Bøger udgivet af TFM Publishing Ltd

Winner of a HIGHLY COMMENDED AWARD in the Neurology category of the 2012 BMA Medical Book Competition. More than five million people die from stroke each year. Stroke is also the leading cause of adult disability, affecting over 20 million people worldwide, with two-thirds of stroke victims left permanently disabled. We now know that speed of intervention is critical and patient outcomes are determined by a very narrow therapeutic window, during which physicians need to be able to make their choice of treatment rapidly, based on the best evidence available. The purpose of this book is to review that evidence, for both medical and surgical therapies as well as preventative strategies, drawing on the expertise of leading international authorities to distinguish the issues for which there is a consensus on best practice from those for which the evidence remains inconclusive. For example, for patients with acute ischemic stroke the first choice is intravenous thrombolytic therapy, but does a treatment window of 0-3 hours deliver outcomes significantly better than one of 3-4.5 hours? Arterial hypertension is the single most important modifiable risk factor for ischemic stroke, but what are the effects of blood pressure reduction among acute stroke patients? How effective is blood pressure lowering in primary intracerebral hemorrhage? What are the arguments in favour of continuation versus temporary discontinuation of antihypertensive therapy immediately after acute ischemic stroke? Endovascular procedures (carotid angioplasty/stenting) are increasingly important but what do the data tell us about their safety? Or durability? How do they compare with carotid endarterectomy? The management of unruptured intracranial aneurysms is rife with controversies; clip, coil, wait and watch? The authors examine the evidence for and against. Other sections examine the impact of various risk factors, and special populations. A section on stroke after cardiovascular surgeries reviews the incidence and management of stroke following a whole range of procedures. Another examines special risks during pregnancy. Lastly, the book reviews our understanding of childhood stroke and presents current best practice recommendations for this most challenging group of patients.

The single best answer format of questions is invaluable in assessing a trainee's clinical skills and problem-solving abilities. It allows the trainee to demonstrate application of their knowledge to clinical practice. This book comprises six sets of practice papers. Each set contains 30 single best answer questions which cover topics including clinical anaesthesia, pain and intensive care. The questions are based on the recent changes introduced to the written part of the final FRCA examination. The best possible answer to a given clinical scenario is substantiated by a detailed explanation drawn from recent review articles and textbooks in clinical anaesthesia. These questions will enable candidates to assess their clinical knowledge and skills in problem-solving, data interpretation and decision making. This book is essential study material for candidates sitting postgraduate examinations in anaesthesia and intensive care medicine. It is not only an essential guide for trainees but also an invaluable educational resource for all anaesthetists.

Practising evidence-based medicine necessarily depends on the clinician having access to the best evidence available, but in a fast-moving field, keeping up to date with the latest developments is a challenging prospect. In this new volume, leading experts focus on the most important clinical issues associated with the management of lipid disorders, evaluating and interpreting the evidence available to provide the reader with a reliable summary of our current knowledge. Topics covered include therapeutical strategies for managing hereditary lipid disorders, including familial hypercholesterolemia, both in adults and children, and familial combined hypercholesterolemia. The authors also evaluate the evidence for a link between inflammatory disease and cardiovascular risk; the metabolic syndrome and the interconnections between dyslipidemias and diabetes. They also look at therapeutic challenges such as the management of patients who are statin resistant, and the control of lipid levels in those suffering renal insufficiency. Tables highlight important data, evidence from trial results and expert reports, and each section concludes with a series of key points that present a summary of evidence-based recommendations for best practice, graded according to the quality of that evidence. Evidence-based Management of Lipid Disorders provides the busy clinician with a unique analysis of the data supporting current therapies and will help the reader formulate effective strategies for treating their own patients.

The treatment of hypertension is now evolving into a decision-making process of ever greater complexity. Not only has the range of drugs available increased but so too has our knowledge of the diversity of individual patients' responsiveness to therapy, and the need to tailor their treatment with reference to a wide variety of additional factors. In order to provide effective patient care, the clinician needs to be aware of all the options available, but also of the evidence supporting their use and the extent to which that evidence justifies the choices made. In this new volume, leading authorities in their fields draw on the available evidence to provide answers to a series of key clinical questions facing the clinician treating hypertension: Should we treat prehypertension? How does the choice of therapy change in the presence of comorbidities such as obesity, ischemic heart disease, left ventricular hypertrophy, diabetes or cerebrovascular disease? Evidence-based Management of Hypertension provides answers to these and many other questions, as the authors present an expert analysis of the available evidence and offer authoritative recommendations for treatment planning. In each chapter, tables highlight evidence from a variety of sources, and every chapter concludes with a series of key practice points that present a summary of evidence-based recommendations for best practice, graded according to the quality of that evidence. For any clinician concerned with the care of the hypertensive patient, this volume will be a valuable aid to treatment planning and long-term management.

Winner of a HIGHLY COMMENDED AWARD in the Anaesthesia category of the 2010 BMA Medical Book Competition. This book comprises structured questions and answers that closely simulate the structured oral examination (SOE) format of The Royal College of Anaesthetists' final FRCA examination. The style of exam questions has changed over the years and this book matches the most recent changes in this updated exam. It consists of ten sets (chapters) of complete SOE papers. Each SOE set (chapter) includes one long case, three short cases and four different applied basic science topics (anatomy, physiology, pharmacology and clinical measurement). As this book is presented in the format of complete examination papers, it will enable candidates to assess their knowledge and skills. It will also assist trainers in setting up mock exams. With thorough revision of this book, trainees can confidently sit their exams. The authors have been organising final FRCA viva courses for the past five years, running four exam preparation courses a year, attended by about 200 trainees each year. This book includes updated knowledge based on the syllabus and more recent questions asked in the FRCA examination. It is, therefore, essential study material for trainees and a great educational tool for trainers. This book will also help candidates all over the world to pass highly competitive postgraduate examinations in anaesthesia. It is an invaluable educational resource for all anaesthetists.

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

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

Evidence-based medicine is now firmly established in the lexicon of modern health care. In The Evidence for Plastic Surgery the diverse spectrum of plastic surgical practice is called to account by a cross-examination of the available evidence in support of many of the common treatment protocols and surgical procedures in everyday use. The result is a text that makes an important contribution to some of the contentious debates within the specialty and details the critical appraisal of new or developing techniques. The Evidence for Plastic Surgery is a unique and invaluable reference source for senior doctors and for those in training, not only in plastic surgery but also in a variety of other closely aligned specialties including general and orthopaedic surgery.

This book offers a carefully argued approach to the postgraduate preparation of surgeons and doctors. At a time when surgical/medical education is undergoing profound change this text will prove an invaluable resource for those both reorganizing teaching programmes and those working with learning surgeons/doctors. It emphasizes what is involved in learning to be a surgeon and/or doctor who can engage in professional conduct and exercise professional judgement, as opposed to being trained in surgical/medical activities in order to demonstrate the behaviour expected by assessors. It provides many examples and ideas which have been developed and refined over the past three years in partnership with a wide range of working surgeons and doctors in practical settings and in reflective seminars. The authors have together brought to the production of this book a unique combination of a practising surgeon who is dedicated to the development of excellence in surgical practice, and a practising teacher educator who is dedicated to developing expertise in educational practice, particularly in clinical settings.

The enthusiastic feedback received from readers of the international bestseller Schein's Common Sense Emergency Abdominal Surgery (now in its 3rd edition, translated to seven languages; Springer Verlag; ISBN 9783540748205) inspired the editors to do a similar book dedicated to surgical complications: practical, non-formal, internationally relevant (in all types of practice and levels of hospitals) - and definitely not politically correct: what is considered taboo by others is not taboo for us; here we discuss everything!As in the editors' previous book, the use of references is restricted to the absolute minimum, and citing figures and percentages is avoided as much as possible. The chapters in this book are the opinion of experts - each contributor has a vast personal knowledge and clinical experience in the field he is writing about. This book will help all surgeons (and their patients), avoid the misery of complications, and will provide advice on the management of those that are unavoidable. Complications and death are an integral component of surgery. Surgeons have to look death in the eyes, try to prevent it and vanquish it - this is what this book is all about."e;Schein's books are always terrific reads, conveying pithy observations and practical advice and doing so with wit and scholarship. This latest is surely a must for every surgeon's bookshelf."e; Abraham Verghese MD, author of CUTTING FOR STONE

The Royal College of Anesthetists has introduced Constructed Response Questions (CRQs) as an innovative way of testing trainees, in the fields of anesthesia and intensive care medicine, in their final FRCA examinations from September 2019. CRQs are a more structured way of assessing knowledge and understanding; they also assess the application of knowledge, evaluation and judgement.This book categorises questions based on the Royal College model, with six mandatory sections of training and two separate sections on general duties and optional units. It is an ideal companion for candidates who are preparing for their final exams in anesthesia and will help to assess their preparation and guide appropriate revision.The topics are pertinent for other anesthetic exams worldwide, including the European exams, Australian and New Zealand fellowships and the Indian DNB exams. The authors have extensive experience in anesthetic teaching and lead anesthetic intermediate teaching in the UK, running regular and successfully attended courses.This book will help candidates to adapt to the recent exam changes and revise in an efficient manner. It will not only be an invaluable educational resource for trainee anesthetists but also for practising anesthetists. Medical students and junior doctors, who are about to embark on a career in anesthesia or intensive care medicine, will also find the book to be a useful educational tool.

"SBAs, EMQs & SAQs in SURGERY" provides a broad range and style of questions, not only for medical students preparing for their final exams, but also for those clinicians preparing for their postgraduate exams. This book includes over 200 single best answer questions (SBAs), 400 extended matching questions (EMQs) and 100 short answer questions (SAQs), giving the reader a wide variety of topics to test their exam knowledge and technique. It is an invaluable educational resource for exam preparation and to help you succeed.Over 700 questions on the core medical subjects.• Compiled by a team of junior doctors with recent final exam and postgraduate specialty exam experience.• Overseen by experienced doctors to ensure relevance and accuracy.• The broad medical curriculum is covered in a succinct and consistent style.• Clear and concise answers are provided.• Easy accessible information to facilitate revision on the move.• Enables the reader to assess their knowledge and help identify gaps in their knowledge to target revision.• The following main specialties are covered:- Upper gastrointestinal surgery;- Lower gastrointestinal surgery; - Vascular surgery;- Breast surgery;- Urology;- Neurosurgery; - Ear, nose and throat surgery;- Trauma & orthopedics;- Fluids & electrolytes.Watch out for our other titles in the MedQ4exams series:- Medicine- The Specialties- Practice papers

"SBAs, EMQs & SAQs in MEDICINE" provides a broad range and style of questions, not only for medical students preparing for their final exams, but also for clinicians preparing for their postgraduate exams.This book includes over 200 single best answer questions (SBAs), 400 extended matching questions (EMQs) and 100 short answer questions (SAQs), giving the reader a wide variety of topics to test their exam knowledge and technique. It is an invaluable educational resource for exam preparation and to help you succeed.Key features• Over 700 questions on the core medical subjects.• Compiled by a team of junior doctors with recent final exam and postgraduate specialty exam experience.• Overseen by experienced doctors to ensure relevance and accuracy.• The broad medical curriculum is covered in a succinct and consistent style.• Clear and concise answers are provided.• Easy accessible information to facilitate revision on the move.• Enables the reader to assess their knowledge and help identify gaps in their knowledge to target revision.• The following main specialties are covered:- Cardiology; - Respiratory medicine; - Gastroenterology; - Renal medicine;- Endocrinology; - Neurology; - Hematology; - Rheumatology; - Infectious diseases.Watch out for our other titles in the MedQ4exams series:- Surgery- The Specialties- Practice papers

Presents a topical review of venous disease providing a view of management and issues. This work covers topics ranging from the history, epidemiology, signs and symptoms, investigation and treatment of venous disease to issues of quality of life, complications and litigation, and setting up a clinical service.

Relevant, practical and comprehensive, this book is the definitive guide to research for medics. Research skills are now a key component for the medical curriculum from medial school through to senior specialty trainees. Medical research affects every part of a doctor's working life -- from learning the basic principles of research at medical school, through to leading large trails to guide the gold standards for patient care. A career in medicine without participating in research in some capacity is unthinkable and for many, this involves a dedicated period of research training aiming for the award of a higher degree (MPhil/MD/PhD). With this guide the reader is taken step-by-step through the planning stages through to 'surviving' the Ph.D., getting through the viva, learning the publication process and grappling with the balancing act of being a clinical academic. All those issues that no one tells you about before you start will be addressed. In addition, there will be tips and contributions from leaders in academic medicine, providing an invaluable insight into clinical academia. The style of the book will be highly engaging and easy to read. Real life examples of some of the issues encountered will be provided. The authors are all clinical academics in different specialties with extensive experience in medical research.

This book covers a broad range of topics, providing trainee and practising anaesthetists with a comprehensive source of knowledge on applied sciences and clinical anaesthesia. The book has been divided into six sections with various chapters serving as a synopsis of the practice of anaesthesia. Each chapter discusses the significance and importance of problems that can impact the peri-operative management of the surgical patient. The case scenarios at the end of each chapter will additionally help in understanding the practical relevance of basic science. This book will be an invaluable educational resource for trainee anaesthetists and an indispensable aide‐mémoire for practising anaesthetists. It is, therefore, essential study material for trainees and a great educational tool for trainers. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful companion.

Peripheral neuropathy is a common medical condition, the diagnosis of which is often protracted or delayed. It is not always easy to relate a neuropathy to a specific cause. Many people do not receive a full diagnosis, their neuropathy often being described as 'idiopathic' or 'cryptogenic'. It is said that in Europe, one of the most common causes is diabetes mellitus but there are also many other known potential causes. The difficulty of diagnosis, the limited number of treatment options, a perceived lack of knowledge of the subject -- except in specialised clinics, the number of which are limited -- all add to the difficulties which many neuropathy patients have to face. Another additional problem for many patients is that once having received a full, or even a partial diagnosis, they are then often discharged back to their primary healthcare team who, in many instances, know little about this condition and how it may impact upon their patients' lives. In order to help bridge this gap in medical knowledge and to give healthcare providers a better understanding of this often distressing condition, The Neuropathy Trust has commissioned a new book on this complex topic. Written by one of the world's leading experts on neuropathy, Professor Gérard Said, it is a 'must read' and also a handy reference book for doctors, nurses, physiotherapists, chiropodists/podiatrists and other health professionals. As well as covering the anatomy of the nervous system and the basic pathological processes that may affect the peripheral nerves, the book covers a whole range of neuropathic conditions. These include, for example, Guillain Barré syndrome, chronic inflammatory demyelinating polyneuropathy, vasculitic neuropathies, infectious neuropathies, diabetic and other metabolic neuropathies, hereditary neuropathies and neuropathies in patients with cancer. Given the almost explosive increase in diabetes predicted over the coming years and the high incidence of HIV infections alone, not to mention all the other possible causes of peripheral neuropathy, no self respecting medical unit should be without a copy of this new book on their shelves.

Intensive care medicine is a dynamic and evolving specialty, requiring its practitioners to be part physician, physiologist and anaesthetist. This requires a firm foundation of knowledge and an ability to apply this to the clinical situation. This book contains 270 multiple choice questions allowing self-assessment of the breadth of knowledge required of the modern intensivist. The book is divided into three papers each consisting of 60 multiple true false (MTF) and 30 single best answer (SBA) questions covering areas including resuscitation, diagnosis, disease management, organ support, and ethical and legal aspects of practice. The MTF questions test factual knowledge and understanding of the evidence base underpinning intensive care medicine, while the SBA questions test the ability of the candidate to prioritise, compete options and make the best decision for the patient. Each question is peer reviewed and accompanied by concise and detailed explanatory notes with references to guide further reading. All the authors are practising intensive care physicians with first-hand experience of professional examinations in the specialty. This book will appeal to intensive care physicians approaching professional examinations worldwide, including the European Diploma, American Board and Faculty of Intensive Care Medicine examinations. In addition, it will appeal to intensive care nurses and allied healthcare professionals wishing to update their knowledge as part of continuing professional development, and to physicians sitting professional examinations in related specialties requiring knowledge of intensive care medicine such as general medicine, general surgery and anaesthesia. This book will complement the existing international best-selling title "Multiple Choice Questions in Intensive Care Medicine" (9781903378 649), also written by Dr Steve Benington.

A pocket handbook on the practical and safe use of drugs in inflammatory bowel disease to achieve best patient outcome in day-to-day practice.

Simplicity is an under-rated virtue; where information is vital, it should be possible to put it across in a way that is easy to understand and remember. Epilepsy is a common condition which has been recognised since the beginning of history, and as the opportunities for diagnosis and effective treatment have increased, it becomes more important that health professionals have a working knowledge of how epilepsy interacts with their own area of expertise. The interactions between all aspects of medicine and epilepsy should motivate all to do their best to learn about management of all stages the disease, from first seizure through to status epilepticus. This is recognition that providing a diagnosis of epilepsy has more than medical implications, and in fact it is safe to say that there are few aspects of modern life that will remain untouched by such a diagnosis and consequent treatment. At some point, discussions will be required around the issues of fertility, job prospects, driving issues, family safety, childcare, travel, life insurance, diet, and sports participation. This book, has been produced by Dr Becky O'Dwyer and Dr John Paul Leach, recognised experts in epilepsy from opposite sides of the Atlantic. They have tried to make the key concepts of epilepsy's cause, prognosis and treatment accessible to all in this compact format, providing information for clinicians and permitting informed choice for patients and their families.

To mark the 60th anniversary season of the Castle Combe circuit this book has been published telling the story of the Wiltshire race track from 1950 right through to the end of the 2009 season. The title completely updates the story first told in the book "The First 50 years", which was published in 2000 and sold out several years ago. All the photographs are new and the story of the last 10 years covers the circuit's rise to hosting British Formula 3 and British GT racing. It also cover the subsequent noise issues that brought massive change to this incredibly popular venue, as well as the creation of the Castle Combe Racing Club. The two-wheel action, including non-championship British Superbike events, is also detailed. This new edition also takes in personal views on the circuit from drivers like Ian Flux, Mike Jordan, Ilsa Cox, Brian Fisher and Bob Higgins. The updated story of the last decade takes in the development of the hugely popular local championships.