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Few doctors receive formal training in how to conduct an outpatient consultation or how to compose and dictate an outpatient letter. Trainee surgeons in each new specialty spend their first few weeks in outpatient clinics learning by experience with all the pitfalls this entails. Much work involves seeing patients who have been brought back for review by their predecessors. Problems are caused by inexperience, unfamiliarity, fear of making mistakes, the pressure of patient numbers and lack of training.New doctors will find little help in the standard textbooks on how to follow-up patients.This book provides the necessary background information to enable rational decision making in a concise ...
Scientists from the fields of biochemistry, body composition, intensive care, medicine, nutrition, pediatrics, physiology, and surgery provided the 17 papers that were first presented at the 2001 workshop (exact date not noted). They discuss the administration of nutritional support, in particular, the questions of timing, composition, and clinical settings of such support in light of emerging evidence about the immunomodulatory effects of specific nutrients and their influence on the inflammatory response. Specific topics include fatty acids and gene expression related to inflammation, intravenous supply of functional lipid components, the contribution of trace elements to the efficacy of nutritional support, and signaling factors for gut adaptation. Annotation copyrighted by Book News, Inc., Portland, OR
General Surgery: Principles and International Practice is organized over two volumes into ten Sections, each representing an important branch of surgical science. Amply supported by line drawings and photographs, algorithms and anatomical depictions, it provides illustrative, instructive and comprehensive coverage depicting the rationale for the basic operative principles mandated by state-of-the-art surgical therapy.
‘This book effectively bridges the gap between dietitian, doctor, nurse and pharmacist and there is much in it to educate even the more experienced practitioner. I recommend the book highly and feel confident that well-thumbed and battered copies will soon be found on wards everywhere.’ Alastair Forbes, Chairman of the British Association of Parenteral and Enteral Nutrition ‘This book will help non-specialists to make appropriate choices regarding nutritional care for their patients. It should prove to be a valuable resource for all professions, in many areas of practice.’ Lynne Colagiovanni, Chairman, National Nurses Nutrition Group ‘This is a much needed comprehensive clinical nu...
Today the provision of nutritional intervention is widely accepted as an efficient means in preventing malnutrition and attenuating catabolism. Recently it has also acquired significant importance due to the emerging evidence on the immunomodulatory effects of specific nutrients and their ability to alter the inflammatory response. These developments have evoked a series of questions as to the timing, composition and clinical settings of any such administered support. This publication focuses on new findings regarding nutritional implications in metabolic alterations during inflammation, immunonutrients including antioxidant micronutrients, changes in body composition, the role of genetics, and various aspects of administration, especially the advantages of initiating enteral nutrition during early disease states. The book contains a useful state-of-the-art presentation for all professionals involved with nutrition, biochemistry, body composition, intensive care, physiology, surgery and nursing.
The fifth edition of this well-received book contains all the latest information on surgical techniques in abdominal hernia surgery and has been updated to reflect progress in robotic hernia surgery and minimally invasive approaches, as well as new materials used such as fully resorbable synthetic meshes. With chapters on management of complications and laparoscopic repair, among others, the book also contains newly-added accounts of the Milos technique, laparoscopic primary closure of defects and mesh. For each of the surgical techniques described the reader will find information on pre- and post-operative management, instructions on theatre set-up and patient positioning, an account of the incision and access, as well as detailed operative steps and closure, and finally tips and pitfalls. From financial aspects to operative techniques and materials, this book provides a very comprehensive account of abdominal hernia management. Richly illustrated to demonstrate the surgical procedures in detail this book is written by a team of world leaders in herniology. This is an indispensable guide to herniologists and hernia surgeons, worldwide.
This fully revised new edition focuses on the clinical, diagnostic, and therapeutic aspects of conditions encountered by the coloproctologist and gastroenterological surgeon, who are faced with an increasing number of precise and specific treatment modalities.
There is an increase in specialisation within general surgery and now even within its sub specialties. Colorectal surgery is probably the largest of the subspecialties of general surgery, and one of the areas where trainees and consultant general /colorectal surgeons are least confident is in their understanding of the anatomy, physiological pathology and management of the anal canal and pelvis. Currently available there are books on the market centred around the general management of colorectal disease, but the time is now right for a definitive text on the anal canal and pelvis specifically.
The second edition of Clinical Dilemmas in Inflammatory Bowel Disease: New Challenges, is a practical, up-to-date handbook providing expert guidance on specific clinical dilemmas and areas of difficulty that the gastroenterologist regularly faces in day-to-day practice. In this new edition, 75% of the “dilemmas” are brand new dilemmas facing the IBD specialist concerning emerging treatment therapies, such as the use of cannabinoids and Viagra for Crohn’s disease. The remaining 25% of the dilemmas are fully updated from the previous edition, incorporating the latest clinical thinking. Each of the 57 evidence-based chapters contains clear learning points, addresses different topics, and provides sound guidance on subjects ranging from optimizing current management through to special management problems and novel treatments. This book is suitable for all medical professionals involved in the care of patients with IBD: established and trainee gastroenterologists, colorectal surgeons, pathologists, radiologists, specialist nurses, pharmacists, dieticians and counselors.
This memoir chronicles the journey of an academic, tracing a path from primary school in Zambia to a career in higher education as a mathematician and educational leader. Set against the backdrop of the 20th century, the book explores how early influences and historical events shape an individual's life and professional trajectory. The author shares childhood experiences across three parts of Africa, providing an original perspective as a witness to the post-colonial period. Through personal reflections, the memoir delves into the emergence of ideas and collaborations in mathematics and how these shape career choices. It also offers candid observations on the major changes in British higher education since the 1980s. Intended for a general audience, this book provides a compelling read for anyone interested in the experience of becoming a mathematician, and higher education in general.