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Diagnostic Ultrasound - - Bog - Springer - Plusbog.dk

Diagnostic Ultrasound - - Bog - Springer - Plusbog.dk

Contents Contributors xiii 1. Basic Principles of Diagnostic Ultrasound 3 Sound Wave Characteristics 3 Generation of Sound Waves 5 The Interaction of Sound with Tissue 7 Instrumentation 10 Practical Considerations 17 References 20 Cases 22 2. Hepatic Ultrasonography 62 Hepatic Ultrasound Technique 62 Normal Ultrasonographic Anatomy of the Liver 63 Hepatic Pathology 64 References 67 Cases 68 3. Ultrasonography of the Gallbladder and Biliary System 116 Ultrasound Technique 116 Normal Anatomy 117 Pathological States 119 References 121 Cases 124 4. Ultrasonography of the Pancreas 168 Introduction 168 Normal Anatomy 169 Ultrasound Technique for Pancreatic Examination 170 Examination of the Normal Pancreas 172 Pathology of the Pancreas 172 Pitfalls in Pancreatic Examination 175 References 176 Cases 178 5. Ultrasonography of the Abdominal Aorta 226 Ultrasound Technique 226 Anatomy of the Abdominal Aorta 226 Pathology of the Abdominal Aorta 227 A Comparison of Ultrasound with Other Methods of Examination 228 References 229 Cases 230 6. Ultrasonography of the Spleen 244 9. Ultrasonography of Thyroid and Examination Technique 244 Neck Masses 452 Examination of the Normal Spleen 245 Introduction 452 Pathological Conditions 245 Anatomy fo the Thyroid Gland 453 References 247 Examination Technique 453 Cases 248 Pathology of the Thyroid Gland and Neck 454 References 457 7. Renal, Adrenal, Retroperitoneal, and Cases 458 Scrotal Ultrasonography 268 Renal Anatomy 268 10.

DKK 816.00
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MRI Atlas of Normal Anatomy - Raad H. Mohiaddin - Bog - Springer - Plusbog.dk

MRI Atlas of Normal Anatomy - Raad H. Mohiaddin - Bog - Springer - Plusbog.dk

Magnetic resonance is a safe, non-invasive technique which can be used to produce high resolution, thin tomographic slices in any chosen plane, or true three-dimensional blocks of information. It has become the method of choice for studying the central nervous system, the vertebral column and many joints, but has not yet gained general acceptance in researching the cardiovascular system, although there are techniques for overcoming the problems of cardiac movement to produce excellent cardiovascular images. The purpose of this book is to provide the student and radiologist with a reference which can be used to identify the major structures in the body, bearing in mind that in each region a more detailed high-resolution study can usually be obtained by specialised units. The illustrations, each of which is accompanied by an explanatory line drawing, are soft tissue images based on the water content rather than the familiar X-ray shadowgram of mainly hard tissues.

DKK 434.00
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Normal and Abnormal Development of Brain and Behaviour - - Bog - Springer - Plusbog.dk

Normal and Abnormal Development of Brain and Behaviour - - Bog - Springer - Plusbog.dk

This volume contains the proceedings of a postgraduate course for medical practitioners of various specialties. One purpose of the course was to provide factual data on developmental aspects of the brain and behaviour, and about the possible impact of several important categories of internal and environ­ mental factors upon neural development. Another purpose was to indicate the extent and the limitations of the methodology now available for the scientific approach of the study of the development of behaviour. In general the investigator is faced with methodological problems of two types, the proper definition and scoring of behavioural items, and the isolation of the different factors that contribute to a particular behaviour. An example of the latter is given in the very last paper, which is concerned with attempts at unravelling under experimental conditions the contributions made by various influences upon a single sequence of behaviour. The course was held in Leiden in November 1970, and was the third in a series of Boerhaave Courses instigated by the Dutch Growth Foundation. Previous subjects have been ''Somatic growth of the child'' (in 1964) and ''Human body composition'' (in 1967). The programme was planned in collaboration with Prof. Dr. H. H. van Gelderen, Dr. D. G. Lawrence, Prof. Dr. F. J. Monks, Prof. Dr. H. F. R. Prechtl and Prof. Dr. H. K. A. Visser. Financial support was given by the pharmaceutical firms Philips-Duphar, Sandoz and Specia, and by the Dutch Growth Foundation. Major editorial contributions were made by Anneke Bot.

DKK 434.00
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Ultrasonic Diagnosis of Cerebrovascular Disease - - Bog - Springer - Plusbog.dk

Ultrasonic Diagnosis of Cerebrovascular Disease - - Bog - Springer - Plusbog.dk

This book is designed as a definitive report on current capabilities of ultrasound imaging and Doppler evaluation of the cerebral circulation, both extracranial and intracranial. The basic chapters are directed to the beginner in ultrasound and hemodynamics and for the expert in updating newly available modalities and techniques new to the field. The ultrasonic and hemodynamic principles are presented for physicians and vascular technologists in a practical way to avoid unnecessary mathematics. The aim is for maximum clinical utilization so that available equipment may be used more efficiently and provide more accurate diagnosis. The selection of authors represents a wide range of the expertise available in the world today. M.P. Spencer Contents Preface V Contributors IX 1. Introduction 1 Merrill P. Spencer, M.D. 2. Ultrasound physical concepts 7 Merrill P. Spencer, M.D., Ronald E. Hileman, Ph.D., John M. Reid, Ph.D 3. Doppler instrumentation 29 Robert S. Reneman, MD., Ph.D., A.P.G. Hoeks, Ph.D. 4. Normal anatomy, anatomical anomalies and collateral Pathways of the blood supply to the brain 43 Robert Ackerstaff, M.D. 5. Normal blood flow in the arteries 57 Merrill P. Spencer, M.D. 6. Normal physiology and pathophysiology of human cerebral blood fuw ~ P.C.M. Mosmans, M.D., E.J. Jonkman, M.D.

DKK 434.00
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Advances in Fertility Control and the Treatment of Sterility - - Bog - Springer - Plusbog.dk

Advances in Fertility Control and the Treatment of Sterility - - Bog - Springer - Plusbog.dk

Since human prolactin was isolated and characterized 13 years ago, the study of the control of prolactin secretion has been intensive. Hyperprolactinaemia is the most commonly identifiable hypothal- amic pituitary disorder1,2. The dominant inhibitory nature of hypo- thalamic control of prolactin secretion may be the reason that hyperprolactinaemia is such a common condition. During the PClst decade two separate therapeutic approaches to the management of hyperprolactinaemia have been introduced: transsphenoidal selec- tive pituitary microsurgery and medical therapy to suppress prolactin secretion with orally active long-acting dopamine agonist drugs. Small prolactin-secreting tumours are treated extremely satisfactorily both with medical and with surgical therapy, both in terms of lower- ing serum prolactin levels to normal and in restoring gonadal func- tion. However, for the larger tumours, either where the tumour is invasive or the pretreatment serum prolactin level is greater than 1 250ngml- the results of surgery are poor in terms of restoring to normal circulating prolactin levels and gonadal functionJ-s. We now discuss the medical management of hyperprolactinaemia, potential problems during pregnancy and the management of large prolactin- secreting pituitary tumours.

DKK 816.00
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Piezoelectric Materials: Advances in Science, Technology and Applications - - Bog - Springer - Plusbog.dk

Piezoelectric Materials: Advances in Science, Technology and Applications - - Bog - Springer - Plusbog.dk

In the last few decades the applications of piezoelectrics to sensors have witnessed a dramatic acceleration and new devices and materials have been discovered. Some of the highlights include electrostrictive materials for positioners, relaxor-normal ferroelectric single crystals with very high electromechanical couplings for medical transducers, thin/thick PZT films for microelectromechanical systems, starting from a sophisticated chemical technology, and multilayer actuators fabricated by a cofiring technique. All will make a remarkable industrial impact in the 21st century.

DKK 202.00
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Electrocardiography Pocket Book - D.j. Rowlands - Bog - Springer - Plusbog.dk

Electrocardiography Pocket Book - D.j. Rowlands - Bog - Springer - Plusbog.dk

This pocket-sized handbook is a concise and practical guide for all those carrying out electrocardiograms in clinical practice. As well as giving a basic introduction to the principles of carrying out and analysing ECGs it provides a source of recordings, and notes on how to interpret them, for both normal and pathological ECGs. Both the experienced user and those in training will find this handy reference book contains a wealth of functional information on this important and complex subject.

DKK 434.00
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High-Resolution Computed Tomography of the Paranasal Sinuses and Pharynx and Related Regions - G. Maatman - Bog - Springer - Plusbog.dk

High-Resolution Computed Tomography of the Paranasal Sinuses and Pharynx and Related Regions - G. Maatman - Bog - Springer - Plusbog.dk

Computed tomography is presently reaching maturity with its high-resolution reconstruction programs, as a result of which conventional tomography has definitely been surpassed. High-resolution computed tomo­ graphy does indeed provide a better spatial resolution and can provide not only images of surfaces but also of deeper structures as well, such as muscles and fatty areas. Furthermore, it allows examination of the intra­ cranial contents and examination of possible intracranial tumor invasion. It is therefore necessary to establish the rich potential of normal and pathological images. By writing this book Dr. Gertrude Maatman has undertaken this task and she has performed it well. In particular, I appreciate the way she has treated the CT-anatomy. All normal structures have been methodically identified. In this way, Dr. Maatman conveys the message of the importance of a sound anatom­ ical basis, which is the only guarantee of a correct interpretation of pathological cases. This atlas will greatly facilitate description of the precise localization of a lesion and its extension to the surrounding structures. I would like to congratulate the author of this highly accurate and didactic work, that should be used by the student as well as by the experienced radiologist. I wish this book every success.

DKK 663.00
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Detection and Measurement of Visual Impairment in Pre-Verbal Children - - Bog - Springer - Plusbog.dk

Detection and Measurement of Visual Impairment in Pre-Verbal Children - - Bog - Springer - Plusbog.dk

Over the past few years there have been considerable advances in our understanding of the normal development of vision and in our ability to detect and meaSl1re visual impairment in early childhood. It was appropriate, therefore, that a workshop, sponsored by the European Communities, should be held on the ''Detection and Measurement of Visual Impairment in Pre-verbal Children.'' This workshop, which was held at the Institute of Ophthalmology, London, between 1 and 3 April 1985, brought together visual physiologists and ophthalmologists who exchanged and discussed ideas of mutual interest. After an introductory session when the normal development of vision and the causes of visual impairment were reviewed, there were sessions devoted to the theoretical aspects of electrophysiological and psychophysical tests, the measurement of visual acuity in pre-verbal children, the measurement of other visual functions, and visual screening of pre-verbal children. This volume contains the papers presented at the workshop, and transcripts of the various discl1ssions that took place. It was a measure of the success of the workshop that participants from several different disciplines were able to have fruitful discussions and to suggest areas of common interest where collaborative ventures could usefully be pursued. It is hoped that this venture will be followed by others where a mul ti­ disciplinary approach will improve both our knowledge of visual handicap in childhood and our management of this important group of sensorily impaired children.

DKK 434.00
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The Development of Hearing - S.r. Yeates - Bog - Springer - Plusbog.dk

The Development of Hearing - S.r. Yeates - Bog - Springer - Plusbog.dk

The frontispiece of this book is called ''The invisible handicap''. Most deaf children, with the exception of very unfortunate multiple-handicap children, look quite normal. The young babies who are sent to my clinics for confirm­ ation (or otherwise) of a hearing loss are very often handsome, delightful infants with no other problems. The deaf child only reveals his handicap when communi­ cation is attempted. At that point the picture changes. To an ill-informed observer this child, who had previously seemed quite normal and who had been seen to be playing normally, suddenl y appears'' stu pid''. That, unhappily, is too often the attitude of the general public towards the deaf person. There is far too often a total misunderstanding of the problems of both the deaf child and the deaf adult. It must also be admitted that far too often the speech of the deaf is very ugly and when this is added to their difficulties in verbal comprehension we begin to understand why the attitude of the public at large is ill-judged, intolerant and occasionally even hostile. We must, therefore, aim for three goals. The first must be the ever-increasing education of hearing people about the problems of the deaf, with maximum attempts to involve them with the activities of the deaf community'', which has evolved for self-protection and mutual help and under- 11 The development of hearing standing, and which must be opened up to sympathetic hearing people.

DKK 434.00
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Principles of Biological Control - D.f. Horrobin - Bog - Springer - Plusbog.dk

Principles of Biological Control - D.f. Horrobin - Bog - Springer - Plusbog.dk

The study of the normal function of the animal and human organisms and of the diseases which disturb that normal func­ tion is largely the study of control mechanisms. These control mechanisms are essential for the survival of an organism in a more or less hostile environment. In many ways they clearly resemble the control mechanisms devised by electronic engin­ eers for running machinery of all kinds and there are many remarkable parallels between biology and engineering. However, it should not be forgotten that the biological systems were on the scene first and that the engineering is a parallel and independent development. It is therefore perhaps a pity that in recent years the study of biological control systems has tended to be dominated by mathematicians and engineers who have moved from these more precise disciplines into biology. As a consequence of this dominance, one often gets the impression that the principles of biological control can be understood only after one has undergone a rather high-powered course in elec­ tronic control theory. It often seems to be assumed that it is electronics which must do all the teaching while biology and medicine must do all the learning. In fact I suspect that biolo­ gical control mechanisms are considerably more sophisticated than anything yet available in the world of the physical sciences and that in the long run biology will teach more to control engineers than vice versa.

DKK 434.00
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Atlas of Two-Dimensional Echocardiography in Congenital Cardiac Defects - G. J. Van Mill - Bog - Springer - Plusbog.dk

Atlas of Two-Dimensional Echocardiography in Congenital Cardiac Defects - G. J. Van Mill - Bog - Springer - Plusbog.dk

In a relatively short period of time two-dimensional echo cardiography has become the most important non-invasive diagnostic tool in the daily practice of a pediatric cardiologist who predominantly deals with congenital structural heart disease in neonates and infants. Consequently, one-dimensional M-mode echocardiography has lost most of its importance particularly in this field. Therefore, an atlas showing exclusively two-dimensional echocardiograms of the most common and some less frequently occurring malformations appeared to be a useful addition to the existing literature. The confinement to two­ dimensional imaging alone allowed an elaborate presentation of the various defects with more than 200 selected still frames and many additional explanatory drawings and diagrams. The material was collected from patients who were referred to the Department of Pediatric Cardiology of the Wilhelmina University Children''s Hospital in Utrecht during a period of about 2 years. The two-dimensional echocardiographic findings were correlated with cardiac catheterization data and/or surgical procedures and/or post­ mortem investigations. The necessary echocardiographic equipment was aquired with financial aid from the Dutch Heart Foundation. We are indebted to Mrs. J. W. Wetselaar for her outstanding artwork. We also thank P. D. Woltema and F. J. van Waert for the photographic reproductions, Jacomine Bosma for preparing and type-setting the entire manuscript and Dr. N. Middleton for critically reading the English text. G. J. van Mill, M. D. A. J. Moulaert, M. D. E. Harinck, M. D. CONTENTS 1. Introduction and the normal heart Introduction The normal heart 2 2.

DKK 434.00
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Pediatric Andrology - - Bog - Springer - Plusbog.dk

Pediatric Andrology - - Bog - Springer - Plusbog.dk

The subject matter in this volume was derived from papers presented at the Pediatric Andrology session of the 1st Pan American Congress of Andrology held in Caracas, Venezuela in February 1979, as well as from selected additional manuscripts of interest in this field. Prior to this session, identification of a distinct discipline and specialty devoted to pediatric andrology had not occurred, nor had it been conceptualized. Pediatric andrology encompasses many different areas: disorders of sexual development, structural disease of the genital organs, normal and abnormal puberty, undescended testes, genital tumors, gonadal function and its relationship to growth, virilization, fertility and gender identity all represent areas of specific interest, to name but a few. Andrology itself is a unique field, bringing together clinicians and basic scientists with diverse back­ grounds. It should be noted that between one-half and three-quarters of the clinicians contributing to this issue conduct basic research as well. It has been this unique blend of basic research and clinical medicine which has done much to unravel many of these problems characteristic of this field.

DKK 434.00
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The Psychobiology of Childhood - - Bog - Springer - Plusbog.dk

The Psychobiology of Childhood - - Bog - Springer - Plusbog.dk

This volume was inspired by an annual meeting of the American Col­ lege of N europsychopharmacology held in Maui, Hawaii. A panel on psychobiological issues of childhood was held, with presentations devoted to antidepressant drug levels in depressed prepubertal children, re­ sponses of normal and hyperactive children to stimulant medication, and the vulnerability of the adolescent offspring of manic-depressive parents to affective illnesses. The session drew a large crowd, and it seemed appropriate to develop these topics in a book. Many of the authors in this volume attended that conference, and the book reflects the fact that psychobiological research in children has moved even further along than was envisioned at Maui. In keeping with developments in the field, this volume surveys key topics of interest, including nosological issues surrounding the attention deficit disorder of childhood, the ontology of neurotransmitter systems in the human brain, and the relation between child psychiatric disorders and sleep patterns. Other studies link the clinical effects of drugs with plasma DBH activity or with attentional measures. The side effects of on growth are examined, as well as the ethical issues involved in drugs on children. These areas continue to be of vital interest.

DKK 434.00
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Practical Management of Hypertension - - Bog - Springer - Plusbog.dk

Practical Management of Hypertension - - Bog - Springer - Plusbog.dk

WILLEM H. BIRKENHA. GER This compact guide aims to define the current approach to hypertension in practice, with the focus on the individual whom the physician faces across his desk. In the population, blood pressures are distributed along a Gaussian type of curve, but with some tailing towards the upper range. A systolic blood pressure of 160 mmHg is commonly accepted as the upper limit of the normal range. For diastolic pressure, the gradings are much more detailed: borderline hypertension (90-94 mmHg, mild hypertension (95-104 mmHg), moderate hypertension (105-114 mmHg), and severe hypertension (115 mmHg and over). Despite its skewing to the right, the bell shape of the distribution curve of blood pressures implies that the milder elevations of blood pressure are the most common. Such pressures are observed in 15-20% of the population upon casual measurement. After rechecking - which is mandator- the prevalence of hypertension drops to some 5%, due to psychological and statistical factors. Even this modest segment of the population represents an important proportion in terms of future cardiovascular risk. It is an essential part of preventive and curative health care to identify these people; the more so, because some 40% of the excess risk has already been proven to be reversible by conventional antihypertensive treatment.

DKK 434.00
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Perinatal Medicine - - Bog - Springer - Plusbog.dk

Perinatal Medicine - - Bog - Springer - Plusbog.dk

Perinatal Medicine is a relatively new specialty, sited between the mechanistic approach of traditional obstetrics and the anticipatory and preventative out­ look expressed in the study of fetal growth which extends into monitoring neo­ natal progress and development. It is of primary importance that obstetricians and neonatologists should think alike and should not allow their interests to develop along separate lines. Frequent clinical consultations with neonat­ ologists cooperating in prenatal care and obstetricians visiting the special nur­ sery on a regular basis are essential if every fetus is to reach its full potential. Such aims have been advanced by previous European Congresses and it was our privilege in Dublin to host the IXth Congress held at the Royal Dublin Society from September 3rd to 5th 1984. Over nine hundred delegates rep­ resenting thirty-nine countries attended the scientific and social programme. The theme of the congress was the mature baby. The organizers felt that while major advances had been made in the management of prematurity there were still far too many mature fetuses dying and too many deaths in the nor­ mally formed appropriate weight for gestational age neonate. Hence antenatal fetal assessment, the management of labour including electronic monitoring in normal women and asphyxial brain damage were major topics. Pregnancy hy­ pertension, caesarean section, breech presentation, diabetes and unexplained mature stillbirth were workshop topics.

DKK 434.00
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Problems in Cardiology - C.f. Wharton - Bog - Springer - Plusbog.dk

Problems in Cardiology - C.f. Wharton - Bog - Springer - Plusbog.dk

Over several years working in a district general hospital as a physician with a cardiological interest, the common problems in this field are clearer. This knowledge has come through normal out-patient clinic referrals, care of in-patients, and by working in a domiciliary consultative capacity. The problems that concern family physicians nowadays are somewhat different from the problems of two or three decades ago. The accent now is very much on the implications of hypertensive and ischaemic heart disease. Rheumatic fever is rarely seen, though its sequelae may still be discovered. Hence the approach of this book is to the common problems of today in family practice, and the book is not intended to be a reference text book of cardiology. It does not include references because it has been written from personal experience gained from the treatment and management of patients with common cardiac problems. It is hoped that it will be of value primarily to family physicians because it has been written in an attempt to fill a need as measured by the problems that are referred to specialists in the cardiological field. It may prove of value to those medical students and nurses who wish to consider medical problems in a practical way, that is from the ways that cardiac problems present in practice.

DKK 434.00
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Eye Movement Disorders - - Bog - Springer - Plusbog.dk

Eye Movement Disorders - - Bog - Springer - Plusbog.dk

There is perhaps no area of neuro-ophthalmology that is advancing more rapidly with respect to an understanding of its anatomy and physiology than the ocular motor system. For this reason, it is difficult not only to keep up with the latest information concerning the basic mechanisms involved in the control of eye movements but also to remain up to date regarding the pathophysiology of specific disorders of eye movement. The material in this book is derived from a two-day course on eye movements held in The Netherlands in 1986. The course was designed as an introduction to the normal ocular motor system and to disorders of eye movements and was aimed toward orthoptists, ophthalmolo­ gists, optometrists, neurologists, and neurosurgeons. The chapters in this book were compiled by a trio of experts in the field of eye movements and contain discussions of anatomy and physiology of the ocular motor system, techniques of examination of patients with diplopia, and pathophysiology of specific disorders of ocular motility. Many of the authors of these chapters are among the most active investigators of eye movements in the world today, and their comments thus reflect the latest information in the field. This text is both basic and com­ prehensive and thus has something for everyone, from the student just beginning a study of the ocular motor system to the seasoned ''veteran'' who wishes to know the latest information regarding central ocular motor control mechanisms. Neil R.

DKK 434.00
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Social Development - R. Blunden - Bog - Springer - Plusbog.dk

Social Development - R. Blunden - Bog - Springer - Plusbog.dk

This book tries to trace the course of social development in the child from birth to maturity. It assumes that the neonate comes into the world with the endowment and the need to contact others, to attach itself to the surrounding humans and by this very endowment enforces these humans to attach themselves to it. The book follows the main vicissitudes in this process and describes in short outlines some of the disturbing manifestations of failure at different ages in the smooth progress of socialization - the process by which the child adapts to the requirements of the social group of which he is a member. In accordance with recent studies the book stresses the influence on social development of the wider environment. It is no longer believed that the quality of the early mother­ child relationship exclusively determines all later develop­ ment. The book also surveys the present state of assessment and treatment methods and tries to indicate where short intervention by the developmental paediatrician might be sufficient and where more long-term intensive treatment by specialists would be needed. The author agrees with A. M. and A. D. B. Clarke (1976) that early experiences, though powerful, are not irreversible, and that with changes in environmental circumstances, and with under- 9 Social development standing of the main causal factors for the deviance, the effect of adverse early events may be modified and develop­ ment towards normal social progress may to some extent be restored.

DKK 434.00
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