De Malungo Pra Malungo: Dica da Semana!

Sem sombra de dúvidas, um dos livros mais importantes e esperados do ano . Se a série anterior já era empolgante, a publicação revisada de 2008 nos dá a oportunidade de viajar pelo mundo das evidências, aprendendo cada vez mais a necessidade de incorporar a prática baseada em evidências na rotina diária . Um texto claro, conciso e de extrema relevância para todos profissionais da área médica, independente do grau de relação com a MBE . Aproveitem ! Grande abraço! "In fewer than 20 years, evidence-based medicine (EBM) has gone from a tentative name of a fledgling concept to the fundamental basis for clinical practice that is used worldwide. The first history of the movement has already appeared in the form of an authoritative book. This second edition of Users’ Guides to the Medical Literature reflects that history and the evolving conceptual and pedagogic basis of the EBM movement. This edition of Users’ Guides to the Medical Literature presents what we have learned from our students in 25 years of teaching the concepts of EBM ." http://www.4shared.com/file/68516315/878b59dd/Users_Guides_to_the_Medical_Literature_Essentials_of_Evidence-Based_Clinical_Practice-_By_Malungo.html

Medical Physiology - Guyton & Hall

The goal of physiology is to explain the physical and chemical factors that are responsible for the origin, development, and progression of life. Each type of life, from the simple virus to the largest tree or the complicated human being, has its own functional characteristics .

http://rapidshare.com/files/146285492/Guyton___Hall_Textbook_of_Medical_Physiology_11E_.chm

Johns Hopkins: The Harriet Lane Handbook: A Manual for Pediatric House Officers, 17th ed.

The Handbook is still intended as a convenient, readily accessible synthesis of information useful to the pediatric house officer and pediatric practitioner.”

The reality of a handbook written “by house officers for house officers” continues in its current revision cycle every three years. Holding the sixth and seventeenth editions side by side, it’s hard to ignore that time has added considerable heft around the middle of the Handbook. Although the steadily increasing size perhaps reflects the exponentially increasing amount of medical knowledge and an expanding formulary, its editors have always tried to keep it to a “pocketable” size.

http://rapidshare.com/files/151473378/HLHP.rar EXTRA : VERSÃO PARA PALM ( PDB) : http://rs468.rapidshare.com/files/151473377/HL17pdb.rar

Pocket Clinician - Neonatology ( Cambridge)

Neonatology is intended to be a practical bedside reference – not a comprehensive textbook – for problems likely to be encountered in the Newborn Nursery or Newborn Intensive Care Unit by residents, neonatal nurse practitioners, Neonatal-Perinatal Medicine Fellows, family physicians, pediatricians, and neonatologists. In addition to covering neonatal conditions, supportive care of the newborn, and neonatal procedures, sections on maternal conditions that have implications for the newborn, as well as a section on the differential diagnosis of presenting signs in the newborn are included.

http://uploading.com/files/TC90V4R8/NeoCambridgePoClini.rar.html

TRAUMA- Feliciano , 6º Ed - 2008

This Sixth Edition retains the format of previous editions with sections entitled Trauma Overview, Generalized Approaches to the Traumatized Patient, Management of Specific Injuries, Special Problems, and Management of Complications after Trauma. All aspects of trauma, including history, epidemiology, prevention, regionalization, scoring and outcomes, kinematics, prehospital care, response to mass casualties and disasters, rural trauma, evaluation and resuscitation in the emergency department, operative and nonoperative care for specific injuries, management of special problems, and critical care after trauma are discussed. Also, the Sixth Edition includes four new chapters entitled Disaster Management, Weapons of Mass Destruction, Acute Care Surgery, and Gastrointestinal Failure. These are all topics of great interest currently in the worldwide trauma community. In addition, 31% of the chapters now have new authors from new institutions. The authors of the commentaries have been changed from those in the Fifth Edition, as well. The Sixth Edition, therefore, is intended to be an up-to-date and one-stop comprehensive reference source that contains information on the entire continuum of trauma care. http://rapidshare.com/files/120440619/Travma__6th_.part1.rar http://rapidshare.com/files/120442520/Travma__6th_.part2.rar

Williams Hematology 2007

The rate of growth in our understanding of diseases of blood cells and coagulation proteins provides a challenge for the editors of a comprehensive textbook of hematology. The completion of the genome project and the acquisition of knowledge in the fields of genomics and proteomics, as applied to hematologic disorders, have accelerated the understanding of the pathogenesis of the diseases of our interest. The rate at which basic knowledge in molecular and cell biology and molecular immunology has been translated into improved diagnostic and therapeutic methods is equally as impressive. The vision of specific molecular targets for therapy has become a reality for some diseases and more is sure to come. http://ifile.it/q6vote1/willh.part1.rar http://ifile.it/urx5sh3/willh.part2.rar

Concise Manual of Hematology and Oncology - 2008

How Do We Treat?

Hematology and Oncology have seen rapid progress and advances during recent years. Increased knowledge of tumor biology, epidemiology, molecular genetics, growth regulation, and cellular functions has led to novel therapeutic paradigms. Targeted treatment approaches, antibodies, immunotherapy, and other new techniques complement classic chemotherapy, radiotherapy, and surgery. In this dynamic and fast-paced environment, it is of central importance to base clinical decisions and medical practice on the best available evidence. Continuous quality management, with clinical process documentation, standardization, and evaluation, leads to improved patient care and long-term outcomes. For these reasons, we have started to systematically capture and evaluate data on diagnosis, treatment, and outcomes of patients with solid tumors and hematological neoplasms at the Freiburg University Medical Center. We have developed standard operating procedures, clinical pathways, and diagnostic and therapeutic processes, following the principles of “Good Clinical Practice.”

http://rapidshare.com/files/115993637/Concise.Manual.of.Hematology.and.Oncology.rar

Atlas of Clinical Hematology

Soon after the 5th edition of this volume appeared, the WHO published details on the pathology and genetics of the hematopoietic and lymphatic tissues. Work in progress found in short journal articles had already been integrated into the last edition. Now it was possible to incorporate the new proposals for classification and diagnosis and to include figures of new types of leukemia and lymphoma. These include leukemias of dendritic cells, intravascular large B-cell lymphoma, the liver-spleen T-cell lymphoma as well as persistent polyclonal B-cell lymphocytosis, which is placed between benign and malignant. http://ifile.it/br7d8n/springer_-_ach6.rar

Wintrobe's Atlas of Clinical Hematology , 2007

Hematology is a very visual subspecialty of medicine. Examining the patient, evaluating bone marrow and other tissue specimens, scrutinizing blood films, and inspecting information derived from recently developed techniques, such as flow cytometry, all require careful observation. The purpose of this text-atlas is to provide clear, accurate, and detailed images to help the reader learn how to interpret these examinations both in normal people and in those with a wide variety of hematologic disorders. The book also provides brief descriptions of the relevant clinical, diagnostic, and pathophysiologic features of the diseases depicted. These accounts and the several accompanying tables contain the most important information, rather than being encyclopedic compilations. http://rapidshare.com/files/48224102/WACHEM.part1.rar http://rapidshare.com/files/48236838/WACHEM.part2.rar

Procedures, Techniques and Minimally Invasive Monitoring in Intensive Care Medicine, 4th Edition

The fourth edition of Procedures, Techniques, and Minimally Invasive Monitoring in Intensive Care Medicine represents a completely updated text. Updated information with comprehensive diagrams and supporting evidence for efficacy and proper technique is contained in virtually every chapter of this book. Detailed illustrations are included that demonstrate how to perform each procedure, along with step-by-step instructions. Detailed, evidence-based discussions cover indications, contraindications, complications, equipment needed, and ongoing maintenance of equipment for common procedures, techniques, and monitoring modalities. Every procedure and technique and minimally invasive monitoring modality that is required for certification in critical care or tested in internal medicine, surgical, or anesthesiology critical care board examinations is presented and discussed in depth. http://rapidshare.com/files/58480381/PTMICM.rar

Williams Obstetrics

Evidence-based medicine can be a two-edged sword. How does the busy practitioner keep up with many innovations that seemingly appear daily into our clinical literature Who is the arbiter of their incorporation into clinical obstetrics Should observations that satisfy the mathematical definition of statistical significance, but that have limited clinical significance, be employed nationwide as the "standard of care" To us, the obvious answer is "no." And so we applaud our professional organizations such as the American College of Obstetricians and Gynecologists for their pragmatism and wisdom in recommendation of protocols for clinical management that inevitably do become the "standard." For our part, in this book we have attempted to perform a balanced review of the literature to present readers with pros and cons of different management methods so that they may select options that are best suited to their available resources. We have also tried to avoid dogmatism which unfortunately dominated the practice of obstetrics for several decades of the 20th century. At the same time, we are proud to be associated with academic teaching services that are disciplined examples of evidence-based obstetrics. Although none of these services is perfect in any sense of the definition, we draw heavily on our combined clinical observations when recommending management options. We do however emphasize that these recommendations do not necessarily represent a sole method of management. http://rapidshare.com/files/143189783/williams_obstetrics_-22_edition__2005-0071413154-mcgraw-hill_professional.chm

Williams Gynecology - 2008

The first edition of Williams Obstetrics was published over a century ago. Since then, the editors of this seminal text have presented a comprehensive and evidence-based discussion of obstetrics. Patterned after our patriarch, Williams Gynecology provides a thorough presentation of gynecology's depth and breadth. In Section 1, general gynecology topics are covered, whereas Sections 2 through 4 offer content on the gynecologic subspecialties. Of note, the developing field of female pelvic medicine and reconstructive surgery is presented. Traditionally, gynecologic information has been offered either within the format of a didactic text or that of a surgical atlas. However, because the day-to-day activities of a gynecologist blend these two, so too do we. The initial five sections of our book describe the evaluation and medical treatment of gynecologic problems. The remaining section offers an illustrated atlas for the surgical correction of these conditions. Discussions of disease evaluation and treatment are evidence based, and our text strives to assist the practicing gynecologist and resident. Accordingly, chapters are extensively complemented by illustrations, photographs, diagnostic algorithms, and treatment tables. http://rapidshare.com/files/126206155/0071472576_-_Williams__Gynecology-CHM.rar

Obstetric Evidence Based Guidelines

The knowledge from all current available randomized controlled trials (RCTs) and meta-analyses in obstetrics is summarized and easily available for clinical implementation. Key management points are highlighted at the beginning of each guideline, and in bold in the text. Relative risks and 95% confidence intervals from studies are generally not quoted, unless trends were evident, to avoid crowding the text. Instead, the straight recommendation for care is made if one intervention is superior to the other, with the percent improvement often quoted to assess degree of benefit. If there is insufficient evidence to compare to interventions or managements, this is clearly stated. An evidence based book must be based on adequate references, so to let “res ipsa loquitur” (‘things speak for themselves’). Cochrane Reviews with 0 RCT are not referenced, and, instead of referencing a meta-analysis with only one RCT, the actual RCT is referenced. If meta-analysis includes >10 RCTs, not all RCTs are referenced, for brevity and because they can be easily accessed by reviewing the metaanalysis. If new RCTs are not included in meta-analysis, they are obviously referenced. http://rapidshare.com/files/136600687/Obstetric_Evidence_based_medicine.pdf

Urogynecology : Evidence-Based Clinical Practice

http://www.filefactory.com/file/17d9bb/n/Urogynecology-_Evidence-Based_Clinical_Practice_rar

Atlas of Pelvic Surgery

The Atlas of Pelvic Surgery was originally developed as a practical guide to gynecologic procedures which reflected Dr. Wheeless' broad experience in surgery and his skill as a teacher. It is a well-respected and oft used text for those in training as well as doctors in practice across the globe which was last published in 1997.

The 4th edition of the Atlas of Pelvic Surgery as an internet atlas is a living document where one can find detailed information about an ever increasing variety of gynecologic surgical techniques. http://rapidshare.com/files/134884342/aps4.chm

Atlas of Procedures in Gynecologic Oncology

http://rapidshare.com/files/91987447/Atlas_of_Procedures_in_Gynecologic_Oncology.rar

Visual Diagnosis in Emergency and Critical Care Medicine

The purpose of this book is to provide some of those visual diagnostic clues that might be encountered in acute care scenarios. In Part 1, each visual cue is associated with an actual case and a multiple choice question. The correct answer and a focused discussion then follow in Part 2. In academic practice, utilizing a visual cue with an associated case presentation and a multiple choice question is a highly effective teaching method. In clinical practice, the use of case-based scenarios is a popular, effective means of selfeducation. This enables the teacher or the student to discuss the disease, and importantly the diagnosis and management. We have attempted to capture this teaching style within the context of this book. Whether you are an experienced clinician in private practice, an academician engaged in teaching, a resident or student in training looking to prepare for tests, we hope this book will provide you with further experience to excel as a practitioner in the field of medicine. http://www.4shared.com/file/65710686/c0ffeed2/visual_diagnosis_in_emergency_and_critical_care_medicine_-_BY_Malungo.html

American Heart Association’s Scientific Statements and Practice Guidelines Core Collection 2008

Welcome to Core Collection

Core Collection 2008 is a compilation of the American Heart Association’s Scientific Statements and Practice Guidelines. All of the AHA’s definitive scientific content is presented in an easy to use interface that facilitates searching, aggregating, bookmarking, and updating. The content on the CD-ROM is just the beginning. Throughout the year, as new Scientific Statements and Practice Guidelines are released, users with an Internet connection will be alerted to new content available and given the opportunity to update their Core Collection.

http://rapidshare.com/files/140295833/ACC_AHA_guidelines.part1.rar

http://rapidshare.com/files/140305147/ACC_AHA_guidelines.part2.rar

http://rapidshare.com/files/140286424/ACC_AHA_guidelines.part3.rar

ATENÇÃO : Password para extrair arquivo rar : amamiro

Chronic Pain Management - ACP

http://www.4shared.com/file/65710779/d61a85bb/Chronic_Pain_Management_-_by_malungo.html

Clinical Practice Guideline from the American College of Physicians

Evidence-Based Interventions to Improve the Palliative Care of Pain, Dyspnea, and Depression at the End of Life: A Clinical Practice Guideline from the American College of Physicians http://www.4shared.com/file/65710791/46422007/management_pain_end_of_life_-_by_malungo.html

Opioids in Medicine

http://www.4shared.com/file/65709609/d8f11f71/Opioids_in_Medicine-_by_malungo.html

Pocket Guide Pain Management - 2008

Despite the advances in pain medicine, most physicians are not adequately trained to treat chronic or even acute pain. As in other fields of medicine, pain medicine has long been dominated by expert opinion relying on personal expertise, and only recently has a systematic evaluation of treatments in the terms of “evidence-based medicine” been performed. And also as in other fields of medicine, a lot can be achieved in pain medicine when certain basic diagnostic and therapeutic pathways are followed correctly; more than can be achieved when only a few specialists are able to treat these conditions. http://www.4shared.com/file/65709675/9e06c59d/Pocket_Guide_Pain_Management__Springer_2008_.html

Mayo Clinic Internal Medicine Review - 2008

The eighth edition of Mayo Clinic Internal Medicine Review is a reflection of the continued commitment by the faculty of the Department of Internal Medicine to its mission to “serve the patient and advance the science.” There are substantial differences from the previous edition as a result of extensive revisions. All chapters were updated, 12 new authors and 2 new associate editors were recruited, a new chapter on hospital medicine was added, and new tables, figures, and questions and answers were included. These changes and improvements are consistent with the theme eloquently articulated by William J. Mayo, MD, in 1928: “The glory of medicine is that it is constantly moving forward, that there is always more to learn.”*My hope is that the reader will find the contents of this book informative, enjoyable, and, most of all, useful in our shared objective of understanding, preventing, diagnosing, and treating the diseases that still plague the human race. http://rapidshare.com/files/148719576/MayoClinicInternalMedicineReview.rar

Duplex Scanning in Vascular Disorders

We are moving forward in many areas as evidenced by this volume. I hope that the detailed information provided by the technologists will complement my contributions and make this a useful bible for the vascular laboratory. Watching the technology grow and the technologists mature with these advances has been a great experience. What of the future? It is clear that quantitative three-dimensional imaging is going to play a key role in many areas. For example, with the advent of endovascular grafting of aortic aneurysms, the need for inexpensive long-term quantitative studies of outcome are essential. The need for this is obvious given the reports of spontaneous rupture in patients who were thought to have been successfully treated. We now have the capability of evaluating many aspects of these grafts and the changes that occur, not only with the grafts themselves, but with the native aorta as well. The future will indeed be exciting for this field.

http://rapidshare.com/files/45446631/Duplex_Scanning_in_Vascular_Disorders__3rd_ed_078172631X.part1.rar.html http://rapidshare.com/files/45448244/Duplex_Scanning_in_Vascular_Disorders__3rd_ed_078172631X.part2.rar

Basics of Wound Care

http://rapidshare.com/files/122441978/Basics.Of.Wounds.Care.rar

The Care of Wounds

This is an exciting time in wound care and there have been many new developments in the last few years, including new approaches as well as systematic reviews and guidelines. Much of this is reflected in this third edition of The Care of Wounds and as a result, several of the chapters have been rewritten rather than updated. I also believe that many of those involved in caring for patients with wounds are more sophisticated in their approach to the subject. I hope that I have managed to reflect this in the text. http://rapidshare.com/files/138945722/The_Care_of_Wounds_A_Guide_for_Nurses.pdf

European Vascular Course : Unexpected challenges in vascular surgery

The subject of this year’s European Vascular Course is “Unexpected challenges in vascular surgery” and twenty-six chapters desm‘be the wide range of problems arising in daily vascular and endovascular practice. Displacement and migration of stents and endografis, dissection and rupture, unintentional occlusion of visceral arteries and aortic neck problems are all potential complications encountered in endovascular repaix I n open surgery, unexpected anatomy, dqjcult clamping, perforation, calcified arteries, ureteral lesions and mycotic aneurysms can cause serious dilemmas which require prompt solutions. I n addition to this, endovascular and surgical treatment of carotid and peripheral arterial disease comprises significant hurdles which necessitate immediate diagnosis and treatment. http://rapidshare.com/files/135502989/surgunex.rar

European Manual of Medicine: Vascular Surgery

One might ask why we need yet another textbook of vascular surgery. This is a perfectly reasonably question and the answer is because no book exists that offers comprehensive knowledge, both theoretical and practical, to every level of vascular surgeon. Buying books is expensive and it is therefore important that such books are of use to all of those who may wish to read them. The aim of this book is to be as useful to the vascular trainee as to the established vascular consultant. To this end the editors have enlisted and given a clear brief to leading practitioners in the field. All of the topics that one would normally expect to see in such a book are included and the text is sufficiently referenced to make it authoritative. Pictures and figures are also used but not extensively and are not a major selling point of this volume. The theoretical and practical aspects of open surgery, endovascular procedures and laparoscopic surgery are all covered in detail and venous disease and lymphatic problems are not ignored. http://rapidshare.com/files/27455471/vascular_surgery.pdf

Handbook of Patient Care in Vascular Diseases

This environment represents a challenge to those caring for patients with vascular disease. Today's provider must condense information from all directions sorting the relevant from the extraneous to develop a logical plan of care for each patient. In this setting we believe there is a role for an agile, evidence-based resource to serve as a discriminating guide and information management tool. Our hope is that this new edition of the Handbook represents such a resource. The Fifth Edition is structured to provide a basic understanding of vascular disease and cardiovascular risk rooted in the fundamentals of the history and physical exam. This edition incorporates noninvasive vascular testing and new clinical guidelines into the patient evaluation and provides a basic but thorough review of endovascular technologies and devices. Finally the Fifth Edition culminates in logical care outlines for eight areas of vascular disease encountered by trainees, nurses, and physicians.

http://www.4shared.com/file/64205287/4cf5351d/Handbook_of_Patient_Care_in_Vascular_Diseases-_By_malungo.html