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This book describes the surgical bariatric procedures most frequently performed worldwide and examines their evolution in recent years both within Italy and internationally. For each operation, indications, the surgical technique, potential complications, and the outcomes with respect to weight and obesity-associated comorbidities are presented. In view of the significant failure rate revealed by studies on the long-term results of bariatric surgery, the problem of weight regain and revision surgery are also discussed in detail, covering the different types of revision, conversion to other procedures, and the main outcomes. In addition, individual chapters focus on selected topics of importance. The role of bariatric surgery in the cure of type 2 diabetes (“diabetes surgery”) is discussed and the debate over the significance of gastroesophageal reflux disease and hiatal hernia for choice of procedure is summarized. Finally, the most common endoluminal procedures, which have been gaining in importance, are described and other bariatric operations, outlined.
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.
Dallas, 1963: In the immediate aftermath of the JFK assassination, the shock is multiplied for young CIA agent Philip Marsden when he learns of the death of his Cuban American wife. As evidence builds and the threats begin to mount, he discovers that the two tragedies might not be unrelated.
Handbook of Fertility: Nutrition, Diet, Lifestyle and Reproductive Health focuses on the ways in which food, dietary supplements, and toxic agents, including alcohol and nicotine affect the reproductive health of both women and men. Researchers in nutrition, diet, epidemiology, and endocrinology will find this comprehensive resource invaluable in their long-term goal of understanding and improving reproductive health. This book brings together a broad range of experts researching the different aspects of foods and dietary supplements that promote or detract from reproductive health. Section One contains several overview chapters on fertility, how it is assessed, and how it can be affected by...
Three political thrillers from an “immensely engaging” author, inspired by the most dramatic events of the JFK years (Time). The Kennedy Trilogy is a political thriller series based on the three major crises of the Kennedy era—Berlin, 1961; Cuba, 1962; and Dallas, 1963—as witnessed factually in the Oval Office and fictionally by a young CIA agent. The complete edition contains all three books: The Kennedy Imperative (Berlin, 1961): In this exciting political thriller, factual events are interwoven in an exciting fictional plot. While the construction of the Berlin Wall challenges JFK with the first major crisis of his presidency, young CIA agent Philip Marsden is sent into East Berli...
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The sense of reading as an intimate act of self-discovery--and of communion between authors and book lovers--has a long history. Lina Bolzoni returns to Petrarch, Boccaccio, Machiavelli, Montaigne, and Tasso, exploring how Renaissance humanists began to represent reading as a private encounter and a dialogue across barriers of time and space.