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  • Book
    editors: Sylvia C. McKean, John J. Ross, Daniel D. Dressler, Daniel J. Brotman, Jeffrey S. Ginsberg
    Summary: The goal of the book is provide trainees, junior and senior clinicians, and other professionals with a comprehensive resource that they can use to improve care processes and performance in the hospitals that serve their communities. Includes case studies.

    Contents:
    Systems of Care
    Medical Consultation and Co-Management
    Clinical Problem-Solving in Hospital Medicine
    Approach to the Patient at the Bedside
    Hospitalist Skills
    Clinical Conditions.
    Digital Access AccessMedicine 2012
  • Article
    Spray TL, Roberts WC.
    Am Heart J. 1977 Oct;94(4):500-16.
    This report describes morphologic changes in saphenous veins used as aortocoronary bypass conduits, and discusses the relative contribution of various factors to these changes. The three primary changes are: (1) medial fibrous replacement, (2) adventitial fibrous proliferation, and (3) intimal fibrous proliferation. Medial fibrous replacement is caused by vein wall ischemia with loss of smooth muscle cells; adventitial fibrous proliferation is the result of organization of fibrin deposits and repair of ischemic injury; and intimal fibrous proliferation results from some stimulus, probably fibrin deposition on injured intima, which causes stimulation of smooth muscle cells to become fibroblasts or "myointimal cells". Although all grafts show some changes, the degree and severity of these three changes is variable along the length of the grafts and among separate grafts in the same patient.
    Digital Access Access Options
  • Other
    Conradin Kreutzer. Quintett Es-Dur für Klavier, Oboe, Klarinette, Horn und Fagott, op. 6 / Friedrich Witt
    Print p1978