General surgeons

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  • By the turn of the nineteenth century medicine had become so complicated that there started to emerge physicians who were medical doctors and those who were surgical doctors. Further divisions rapidly ensued. In the twentieth century, and particularly by the completion of the two great World Wars, medical physicians had expanded to include general practitioners, pediatricians, internists, psychiatrists, neurologists, cardiologists, respirologist, rheumatologists, endocrinologists, nephrologists, gerontologists, gastroenterologists, etc, etc.

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  • In recent years, technology has revolutionized the practice of surgery. As part of this change, surgeon-performed ultrasound has become one of the most integral parts of the surgeon’s clinical practice. It is not surprising to observe this current surge of interest in ultrasound by general surgeons because surgeons are highly motivated to provide the best possible care for their patients, including the use of the latest technologic advances in diagnosis and treatment.

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  • The last few years have seen great changes in surgical postgraduate examinations. The ‘old style’ FRCS of the Royal Colleges has been replaced by the MRCS. The FRCS (Gen) is now awarded as a Diploma after an exit examination, on completion of higher surgical training. This book is primarily aimed at the basic surgical trainee (BST) who should use it for revision before the MRCS in General Surgery and perhaps to a lesser extent in Accident & Emergency.

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  • Endometriosis is a common gynaecological condition that sometimes presents to general surgeons as a lump in the abdomen. It can pose a diagnostic dilemma and should be in the differential diagnosis of lumps in the abdomen in females. Diagnosis is usually made on histology. We discuss a case of recurrent abdominal wall endometriosis following caesarian section. The incidence, pathophysiology, course, diagnosis, treatment and prevention of this condition are also reviewed.

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  • Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: If the data contradict the theory, throw out the data: Nicotine addiction in the 2010 report of the Surgeon General

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  • Obesity in America, and indeed in the world, is reaching epidemic proportions. At this writing, more than 65 percent of American adults and nearly one-quarter of our children are overweight or obese. Data from the surgeon general’s office have linked more than four hundred thousand premature deaths annually to the direct health effects of obesity (second only to smoking)—and the numbers continue to climb.

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  • Introduction: Datura metel a (jimsonweed) is a plant belonging to the Solanacea family; and contains tropane alkaloids (belladonna alkaloids), such as atropineb (dl-hyoscyamine) and hyoscine (dl-scopolamine), in its seeds and every part of the plant. Its seeds and leaves have long been being used as a folk medicine in Japan. Seishu Hanaoka, a Japanese surgeon, first used this plant for general anaesthesia in 1804.

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  • Anatomy is gradually disappearing from the medical curriculum. This is partly because the curriculum is overcrowded and something has to go. It is also because medical education assumes that anatomy’s main value is for surgery and will be learnt later by beginning surgeons. Yet anatomy for surgery is, paradoxically, the least of the reasons for doctors to know anatomy.There is, thus, a minor “surgery” of general practice that requires anatomy in situations where it cannot be“looked up.”...

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  • Hepatobiliary Surgery is a technical manual and not a textbook. Although some chapters are robust in their discussion of anatomic and physiologic detail, others are written in a purely “how to” style. At its core, the book is written as a reference and guidebook for practicing surgeons, gastroenterologists, and interventional radiologists with an interest in hepatobiliary diseases.

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  • Much has happened since this Manual was last revised, and many surgical lessons have been learned in the hard school of war. Some may yet have to be unlearned, and others have but little bearing on the problems presented to the civilian surgeon. Save in its broadest principles, the surgery of warfare is a thing apart from the general surgery of civil life, and the exhaustive literature now available on every aspect of it makes it unnecessary that it should receive detailed consideration in a manual for students.

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  • Highlights in Skincancer is a companion handbook published expressly for all the practitionners who are interested in skin cancers: medical oncologists and dermatologists but also residents, general practitionners, surgeons, plastic surgeons. The book is designed to teach new aspects of skincancers in the context of practical clinical settings. Each topic is an expert view of a specific skincancer field.

    pdf308p haiduong_1 24-04-2013 37 8   Download

  • You likely have a general concept of what accountants do. They capture information about the transactions and events of a business, and summarize that activity in reports that are used by persons interested in the entity. But, you likely do not realize the complexity of accomplishing this task. It involves a talented blending of technical knowledge and measurement artistry that can only be fully appreciated via extensive study of the subject.

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  • For much of the early history of medicine, the heart was considered to be the most sacred and mystical of all human organs. As a General Pediatrician, I tend to expect that the children I care for will have strong, properly functioning hearts. However, in situations where the heart is congenitally malformed or affected by inflammation or myopathy, it is reassuring and important to have a pediatric cardiologist and cardiac surgeon at my side to help me with decisions about further diagnostic testing and imaging, instituting medical therapy, and assessing the need for surgical intervention....

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  • Ngành y tế của các quốc gia kỹ nghệ nói chung đang đối đầu thường xuyên với tình trạng cần phải gia tăng ngân sách sức khỏe một cách liên tục. Để giải thích, các nhà khoa học cho biết rằng, có thể có rất nhiều nguyên nhân dẫn đến tình trạng trên, chẳng hạn như sự kiện con người càng ngày càng sống lâu hơn xưa, cho nên càng về già thì bệnh tật cũng phải nhiều hơn so với lúc trước... Gần đây, Tổ chức Y tế Thế giới WHO và US Surgeon General, có đưa ra...

    pdf4p genius111 26-04-2011 43 3   Download

  • Cranial nerves are involved in head and neck function, and processes such as eating, speech and facial expression. This clinically oriented survey of cranial nerve anatomy and function was written for students of medicine, dentistry and speech therapy, but will also be useful for postgraduate physicians and general practitioners, and specialists in head and neck healthcare (surgeons, dentists, speech therapists, etc.). After an introductory section surveying cranial nerve organization and tricky basics such as ganglia, nuclei and brain stem...

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  • The need for reconstruction of the torn anterior cruciate ligament (ACL) in the active patient is not controversial. There are, however, many other aspects of ACL reconstruction that are widely debated. Examples of the topics under discussion include type of graft, single or double bundle, type of fixation, and graft healing. This issue of Clinics in Sports Medicine reviews some of the most common topics of discussion for surgeons performing ACL reconstruction. Specifically, this issue reviews the variety of grafts most commonly used.

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  • The efforts of public health agencies at the federal, state, and local levels to prepare for what could happen in the future are largely invisible until there is an emerging threat, such as the recent SARS outbreak, or a dramatic event, such as the anthrax attacks of 2001. Through this effort, the U.S. Department of Health and Human Services (HHS) intends to provide the best available and most essential up-to-date health-related facts and background information that will be needed in the event of a terrorist attack or public health emergency.

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  • According to the Office of the Surgeon General, seven of ten Americans die each year from a preventable chronic disease such as heart disease, diabetes and many forms of cancer. In addition to the high morbidity of chronic disease, there is an associated high economic cost. For instance, health care spending in the United States reached $2.3 trillion last year, which is 16% of the country’s gross domestic product. As much of this cost is due to treating chronic disease, the Office of the Surgeon General has declared that disease prevention is its number one priority.

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  • Nutrition is taught in each and every grade from kindergarten through tenth grade in over 90 percent of all public schools; it is taught in eleventh and twelfth grades in over 80 percent of schools (figure 1 and table 2). These statistics do not reflect the proportion of students participating at each grade level, but give a broad overview of nutrition education offerings. The percent of schools with nutrition education requirements is substantially lower at each grade level than the percent of schools that teach nutrition.

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  • Daily or thrice-weekly interactions with patients for directly observed treatment offer many opportunities for health education. At every visit, health workers need to show a welcoming and supportive attitude so that patients will be willing to return for the next treatment. Patient education is very important in the intensive phase of treatment. However, it is vital to a successful treatment outcome that patient education be an ongoing process throughout the duration of treatment. ...

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