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National and international agencies need assessments of change in ecosystems and their drivers in order to sustain natural systems, to maintain the delivery of services, and to meet the challenge for conserving Earth ecosystems in the long term. In marine systems, change may arise directly from human activities (e.g. fisheries), indirectly from local or global activities (cascading effects through food webs from fisheries or changing environments from climate change and/or ocean acidification), or from naturally varying processes. A particular challenge for managers is to identify how dangerous future climate change will be for ecosystems and their services and whether mitigation or adaptati...
Aimed at practicing clinicians and radiologists, this volume provides up-to-date, detailed information on potentially severe urinary tract infections (UTIs), which frequently require intensive in-patient antibiotic therapy, percutaneous or surgical treatment. UTIs are the most prevalent infectious illness, and account for hundreds of thousands of emergency and hospital admissions yearly. Furthermore, UTIs are the most common (almost 40%) type of hospital-acquired infections, with bladder catheterisation being the key risk factor. According to the European Association of Urology guidelines, complicated urinary tract infections (C-UTIs) are those associated with structural or functional genito...
This book is a concise, easy to read professional text with a focus on practical aspects. All chapters include tables on sex/gender differences in symptoms and management and a series of suggestions to the novice in the field. Chapters are specialty-specific. The focus is not on women’s health, but the presentation of differences in clinical symptoms, management and outcomes in women and men. Gender Medicine strives to employ the knowledge about these differences to improve diagnosis, better understand pathogenesis and advance patient-oriented therapy.
Late in his life, the author came to realize that there was much in his world that was uncertain. How should he deal with that? In this book, he explores how some scientists have tolerated uncertainty and goes on to consider uncertainty in relation to our morals. The subjugation of women has been a major moral problem through history, characterized by certainty. In his view, this has fostered many other immoralities (e.g. slavery). He then reviews the world's main religions. To what extent have they accepted uncertainty, and how have they dealt with sex and women? How do individuals cope with religious uncertainty? By the end of the book, he makes the clear distinction between unknowability ...
This comprehensive, multi-authored book covers all aspects of surgery on obese patients in emergency conditions. Obesity is a metabolic disease affecting a high percentage of world population.. It involves marked anthropometric changes, affecting surgical practice and altering patients’ ability to react to surgical stress. The prevalent comorbidities also affect the rate of complications and mortality after surgery. The obesity paradox, the ability of obese patients to survive emergency operations in spite of an increased risk of complications, is an effect of the widespread development of “Obesity Science”. This volume discusses this science, examining the frailty of the obese patients and the main comorbidities that affect clinical practice, as well as the most frequent emergency situations after trauma, inflammatory diseases and the complications of bariatric surgery. With contributions from leading experts, it provides clinicians with detailed and updated information for better practice in this emerging field of surgery.
This book provides the latest recommendations for ultrasound examination of the entire urogenital system, particularly in the male. The coverage encompasses the role of ultrasound in imaging of disorders of the kidneys, urinary tract, prostate, seminal vesicles, bladder, testes, and penis, including male infertility disorders. In addition, detailed consideration is given to intraoperative and interventional ultrasound and recently developed ultrasound techniques. Each chapter defines the purpose of and indications for ultrasound, identifies its benefits and limitations, specifies the technological standards for devices, outlines performance of the investigation, establishes the expected accu...
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