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Reaching beyond traditional nutrition support The care of ICU patients has seen many improvements over the years, both with regard to technical aspects and supportive measures. The first part of this book analyzes nutritional support at various levels, ranging from the cell level to the whole-body aspect; drawing on recent prospective randomized studies, the authors propose a new approach for oral, enteral and/or parenteral nutrition. The second part underlines the interference between nutrition and outcome to reach recovery, giving to this field an increased importance for better short and long term management: The best glucose control, individualized nutritional support and the avoidance o...
This unique book is written specifically for surgeons. But that's not all. Edited by a surgeon and a gastroenterology specialist, it’s relevant to both these disciplines. What's more, it's comprehensive and detailed: it covers everything from the technical basics, to emergency surgical ultrasound, to possible further diagnostic procedures. A truly practical guide Over 850 high-quality illustrations help to put the theory into practice. And explanatory drawings next to each ultrasound picture make it easy for even the inexperienced eye to interpret images. Clear, concise -- and easy to use Information is broken down into clear sections. Each section focuses on the surgical ultrasound of a specific organ system, and is written by a proven expert in the field. Topics include: The acute abdomen Thoracic and abdominal trauma Endoscopic ultrasound Doppler and color-coded Duplex ultrasound Transplantation ultrasound Intraoperative ultrasound
Weight management is a multi- and cross-disciplinary challenge. This book covers many etiological and diagnostic aspects of weight-related disorders and their treatment. This book explains how body weight influences and is influenced by the brain, hormones and immune system, diet, physical activity, posture and gait, and the social environment. This book also elucidates the health consequences of significantly low or pathologically increased body weight. Furthermore, ideas on how to influence and manage body weight including anti-obesity medical devices, diet counselling, artificial sweeteners, prebiotics and probiotics, proanthocyanidins, bariatric surgery, microbiota transplantation, warming, physical exercise, music and psychological therapy are discussed.
Many people who are experiencing unacceptable suffering or deterioration in the present, or who fear them in the near future, do not know their full range of options to hasten death. This is particularly true if they live in jurisdictions that do not allow a physician assisted death - over forty jurisdictions in the U.S. and most countries across the world. Though VSED is readily available, and not illegal, most people are unaware of it as an option. The informationin this book is vital to those considering their options either hypothetically or in real time, providing an integrated, balanced, and nuanced exploration of VSED with contributions from legal, medical, and ethical experts.
This book provides surgeons and oncologists with a well-founded and detailed overview of the available treatment options for peritoneal malignancy and differential selection of the appropriate forms of therapy. Systemic chemotherapy options are also considered, as are surgical cytoreduction (CRS) and all forms of intraperitoneal chemotherapy (IPC) especially hyperthermic IPC (HIPEC), and immunotherapy, including specific procedures such as PIPAC. Subsequent chapters address perioperative care, complications and recurrences, as well as psycho-oncological, palliative medical and nursing care. The process of parietal and visceral peritonectomy in the large and small intestine is additionally illustrated by three video clips accessible online. Covering a broad range of aspects, including peritoneal metastasis and intraperitoneal chemotherapy, the book offers a valuable tool for surgeons, oncologists and anesthesiologists alike.
When one deals with cancer, the hepatobiliary malignancies present a chal lenge to the oncologists that can be characterized as a series of unsolved clinical and biological dilemmas. Liver metastases from colorectal and other gastrointestinal malignancies, hepatocellular carcinoma, cholangiocar cinoma, and gall bladder cancer present an array of problems but have two features in common. These are high morbidity and mortality with an overall poor result from treatment. Why is it that hepatobiliary cancer carries with it such a dismal prognosis? First of all, these diseases present, for the most part, in an advanced state. To this point in time the oncologist has had no help from early diagnos...
This text takes a multidisciplinary approach to the surgical management of gastronintestinal cancer. It begins with an introduction to cancer screening and detection of gastronintestinal cancer; recent advances in molecular biology and their potential applications in clinical management; hereditary factors; tumour markers; the role of nutrition in the outcome of cancer treatment; and an overview of endoscopic considerations, laparoscopic assessment and practical radiological issues. The work also presents approaches for the management of oesophageal, gastric, pancreatic, liver, bile duct and gallbladder, and lower gastrointestinal cancer.
Das Wissen zu positiven und negativen Auswirkungen verschiedener Ernährungsweisen nimmt immer mehr zu. Auch medizinische Aspekte der Ernährung gewinnen an Bedeutung. Das Werk liefert einen Überblick über die verschiedenen Facetten der Ernährungsmedizin, von den physiologischen Grundlagen bis zu therapeutischen Aspekten, von der Mangelernährung bis zu den Folgen des Übergewichts. Zuverlässige Basis und wissenschaftliches Fundament: - Grundlagen der Ernährungsphysiologie - Ernährungsmedizinische Diagnostik - Beschreibung der verschiedenen Nährstoffgruppen - Ernährung in verschiedenen Lebensphasen und –situationen - Lebensmittelkunde, Lebensmittelsicherheit und rechtliche Aspekte Klinische Ausrichtung: - Darstellung ernährungsassoziierter Krankheiten - Ernährungstherapie bei krankheitsassoziierter Mangelernährung - Umgang mit Übergewicht, Adipositas und metabolischen Erkrankungen - Nahrungsmittelallergien und Unverträglichkeiten Jederzeit zugreifen: Der Inhalt des Buches steht Ihnen ohne weitere Kosten digital in der Wissensplattform eRef zur Verfügung (Zugangscode im Buch). Mit der kostenlosen eRef App haben Sie zahlreiche Inhalte auch offline immer griffbereit.