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This text is designed to present a comprehensive, up to date and safe approach to managing emergency general surgery patients with a minimally invasive approach. This book bridges the gap between the minimally invasive surgery (MIS) expert who may not routinely be involved in the care of the acute care surgery patient and the ACS expert surgeon who may not have a routine MIS elective practice. The first section reviews the physiology of the acute care surgery patient and the physiologic impact of MIS techniques including pnemoperitoneum in critically ill patients. This review is crucial to assure that the surgeon has a clear understanding of when a MIS approach is safe and when it can be potentially dangerous to the patient. The illustrations are presented in an atlas-style format to describe the surgical procedures. The authors of the various sections are minimally invasive and acute care surgeons from prominent academic centers. The format represents a narrative review with appropriate illustrations and links to online videos.
This text provides a comprehensive textbook summarizing the presentation, workup, and surgical solutions for common emergencies in the cancer patient. The use of medications (antibiotics, hormones, and biologic therapies) and interventional radiologic procedures as adjuncts or as replacements for the surgical solutions are discussed. The text covers emergencies that result as adverse effects for the systemic and local treatments for cancer, emergencies that result from mechanical issues with the cancer and those that result from surviving major extirpative surgery. Diagnosis and treatment of patients' immune-compromised or thrombocytopenic status from chemotherapy is discussed, as is surgica...
DIVTwelve theoretical and historical essays emanate from a novel, shared poststructuralist conception of political economy./div
Imagining Creation is a collection of views on creation by noted authors from different disciplines. Topics include creation accounts and iconography from Mesopotamia and Egypt, and cosmologies from India and Africa. Special attention is devoted to creation in the Scriptures (Bible and Koran) and related oral traditions on Genesis from Slavonic Europe, as well as Kabbalah. Some of the creations myths are earlier and some later than the Bible, while a number of the discussed texts offer alternative approaches to the beginnings of the universe. The contributions provide many new perspectives on the origins of man and his world from diverse cultures. The volume is the proceedings of a symposium on creation stories held at University College London.
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Focusing on the role of intellectuals in the political transition of the late 1980s and early 1990s and their participation in the political life of the new democracies of Central Europe, this book presents original essays from authors who discuss the eight countries in the region.
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Acute Care General Surgery provides a succinct focused overview of a myriad of general surgical emergencies. Each chapter has a concise, practical framework on the workup and management of a specific topic. The book covers a wide array of pathology from the more common appendicitis, diverticulitis and cholecystitis to those less frequently encountered such as toxic megacolon, Fournier's gangrene and volvulus. Learning objectives for each chapter are clearly defined. In addition to differential diagnosis, the work up and management is comprehensively discussed. In addition, a pithy clinical pearl is included to serve as a memory aid for each diagnosis. Upon reviewing this volume, clinicians who encounter the acute care surgical patient in their practices will be better equipped to rapidly assess, evaluate, diagnose and managing their complex and often challenging problems.