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This book is a guide for clinicians seeking to use metabolic approaches in the care of hospitalized patients. Since a nutritional component exists for practically any disease process managed, it is important to properly address the macro- and micronutrient issues that can help facilitate a favourable clinical outcome. Metabolic medicine is a newly recognized speciality that applies proven nutritional approaches to support hospitalized patients within existing standards of care. Optimizing Metabolic Status for the Hospitalized Patient: The Role of Macro- and Micronutrition on Disease Management addresses the gap of nutrition knowledge among physicians who generally care for patients without a...
The first comprehensive overview of an emerging field, Metabolic Medicine and Surgery introduces a new paradigm in patient management that crosses existing subspecialty boundaries. This approach is necessitated by the challenges of treating patients with obesity, metabolic syndrome, cardiovascular disease and prediabetes, as well as those with maldigestion, malabsorption, malnutrition and nutritional deficiencies. This book teaches physicians and surgeons what they need to know about clinical nutrition, metabolism and the metabolic effects of bariatric surgery. It is also applicable to those in primary care, including physicians, residents, medical students, nurses and nurse practitioners, p...
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In order to understand the story of slavery in American, one must look at the history of slavery in general. As I began to delve deeper into my research, I was stunned to find out facts of which I had been previously unaware. Many of us were taught the horrors and atrocities which took place during the years of slavery here in the United States. What we were not taught in America were the staggering numbers and the horrendous dehumanization of those enslaved and those who died as a direct consequence of the slave trade itself. Beginning in the ninth century and continuing into the nineteenth century, the continent of Africa hemorrhaged its human occupants from every available route. It began...
The mission of the National Institute of Standards and Technology (NIST) Physics Laboratory is to support U.S. industry, government, and the scientific community by providing measurement services and research for electronic, optical, and radiation technology. In this respect, the laboratory provides the foundation for the metrology of optical and ionizing radiations, time and frequency, and fundamental quantum processes, historically major areas of standards and technology. The Panel on Physics visited the six divisions of the laboratory and reviewed a selected sample of their programs and projects.
There is a large and rapidly growing body of literature on the importance of mag nesium in biochemical and physiological processes. There is also much evidence that magnesium deficiency, alone and in combination with agents that interfere with its utilization, is associated with functional and structural abnormalities of mem branes, cells, organs, and systems. The manifestations of the changes caused by magnesium deficiency depend upon its extent and duration and on variable factors. Among the conditions that increase the risk of magnesium deficiency are (1) meta bolic factors that affect the absorption, distribution, and excretion of this mineral; (2) disease and therapy; (3) physiologic states that increase requirements for nutrients; and (4) nutritional imbalances. Excesses of nutrients that interfere with the absorption or increase the excretion of magnesium-such as fat, phosphate, sugar, and vitamin D-can contribute to long-lasting relative magnesium deficiency. All have been implicated in several of the diseases considered in this book. Whether their influence on the need for magnesium is a common denominator remains to be investigated further.
Lipids have been in clinical use as components of intravenous nutrition for over 50 years. Over the last 15 years, new and improved lipids that include olive oil and/or fish oil have replaced the more traditional ones. These new lipids offer the opportunity to deliver high amounts of fatty acids and possess different functional properties: in particular, they can influence inflammatory processes, immune responses and hepatic metabolism. This book brings together articles written by leading international authorities in the area of intravenous lipids. Contributions discuss the latest findings in the field, ranging from pre-clinical research to the most recent clinical trials. Lipid functionality and utility in pediatric, adult surgical and critically ill patients are covered, as is the use of lipids in long-term home parenteral nutrition. Addressing a broad spectrum of topics, this publication provides a wealth of information for basic scientists, clinical researchers and clinical practitioners alike.
Abstract: The objective of this book is to discuss magnesium and its role in the human body. Initially the properties, metabolism, and methods of analysis are examined and then the primary and secondary magnesium defects and their best known forms are considered. Magnesium excess or overload and the problems of therapy (treatment of magnesium deficiency and overload) are also discussed.
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