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Core Topics in Endocrinology in Anesthesia and Critical Care provides a comprehensive, practical overview of the perioperative management of patients with endocrine disorders, giving clear diagnostic advice and management guidelines. This book considers the management of patients with endocrine disorders of the pituitary, thyroid, parathyroid and adrenal glands, including rarer disorders such as MEN syndrome. It then considers all aspects of the perioperative management of diabetic patients, including paediatric, obstetric and ambulatory patients. Finally it discusses endocrine disorders in the critically ill patient, covering such issues as the topical conundrum of glucose control and the management of diabetic metabolic acidosis, thyroid storm and myxoedema coma. Every chapter reviews the relevant anatomy and pathophysiology and the latest developments in defining the genetic causes are also considered where appropriate. Core Topics in Endocrinology in Anesthesia and Critical Care is an invaluable tool for all anaesthetists and intensivists in their daily clinical practice.
As the number of patients with diabetes increases annually, it is not surprising that the number of patients with diabetes who are admitted to the hospital also increases. Once in the hospital, patients with diabetes or hyperglycemia may be admitted to the Intensive Care Unit, require urgent or elective surgery, enteral or parenteral nutrition, intravenous insulin infusion, or therapies that significantly impact glycemic control (e.g., steroids). Because many clinical outcomes are influenced by the degree of glycemic control, knowledge of the best practices in inpatient diabetes management is extremely important. The field of inpatient management of diabetes and hyperglycemia has grown substantially in the last several years. This body of knowledge is summarized in this book, so it can reach the audience of hospitalists, endocrinologists, nurses and other team members who take care of hospitalized patients with diabetes and hyperglycemia.
It is impossible to have a perfect or even excellent governance system from day one. Many factors can complicate the introduction of governance in a company. However, the key points are that there should be no "one-size-fits-all" approach, that governance does not become "perfect" overnight, and that it is vital to study and understand the best way to move ahead and get started. Intra-group governance is a complex but important board matter. Difficulties arise from vague definitions, cultural differences, barriers to communication, the need to involve stakeholders and address their questions, the fact that the benefits - as well as the risks and pitfalls - of governance are often unclear, an...
This book gives a comprehensive picture of the activities and the creative heritage of Simon Stevin, who made outstanding contributions to various fields of science, in particular physics and mathematics. Among the striking spectrum of his ingenious achievements, it is worth emphasizing that Simon Stevin is rightly considered as the father of the system of decimal fractions as it is in use today. Stevin also urged the universal use of decimal fractions along with standardization in coinage, measures and weights. This was a most visionary proposal. Stevin was the first since Archimedes to make a significant new contribution to statics and hydrostatics. He truly was "homo universalis." The imp...
This book constitutes the refereed proceedings of the First International Workshop on Numerical Analysis and Its Applications, WNAA'96, held in Rousse, Bulgaria, in June 1996. The 57 revised full papers presented were carefully selected and reviewed for inclusion in the volume; also included are 14 invited presentations. All in all, the book offers a wealth of new results and methods of numerical analysis applicable in computational science, particularly in computational physics and chemistry. The volume reflects that the cooperation of computer scientists, mathematicians and scientists provides new numerical tools for computational scientists and, at the same time, stimulates numerical analysis.