ORL- HNS

Sexual Function in Female Patients with Obstructive Sleep Apnea

2011-10-25T21:47:00.001+03:00

The Journal of Sexual Medicine

Introduction. Obstructive sleep apnea is defined as repetitive (≥5/hour) partial or complete cessation of breathing during sleep. Whereas obstructive sleep apnea is often considered to be associated with sexual problems in men, studies concerning effects of obstructive sleep apnea on female sexual function and distress are sparse.

Aim. To investigate sexual dysfunction and sexual distress in female patients with obstructive sleep apnea and to determine which factors are of importance for their sexual function.

Methods. We investigated 80 female patients (ages 28–64) admitted to a sleep laboratory and who after investigation received a diagnosis of obstructive sleep apnea. All subjects answered questions drawn from three self-administered questionnaires on sexuality. The results were compared with a population sample (N = 240).

Main Outcome Measure. Data from nocturnal respiratory recordings. Female Sexual Function Index, Female Sexual Distress Scale and four questions from Life Satisfaction-11 (Lisat-11).

Results. Female Sexual Function Index indicated that obstructive sleep apnea patients were at a higher risk for having sexual difficulties. Female Sexual Distress Scale showed significantly more sexual distress in the obstructive sleep apnea group. Manifest Female Sexual Dysfunction (combined data from Female Sexual Function Index and Female Sexual Distress Scale) showed that female patients with obstructive sleep apnea also had more sexual dysfunction. Severity of sleep apnea was, however, not related to any of these indices but consumption of psychopharmaca was. In Lisat-11, we found that obstructive sleep apnea females scored lower than women in the population sample regarding life as a whole but not regarding domains of closeness.

Conclusions. This study indicates that sexuality of women with untreated obstructive sleep apnea is negatively affected compared with a female population sample. This was not related to severity of obstructive sleep apnea, whereas psychopharmaca may act as an important confounder.

Petersen M, Kristensen E, Berg S, Giraldi A, and Midgren B. Sexual function in female patients with obstructive sleep apnea. J Sex Med 2011;8:2560–2568.

Management of the Neck in Thyroid Cancer

2011-07-08T22:08:00.000+03:00

Management of the Neck in Thyroid Cancer

Surgical Anatomy of the Face

2010-12-20T23:35:00.003+02:00

Surgical Anatomy of the Face
By Wayne F Larrabee, Kathleen H Makielski, Jenifer Henderson

* Number Of Pages: 213
* Publication Date: 2003-10-01

Product Description:
Univ. of Washington, Seattle. Atlas presents relevant facial anatomy from a surgical point of view. Includes such topics as facial contour analysis, facial embryogenesis, tissue foundation, anatomic regions, and variations in facial anatomy with race, sex, and age. High-quality drawing and photographs.

Surgical Anatomy of the Face (Larrabee - Makielski - Henderson, 2nd Ed. 2004).chm - 75.0 MB

Schaum's Outline of Human Anatomy and Physiology, Third Edition

2010-12-20T17:08:00.002+02:00

Schaum's Outline of Human Anatomy and Physiology, Third Edition (Schaum's Outline Series)
By Kent Van de Graaff, R. Rhees, Sidney Palmer

* Publisher: McGraw-Hill
* Number Of Pages: 432
* Publication Date: 2009-08-26
* ISBN-10 / ASIN: 0071623302
* ISBN-13 / EAN: 9780071623308

Product Description:
Confusing Textbooks? Missed Lectures? Not Enough Time?

Fortunately for you, there's Schaum's Outlines. More than 40 million students have trusted Schaum's to help them succeed in the classroom and on exams. Schaum's is the key to faster learning and higher grades in every subject. Each Outline presents all the essential course information in an easy-to-follow, topic-by-topic format. You also get hundreds of examples, solved problems, and practice exercises to test your skills.

This Schaum's Outline gives you:
* Practice problems with full explanations that reinforce knowledge
* Coverage of the most up-to-date developments in your course field
* In-depth review of practices and applications

Fully compatible with your classroom text, Schaum's highlights all the important facts you need to know. Use Schaum's to shorten your study time-and get your best test scores!

PDF | 10 MB

Schaum's Outline of Human Anatomy and Physiology, Third Edition (Schaum's Outline Series).pdf - 12.2 MB

Scott Brown 7th edition Otorhinolaryngology, Head & Neck Surgery

2010-10-20T23:56:00.001+03:00

FREE DOWNLOAD ON:

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2010 AAO-HNSF Annual Meeting & OTO Expo | Boston, MA

2010-10-06T23:03:00.001+03:00

AAO-HNS Boston 2010 Handouts.rar - 486.9 MB

Key Notes on Plastic Surgery

2010-06-20T17:22:00.000+03:00

Key Notes on Plastic Surgery
By Adrian Richards

* Publisher: Wiley-Blackwell
* Number Of Pages: 328
* Publication Date: 2002-01-15
* ISBN-10 / ASIN: 0632056681

Product Description:
Key Notes in Plastic Surgery aims to cover the plastic surgery syllabus in a short notes format. The book purposely contains only the significant facts, clearly laid out so that the information is easy to digest.

Download Key Notes on Plastic Surgery.pdf for free on uploading.com

Central Auditory Pathway Disorders

2010-02-16T21:28:00.001+02:00

Central Auditory Pathway Disorders
By Kimitaka Kaga

Publisher: Springer
Number Of Pages: 146
Publication Date: 2009-09-18
ISBN-10 / ASIN: 4431266542
ISBN-13 / EAN: 9784431266549

Book Description:
Brain imaging and neurophysiological methods have been rapidly developed. The purpose of this book is to describe hearing problems which are caused by various kinds of brain diseases in central auditory pathway. Each topic is explained to use a lot of figures such as brain imaging and neurophysiological data comparing with neuropsychological tests. Readers will understand what happens in patients, when bilateral auditory nerve and auditory cortex are damaged in patients. Some patients can hear but cannot discriminate meanings of speech, music and environmental sounds. The author tries to explain why such a difference occurs.

PDF | 3 MB

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Cauterization of epistaxis from Little's area

2010-02-16T21:25:00.001+02:00

Download Cauterization of epistaxis from Little's area VIDEO

Otologic Surgery, 3rd Edition

2009-12-20T19:48:00.002+02:00

Otologic Surgery, 3rd Edition
By Derald MD Brackmann MD, Clough Shelton MD, Moises A. Arriaga MD

* Publisher: Saunders
* Number Of Pages: 864
* Publication Date: 2009-10-28
* ISBN-10 / ASIN: 1416046658
* ISBN-13 / EAN: 9781416046653

Product Description:
Otologic Surgery-the third edition of this invaluable surgical reference-has been thoroughly updated to reflect the latest advances in the field and covers all aspects of surgery of the ear and skull base. Derald E. Brackmann, MD, Clough Shelton, MD, and Moises A. Arriaga, MD bring you seven new chapters on the hot topics of Cartilage Tympanoplasty, Reversible Canal Wall Down Mastiodectomy, Superior Semicircular Canal Dehiscence Syndrome, Endoscopic Skull Base Surgery, Far Lateral Transcondylar Approach, Stereotactic Radiation Therapy, and Vascular Considerations in Neurotology. These extensive updates, along with the inclusion of new contributors and the elimination of redundant chapters, ensure that this book provides you with the essential information you need to choose and perform state-of-the-art surgical techniques. The companion web site at expertconsult.com features the fully searchable text, as well as a video library and question and answer section.

* Discusses controversies and alternate approaches so you can make a well-informed decision from the full range of choices.
* Presents the expertise and insights from more than 50 leading specialists to provide you with authoritative advice on surgical problems.
* Provides detailed visual guidance on how to perform procedures through step-by-step illustrations.
* Includes seven new chapters-Cartilage Tympanoplasty, Reversible Canal Wall Down Mastiodectomy, Superior Semicircular Canal Dehiscence Syndrome, Endoscopic Skull Base Surgery, Far Lateral Transcondylar Approach, Stereotactic Radiation Therapy, and Vascular Considerations in Neurotology-for coverage of hot topics and the latest advances in technique.
* Presents new contributors for 14 chapters to provide you with authoritative coverage and the dynamic perspectives of leaders in the field.
* Streamlines the content by eliminating four redundant chapters of dated techniques so you only have the information you need.

PDF | 156 MB

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Head, Neck, and Dental Emergencies

2009-12-20T19:46:00.002+02:00

Head, Neck, and Dental Emergencies
By Mike Perry

* Publisher: Oxford University Press, USA
* Number Of Pages: 470
* Publication Date: 2005-06-16
* ISBN-10 / ASIN: 0198529104
* ISBN-13 / EAN: 9780198529101

Product Description:
The first book in an exciting new series, Head, Neck and Dental Emergencies provides the reader with a working approach to the diagnosis and management of these patients in casualty. It has been laid out in a similar way to the Oxford Handbooks series - a small format, plastic-covered, note-based, practical volume for looking up information quickly. The book covers how to diagnose and manage all urgent or emergent problems that occur above the collar bones. Emergency care must be simple and quick so this book comprises short notes, illustrations and photographs, with an emphasis on establishing the diagnosis while maintaining a high index of suspicion. Where possible, the book covers one topic per on one to three pages and uses a series of four icons to allow rapid identification of the degree of urgency. This system will help the reader to get an idea of how soon each problem should be seen. Aimed primarily at undergraduate dentistry students, this book will also have a wide postgraduate market amongst dentists and junior doctors and nurses in accident and emergency medicine, maxillofacial surgery, ENT, opthamology, anesthetics and plastic surgery.

CHM | 20 MB

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Temporal Bone Dissection - The Zurich Guidelines

2009-12-20T19:45:00.002+02:00

Temporal Bone Dissection - The Zurich Guidelines
By Ugo Fisch, Thomas Linder

* Publisher: Endo-Press
* Number Of Pages: 58
* Publication Date: 2006-03
* ISBN-10 / ASIN: 3897561069
* ISBN-13 / EAN: 9783897561069

PDF | 6 mb

Download Temporal Bone Dissection - The ZURICH Guidelines.pdf for free on uploading.com

Stapedectomy Video ( D. Louverdis M.D.)

2009-10-15T23:13:00.003+03:00

Vaccination recommendations for flu

2009-08-12T00:52:00.002+03:00

Various public health organizations have recommended that yearly influenza vaccination be routinely offered to patients at risk of complications of influenza:

* the elderly (UK recommendation is those aged 65 or above)
* patients with chronic lung diseases (asthma, COPD, etc.)
* patients with chronic heart diseases (congenital heart disease, chronic heart failure, ischaemic heart disease)
* patients with chronic liver diseases (including liver cirrhosis)
* patients with chronic renal diseases (such as the nephrotic syndrom)
* patients who are immunosuppressed (those with HIV or who are receiving drugs to suppress the immune system such as chemotherapy and long-term steroids) and their household contacts
* people who live together in large numbers in an environment where influenza can spread rapidly, such as prisons, nursing homes and dormitories
* healthcare workers (both to prevent sickness and to prevent spread to patients)[43]
* pregnant women[44][45]

In the United States a person aged 50–64 is nearly ten times more likely to die an influenza-associated death than a younger person, and a person over age 65 is over ten times more likely to die an influenza-associated death than the 50–64 age group.[46] Vaccination of those over age 65 reduces influenza-associated death by about 50%.[47][48] However, it is unlikely that the vaccine completely explains the results since elderly people who get vaccinated are probably more healthy and health-conscious than those who do not.[49] Elderly participants randomized to a high-dose group (60 micrograms) had antibody levels 44 to 79 percent higher than did those who received the normal dose of vaccine. Elderly volunteers receiving the higher dose were more likely to achieve protective levels of antibody.[50]

As mortality is high among infants who contract influenza, the household contacts and caregivers of infants should be vaccinated to reduce the risk of passing an influenza infection to the infant.

Data from the years when Japan required annual flu vaccinations for school-aged children indicate that vaccinating children—the group most likely to catch and spread the disease—has a strikingly positive effect on reducing mortality among older people: one life saved for every 420 children who received the flu vaccine.[51] This may be due to herd immunity or to direct causes, such as individual older people not being exposed to influenza. For example, retired grandparents often risk infection by caring for their sick grandchildren in households where the parents can't take time off work or are sick themselves.

Side effects

Side effects of the inactivated/dead flu vaccine injection include:

* mild soreness
* redness
* swelling where the shot was given
* fever
* aches

These problems usually begin soon after the injection, and last 1–2 days.[52]

Side effects of the activated/live/LAIV flu nasal spray vaccine:

Some children and adolescents 2–17 years of age have reported:[53]

* runny nose, nasal congestion or cough
* fever
* headache and muscle aches
* wheezing
* abdominal pain or occasional vomiting or diarrhea

Some adults 18–49 years of age have reported:[53]

* runny nose or nasal congestion
* sore throat
* cough, chills, tiredness/weakness
* headache

Some injection-based flu vaccines intended for adults in the United States contain thiomersal. Despite some controversy in the media,[54] the World Health Organization has concluded that there is no evidence of toxicity from thimerosal in vaccines and no reason on grounds of safety to change to more-expensive single-dose administration.[55]

Flu vaccine virus selection

Each year, three strains are chosen for selection in that year's flu vaccination by the WHO Global Influenza Surveillance Network. The chosen strains are the H1N1, H3N2, and Type-B strains thought most likely to cause significant human suffering in the coming season.

"The WHO Global Influenza Surveillance Network was established in 1952. The network comprises 4 WHO Collaborating Centres (WHO CCs) and 112 institutions in 83 countries, which are recognized by WHO as WHO National Influenza Centres (NICs). These NICs collect specimens in their country, perform primary virus isolation and preliminary antigenic characterization. They ship newly isolated strains to WHO CCs for high level antigenic and genetic analysis, the result of which forms the basis for WHO recommendations on the composition of influenza vaccine for the Northern and Southern Hemisphere each year."[56]

The Global Influenza Surveillance Network's selection of viruses for the vaccine manufacturing process is based on its best estimate of which strains will be predominant the next year, amounting in the end to well-informed but fallible guesswork.[57]

Flu vaccine manufacturing

Flu vaccine is usually grown in fertilized chicken eggs. Both types of flu vaccines are contraindicated for those with severe allergies to egg proteins and people with a history of Guillain-Barré syndrome.[58]

On October 5, 2004, Chiron Corporation, a corporation contracted to deliver half of the expected flu vaccine for the United States and a significant portion to the UK, issued a press release[59] that stated it was unable to dispense its stock for the 2004-2005 season, due to suspension of the corporation's license to produce the vaccine by the Medicines and Healthcare Products Regulatory Agency. However, the Centers for Disease Control and Prevention took swift action to enlist the help of other companies such as MedImmune and Sanofi pasteur to supply vaccine in high-risk populations in the United States.

As of November 2007, both the conventional injection and the nasal spray are manufactured using chicken eggs. The European Union has also approved Optaflu, a vaccine produced by Novartis using vats of animal cells. This technique is expected to be more scalable and avoid problems with eggs, such as allergic reactions and incompatibility with strains that affect avians like chickens. A DNA-based vaccination, which is hoped to be even faster to manufacture, is currently in clinical trials, but has not yet been proven safe and effective. Research continues into the idea of a "universal" influenza vaccine (but no vaccine candidates have been announced) which would not need to be tailored to work on particular strains, but would be effective against a broad variety of influenza viruses.

H5N1

H5N1

* Influenza A virus

* subtype H5N1

* Genetic structure
* Infection
* Human mortality
* Global spread

* in 2004, 2005, 2006, 2007

* Social impact
* Pandemic

Vaccines have been formulated against several of the avian H5N1 influenza varieties. Vaccination of poultry against the ongoing H5N1 epizootic is widespread in certain countries. Some vaccines also exist for use in humans, and others are in testing, but none have been made available to civilian populations, nor produced in quantities sufficient to protect more than a tiny fraction of the Earth's population in the event that an H5N1 pandemic breaks out.

Three H5N1 vaccines for humans have been licensed as of June 2008:[61]

* Sanofi Pasteur's vaccine approved by the United States in April 2007,
* GlaxoSmithKline's vaccine Pandemrix approved by the European Union in May 2008, and
* CSL Limited's vaccine approved by Australia in June 2008.

All are produced in eggs and would require many months to be altered to a pandemic version.

H5N1 continually mutates, meaning vaccines based on current samples of avian H5N1 cannot be depended upon to work in the case of a future pandemic of H5N1. While there can be some cross-protection against related flu strains, the best protection would be from a vaccine specifically produced for any future pandemic flu virus strain. Dr. Daniel Lucey, co-director of the Biohazardous Threats and Emerging Diseases graduate program at Georgetown University, has made this point, "There is no H5N1 pandemic so there can be no pandemic vaccine." However, "pre-pandemic vaccines" have been created; are being refined and tested; and do have some promise both in furthering research and preparedness for the next pandemic. Vaccine manufacturing companies are being encouraged to increase capacity so that if a pandemic vaccine is needed, facilities will be available for rapid production of large amounts of a vaccine specific to a new pandemic strain.

Problems with H5N1 vaccine production include:

* lack of overall production capacity
* lack of surge production capacity (it is impractical to develop a system that depends on hundreds of millions of 11-day old specialized eggs on a standby basis)
* the pandemic H5N1 might be lethal to chickens

Cell culture (cell-based) manufacturing technology can be applied to influenza vaccines as they are with most viral vaccines and thereby solve the problems associated with creating flu vaccines using chicken eggs as is currently done.[62] :

Currently, influenza vaccine for the annual, seasonal influenza program comes from four manufacturers. However, only a single manufacturer produces the annual vaccine entirely within the U.S. Thus, if a pandemic occurred and existing U.S.-based influenza vaccine manufacturing capacity was completely diverted to producing a pandemic vaccine, supply would be severely limited. Moreover, because the annual influenza manufacturing process takes place during most of the year, the time and capacity to produce vaccine against potential pandemic viruses for a stockpile, while continuing annual influenza vaccine production, is limited. Since supply will be limited, it is critical for HHS to be able to direct vaccine distribution in accordance with predefined groups (see Appendix D); HHS will ensure the building of capacity and will engage states in a discussion about the purchase and distribution of pandemic influenza vaccine.

Vaccine production capacity: The protective immune response generated by current influenza vaccines is largely based on viral hemagglutinin (HA) and neuraminidase (NA) antigens in the vaccine. As a consequence, the basis of influenza vaccine manufacturing is growing massive quantities of virus in order to have sufficient amounts of these protein antigens to stimulate immune responses. Influenza vaccines used in the United States and around world are manufactured by growing virus in fertilized hens’ eggs, a commercial process that has been in place for decades. To achieve current vaccine production targets millions of 11-day old fertilized eggs must be available every day of production.

In the near term, further expansion of these systems will provide additional capacity for the U.S.-based production of both seasonal and pandemic vaccines, however, the surge capacity that will be needed for a pandemic response cannot be met by egg-based vaccine production alone, as it is impractical to develop a system that depends on hundreds of millions of 11-day old specialized eggs on a standby basis. In addition, because a pandemic could result from an avian influenza strain that is lethal to chickens, it is impossible to ensure that eggs will be available to produce vaccine when needed.

In contrast, cell culture manufacturing technology can be applied to influenza vaccines as they are with most viral vaccines (e.g., polio vaccine, measles-mumps-rubella vaccine, chickenpox vaccine). In this system, viruses are grown in closed systems such as bioreactors containing large numbers of cells in growth media rather than eggs. The surge capacity afforded by cell-based technology is insensitive to seasons and can be adjusted to vaccine demand, as capacity can be increased or decreased by the number of bioreactors or the volume used within a bioreactor. In addition to supporting basic research on cell-based influenza vaccine development, HHS is currently supporting a number of vaccine manufacturers in the advanced development of cell-based influenza vaccines with the goal of developing U.S.-licensed cell-based influenza vaccines produced in the United States.[63] The US government has purchased from Sanofi Pasteur and Chiron Corporation several million doses of vaccine meant to be used in case of an influenza pandemic of H5N1 avian influenza and is conducting clinical trials with these vaccines.[64] Researchers at the University of Pittsburgh have had success with a genetically engineered vaccine that took only a month to make and completely protected chickens from the highly pathogenic H5N1 virus.[65]

According to the United States Department of Health & Human Services:

In addition to supporting basic research on cell-based influenza vaccine development, HHS is currently supporting a number of vaccine manufacturers in the advanced development of cell-based influenza vaccines with the goal of developing U.S.-licensed cell-based influenza vaccines produced in the United States. Dose-sparing technologies. Current U.S.-licensed vaccines stimulate an immune response based on the quantity of HA (hemagglutinin) antigen included in the dose. Methods to stimulate a strong immune response using less HA antigen are being studied in H5N1 and H9N2 vaccine trials. These include changing the mode of delivery from intramuscular to intradermal and the addition of immune-enhancing adjuvant to the vaccine formulation. Additionally, HHS is soliciting contract proposals from manufacturers of vaccines, adjuvants, and medical devices for the development and licensure of influenza vaccines that will provide dose-sparing alternative strategies.[66]

Chiron Corporation is now recertified and under contract with the National Institutes of Health to produce 8,000–10,000 investigational doses of Avian Flu (H5N1) vaccine. MedImmune and Aventis Pasteur are under similar contracts.[67] The United States government hopes to obtain enough vaccine in 2006 to treat 4 million people. However, it is unclear whether this vaccine would be effective against a hypothetical mutated strain that would be easily transmitted through human populations, and the shelflife of stockpiled doses has yet to be determined.[68]

The New England Journal of Medicine reported on March 30, 2006 on one of dozens of vaccine studies currently being conducted. The Treanor et al. study was on vaccine produced from the human isolate (A/Vietnam/1203/2004 H5N1) of a virulent clade 1 influenza A (H5N1) virus with the use of a plasmid rescue system, with only the hemagglutinin and neuraminidase genes expressed and administered without adjuvant. "The rest of the genes were derived from an avirulent egg-adapted influenza A/PR/8/34 strain. The hemagglutinin gene was further modified to replace six basic amino acids associated with high pathogenicity in birds at the cleavage site between hemagglutinin 1 and hemagglutinin 2. Immunogenicity was assessed by microneutralization and hemagglutination-inhibition assays with the use of the vaccine virus, although a subgroup of samples were tested with the use of the wild-type influenza A/Vietnam/1203/2004 (H5N1) virus." The results of this study combined with others scheduled to be completed by spring 2007 is hoped will provide a highly immunogenic vaccine that is cross-protective against heterologous influenza strains.[69]

On August 18, 2006. the World Health Organization changed the H5N1 strains recommended for candidate vaccines for the first time since 2004. "The WHO's new prototype strains, prepared by reverse genetics, include three new H5N1 subclades. The hemagglutinin sequences of most of the H5N1 avian influenza viruses circulating in the past few years fall into two genetic groups, or clades. Clade 1 includes human and bird isolates from Vietnam, Thailand, and Cambodia and bird isolates from Laos and Malaysia. Clade 2 viruses were first identified in bird isolates from China, Indonesia, Japan, and South Korea before spreading westward to the Middle East, Europe, and Africa. The clade 2 viruses have been primarily responsible for human H5N1 infections that have occurred during late 2005 and 2006, according to WHO. Genetic analysis has identified six subclades of clade 2, three of which have a distinct geographic distribution and have been implicated in human infections:

* Subclade 1, Indonesia
* Subclade 2, Middle East, Europe, and Africa
* Subclade 3, China

On the basis of the three subclades, the WHO is offering companies and other groups that are interested in pandemic vaccine development these three new prototype strains:

* An A/Indonesia/2/2005-like virus
* An A/Bar headed goose/Quinghai/1A/2005-like virus
* An A/Anhui/1/2005-like virus

[...] Until now, researchers have been working on prepandemic vaccines for H5N1 viruses in clade 1. In March, the first clinical trial of a U.S. vaccine for H5N1 showed modest results. In May, French researchers showed somewhat better results in a clinical trial of an H5N1 vaccine that included an adjuvant. Vaccine experts aren't sure if a vaccine effective against known H5N1 viral strains would be effective against future strains. Although the new viruses will now be available for vaccine research, WHO said clinical trials using the clade 1 viruses should continue as an essential step in pandemic preparedness, because the trials yield useful information on priming, cross-reactivity, and cross-protection by vaccine viruses from different clades and subclades."[70][71]

As of November 2006, the United States Department of Health and Human Services still had enough H5N1 pre-pandemic vaccine to treat about 3 million people (5.9 million full-potency doses) in spite of 0.2 million doses used for research and 1.4 million doses that have begun to lose potency (from the original 7.5 million full-potency doses purchased from Sanofi Pasteur and Chiron Corp.). The expected shelf life of seasonal flu vaccine is about a year so the fact that most of the H5N1 pre-pandemic stockpile is still good after about 2 years is considered encouraging.[72]

Know the Difference Between Cold and Flu Symptoms

2009-08-12T00:41:00.000+03:00

Can you tell the difference between symptoms of flu and the common cold? To learn more about your symptoms, if they are associated with the flu, and how TAMIFLU may help check out the Symptoms at a Glance chart below.

Symptom	Cold	Flu
Fever	Fever is rare with a cold.	Fever is usually present with the flu in up to 80% of all flu cases. A temperature of 100°F or higher for 3 to 4 days is associated with the flu.
Coughing	A hacking, productive (mucus- producing) cough is often present with a cold.	A non-productive (non-mucus producing) cough is usually present with the flu (sometimes referred to as dry cough).
Aches	Slight body aches and pains can be part of a cold.	Severe aches and pains are common with the flu.
Stuffy Nose	Stuffy nose is commonly present with a cold and typically resolves spontaneously within a week.	Stuffy nose is not commonly present with the flu.
Chills	Chills are uncommon with a cold.	60% of people who have the flu experience chills.
Tiredness	Tiredness is fairly mild with a cold.	Tiredness is moderate to severe with the flu.
Sneezing	Sneezing is commonly present with a cold.	Sneezing is not common with the flu.
Sudden Symptoms	Cold symptoms tend to develop over a few days.	The flu has a rapid onset within 3-6 hours. The flu hits hard and includes sudden symptoms like high fever, aches and pains.
Headache	A headache is fairly uncommon with a cold.	A headache is very common with the flu, present in 80% of flu cases.
Sore Throat	Sore throat is commonly present with a cold.	Sore throat is not commonly present with the flu.
Chest Discomfort	Chest discomfort is mild to moderate with a cold.	Chest discomfort is often severe with the flu.

DISCLAIMER:
This is not a substitute for a professional, on-site medical diagnosis. However, you can use the printable symptoms results for discussion with your doctor or other healthcare professional during your visit to aid in a professional diagnosis.

Flu Symptoms

2009-08-12T00:38:00.000+03:00

The flu is characterized by a collection of symptoms that can often occur suddenly, including:

Fever (higher than 100° F)
A fever occurs when your body temperature increases in response to illness or injury. Your temperature is considered elevated when it is higher than 100°F.
Chills
Body chills that are not related to a cold environment can be a sign of the flu.
Headache
A headache associated with the flu may appear suddenly, and be related to body aches or nasal congestion you're experiencing.
Extreme tiredness
It's normal to feel tired at the end of a long day or when you don't get adequate sleep, but unexplained tiredness can be a sign of the flu.
Dry cough
Know your cough. A productive cough (coughing up mucus) is common with a cold, while a non-productive or dry cough (with no mucus) is associated with the flu.
Sore throat
Swelling in the throat can lead to a sore throat.
Runny nose
Runny nose may also occur but is more common in children than adults.
Muscle aches
While it is normal to feel body aches from physical overexertion, body aches that are sudden and unexplained can be a sign of the flu.
Stomach symptoms
Stomach symptoms such as nausea, vomiting and diarrhea are more common in children than in adults
Chest discomfort
Chest discomfort is often severe with the flu.

ABC of Ear, Nose and Throat (ABC Series)

2009-08-12T00:05:00.001+03:00

ABC of Ear, Nose and Throat (ABC Series)
By Harold S. Ludman, Patrick Bradley

* Publisher: BMJ Books
* Number Of Pages: 120
* Publication Date: 2007-07-09
* ISBN-10 / ASIN: 1405136561
* ISBN-13 / EAN: 9781405136563

Product Description:
This new edition of the best-selling ABC of Otolaryngology offers an up-to-date overview of otolaryngology, and head and neck surgery (ENT). Now in its fifth edition, the ABC of Ear, Nose and Throat advises on how best to manage patients with the most common ENT-related problems.

Thoroughly revised and updated, this new edition includes extra chapters on facial pain, head and neck tumours, sleep apnoea and epistaxis, as well as recent advances in ENT evaluation and investigations (especially CT and MRI) and minimally invasive techniques. New material on voice, breathing and swallowing disorders, hearing impairment and cochlear implants has been added, with new pictures, illustrations and algorithms throughout.

The ABC of Ear, Nose and Throat offers an essential introduction to this fundamental speciality for students, whilst providing a practical reference for GPs, GP registrars, junior doctors and nurses.

PDF | 4 MB

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Prospective comparison of quality of life before and after observation, radiation, or surgery for vestibular schwannomas

2009-05-01T20:47:00.000+03:00

Publish at Scribd or explore others: Health & Medicine Research schwannomas Vestibular

Operative Techniques in Otolaryngology - Head and Neck Surgery, Volume 19, Issue 4, Pages 229-290 (December 2008), Head and Neck Tumors

2009-04-09T23:25:00.001+03:00

Publish at Scribd or explore others: How-to-Guides & Manu culture cancer

Appleton & Lange Review of Anatomy

2009-04-02T20:20:00.001+03:00

Appleton & Lange Review of Anatomy
By Royce L. Montgomery

* Publisher: McGraw-Hill Medical
* Number Of Pages: 304
* Publication Date: 2002-10-01
* ISBN-10 / ASIN: 0071377271

Book Description:
Offers medical students the best available review of all major topics in anatomy for course review as well as preparation for the USMLE Step 1. The new edition features over 800 exam-type questions & answers, discussions of each answer, a 100-question practice test, improved illustrations, and more high-yield facts.

PDF | 2.3 MB | no password

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Methods of Cancer Diagnosis, Therapy and Prognosis: Breast Carcinoma

2009-04-02T20:18:00.000+03:00

Methods of Cancer Diagnosis, Therapy and Prognosis: Breast Carcinoma
By M.A. Hayat

* Publisher: Springer
* Number Of Pages: 728
* Publication Date: 2008-12
* ISBN-10 / ASIN: 1402083688

Product Description:
This is the first book that discusses subjects of diagnosis, therapy, therapy assessment, and prognosis of breast cancer in one single volume.

Cancer killed 6.7 million people around the world in 2002 and this figure is expected to rise to 10.1 million in 2020. Approximately, 189,510 new cases of breast cancer were reported in 2007 in the United States, and 40,910 died in the same year.

Focusing on Breast Carcinoma, this first volume in the series Methods of Cancer Diagnosis, Therapy and Prognosis brings together 56 leading scientists from around the world to deliver a comprehensive treatise on all aspects of breast cancer, including diagnosis, treatments and prognosis. Scientists and clinicians have contributed state of the art chapters on their respective areas of expertise providing the reader a whole field view of breast cancer management.

This fully illustrated volume:

* Presents a constructive evaluation of commonly used methods for elucidating primary and secondary cancer initiation, progression, relapse, and metastasis.

* Highlights methods of breast cancer diagnosis and treatment assessment including various imaging modalities such as ultrasound, computed tomography, magnetic resonance imaging, immunohistochemistry and histochemistry.

* Discusses detailed therapeutic protocols, including both their benefits and side-effects.

* Discusses examples of breast cancer treatments includingchemotherapy, radiation, chemoradiation, surgery, hormonal - and immunotherapy

* Details the molecular processes that lead to the development and proliferation of cancer cells

* Includes recent major advances in cancer diagnosis and therapy assessment

Professor Hayat has summarized the problems associated with the complexities of research publications and has been successful in editinga must-read volume for oncologists, cancer researchers, medical teachers and students of cancer biology.

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Prehospital Trauma Care

2009-04-02T20:16:00.000+03:00

Prehospital Trauma Care
Pub:Informa Healthcare | Pages:816 | 2001-07-27 | ISBN:0824705378 | PDF| 11.2 MB

Comprehensive in scope and content, Prehospital Trauma Care (PTC) covers all aspects of emergency medicine-triage assessment and treatment, anesthesia, intensive care, psychiatry, health and military disasters, burns, shock, and surgery. Written by over 70 distinguished international experts representing Australia, Austria, Belgium, Canada, Denmark, Finland, France, Germany, Iceland, Israel, Italy, Japan, The Netherlands, Norway, Poland, Portugal, Slovenia, Sweden, Switzerland, the UK, and the USA. Considering geographic and cultural perspectives in trauma care, Prehospital Trauma Care explores · demographics and mechanisms of injury in PTC · organization of PTC in developed countries worldwide · the hierarchy of the prehospital trauma team and crew-resource management · features of initial patient care from advanced airway management to state-of-the-art fluid resuscitation and prevention of hypothermia, including provision of adequate analgesia · specialized approaches to blunt and penetrating trauma · treating special groups such as the traumatized child and the entrapped patient, as well as specific situations, including chemical injuries and hypothermia · transport and extraordinary challenges such as rural areas, mass attendance events, terrorism, and VIP protection · and much more. Promoting an efficient trauma chain of survival and a secure continuum of care, Prehospital Trauma Care is essential reading for emergency medicine and critical care physicians, anesthesiologists, surgeons, pediatricians, sports medicine specialists, air and ground transport nurses, paramedics, emergency medical technicians, and all related medical specialists with an interest in trauma care.

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Genetics for Surgeons

2009-04-02T20:15:00.000+03:00

Genetics for Surgeons
By Patrick J. Morrison, Roy A. J. Spence

* Publisher: Remedica Publishing
* Number Of Pages: 223
* Publication Date: 2005-05
* ISBN-10 / ASIN: 1901346692
* ISBN-13 / EAN: 9781901346695

Product Description:

A new book in the Genetics Series â€“ convenient reference guides designed to help clinicians apply the wealth of new genetic information to their clinical practice. The series is edited by medical geneticist Eli Hatchwell of Cold Spring Harbor Laboratory, New York, and each book is authored by respected authorities in the field.

Surgeons need to know about genetics and how it interacts with modern surgical practice because inherited diseases contribute to a substantial proportion of the surgical workload. Recognition of a positive history of disease in a family will allow genetic testing and precise diagnosis, leading to the ability to presymptomatically screen at-risk members of a family and allow screening and prevention strategies to be implemented. This book will provide surgeons with an introduction to the principles of genetics and information on common surgical conditions that have a hereditary tendency.

PDF | 1.3 MB

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Pediatric Sinusitis and Sinus Surgery

2009-03-29T22:37:00.002+03:00

Pediatric Sinusitis and Sinus Surgery
By Ramzi T. Younis

* Publisher: Informa HealthCare
* Number Of Pages: 296
* Publication Date: 2005-09-26
* ISBN-10 / ASIN: 0824728815

Product Description:
Comprehensively addressing the various aspects of sinus disease in children, this reference describes the entire spectrum of pediatric sinusitis management, surgery, and control-opening with sections on anatomy and pathophysiology; demonstrating approaches in diagnostic work-up and medical therapy; detailing surgical management; and considering topics such as sinusitis complications, comorbidity, tonsillectomy, adenoidectomy, cystic fibrosis, and allergy or immune deficiency; this guide is a stand-alone source for anyone involved in pediatric sinus disease.

PDF | 2.8 MB | no password

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Grant's Atlas of Anatomy

2009-03-29T22:19:00.001+03:00

Grant's Atlas of Anatomy
By Anne MR Agur, Arthur F Dalley

* Publisher: Lippincott Williams & Wilkins
* Number Of Pages: 834
* Publication Date: 2008-02-01
* ISBN-10 / ASIN: 0781796040

Product Description:
A cornerstone of gross anatomy since 1943, Grant's Atlas of Anatomy continues to reach students worldwide with its realistic illustrations, detailed surface anatomy photos, clinical relevance, and muscle tables. Renowned for its accuracy, pedagogy, and clinical relevance, the new edition of this classic anatomy atlas features many improvements, including updated artwork, more vital tissue colors, new conceptual diagrams, vibrantly re-colored illustrations, and a more consistent art style. Clinical integration has been greatly enhanced in this edition, with clinical material clearly highlighted for easy identification. In addition, the organization within each chapter has been updated to provide a clearer and more consistent approach. A companion Website offers student and instructor versions of Grant's Interactive Atlas, including images from the book, video clips from Acland's DVD Atlas of Human Anatomy, USMLE-style questions, image-based drag-and-drop questions, and electronic flash cards from Gould's Clinical Anatomy Flash Cards. Also available is an interactive atlas for faculty, which contains all of the images, select Acland clips, presentations of dissection sequences, an expanded table of contents, and more!Medical and health professions students as well as faculty and practitioners continue to rely on Grant's Atlas for its accuracy and comprehensiveness. They're going to love what this new edition has to offer! "Compared to [other atlases on the market], I find the contents and the images of this book significantly better mainly because of the life-like images and also the [accompanying] brief descriptions...[which] help keep the interest level going strong." 3rd year student

CHM | 609 mb | no password

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MediaPhys: An Introduction to Human Physiology, 3.0 Version CD-ROM

2009-03-18T21:28:00.000+02:00

MediaPhys: An Introduction to Human Physiology, 3.0 Version CD-ROM
By Tom Stavraky

* Publisher: McGraw-Hill Science
* Publication Date: 2005-07-05
* ISBN / ASIN: 0072945826
* Binding: CD-ROM

Book Description:
McGraw-Hill is proud to introduce MediaPhys 3.0, the most comprehensive physiology study tool available. MediaPhys is a multimedia educational CD-ROM that offers cross-platform compatibility (Windows or Macintosh systems).

--- Re-Uploaded ----

This dynamic program offers 16 complete modules featuring detailed explanations, high-quality illustrations, and animations to provide students with a thorough introduction into the world of physiology. MediaPhys is filled with interactive activities and quizzes to help reinforce physiology concepts that are often difficult to understand. Now students can learn and study on their own while using a powerful tool that challenges them to succeed!

Table Of Contents

1. Introduction to Physiology
2. Body Fluids
3. Human Cell
4. Nerve Cells
5. Muscles
6. Nervous System
7. Sensory Systems
8. Cardiovascular System I- The Heart
9. Cardiovascular System II- Blood Vessels
10. Respiratory System
11. Renal System, Water and Electrolyte Balance
12. Acid-Base Balance
13. Endocrine System
14. Reproductive System
15. Digestive System
16. Metabolism

CD-ROM | 358 MB | no password

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Contemporary Oral and Maxillofacial Surgery

2009-03-18T21:18:00.002+02:00

Contemporary Oral and Maxillofacial Surgery
By Edward Ellis, James R. Hupp, Myron R. Tucker

* Publisher: Mosby
* Number Of Pages: 800
* Publication Date: 2002-12-05
* ISBN-10 / ASIN: 0323018874

Product Description:
In an easy-to-follow, highly illustrated approach, this popular text presents the fundamental principles of surgical and medical management of oral surgery problems. This well-organized text defines the role of the general dentist as a member of the surgical management team. Basic techniques of evaluation, diagnosis, and medical management are presented in explicit detail that allows the reader to immediately apply these methods to practice. It provides information on the basic oral surgery procedures that the general practitioner encounters, as well as an overview of oral and maxillofacial surgery procedures performed by the specialist. All surgical techniques are well illustrated so readers can visualize key surgical concepts.

* Authored by well-known, respected practitioners and contributors in the field of OMS, drawing on their wealth of clinical expertise.
* Two-color format highlights key concepts and makes information easy to follow.
* Appendices provide valuable reference sections, including useful examples of prescriptions, postoperative instructions, an informed consent form, and current instrument pricing.
* A new chapter focuses on facial esthetic surgery, which is often included in a comprehensive treatment plan to complement restorative, prosthetic, and orthodontic treatment.
* Basic and advanced preprosthetic procedures have been combined into one complete chapter so readers can easily turn to procedures of interest.
* Enhanced and improved illustrations throughout more accurately depict key concepts and techniques, and many photos have been replaced with new, high-quality images.
* The chapter on facial neuropathology has been completely revised to present the most up-to-date information on this topic.

You will need Adobe 5.0 or later & Quick Time installed in order to see the Videos!

PDF & LIVE Videos| 529 MB | no password

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Headache and Migraine in Childhood and Adolescence

2009-03-15T08:12:00.000+02:00

Headache and Migraine Childhood and Adolescence
By Vincenzo Guidetti, George Russell, Matti Sillanpaa, Paul Winner

* Publisher: Informa HealthCare
* Number Of Pages: 512
* Publication Date: 2001-09-27
* ISBN-10 / ASIN: 1853178101

Product Description:
The study of headache and migraine has concentrated on various drugs for various patient groups. In this volume, the editors take a different tack and narrow the focus. They have assembled an illustrious team of contributors from around the world to write on headache and migraine in childhood and adolescence. Headache and Migraine in Childhood and Adolescence is comprehensive. It profiles all types of headache and migraine, separating medical fact from rumor and offering suggestions for effective treatment. The editors even distill the information into various subgroups in this age-range. Pediatricians and general practitioners, as well as pediatric neurologists, will gain insights and practical tools for clinical practice.

PDF | 2.6 MB

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Endometriose - Ein Wegweise für die Praxis [German]

2009-03-15T08:10:00.000+02:00

Endometriose - Ein Wegweise für die Praxis [German]
by Andreas D. Ebert

* Publisher: Walter de Gruyter
* Number Of Pages: 106
* Publication Date: 2007-01-30
* ISBN-10 / ASIN: 3110189844

Product Description:

World-wide millions of women in their reproductive prime suffer from endometriose. This widespread disease with benign tumour characteristics strongly impacts the lives of affected women, overshadowing and even destroying partnerships, family, sexuality and career through pain and sterility.

The first edition of this book was quickly out of stock, documenting the urgent need by both doctors and patients for up-to-date information. The second revised edition incorporates all of the newest insights and developments regarding this prevalent disease and creates thereby the groundwork for its effective treatment.

German

PDF | 6 MB

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La médecine nucléaire : La radioactivité au service du diagnostic et de la thérapie

2009-03-15T08:04:00.002+02:00

La médecine nucléaire : La radioactivité au service du diagnostic et de la thérapie [French]
By Richard Zimmermann

* Publisher: EDP Sciences
* Number Of Pages: 171
* Publication Date: 2006-05-25
* ISBN-10 / ASIN: 2868838650

La médecine nucléaire est une spécialité utilisant les propriétés de la radioactivité associée à une molécule médicamenteuse, un radiopharmaceutique, dans un but de diagnostic et de thérapie. Au cours des cinquante dernières années, la médecine nucléaire a évolué pour devenir un outil incontournable en milieu hospitalier. Cette technique permet aujourd'hui, non seulement de mieux voir et décrire la maladie, mais aussi de mieux la traiter. La cancérologie est la principale discipline concernée. Injectés au patient, les médicaments radiopharmaceutiques se dirigent sélectivement vers les cellules tumorales, y compris les métastases, s'y installent et émettent un rayonnement. Suivant son type, celui-ci permet, soit de visualiser ces cellules, soit de les détruire. Les améliorations récentes de cette technologie apportent de nouvelles perspectives dans le traitement des cancers mais également en hématologie et en neurologie. En parallèle, la médecine nucléaire a bénéficié, depuis le début de ce XXIe siècle, d'une double révolution technologique en matière d'imagerie. D'une part, la Tomographie par Émission de Positons (TEP) fait son entrée en force avec un médicament d'imagerie polyvalent, le FDG. D'autre part, un nouvel outil associant l'imagerie fonctionnelle à l'imagerie morphologique a été mis à disposition des médecins depuis peu. En présentant ces techniques et pratiques à un public plus large, cet ouvrage d'information scientifique met aussi l'accent sur les difficultés qu'il a fallu et qu'il faut encore surmonter pour que médecins et malades puissent y avoir accès. Il reste encore certains obstacles à franchir, mais ces progrès récents laissent entrevoir de nouveaux espoirs à court terme pour tous les malades.

PDF| 2.8 MB

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Clinician's Guide to Pediatric Sleep Disorders

2009-03-15T08:02:00.000+02:00

Clinician's Guide to Pediatric Sleep Disorders
By Mark Richardson, Norman Friedman

* Publisher: Informa HealthCare
* Number Of Pages: 348
* Publication Date: 2006-08-30
* ISBN-10 / ASIN: 0849398193

Product Description:
Affecting 20 to 30 % of children under the age of five, sleep disorders can seriously affect a child's health. This authoritative guide illustrates the consequences of sleep disordered breathing and offers a state-of-the-art overview of methods to identify, diagnose, and treat sleep disorders in children. Covering the latest research related to the medical and surgical management of disease, high-risk groups, psychosocial effects, and the examination of sleep study results, this source helps practitioners understand normal sleep patterns, recognize common sleep conditions, and implement appropriate care protocols for optimum patient health.

PDF | 3.2 mb | no password

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Soft-Tissue Surgery of the Craniofacial Region

2009-03-08T13:14:00.000+02:00

Soft-Tissue Surgery of the Craniofacial Region
By John Persing, Gregory R.D. Evans

* Publisher: Informa HealthCare
* Number Of Pages: 400
* Publication Date: 2007-06-20
* ISBN-10 / ASIN: 0824728939

Product Description:
Whether from trauma, congenital deformity, or disease, many patients can present with disfiguring and debilitating facial defects. This reference presents a range of expertise on soft-tissue surgery of the craniofacial region for improved function and enhanced cosmetic appearance. Covering the latest technologies available, this source includes chapters on laser imaging, burns, cleft palate, and facial paralysis.

PDF | 7.6 MB no password

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Emerging Problems in the Management of Paediatric Acute Otitis Media and Other Bacterial Infections

2009-03-08T12:43:00.000+02:00

Emerging Problems in the Management of Paediatric Acute Otitis Media and Other Bacterial Infections
By multiple authors

* Publisher: Royal Society of Medicine Press
* Number Of Pages: 29
* Publication Date: 2007
* ISBN-10 / ASIN: 1853157562

PDF | 0.3 mb | no password

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Head and Neck Oncology: Principles of Management

2009-03-05T20:27:00.000+02:00

Head and Neck Oncology: Principles of Management
By Peter H. Rhys Evans, Paul Q. Montgomery, Patrick J. Gullane

* Publisher: Informa Healthcare
* Number Of Pages: 648
* Publication Date: 2003-03-27
* ISBN-10 / ASIN: 1899066063

Product Description:

Increased knowledge of genetic and epidemiological factors, refinement of the tools of diagnosis, greater understanding of clinico-pathological correlation, and advances in rehabilitation and reconstruction are just a few of the developments that have taken place in the study and treatment of head and neck cancer during the past two centuries. Written by a multidisciplinary panel of experts, Principles and Practice of Head and Neck Oncology provides a broad, comprehensive, and balanced review of the current scientific knowledge and management of head and neck tumors. Taking a multidisciplinary approach, the book covers all aspects of treatment, from initial diagnostic procedures, through staging, surgery, radiation, and chemotherapy to aftercare and rehabilitation. It explores the complexities of managing this very diverse group of diseases. The following sections review each of the major types of cancer: tumors of the upper airways and digestive tract (including the mouth, nasopharynx and larynx), and the skull base tumors, thyroid and salivary glands. The holistic approach, contributions from experts, and more than 500 illustrations, most in color, make the book an important resource for head and neck oncologists at every level.

PDF | 31 mb
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An Atlas of Head and Neck Surgery - 2Vol

2009-03-05T20:22:00.000+02:00

An Atlas of Head and Neck Surgery - 2Vol
Publisher:Saunders | Pages:1215 | 2004-09-03 | ISBN:0721673198 | PDF | 866 MB

Completely revised and expanded, the fourth edition of this popular atlas has been updated to include the latest techniques and most current developments in the field. Features over 1400 detailed illustrations; full-color design; new chapters on microvascular surgery, skull base surgery and endoscopic sinus surgery; and a greatly expanded section on the neck.

* Uses more than 1400 outstanding illustrations to capture the preferred techniques of 39 world leaders in head and neck surgery.
* Explores everything from head and neck imaging through emergency procedures...diagnostic endoscopy... and a full range of operative procedures for every condition encountered in head and neck surgery.
* Presents 3 brand-new chapters and 20 extensively revised chapters encompassing all of the most recent advances in head and neck surgery.
* Covers hot topics such as microvascular surgery · endoscopic sinus surgery · skull base surgery · and selective neck dissection.

Review
"An outstanding surgical atlas and should be in the library of all surgeons who perform head and neck surgery."--American Journal of Otolaryngology, Volume 10, Issue 4, July-August 1989, Page 299, review of the previous edition

"A revised and expanded edition of the atlas of head and neck surgery; adding three new chapters covering such topics as microvascular surgery, endoscopic sinus surgery; and skull base surgery. About 1400 illustrations demonstrating head and neck anatomy and surgical procedures." --SciTech Book News, September 2005

"The standardbearer for the field...The illustrations are excellent, and the surgical techniques are clearly described...An informative compilation of the techniques of head and neck surgical procedures."-Mayo Clinic Proceedings, review of the previous edition

"An easy to refer to atlas encompassing the entire breadth of head and neck surgery."-Plastic & Reconstructive Surgery, review of the previous edition

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Cosmetic Surgery, Gender and Culture

2009-02-27T21:05:00.001+02:00

Cosmetic Surgery, Gender and Culture
By Suzanne Fraser

* Publisher: Palgrave Macmillan
* Number Of Pages: 256
* Publication Date: 2003-10-24
* ISBN-10 / ASIN: 1403912998

Product Description:
Through its representation, cosmetic surgery impacts on us all, not just those who go "under the knife." Women's magazines teem with its promises and horror stories; feminists ardently debate its status as harmful or heroic; surgeons and regulators compete to define which procedures can be offered and how. This book investigates the ways in which cosmetic surgery is shaping gender, and in the process, it questions contemporary cultural studies assumptions about how we read the media.

PDF | 1 mb | no password

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Pediatric Nasal and Sinus Disorders

2009-02-27T21:02:00.000+02:00

Pediatric Nasal and Sinus Disorders (Lung Biology in Health and Disease)
By Tania Sih, Peter A.R. Clement

* Publisher: Informa HealthCare
* Number Of Pages: 648
* Publication Date: 2005-04-06
* ISBN-10 / ASIN: 0824754484
* ISBN-13 / EAN: 9780824754488

Product Description:

The first and only source to offer a detailed and authoritative review of every aspect of nasal and sinus disorders in children, this reference provides an impressive collection of reviews on topics ranging from disease mechanisms and immunodefense to diagnosis, medical management, and surgical strategy.

PDF | 6.6 MB

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Surgical Management of Sleep Apnea and Snoring

2009-02-01T11:40:00.001+02:00

Surgical Management of Sleep Apnea and Snoring
By David J. Terris, Richard L. Goode

Publisher: Informa HealthCare
Number Of Pages: 512
Publication Date: 2005-08-12
ISBN-10 / ASIN: 0824759109

Product Description:
Providing a comprehensive review and update on recent advances, that forms a valuable reference for practitioners interested in the latest operative strategies, this state-of-the-art text reviews current and emerging topics in the surgical management of sleep apnea and snoring, inclduing methods for patient evaluation, avoidance of complications, and postoperative care. With more than 30 illustrative chapters and detailed figures that offer clear presentation of the techniques discussed, the book comprehensively delineates the anatomy and physiology of sleep apnea and addresses recent and established surgical approaches to the management of obstructive sleep apnea and snoring.

PDF | 14.6 MB | no password

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Key Topics in General Surgery

2009-01-28T10:26:00.002+02:00

Key Topics in General Surgery (Key Topics)By C.R. Lattimer, N.R.F. Lagattolla* Publisher: Informa HealthCare* Number Of Pages: 372* Publication Date: 2002-04-15* ISBN-10 / ASIN: 1859961649* ISBN-13 / EAN: 9781859961643Product Description:Containing essential information on approximately 100 carefully selected topics pertinent to modern practice in clinical general surgery, this title is the ideal reference and revision aid for postgraduate examinations in general surgery. Wherever possible the information is presented in a uniform manner, with the focus on diagnosis and management. This new edition of Key Topics in General Surgery features several new topics and updates to the existing topics and also includes guidance on evidence-based medicine.
PDF 1.8 MB

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Auditory Trauma, Protection, and Repair

2009-01-27T22:24:00.004+02:00

* Publisher: Springer
* Number Of Pages: 352
* Publication Date: 2008-03-19
* ISBN-10 / ASIN: 0387725601
* ISBN-13 / EAN: 9780387725604

Product Description:
The past decade has brought great advances in our understanding of the mechanisms underlying auditory pathologies. Molecular biology and genetics have primarily contributed to this enhanced understanding, which in turn has driven the design of novel rational therapeutic interventions. Auditory Trauma, Protection and Repair presents recent developments in auditory research and their potential translation to the clinical setting. In particular the authors address the major entities of peripheral auditory trauma, discuss the underlying mechanisms, the central nervous system consequences, protective interventions and finally explore the possibilities to restore cochlear morphology and function.

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Otolaryngology- Head and Neck Surgery

2009-01-25T20:51:00.003+02:00

Volume 140 Number 1 January 2009

Official Journal of the American Academy of Otolaryngology-Head and Neck Surgery Foundation

and the American Academy of Otolaryngic Allergy

Synergy 1

Richard M. Rosenfeld, MD, MPH

Brooklyn, NY

Invited Article

Practical guide to efficient analysis and diagramming articles 4

J. Gail Neely, MD, Ron J. Karni, MD, Eric W. Wang, MD, Jason T. Rich, MD,

Randal C. Paniello, MD, Courtney C. J. Voelker, MD, DPhil (Oxon), and

Brian Nussenbaum, MD

St Louis, MO

Commentaries

The medicine and GERD of Immanuel Kant (1724-1804) 9

Gilberto Vilela Figueiredo Filho, MD

Curitiba, Brazil

Can plastic tracheotomy tubes harm baby boys? 13

Asa A. Mair, and Eric A. Mair, MD, FAAP

Chapel Hill and Charlotte, NC

The Cochrane Corner

Extracts from The Cochrane Library: Tonsillectomy for chronic/recurrent acute 15

tonsillitis

Martin J. Burton, DM, FRCS, Glenn Isaacson, MD, and Richard M. Rosenfeld, MD, MPH

Oxford, United Kingdom; Philadelphia, PA; and Brooklyn, NY

Original Research—General Otolaryngology

Adult tonsillectomy: Current indications and outcomes 19

Elizabeth K. Hoddeson, MD, and Christine G. Gourin, MD

Augusta, GA; and Baltimore, MD

Diathermy power settings as a risk factor for hemorrhage after tonsillectomy 23

David Lowe, FRCS, David A. Cromwell, PhD, James D. Lewsey, PhD, Lynn P. Copley, MSc,

Peter Brown, FRCS, Matthew Yung, FRCS, and Jan H. van der Meulen, PhD

London, Glasgow, Buckinghamshire, and Suffolk, UK

The efficacy of preoperative screening and the treatment of methicillin-resistant 29

Staphylococcus aureus in an otolaryngology surgical practice

Sara L. Richer, MD, and Barry L. Wenig, MD, MPH

Boston, MA; and Evanston, IL

Original Research—Laryngology and Neurolaryngology

Impact of voice and swallowing problems in the elderly 33

Richard Turley, MD, and Seth Cohen, MD, MPH

Durham, NC

Laryngeal and vocal evaluation in untreated growth hormone deficient adults 37

Vale´ria M. P. Barreto, MD, Jeferson S. D’A´ vila, MD, PhD, Neuza J. Sales, MSc,

Maria Inês R. Gonc¸alves, PhD, Juliane Dantas Seabra, MD, Roberto Salvatori, MD, and

Manuel H. Aguiar-Oliveira, MD, PhD

Aracaju, Sergipe, and São Paulo, Brazil; and Baltimore, MD

Dosage changes in patients with long-term botulinum toxin use for laryngeal 43

dystonia

Hakan Birkent, MD, Nicole Maronian, MD, Patricia Waugh, MS, CCC-SLP,

Albert L. Merati, MD, David Perkel, PhD, and Allen D. Hillel, MD

Ankara, Turkey; Cleveland, OH; and Seattle, WA

Original Research—Sinonasal Disorders

Old and new aspects of middle turbinate histopathology 48

Gilead Berger, MD, Yehuda Finkelstein, MD, Dov Ophir, MD, and Roee Landsberg, MD

Kfar Saba and Tel Aviv, Israel

Microsatellite instability analysis of sinonasal carcinomas 55

Jorge Garcı´a Martı´nez, MSc, Jhudit Pe´rez-Escuredo, MSc, Fernando Lo´pez, MD,

Carlos Sua´rez, MD, PhD, Ce´sar Álvarez-Marcos, MD, PhD, Jose´ Luis Llorente, MD, PhD, and

Mario A. Hermsen, PhD

Oviedo, Asturias, Spain

Original Research—Head and Neck Cancer

Modified lateral neck lymphadenectomy: Prospective randomized study comparing 61

harmonic scalpel with clamp-and-tie technique

Paolo Miccoli, MD, Gabriele Materazzi, MD, Lorenzo Fregoli, MD, Erica Panicucci, MD,

Walter Kunz-Martinez, MD, and Piero Berti, MD

Pisa, Italy

Perineural invasion of the major and minor nerves in laryngeal and 65

hypopharyngeal cancer

Magdalena Chirila˘, MD, Sorana D. Bolboaca˘, MD, PhD, Marcel Cosgarea, MD, PhD,

Ermil Tomescu, MD, PhD, and Mihaela Mures¸an, MD

Cluj-Napoca, Romania

A comparison between endoscope-assisted partial parotidectomy and 70

conventional partial parotidectomy

Xiaoming Huang, MD, PhD, Yiqing Zheng, MD, Xiang Liu, MD, Wei Sun, MD,

Liang Zeng, MD, Xiang Cai, MD, Wei Liu, MD, PhD, Yaodong Xu, MD, Zhigang Zhang, MD,

and Hongzhang Huang, MD

Guangzhou, P.R. China

Original Research—Facial Plastic and Reconstructive Surgery

Assessment of the reproducibility of facial expressions with 3-D 76

stereophotogrammetry

Adam R. Sawyer, BSc, DOHNS, MRCS, MSc, Marlene See, MBBS, MRCS, MSc, and

Charles Nduka, MD, FRCS

West Sussex, England, United Kingdom

Ocular outcomes after gold weight placement and facial nerve resection 82

Ali Razfar, BS, Ahmed M. Afifi, MD, Ernest K. Manders, MD, Eugene N. Myers, MD,

Jonas T. Johnson, MD, Robert L. Ferris, MD, PhD, and

Frederic W.-B. Deleyiannis, MD, MPhil, MPH

Pittsburgh, PA

Original Research—Otology and Neurotology

Sudden sensorineural hearing loss: An evaluation of treatment and management 86

approaches by referring physicians

Nima L. Shemirani, MD, Madeline Schmidt, MA, and David R. Friedland, MD, PhD

Milwaukee, WI

Levodopa does not enhance the effect of low-frequency repetitive transcranial 92

magnetic stimulation in tinnitus treatment

Tobias Kleinjung, MD, Thomas Steffens, PhD, Michael Landgrebe, MD,

Veronika Vielsmeier, MD, Elmar Frank, MD, Go¨ran Hajak, MD, Juergen Strutz, MD, and

Berthold Langguth, MD

Regensburg, Germany

A minimally invasive registration method using Surface Template-Assisted Marker 96

Positioning (STAMP) for image-guided otologic surgery

Nozomu Matsumoto, MD, PhD, Jaesung Hong, PhD, Makoto Hashizume, MD, PhD, and

Shizuo Komune, MD, PhD

Fukuoka, Japan

Aminoglycoside ototoxicity in Nicaraguan children: Patient risk factors and 103

mitochondrial DNA results

James E. Saunders, MD, John H. Greinwald, MD, FAAP, Sharon Vaz, RN, and Yinshi Guo, MS

Lebanon, NH; Oklahoma City, OK; and Cincinnati, OH

Influence of cochlear implantation on sacculus function 108

Eike Krause, MD, Juliane Wechtenbruch, PhD, Tobias Rader, MSc, and Robert Gu¨rkov, MD

Munich and Frankfurt, Germany

Original Research—Pediatric Otolaryngology

Receptive language outcomes in children after cochlear implantation 114

Cristina M. Baldassari, MD, Christine Schmidt, CCC-SLP, Christine M. Schubert, PhD,

Pratibha Srinivasan, CCC-A, C-AVT, Kelley M. Dodson, MD, and Aristides Sismanis, MD

Richmond, VA

OK-432 sclerotherapy in head and neck lymphangiomas: Long-term follow-up 120

result

Jae Chul Yoo, MD, Youngjin Ahn, MD, Yune Syung Lim, MD, J. Hun Hah, MD,

Tack-Kyun Kwon, MD, PhD, Myung-Whun Sung, MD, PhD, and Kwang Hyun Kim, MD, PhD

Seoul, Korea

Clinical Techniques and Technology

Transoral robotic assisted free flap reconstruction 124

Vijay K. Mukhija, MD, Chih-Kwang Sung, MD, MS, Shaun C. Desai, BA, George Wanna, MD,

and Eric M. Genden, MD

New York, NY

Identification of the facial nerve main trunk by retrograde dissection of the 126

postauricular branch

Michael A. Keefe, MD, Jerry R. Castro, MD, and Morgan S. Keefe

San Diego, CA; and Washington, DC

Clinical Photographs

Giant salivary calculus of the submandibular gland 128

Eduardo Costa Studart Soares, PhD, Fa´bio Wildson Gurgel Costa, MD,

Rosana Maria Andrade Pessoa, DDS, and Ta´cio Pinheiro Bezerra, MD

Ceara´, Brazil

Isolated superior sternal cleft 130

Shih-Wei Liu, MD, Chorng-Kuang How, MD, and Jen-Dar Chen, MD

Taipai, Taiwan

Case Reports

Episodic painful parotid swelling caused by sialodochitis with eosinophilic 132

inflammation: A new entity

Natasha Pollak, MD, Jerry W. Templer, MD, Magda Esebua, MD, Alberto A. Diaz-Arias, MD,

and Robert P. Zitsch, MD

Columbia, MO

FDG-positive Warthin’s tumors in cervical lymph nodes mimicking metastases in 134

tongue cancer staging with PET/CT

Esther Schwarz, MS, Sandra Hu¨rlimann, MD, Jan David Soyka, MD, Lucia Bortoluzzi, MD, and

Klaus Strobel, MD

Zurich and Lucerne, Switzerland

Chronic rhinosinusitis and persistent epiphora following 136

conjunctivodacryocystorhinostomy

Raj Sindwani, MD, FRCS, and Marsha S. Kadze, MD

St. Louis, MO

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Operative Techniques in Laryngology

2009-01-16T20:40:00.001+02:00

Operative Techniques in Laryngology
By Clark A. Rosen, C. Blake Simpson

* Publisher: Springer
* Number Of Pages: 312
* Publication Date: 2008-10
* ISBN-10 / ASIN: 354025806X

Product Description:
Operative Techniques in Laryngology fills a void that currently exists in otolaryngology textbooks: a comprehensive text on laryngeal surgery that can be used by physicians to prepare for surgical cases. It contains explicit step-by-step descriptions of surgical procedures such that the reader can “learn to operate”. The surgical atlas is written by well-known experts with step-by-step surgical maneuvers for various laryngeal procedures encompass both microlaryngeal surgery and laryngeal framework surgery. Postoperative care and complications are also covered to round out the information needed by the surgeon in the perioperative period. The atlas is richly illustrated with photographic representations of all surgical steps and superb artwork illustrations to highlight the difficult three-dimensional anatomic concepts. In summary: This unique guide filled with “cookbook” descriptions of laryngeal surgical procedures provides a quick and simple reference for all surgeons interested in laryngological surgery.

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Operative Techniques in Otolaryngology - Head and Neck Surgery, Volume 19, Issue 1

2009-01-15T22:21:00.006+02:00

Anatomy of the Temporal Bone with Surgical Implications

2009-01-14T00:09:00.002+02:00

Anatomy of the Temporal Bone with Surgical Implications
Publisher:Informa Healthcare | Pages:376 | 2007-09-07 | ISBN:0849375975 | PDF | 33 MB
Detailed knowledge of the complex microanatomy of the temporal bone is essential for surgeons executing invasive therapeutic procedures. Based on the human temporal bone collection at the Massachusetts Eye and Ear Infirmary, this lavishly illustrated Third Edition includes a DVD offering 159 full-color photomicrographs and side-by-side 3-D stereo images for split-screen viewing of normal and abnormal presentations of the human temporal bone.

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Atlas of Acoustic Neurinoma Microsurgery

2009-01-12T23:02:00.001+02:00

Atlas of Acoustic Neurinoma Microsurgery
By M. Sanna

* Publisher: Georg Thieme Verlag
* Number Of Pages: 211
* Publication Date: 1998-01
* ISBN-10 / ASIN: 3131102810

Product Description:

This colour atlas provides information on all major acoustic neurinoma procedures, and is designed to improve physicians' skills in this specialty. With more than 50,000 new cases per year worldwide, acoustic neurinomas are among the most commonly observed skull-base tumours. They are also among the most demanding for surgeons, since great precision is needed to safeguard the auditory nerve, the facial nerve and other critical structures. The book begins with sections on the radiographic assessment of tumours, the selection of surgical approach, and pre-operative preparations. It then turns to the main surgical approaches, using hundreds of photographs - taken during actual surgery - to lead readers through each procedure in step-by-step detail. There is a special section on the use of endoscopy in acoustic neurinoma surgery, and an analysis of 50 MR scans. This practical volume should be of interest to otolaryngologists, neurosurgeons and other physicians involved in acoustic neurinoma surgery.

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Rhinoplasty - Text

2009-01-10T22:15:00.001+02:00

Rhinoplasty - Text
By Trenite Nolst

* Publisher: Kugler Publications
* Number Of Pages: 427
* Publication Date: 2005-01
* ISBN-10 / ASIN: 9062992064
* ISBN-13 / EAN: 9789062992065

The fast development of more atraumatic and refined operative techniques in the last decade, and the importance of good long-term results and reduced number of failures in nasal surgery, emphasize the need for an up-to-date, step-by-step operative guide. Although there are many good books on the subject of rhinoplasty, there is a lack of practical guides covering surgical anatomy, pre- and postoperative management, and basic techniques for septal-, tip- and osseocartilaginous vault surgery, especially for the less experienced rhinosurgeon. The first edition of Rhinoplasty was published in 1993 and the second edition five years later. The reviews in leading journals were overwhelmingly positive. Any small points of constructive criticism acted as a stimulus to improve the book, and the third edition, nearly twice as big as the first one, shows that fact. It expands and enlarges the canons of nasal surgery elegantly demonstrated in the former editions. In comparison with the second edition, six new chapters have been developed, including expanded and detailed discussions of septoplasty, ethnic rhinoplasty, refinements of the open approach, alar batten grafting and an enlarged section on nasal reconstructive techniques.

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Operative Techniques in Otolaryngology-Head and Neck Surgery

2008-11-08T20:18:00.001+02:00

Wb Saunders Co/Fulfillment Dpt “Operative Techniques in Otolaryngology-Head and Neck Surgery"
Wb Saunders Co/Fulfillment Dpt | 2003 | ISBN: B00006KRHD | 1400 pages | PDF | 144 MB

Contains articles on complications, diagnosis treatment or rehabilitation as well as new techniques that are non-operative.

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Revision Sinus Surgery By Stilianos E. Kountakis, Joseph Jacobs, Jan Gosepath

2008-11-07T19:24:00.001+02:00

Revision Sinus Surgery
By Stilianos E. Kountakis, Joseph Jacobs, Jan Gosepath

* Publisher: Springer
* Number Of Pages: 372
* Publication Date: 2008-10-01
* ISBN-10 / ASIN: 3540789308

Product Description:

In "Revision Sinus Surgery" the world’s most prominent rhinologists illustrate their experience in diagnosing and managing recurrent sinus disease and skull base lesions. Starting with preoperative planning and medical management, these challenging cases are well-illustrated with the relevant surgical techniques. This invaluable resource is designed to prevent complications and improve the outcomes of revision sinus surgeries. Both practicing and in-training otolaryngologists can use this comprehensive volume as an all-in-one source for the evaluation and management of recurrent sinus disease and skull base pathology.

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