Clinical Infections Diseases Volume 51 Supplement 1 August 1, 2010

Supplement Articles

Executive Summary

o John G. Bartlett,

o Philip S. Barie,

o Michael S. Niederman,

o and Richard G. Wunderink

Workshop on Clinical Trials of Antibacterial Agents for Hospital-Acquired Pneumonia and Ventilator-Associated Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S1-S3 doi:10.1086/653066

o Brad Spellberg, George Talbot, and for the Infectious Diseases Society of America, American College of Chest Physicians, American Thoracic Society, and Society of Critical Care Medicine

Recommended Design Features of Future Clinical Trials of Antibacterial Agents for Hospital-Acquired Bacterial Pneumonia and Ventilator-Associated Bacterial Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S150-S170 doi:10.1086/653065

o Steven L. Barriere

Challenges in the Design and Conduct of Clinical Trials for Hospital-Acquired Pneumonia and Ventilator-Associated Pneumonia: An Industry Perspective

Clin Infect Dis. (2010) 51(Supplement 1): S4-S9 doi:10.1086/653033

o David N. Gilbert

Scenario 1: A Patient with Hospital-Acquired Bacterial Pneumonia—Introduction to Clinical Trial Design Issues

Clin Infect Dis. (2010) 51(Supplement 1): S10-S11 doi:10.1086/653034

o Michael S. Niederman

Hospital-Acquired Pneumonia, Health Care-Associated Pneumonia, Ventilator-Associated Pneumonia, and Ventilator-Associated Tracheobronchitis: Definitions and Challenges in Trial Design

Clin Infect Dis. (2010) 51(Supplement 1): S12-S17 doi:10.1086/653035

o John H. Powers

Recommendations for Improving the Design, Conduct, and Analysis of Clinical Trials in Hospital-Acquired Pneumonia and Ventilator-Associated Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S18-S28 doi:10.1086/653036

o Marin H. Kollef

Review of Recent Clinical Trials of Hospital-Acquired Pneumonia and Ventilator-Associated Pneumonia: A Perspective from Academia

Clin Infect Dis. (2010) 51(Supplement 1): S29-S35 doi:10.1086/653037

o Alfred Sorbello,

o Scott Komo,

o Thamban Valappil,

o and Sumati Nambiar

Registration Trials of Antibacterial Drugs for the Treatment of Nosocomial Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S36-S41 doi:10.1086/653038

o Thomas M. File, Jr.

Recommendations for Treatment of Hospital-Acquired and Ventilator-Associated Pneumonia: Review of Recent International Guidelines

Clin Infect Dis. (2010) 51(Supplement 1): S42-S47 doi:10.1086/653048

o Antoni Torres,

o Miquel Ferrer,

o and Joan Ramón Badia

Treatment Guidelines and Outcomes of Hospital-Acquired and Ventilator-Associated Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S48-S53 doi:10.1086/653049

o Jean Chastre and

o Charles-Edouard Luyt

Other Therapeutic Modalities and Practices: Implications for Clinical Trials of Hospital-Acquired or Ventilator-Associated Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S54-S58 doi:10.1086/653050

o Donald E. Craven and

o Karin I. Hjalmarson

Ventilator-Associated Tracheobronchitis and Pneumonia: Thinking Outside the Box

Clin Infect Dis. (2010) 51(Supplement 1): S59-S66 doi:10.1086/653051

o Lena M. Napolitano

Use of Severity Scoring and Stratification Factors in Clinical Trials of Hospital-Acquired and Ventilator-Associated Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S67-S80 doi:10.1086/653052

o Ronald N. Jones

Microbial Etiologies of Hospital-Acquired Bacterial Pneumonia and Ventilator-Associated Bacterial Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S81-S87 doi:10.1086/653053

o Jean Chastre,

o Jean-Louis Trouillet,

o Alain Combes,

o and Charles-Edouard Luyt

Diagnostic Techniques and Procedures for Establishing the Microbial Etiology of Ventilator-Associated Pneumonia for Clinical Trials: The Pros for Quantitative Cultures

Clin Infect Dis. (2010) 51(Supplement 1): S88-S92 doi:10.1086/653054

o Michael S. Niederman

The Argument against Using Quantitative Cultures in Clinical Trials and for the Management of Ventilator-Associated Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S93-S99 doi:10.1086/653055

o David N. Gilbert

Scenario 2: A Patient with Ventilator-Associated Bacterial Pneumonia—Introduction to Clinical Trial Design Issues

Clin Infect Dis. (2010) 51(Supplement 1): S100-S102 doi:10.1086/653056

o Paul G. Ambrose,

o Sujata M. Bhavnani,

o Evelyn J. Ellis Grosse,

o and George L. Drusano

Pharmacokinetic-Pharmacodynamic Considerations in the Design of Hospital-Acquired or Ventilator-Associated Bacterial Pneumonia Studies: Look before You Leap!

Clin Infect Dis. (2010) 51(Supplement 1): S103-S110 doi:10.1086/653057

o Cynthia F. Kleppinger and

o Leslie K. Ball

Building Quality in Clinical Trials With Use of a Quality Systems Approach

Clin Infect Dis. (2010) 51(Supplement 1): S111-S116 doi:10.1086/653058

o Katherine A. Laessig

End Points in Hospital-Acquired Pneumonia and/or Ventilator-Associated Pneumonia Clinical Trials: Food and Drug Administration Perspective

Clin Infect Dis. (2010) 51(Supplement 1): S117-S119 doi:10.1086/653059

o John G. Muscedere,

o Andrew Day,

o and Daren K. Heyland1

Mortality, Attributable Mortality, and Clinical Events as End Points for Clinical Trials of Ventilator-Associated Pneumonia and Hospital-Acquired Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S120-S125 doi:10.1086/653060

o Richard G. Wunderink

Surrogate Markers and Microbiologic End Points

Clin Infect Dis. (2010) 51(Supplement 1): S126-S130 doi:10.1086/653061

o Marya D. Zilberberg and

o Andrew F. Shorr

Ventilator-Associated Pneumonia: The Clinical Pulmonary Infection Score as a Surrogate for Diagnostics and Outcome

Clin Infect Dis. (2010) 51(Supplement 1): S131-S135 doi:10.1086/653062

o John S. Bradley

Considerations Unique to Pediatrics for Clinical Trial Design in Hospital-Acquired Pneumonia and Ventilator-Associated Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S136-S143 doi:10.1086/653063

o George H. Talbot

Considerations in Undertaking a Clinical Development Program for Hospital-Acquired Bacterial Pneumonia and/or Ventilator-Associated Bacterial Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S144-S149 doi:10.1086/653064

o John G. Bartlett,

o Richard G. Wunderink,

o Michael S. Niederman,

o and Philip S. Barie

Workshop on Issues in the Design of Clinical Trials for Antibacterial Drugs for Hospital-Acquired Pneumonia and Ventilator-Associated Pneumonia

Clin Infect Dis. (2010) 51(Supplement 1): S171 doi:10.1086/653067

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Liver and Biliary Disease

Editorial Reviews

Product Description

This comprehensive resource for fellows/trainees and candidates for recertification in gastroenterology summarizes the field in a modern, fresh format. Prominent experts from around the globe write on their areas of expertise, and each chapter follows a uniform structure. The focus is on key knowledge, with the most important clinical facts highlighted in boxes. Color illustrations reinforce the text.

About the Author

Editor-in-Chief:

Nicholas J. Talley, MD, PhD, Chair, Department of Internal Medicine, Mayo Clinic College of Medicine, Jacksonville, Florida, USA

Associate editors:

Sunanda V. Kane, MD, MSPH, Associate Professor of Medicine, Miles and Shirley Fitterman Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, MN, USA

Michael B. Wallace, MD, MPH, Associate Professor of Medicine, Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA

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http://www.filefactory.com/dlf/f/b408f0g/b/0/h/da0cb79852af751b288b59177b5fc49578e9ffa2/j/0/i/9c77cb84bfd5f3b5568391850e5ef93b86c33150/a/5a07c59357862285dee6ba67a2d141f90b7c101c/n/Mayo_Clinic_Gastroenterology_and_Hepatology_Board_Review_3rd_ed._2008_Pg.rar

Guia basica farmacoterapeutica

Una Guía Farmacoterapéutica es un documento que contiene una relación limitada de medicamentos recomendados para la prescripción en un ámbito determinado, seleccionada a partir de la oferta farmacéutica en función de unos criterios previamente establecidos, con la participación y el consenso de los profesionales a los que va destinada. La guía establece las bases teóricas para orientar a los médicos en la elección del medicamento más seguro, efectivo y eficiente para el tratamiento de un problema particular en un paciente determinado. Por este motivo, el listado de medicamentos se acompaña de otra información considerada de interés (indicaciones, efectos adversos, presentaciones comerciales, etc.)

El archivo viene comprimido en rar sin contraseña y pesa 5.33 Mb

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Special Tests in Musculoskeletal Examination: An evidence-based guide for clinicians

Paul Hattam, Alison Smeatham - Special Tests in Musculoskeletal Examination: An evidence-based guide for clinicians

ISBN: 0702030252 | 2010-06-11 | PDF | 292 pages | 5.26 Mb

The proliferation of special tests used in musculoskeletal examination has left the clinician with a vast array of physical tests at their disposal. Special Tests in Musculoskeletal Examination is a handy one-stop guide with over 150 peripheral tests. The clinical context and evidence base is thoroughly explored and the addition of clinical tips and expert opinion will enable the clinician to select the most appropriate tests and interpret the results meaningfully.

- Step-by-step description for each test
- Clear photographic illustrations
- 'At a glance' presentation of the background evidence
- Detailed clinical context
- Comprehensive referencing of orthopaedic special tests

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Handbook of Signs & Symptoms

Diane Labus, Jennifer Kowalak - Handbook of Signs & Symptoms (4th Edition)Publisher: Lippincott Williams & Wilkins | 2009-03-01 | ISBN: 160547052X | CHM | 768 pages | 40.40 MB

Thoroughly updated for its Fourth Edition, this convenient, portable handbook is a comprehensive guide to the evaluation of more than 530 signs and symptoms. It has all the assessment information busy clinicians need in a single source. Each entry describes the sign or symptom and covers emergency interventions if needed, history and physical examination, medical and other causes with their associated signs and symptoms, and special considerations such as tests, monitoring, treatment, and gender and cultural issues. This edition identifies specific signs and symptoms caused by emerging diseases such as avian flu, monkeypox, respiratory syncytial virus, norovirus, metabolic syndrome, blast lung injury, Kawasaki disease, and popcorn lung disease. New information on patient teaching and obtaining a health history is included.

http://www.filesonic.com/file/31589225/b221-160547052X-chm+.rar

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Textbook of Tinnitus

Aage R. Moller, Tobias Kleinjung, Berthold Langguth, Dirk DeRidder, "Textbook of Tinnitus"
Publisher: Sp-ger | 2011 | ISBN: 1607611449 | PDF | 700 pages | 15 MB

Groundbreaking, comprehensive, and developed by a panel of leading international experts in the field, Textbook of Tinnitus provides a multidisciplinary overview of the diagnosis and management of this widespread and troubling disorder. Importantly, the book emphasizes that tinnitus is not one disease but a group of rather diverse disorders with different pathophysiology, different causes and, consequently, different treatments. This comprehensive title is written for clinicians and researchers by clinicians and researchers who are active in the field. It is logically organized in six sections and will be of interest to otolaryngologists, neurologists, psychiatrists, neurosurgeons, primary care clinicians, audiologists and psychologists. Textbook of Tinnitus describes both the theoretical background of the different forms of tinnitus and it provides detailed knowledge of the state-of-the-art of its treatment. Because of its organization and its extensive subject index, Textbook of Tinnitus can also serve as a reference for clinicians who do not treat tinnitus patients routinely.

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Clinical Imaging - An Atlas of Differential Diagnosis

Clinical Imaging: An Atlas of Differential Diagnosis
Publisher: Lippincott Williams & Wilkins | ISBN: 0781788609 | edition 2009 | CHM | 1600 pages | 103.7 mb

Dr. Eisenberg's best seller is now in its Fifth Edition—with brand-new material on PET and PET/CT imaging and expanded coverage of MRI and CT. Featuring over 3,700 illustrations, this atlas guides readers through the interpretation of abnormalities on radiographs. The emphasis on pattern recognition reflects radiologists' day-to-day needs...and is invaluable for board preparation.

Organized by anatomic area, the book outlines and illustrates typical radiologic findings for every disease in every organ system. Tables on the left-hand pages outline conditions and characteristic imaging findings...and offer comments to guide diagnosis. Images on the right-hand pages illustrate the major findings noted in the tables.

http://depositfiles.com/es/files/9jlk3566k

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The Pituitary

Shlomo MD Melmed, "The Pituitary, Third EditionEdition"
Publisher: Academic Press | 2010 | ISBN: 0123809266 | PDF | 744 pages | 30 MB

The pituitary, albeit a small gland, is known as the "master gland" of the endocrine system and contributes to a wide spectrum of disorders, diseases, and syndromes. Since the publication of the second edition of The Pituitary, in 2002, there have been major advances in the molecular biology research of pituitary hormone production and action and there is now a better understanding of the pathogenesis of pituitary tumors and clinical syndromes resulting in perturbation of pituitary function. There have also been major advances in the clinical management of pituitary disorders. Medical researchers and practitioners now better understand the morbidity and mortality associated with pituitary hormone hyposecretion and hypersecretion. Newly developed drugs, and improved methods of delivering established drugs, are allowing better medical management of acromegaly and prolactinoma. These developments have improved the worldwide consensus around the definition of a "cure" for pituitary disease, especially hormone hypersecretion, and hence will improve the success or lack of success of various forms of therapy. It is therefore time for a new edition of The Pituitary.
The third edition will continue to be divided into sections that summarize normal hypothalamic-pituitary development and function, hypothalamic-pituitary failure, and pituitary tumors; additional sections will describe pituitary disease in systemic disorders and diagnostic procedures, including imaging, assessment of the eyes, and biochemical testing.
The first chapter will be completely new - placing a much greater emphasis on physiology and pathogenesis. Two new chapters will be added on the Radiation and Non-surgical Management of the Pituitary and Other Pituitary Lesions. Other chapters will be completely updated and many new author teams will be invited. The second edition published in 2002 and there have been incredible changes in both the research and clinical aspects of the pituitary over the past 8 years - from new advances in growth hormones to pituitary tumor therapy.
Feature
* Presents a comprehensive, translational source of information about the pituitary in one reference work
* Pituitary experts (from all areas of research and practice) take readers from the bench research (cellular and molecular mechanism), through genomic and proteomic analysis, all the way to clinical analysis (histopathology and imaging) and new therapeutic approaches.
* Clear presentation by endocrine researchers of the cellular and molecular mechanisms underlying pituitary hormones and growth factors as well as new techniques used in detecting lesions (within the organ) and other systemic disorders
* Clear presentation by endocrinologists and neuroendocrine surgeons of how imaging, assessment of the eyes, and biochemical testing can lead to new therapeutic approaches
Benefit
* Saves researchers and clinicians time in quickly accessing the very latest details on a broad range of issues related to normal and diseased pituitary function, as opposed to searching through thousands of journal articles.
* Provides a common language for endocrinologists, neurosurgeons, OB/GYNs, and endocrine researchers to discuss how the pituitary gland and hormones affect each major organ system
* Correct diagnosis (and therefore correct treatment) of pituitary disorders depends on a strong understanding of the pathophysiology of the organ as well as the molecular actions of pituitary hormones - practicing endocrinologists and other interested clinicians will benefit
* Endocrine researchers will gain insight into how clinical observations and practices can feed back into the research cycle and will, therefore, be able to develop more targeted genomic and proteomic assays

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Critical Care Obstetrics

Michael A. Belfort MBBCH MD PhD, George R. Saade MD, Michael R. Foley MD, Jeffrey P. Phelan MD JD, Gary A. Dildy III MD, "Critical Care Obstetrics"
Publisher: Wiley-Blackwell | 2010 | ISBN 1405152737 | PDF | 760 pages | 7.2 MB

Critical Care Obstetrics provides expert clinical guidance throughout on how you can maximize the chances of your patient and her baby surviving trauma.
In this stimulating text, internationally recognized experts guide you through the most challenging situations you as an obstetrician are likely to face, enabling you to skillfully:
* Recognize conditions early-on which might prove life threatening
* Implement immediate life-saving treatments in emergency situations
* Maximize the survival prospects of both the mother and her fetus
The fifth edition of this popular book will help you keep your composure in high risk clinical situations, making it an invaluable resource for any healthcare professional responsible for the care and management of pregnant women and their unborn children.

http://depositfiles.com/es/files/tzrg0xiac

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Metabolic Basis of Obesity

Rexford S. Ahima, "Metabolic Basis of Obesity"
Publisher: S-ger | 2010 | ISBN: 1441916067 | PDF | 391 pages | 5.8 MB

The obesity epidemic has generated immense interest in recent years due to the wide-ranging and significant adverse health and economic consequences that surround the problem. Much attention has been focused on behaviors that lead to obesity, in particular to over consumption of energy-dense food and to sedentary lifestyle. However, obesity is an extremely complex condition with poorly defined pathogenesis. Thanks to greatly enhanced research in the area, the discovery of pathways in the brain and peripheral organs that mediate energy homeostasis has provided a framework for understanding the biological basis of obesity. Metabolic Basis of Obesity adds an important new dimension to the growing literature on obesity by offering a comprehensive review of specifically how metabolic imbalance culminates in obesity. Developed by a team of expert authors, this important title discusses the principles of energy balance, genetics of body weight regulation, hormones and adipokines, and metabolic pathways in the brain, liver, muscle and fat, to name just several of the areas covered. The book also examines the connection between obesity and diabetes, cardiovascular disease and other complications. Current and future diagnostic and treatment strategies are also reviewed. Comprehensive and timely, Metabolic Basis of Obesity is an essential reference for understanding the burgeoning problem of obesity.

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Surgical Mentoring - Building Tomorrow's Leaders

John Rombeau, Amy Goldberg, Catherine Loveland-Jones - Surgical Mentoring: Building Tomorrow's Leaders
Springer | ISBN: 1441971904 | 2010-10-01 | PDF | 172 pages | 2.96 Mb

Drs. Rombeau, Goldberg, and Loveland-Jones have written this book on surgical mentoring to fill an obvious need. It is up-to-date, comprehensive, readable, and evidence-based … Surgery is a small world with many satisfying rewards behind each of the many doors. Good mentorship provides the right keys for the right doors for the young surgeon. Both the mentor and mentee should read this book to better understand the who, what, when, where, and how of surgical mentorship in the modern era. What you learn will likely make a difference in your career.

http://www.filesonic.com/file/33078271/A_100917_MedEn_SMBTL.rar

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Textbook of Pediatric Emergency Medicine

Gary R Fleisher, Stephen Ludwig - Textbook of Pediatric Emergency Medicine, Sixth edition
Lippincott Williams & Wilkins | ISBN: 1605471593 | 2010-05-20 | CHM | 2000 pages | 36.90 Mb

Now in its Sixth Edition, the best-selling Textbook of Pediatric Emergency Medicine is the most comprehensive textbook in this specialty. The editors are considered the founders of pediatric emergency medicine, and this text covers all pediatric emergencies and acute illnesses. All critical emergency information, including shock, resuscitation, and life-threatening conditions, are placed in the front of the book. More than 70 acute pediatric presentations are covered in a signs and symptoms section designed with side tabs for easy access.

This edition's highlights include new chapters on palpitations, cystic fibrosis, travel related emergencies, and ultrasound and a new appendix on practice pathways. The medical, surgical, and trauma sections present topics in alphabetical order for easier access. The contributors have revised and updated every chapter and included contemporary references.

A companion website will offer the fully searchable text, plus online access to interactive practice pathways and journal articles from Pediatric Emergency Care.

http://www.filesonic.com/file/33287701/A_101118_MedEn_ToPEM.rar

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Radiotherapy for Hodgkin Lymphoma

Lena Specht, Joachim Yahalom - Radiotherapy for Hodgkin Lymphoma
Springer | ISBN: 3540784551 | 2010-09-29 | PDF | 214 pages | 7.17 Mb

This book deals in detail with all aspects of the best practice in modern radiotherapy for Hodgkin lymphoma. It provides the background and rationale for the inclusion of radiotherapy in today’s combined-modality approach, including special clinical situations such as Hodgkin lymphoma in children, in the pregnant patient, and in the elderly. Radiotherapy planning using state-of-the-art imaging, target definition, planning software, and treatment equipment is expounded in detail. Acute and long-term side effects of radiotherapy are analyzed, and the implications for modern radiotherapy approaches in Hodgkin lymphoma are explained.

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Minimally Invasive Cancer Management

Frederick L. Greene, B. Todd Heniford - Minimally Invasive Cancer Management
Springer | ISBN: 1441912371 | 2010-09-01 | PDF | 382 pages | 11.70 Mb

As minimal access approaches to cancer diagnosis, staging, and therapy become more widely used, it is vital for general surgeons, along with laparoscopists, surgical oncologists and medical oncologists, to stay up to date. The editors, a team consisting of a renowned surgical oncologist and a laparoscopic specialist, aim to provide a resource for the practicing general surgeon using basic minimally invasive techniques. The book discusses diagnosis including biopsy with microinstrumentation, staging, and palliative and curative resection. Specific tumor sites are addressed, including esophagus, stomach, spleen, small bowel, pancreato-biliary, hepatic resection, and colo-rectal resection. Minimally invasive approaches to the thoracic and retroperitoneal areas are included. The book provides a thorough overview of basic cancer biology, instrumentation, and ultrasound.

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Hereditary Colorectal Cancer

Miguel A. Rodriguez-Bigas, Raul Cutait, Patrick M. Lynch, Ian Tomlinson, Hans F.A. Vasen - Hereditary Colorectal Cancer
Springer | ISBN: 1441966021 | 2010-09-01 | PDF | 627 pages | 11.30 Mb

Colorectal cancer is the third most commonly diagnosed cancer in the US and the third most recently linked to cancer deaths. The national annual incidence rate of colorectal cancer is approximately 148,000+, striking slightly more females than males. The lifetime risk of colorectal cancer is 5-6%, however patients with a familial risk (with two or more first or second degree relatives) make up 20% of the patients. Persons who carry genetic mutations linked to hereditary colorectal cancer are the most likely to develop the disease.

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Good Clinical Diagnostic Practice - A Guide fro Clinicians in Developing Countries

Jane Carter; I.H. Muller-Stover; Claus C.Heuck, "Good Clinical Diagnostic Practice: A Guide for Clinicians in Developing Countries"
Publisher: World Health Organization. Regional Office for the Eastern Mediterranean | 2005 | ISBN: 9290213930 | PDF | 220 pages | 1.1 MB

The aim of this book is to bridge the gap between the diagnostic departments and the clinical wards in order to improve the coordination of the different services that are involved in patient care, each service with its specific task and responsibility. It has been written to improve the clinical and diagnostic skills of physicians. The manual assumes that clinicians have been trained in history-taking, physical examination and use of laboratory investigations and also have access to basic clinical diagnostic equipment and to essential laboratory tests.

http://depositfiles.com/es/files/saj6k9rft

 

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Cardiac CT

Marc Dewey, "Cardiac CT"
2010 | ISBN: 3642140211 | PDF | 333 pages | 39 MB

Computed tomography of the heart has become a highly accurate diagnostic modality that is attracting increasing attention. This extensively illustrated book aims to assist the reader in integrating cardiac CT into daily clinical practice, while also reviewing its current technical status and applications. Clear guidance is provided on the performance and interpretation of imaging using the latest technology, which offers greater coverage, better spatial resolution, and faster imaging. The specific features of scanners from all four main vendors, including those that have only recently become available, are presented. Among the wide range of applications and issues to be discussed are coronary artery bypass grafts, stents, plaques, and anomalies, cardiac valves, congenital and acquired heart disease, and radiation exposure. Upcoming clinical uses of cardiac CT, such as plaque imaging and functional assessment, are also explored.

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Echocardiography

Petros Nihoyannopoulos, Joseph Kisslo, "Echocardiography"
ISBN: 1848822928 | edition 2009 | PDF | 656 pages | 59.5 mb

As increasing emphasis is placed on evidence-based medicine and the need to a rapid and clinically effective diagnosis of cardiac disease, so echocardiography is ever-more present at the forefront of cardiology. This book represents the current knowledge in the technique of cardiology and is designed to guide the resident and fellow through the most common applications of echocardiography while touching on some of the less often seen echocardiographic diagnoses.

http://turbobit.net/g924n4qcz9zx.html

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The Handbook of Contraception - A Guide for Practical Management

Donna Shoupe, "The Handbook of Contraception: A Guide for Practical Management (Current Clinical Practice)"
Publisher: Humana Press; 1st Edition. edition | 2010 | ISBN: 1617376701 | PDF | 312 pages | 4.1 MB

The Handbook of Contraception: A Guide for Practical Management provides a comprehensive review of contraception methods for all reproductive-aged women, including those who are young and healthy, postpartum, perimenopausal, adolescent, or who have a medical disease. Because of the vast and diverse list of various contraceptive methods available, this text updates the health care provider with information on safety, practical counseling tools, advantages, and disadvantages of each contraception method. This superb reference offers inclusive information on oral, injectable, emergency, and various cervical barrier contraceptives, as well as behavioral methods of contraception and sterilization methods. An extensive review of currently available laparoscopic and hysterscopic tubal sterilization techniques is also included as well as a chapter introducing the new surgical contraceptive implant, Implanon®.The Handbook of Contraception: A Guide for Practical Management is designed to give the modern health care provider up-to-date information on safety, side effects, advantages, and practical counseling tools.

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Sonography of the Liver

Sonography of the Liver
AVI | English | Duration: 01:06:00 | 524x392 | 25 fps | DivX, 299 Kbps | Mp3 128 kbps 44 KHz Stereo | 191 MB
Genre: Medicine | e-learning

An excellent lecture on sonography of the liver.

Discusses the following:
- Normal liver
- Segmental anatomy of liver
- Doppler hepatic vessels
- Diffuse and focal liver disease
- Portal hypertension.
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Orthopaedic Manual Therapy Diagnosis: Spine and Temporomandibular Joints

Orthopaedic Manual Therapy Diagnosis: Spine and Temporomandibular Joints
Publisher: Jones & Bartlett Publishers; 1 edition (April 30, 2009) | ISBN: 076375594X | Pages: 578 | PDF | 61,86 MB

Orthopaedic Manual Therapy Diagnosis is a comprehensive and easily-accessible compendium of theory and technique related to orthopaedic manual therapy (OMT). This essential resource covers key topics such as spinal anatomy, biomechanics, arthrology, general functional aspects of the spine, definitions, theories, and examination. This text combines a comprehensive discussion of both the pathophysiologic rationale and the applied evidence base with regard to OMT diagnosis. It demonstrates numerous diagnostic techniques used in the clinical practice of manual medicine. Providing an up-to-date analysis of spinal examination, this is an ideal textbook for courses in OMT. It also serves as a reference for all manual medicine practitioners including physical therapists, chiropractors, osteopaths, and medical physicians.

 

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Hospital and Healthcare Security

Russell L. Colling, Tony W. York, "Hospital and Healthcare Security, Fifth Edition"

B-H | 2009 | ISBN: 1856176134 | 720 pages | PDF | 28 MB

Concerns about healthcare security have proliferated in recent years, with one recent study reporting that 17% of registered nurses surveyed had been physically attacked at work over a 1-year period. From privacy concerns to the mandates of the Health Insurance Portability and Accountability Act (HIPAA) to the rapid growth in the number of aging and ailing baby boomers, healthcare has undergone dramatic change, and security in hospitals and other settings must keep pace. Most educators, healthcare executives, and healthcare agencies and associations agree that Hospital and Healthcare Security, a Butterworth-Heinemann classic, has set the standard of care for healthcare security systems and programs.

Hospital and Healthcare Security, 5th Edition, builds on the solid foundation laid down by Russell Colling in the first four editions, covering the shifts that have occurred in healthcare security since the last edition appeared in 2001. The new co-author, Tony York, is a well-regarded security professional and a past president of the International Association for Hospital Security and Safety (IAHSS). This new edition has been reorganized and rewritten to cover new healthcare security topics and issues, particularly in licensing, regulatory requirements, litigation, and accreditation standards in the US. The authors have added a full range of corresponding examples, not only from the privately funded US system but also from national healthcare systems in UK and Canada.

This new edition expands the scope of Colling's foundational work and focuses its coverage of legal and operational issues to bring this vital information to a new and broaderaudience.

FEATURES AND BENEFITS:

* Practical support for healthcare security professionals, including operationally proven policies, and procedures

* Specific assistance in preparing plans and materials tailored to healthcare security programs

* Summary tables and sample forms bring together key data, facilitating ROI discussions with administrators and other departments

* General principles clearly laid out so readers can apply the industry standards most appropriate to their own environment

NEW TO THIS EDITION:

* Quick-start section for hospital administrators who need an overview of security issues and best practices

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Neurologic Emergencies

Gregory Henry, Neal Little, Andy Jagoda, Thomas Pellegrino, Douglas Quint, "Neurologic Emergencies, Third Edition"

MgH | 2010 | ISBN: 0071635211 | 396 pages | CHM | 6,3 MB

Complete guidance on how to diagnose and treat neurologic emergencies in any acute care setting!

Uniquely organized by presenting complaint, Neurologic Emergencies helps you quickly identify, evaluate, stabilize, treat, and manage the full range of neurologic symptoms--from dizziness to trauma. Striking the perfect balance between thoroughness and readability, this trusted classic delivers the authoritative guidance you need to ensure the best possible outcomes possible for patients presenting with neurologic emergencies. The Third Edition has been updated with a valuable primer on neuroimaging technologies and includes the latest evidence-based treatment strategies and expert advice.

Features:

•Organized by presenting symptoms, rather than by disease, for unmatched clinical relevance

•Written by a team of authors highly experienced in managing patients with neurologic complaints

•Numerous algorithms and tables offer immediate access to critical information

•Emphasizes patient history, physical exam, and rapid assessment

•Everything you need to know in the acute care setting:

Review of Basic Neuroanatomy, Neuroimaging, Evaluation of a Neurologic Complaint, Altered States of Consciousness and Coma, Acute Focal Neurological Deficit, Acute Weakness, Movement Disorders, Headache; Acute Double Vision, Blindness, and Abnormal Pupils; Neurologic Trauma, Psychogenic Neurologic Problems, Seizures, Syncope, The Dizzy Patient, Neck and Back Pain

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Infectious Disease Informatics and Biosurveillance

Daniel Zeng, "Infectious Disease Informatics and Biosurveillance (Integrated Series in Information Systems)"

Publisher: Springer; 1st Edition. edition | 2010 | ISBN: 1441968911 | PDF | 488 pages | 25.3 MB

This book on Infectious Disease Informatics (IDI) and biosurveillance is intended to provide an integrated view of the current state of the art, identify technical and policy challenges and opportunities, and promote cross-disciplinary research that takes advantage of novel methodology and what we have learned from innovative applications. This book also fills a systemic gap in the literature by emphasizing informatics driven perspectives (e.g., information system design, data standards, computational aspects of biosurveillance algorithms, and system evaluation). Finally, this book attempts to reach policy makers and practitioners through the clear and effective communication of recent research findings in the context of case studies in IDI and biosurveillance, providing “hands-on” in-depth opportunities to practitioners to increase their understanding of value, applicability, and limitations of technical solutions. This book collects the state of the art research and modern perspectives of distinguished individuals and research groups on cutting-edge IDI technical and policy research and its application in biosurveillance. The contributed chapters are grouped into three units. Unit I provides an overview of recent biosurveillance research while highlighting the relevant legal and policy structures in the context of IDI and biosurveillance ongoing activities. It also identifies IDI data sources while addressing information collection, sharing, and dissemination issues as well as ethical considerations. Unit II contains survey chapters on the types of surveillance methods used to analyze IDI data in the context of public health and bioterrorism. Specific computational techniques covered include: text mining, time series analysis, multiple data streams methods, ensembles of surveillance methods, spatial analysis and visualization, social network analysis, and agent-based simulation. Unit III examines IT and decision support for public health event response and bio-defense. Practical lessons learned in developing public health and biosurveillance systems, technology adoption, and syndromic surveillance for large events are discussed. The goal of this book is to provide an understandable interdisciplinary IDI and biosurveillance reference either used as a standalone textbook or reference for students, researchers, and practitioners in public health, veterinary medicine, biostatistics, information systems, computer science, and public administration and policy.

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Atherosclerosis Disease Management

Jasjit S. Suri, Chirinjeev Kathuria, Filippo Molinari, "Atherosclerosis Disease Management"

Publisher: Springer | 2010 | ISBN: 1441972218 | PDF | 944 pages | 33.8 MB

Atherosclerosis is a degenerative process affecting blood vessels, which determines narrowing of the lumen, plaque growth, and hardening of the walls. It is a risk factor for cardiovascular diseases. The focus of this book is on the management of the atherosclerotic disease. The coverage of this book spans from histological presentation of the various stages of atherosclerotic lesions to the earliest studies in atherosclerosis therapy, from advanced clinical diagnosis to monitoring, follow-up, and home-care of the atherosclerotic patient. The book shows well-established diagnostic techniques covering several medical imaging modalities such as Ultrasounds, IVUS, MRI, Computer Tomography, along with new trends in early and advanced atherosclerosis diagnosis (innovative drugs and tissue characterization procedures). Surgical standards will be presented along with innovative experimental trials for the treatment of the atherosclerotic patient. The book will also cover emerging techniques based on molecular imaging and vibro-acoustics.

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CIRUGÍA para el estudiante y el médico general

CIRUGÍA para el estudiante y el médico general
Páginas: 827
Idioma: spanish
Mendez Editores Mexico

Año: 2004
ISBN 9789685328760

El libro consta de capítulos dedicados a diverso contenido, partiendo por temas básicos como "El instrumental quirúrgico", "Nudos y Suturas", "El ciclo quirúrgico", explica cómo desenvolverse en el quirófano (cómo ponerse guantes, etc.). Luego de estos capítulos introductorios, el libro se centra en temas como el shock séptico, equlibrio ácido-base:

Descargar: 54 mb pdf
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Learning Cardiac Imaging 2010

Learning Cardiac Imaging 2010
(Learning Imaging)
Ramón Ribes, Paola Kuschnir, Antonio Luna, Joan C. Vilanova
ISBN-10: 3540790829
ISBN-13: 978-3540790822
Springer

This book is an introduction to cardiac imaging. Written by radiologists, cardiologists, and nuclear medicine physicians in a user-friendly format, it provides the reader with a multidisciplinary selection of the most prevalent cardiac conditions. The book is subdivided into four sections: Cardiac Multislice CT, Echocardiography, Cardiac Magnetic Resonance and Nuclear Cardiology. Each chapter is presented with an introduction to the subspecialty and a selection of cases with illustrations, comments from clinical and radiological standpoints, and bibliographical recommendations.

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Cardiovascular Physiology (Lange Physiology Series)

Cardiovascular Physiology (Lange Physiology Series)
By David E. Mohrman, Lois Jane Heller

* Publisher: McGraw-Hill Medical
* Number Of Pages: 256
* Publication Date: 2006-03-27
* ISBN-10 / ASIN: 0071465618
* ISBN-13 / EAN: 9780071465618
* Binding: Paperback
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100 Questions in Cardiology

100 Questions in Cardiology

Paperback: 222 pages
Publisher: Blackwell Publishing Limited; 1st edition (May 15, 2001)
Language: English
ISBN-10: 0727914898
ISBN-13: 978-0727914897
File type: PDF

Book Description

A guide to the management of common cardiological scenarios, this book offers the response of leading experts in each field to the more common, and often poorly dealt with problems of cardiology. It is a very useful "how-to" guide, based on sound evidence.

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ERCP

Todd H. Baron, Richard A. Kozarek, David L. Carr-Locke,


ISBN-10: 1416042717

ISBN-13: 978-1416042716

Elsevier Inc.

This is the most comprehensive and user-friendly book yet produced on ERCP. For the first time it combines an in-depth review of this complex topic with easily accessible, detailed and authoritative instructions on how to safely gain access to the biliary and pancreatic ducts and deliver effective therapy. The intricacies of the procedures are shown using beautifully drawn step-by-step illustrations. This book is dedicated to simplifying and explaining everything that you need to know to effectively and safely practice ERCP.

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Atlas de Colposcopia

Más que un libro sobre colposcopía, este atlas es una colección de imágenes de las diversas patologías que afectan el cuello del útero haciendo énfasis en el Cáncer de Cuello Uterino, que es el cáncer más frecuente en los países latinoamericanos. Contiene imágenes algunas de muy buena calidad otras de no tan buena calidad cada una con su respectiva descripción, aunque en algunas estas están en ingles. La colposcopía es un procedimiento médico consistente en la observación microscópica del epitelio cuello uterino, paredes vaginales así como entrada a la vagina, que permite identificar lesiones precancerosas con gran precisión. Este procedimiento permite realizar con mayor exactitud y seguridad el Papanicolau o toma de biopsias ante la presencia de lesiones sospechosas en el cuello uterino La colposcopía no provoca dolor ni sangrado, se realiza en pocos minutos, es seguro, no requiere hospitalización y terminado el estudio, la paciente puede regresar a casa

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Principles of Pulmonary Protection in Heart Surgery

Edmo Atique Gabriel, Tomas Salerno - Principles of Pulmonary Protection in Heart Surgery
Springer | ISBN: 184996307X | 2010-10-29 | PDF | 350 pages | 14.70 Mb

This book aims to cover all aspects of pulmonary protection in heart surgery including repercussions from cardiopulmonary bypass on the lung, a vast section on lung perfusion, including information on cardioplegic arrest, beating heart surgery, arterial and venous blood and ischemia-reperfusion injury.

From the Back Cover:

Over the past fifty years, advanced techniques and strategies have been developed in the field of myocardial protection during heart surgery requiring cardiopulmonary bypass (CPB), but trials focusing on pulmonary protection have been less frequent. Principles of Pulmonary Protection during Heart Surgery is intended as an useful tool to provide strategies for lung protection during CPB. The many renowned contributors have presented their experience on lung perfusion in both experimental and clinical trials, and have detailed numerous new ideas, concepts and future perspectives to the book. It is thus perfect as a reference for a wide range of professionals, including cardiovascular surgeons, pulmonary surgeons and pulmonologists, transplantation physicians, cardiothoracic anesthesiologists, intensive care physicians, radiologists, basic sciences physicians, cardiologists and cardiothoracic fellows, perfusionists, nurses, and researchers.

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Semiologia General

Semiologia General
T. Padilla, P. Cossio

Editorial: El Ateneo
Serie: Biblioteca de Semiologia

Paginas: 334
Edicion: 4ª

Contenido:

Interrogatorio

Historia clínica: datos generales, motivo de la consulta, antecedentes familiares,

antecedentes personales. Su redacción.

Tecnica Lenguaje Dolor


INSPECCION

Conformacion corporal

Habito Constitución. Peso. Altura. Facies. Actitud. Decúbito.

Semiologia de la temperatura Fiebre.

Dolor: tipos, localizaciones.

Disnea.

Cianosis.

Semiologia de la piel

Semiologia del prurito y la alergia

Semiologia de tejido celular subcutaneo

Semiología de la piel, Pelo. Uñas.

Edema.

Semiología del sistema linfático.

Semiologia del sistema oseo

Semiologia de las articulaciones.

Exploracion general cabeza craneo cara ojos nariz oido

Semiologia del cuello

Semiologia de la columna vertebral


Semiología de mano y del pie. Semiología de las articulaciones.

Semiología de cabeza, cara y cuello.

Semiologia brazo

antebrazo y mano

Semiologia de las extremidades

Semiologia de los organos gentitales


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How to Read a Paper: The Basics of Evidence-Based Medicine

How to Read a Paper: The Basics of Evidence-Based Medicine, Fourth Edition
by: Trisha Greenhalgh

•Publisher: BMJ Books
•Number Of Pages: 256
•Publication Date: 2010-06-01
•ISBN-10 / ASIN: 1444334360
•ISBN-13 / EAN: 9781444334364


Product Description:
How to Read a Paper describes the different types of clinical research reporting, and explains how to critically appraise the publications. The book provides the tools to find and evaluate the literature, and implement the findings in an evidence-based, patient-centered way. Written for anyone in the health care professions who has little or no knowledge of evidence-based medicine, it provides a clear understanding of the concepts and how to put them into practice at the basic, clinical level.

Changes for the 4th edition

The fourth edition will include two new chapters on important developments in health care research and delivery, but otherwise retains its original style, size, and scope.

•New chapter on quality improvement – describing papers on quality improvement projects using ebm methods; this will extend the readership to non clinical health care professionals working in hospitals and family practice, and to nurse specialists and practice nurses working in this field

•New chapter on complex interventions - how to set up research projects involving both qualitative and quantitative methodology (known as mixed methods)

•Thorough revision and updating of existing chapters and references

•New illustrations – diagrammatic representations of ebm concepts

http://www.book4doc.com/61115

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"Huesos y Articulaciones en Imagenes Radiologicas" (Spanish Edition) de Resnick

Huesos y Articulaciones en Imagen - RESNICK

El Dr. Resnick y el Dr. Kransdorf, junto con un equipo de colaboradores de reconocido prestigio, condensan el material básico relacionado con el diagnóstico por la imagen de huesos yarticulaciones, incluyendo las numerosas técnicas de imagen y sus hallazgos, ya que los métodos diagnósticos aplicados actualmente de forma rutinaria en el estudio de los trastornos musculoesqueléticos incluyen no solo las radiografías convencionales, sino también TC, MR, ecografías, gammagrafías y arteriografías.

Su objetivo es presentar, de manera lógica y en un formato de fácil lectura, la información de diagnóstico musculoesquelético por imagen que todo estudiante y profesional que trata estos trastornos necesita conocer. Destaca también su carácter de herramienta para la revisión y actualización de conocimientos en una materia en constante evolución debido al desarrollo y el perfeccionamiento de métodos y técnicas de diagnóstico avanzados. Esta nueva edición incluye algunos temas nuevos, como, por ejemplo, procedimientos intervencionistas de la columna vertebral y desarrolla mucho más aquellos que han ido creciendo en importancia, como, por ejemplo, la RM.

Autor: Donald Resnick
Editorial: Marban
Edición: 2ª
Tamaño: 239.6 MB
Formato: Presto! Wrapper
Idioma: Español

Recuerden que deben bajar las 3 partes para tener el libro
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Jon H. Kaas, "Evolutionary Neuroscience"

Jon H. Kaas, "Evolutionary Neuroscience"
Academic Press | 2009-10-06 | ISBN: 0123750806 | 1038 pages | PDF | 27 MB

Evolutionary Neuroscience is a collection of articles in brain evolution selected from the recent comprehensive reference, Evolution of Nervous Systems (Elsevier, Academic Press, 2007). The selected chapters cover a broad range of topics from historical theory to the most recent deductions from comparative studies of brains. The articles are organized in sections focused on theories and brain scaling, the evolution of brains from early vertebrates to present-day fishes, amphibians, reptiles and birds, the evolution of mammalian brains, and the evolution of primate brains, including human brains. Each chapter is written by a leader or leaders in the field, and has been reviewed by other experts. Specific topics include brain character reconstruction, principles of brain scaling, basic features of vertebrate brains, the evolution of the major sensory systems, and other parts of brains, what we can learn from fossils, the origin of neocortex, and the evolution of specializations of human brains. The collection of articles will be interesting to anyone who is curious about how brains evolved from the simpler nervous systems of the first vertebrates into the many different complex forms now found in present-day vertebrates. This book would be of use to students at the graduate or undergraduate levels, as well as professional neuroscientists, cognitive scientists, and psychologists. Together, the chapters provide a comprehensive list of further reading and references for those who want to inquire further.

. The most comprehensive, authoritative and up-to-date single volume collection on brain evolution

. Full color throughout, with many illustrations

. Written by leading scholars and experts

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Diagnostico y Tratamiento de Urgencias Pediatricas 4taEd.

Diagnostico y Tratamiento de Urgencias Pediatricas 4taEd.


F. Javier Benito, Santiago Mintegi ,J. Sánchez Etxaniz


Descripcion del Libro

Han pasado diez años desde la primera edición de este manual y desde entonces ha experimentado cambios muy profundos, parejos a la evolución de nuestro servicio de urgencias y al nacimiento de la subespecialidad de Urgencias en España. Esta progresión ha sido palpable en las sucesivas ediciones, alcanzando, a nuestro entender, una estructura madura en la tercera edición. Siguiendo nuestro compromiso con la actualización de los conocimientos vertidos en esta obra, hemos afrontado la actual edición que no aporta grandes cambios estructurales, pero sí una profunda revisión y actualización de todos los capítulos. Al igual que en la tercera edición, el temario de este manual no sólo abarca la patología medicoquirúrgica, agrupada en bloques por aparatos con las enfermedades y síntomas por los que los niños consultan en urgencias, y los accidentes, grandes protagonistas de los servicios de urgencia de pediatría actuales, sino también las técnicas y procedimientos que se llevan a cabo con mayor frecuencia en estos servicios. Hoy en día, gracias a la profesionalización progresiva del pediatra de urgencias, se han convertido en técnicas que forman parte de su entrenamiento y labor asistencial. Pretendemos que este manual sirva de consulta rápida a cualquier profesional que atienda la consulta urgente en Pediatría, sabiendo de antemano los diferentes grados de experiencia y entrenamiento existentes en cada punto asistencial. Por eso se trata de una guía únicamente orientativa, cuyos planteamientos aconsejamos ampliar con los textos y bibliografía aportada.

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