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Once again the gastroenterologists of northwestern Canada have come out with a series of essays advancing important modem concepts. As indefatigable as ever, they bring together the latest in clinical-pathophysiological considera tions for the clinician. The topics run the gamut from the lovely liver to HIV infection, from the pathophysiology of bile flow to comments on antigens in colorectal cancer. It is always easy to publish a first volume, for enthusiasm is high and everyone is anxious to win a place. Bringing out a second volume, the carrying forward of a good idea, is so much harder. In many ways this second volume in the series marks the coming of age of Canadian gastroenterology, as...
This textbook is specifically written for clinicians involved in managing patients with dyspepsia. It is a practical guide with up-to-date suggestions on evaluation, diagnosis, and management from experts from around the world. Each chapter is a succinct review of current topics that play a role in the pathogenesis and management of this disorder. Special populations such as pediatrics, those with cardiovascular disease and womens health are specifically examined.
Presenting patient- and problem-oriented review articles, this series is designed to keep the internist, general surgeon, and specialist in gastroenterology and hepatology abreast of the latest advances in the field.
"Many know the annoyance and ill effects of wet basements and cellars, but comparatively few are familiar with good remedial methods. This bulletin gives needed information ... Many wet cellars might be dry had a little more attention been given to their location and construction and to grading the earth around them to shed water quickly. Frequently wet cellars can be made dry by gravity drainage of the site -- the simplest and surest method of avoiding ground-water troubles. Many dam cellars can easily be made less damp by better window ventilation. Water-tight construction and waterproofing and damp-proofing methods require good materials, but the most important thing -- in fact the vital thing -- is thorough workmanship in each and every detail."--Page ii.
In their second year in medical school, students begin to learn about the differences between "disease" and "illness." In their studies of pathology they learn to understand disease as pertubations of molecular biological events. And we clinicians can show disease to them by our scans, lay it out even on our genetic scrolls, and sometimes even point out the errant nucleotide. Disease satisfies them and us; at Yale, lectures on the gastrointestinal tract run from achalasia to proctitis. There is, alas, little mention of functional bowel disease or of the irritable or spastic colon, for that is not easy to show on hard copy. Functional bowel disease represents "illness," the response of the person to distress, to food, to the environment, and to the existential problems of living. In real life such matters are most important. Richard Cabot first found out at the Massachusetts General Hospital almost a century ago that 50% of the patients attending the outpatient clinic had "functional" complaints. The figure had grown to over 80% when the very same question was reexamined 60 years later.
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