Download PDF SMALL ANIMAL INTERNAL MEDICINE FIFTH EDITION Richard W. Nelson


Sinopsis

Several signs can indicate the presence of heart disease even if the animal is not clinically in “heart failure.” Objective signs of heart disease include cardiac murmurs, rhythm disturbances, jugular pulsations, and cardiac enlargement. Other clinical signs that can result from heart disease include syncope, excessively weak or strong arterial pulses, cough or respiratory difficulty, exercise intolerance, abdominal distention, and cyanosis. However, noncardiac diseases can cause these signs as well. Further evaluation using thoracic radiography, electrocardiography (ECG), echocardiography, and sometimes other tests is usually indicated when signs suggestive of cardiovascular disease are present.



Content

  1. CARDIOVASCULAR SYSTEM DISORDERS
  2. RESPIRATORY SYSTEM DISORDERS
  3. DIGESTIVE SYSTEM DISORDERS
  4. HEPATOBILIARY AND EXOCRINE PANCREATIC DISORDERS
  5. URINARY TRACT DISORDERS
  6. ENDOCRINE DISORDERS
  7. METABOLIC AND ELECTROLYTE DISORDERS
  8. REPRODUCTIVE SYSTEM DISORDERS
  9. NEUROMUSCULAR DISORDERS
  10. JOINT DISORDERS
  11. ONCOLOGY
  12. HEMATOLOGY
  13. INFECTIOUS DISEASES
  14. IMMUNE-MEDIATED DISORDERS





Download PDF Structure Based Study of REPLICATION VIRAL by R Holland Cheng


Sinopsis

Human rhinoviruses (HRVs) are small, icosahedral, non-enveloped, singlestranded positive-sense RNA viruses. Out of the 74 type A serotypes 12, the minor group bind members of the LDL receptor-family; the remainder plus all the 25 type B HRVs bind intercellular adhesion molecule-1. HRVs enter cells by receptor-mediated endocytosis. The ensuing structural modifications lead to release of the viral RNA into the cytosol where virus replication takes place. Binding to plasma membrane receptors, entry into the cell, uncoating, and penetration of the viral genome are discussed with respect to receptor and virus structure. Despite high structural similarity, major and minor group HRVs, as well as the individual major group serotypes, differ with respect to the process of entry and uncoating.

Since the isolation of a common cold virus from nasal mucus and its propagation in tissue culture,1 much has been learned about the replication cycle of these small, icosahedral, single-stranded positive-sense RNA viruses termed “human rhinoviruses” (HRVs). Much knowledge stems from earlier studies of the related enteroviruses, in particular the polio virus and coxsackie virus, which are rather closely related to HRVs; with due care, insight gained from work on enteroviruses can often, but not always, be extrapolated to the rhinovirus field. Physicochemically, rhinoviruses are distinguished from enteroviruses based on their acid lability, a feature originally used for their classification; enteroviruses, in contrast, remain infective at pH below 3; thus, they can pass unharmed through the digestive tract. They infect the intestinal epithelia and sometimes spread throughout the body, causing viremia. Conversely, rhinoviruses are comparably harmless, usually remaining confined to the upper respiratory tract and only occasionally spreading to the lungs.

During the HRV infection cycle, the following sequence of events can be differentiated: (1) virus binding to its receptors at the plasma membrane; (2) entry into the cell by receptor-mediated endocytosis; (3) conformational change of the viral capsid; (4) release of the viral RNA (“uncoating”); (5) RNA penetration into the cytoplasm; (6) synthesis of viral proteins; (7) RNA replication; and (8) assembly and release of new, infectious virions.

HRVs are composed of a protein shell assembled from 60 copies each of the four capsid proteins VP1, 2, 3, and 4. VP4 is internal and in close proximity to the RNA; however, due to the dynamic nature of the capsid, large parts of VP4 and the capsid-internal N-terminus of VP1 become temporally exposed to the solvent, a feature termed “breathing.”2–6 The viral shell is about 30 nm in diameter with the five-fold axes of icosahedral symmetry being surrounded by a cleft, termed the canyon. It encloses a single-stranded RNA genome of roughly 7100 bases. Upon arrival in the cytosol, the RNA becomes translated into a polyprotein that is autocatalytically and co-translationally cleaved by the viral proteinases 2Apro, 3Cpro and 3CDpro into VP1, VP0, VP3 and the non-structural proteins. Maturation cleavage of VP0 into VP2 and VP4 occurs by an unknown protease upon virus assembly. Not counting the precursor proteins — such as 3CD, the precursor of the protease 3Cpro and the RNA-dependent RNA polymerase 3Dpol — 11 mature polypeptides are eventually generated from the polyprotein



Content

  1. Human Rhinovirus Cell Entry and Uncoating
  2. Role of Lipid Microdomains in Influenza 43  Virus Multiplication
  3. Functions of Integrin α 2β 1, A Collagen Receptor, in the Internalization of Echovirus
  4. Entry Mechanism of Murine and SARS 77 Coronaviruses — Similarity and Dissimilarity
  5. Hepatitis Viruses, Signaling Events and Modulation of the Innate Host Response
  6. Virus-Cell Interaction of HCV
  7. RNA Replication of Hepatitis C Virus
  8. Structure and Dynamics in Viral RNA Packaging
  9. Rational Design of Viral Protein Structures with Predetermined Immunological Properties
  10. Bioinformatics Resources for the Study of Viruses at the Virginia Bioinformatics Institute
  11. Virus Architecture Probed by Atomic Force Microscopy
  12. Filovirus Assembly and Budding
  13. Challenges in Designing HIV Env Immunogens for Developing a Vaccine
  14. Insights into the Caliciviridae Family
  15. Mathematical Approaches for Stoichiometric Quantification in Studies of Viral Assembly and DNA Packaging
  16. Virus-like Particles of Fish Nodavirus
  17. The Assembly of the Double-Layered Capsids of Phytoreo viruses
  18. Structure and Assembly of Human Herpesviruses: New Insights From Cryo- Electron Microscopy and Tomography
  19. Human Papillomavirus Type 16 Capsid Proteins: Immunogenicity and Possible Use as Prophylactic Vaccine Antigens
  20. Chimeric Recombinant Hepatitis E Virus- like Particles Presenting Foreign Epitopes as a Novel Vector of Vaccine by Oral Administration
  21. Nucleocapsid Protein of Hantaviruses (Bunyaviridae): Structure and Functions
  22. Astrovirus Replication: An Overview
  23. DNA Vaccines against Viruses
  24. Life Cycles of Polyomaviridae — DNA Tumor Virus






Download PDF Modern Phytomedicine Turning Medicinal Plants into Drugs by Iqbal Ahmad, Farrukh Aqil, and Mohammad Owais



Sinopsis


Today’s use of medicinal plants and bioactive phytocompounds worldwide and our scientific knowledge of them comprises the modern field of the “phytosciences.” The phytosciences have been created from the integration of disciplines that have never been linked before, combining diverse areas of economic, social, and political fields, chemistry, biochemistry, physiology, microbiology, medicine, and agriculture. The field is unique among the biomedical sciences in that instead of testing a hypothesis, in the phytosciences researchers try to determine whether plants commonly used in traditional medicine brings benefits for health and, if so, what their mechanisms of action are.

Despite the common belief that phytocompounds are safe, they all have inherent risks just like synthetic compounds. Thus it is within the scope of the phytosciences to elucidate side-effects, appropriate doses, identify bioactive phytocompounds and ways of extraction and conservation. Besides these, legal aspects regarding regulation of the prescription and commercial sale of medicinal plants are a matter of debate all around the world. The varied regulations in different jurisdictions regarding the prescription and sale of these products add confusion to the formal use of phytocompounds.

As a multidisciplinary science, research in the phytosciences is almost unlimited, which makes it impossible to discuss all aspects of this emerging science in just one chapter. Therefore, we have focussed here mainly on the antimicrobial activity of bioactive phytocompounds, discussing their use against multidrugresistant (MDR) bacteria and fungi, their mechanisms of action, and their interactions with macromolecules and potential for toxicity in mammalian cells. Technical aspects regarding the development of fast and reliable methods of extraction, high output screening systems, and bioautography of essential oils and crude extracts and fractions have also been discussed. Problems related to the efficacy, stability, drug delivery systems and quality control are also commented on. Overall this chapter aims to provide a better understanding of the modern field of the phytosciences and its application in the world today.


Content

  1. Bioactive Phytocompounds: New Approaches in the Phytosciences
  2. Quality Control, Screening, Toxicity, and Regulation of Herbal Drugs
  3. Herbal Medicines: Prospects and Constraints
  4. Bioactive Phytocompounds and Products Traditionally Used in Japan
  5. Plant Extracts Used to Manage Bacterial, Fungal, and Parasitic Infections in Southern Africa
  6. Biological and Toxicological Properties of Moroccan Plant Extracts: Advances in Research
  7. Anti-MRSA and Anti-VRE Activities of Phytoalexins and Phytoncides Isolated from Tropical Plants
  8. Methods for Testing the Antimicrobial Activity of Extracts 
  9. Targeted Screening of Bioactive Plant Extracts and Phytocompounds Against Problematic Groups of Multidrug-Resistant Bacteria
  10. Activity of Plant Extracts and Plant-Derived Compounds against Drug-Resistant Microorganisms
  11. An Alternative Holistic Medicinal Approach to the Total Management of Hepatic Disorders: A Novel Polyherbal Formulation
  12. Traditional Plants and Herbal Remedies Used in the Treatment of Diarrheal Disease: Mode of Action, Quality, Efficacy, and Safety Considerations
  13. Mutagenicity and Antimutagenicity of Medicinal Plants
  14. Potential of Plant-Derived Products in the Treatment of Mycobacterial Infections
  15. Ethnomedicinal Antivirals: Scope and Opportunity
  16. Immunomodulatory Effects of Phytocompounds
  17. Use of a Liposomal Delivery System for Herbal-Based Therapeutics (with a Focus on Clove Oil)



Download PDF Handbook Of Paediatric Dentistry 1997 Second Edition By A. Cameron & R. Widmer

Download PDF Hypoglycemia In Diabetes Pathophysiology, prevalence, and Prevention by Philip E. Cryer



Sinopsis


Diabetes mellitus is an increasingly common disease. It is estimated that the prevalence of diabetes will rise from 285 million people in the year 2010 to 438 million people worldwide by the year 2030 (International Diabetes Foundation, 2009) and that the total diabetes prevalence (diagnosed and undiagnosed cases) will increase from 14% in 2010 to 25%–28% of the United States population by 2050 (Boyle et al. 2010). The common forms of the disease are type 1 diabetes mellitus, the result of absolute insulin deficiency from its clinical onset, and type 2 diabetes mellitus, the result of relative insulin deficiency in the setting of insulin resistance early in its course and absolute insulin deficiency later. Approximately 95% of affected people have type 2 diabetes.


Content

  1. The Clinical Problem of Hypoglycemia in Diabetes
  2. The Physiology of Glucose Counterregulation
  3. The Pathophysiology of Glucose Counterregulation in Diabetes
  4. The Risk Factors for Hypoglycemia in Diabetes
  5. The Clinical Definition and Classification of Hypoglycemia in Diabetes
  6. The Prevention and Treatment of Hypoglycemia in Diabetes
  7. Perspective on Hypoglycemia in Diabetes




Download PDF CONTEMPORARY ORAL AND MAXILLOFACIAL SURGERY by James R. Hupp



Sinopsis

Surgery is a discipline based on principles that have evolved from basic research and centuries of trial and error. These principles pervade every area of surgery, whether oral and maxillofacial, periodontal, or gastrointestinal. Part I provides information about patient health evaluation, managing medical emergencies, and surgical concepts, which together form the necessary foundation for presentations of the specialized surgical techniques in succeeding chapters in this book.
 
Many patients have medical conditions that affect their ability to tolerate oral and maxillofacial surgery and anesthesia. Chapter 1 discusses the process of evaluating the health status of patients. This chapter also describes methods of modifying surgical treatment plans to safely accommodate patients with the most common medical problems. Preventing medical emergencies in the patient undergoing oral and maxillofacial surgery or other forms of dentistry is always easier than managing emergencies should they occur. Chapter 2 discusses the means of recognizing and managing common medical emergencies in the dental office. Just as important, Chapter 2 also provides information about measures to lower the probability of emergencies.
 
Contemporary surgery is guided by a set of guiding principles, most of which apply no matter where in the body they are put into practice. Chapter 3 covers the most important principles for those practitioners who perform surgery of the oral cavity and maxillofacial regions.
 
Surgery always leaves a wound, whether one was initially present or not. Although obvious, this fact is often forgotten by the inexperienced surgeon, who may act as if the surgical procedure is complete once the final suture has been tied and the patient leaves. The surgeon’s primary responsibility to the patient continues until the wound has healed; therefore, an understanding of wound healing is mandatory for anyone who intends to create wounds surgically or manage accidental wounds. Chapter 4 presents basic wound healing concepts, particularly as they relate to oral surgery.
 
The work of Semmelweiss and Lister in the 1800s made clinicians aware of the microbial origin of postoperative infections, thereby changing surgery from a last resort to a more predictably successful endeavor. The advent of antibiotics designed to be used systemically further advanced surgical science, allowing elective surgery to be performed at low risk. However, pathogenic communicable organisms still exist, and when the epithelial barrier is breached during surgery, these can cause wound infections or systemic infectious diseases. The most serious examples are the hepatitis B virus (HBV) and human immunodeficiency virus (HIV). In addition, microbes resistant to even to the most powerful antimicrobials today are emerging, making surgical asepsis more important than ever. Chapter 5 describes the means of minimizing the risk of significant wound contamination and the spread of infectious organisms among individuals. This includes thorough decontamination of surgical instruments, disinfection of the room in which surgery is performed, lowering of bacterial counts in the operative site, and adherence to infection control principles by the members of the surgical team—in other words, strict adherence to aseptic technique.



Content

  1.  PRINCIPLES OF SURGERY
  2.  PRINCIPLES OF EXODONTIA
  3. PREPROSTHETIC AND IMPLANT SURGERY
  4. INFECTIONS
  5. MANAGEMENT OF ORAL PATHOLOGIC LESIONS
  6. ORAL AND MAXILLOFACIAL TRAUMA
  7. DENTOFACIAL DEFORMITIES
  8. TEMPOROMANDIBULAR AND OTHER FACIAL PAIN DISORDERS
  9. MANAGEMENT OF HOSPITAL PATIENTS



Download PDF Biosignal and Biomedical Image Processing MATLA B-Based Applications by JOHN L. SEMMLOW




Sinopsis


A schematic representation of a typical biomedical measurement system is shown in Figure 1.1. Here we use the term measurement in the most general sense to include image acquisition or the acquisition of other forms of diagnostic information. The physiological process of interest is converted into an electric signal via the transducer (Figure 1.1). Some analog signal processing is usually required, often including amplification and lowpass (or bandpass) filtering. Since most signal processing is easier to implement using digital methods, the
analog signal is converted to digital format using an analog-to-digital converter. Once converted, the signal is often stored, or buffered, in memory to facilitate subsequent signal processing. Alternatively, in some real-time* applications, the incoming data must be processed as quickly as possible with minimal buffering, and may not need to be permanently stored. Digital signal processing algorithms can then be applied to the digitized signal. These signal processing techniques can take a wide variety of forms and various levels of sophistication, and they make up the major topic area of this book. Some sort of output is necessary in any useful system. This usually takes the form of a display, as in imaging systems, but may be some type of an effector mechanism such as in an automated drug delivery system.
 
With the exception of this chapter, this book is limited to digital signal and image processing concerns. To the extent possible, each topic is introduced with the minimum amount of information required to use and understand the approach, and enough information to apply the methodology in an intelligent manner. Understanding of strengths and weaknesses of the various methods is also covered, particularly through discovery in the problems at the end of the chapter. Hence, the problems at the end of each chapter, most of which utilize the MATLABTM software package (Waltham, MA), constitute an integral part of the book: a few topics are introduced only in the problems. A fundamental assumption of this text is that an in-depth mathematical treatment of signal processing methodology is not essential for effective and appropriate application of these tools. Thus, this text is designed to develop skills in the application of signal and image processing technology, but may not provide the skills necessary to develop new techniques and algorithms. References are provided for those who need to move beyond application of signal and image processing tools to the design and development of new methodology. In subsequent chapters, each major section is followed by a section on implementation using the MATLAB software package. Fluency with the MATLAB
language is assumed and is essential for the use of this text. Where appropriate, a topic area may also include a more in-depth treatment including some of the underlying mathematics.

A transducer is a device that converts energy from one form to another. By this definition, a light bulb or a motor is a transducer. In signal processing applications, the purpose of energy conversion is to transfer information, not to transform energy as with a light bulb or a motor. In measurement systems, all transducers are so-called input transducers, they convert non-electrical energy into an electronic signal. An exception to this is the electrode, a transducer that converts electrical energy from ionic to electronic form. Usually, the output of a biomedical transducer is a voltage (or current) whose amplitude is proportional to the measured energy.
 
The energy that is converted by the input transducer may be generated by the physiological process itself, indirectly related to the physiological process, or produced by an external source. In the last case, the externally generated energy interacts with, and is modified by, the physiological process, and it is this alteration that produces the measurement. For example, when externally produced x-rays are transmitted through the body, they are absorbed by the intervening tissue, and a measurement of this absorption is used to construct an image. Many diagnostically useful imaging systems are based on this external energy approach.



Content

  1. Introduction
  2. Basic Concepts
  3. Spectral Analysis: Classical Methods
  4. Digital Filters
  5. Spectral Analysis: Modern Techniques
  6. Time–Frequency Methods
  7. The Wavelet Transform
  8. Advanced Signal Processing Techniques: Optimal and Adaptive Filters
  9. Multivariate Analyses: Principal Component Analysis and Independent Component Analysis
  10. Fundamentals of Image Processing: MATLAB Image Processing Toolbox
  11. Image Processing: Filters, Transformations, and Registration
  12. Image Segmentation
  13. Image Reconstruction

Download PDF Logan Turner's Diseases of The Nose, Throat And Ear by J. F. Birrell

Download PDF MUSCULOSKELETAL ASSESSMENT Joint Motion and Muscle Testing Third Edition by Hazel M. Clarkson



Sinopsis

A fundamental requisite to the study of evaluation ofjoint range of motion (ROM) and muscle strength is the knowledge of evaluation principles and methodology. This chapter discusses the factors pertinent to the evaluation of ROM and strength. A fi rm foundation in the principles, methods, and associated terminology presented in this chapter is necessary knowledge for the specific techniques presented in subsequent chapters.

Visual observation is an integral part of assessment of joint ROM and muscle strength. The body part being assessed should be adequately exposed for visual inspection. Throughout the initial assessment of the patient, the therapist gathers visual information that contributes to formulating an appropriate assessment plan and 1 Chapter determining the patient’s problems. Information gainedmfrom visual observation includes such factors as facial expression, symmetrical or compensatory motion in functional activities, body posture, muscle contours, body proportions, and color, condition, and creases of the skin.

Content

  1. Principles and Methods
  2. Relating Assessment to Treatment
  3. Shoulder Complex
  4. Elbow and Forearm
  5. Wrist and Hand
  6. Hip
  7. Knee
  8. Ankle and Foot
  9. Head, Neck, and Trunk

Download PDF Parsons' Diseases Of The Eye 21st Edition



Sinopsis

The central nervous system is developed from the neural groove which invaginates to form the neural tube running longitudinally down the dorsal surface of the embryo. At either side from the lateral aspect of the anterior portion of this structure, which is the precursor of the forebrain, a thickening appears at an early stage,(the optic plate) which then grows outwards as a diverticulum towards the surface to form the primary optic vesicle (Tig. 1.1 A and B). From this pair of diverticula from the sides of the forebrain and the mesodermal and ectodermal structures in contact with it, the two eyes develop.
 
After it meets the surface ectoderm, the primary optic vesicle invaginates from below (the optic cup), the line of invagination remaining open for some time as the embryonic fissure (Fig. 1.1C). The inner layer of the cup forms the main structure of the retina, the nerve fibres from which eventually grow backwards towards the brain. Its outer layer remains as a single layer of pigment epithelium; between the two lies a narrow space representing the original optic vesicle; and from its anterior border develop parts of the ciliary body and iris (Fig. 1.1E). At the point where the neural ectoderm meets the surface ectoderm, the latter thickens to form the lens Dials, invaginates to form the lens vesicle (Fig. 1.1C) and then separates to form the lens (Fig 1.1D) The hyaloid artery enters the optic cup through the embryonic fissure and grows forwards to meet the lens, bringing temporary nourishment to the developing structures before it eventually atrophies and disappears; as it does so, its place is taken by a clear jelly (the vitreous) largely secreted by the surrounding neural ectoderm.

Content

  1. Anatomy and Physiology
  2. Ophthalmic Optics and Refraction
  3. Ocular Examination Techniques and Ocular Therapeutics
  4. Diseases of the Eye
  5. Disorders of Motility
  6. Diseases of the Adnexa
  7. Systemic Ophthalmology
  8. Preventive Ophthalmology
  9. Surgical Instruments in Ophthalmology

Download PDF Large Animal Internal Medicine Fourth Edition by Bradford P. Smith


Sinopsis

The initial and often the most important step in the diagnostic approach to the sick ruminant is the physical examination. Throughout this process an anamnesis is obtained by asking questions of the owner or manager during the examination of the animal. The examiner should obtain the signalment either by observation or by questioning the owner. The information that one wishes to obtain while taking the history is that related to the chief, or presenting, complaint-that is, the complaint, the duration, whether the onset was gradual or sudden, and any associated signs that have been noted. For females, one must know when the last parturition occurred, and for dairy cows, what the production parameters were in the previous lactation as well as in the current lactation. With dairy cows a drop in milk production is often the only sign noted by the owner. Weight can be either approximated, via heart-girth measurements, or determined exactly if facilities exist to do so. What and how the animal is fed are questions to be asked. Does the animal refuse any or all of the feed offered? Is there more than one ration or feeding regimen for this particular operation? If so, are these same signs noted in animals exposed to different feeding practices? The examiner also obtains vaccination and worming history and inquires about pasture or housing practices to determine the influence that management factors have on the incidence of the disease. Previous diseases noted in the herd, therapeutic regimens used, and resolutions of previous problems are pertinent aspects. Finally, the examiner should note the treatment history of the patient. An example of a history questionnaire that can be used for ruminants is included (Fig. 1-1). Specific problems that are noted in the history or physical examination can be looked up on pp. 21 and 22, and lists of differential diagnoses considered.

Content

  1. HISTORY, PHYSICAL EXAMINATION, AND MEDICAL RECORDS
  2. MANIFESTATIONS OF DISEASE
  3. DISORDERS AND MANAGEMENT OF THE NEONATE
  4. COLLECTION OF SAMPLES AND INTERPRETATION OF LABORATORY TESTS
  5. DISORDERS OF THE ORGAN SYSTEMS
  6. PREVENTIVE AND THERAPEUTIC STRATEGIES
  7. CONGENITAL, HEREDITARY, IMMUNOLOGIC, AND TOXIC DISORDERS



Download PDF Textbook of Preventive and Social Medicine Fourth Edition by Mahajan & Gupta


Sinopsis

Preventive and Social Medicine is comparatively a newcomer among the academic disciplines of medicine. Previously it was taught to medical students as hygiene and public health. This name was later changed to preventive and social medicine when it was realized that the subject encompassed much more than merely the principles of hygiene and sanitation and public health engineering. The name preventive and social medicine emphasizes the role of: (a) disease prevention in general through immunization, adequate nutrition, etc. in addition to the routine hygiene measures, and (b) social factors in health and disease.

The name preventive and social medicine has gained wide acceptance in the past twenty-five years or so because of its broader and more comprehensive outlook on medicine, integrating both prevention and cure. Today, it implies a system of total health care delivery to individuals, families and communities at the clinic, in the hospital and in the community itself.

During last 150 years, there have been two important “revolutions”. The industrial revolution in 1830 was associated with the discovery of steam power and led to rapid industrializations, resulting in concentration of
wealth in the cities and, consequently, migration from rural to urban areas. The net result was that on the one hand the villages were neglected and, on the other, the towns and cities witnessed rapid haphazard expansion, often leading to creation of urban slums. These changes brought in their wake and more complex health problems in rural as well as urban areas which ultimately led to development of the concept of public health. The social revolution occurred around 1940, during the Second World War. The social revolution brought into force the concept of ‘Welfare State’. It envisaged the total well being of man, paying major attention to the forgotten majority living in the villages. It was aimed at fighting the three enemies of man—poverty, ignorance and ill-health on a common platform. This followed the realization that health was not possible without improvement in economic condition or education and vice versa.

Among the developing countries, India gave a lead for bringing about the total well being of rural people by instituting the remarkable Community Development Program (1951). For intensive all-round development, the country was divided into Community Development Blocks in which ill-health was to be fought through the agency of primary health centers as recommended by the Bhore Committee. It may be mentioned that the concept of public health was fairly well developed in ancient Indian. Adequate proof of community health measures adopted during Harappa Civilization as far as 5000 years ago has been found in the old excavations at Mohenjo-Daro and at Lothal near Ahmedabad in the form of soakpits, cesspools and underground drainage.

Traditionally, a young man planning to enter the medical college has in mind the picture of a patient in agony, in relieving whose suffering by medicines he considers himself to be amply rewarded. He always thinks of alleviating the suffering of a patient but rarely about the prevention of such suffering at the level of the individual patient, his family or his community. No doubt he has to play a very important role in meeting the curative needs of society but that is not all. The community in the past has felt satisfied with that curative role. But now the developing society, in India and elsewhere, expects much more from the doctor, and the people are gradually becoming more and more conscious of their health needs. These varied expectations are reflected in the fact that the subject has been practised i

Content

  1. Evolution of Preventive and Social Medicine
  2. Basic Concepts in Community Medicine
  3. Epidemiological Approach in Preventive and Social Medicine
  4. General Epidemiology
  5. Physical Environment: Air
  6. Physical Environment: Water
  7. Physical Environment: Housing
  8. Physical Environment: Wastes and their Disposal
  9. Physical Environment: Place of Work or Occupation (Occupational Health)
  10. Environmental Pollution
  11. Biological Environment
  12. Social Environment
  13. Health and Law
  14. Host Factors and Health
  15. General Epidemiology of Communicable Diseases
  16. Respiratory Infections
  17. Water and Food-borne (Alimentary) Infections
  18. Contact Diseases
  19. Arthropod-borne Diseases
  20. Miscellaneous Zoonoses, Other Infections and Emerging Infections
  21. Epidemiology of Noncommunicable Diseases
  22. Food and Nutrition
  23. Biostatistics
  24. Research Methodology
  25. Demography and Vital Statistics
  26. Health Planning, Administration and Management
  27. Health Economics
  28. Health Care of the Community
  29. Information, Education, Communication and Training in Health
  30. Maternal and Child Health
  31. Family Planning and Population Policy
  32. School Health Services
  33. Geriatrics: Care and Welfare of the Aged
  34. Mental Health
  35. Health Services through General Practitioners
  36. International Health
  37. Biomedical Waste Management
  38. Anthrax and Bioterrorism
  39. Nosocomial Infections
  40. Oral Diseases
  41. Disaster Management



Download PDF Diseases Of Ear, Nose & Throat by P. L. Dhingra


Sinopsis

The entire pinna, except its lobule, and the outer part of external acoustic canal are made up of a framework of a single piece of yellow elastic cartilage covered with skin. The latter is closely adherent to the perichondrium on its lateral surface while it is slightly loose on the medial surface. The various elevations and depressions seen on the lateral surface of pinna are shown in Fig. 1.1B.

There is no cartilage between the tragus and crus of the helix, and this area is called the incisura terminalis (Fig. 1.1C). An incision made in this area will not cut through the cartilage and is used for endaural approach in surgery of the external auditory canal or the mastoid (see page 410). Pinna is also the source of several graft materials for the surgeon. Cartilage from the tragus, perichondrium from the tragus or concha, and fat from the lobule are frequently used for reconstructive surgery of the middle ear. The conchal cartilage has also been used to correct the depressed nasal bridge while the composite grafts of the skin and cartilage from the pinna are sometimes used for repair of defects of nasal ala.


Download PDF Imaging of Pulmonary Infections, First Edition




Sinopsis


Despite advances in diagnosis and treatment, respiratory tract infection continues to be a major cause of morbidity and mortality. Pneumonia is the leading cause of death due to infectious disease (1). More than 6 million cases of bacterial pneumonia occur each year in the United States and the incidence of pneumonia is increasing. The spectrum of organisms known to cause respiratory infections is broad and constantly increasing as new pathogens are identified, and an increasing number of patients have impaired immunity due to disease or medications. In the United States, it has been estimated that there are 1.1 million cases of communityacquired pneumonia requiring hospitalization each year (1). Nosocomial pneumonia is the most important hospital-acquired infection, being associated with the highest mortality rate of nosocomial infections (2). In addition to direct patient care costs, pneumonia is responsible for >50 million days of restricted activity from work and is the sixth leading cause of death in the United States with a mortality rate of 13.4 per 100,000 (3). In the last two decades there has been an increase in not only the prevalence of various infections but also the recognition of several important new viral pathogens. These include hantaviruses, human metapneumovirus, avian influenza A viruses, and coronavirus associated with severe acute respiratory syndrome (SARS)



Content
  1. Pulmonary Infection: Basic C oncepts
  2. Bacterial Pneumonia
  3. Pulmonary Tuberculosis
  4. Nontuberculous Mycobacterial Pulmonary Disease
  5. Viruses, Mycoplasma, and C hlamydia
  6. Fungal and Parasitic Infection
  7. Acquired Immunodeficiency Syndrome
  8. Immunocompromised Host

Download PDF Medical Problems in Dentistry Sixth Edition by Crispian Scully



Sinopsis

The knowledge base of medicine has been extended, and effective new technologies, techniques and drugs have been developed. This has allowed patients, who in earlier times would have succumbed, to remain alive and live to much greater ages; such patients may be prone to medical emergencies. Collapse or other emergencies in the dental surgery are a cause for anxiety for all involved Atherton et al., 1999a (Box 1.1). This chapter is limited to the main diagnostic and management issues in emergency management for easy reference; fuller discussion of these conditions can be found in the relevant chapters. In general terms, dental professionals need to develop strategies to identify patients at risk of such medical emergencies, to assess the severity of those risks and, where necessary, recognize the need for help and be able to seek advice from a colleague with special competence in the relevant fields. All dental staff need to contend with the increasing variety of medical problems, particularly as they are aware that they face a growing risk of litigation if they do not keep themselves familiar with current knowledge, in line with the increasing acceptance of the need for continuing professional education and development. The comments and recommendations herein should be used as guidelines to care, not commandments. Unfortunately, there are very few randomized controlled trials available to provide evidence for the various practices, and so many of the recommendations have to be based on consensus.

Content

  1. Medical emergencies
  2. Medical history and risk assessment 
  3. Perioperative care 
  4. Signs and symptoms 
  5. Cardiovascular medicine 
  6. Endocrinology 
  7. Gastrointestinal and pancreatic disorders 
  8. Haematology 
  9. Hepatology 
  10. Mental health 
  11. Mucosal, oral and cutaneous disorders 
  12. Nephrology 
  13. Neurology 
  14. Otorhinolaryngology 
  15. Respiratory medicine 
  16. Rheumatology and orthopaedics 
  17. Allergies 
  18. Autoimmune disease 
  19. Immunity, inflammatory disorders, immunosuppressive and anti-inflammatory agents 
  20. Immunodeficiencies 
  21. Infections and infestations 
  22. Malignant disease 
  23. Metabolic disorders
  24. Trauma and burns
  25. Age and gender issues 
  26. Alternative and complementary medicine 
  27. Dietary factors and health and disease 
  28. Impairment and Disability 
  29. Materials and drugs 
  30. Minority groups 
  31. Occupational hazards 
  32. Sexual health 
  33. Sports, travel and leisure, pets 
  34. Substance dependence 
  35. Transplantation and tissue regeneration


Download PDF Atlas of OPERATIVE LAPAROSCOPY AND HYSTEROSCOPY Third Edition by Jacques Donnez


Sinopsis

In gynecology, as in other surgical fields, an excellent knowledge of human anatomy is necessary. Surgical progress makes this even more pertinent; laparoscopy requires, more than ever, a thorough knowledge of all the relationships between anatomic structures. If one injures the ureter, uterine artery or large vessels, or if intraperitoneal bleeding occurs, it is necessary to be able to react quickly and to convert to open surgery. Experienced surgeons possess the required skills, but younger practitioners with less extensive anatomic knowledge could experience serious difficulties. Laparoscopy reveals the undeniable aspect of anatomy as a tool of work. Without perfect knowledge of the different structures encountered during dissection, and particularly those which one would prefer not to encounter because of the dangers they evoke, laparoscopy can become hazardous due to the surgeon’s lack of awareness.We are not about to cover all the anatomic data concerning the pelvis; this information can be found in any anatomic textbook and, in any case, it is well known. What is required is the ability to identify, without hesitation, all the structures grasped or isolated during dissection.We will simply call back to mind some anatomic notions to ensure a safe pelvic approach during laparoscopy, and present some anatomic points which highlight potential dangers and require particular attention during surgery. In this chapter, we describe the different steps of gynecological laparoscopy and some recent surgical techniques such as TOT (transobturator tape) for treatment of stress urinary incontinence and the anatomic basis of pelvic or perineal pain. For each stage of surgery, we explain the dangerous elements which should inspire only one instinct in the surgeon: vigilance. In practice, we describe certain strategic notions which should be perfectly understood before beginning laparoscopy, whatever the pathology: pelvic wall anatomy, pelvic cellular tissue and ureteral and broad ligament relationships.

Content

  1. Anatomy in relation to gynecological endoscopy
  2. Instrumentation and operational instructions
  3. Laparoscopic management of peritoneal endometriosis
  4. Laparoscopic management of ovarian endometriosis
  5. Douglasectomy, torus excision, uterine suspension
  6. Laparoscopic excision of rectovaginal and retrocervical endometriotic lesions
  7. Ureteral endometriosis: a frequent complication of rectovaginal and retrocervical endometriosis
  8. Bladder endometriosis
  9. Laparoscopic hysterectomy including for advanced endometriosis with rectosigmoid disease
  10. Fertiloscopy
  11. Transvaginal laparoscopy
  12. CO2 laser laparoscopic surgery: fimbrioplasty, salpingoneostomy and adhesiolysis
  13. Ectopic pregnancy following assisted conception treatment and specific sites of ectopic pregnancy
  14. Medical treatment: the place of methotrexate
  15. The laparoscopic management of ectopic pregancy
  16. Laparoscopic microsurgical tubal anastomosis
  17. Laparoscopic management of ovarian cysts
  18. Laparoscopic management of adnexal torsion
  19. Laparoscopic repair of wide and deep uterine scar dehiscence following cesarean section
  20. Laparoscopic myomectomy
  21. Laparoscopic myomectomy and myolysis: to whom should it be proposed?
  22. LASH: laparoscopic subtotal hysterectomy – a series of 1400 cases
  23. Laparoscopic hysterectomy in benign diseases: a series of 1233 cases
  24. Laparoscopic approach for prolapse
  25. Laparoscopic sacrocolpexy for severe uterine prolapse and severe vaginal vault prolapse
  26. Borderline tumors of the ovary or epithelial ovarian tumors of borderline malignancy
  27. Laparoscopic reimplantation of cryopreserved ovarian tissue
  28. Ovarian tissue cryopreservation and existing alternatives
  29. Technical aspects of ovarian tissue cryopreservation
  30. Laparoscopic ovarian transposition before radiotherapy
  31. Laparoscopic preservation of female fertility
  32. The place of endoscopy in malignancy
  33. Indications for lymphadenectomy in stage I/IIa endometrial cancer
  34. Place of laparoscopic surgery in the management of cervical cancer: the Dargent techniques
  35. Fetal endoscopy
  36. Laparoscopic abdominal cerclage
  37. Improving ergonomics in laparoscopic gynecological surgery
  38. Robotically assisted gynecological surgery
  39. Complications of laparoscopic surgery in gynecology
  40. Instrumentation for hysteroscopy
  41. Hysterosonography and hysteroscopy in the diagnosis of specific disorders
  42. Office hysteroscopy
  43. Müllerian duct anomalies
  44. Hysteroscopic lysis of intrauterine adhesions
  45. Hysteroscopic myomectomy
  46. Endometrial resection
  47. Global endometrial ablation
  48. Tubal sterilization
  49. Complications of hysteroscopic surgery in gynecology



Download PDF Textbook of Diabetes and Pregnancy Second Edition by Morshe Hod


Sinopsis

One hundred years ago the medical literature on diabetic pregnancy was very limited. Pregnancy itself was no less frequent, but the outcome was affected by so many other major problems that the influence of a medical disorder of a chronic nature was both unrecognized and disregarded. Diabetes mellitus was also less prevalent, due both to demographic differences in the age of the population and to epidemiological factors – mainly the absence of any effective treatment so that young people with diabetes had a life expectancy of only a few years. The diagnosis of diabetes depended on the demonstration of sugar in the urine and the well-known symptoms of thirst, polyuria and weight loss, but there was no accurate measurement to assess severity, and the distinction between what are now known as Type 1 and Type 2 diabetes was only anecdotal. There was no documentation of the specific long-term complications of hyperglycemia in the eyes, nerves, heart, kidneys or blood vessels.

Content

  1. History of diabetic pregnancy
  2. The Priscilla White legacy
  3. The Pedersen legacy
  4. The Freinkel legacy
  5. Metabolism in normal pregnancy
  6. Intermediary metabolism in pregnancies complicated by gestational diabetes
  7. Histopathology of placenta
  8. The placenta in diabetic pregnancy: Placental transfer of nutrients
  9. Nutrient delivery and metabolism in the fetus
  10. Pathogenesis of gestational diabetes mellitus
  11. Fetal growth in normal and diabetic pregnancies
  12. Pregnancy in diabetic animals
  13. Immunology of gestational diabetes mellitus
  14. Gestational diabetes: The consequences of not-treating
  15. Epidemiology of gestational diabetes mellitus
  16. Gestational diabetes in Latin America
  17. Diabetes and pregnancy in advancing nations: India
  18. Diabetes and pregnancy in New Zealand
  19. Gestational diabetes in China
  20. Diabetes and pregnancy in Japan
  21. Detection and diagnostic strategies for gestational diabetes mellitus
  22. Diabetic embryopathy in the pre-implantation embryo
  23. Congenital malformations in diabetic pregnancy: Prevalence and types
  24. Post-implantation diabetic embryopathy
  25. Management of gestational diabetes mellitus
  26. Medical nutritional therapy for gestational diabetes mellitus
  27. Insulin therapy in pregnancy
  28. Oral anti-diabetic agents in pregnancy: Their time has come
  29. Continuous glucose monitoring during pregnancies complicated by diabetes mellitus
  30. Insulin pumps in pregnancy
  31. Artificial pancreas and pregnancy: Closing the loop
  32. Hypoglycemia in diabetic pregnancy
  33. Sonography in diabetic pregnancies
  34. Diabetes in pregnancy: Is Doppler useful?
  35. Fetal lung maturity
  36. Monitoring in labor
  37. Timing and mode of delivery
  38. Prevention of fetal macrosomia
  39. Timing and delivery of the macrosomic infant: Induction versus conservative management
  40. Management of the macrosomic fetus
  41. Hypertensive disorders and diabetic pregnancy
  42. Diabetic retinopathy
  43. Diabetic vascular complications in pregnancy: Nephropathy
  44. Diabetic ketoacidosis in pregnancy
  45. Gestational diabetes in multiple pregnancies
  46. Thyroid diseases in pregnancy
  47. Short-term implications: The neonate
  48. Long-term implications: Child and adult
  49. Growth and neurodevelopment of children born to diabetic mothers and to mothers with gestational diabetes
  50. Diabetes mellitus and the metabolic syndrome after gestational diabetes
  51. Evidence-based medicine and diabetic pregnancy
  52. Cost analysis of diabetes and pregnancy
  53. Quality of care for the woman with diabetes in pregnancy
  54. Ethical issues in management of pregnancy complicated by diabetes
  55. Legal aspects of diabetic pregnancy
  56. Diabetologic education in pregnancy
  57. Databases: A tool for quality management of diabetic pregnancies
  58. Introduction to technological disease-management tools and eHealth networks: The future of better care delivery in diabetes and pregnancy
  59. Optimal contraception for the diabetic woman
  60. Hormone replacement therapy and diabetes
  61. The genetics of diabetic pregnancy
  62. The integration of compliance, communication and culture to enhance health care delivery
  63. Diabetes and infertility
  64. Early pregnancy loss and perinatal mortality



Download PDF RADIATION BIOLOGY OF MEDICAL IMAGING by CHARLES A. KELSEY


Sinopsis

This book evolved from courses taught over the past several years to medical professionals, technologists, scientists, and engineers at the University of New Mexico. The medical professionals in our classes were primarily radiology and cardiology residents and fellows. Our students included X-ray, nuclear medicine, radiation oncology, and ultrasound technology students. The residents, fellows, and students were studying for board certification or registry examinations to establish their competence to practice their professions. We needed a book for these “users” of radiation with questions of the type they would face in their examinations. The authors consist of a team of scientists and engineers with over 75 years combined experience working with and teaching about radiation. We have included a chapter on radiation therapy because it is also deeply involved in imaging. The biological effects of magnetic resonance and ultrasound are included, although they employ nonionizing radiation because their biological effects may be cause for concern at higher power levels.

Within a year of Roentgen’s discovery of X-rays in 1895, their biological effects were evident because radiation burns and ulcers were observed in early users. Clarence Daly, one of Edison’s assistants, died from radiation-induced cancer less than 10 years after their discovery. In the years between X-ray’s discovery and Watson and Crick’s unraveling of the DNA structure in 1953, radiobiology studies concentrated on radiation in the treatment of cancer and on the effects of radiation on those exposed to radiation during World War II. Since 1953, radiobiology studies have focused on radiation damage to the DNA molecule. For a number of years before 9/11, there was a lull in the study of radiation effects. Since 9/11, there has been an increased effort to understand the effect of low levels of ionizing radiation. With recent developments in the study of DNA, now is an exciting time for the field of radiation biology.

Medical radiation, which is responsible for about half the U.S. population exposure, comes primarily from three sources: radiation therapy, interventional/ diagnostic, and nuclear medicine. Radiation therapy, often called radiation oncology, uses high doses to cure cancer. Interventional/diagnostic uses lower doses to guide
the insertion of devices into the body or determine what ails the patient. Nuclear medicine follows radioactive materials injected into the body to determine body functions. The effects of medical radiation depend on the dose and the parts of the body irradiated, but do not depend on how or why the radiation was delivered. The first quarter of the book is designed to establish an essential background knowledge base in biology and physics. For many readers, this will be a straightforward review. The book next covers DNA structure and function, DNA damage and repair, genetic effects, and the characteristics of cancer. The third quarter of the book covers the effects of radiation on various body organs and on the whole body, including a brief discussion of radiation-induced bystander effects. The final quarter concentrates on radiation effects from medical and natural sources of radiation and the regulations designed to protect workers and the general public. Particular attention is directed to the effects of low-dose, long-term exposures and the limitations of the linear no-threshold (LNT) hypothesis. A brief discussion of hormesis is included in this section.

Each chapter contains a clear statement of the chapter goals, a main body with illustrations covering the material, and a summary of the important points covered in the chapter. The chapter is closed with a series of multiple choice questions in the style and difficulty of many national examinations. We hope we have fulfilled our goal of producing a book useful for individuals studying for professional competence examinations and who employ radiation in their professions. With the advent of Maintenance of Certification (MOC) for certified professions, this book may be used to obtain Continuing Medical Education (CME) credits to satisfy some education requirements.

Content

  1. ANATOMY AND PHYSIOLOGY 
  2. THE CELL 
  3. RADIATION CHARACTERISTICS AND UNITS 
  4. RADIATION INTERACTIONS WITH TISSUE 
  5. CELL SURVIVAL CURVES 
  6. DNA AND GENETICS 
  7. RADIATION DAMAGE AND REPAIR OF CELLS 
  8. NORMAL AND MALIGNANT CELLS 
  9. RADIATION EFFECTS ON TISSUES AND ORGANS 
  10. WHOLE BODY RADIATION EFFECTS 
  11. RADIATION TREATMENT OF CANCER 
  12. RADIATION BIOLOGY OF DIAGNOSTIC IMAGING 
  13. NUCLEAR MEDICINE RADIATION BIOLOGY 
  14. ENVIRONMENTAL RADIATION 
  15. REGULATIONS AND RISK 
  16. BIOLOGICAL EFFECTS OF ULTRASOUND 
  17. BIOLOGICAL EFFECTS OF MAGNETIC RESONANCE IMAGING




Download PDF ESSENTIALS IN OPHTHALMOLOGY: Cornea and External Eye Disease T. Reinhard ·D.F.P. Larkin


Sinopsis

In recent years the use of eyedrops produced from autologous serum has gained wide acceptance for the treatment of ocular surface disorders intractable to conventional medical therapy. Such conditions include persistent epithelial defects or severe dry eyes. Autologous serum was first evaluated in 1984 by Fox et al.  in search of an unpreserved lubricant, which was not available from pharmaceutical providers at that time.However, it was Tsubota who repopularised their use when he described the epitheliotrophic potential of serum for the ocular surface due to its content of growth factors and vitamins 

Content

  1. Autologous Serum Eyedrops for Ocular Surface Disorders
  2. Controversies and Limitations of Amniotic Membrane in Ophthalmic Surgery
  3. Transplantation of Limbal Stem Cells
  4. Limbal Stem Cell Culture
  5. Deep Anterior Lamellar Keratoplasty
  6. New Aspects of Angiogenesis in the Cornea
  7. Corneal Transplant Rejection
  8. Histocompatibility Matching in Penetrating Keratoplasty
  9. Current Systemic Immunosuppressive Strategies in Penetrating Keratoplasty
  10. Trephination in Penetrating Keratoplasty
  11. Infective Complications Following LASIK
  12. Treatment of Adenoviral Keratoconjunctivitis
  13. In Vivo Micromorphology of the Cornea: Confocal Microscopy Principles and Clinical Applications
  14. Allergic Eye Disease: Pathophysiology, Clinical Manifestations and Treatment



Download PDF Feline soft tissue and general surgery


Sinopsis

The success of a surgical procedure is reliant on thorough preoperative preparation and good postoperative nursing and nutrition, in addition to surgical technique. In recent years there has been an increased awareness of pain assessment and treatment in cats and also the development of cat friendly environments. Initially, a thorough preoperative assessment of the patient is required and this is covered in detail in the first chapter in the book. Cats need a calm approach to assessment, and there are many aspects of both the physical examination and the environment in which the cat is examined that can be adapted to suit the nature of the cat.

The second chapter on anesthesia and analgesia focuses on cats with surgical diseases of the various organ systems including the thorax, abdomen, and head and neck. Analgesia of the cat should continue throughout the perioperative period. There have been big advances and progress made in the assessment of pain in the cat. Pain in cats is not always easy to detect, particularly as cats are often anxious and stressed due to their visit to the veterinarian. Pain scoring of cats should be something that is done routinely in both the preoperative and postoperative period. A cat that has had surgery performed should always be given the benefit of the doubt and given analgesia even if the signs of pain are not obvious. The subsequent two chapters are also focused on postoperative care. During the postoperative period the cat needs regular assessment to ensure it has a smooth recovery from surgery so complications are avoided, or recognized and treated promptly when they do occur. Thoughtful postoperative nursing can improve the recovery for the cat, and decrease the stress of hospitalization.

Surgical patients may require blood or blood products and the mechanisms and practicalities associated with giving a cat a blood transfusion are well described. If there is pre-existing blood loss or anemia, then the transfusion can be given preoperatively. If it is anticipated that there may be significant blood loss intraoperatively, then blood should be readily available in case it is needed. In either case the cat should be blood typed and cross-matched in preparation for a safe transfusion.

Cats that are unwell and hospitalized are not always keen to eat, and inappetent cats, particularly if overweight, are at risk of hepatic lipidosis. The importance of adequate nutrition and encouraging oral feeding cannot be overlooked and this topic is discussed in detail in the final chapter of this part of the book. Cats that eat postoperatively can usually be discharged more quickly and recover more swiftly.