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Fully illustrated and enhanced with accompanying video clips, this comprehensive text presents the clinical evaluation and management of brachial plexus injuries and reconstruction, both for adult patients and birth injuries. Divided into two main sections, part one covers adult brachial plexus injuries, discussing the relevant anatomy and biology, epidemiology, and associated injuries. The main focus, however, is on diagnosis – the clinical exam as well as neurodiagnostic and radiographic evaluation – and surgical management approaches and techniques, including nerve grafting and transfers, tendon and muscle transfers, and joint fusion. Related topics are presented in chapters on sensor...
"The treatment goal of antiretroviral therapy is to achieve and maintain an undetectable viral load. Patients on antiretroviral therapy who do not achieve this goal can develop drug resistance to one or more drugs in the regimen. Poor medication adherence is the most likely reason for virologic failure and the development of drug resistance. Development of new drugs and clinical availability of HIV resistance tests has given providers more options for treatment experienced patients with extensive drug resistance. Evaluating patients with extensive drug resistance requires knowledge of previous antiretroviral drug regimens, previous drug resistance tests, and interpretation of those test. Managing treatment experienced patients can be complex and may require consultation with an HIV expert"--
A Crime Reads Best International Crime Fiction of 2023 • One of Crime Reads most anticipated LatinX Horror and Crime Fiction of 2023 This sumptuously written thriller asks probing questions about how we live with each other and with our planet. Raised on his wits on the streets of Central America, the Cobra, a young debt collector and gang enforcer, has never had the chance to discern between right and wrong, until he’s assigned the murder of Polo, a prominent human rights activist—and his friend. When his conscience gives him pause and his patrón catches on, a remote Mayan community offers the Cobra a potential refuge, but the people there are up against predatory mining companies. W...
This issue of Hand Clinics, guest edited by Dr. Julie E. Adams, will cover a number of essential topics surrounding Managing Axial Instability of the Forearm. This issue is one of four issues selected each year by series Consulting Editor, Dr. Kevin Chung. Topics in this issue will include: Problems of Eponymous Proportions: the history of our recognition of forearm instability issues, Biomechanical factors in stability of the forearm, Chronic Distal Radiolunar instability, Acute distal radioulnar joint instability, Galeazzi injuries, Essex Lopresti - evaluation and treatment considerations, Management of Monteggia Injuries in the Pediatric Patient, Management of Moteggia Injuries in the Adult, Elbow instability: evaluation and Treatment, Elbow fracture dislocations, Rehabilitation of the unstable elbow, Solutions for the unstable and arthritic distal radioulnar joint, and Solutions for the unstable and arthritic elbow joint, among others.
La Fundación Belén Educa entrega a maestros y profesores su Programa de Orientación, una herramienta de calidad que ha implementado en su red de colegios desde hace nueve años, enfocada en el bienestar emocional de los alumnos y que constituye un gran aporte a su educación integral desde temprana edad. Se trata de un proyecto replicable con el objetivo de ayudar a sumar esfuerzos para mejorar la calidad de la educación de los niños y jóvenes del país, muy en especial para aquellos que viven en sectores de pobreza.
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La novela más comprometida de Rodrigo Rey Rosa: un poderoso thriller que es a la vez un retrato implacable de la corrupción y los entresijos del poder en Centroamérica. «Rey Rosa es un maestro consumado, el mejor de mi generación.» Roberto Bolaño En el país de Toó, un territorio apartado dentro de una pequeña república de Centroamérica, conviven en dudosa paz desde hace casi doscientos años un sistema de organización comunal maya y las leyes del gobierno imperante. Pero la voracidad de las empresas mineras está haciendo emerger de su centenario letargo a las fuerzas mayas. Ha llegado la hora de defender los derechos de los indígenas y el medioambiente, una lucha en la que Pol...