Download or read book Comparative Atlas of Endoscopic Ear Surgery written by Marco Bonali and published by Springer Nature. This book was released on 2021-03-26 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique, richly illustrated atlas offers a “how-to” reference guide to the most common and innovative endoscopic surgical procedures for the middle and inner ear, based on an ex vivo ovine model. Moreover, it compares this model to the same approaches in humans, underlying the essential surgical tips and tricks. The transcanal endoscopic approach for the management of middle and inner ear pathologies is being increasingly used, but in some countries the lack of human specimens makes adequate training in this field difficult: in response, the book introduces a novel method performed on the animal model, which allows trainees to improve their skills, while reducing the cost of surgical training. It provides a full description of specimen preparation, and comparative anatomical and radiological analyses of the human and ovine models, guides readers through the main otologic operative techniques (e.g. canalplasty, miringoplasty and ossiculoplasty) step by step, and illustrates the best approach to the internal auditory canal. Written by prominent experts in the field, this atlas serves as a unique reference resource for residents and young surgeons wishing to acquire first-hand the skills needed for endoscopic procedures and to improve their learning curves.

Download or read book Developing a Protocol for Observational Comparative Effectiveness Research A User s Guide written by Agency for Health Care Research and Quality (U.S.) and published by Government Printing Office. This book was released on 2013-02-21 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is a resource for investigators and stakeholders who develop and review observational comparative effectiveness research protocols. It explains how to (1) identify key considerations and best practices for research design; (2) build a protocol based on these standards and best practices; and (3) judge the adequacy and completeness of a protocol. Eleven chapters cover all aspects of research design, including: developing study objectives, defining and refining study questions, addressing the heterogeneity of treatment effect, characterizing exposure, selecting a comparator, defining and measuring outcomes, and identifying optimal data sources. Checklists of guidance and key considerations for protocols are provided at the end of each chapter. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. More more information, please consult the Agency website: www.effectivehealthcare.ahrq.gov)

Download or read book Comparative Effectiveness in Surgical Oncology written by Karl Y. Bilimoria and published by Springer. This book was released on 2015-02-12 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite tremendous recent advances in the treatment of most malignancies, there remain several critical questions for each cancer. This particularly true for the surgical management of solid-organ malignancies. Comparative effectiveness is a relatively new term which encompasses the age-old concepts of how best to treat cancer patients. Comparative effectiveness is defined as the direct comparison of healthcare interventions to determine which work best for which patients when considering the benefits and risks. The Institute of Medicine has defined comparative effectiveness research(CER) as the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition or to improve the delivery of care. CER is certainly best done with well-conducted randomized controlled trials. Unfortunately, clinical trials are not always feasible owing to the impracticality of conducting the trial, the considerable cost, and the time required to complete the trial. These challenges are even more pronounced with respect to surgical treatment. Thus alternative approaches may need to be considered in order to address pressing questions in the care of the oncology patient. These approaches may include well-conducted retrospective cohort studies from cancer registries and other data sources, decision and cost-effectiveness analyses, and other novel methodologies. This book lays out the current critical questions for each major malignancy and proposes approaches to gain answers to these pressing questions.

Download or read book Disease Control Priorities Third Edition Volume 1 written by Haile T. Debas and published by World Bank Publications. This book was released on 2015-03-23 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.

Download or read book Initial National Priorities for Comparative Effectiveness Research written by Institute of Medicine and published by National Academies Press. This book was released on 2009-11-14 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical research presents health care providers with information on the natural history and clinical presentations of disease as well as diagnostic and treatment options. In today's healthcare system, patients, physicians, clinicians and family caregivers often lack the sufficient scientific data and evidence they need to determine the best course of treatment for the patients' medical conditions. Initial National Priorities for Comparative Effectiveness Research(CER) is designed to fill this knowledge gap by assisting patients and healthcare providers across diverse settings in making more informed decisions. In this 2009 report, the Institute of Medicine's Committee on Comparative Effectiveness Research Prioritization establishes a working definition of CER, develops a priority list of research topics, and identifies the necessary requirements to support a robust and sustainable CER enterprise. As part of the 2009 American Recovery and Reinvestment Act, Congress appropriated $1.1 billion in federal support of CER, reflecting legislators' belief that better decisions about the use of health care could improve the public's health and reduce the cost of care. The Committee on Comparative Effectiveness Research Prioritization was successful in preparing a list 100 top priority CER topics and 10 recommendations for best practices in the field.

Download or read book Global Gidelines for the Pevention of Surgical Site Infection written by World Health Organization and published by . This book was released on 2017-01-27 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgical site infections are caused by bacteria that get in through incisions made during surgery. They threaten the lives of millions of patients each year and contribute to the spread of antibiotic resistance. In low- and middle-income countries, 11% of patients who undergo surgery are infected in the process. In Africa, up to 20% of women who have a caesarean section contract a wound infection, compromising their own health and their ability to care for their babies. But surgical site infections are not just a problem for poor countries. In the United States, they contribute to patients spending more than 400 000 extra days in hospital at a cost of an additional US $10 billion per year. No international evidence-based guidelines had previously been available before WHO launched its global guidelines on the prevention of surgical site infection on 3 November 2016, and there are inconsistencies in the interpretation of evidence and recommendations in existing national guidelines. These new WHO guidelines are valid for any country and suitable to local adaptations, and take account of the strength of available scientific evidence, the cost and resource implications, and patient values and preferences.

Download or read book Lung Volume Reduction Surgery written by Michael Argenziano and published by Springer Science & Business Media. This book was released on 2001-10-15 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: A panel of recognized authorities comprehensively review the medical, surgical, and pathophysiologic issues relevant to lung volume reduction surgery for emphysema. Topics range from the open technique and video-assisted thoracoscopic approaches to LVRS, to anesthetic management, to perioperative and nursing care of the patient. The experts also detail the selection of candidates for LVRS, the clinical results and clinical trials in LVRS, and the effects of LVRS on survival rates.

Download or read book Simulation in Robotic Surgery A Comparative Review of Simulators of the Da Vinci Surgical Robot written by Roger D Smith and published by . This book was released on 2013-05 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: For every complex and expensive system, there emerges a need for training devices and scenarios that will assist new learners in mastering the use of the device and understanding how to apply it with value. This has proven to be true in aviation, nuclear power control, and medicine among other fields. Laparoscopic surgery simulators have played a valuable role in improving the practice of surgery over the last 20 years and the same trends and values will likely apply in robotic surgery. The complexity, criticality, and cost associated with the effective application of the da Vinci surgical robot have stimulated the commercial creation of simulators which replicate the operations of this robot. Each of these simulators provides a slightly different perspective and solution to the problem. This book explores the characteristics and differences between all of the currently available devices. The details provided here are structured to equip readers with sufficient knowledge about the simulators to make their own decisions about which best meets their needs. Each of them possesses unique traits which make them valuable solutions for different types of users. It is not our intent to make a universal recommendation of one device over the others. Readers should draw their own conclusions based on their unique needs for a device. The three current simulation devices for the da Vinci robot are the: da Vinci Skills Simulator (Intuitive Surgical Inc.), dV-Trainer (Mimic Technologies Inc.) and Robotic Surgery Simulator (Simulated Surgical Systems LLC). The three simulators which are described in this book offer a different value proposition to potential purchasers and to novice learners. The da Vinci Skills Simulator, dV-Trainer, an RoSS are complex systems which are significantly less costly than the actual da Vinci robotic surgical system and can be operated at a fraction of the cost of the instruments required for this robot. The intent of this book is to present the characteristics of each system to enable intelligent and informed purchasing and usage decisions.

Download or read book Surgery of the Thyroid and Parathyroid Glands written by Daniel Oertli and published by Springer Science & Business Media. This book was released on 2012-11-09 with total page 620 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a unique in-depth and comprehensive reference that covers all surgically relevant thyroid and parathyroid diseases and presents the latest information on their management. International authorities discuss operative techniques and treatments in detail and explain the rationales for their favored approaches. The topics of this second edition include the description of surgically relevant pathologies, preoperative surgical evaluation, decision making, and operative strategies for the various thyroid and parathyroid diseases. In addition, experts present the molecular basis for thyroid neoplasia, review the current understanding of the genetics of inherited thyroid and parathyroid diseases, and discuss the management of recurrent and locally invasive thyroid cancer. Evolving modern operative techniques such as neuromonitoring and minimally invasive (videoscopic) approaches to the thyroid and parathyroids are also covered.

Download or read book Health Services Research and Evidence Based Medicine in Hand Surgery An Issue of Hand Clinics written by Jennifer Waljee and published by Elsevier Health Sciences. This book was released on 2014-08-28 with total page 145 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue focuses on the integration of health services research into clinical practice. It provides an overview of the field of health services research for the practicing hand surgeon and highlights pertinent topics that can inform clinical care in any practice setting.

Download or read book Surgery written by Jeffrey Norton and published by Springer Science & Business Media. This book was released on 2009-04-21 with total page 2419 pages. Available in PDF, EPUB and Kindle. Book excerpt: Much anticipated, the Second Edition of Surgery: Basic Science and Clinical Evidence features fully revised and updated information on the evidence-based practice of surgery, including significant new sections on trauma and critical care and the often challenging surgical care of unique populations, including elderly, pediatric, immunocompromised, and obese patients as well as timely new chapters on the pre- and post-operative care of the cardiac surgery patient, intestinal transplantation, surgical infections, the fundamentals of cancer genetics and proteomics. Also new to this edition are discussions of electrosurgical instruments, robotics, imaging modalities, and other emerging technologies influencing the modern practice of surgery. Clinically focused sections in gastrointestinal, vascular, cardiothoracic, transplant, and cancer surgery enable the surgeon to make decisions based upon the most relevant data in modern surgical practice. The text is enhanced by more than 1,000 illustrations and hundreds of the signature evidence-based tables that made the first edition of SURGERY an instant classic.

Download or read book Evidence Based Surgery written by Achilles Thoma and published by Springer. This book was released on 2019-03-25 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this book specifically is to teach surgeons (academic or community), surgical fellows and surgical residents regardless of the surgical specialty, the skills to appraise what they read in the surgical literature. Surgeons need to be able to understand what they read before applying the conclusions of a surgical article to their practice. As most surgeons do not have the extra training in health research methodology, understanding how the research was done, how to interpret the results and finally deciding to apply them to the patient level is indeed a difficult task. Chapters explain the methodological issues pertaining to the various study designs reported in the surgical literature. Most chapters begin with a clinical scenario with uncertain course of action with which most surgeons are struggling. Readers are taught how to search the literature for the best evidence that will answer the surgical problem under discussion. An identified article that seems relevant to the problem you are investigating can be appraised by addressing 3 key questions: 1). Is the study I am reading valid? 2). What are the results of this study? 3). Can I apply these results to my patients? While the primary goal of Evidence-Based Surgery is to teach surgeons how to appraise the surgical literature, an added benefit is that the concepts explained here may help research-minded surgeons produce higher quality research.

Download or read book The Internist s Guide to Minimally Invasive Gastrointestinal Surgery written by Craig Rezac and published by Springer. This book was released on 2019-02-07 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a concise yet comprehensive overview of minimally invasive gastrointestinal surgery, specifically for the medical internist. Organized by organ system, the text reviews the pathophysiology, workup, treatment, and surgical options for diseases inherent to gastrointestinal surgery. The book also focuses on when and who to refer to for consultation by a minimally invasive surgeon, as well as what to expect in the immediate and long term post-operative period. Written by experts in the field, The Internist's Guide to Minimally Invasive Gastrointestinal Surgery is a valuable resource for medical internists on minimally invasive GI surgery and how best to care for these patients in the pre and post-operative setting.

Download or read book Focal Therapy in Prostate Cancer written by Hashim Uddin Ahmed and published by John Wiley & Sons. This book was released on 2011-12-27 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book comprehensively reviews the potential of focal therapy and discusses why the changing face of prostate cancer warrants a change in the way we treat men with the disease. It deals with the mechanisms by which disease can be localized within the gland and then the different technologies used for focal ablation. Bringing together eminent contributors in one accessible reference, this book introduces focal therapy to all urologists, oncologists, and radiologists who are involved in the treatment of men with prostate cancer.

Download or read book Index catalogue of the Library of the Surgeon general s Office United States Army written by National Library of Medicine (U.S.) and published by . This book was released on 1903 with total page 928 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Index catalogue of the Library of the Surgeon General s Office United States Army written by Library of the Surgeon-General's Office (U.S.) and published by . This book was released on 1880 with total page 942 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Difficult Decisions in Thoracic Surgery written by Mark K. Ferguson and published by Springer Science & Business Media. This book was released on 2011-01-05 with total page 486 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of Difficult Decisions in Thoracic Surgery: An Evidence- Based Approach addresses the growing complexity of decision making in thoracic surgery. More than half of the clinical questions posed in this book are new, and of the questions that remain as holdovers from the previous edition, virtually all have been revised and updated. As new technology is introduced, physicians from nonsurgical specialties offer alternative and competing therapies for what was once the exclusive province of the thoracic surgeon. In addition, there is increasing knowledge regarding the efficacy of traditional thoracic surgical therapies. How to select among these varied and complex approaches is becoming increasingly difficult. Concise chapters are devoted to one or two specific questions, or decisions, in general thoracic surgery that are difficult or controversial. The authors identify relevant publications in their selected topics, grade the quality of the evidence offered by those reports, apply that knowledge to objective management recommendations in an idealized world, and then comment on how they personally use the information in their own clinical practices. The book is a valuable reference source for practicing surgeons, surgeons in training, and educators.