Atrial Fibrillation A Multidisciplinary Approach To Improving Patient Outcomes

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Atrial Fibrillation: A Multidisciplinary Approach to Improving Patient Outcomes

Author :
Publisher : Cardiotext Publishing
ISBN 13 : 1935395580
Total Pages : 306 pages
Book Rating : 4.9/5 (353 download)

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Book Synopsis Atrial Fibrillation: A Multidisciplinary Approach to Improving Patient Outcomes by :

Download or read book Atrial Fibrillation: A Multidisciplinary Approach to Improving Patient Outcomes written by and published by Cardiotext Publishing. This book was released on 2015-03-12 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Atrial Fibrillation: A Multidisciplinary Approach to Improving Patient Outcomes, provides a current and comprehensive update on path physiology, epidemiology, management strategies of rate control, pharmacologic and nonpharmacologic approaches to rhythm control, risk stratification for stroke and bleeding, anticoagulant therapy, and left atrial occlusion devices. The contributions by experienced internists, cardiologists, electrophysiologists, surgeons, anesthesiologists, pharmacists, internists, nurse practitioners, and nurse educators provide a unique perspective. Case studies of paroxysmal, persistent, and permanent atrial provide clinical context incorporating recent evidence and best practices for the multidisciplinary approach to improving patient outcomes. “The physician is inundated with information, and needs all of this to be reduced and summarized in a readable form. This cannot be done simply by technical editing because it involves real expertise to pick the “jewels for the crown.” This has been accomplished so well by the authors who have contributed to this book. The result is a gem — a source of enlightenment for all the many clinicians who care for patients suffering from this ubiquitous arrhythmia. I read it from cover to cover in about three hours, and learned much which is new and useful to my practice. It is the best small book that I know dealing with this big subject.” -From the foreword by A. John Camm, MD

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264805907
Total Pages : 447 pages
Book Rating : 4.2/5 (648 download)

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Book Synopsis Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by : OECD

Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Team-Based Care for Heart Failure, An Issue of Heart Failure Clinics

Author : Gregg C. Fonarow
Publisher : Elsevier Health Sciences
ISBN 13 : 032339101X
Total Pages : 177 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Team-Based Care for Heart Failure, An Issue of Heart Failure Clinics by : Gregg C. Fonarow

Download or read book Team-Based Care for Heart Failure, An Issue of Heart Failure Clinics written by Gregg C. Fonarow and published by Elsevier Health Sciences. This book was released on 2015-07-24 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Heart Failure Clinics examines the critical role of team-based care in the management of patients with heart failure. Articles address Team-Based Care for Prevention, Patients Hospitalized with Heart Failure, Transitions of Care, Outpatients, Managing Cardiac Comorbidities, Managing Non-cardiac Conditions, Cardiac Rehabilitation and Exercise Training, External Telemonitoring, Ambulatory Hemodynamic Cardiac Device Monitoring, Advanced Heart Failure, and Palliative and End-of-Life Care.

Prehospital Management of Acute STEMI

Author :
Publisher : Cardiotext Publishing
ISBN 13 : 1935395394
Total Pages : 258 pages
Book Rating : 4.9/5 (353 download)

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Book Synopsis Prehospital Management of Acute STEMI by :

Download or read book Prehospital Management of Acute STEMI written by and published by Cardiotext Publishing. This book was released on 2015-03-02 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prehospital Management of Acute STEMI: Practical Approaches and International Strategies for Early Intervention, the second volume in the Cardiovascular Team Approach Series, discusses the importance of coordinated prehospital care of STEMI with a practical focus on early detection and early intervention. Topics include: ECG acquisition and STEMI specific interpretationTelemedicine and regional triage centersThe increasingly important role of nurses and paramedic personnel Additionally, gain an international perspective as authors from multiple countries discuss their experiences with diverse systems that manage prehospital STEMI recognition and care.

Acute Coronary Syndrome

Author :
Publisher : Cardiotext Publishing
ISBN 13 : 1935395386
Total Pages : 154 pages
Book Rating : 4.9/5 (353 download)

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Book Synopsis Acute Coronary Syndrome by :

Download or read book Acute Coronary Syndrome written by and published by Cardiotext Publishing. This book was released on 2017-03-01 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute Coronary Syndrome: Urgent and Follow-up Care is a must-read for all those involved in the care of ACS, including EMS, nurses, advanced practice providers as well as physicians. This book not only reviews the causes of ACS, but also provides evidence-based acute and follow-up treatment recommendations that incorporate the perspectives of all those involved in the care of these patients. Epidemiology, pathophysiology, and outcomes of acute coronary syndromesThe role of EMS in the triage of the ACS patientEvaluation and treatment of the ACS patient in the emergency departmentPharmacologic management of the ACS patientFollow-up care of the ACS patientThe role of the team in carrying out successful guideline-driven care

Heart Disease: A Multidisciplinary Approach, E-Book

Author : Joel J. Heidelbaugh
Publisher : Elsevier Health Sciences
ISBN 13 : 0443129401
Total Pages : 441 pages
Book Rating : 4.4/5 (431 download)

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Book Synopsis Heart Disease: A Multidisciplinary Approach, E-Book by : Joel J. Heidelbaugh

Download or read book Heart Disease: A Multidisciplinary Approach, E-Book written by Joel J. Heidelbaugh and published by Elsevier Health Sciences. This book was released on 2023-04-24 with total page 441 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinics Collections: Heart Disease draws from Elsevier's robust Clinics Review Articles database to provide multidisciplinary teams, including cardiologists, surgeons, endocrinologists, and pediatricians, with practical clinical advice on this highly prevalent disease and its comorbidities. Clinics Collections: Heart Disease guides readers on how to apply current best practices in the treatment of depression to everyday practice to help overcome patient challenges and complications, keep up with new and advanced treatment methods, and improve patient outcomes. - Areas of focus include treatment of heart disease in pediatric and adult care, geriatric patients, and special populations. - Each article begins with keywords and key points for immediate access to the most critical information. - Articles are presented in an easy-to-digest and concisely worded format.

Outcome Assessment in Advanced Practice Nursing

Author : Ruth M. Kleinpell
Publisher : Springer Publishing Company
ISBN 13 : 9780826116291
Total Pages : 298 pages
Book Rating : 4.1/5 (162 download)

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Book Synopsis Outcome Assessment in Advanced Practice Nursing by : Ruth M. Kleinpell

Download or read book Outcome Assessment in Advanced Practice Nursing written by Ruth M. Kleinpell and published by Springer Publishing Company. This book was released on 2004-01-15 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides up-to-date resources and examples of outcome measures, tools and methods that can be used by APNs in their quest to keep pace with new developments in the rapidly expanding field of outcome measurement. The chapter authors, recognized expert practitioners, offer invaluable insight into the process of conducting outcomes assessments in all APN practice, including the clinical nurse, nurse practitioner, certified registered nurse anesthetist and certified nurse midwife practice specialties. Detailed figures, tables, and examples of outcome studies from actual research in APN practice make this an essential resource for evaluating the true impact the advanced practice nurse has on the delivery and fulfillment of care.

Registries for Evaluating Patient Outcomes

Author : Agency for Healthcare Research and Quality/AHRQ
Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 385 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Oxford Textbook of Heart Failure

Author : Roy S. Gardner
Publisher : Oxford University Press
ISBN 13 : 0199577722
Total Pages : 660 pages
Book Rating : 4.1/5 (995 download)

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Book Synopsis Oxford Textbook of Heart Failure by : Roy S. Gardner

Download or read book Oxford Textbook of Heart Failure written by Roy S. Gardner and published by Oxford University Press. This book was released on 2011-07-14 with total page 660 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by internationally renowned leaders in their field and relevant to all practicing clinicians, this textbook comprehensively covers all aspects of heart failure, and suggests the optimal evidence-based management for heart failure patients.

Acute Heart Failure

Author : Alexandre Mebazaa
Publisher : Springer Science & Business Media
ISBN 13 : 1846287820
Total Pages : 922 pages
Book Rating : 4.8/5 (462 download)

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Book Synopsis Acute Heart Failure by : Alexandre Mebazaa

Download or read book Acute Heart Failure written by Alexandre Mebazaa and published by Springer Science & Business Media. This book was released on 2009-12-24 with total page 922 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many years, there has been a great deal of work done on chronic congestive heart failure while acute heart failure has been considered a difficult to handle and hopeless syndrome. However, in recent years acute heart failure has become a growing area of study and this is the first book to cover extensively the diagnosis and management of this complex condition. The book reflects the considerable amounts of new data reported and many new concepts which have been proposed in the last 3-4 years looking at the epidemiology, diagnostic and treatment of acute heart failure.

Risk Factors in Atrial Fibrillation: Appraisal of AF Risk Stratification, An Issue of Cardiac Electrophysiology Clinics, E-Book

Author : Mohammad Shenasa
Publisher : Elsevier Health Sciences
ISBN 13 : 0323827756
Total Pages : 297 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Risk Factors in Atrial Fibrillation: Appraisal of AF Risk Stratification, An Issue of Cardiac Electrophysiology Clinics, E-Book by : Mohammad Shenasa

Download or read book Risk Factors in Atrial Fibrillation: Appraisal of AF Risk Stratification, An Issue of Cardiac Electrophysiology Clinics, E-Book written by Mohammad Shenasa and published by Elsevier Health Sciences. This book was released on 2021-01-30 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Cardiac Electrophysiology Clinics, Guest Edited by Drs. Mohammad Shenasa, Prashanthan Sanders, and Stanley Nattel, is dedicated to Risk Factors in Atrial Fibrillation: Appraisal of AF Risk Stratification. This is one of four issues selected each year by the series Consulting Editors, Ranjan K. Thakur and Andrea Natale. Topics include, but are not limited to, Epidemiology of Atrial Fibrillation; Hypertension, Prehypertension, Hypertensive Heart Disease and Atrial Fibrillation; Pulmonary Disease, Pulmonary Hypertension and Atrial Fibrillation; Heart Failure with Preserved (HFpEF) and Reduced (HFrEF) LV Systolic Function, Diastolic Dysfunction; Coronary Artery Disease; ECG and Echo Abnormalities in Patients with Atrial Fibrillation Risk Factors; Diabetes and Endocrine Disorders; Obesity and Metabolic Syndrome in Atrial Fibrillation; Renal Disease; Sleep Apnea and Atrial Fibrillation; Channelopathies in Atrial Fibrillation; Implications of Inflammation and Myocardial Fibrosis in Atrial Fibrillation; Role of Biomarkers in Atrial Fibrillation; Left Ventricular Hypertrophy and Other Cardiomyopathies in Atrial Fibrillation; Atrial Fibrillation in Valvular Heart Disease; Atrial Fibrillation in Adult Congenital Heart Disease; Exercise and Athletic Activity in Atrial Fibrillation; Post-op Atrial Fibrillation; Autonomic Dysfunction and Neurohormonal Disorders in Atrial Fibrillation; Social Risk Factors; Atrial Fibrillation and Stroke; Screening for Atrial Fibrillation Risk Factors; Primary Care and Internists Perspective on Atrial Fibrillation Risk Factors; and Lifestyle as a Risk Factor for Atrial Fibrillation.

Diagnosis and Management of Pediatric Nephrolithiasis

Author : Neil J. Paloian
Publisher : Springer Nature
ISBN 13 : 3031075943
Total Pages : 251 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Diagnosis and Management of Pediatric Nephrolithiasis by : Neil J. Paloian

Download or read book Diagnosis and Management of Pediatric Nephrolithiasis written by Neil J. Paloian and published by Springer Nature. This book was released on 2022-08-22 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a concise, yet comprehensive overview of pediatric nephrolithiasis. The text covers the epidemiology and pathophysiology of pediatric stone disease, describes the appropriate workup for children with nephrolothiasis, and reviews strategies for managing the disease and preventing stone recurrence. Examples of complex cases of pediatric stone disease are also presented in the book. Written by experts in the field, Diagnosis and Management of Pediatric Nephrolithiasis is an essential guide for medical providers who care for pediatric patients with nephrolithiasis.

Cardiac Nursing E-Book

Author : Debra K. Moser
Publisher : Elsevier Health Sciences
ISBN 13 : 1437735592
Total Pages : 1440 pages
Book Rating : 4.4/5 (377 download)

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Book Synopsis Cardiac Nursing E-Book by : Debra K. Moser

Download or read book Cardiac Nursing E-Book written by Debra K. Moser and published by Elsevier Health Sciences. This book was released on 2007-08-08 with total page 1440 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac Nursing: A Companion to Braunwald's Heart Disease is the only comprehensive text available for cardiac nurses. This brand-new reference emphasizes both evidence-based practice and hands-on care in a high-tech, high-touch approach that meets the high-stakes needs of cardiac and critical care nurses. What's more, the book makes the material easily accessible by using clear language, straightforward text, and plenty of illustrations, lists, and tables. This book is the third in a series of companion texts for Braunwald's Heart Disease and the first specifically for nurses. - Authored by the widely published, well-known co-editors of The Journal of Cardiovascular Nursing--two leaders in cardiac nursing. - Endorsed by the authors of Braunwald's Heart Disease, including Eugene Braunwald, the physician considered by many to be the "father of modern cardiology." - Evidence-based Practice boxes highlight research-supported advances in knowledge and care practices. - Conundrum boxes helps readers hone their critical thinking skills by tackling tough questions for which there may be no easy answers. - Technology boxes keeps readers up to date with the latest technological advances. - Genetics boxes helps readers understand connections between genes and heart disease. - Pharmacology tables present important drug-related information at a glance. - A guide to cardiac abbreviations and acronyms gives nurses quick access to essential information.

Hematology E-Book

Author : Ronald Hoffman
Publisher : Elsevier Health Sciences
ISBN 13 : 0323733891
Total Pages : 2886 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Hematology E-Book by : Ronald Hoffman

Download or read book Hematology E-Book written by Ronald Hoffman and published by Elsevier Health Sciences. This book was released on 2022-10-27 with total page 2886 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extensively revised, comprehensive content from leading global contributors ensures that Hematology, 8th Edition, remains your #1 choice for expert guidance in all areas of this rapidly advancing subspecialty. This edition reflects the numerous advances that are redefining the field and dramatically influencing new approaches to diagnosis, treatment, and outcomes. Well-illustrated and clinically focused, it details the basic science and clinical practice of hematology and hematopoietic cellular therapy—covering virtually all aspects of hematology in one definitive resource. - Covers all hematologic disorders, including comprehensive discussions of hematologic malignancies, individualized patient care, cell-based therapies, transplantation, transfusion medicine, hemostasis, thrombosis, and consultative hematology—in one convenient volume. - Provides state-of-the-art guidance from global experts at the forefront of the latest research and clinical practice. - Provides extensive updates throughout on basic science research, advances in molecular diagnostics, new drugs, immunotherapies, personalized medicine, laboratory medicine, transfusion medicine, stem cell transplantation, and clinical treatment for all hematologic malignancies and non-malignancies - Contains new chapters on gene editing; the impact of mitochondria on hematopoiesis; myelodysplastic syndrome/myeloproliferative neoplasm overlap syndromes; immunotherapy and management of its toxicities; transfusion medicine in sickle cell disease; principles of radiation therapy; and COVID-19, including complications of vaccination and its impact on the hematologic system. - Discusses many new advances in the field, including details and the future of gene therapy for hemophilia, gene editing for sickle cell disease and thalassemia, the evolution of cellular therapy, use of cells, transfusion medicine vs. protein therapy, gene sequencing, immunotherapy, and new targeted drugs. - Includes more decision-making algorithms for formulating diagnoses and personalized treatment plans for those highly complex disorders that require individualized approaches. - Addresses the effects of aging on hematopoiesis and on the manifestations of a variety of hematologic disorders. - Discusses cardio-oncology and its impact on the treatment of patients with hematologic disorders. - Presents relevant basic science as background for clinical application in later sections. - An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

Interventional Cardiac Electrophysiology

Author : Ralph J. Damiano, Jr., MD, FACC, FACS
Publisher : Cardiotext Publishing
ISBN 13 : 193539584X
Total Pages : 1046 pages
Book Rating : 4.9/5 (353 download)

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Book Synopsis Interventional Cardiac Electrophysiology by : Ralph J. Damiano, Jr., MD, FACC, FACS

Download or read book Interventional Cardiac Electrophysiology written by Ralph J. Damiano, Jr., MD, FACC, FACS and published by Cardiotext Publishing. This book was released on 2015-05-15 with total page 1046 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interventional Cardiac Electrophysiology is the first and only comprehensive, state-of-the-art textbook written for practitioners in multiple specialties involved in the care of the arrhythmia patient. Encompassing the entire field of interventional therapy for cardiac rhythm management, from basic science to evidence-based medicine to future directions, topics include: Technology and Therapeutic Techniques – EP techniques; imaging and radiologic technology; device and ablation technology; drug therapy.Interventional Electrophysiologic Procedures – Diagnostic and physiologic EP techniques; mapping in percutaneous catheter and surgical EP procedures; catheter and surgical ablation; device implantation and management.Clinical Indications and Evidence-based Outcomes Standards – For medical and surgical EP interventions for arrhythmias.New Directions in Interventional Electrophysiology – Hybrid therapy for atrial and ventricular arrhythmias and staged therapy. This book will be essential reading for clinicians and researchers that form the health care team for arrhythmia patients: cardiologists, adult and pediatric clinical electrophysiologists, interventional electrophysiologists, cardiac surgeons practicing arrhythmia surgery, allied health care professionals, pharmacologists, radiologists and anesthesiologists evaluating arrhythmia patients, and basic scientists from the biomedical engineering and experimental physiology disciplines. Professor Sanjeev Saksena has been involved in this arena for over three decades and has brought his experience to this textbook, assembling editorial leadership from medical and surgical cardiology to provide a global perspective on fundamentals of medical practice, evidence-based therapeutic practices, and emerging research in this field. This book includes 95 videos.

Diagnosis and Treatment of Mitral Valve Disease - E-book

Author : Scott Goldman
Publisher : Elsevier Health Sciences
ISBN 13 : 032382479X
Total Pages : 355 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Diagnosis and Treatment of Mitral Valve Disease - E-book by : Scott Goldman

Download or read book Diagnosis and Treatment of Mitral Valve Disease - E-book written by Scott Goldman and published by Elsevier Health Sciences. This book was released on 2022-07-22 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: The only reference wholly dedicated to this complex topic, Diagnosis and Treatment of Mitral Valve Disease: A Multidisciplinary Approach provides authoritative, must-have information on the disease processes affecting the mitral valve, interpretation of diagnostic studies, and medical, transcatheter, and surgical treatments needed for mitral valve repair. Using a multidisciplinary approach, Drs. Scott Goldman and William Gray oversee a "who's who team of contributing authors who offer a holistic view of the modern treatment of mitral valve disease for today's cardiac surgeons, cardiologists, and other cardiac team members. - Includes foundational chapters on anatomy and pathophysiology of the mitral valve—critically important topics when treating multiple complex and highly dynamic structures that function as a single unit. - Covers diagnostic tools, medical treatments, surgical therapies, and transcatheter therapies, and provides tips for developing a successful mitral valve program (with baseline thresholds, common pitfalls, and a checklist for hospitals). - Uses an accessible, quick-reference format that features takeaway chapter openers, bulleted key points, end-of-chapter summaries, a common nomenclature and glossary of terms, key references, and ample line drawings, photographs, tables, charts, and graphs throughout. - Incorporates the essential role of imaging in structural transcatheter interventions, including echocardiography and transcatheter edge-to-edge repair (TEER), and their uses in diagnostic work-up, procedural planning, intra-procedural guidance, and follow-up. - Features dozens of procedural videos, including transthoracic echocardiogram; cardiac MRI for mitral regurgitation; transcatheter mitral valve repair; transcatheter valvuloplasty; percutaneous mitral valve interventions; MitraClipTM positioning; and many more. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Geriatric Medicine

Author : Christine K. Cassel
Publisher : Springer Science & Business Media
ISBN 13 : 0387226214
Total Pages : 1282 pages
Book Rating : 4.3/5 (872 download)

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Book Synopsis Geriatric Medicine by : Christine K. Cassel

Download or read book Geriatric Medicine written by Christine K. Cassel and published by Springer Science & Business Media. This book was released on 2006-05-29 with total page 1282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the publication of the third edition of Geriatric Medicine,extraordinary advances have occurred in the science of aging and the potential for biomedical research to give us answers to many, if not most, of the age-related disorders that threaten the quality of life in older years. At the most basic level, the successful mapping of the human genome was declared complete in the fall of 2000. Understanding the map of the human genome is as important as understanding the map of genomes of important laboratory species, ranging from the microscopic worms and fruit?ies used in most classic genetic studies to rodents such as laboratory mice, and eventually to primates, on which much of the research on the aging human brain is done. The genetic maps of all of these species,including our own,does not answer clinical questions,but it does open the door to dramatic, rapid, and ef?cient answers to questions about the genetic polymorphisms related to diseases in humans. The telomerase story also unfolded since the third edition. Telomerase is an enzyme responsible for maintaining the telomeres—the redundant DNA portions at the end of chromosomes—whose shortening seems to be linked directly to cell senescence,ap- tosis,and the control over cell death,which,at the level of the individual cell,seems to be linked to the decline of organ function and eventually aging and death within the org- ism.