The Clinics: Internal Medicine – serie

This issue of Cardiology Clinics covers several interventional procedures for structural cardiac problems, including aortic and mitral valvuloplasty, percutaneous defect closure, percutaneous mitral repair, percutaneous perivalvular leak closure, and transcatheter aortic valve implantation. Anesthesia and imaging for structural heart intervention are also discussed, making this issue a valuable resource for cardiologists who perform interventional procedures or manage patients who undergo these procedures.

This issue focuses on Pediatric Emergency Medicine in the topic areas of: Seizure, Pain and Sedation, Trauma, Cardiac Emergencies, Shock, Asthma, Infant Fever, Head Injuries and Concussions, and more!

This issue of Clinics in Geriatric Medicine features expert clinical reviews on Renal Disease in Older Adults which includes current information on topics such as Anatomic/ Physiological Changes with Aging, Acute Kidney Injury in Older Adults, Electrolyte Problems in Older Adults, Glomerular Disease in Older Adults, Hypertension in Older Adults, Chronic Kidney Disease in Older Adults, End-stage Renal Disease in Older Adults, Decision Making in the Older Adult Patient with Advanced Kidney Disease, Obstructive Uropathy in Older Adults, Drug Dosing, Transplantation in Older Adults, and Slowing the Aging Process.

This issue, focusing on Breast Cancer, includes topics such as: Radiation Therapy for DCIS, Axillary dissection, Pathology in the age of personalized breast cancer treatment:, Clinical implications for breast cancer subsets defined by molecular diagnostics, Management of CNS Metastases in Breast Cancer, Endocrine therapy for advanced breast cancer, Targeting the PI3K pathway in breast cancer, Treating the Older Breast Cancer Patient, Adjuvant chemotherapy in the age of targeted treatment, and Novel radiotherapy approaches for early breast cancer.

Guest edited by Sandra Anderson this issue of Immunology and Allergy Clinics covers all aspects of exercise-induced bronchospasm, including treatment through pharmacologic agents, patient assessments, and biomarkers.

While cancers of the oral cavity and oropharynx were overwhelming found in smokers and drinkers, a dramatic shift is occurring with a dramatic rise in the incidence of HPV-associated oropharyngeal cancers while oral cavity cancers and HPV-negative oropharyngeal cancers appear to be declining in incidence, reflecting the reduction in cigarette smoking. These trends also have implications for how Otolaryngologists prevent, diagnose, workup, treat, and follow these patients. The focus of information in this issue is on oral cavity and oropharyngeal cancer and the implications of the HPV epidemic on this disease. Amongst the medical community during this period of trying to better grasp the association of HPV with oropharyngeal cancers, there are misconceptions and a lack of knowledge of these important shifts which are addressed by Guest Editors Jeffrey Myers and Erich Sturgis of the University of Texas, MD Anderson Cancer Center. Topics include: Epidemiology- Control of a tobacco epidemic? But emergence of a HPV epidemic?; Oral cavity and Oropharyngeal Cancer Genomics; Why Otolaryngologists need to be aware of Fanconi anemia; Impact on HPV on Orpharyngeal Cancer Biology and Response to Therapy-Implications for Treatment; Oral premalignancy- The roles of early detection and chemoprevention; Evaluation and staging- Limitations despite technological breakthroughs; 7) Surgical treatment innovations; Radiotherapy- The "Particle-rs� of energy, dose, and delivery method; Systemic Treatment- Its role before, during, and after definitive treatment; How to maximize functional assessment/rehabilitation; Standardizing treatment for Cancers - An approach to cancer care or crisis?; Survivorship in Oral Cancer- Competing mortalities, morbidities, and second malignancies.

Dr. Pine has created a comprehensive issue that offers updates on the most commonly seen otolaryngologic symptoms and disease states. Articles are devoted to Tonsillectomy and Adenoidectomy; OSA and Other Sleep Disorders in Children; Otitis Media and Ear Tubes Hearing Loss and Cochlear Implants; Larygopharyngeal Reflux in Children; Voice Disorders in Children; Laryngomalacia; Enlarged neck lymph nodes in Children; Hemangiomas; Nasal Obstruction in Newborns; Chronic Cough in Children; Dysphagia in Children; Rhinosinusitis in Children; and Pediatric ENT simulation.

This issue of the Urologic Clinics covers stricture, renal injuries, priapism, penile fractures, and bladder injuries. An article covering necessary plastic surgery principles for the urologist is also included. Dr. Allen Morey serves as Guest Editor of this issue on urologic trauma and reconstruction. Dr. Morey has extensive clinical experience in reconstructive urology with emphasis in urethral stricture disease, and urologic trauma.

This issue of Anesthesiology Clinics covers the latest updates in obstetric and gynecologic anesthesia written by the world-leading experts on the topic. Procedurally-focused articles cover best practices in chronic pain management, the role of magnesium in labor and delivery, advanced airway procedures, epidural analgesia, amniotic fluid embolism and more. Achieve the best outcomes and keep current on this area of anesthesia practice.

This issue of Cardiac Electrophysiology Clinics covers remote monitoring in heart failure, atrial fibrillation, and stroke/TIA among other conditions. The issue also includes cardiac and vascular pressure sensors and leadless cardiac pacing, helping the clinician to keep current with the latest advances in technology.

This issue of Clinics in Chest Medicine is Guest Edited by Ali Musani, MD, FCCP, FACP, at National Jewish Health and will focus on Interventional Pulmonology. Article topics include flexible and rigid bronchoscopy, trachael stenosis, gene therapy, airway stents, EBUS-TBNA / Staging of lung cancer, endobronchial ablative therapies, management of malignant pleural effusion, medical pleuroscopy, pleural and pulmonary ultrasound, and lung cancer screening.

This issue of Endocrinology Clinics brings the reader up to date on the important advances in research in endocrinology topics covered include reproduced psychiatry. Guest edited by Eliza Geer, the topics covered include stress, sleep disorders, antipsychotic medications, eating disorders, insulin resistance, drug and alcohol addictions and more.

Dr. Kahi has assembled top experts to provide clinically focused articles on colonoscopy and polypectomy. The issue is divided into sections devote to Technique Fundamentals, Advances in Technique, Technology, Neoplasia Detection, Quality and Outcomes, and The Future. Everyone from early-career gastroenteorlogists to those late in their career should find this edition to be very valuable.

Food Borne Illness is a common, costly, yet preventable public health problem. This issue of the Infectious Disease Clinics covers the most common food borne pathogens, along with articles that include indentifying, diagnosing, and treating food borne illness. The issue also covers food borne illness in special populations, as well as long term complications associated with food borne illness.

The field of Clinical Microbiology is evolving at a rapid pace, perhaps more so than any other arm of laboratory medicine. This can be attributed to new technology, including high throughput gene sequencing, multiplex molecular assays, rapid evolution of antimicrobial resistance, and discovery of new pathogens. In addition, modern medical procedures, such as solid organ and stem cell transplantation, have resulted in an explosion of infections with agents that historically have been considered to be of low virulence. This issue of Clinics in Laboratory Medicine will highlight some of the advances in diagnostic microbiology, including MALDI-TOF MS, pathogen discovery, and personalized antimicrobial chemotherapy. In addition, one of the papers will focus on implementation of new technologies and how to maximize patient impact of these new methods.

This issue of the Obstetrics and Gynecology Clinics con breast disorders covers imaging modalities, benign breast disorders, hereditary breast and ovarian cancer, contemporary management and treatment options for breast cancer. There is also an article devoted to Special considerations in breast cancer patients and survivors.

This issue of Clinics in Perinatology will carry the reader through the perinatal period and examine pain management throughout that continuum. Beginning with the genetics of obstetrical pain and opioid use in pregnancy, the discussion moves to the provision of anesthesia to the mother and fetus during fetal surgery - an area of intense concern and interest in many centers. There is an extensive discussion of both pharmacologic and non-pharmacologic management of pain during delivery. A discussion of regional anesthetic techniques is increasingly relevant in light of increasing evidence of adverse neurodevelopmental consequences of fetal exposure to general anesthetics and sedatives. Pain, its implications and management, are extensively covered including discussions of how to assess neonatal pain and how best to provide sedation and non-pharmacologic pain management, systemic pharmacologic, or regional techniques. Of particular interest are the reviews of the potential neurodevelopmental impact of both the treatment and the failure to adequately treat pain in the newborn. This topic is receiving an enormous amount of attention from all those who care for children as well as government and the media.

This issue of Primary Care: Clinics in Office Practice features expert clinical reviews on Infectious Disease which includes current information on Viral Hepatitis, Sexually Transmitted Disease, HIV/AIDS, Tick-borne Illness, MRSA, Pneumonia, Ear Infections, Urinary Tract Infections, Meningitis, Gastroenteritis, Tuberculosis, and Upper Respiratory Infections.

Disasters! Looking beyond their acute impact to how they affect communities in the years that follow is the focus of discussion in this issue of Psychiatric Clinics. Reviews of cases of well known disasters such as 9/11, the 2004 South Asian tsunami, Hurricane Katrina, the Haiti earthquake of 2010, the 3/11/11 "triple disaster" in Northern Japan, and others are presented from the perspective of local experts who have been asked to take a long view of what they learned and may still be learning from their post-disaster experiences that mental health professionals faced with future disasters should know. World renown experts in disaster psychiatry and global psychiatry, Craig Katz and Anand Pandya, lead this publication.

This issue of Sleep Medicine Clinics will be Guest Edited by Jack Edinger, PhD, at National Jewish Health and will focus on Insomnia. Article topics include cognitive-behavioral insomnia therapy, Insomnia and Cancer, Dissemination Training for CBTI, Insomnia and short sleep duration, neurophysiology of sleep quality and insomnia, Pain, Sleep, and Insomnia, Insomnia and obstructive sleep apnea, Epidemiological studies conclusions on nature, persistence, and consequences of insomnia, pharmacological management of insomnia, Hyperarousal and insomnia, role of genes in insomnia expression, and the role of bright light therapy in managing insomnia.

Because of the complex range of factors to be considered in pscyhosis -genetic, neurologic, biologic, environmental, family, culture - this issue of Child and Adolescent Psychiatric Clinics presents aspects that have the greatest relevance and impact in diagnosing and treating child and adolescent patients. Among some of the topics covered: Schizophrenia, Affective disorders and Psychosis, Comorbid diseases, Neurocognition, Genetics, Neuroimaging findings, and Treatment approaches of Psychopharmacology, Psychotherapy, and Community Rehabilitation. Jean Frazier, an expert in child and adolescent neuropsychiatry and in child psychopharmacology, leads this issue along with Yael Dvir, whose research and clinical interests include childhood psychosis and the associations between childhood psychosis and Autistic Spectrum Disorders.

The second in a two-part series on Life-Threatening Infections. Article topics include: Biowarfare/Bioterrorism pathogens, Infections in neutropenics, Infections in AIDS, Influenza and endemic viral pneumonias, Resistant gram negative infections, Toxic Shock Syndrome, Fulminant viral myocarditis, and Overwhelming post-splenectomy infection.

Dr. Freeman has organized his issue address the continuum between acute and chronic pancreatitis, necrosis and pseudocysts, and the expanding role of endoscopic diagnosis and therapy. As a result, there are comprehensive articles devoted to: Role of EUS in the diagnosis of acute and chronic pancreatitis; ERCP for acute biliary pancreatitis;Prevention of post ERCP pancreatitis; Endoscopic therapy of necrotizing pancreatitis and pseudocysts; Endoscopic therapy for acute recurrent pancreatitis; Endoscopic therapy for chronic pancreatitis; ERCP for biliary strictures associated with chronic pancreatitis; EUS for pancreatic ductal access and drainage; Endoscopic therapy for pancreatic duct leaks and disruptions; autoimmune pancreatitis; role of endoscopy in diagnosis and treatment; and Palliation of pancreatic ductal obstruction in pancreatic cancer.

This issue of Heart Failure Clinics is devoted to atrial fibrillation in heart failure. It covers medical management and drug treatment as well as devices and ablation and aims to provide heart failure specialists with the current state of the art in handling this common problem in heart failure patients.

This issue of Hematology/Oncology Clinics is focused on Prostate Cancer and highlights topics such as: Prevention, Early Detection, Biomarkers, Risk stratification, Imaging in Prostate Cancer, Adjuvant hormonal therapy, Management of patient with biochemical relapse, Management of patient with newly metastatic disease, and Bone Health Management.

This issue of Interventional Cardiology Clinics reviews pharmacologic agents currently used to treat patients in the cath lab. All the pharmaceutical knowledge an interventionalist needs is summarized in this handy reference.

Techniques on facial reconstruction are presented with videos demonstrating many of the procedures. Topics include: 3D imaging and modeling for treatment planning in facial trauma; Intraoperative Use of CT Imaging; Contemporary management of traumatic fractures of the frontal sinus; Surgical treatment of traumatic injuries of the cranial base; Surgical management of complex mid facial fractures; Current management of condylar and subcondylar fractures; Management of Pediatric mandible fractures; Management of dental injuries associated with maxillomandibular trauma; Injuries of the eye and periorbital structures; Managing the facial nerve after trauma; Reconstruction of the avulsed auricle after trauma; Secondary repair of acquired enophthalmos; Secondary management of telecanthus; Improving post traumatic facial scars; Potential application of Face transplantation in massive traumatic tissue loss; Potential application of autologous free tissue transfer in massive traumatic tissue loss. Guest Editors leading this publication are Kofi Boahene of Johns Hopkins, whose practice and teaching encompasses corrective surgery for congenital facial defects, cleft lip and palate repair, craniofacial surgery, minimally invasive and endoscopic skull base surgery, microsurgery, reconstruction of cancer patients and extensive post-traumatic deformities, among others and Anthony Brissett of Baylor University, whose research and teaching include craniofacial surgery and wound healing, among other reconstructive and cosmetic surgeries.

The care of children with acute medical problems is evolving as knowledge of new conditions develops. In addition, technology also changes to provide solutions to optimize care. This issue of PCNA highlights the important populations, disease states, and technological advancements in pediatric emergency medicine. Although concussion and head injury are common occurrences for the practicing pediatrician, we now better understand how to evaluate and manage these children and to use CT scans appropriately. Pediatric offices need to be incorporated in any emergency plan for both acute emergencies and common injuries. Analgesia and sedation must always be considered to provide comfort for children. Technologically assisted children and children with acute psychiatric and behavioral problems are now more commonplace in the Emergency Department as well as the office setting, and the practicing pediatrician needs to have a clear plan in understanding these medical conditions and appropriate management and referral. New drugs of abuse and foreign body ingestions are prevalent and have unique diagnostic and treatment challenges. Skin infections and abscesses have always been common but our knowledge of resistance patterns and best practices for treatment is changing. Finally, whether it is the pediatric office practitioner or the Emergency medicine physician, we need to continue our important efforts in injury prevention for the future of our children.

This issue of Cardiology Clinics is devoted to cardiac intensive care, which involves the treatment and care of patients with critical cardiac illness. Expert authors review mechanical complications of acute MI, cardiogenic shock, acute decompensated heart failure, management of arrhythmias, use of newer antiplatelet and anticoagulant agents, and more. Keep up to date with the latest information on managing these life-threatening conditions.