Treating Opioid Addiction (Current Clinical Psychiatry)

Treating Opioid Addiction (Current Clinical Psychiatry)

This book addresses opioids and opioid use disorders from epidemiological, clinical, and public health perspectives. It covers detailed information on the nature of opioids, their effects on the human body and brain, prevention, and treatment of opioid addiction.  Unlike other texts, the first section of this volume builds a strong historical, neurobiological, and phenomenological foundation for a deep understanding of the topic and the patient.  The second section addresses the most challenging issues clinicians face, including pharmacological and psychosocial treatments, harm reduction approaches, alternative approaches to pain management for the non-specialist, and prescribing guidelines.

Treating Opioid Addiction is a valuable resource for psychiatrists, psychologists, addiction medicine physicians, primary care physicians, drug addiction counselors, students, trainees, scholars, and public health officials interested in the effects and impact of opioids in the clinical and epidemiological context.

 

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Substance Use and the Acute Psychiatric Patient: Emergency Management (Current Clinical Psychiatry)

Substance Use and the Acute Psychiatric Patient: Emergency Management (Current Clinical Psychiatry)

This book fills a gap in the existing medical literature by providing a best-practice approach to the evaluation and acute treatment of patients presenting for emergency care with identifiable substance use and/or co-occurring psychiatric disorders. As the first interdisciplinary book to integrate psychiatric and emergency care, the text uniquely covers a myriad of serious medical conditions, acute mental status and dangerous behavioral abnormalities. The book focuses on guidelines that support emergency room physicians with little formal medical training in addiction medicine. The first section focuses on the diagnosis and management of substance-specific intoxication and withdrawal states, as well as common medical co-morbidities and disposition considerations. The book lends particular attention to the identification and stabilization of high risk medical conditions associated with each substance of abuse. The second section is psychiatrically focused, addressing the most common psychiatric symptoms and syndromes, their association with SUDs, an approach to differential diagnosis, and discussion of crucial treatment considerations for both safe ED management and post-ED disposition. A final section includes other pertinent topics, for example, the assessment of patient safety, responding to the medication-seeking patient, assessment and treatment of pregnant patients and working with adolescents and their families around substance use.Substance Use and The Acute Patient is a unique and valuable contribution to the literature for both consulting psychiatrists, emergency medicine specialists, addiction medicine specialists, and all other medical professionals who provide care for these most complex and underserved patients.

 

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Endoscopic Biopsy Interpretation: A Practical Guide

Endoscopic Biopsy Interpretation: A Practical Guide

The volume of endoscopic biopsies being performed continues to grow rapidly and they now represent one of the most common specimens encountered in routine surgical pathology practice. It is essential to maintain the balance between the speed and accuracy while integrating emerging sophisticated pathology techniques into endoscopic biopsies in routine practice. Microscopic appearance is virtually diagnostic of certain diseases. In others a diagnosis may be rendered only after correlating the microscopic pattern with clinical clues aided by ancillary tests.

 

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Non-Neuronal Mechanisms of Brain Damage and Repair After Stroke

Non-Neuronal Mechanisms of Brain Damage and Repair After Stroke

This book provides a comprehensive overview of the latest research in the role of non-neuronal cells – astrocytes, oligodendrocytes, endothelial cells, pericytes, microglia, and other immune cells in ischemic brain injury and long-term recovery. In these cases, neurodegeneration and brain repair are controlled in a sophisticated system, incorporating interactions between different cell types and cellular systems. Also explored are the therapeutic strategies that target non-neuronal responses after stroke and their translational potentials.

 

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Cerebral Venous System in Acute and Chronic Brain Injuries

Cerebral Venous System in Acute and Chronic Brain Injuries

Provides important information from anatomy to pathophysiology and covers most neurological disorders that involve venous circulation. Venous circulation has not been extensively studied and we know relatively little about cerebral venous circulation. Venous circulation contributes to half of the brain circulation and about 70% of the blood in the brain is venous blood. Veins and venules play extremely important roles in brain circulation especially during pathologies such as brain edema, BBB disruption, elevation of intracranial pressure during and after ischemic and hemorrhagic stroke events, traumatic brain injury, neurodegerative disorders, in adults and newborns. Occlusion of veins or sinuses by thrombus, compression of veins and venules by tumor and edematous tissues, elevation of venous pressure during cranial hypertension, all lead to fatal insults such as venous infarction and hemorrhage.

 

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Therapeutic Intranasal Delivery for Stroke and Neurological Disorders

Therapeutic Intranasal Delivery for Stroke and Neurological Disorders

The blood-brain-barrier serves to encapsulate and protect the central nervous system, but it also presents a major barricade to therapeutic drug delivery. Poor penetration is the most common hurdle to translating a promising experimental therapy that uses invasive delivery methods to a clinically useful application. In the last 10 years, intranasal delivery of various therapeutic compounds including small chemicals, large proteins, and even stem cells has proven to be very effective in bypassing the blood-brain-barrier and has led to some important advances in translational research for stroke and other neurological diseases. The proposed book will bring together reports from various labs around the world who have had successes in pre-clinical studies of intranasal therapies for various diseases including adult and perinatal stroke, Alzheimer’s, Parkinson’s, and others.

 

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Congenital Heart Disease and Adolescence (Congenital Heart Disease in Adolescents and Adults)

Congenital Heart Disease and Adolescence (Congenital Heart Disease in Adolescents and Adults)

This book provides medical care givers with detailed information on those aspects of adolescence that are of significance in the setting of congenital heart disease (CHD), from anatomic and physiologic changes to behavioral issues. In addition, it explains how care should be organized in order to ensure that the needs of adolescents with CHD are fully met. Both theoretical and practical aspects of the switch from a pediatric to an adult health perspective in CHD patients are outlined in detail, drawing attention to the importance of a structured transition plan and other best practices. As the survival of children with complex CHD improves further, the number of adolescents with CHD will continue to grow. Awareness of the challenges that these patients face is essential if they are to be appropriately prepared to assume adult roles and functioning. Readers will find Congenital Heart Disease and Adolescence to be an excellent source of relevant knowledge and guidance. It has been written for a broad audience, bearing in mind that care in adolescents is an interdisciplinary task involving close collaboration among physicians, specialists, nurses, patients, and relatives.

 

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Echocardiography in Pediatric and Adult Congenital Heart Disease Second Edition

Echocardiography in Pediatric and Adult Congenital Heart Disease Second Edition

Effectively evaluate congenital heart disorders with Echocardiography in Pediatric and Adult Congenital Heart Disease ! Expert clinicians at the Mayo Clinic and other leading institutions provide a comprehensive review of echocardiographic evaluation and diagnosis of congenital heart disease in both pediatric and adult patients. Covering the full range of congenital abnormalities as well as valve prostheses and the transplanted heart, this respected cardiology reference provides you with all the state-of-the-art knowledge you need to successfully assess challenging cardiac lesions and defects.
Features:

  • Obtain the maximum diagnostic value from all of the latest imaging approaches , including tissue Doppler, three-dimensional echocardiography, intracardiac and intraoperative transesophageal echocardiography, and cardiac magnetic resonance imaging and MR angiography.
  • Master new strategies for evaluating interventional and VAD patients, performing functional assessments of the left and right ventricle, and much more.
  • Update and expand your clinical skills with new chapters on Systemic Diseases, Interventional Echocardiography in Congenital Heart Disease, and Echo Assessment of Mechanical Circulatory Support , plus extensive updates throughout.
  • Visualize the full gamut of echocardiographic findings with the aid of more than 1,300 illustrations , over 900 in full color, as well as over 300 online video clips.
  • Interpret findings with greater ease thanks to an increased number of correlative anatomic images.
  • Find and apply information quickly via concise, practical, accessible chapters.
  • Test your knowledge with multiple-choice questions, only available in the eBook , testing comprehension of the main principles from each chapter

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Pregnancy and Congenital Heart Disease (Congenital Heart Disease in Adolescents and Adults)

Pregnancy and Congenital Heart Disease (Congenital Heart Disease in Adolescents and Adults)

This book describes the risks facing patients with congenital heart disease who wish to become pregnant and the ways in which these patients can best be followed and treated during pregnancy. In addition, the organization of care around the delivery is discussed in detail. The first section provides clear advice on pre-pregnancy risk estimation, counseling of patients, medication use, and inheritance. The specific risks associated with congenital heart defects of differing severity are then explained, with guidance on monitoring and management. The coverage includes simple lesions such as atrial and ventricular septal defects, conditions associated with moderate risk, including tetralogy of Fallot and coarctation, and complex disease such as a Fontan or Mustard repair. The final section is devoted to delivery and considers the mode of delivery, anesthetic use, and postpartum care. Readers will find much information that is underreported in the literature, and the book goes well beyond the European Society of Cardiology guidelines, for example, by considering medical conditions not defined as high risk and addressing the organization of care thoroughly.

 

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Pulmonary Hypertension in Adult Congenital Heart Disease (Congenital Heart Disease in Adolescents and Adults)

Pulmonary Hypertension in Adult Congenital Heart Disease (Congenital Heart Disease in Adolescents and Adults)

This book is intended as a comprehensive, practically oriented reference on pulmonary hypertension within the context of adult congenital heart disease (ACHD). After an introductory chapter on pathophysiology, the various types of pulmonary hypertension that may be encountered in ACHD are discussed, highlighting the specifics observed within different patient categories. The diagnostic approach is then addressed in detail, and the last section of the book is devoted to management options, from conservative approaches to interventional treatment and the concept of treat and repair. Management in specific patient subjects, such as pregnant women, Fontan patients, and Down syndrome patients with Eisenmenger syndrome, is fully discussed, and guidance is also provided on palliative care.
Pulmonary arterial hypertension related to congenital heart disease (PAH-CHD), despite significant similarities in lung pathohysiology, differs significantly from other types of PAH in terms of mechanism of onset, natural history and management. Mistakes and pitfalls in the management of patients with PAH-CHD are often related to a lack of knowledge or expertise in this condition. Pulmonary Hypertension in Adult Congenital Heart Disease will be a valuable resource and learning tool for all who care for patients with ACHD, both in tertiary practice and general cardiology.

 

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