Problems in Practice – serie

There is ample opportunity and scope for gynaecology in prim­ ary care in general practice. Many conditions and problems can be managed successfully in this context without referral to hos­ pital and specialist care. The first aim of this book is to deal with common problems that are referred for consultant opinion and specialist management to the average District General Hospital by analysing problems of presentation and diagnosis on a symptom-orientated basis. Selection for primary care management as opposed to hospital referral is then considered, following which the wide range of available treatment is evaluated with particular emphasis on the maximum use of up-to-date but proven regimes. The full use of the expertise of the practitioner is highlighted throughout. The second aim is to encourage the practice of primary care gynaecology and to help those doctors who have a special in­ terest in the subject, while hopefully stimulating others to de­ velop a similar one. With this in mind, the approach to the problems is realistic and often dogmatic while opportunities for individual management and for practical procedures are kept to the forefront.

The editors are pleased to present these Proceedings of the V Course of the "International School of Radiation Damage and Pro- tection" of the "E. Majorana Centre", held in Erice (Italy) in No- vember 1983. The lectures and discussions among leading scientists in various disciplines of physics, engineering, biophysics, cellular biology, physiology and medicine from 11 countries are included in this compilation. In this volume we have attempted to explore all aspects of the interaction of static and Extremely Low Frequency (ELF: 0-300 Hz) electric and magnetic fields with biological tissue, systems and whole organisms; we considered dosimetry and what is known or pre- sumed concerning basic interactions, responses from the cellular and molecular level to the whole organism. Discussions of medical appli- cations as well as epidemiologic investigations related to high volt- age transmission were held with critiques of methodologies used and recommendations for future approaches. Consideration was also given to the necessity and principles of setting protection standards for man and the environment.We believe this is the first attempt to put all this informa- tion together into one volume to provide perspective for understand- ing the influence of static and ELF electric and magnetic fields on biological systems. We hope our attempts were successful. Martino Grandolfo Sol M. Michaelson Alessandro Rindi v ACKNOWLEDGEMENTS This is the Fifth Course of the International School of Radia- tion Damage and Protection of the "Ettore Majorana" Centre for Sci- entific Culture directed by Professor A. Zichichi.

This volume contains several contributions among those held at the fourth Course of the International School of Applied Geophysics, Erice, March 15-24, 1982. The content has been arranged according to the three main topics covered during the course: the goedynamic models, the contribution of geophysics to their construction and the optimization and constrains of the exploration methods. At the end of the volume, four short notes are published, written by participants to the course and related to the general subject. It is regrettable that not all the lectures and discussions are available for publication in this volume. However, it is hoped that the papers presented here will stimulate further discussions and suggest new topics for future meetings. R.Cassinis v CONTENTS 1 Introductory note R Cassinis Global seismology and the investigation of deep 5 continental structure G Nolet The relation between superficial and deep structure of 23 the Caucasus region and possible geodynamic model V N Sholpo Seismicity and crustal structure in the Italian region: 53 a preliminary zoning R Cassinis 93 Structure seismology I P Kosminskaya Main features of crustal structures in mediterranean 113 collisional zones P Giese Potentia~ and constraints of near vertical reflection 133 seismics in non-sedimentary deep formations K Helbig and J Schmoll Geoelectrical deep explorations by means of direct currents L Alfano 179 Reflection profiling of the continental crust R Phinney Evidence for a strong crust-mantle boundary undulation in the TYrrhenian sea from a refraction seismic 183 survey C B!)ttcher

This book goes beyond the dos and don'ts of a mechanical set of skills to provide thoughtful and practical guidelines on the effective management of professional relationships. Exercises and case studies are used to pinpoint unsatisfactory aspects of the reader's relationships with colleagues, bosses, students and clients.

This book has been written primarily for general practitioners; The aim of the book is to help the doctor manage these problems, both through his own interventions and by involving or referring the patient on to other agencies.

This series of books is designed to help general practitioners. they are written by specialists working at district general hospitals. Within the series much practical and useful advice is to be found with which the general practitioner can compare his existing performance and build in new ideas and improved techniques.

There is ample opportunity and scope for gynaecology in prim­ ary care in general practice. Many conditions and problems can be managed successfully in this context without referral to hos­ pital and specialist care. The first aim of this book is to deal with common problems that are referred for consultant opinion and specialist management to the average District General Hospital by analysing problems of presentation and diagnosis on a symptom-orientated basis. Selection for primary care management as opposed to hospital referral is then considered, following which the wide range of available treatment is evaluated with particular emphasis on the maximum use of up-to-date but proven regimes. The full use of the expertise of the practitioner is highlighted throughout. The second aim is to encourage the practice of primary care gynaecology and to help those doctors who have a special in­ terest in the subject, while hopefully stimulating others to de­ velop a similar one. With this in mind, the approach to the problems is realistic and often dogmatic while opportunities for individual management and for practical procedures are kept to the forefront.

In writing this short monograph on 'Problems in Peripheral Vascular Disease', I have tried to steer a course between a simplistic dogmatic approach more appropriate to an under­ graduate text, and a detailed specialist treatise of interest only to vascular surgeons.

The aim of this book is to give a short and practical account of the problems related to the ear, nose and throat. Padman Ratnesar Farn boro ugh, 1984 7 Series Foreword This series of books is designed to help general practitioners. they are written by specialists working at district general hospitals.

Part one of the book presents the gastrointestinal problems that commonly face the general practitioner. It was possible to deal with common oesophageal diseases under the heading of oeso­ phageal problems in Part 1.

Over several years working in a district general hospital as a physician with a cardiological interest, the common problems in this field are clearer. 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.

The topics chosen for discussion represent the most common problems referred by family doctors to chest clinics. A similar change of attitude to the management of chronic bronchitis brought many new patients to the chest clinics in place of the vanishing tuberculous population.

Ageing processes affect every major organ system in the body and the impairment of physiological perfor­ mance resulting from these affects the elderly individual's response to infections, disease and environmental changes in complex ways that are not seen in younger people.