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Adult and Pediatric Spine Trauma, an Issue of Neurosurgery Clinics of North America
Adult and Pediatric Spine Trauma, an Issue of Neurosurgery Clinics of North America
Autore Brockmeyer Douglas
Pubbl/distr/stampa Philadelphia : , : Elsevier, , 2016
Descrizione fisica 1 online resource (193 pages)
Disciplina 617.56044
Altri autori (Persone) DaileyAndrew T
Collana The Clinics: Surgery
Soggetto topico Spine
ISBN 0-323-48284-8
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Front Cover -- Adult and PediatricSpine Trauma -- Copyright -- Contributors -- EDITORS -- AUTHORS -- Contents -- Preface: Adult and Pediatric Spine Trauma -- Update on New Imaging Techniques for Trauma -- Thoracolumbar Trauma Classification -- Timing of Surgery After Spinal Cord Injury -- Central Cord Syndrome -- Pharmacologic Management of Acute Spinal Cord Injury -- Restorative Treatments for Spinal Cord Injury -- Classification and Management of Pediatric Craniocervical Injuries -- Classification and Management of Pediatric Subaxial Cervical Spine Injuries -- Pediatric Thoracolumbar Spine Trauma -- Treatment of Odontoid Fractures in the Aging Population -- Treatment of Facet Injuries in the Cervical Spine -- The Role of a Miniopen Thoracoscopic-assisted Approach in the Management of Burst Fractures Involving the Thoracolumbar Jun .. -- Complications in the Management of Patients with Spine Trauma -- Minimally Invasive Treatment of Spine Trauma -- Return to Play for Athletes -- NEUROSURGERY CLINICS OF NORTH AMERICA -- FORTHCOMING ISSUES -- April 2017 -- July 2017 -- October 2017 -- RECENT ISSUES -- October 2016 -- July 2016 -- April 2016 -- Preface: Adult and Pediatric Spine Trauma -- Update on New Imaging Techniques for Trauma -- Key points -- INTRODUCTION -- DISCUSSION -- Computed Tomography -- MRI -- Osseous Injury -- Ligamentous Injury -- Disk Injury -- Spinal Cord Injury -- MRI Safety -- Conventional Imaging Sequences -- Vascular Imaging -- Advanced Imaging -- Diffusion-Weighted Imaging and Diffusion-Tensor Imaging -- Susceptibility-Weighted Imaging -- MR Spectroscopy -- Functional MRI -- Supratentorial Changes with Spinal Cord Injury -- MRI Limitations -- SUMMARY -- REFERENCES -- Thoracolumbar Trauma Classification -- Key points -- INTRODUCTION -- HISTORICAL CLASSIFICATIONS -- TWO- AND THREE-COLUMN CLASSIFICATIONS.
THE THORACOLUMBAR INJURY CLASSIFICATION SYSTEM -- THE AOSPINE THORACOLUMBAR SPINE INJURY CLASSIFICATION SYSTEM -- SUMMARY -- REFERENCES -- Timing of Surgery After Spinal Cord Injury -- Key points -- INTRODUCTION -- PATHOPHYSIOLOGIC BASIS FOR SPINAL CORD INJURY AND EXPERIMENTAL EVIDENCE FOR TIMELY DECOMPRESSIVE SURGERY -- INITIAL NEUROLOGIC ASSESSMENT AFTER SPINAL CORD INJURY -- TIMING OF DECOMPRESSION AND NEUROLOGIC RECOVERY -- SURGICAL TIMING IN PATIENTS WITH CENTRAL CORD SYNDROME -- THE IMPACT OF TIMING OF SURGERY ON NON-NEUROLOGIC OUTCOMES -- FACTORS THAT INFLUENCE TIMING OF SURGERY -- SUMMARY -- REFERENCES -- Central Cord Syndrome -- Key points -- INTRODUCTION -- INCIDENCE/PREVALENCE -- ANATOMY AND PATHOPHYSIOLOGY -- MECHANISM OF INJURY -- DIAGNOSIS -- Clinical -- Radiographic -- NATURAL HISTORY/PROGNOSIS -- Overall Recovery -- Severity of Neurologic Injury on Presentation -- Youth Is an Advantage in Recovery -- Imaging Findings -- TREATMENT INTERVENTIONS -- Guideline Recommendations -- Timing of Surgery -- Surgical Approach -- FUTURE DIRECTIONS/RESEARCH -- SUMMARY -- REFERENCES -- Pharmacologic Management of Acute Spinal Cord Injury -- Key points -- INTRODUCTION -- MECHANISMS OF SPINAL CORD INJURY -- THERAPEUTICS FOR ACUTE SPINAL CORD INJURY -- LESSONS LEARNED FROM HISTORIC CLINICAL TRIALS IN SPINAL CORD INJURY -- ESTABLISHED AND EMERGING PHARMACOLOGIC TREATMENTS -- Neuroprotective Treatments for Acute Spinal Cord Injury -- Vasoactive agents -- Corticosteroids -- Minocycline -- Glyburide -- Magnesium -- Riluzole -- Granulocyte colony-stimulating factor -- Neuroregenerative Treatments in Spinal Cord Injury -- Myelin-associated inhibitor targeting -- Fibroblast growth factor -- CELLULAR TRANSPLANTATION APPROACHES FOR ACUTE SPINAL CORD INJURY -- SUMMARY -- ACKNOWLEDGMENTS -- REFERENCES -- Restorative Treatments for Spinal Cord Injury -- Key points.
INTRODUCTION -- NEUROPROTECTION -- Therapeutic Hypothermia -- Pharmacologic Therapies -- CELL TRANSPLANTATION AND REGROWTH -- Stem Cell Transplantation -- ELECTRICAL STIMULATION -- Functional Electrical Stimulation -- Robotic Training Strategies -- Epidural Stimulation -- Intraspinal Microstimulation -- Brain Computer Interfaces -- SUMMARY -- REFERENCES -- Classification and Management of Pediatric Craniocervical Injuries -- Key points -- INTRODUCTION -- EPIDEMIOLOGY -- BIOMECHANICS -- CLINICAL PRESENTATION -- PATTERNS OF INJURY -- Atlantooccipital Dislocation -- Jefferson (C1) Fracture -- Translational Atlantoaxial Subluxation -- Atlantoaxial Rotatory Subluxation/Atlantoaxial Rotatory Fixation -- Odontoid Fractures -- Os Odontoideum -- Hangman's (C2 Pars) Fracture -- RADIOGRAPHIC FINDINGS -- Imaging Modalities -- Plain radiographs -- Computed tomography scans -- MRI -- Radiographic Determinants of Instability -- Occipital condyle-C1 joint interval -- Other measurements of occipital condyle-C1 instability -- Atlantoaxial (C1-C2) instability -- MANAGEMENT AND TREATMENT -- Cervical Spine Clearance -- External Immobilization -- Halo ring and vest -- Minerva brace -- Rigid cervical collar -- Closed Reduction -- SURGICAL FIXATION -- Indications -- Preparation and Positioning -- Surgical Approach -- Occipital-cervical techniques -- Exposure -- Fixation -- C1-C2 transarticular screw -- C1 lateral mass screw -- C2 pars screw -- C2 translaminar screw -- C2 pedicle screw -- Occipital screws -- Fusion -- Long-term outcomes -- Atlantoaxial techniques -- Exposure -- Fixation -- Odontoid screw -- Wiring constructs -- Fusion -- Long-term outcomes -- SUMMARY -- REFERENCES -- Classification and Management of Pediatric Subaxial Cervical Spine Injuries -- Key points -- INTRODUCTION -- ANATOMY AND BIOMECHANICS -- EPIDEMIOLOGY AND INJURY PATTERNS.
CLINICAL AND RADIOGRAPHIC EVALUATION -- Spinal Cord Injury Without Radiographic Abnormality -- OPTIONS FOR MANAGEMENT -- GENERAL CONSIDERATIONS REGARDING INSTRUMENTATION IN CHILDREN -- SURGICAL TECHNIQUE -- Anesthetic Considerations -- Postoperative Adjuncts -- COMPLICATIONS -- OUTCOMES -- SUMMARY -- REFERENCES -- Pediatric Thoracolumbar Spine Trauma -- Key points -- INTRODUCTION -- PEDIATRIC SPINAL DEVELOPMENT -- UNIQUE FEATURES OF PEDIATRIC SPINAL ANATOMY -- EPIDEMIOLOGY -- RISK FACTORS AND PREVENTION -- TYPES OF THORACOLUMBAR SPINE FRACTURES IN PEDIATRICS -- Compression Fractures -- Burst Fractures -- Vertebral Apophysis Fracture -- Seat Belt Injury -- Slow Vehicle Crushing Injury -- Traumatic Spondylolisthesis/Spondylolysis -- SPINAL CORD INJURY WITHOUT RADIOGRAPHIC ABNORMALITY AND THE THORACIC SPINE -- Recurrent Spinal Cord Injury Without Radiographic Abnormality -- Management -- Prognosis and Outcome -- MANAGEMENT OF THORACOLUMBAR SPINE TRAUMA IN CHILDREN -- Imaging -- Indications for Surgery -- THORACOLUMBAR INJURY CLASSIFICATION SCORE -- USE OF BONE MORPHOGENETIC PROTEIN -- LONG-TERM OUTCOME -- REFERENCES -- Treatment of Odontoid Fractures in the Aging Population -- Key points -- INTRODUCTION -- PATIENT EVALUATION -- Radiographic Evaluation -- Risk Factors for Odontoid Fracture -- CONSERVATIVE MANAGEMENT -- Orthotic Types -- Outcomes and Complications -- SURGICAL INTERVENTION -- Ventral Fixation -- Dorsal Fixation -- SUMMARY -- REFERENCES -- Treatment of Facet Injuries in the Cervical Spine -- Key points -- INTRODUCTION -- EPIDEMIOLOGY -- CLASSIFICATION -- DIAGNOSTIC IMAGING -- MRI -- DEFINITIVE MANAGEMENT -- CLOSED REDUCTION TECHNIQUES -- SURGICAL MANAGEMENT -- SUMMARY -- REFERENCES -- The Role of a Miniopen Thoracoscopic-assisted Approach in the Management of Burst Fractures Involving the Thoracolumbar Jun ... -- Key points -- INTRODUCTION.
SURGICAL TECHNIQUE -- Anesthesia and Surgical Setup -- Operation -- Navigation in the Thorax -- Screw Placement -- Osteotomy and Cage Placement -- Retropulsed Fragment with Spinal Cord Injury -- Closure and Postoperative Care -- DISCUSSION -- SUMMARY -- ACKNOWLEDGMENTS -- REFERENCES -- Complications in the Management of Patients with Spine Trauma -- Key points -- INTRODUCTION -- INTRACRANIAL INJURY -- VASCULAR INJURY -- DURAL INJURIES -- PREEXISTING SPINAL DISORDER -- MEDICAL COMPLICATIONS -- Pulmonary Complications -- Hematologic Complications -- Cardiac Complications -- Skin Complications -- Gastrointestinal Complications -- Renal Complications -- Neuropsychiatric Complications -- Infectious Complications -- THERAPEUTIC COMPLICATIONS -- REFERENCES -- Minimally Invasive Treatment of Spine Trauma -- Key points -- INTRODUCTION -- Preoperative Considerations and Indications -- Vertebral Body Augmentation -- Percutaneous vertebroplasty -- Percutaneous kyphoplasty -- Anterior Approach -- Mini-open corpectomy -- Posterior Approach -- Percutaneous pedicle screw placement -- POSTOPERATIVE MANAGEMENT -- SUMMARY -- REFERENCES -- Return to Play for Athletes -- Key points -- INTRODUCTION -- CERVICAL TRAUMA -- Cervical Strain/Sprains -- Stingers/Burners -- Cervical Stenosis, Cervical Cord Neurapraxia, and Transient Quadriplegia -- Cervical Disc Herniation -- Fractures -- THORACIC TRAUMA -- LUMBAR TRAUMA -- Lumbar Strain -- Lumbar Disc Herniation -- Spondylolysis and Spondylolisthesis -- Lumbar Stenosis -- SACRAL TRAUMA -- SUMMARY -- DISCLOSURES -- REFERENCES -- Index.
Altri titoli varianti Clinics
Record Nr. UNINA-9910153129503321
Brockmeyer Douglas  
Philadelphia : , : Elsevier, , 2016
Materiale a stampa
Lo trovi qui: Univ. Federico II
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Advances and Challenges in Critical Care, An Issue of Clinics in Chest Medicine
Advances and Challenges in Critical Care, An Issue of Clinics in Chest Medicine
Autore Honiden Shyoko
Pubbl/distr/stampa Philadelphia, : Elsevier Health Sciences, 2015
Descrizione fisica 1 online resource (314 p.)
Disciplina 617.54028
Collana The Clinics: Internal Medicine
ISBN 0-323-39558-9
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Cover image; Title page; Table of Contents; Copyright; Contributors; Editors; Authors; CME Accreditation Page; Target Audience; Learning Objectives; Accreditation; Disclosure of Conflicts of Interest; Unapproved/Off-Label Use Disclosure; To Enroll; Method of Participation; CME Inquiries/Special Needs; Forthcoming Issues; Forthcoming Issues; Recent Issues; Preface: Advances and Challenges in Critical Care Medicine; New Technologies and Interventions; Novel Uses of Extracorporeal Membrane Oxygenation in Adults; Key points; Introduction; Configurations of extracorporeal membrane oxygenation
Emerging indications for extracorporeal membrane oxygenation in respiratory failureEmerging indications for extracorporeal membrane oxygenation in cardiac failure; Interhospital transport on extracorporeal membrane oxygenation; Early mobilization on extracorporeal membrane oxygenation; Extracorporeal membrane oxygenation as destination therapy; Complications; Economic impact of extracorporeal membrane oxygenation; Ethical implications of extracorporeal membrane oxygenation; Summary; Novel Uses of Targeted Temperature Management; Key points; Introduction
Question 1: Which intensive care unit patients with neurologic injury should I cool?Question 2: Which intensive care unit patients with nonneurologic injury should I cool?; Question 3: How should I cool critically ill patients?; Question 4: What are the practical considerations for targeted temperature management use?; Question 5: Is targeted temperature management safe? How should I monitor targeted temperature management patients?; Summary; ICU Telemedicine Solutions; Key points; Intensive care unit telemedicine solutions; Patient safety
Increased access to expertise: a leveraged workforce solutionImproving effectiveness: population management, standardization, and reporting; Intensive care unit telemedicine staffing; Intermittent intensive care unit telemedicine; Financial considerations; Summary; Supportive Care; Controversies and Misconceptions in Intensive Care Unit Nutrition; Key points; Introduction; Answers to common misconceptions in intensive care unit nutrition; Other controversies in intensive care unit nutrition; Summary; Sleep Loss and Circadian Rhythm Disruption in the Intensive Care Unit; Key points
IntroductionConsequences of intensive care unit sleep disruption; Sources of intensive care unit sleep disruption; Management goals; Pharmacologic strategies; Nonpharmacologic strategies; Self-management strategies; Summary/Discussion; Barriers and Challenges to the Successful Implementation of an Intensive Care Unit Mobility Program; Key points; Introduction; The challenge of early intensive care unit mobilization as a change initiative; Start by letting go of the idea of changing culture; Planning for change at a leadership level
Understanding the psychology of change and motivation at an individual level
Altri titoli varianti Clinics
Advances and challenges in critical care
Record Nr. UNINA-9910137120603321
Honiden Shyoko  
Philadelphia, : Elsevier Health Sciences, 2015
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Controversies in Electrophysiology, An Issue of the Cardiac Electrophysiology Clinics
Controversies in Electrophysiology, An Issue of the Cardiac Electrophysiology Clinics
Autore Daoud Emile
Pubbl/distr/stampa Saintt Louis, : Elsevier Health Sciences, 2015
Descrizione fisica 1 online resource (305 p.)
Disciplina 616.1207547
Collana The Clinics: Internal Medicine
ISBN 0-323-39905-3
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Cover image; Title page; Table of Contents; Copyright; Contributors; Consulting Editors; Editors; Authors; Forthcoming Issues; Forthcoming Issues; Recent Issues; Controversies in Electrophysiology; Arrhythmias: is less always more?; Cardiac implantable electronic devices: who gets what, when, and for how long?; Preface: The Value of a Healthy Debate; Electrophysiology Testing and Catheter Ablation Are Helpful When Evaluating Asymptomatic Patients with Wolff-Parkinson-White Pattern; Key points
The natural history of Wolff-Parkinson-White syndrome in the era of catheter ablation: an epochal changeWhy is it necessary to perform electrophysiologic testing and catheter ablation in the Wolff-Parkinson-White population?; Catheter ablation in selected asymptomatic patients with Wolff-Parkinson-White; Electrophysiologic testing and risk stratification in the asymptomatic Wolff-Parkinson-White population; Predictors of the risk of sudden death in the asymptomatic Wolff-Parkinson-White population; The impact of radiofrequency ablation on the natural history of Wolff-Parkinson-White syndrome
SummaryElectrophysiology Testing and Catheter Ablation Are Helpful When Evaluating Asymptomatic Patients with Wolff-Parkinson-White Pattern; Key points; Introduction; Traditional knowledge; Age of presentation; The impact of risk factors in asymptomatic patients; Summary; Catheter Ablation of Atrial Fibrillation Should Be Offered as Primary Therapy: What's Your Hurry?; Key points; Introduction; Radiofrequency ablation/cryoballoon ablation: a cure for atrial fibrillation?; Is ablation superior to antiarrhythmic drug therapy for symptoms?; Is ablation safer than drug therapy?
The risks of antiarrhythmic drug therapyDoes ablation offer advantages compared with drug therapy for stroke prevention?; Does early radiofrequency ablation/cryoballoon ablation prevent progression to permanent atrial fibrillation?; Treat the underlying cause; Summary; Patients with Minimal Atrial Fibrillation Events Should Not Undergo Concomitant Atrial Ablation During Open Heart Procedures; Key points; Introduction; Patient selection; Evolution of surgical atrial fibrillation ablation; Outcomes in comparative studies; Advantages and disadvantages
How does the information apply to our patient?Summary; Left Atrial Appendage Closure Is Preferred to Chronic Warfarin Therapy; Key points; Introduction; Case; Thromboembolic risk; Bleeding risks; Treatment plan; Summary; Left Atrial Appendage Closure Device in Atrial Fibrillation; Key points; Safety; Efficacy; Costs; Discussion; Summary; To Extract or Retain a Sterile, Nonfunctional Lead; Key points; Introduction; Reasons why extracting the defective lead is superior in this patient; Summary; Extraction of Sterile Leads Is the Preferred Approach Rather than Implanting a New Lead; Key points
Introduction
Altri titoli varianti Clinics
Controversies in electrophysiology
Record Nr. UNINA-9910137077303321
Daoud Emile  
Saintt Louis, : Elsevier Health Sciences, 2015
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Postmenopausal Endocrinology, An Issue of Endocrinology and Metabolism Clinics of North America
Postmenopausal Endocrinology, An Issue of Endocrinology and Metabolism Clinics of North America
Autore Santoro Nanette
Pubbl/distr/stampa Saintt Louis, : Elsevier Health Sciences, 2015
Descrizione fisica 1 online resource (284 p.)
Disciplina 612.63
Collana The Clinics: Internal Medicine
ISBN 0-323-39562-7
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Cover image; Title page; Table of Contents; Copyright; Contributors; Consulting Editor; Editors; Authors; Forthcoming Issues; Forthcoming Issue; Recent Issues; Foreword: Postmenopausal Endocrinology; Preface: Menopause and Perimenopause; Erratum; Endocrinology of the Menopause; Key points; Reproductive function in normal women; Ovarian aging in women; Changes in the hypothalamus and pituitary with reproductive aging; Integration of hormonal changes with reproductive aging in women; Summary; Menopausal Symptoms and Their Management; Key points; Introduction
The core 4 symptoms: vasomotor, vaginal, insomnia, and moodSummary; Bone Health and Osteoporosis; Key points; Introduction; Pathophysiology; Diagnosis and initial evaluation; Treatment; Summary; Surgical Menopause; Key points; Introduction; Current recommendations in low-risk premenopausal patients; Indications for oophorectomy in high-risk patients; Hormonal differences between natural menopause and surgical menopause; Adverse consequences of surgical menopause; Summary; Premature Menopause; Key points; Introduction; Symptoms; Diagnostic evaluation and tests; Differential diagnosis
Progestogen regimensBreast cancer in animal models; Breast cancer and the Women's Health Initiative: postintervention clinical data; Tissue selective estrogen receptor complex and breast cancer; Alternatives to traditional menopausal hormone therapy and breast cancer risk; Summary; Menopause and Cancers; Key points; Introduction; Incidence; Common cancers; Premature menopause and cancer; Sexual dysfunction; Future directions; Complementary and Alternative Approaches to Menopause; Key points; Introduction: why is complementary and alternative medicine so popular?
Defining complementary and alternative medicineComplementary and alternative medicine and menopause; Botanicals commonly recommended for menopause; The phytoestrogens: soy, soy derivatives, and red clover extract; Soy-derived isoflavone isolates; Recommendations for soy, soy foods, soy extracts, and soy metabolites; The safety of soy; Other botanicals used for menopause (listed alphabetically); Botanicals: the bottom line; Sold does not mean safe: regulatory issues and botanic medicines; Bringing complementary and alternative medicine into a treatment plan; Menopause and Sexuality; Key points
Introduction
Altri titoli varianti Clinics
Postmenopausal endocrinology
Record Nr. UNINA-9910137120503321
Santoro Nanette  
Saintt Louis, : Elsevier Health Sciences, 2015
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui