary Spinal Metastases

    20. Sacral Spinal Tumors

    21. Rare Spinal Cord Tumors

    22. Dumbbell Tumors of the Spine

    23. Instrumented Fusion after Spinal Cord Tumor Resection

    24. Radiosurgical and Radiation Considerations for Residual, Recurrent and Malignant Spinal Cord Tumor

    25. Complications in Treatment of Spinal Cord Tumors and Prevention Surgical Strategies

    26. Rehabilitation of Patients with Primary Intradural Tumors of the Spinal Cord

    Correction to: History of Spinal Surgery and Surgical Treatment of Spinal Intradural Tumors

    Correction to: Epidemiology of Spinal Cord Tumors

    Back Matter


  • Cognitive Screening Instruments
    by Larner
    La comanda in aproximativ 4 saptamani
    75800lei 670.00 lei



    This revised and updated second edition provides a practical and structured overview of some of the most commonly used and easily available cognitive screening instruments applicable in the outpatient clinic and bedside setting. It now includes additional chapters on AD8 and also methodological aspects of systematic cognitive screening instrument assessment from the Cochrane Dementia and Cognitive Improvement Group. Expert authors from around the world equip the reader with clear instructions on the usage of each screening instrument, its strengths and weaknesses, and the time required for administration. Rules on scoring are also provided, such as how to correct for variations in the patient’s age or education, and suggested cut-off scores. Cognitive Screening Instruments: A Practical Approach, Second Edition is aimed at both clinicians and professionals in disciplines allied to medicine who are called upon to assess patients with possible cognitive disorders, including neurologists, old age psychiatrists, neuropsychologists, primary care physicians, dementia support workers, and members of memory assessment teams.



    Table of Contents:


    Part I: Introduction to Cognitive Screening Instruments

    Chapter 1: Introduction to Cognitive Screening Instruments: Rationale and Desiderata

    1.1 Introduction

    1.2 Rationale of Cognitive Screening

    1.3 Desiderata for Cognitive Screening Instruments

    1.4 Conclusion


    Chapter 2: Assessment of the Utility of Cognitive Screening Instruments

    2.1 Importance of Measuring the Diagnostic Accuracy of Dementia Assessments

    2.2 Statistical Methods for Comparing Tests

    2.3 Nomenclature of Test Accuracy

    2.3.1 Index Test

    2.3.2 Target Condition

    2.3.3 Reference Standard

    2.3.4 Target Population

    2.4 Test Accuracy Metrics

    2.4.1 Sensitivity and Specificity

    2.4.2 Predictive Values

    2.4.3 Receiver Operating Characteristic (ROC) Plots

    2.5 Interpreting Test Accuracy Results

    2.6 Issues in Cognitive Test Accuracy

    2.6.1 Reference Standards for Dementia

    2.6.2 Partial Completion of Assessment

    2.6.3 Incorporation Bias

    2.7 Assessing Study Design and Study Reporting

    2.7.1 Quality Assessment of Diagnostic Accuracy Studies (QUADAS)

    2.7.2 Standards for Reporting Diagnostic Accuracy Statement (STARD)

    2.8 Meta-analysis of Test Accuracy in Dementia

    2.9 Conclusions


    Part II: Patient Performance-Related Tests

    Chapter 3: The Mini-Mental State Examination (MMSE): Update on Its Diagnostic Accuracy and Clinica

    3.1 Background

    3.2 Diagnostic Validity in Dementia of Any Severity

    3.3 Diagnostic Validity in Early Dementia

    3.4 Diagnostic Accuracy in the Detection of MCI

    3.5 Diagnostic Validity in Delirium

    3.6 Conclusion and Implementation


    Chapter 4: MMSE Variants and Subscores

    4.1 Introduction

    4.2 MMSE Variants

    4.2.1 Standardized Mini-Mental State Examination (sMMSE)

    4.2.2 Long Forms of the MMSE, Including 3MS

    4.2.3 Short Forms of the MMSE

    4.2.4 Severe MMSE

    4.2.5 MMSE for the Hearing Impaired

    4.2.6 MMSE for the Vision Impaired

    4.2.7 Telephone Adaptations of the MMSE

    4.2.8 Mini-Mental Parkinson (MMP)

    4.3 MMSE Subscores

    4.3.1 Vascular Dementia

    4.3.2 Dementia with Lewy Bodies: Ala Score

    4.4 Conclusion


    Chapter 5: Clock Drawing Test

    5.1 Introduction

    5.2 Popularity of CDT

    5.3 CDT Administration

    5.4 CDT Scoring Systems

    5.5 Comparing CDT Scoring Systems

    5.6 Predictive Validity of CDT

    5.6.1 Normal Aging

    5.6.2 Mild Cognitive Impairment

    5.7 CDT and Specific Neurologic Conditions

    5.7.1 Vascular Dementia and Alzheimer’s Disease

    5.7.2 Delirium

    5.7.3 Huntington’s Disease

    5.7.4 Parkinson’s Disease

    5.7.5 Stroke

    5.7.6 Traumatic Brain Injury

    5.7.7 Schizophrenia

    5.7.8 Metabolic Syndrome

    5.8 Longitudinal Monitoring Using the CDT

    5.9 Cultural, Ethnic, and Educational Considerations

    5.10 Conclusion


    Chapter 6: Addenbrooke’s Cognitive Examinations: ACE, ACE-R, ACE-III, ACEapp, and M-ACE

    6.1 Introduction

    6.2 Development and Index Studies

    6.2.1 Addenbrooke’s Cognitive Examination (ACE)

    6.2.2 Addenbrooke’s Cognitive Examination-Revised (ACE-R)

    6.2.3 ACE-III, ACEapp

    6.2.4 Mini-Addenbrooke’s Cognitive Examination (M-ACE)

    6.3 ACE Translations

    6.4 Systematic Reviews, Meta-analysis, and Independent Cohort Studies

    6.4.1 ACE

    6.4.2 ACE-R

    6.4.3 ACE-III

    6.4.4 M-ACE

    6.5 Diagnostic Utility

    6.5.1 Normative Studies

    6.5.2 Dementia and Cognitive Impairment

    6.5.3 Depression

    6.5.4 Alzheimer’s Disease (AD) and Mild Cognitive Impairment (MCI)

    6.5.5 Frontotemporal Lobar Degenerations

    6.5.6 Parkinsonian Syndromes

    6.5.7 Stroke and Vascular Dementia

    6.5.8 Brain Injury

    6.5.9 Other Uses

    6.6 Comparison and Combination with Other Screening Instruments

    6.6.1 Comparing ACE, ACE-R and ACE-III with MMSE

    6.6.2 Comparing ACE-R with Other Instruments: MoCA, TYM

    6.6.3 Comparing M-ACE with MMSE and MoCA

    6.6.4 Combining ACE-R with an Informant Scale: IQCODE

    6.6.5 Combining ACE-R with a Functional Scale: IADL Scale

    6.7 Conclusion


    Chapter 7: Montreal Cognitive Assessment (MoCA): Concept and Clinical Review

    7.1 Introduction

    7.2 Cognitive Domains Assessed by the MoCA

    7.2.1 Visuospatial/Executive Modified Trail Making Test Copy of the Cube The Clock Drawing Test

    7.2.2 Naming

    7.2.3 Attention The Digit Span Concentration and Calculation: Letter A Tapping Test Concentration and Calculation: Serial 7 Subtractions

    7.2.4 Language Sentence Repetition Letter F Fluency

    7.2.5 Abstraction

    7.2.6 Delayed Recall

    7.2.7 The Memory Index Score [112]

    7.2.8 Orientation

    7.3 MoCA Development and Validation

    7.3.1 Optimal Cut-Off Scores

    7.3.2 Recommendations

    7.3.3 Practical Approach

    7.4 Demographic Effect on MoCA Performance

    7.4.1 Age and Gender Effect

    7.4.2 Education and Literacy Effect

    7.5 Mild Cognitive Impairment (MCI) and Alzheimer’s Disease (AD)

    7.6 The MoCA and the Memory Index Score (MIS)

    7.7 Vascular Cognitive Impairment (VCI)

    7.7.1 Asymptomatic Cerebrovascular Disease Patients with Vascular Risk Factors

    7.7.2 Symptomatic Cerebrovascular Disease Cognitive Impairment Post-Stroke or TIA Heart Failure Chronic Atrial Fibrillation Sub-optimal Self-Care and Functional Dependency Subcortical Ischemic Vascular Dementia (SIVD) Monitoring of Treatment

    7.8 Parkinson’s Disease (PD)

    7.9 Huntington’s Disease

    7.10 Brain Tumors

    7.11 Systemic Lupus Erythematosus (SLE)

    7.12 Substance Use Disorders

    7.13 Idiopathic Rapid Eye Movement Sleep Behavior Disorder (Idiopathic RBD)

    7.14 Chronic Obstructive Pulmonary Disease (COPD)

    7.15 Obstructive Sleep Apnea (OSA)

    7.16 Risk of Falls

    7.17 Rehabilitation Outcome

    7.18 MoCA in Epilepsy

    7.19 Human Immunodeficiency Virus (HIV) Infection

    7.20 Miscellaneous Conditions

    7.21 Normative Data in Multiple Languages, Cultures, Age and Education Levels

    7.22 MoCA for the Blind

    7.23 A 5 min MoCA

    7.24 The Montreal Cognitive Assessment-Basic (MoCA-B) Development and Validation for Illiterate an

    7.25 Future Research

    7.25.1 Electronic MoCA (e-MoCA)

    7.25.2 Alternate/Parallel MoCA Versions

    7.25.3 MoCA Training and Certification Program

    7.26 Conclusion


    Chapter 8: DemTect

    8.1 Introduction

    8.2 Description of the Test

    8.2.1 Subtests: Construction and Administration

    8.2.2 Scoring

    8.2.3 Interpretation of the Total Transformed Score

    8.2.4 Administration Time

    8.2.5 Avoiding Retest Effects with the Parallel Version of the DemTect: DemTect B

    8.2.6 Psychometric Criteria

    8.3 Neural Correlates of the DemTect Subtests

    8.4 The DemTect in Clinical Practice and Scientific Contexts

    8.5 The “SIMARD: A Modification of the DemTect” – A Tool for the Identification of Cog

    8.6 Conclusion


    Chapter 9: TYM (Test Your Memory) Testing

    9.1 Introduction

    9.2 Origins

    9.3 Administering the TYM Test

    9.4 Requirements of a New Test

    9.5 Help Provided

    9.6 Scoring the TYM Test

    9.7 Validation of the TYM Test

    9.7.1 Index Study

    9.7.2 TYM Test Validations

    9.8 Why Use the TYM Test?

    9.9 TYM Test in Specific Situations

    9.9.1 Amnestic MCI

    9.9.2 TYM Test in Non-Alzheimer Dementias

    9.9.3 TYM Testing of Hospital Inpatients and the Dementia CQUIN

    9.9.4 TYM Testing in General Neurology Clinics

    9.10 Comparison of TYM with the ACE-R and MMSE

    9.11 Limitations of the TYM and Possible Solutions

    9.11.1 Patients with Visual or Physical Problems

    9.11.2 Self-Testing

    9.11.3 Cultural Bias

    9.11.4 Safety

    9.12 The Hard TYM (H-TYM)


    9.14 Conclusion


    Chapter 10: The General Practitioner Assessment of Cognition (GPCOG)

    10.1 Introduction

    10.2 Test Instructions

    10.3 Development of the GPCOG

    10.4 Patient Cognitive Assessment

    10.5 Informant Interview

    10.6 Diagnostic Utility

    10.7 Demographic and Other Biases

    10.8 Patient and GP Acceptability of the GPCOG

    10.9 Conclusion