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However, it is possible to distinguish the types of patients who commonly have insufficient inspiration flow rate. Thus, the efficacy of dry-powder inhalers decreases in children aged 6 to 11 years and elderly patients wit h COPD and asthma. Keywords : chronic obstructive pulmonary disease, bronchial asthma, Symbicort, Turbuhaler, Rapihaler, dry-powder inhaler, pressurized metered dose inhaler.

For citation: Arkhipov V. Azouz et al. Price et al. New options for choosing an inhalation device for patients with asthma and chronic obstructive pulmonary disease V. Arkhipov Russian Medical Academy of Continuous Professional Education, Moscow The variety of drug delivery for the treatment of asthma and chronic obstructive pulmonary disease COPD allows using the differentiated approach when choosing an inhaler for each patient.

Lavorini F. Recent advances in capsule-based dry powder inhaler technology Multidiscip Respir Med. DOI: Price D. J Allergy Clin Immunol Pract. Demoly P. The clinical relevance of dry powder inhaler performance for drug delivery.

Respir Med. What to consider before prescribing inhaled medications: a pragmatic approach for evaluating the current inhaler landscape. Ther Adv Respir Dis. De Boer A. Dry powder inhalation: past, present and future. Expert Opinion on Drug Delivery. Bisgaard H. CRC Press; Azouz W. The inhalation characteristics of patients when they use different dry powder inhalers. Mahler D. The role of inspiratory flow in selection and use of inhaled therapy for patients with chronic obstructive pulmonary disease.

Respiratory Medicine. Bonini M. The importance of inhaler devices in the treatment of COPD. Loh C. Annals of the American Thoracic Society. Sharma G. Gillen M. Pulm Pharmacol Ther. Alaboud A. In vitro characterization of the emitted dose from the foradil aerolizer to identify the influence of inhalation flow, inhilation volume and the number of inhalations per dose.

Respiratory Drug Delivery. Details of how to interpret the image and the use of contrast or staining methods to help differentiate normal anatomy from pathology are included. Images in Urology is an essential tool for urology, radiology and histopathology trainees and consultants, as well as being an excellent exam preparation guide.

Images in Urology - Diagnosis and Management Surgical Guide to Circumcision Surgical Guide to Circumcision is a compendium of the who, what, where, why, and most importantly, the how of circumcision. Most circumcisions are elective with no acute medical necessity; that is, most are done for cultural reasons. Thus, in addition to being a standard surgical guide for those who perform circumcision, this book is an anthology of circumcision, from its prehistoric roots to its present day admixture of religion, culture, and medicine.

Surgical Guide to Circumcision is a fully illustrated, step-by-step guide to the most common techniques of circumcision and addresses aspects such as informed consent, religious and cultural sensitivities, pre-exam, post-care, pain control, and prevention and management of potential complications.

Written by experts in the field, Surgical Guide to Circumcision will appeal to family physicians, pediatricians, obstetricians, midwives, nurses, urologist, and anyone with a general interest in circumcision. Surgical Guide to Circumcision. Lecture Notes. Urology Lecture Notes: Urology is a best-selling concise introduction to urology, presenting the essential core knowledge for medical students and junior doctors.

It emphasises clinical presentations and diagnostic problem-solving, providing an integrated approach to understanding the renal system and urinary tract. This new edition has been fully revised and re-written with a new format, design and artwork, and now includes a section on interstitial brachytherapy for early prostate cancer and laparoscopic radical prostatectomy, coverage of imaging and surgical techniques, and a self-assessment section of MCQs.

It explains all the important aspects of urology in a simple, clearly written and concise way, with a comprehensive overview of normal structure and function, and guidance on the specifics of history and examination relevant to this body system. It systematically covers the pathology of the diseases which affect normal function, explaining the principles of treatment and management. Lecture Notes: Urology will prove invaluable as a well-balanced introduction to urology and a rapid revision guide for final exams for junior doctors, medical students and allied health professionals.

Reviews of the previous edition "this work provides a highly comprehensive and approachable guide to urology. Good diagrams, well thought out presentation and style and a layout very friendly to the reader. Scrotal Pathology Scrotal Pathology is a comprehensive practical guide to the management of patients who present with scrotal disorders.

Introductory chapters consider imaging instrumentation, clinical evaluation, and clinical and imaging anatomy. The full range of disorders is then discussed in individual chapters organized according to clinical presentation.

All clinical and imaging aspects are covered in depth, with full description of symptoms and explanation of the value of different clinical tests and imaging modalities. In addition, underlying histopathological features are presented and correlated with imaging features in order to clarify their pathological basis.

For each disorder, therapeutic strategies are discussed and appraised. Adults and children are considered separately whenever necessary, bearing in mind that they often present essentially different scrotal pathology. The many images are all of high quality and were obtained using high-end equipment.

Contents Author biographies Introduction Physiology of erectile function and dysfunction Erectile dysfunction - etiology and risk factors Assessment of erectile dysfunction Treatment planning First-line interventions Second-line and further interventions Summary References Index.

Renal Cell Carcinoma - Clinical Management Renal Cell Carcinoma: Clinical Management provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in kidney cancer. The volume reviews new data about risk factors for the disease, profiles the new staging system for renal cell carcinoma RCC , highlights our current understanding of familial syndromes of RCC and their molecular genetics, and provides new perspectives about imaging of renal tumors.

For localized disease, a greater appreciation of nephron-sparing approaches and the importance of preservation of renal function is discussed in detail. Advances in surgical techniques are highlighted. For metastatic disease, the molecular biology of kidney cancer is reviewed in a concise and understandable manner, including the data that has fostered novel targeted approaches that have revolutionized management.

The several landmark phase III targeted therapy trials published in the last few years are placed in context with respect to current management.

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