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All unsuccessful revolutions are the same, but each successful one is different in its own distinctive way. The reason why revolutions occur is that new forces attain increasing significance and classic institutions are incapable of accomodating these forces. Such has been the pattern of events in the English, American and French revolutions. These successful revolutions produced a new dynamic and new perspectives. One English revolutionary put this succinctly: "Let us be doing, but let us be united in doing". This book sets out what is a revolution in. the perspectives of diagnostic imaging of the kidney and urinary tract. Forces which have brought about this revolution are the advent of reliable techniques in radioisotope studies, ultrasonics and computerized tomographic (CT) scanning. This last modality carries with it specific problems for routine paediatric work and its role in the study of kidney and urinary tract problems is discrete and circumscribed. However, in conjunction with classic radiology, each of these techniques yields information of a different type and so a synthesis of data accrues.
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Nurses are key to building effective teams in primary care, but it has proved difficult to develop 'teams' in a service based on a small-business model. Current organisational arrangements fragment the different clinical professionals into tribes who have different employers and managers. This book brings together the work of pioneers in the field, to provide models for the future. As the need to define the primary care team becomes more urgent, this book is essential reading for all nursing professionals in primary care, nursing management, general practitioners, and primary care leaders at health authorities and Primary Care Organisations. 'The authors present an understanding of the context within which change is taking place, the elements to be addressed in the change process and a challenge for the future direction and pace of change.' From the Foreword by Marion Bull, Chief Nursing Officer, Welsh Office
Trauma to various organ systems is a common medical problem in the pediatric age group. With the increase in vehicular traffic and active participation in contact sports, as well as a change in the social atmosphere, the incidence of injury to children is increasing. There is considerable morbidity associated with these injuries and accidents are the most common cause of death in this population group. The radiologist, using the various diagnostic radiological moda lities available, becomes involved in practically all cases of trauma of any degree of seriousness. The radiological methods lend themselves not only to determining the specific diagnosis but also to assessing the extent of the in...
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The first edition of this text, edited by two of the world’s most respected pediatric cardiologists, set the standard for a single-volume, clinically focused textbook on this subject. This new edition, revised and updated by contributors representing today’s global thought leaders, offers increased coverage of the most important current topics, such as pediatric electrophysiology, congenital heart disease, cardiovascular genetics/genomics, and the identification and management of risk factors in children, while maintaining the clinical focus. Published with a companion website that features additional images for download, self-assessment questions designed to aid readers who are preparing for examinations, and other features, Pediatric Cardiovascular Medicine, Second Edition, is the perfect reference for residents, fellows, pediatricians, as well as specialists in pediatric cardiology.
Exhaustive in its scope, this book provides a comprehensive study of the natural and modified history of congenital heart disease. Focusing particularly on the discussion of fetal and post-natal outcomes, the contributors seek to place developments in historical perspective. Virtually all surgical and catheter-based strategies to enhance outcomes of all forms of congenitally malformed heart are analysed, covering the morphology and genetic basis of each particular abnormality, and issues that were germane to evolving different therapeutic strategies. Using data from the records of the Toronto Hospital for Sick Children, contributors highlight the complications of the various forms of therapies and identifies particular risk factors for mortality and morbidity.