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Author: Juan Enrique Dominguez-Munoz
Publisher: John Wiley & Sons
ISBN: 111957014X
Category : Medical
Languages : en
Pages : 752
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Book Description
Clinical Pancreatology Since the book Clinical Pancreatology for Practising Gastroenterologists and Surgeons was first published sixteen years ago, the knowledge and clinical management of pancreatic diseases have developed markedly. Thanks to the development of the translational research and the from bench to bedside concept, much progress from the lab has been applied to clinical practice. In addition, several highly relevant clinical trials published over the last years have resulted in the update and optimisation of clinical guidelines. A new and validated classification of severity and complications of acute pancreatitis is firmly rooted in clinical practice and has been the basis for the development of minimally invasive approaches to pancreatic necrosis. The etiopathogenic knowledge of chronic pancreatitis and other pancreatopaties, like that associated with diabetes mellitus, has developed significantly. Especially important has been the development of the field of cystic pancreatic tumours, which has been reflected in the publication of several guidelines and consensus reports over the last few years. Most research efforts have focused on pancreatic cancer, which have led and will further lead to a significant increase in the therapeutic armamentarium against this devastating disease. Finally, many newly published studies have changed the concept, causes, clinical relevance, diagnosis and treatment of exocrine pancreatic insufficiency. This new edition of Clinical Pancreatology for Practising Gastroenterologists and Surgeons has enjoyed the collaboration of the world’s leading experts in each of the areas of clinical pancreatology with the aim of facilitating gastroenterologists, surgeons, oncologists, internists, nutritionists, diabetologists, paediatricians, radiologists, pathologists and other specialists in their decision making when facing patients with pancreatic diseases in their daily clinical practice. All in all, this book supplies an indispensable update of the relevant aspects of clinical pancreatology.
Author: Juan Enrique Dominguez-Munoz
Publisher: John Wiley & Sons
ISBN: 111957014X
Category : Medical
Languages : en
Pages : 752
Get Book Here
Book Description
Clinical Pancreatology Since the book Clinical Pancreatology for Practising Gastroenterologists and Surgeons was first published sixteen years ago, the knowledge and clinical management of pancreatic diseases have developed markedly. Thanks to the development of the translational research and the from bench to bedside concept, much progress from the lab has been applied to clinical practice. In addition, several highly relevant clinical trials published over the last years have resulted in the update and optimisation of clinical guidelines. A new and validated classification of severity and complications of acute pancreatitis is firmly rooted in clinical practice and has been the basis for the development of minimally invasive approaches to pancreatic necrosis. The etiopathogenic knowledge of chronic pancreatitis and other pancreatopaties, like that associated with diabetes mellitus, has developed significantly. Especially important has been the development of the field of cystic pancreatic tumours, which has been reflected in the publication of several guidelines and consensus reports over the last few years. Most research efforts have focused on pancreatic cancer, which have led and will further lead to a significant increase in the therapeutic armamentarium against this devastating disease. Finally, many newly published studies have changed the concept, causes, clinical relevance, diagnosis and treatment of exocrine pancreatic insufficiency. This new edition of Clinical Pancreatology for Practising Gastroenterologists and Surgeons has enjoyed the collaboration of the world’s leading experts in each of the areas of clinical pancreatology with the aim of facilitating gastroenterologists, surgeons, oncologists, internists, nutritionists, diabetologists, paediatricians, radiologists, pathologists and other specialists in their decision making when facing patients with pancreatic diseases in their daily clinical practice. All in all, this book supplies an indispensable update of the relevant aspects of clinical pancreatology.
Author: Mary Hickson
Publisher: John Wiley & Sons
ISBN: 1118993853
Category : Medical
Languages : en
Pages : 452
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Book Description
Written in conjunction with the British Dietetic Association, Advanced Nutrition and Dietetics in Nutrition Support provides a thorough and critical review of the fundamental and applied literature in nutrition support. Extensively evidence-based and internationally relevant, it discusses undernutrition, nutritional screening, assessment and interventions, as well as key clinical conditions likely to require nutrition support, and the approaches to managing this in each of these conditions. Clinically oriented, Advanced Nutrition and Dietetics in Nutrition Support is the ideal reference for all those managing undernutrition in a range of clinical areas.
Author: Paul Ellis Marik
Publisher: Springer
ISBN: 3319110209
Category : Medical
Languages : en
Pages : 836
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Book Description
This is the premier evidence-based textbook in critical care medicine. The Third Edition features updated and revised chapters, numerous new references, streamlined content, and new chapters on key topics such as the new paradigm in critical care medicine, cardiac output monitoring, surgical optimization, vital signs, and arterial blood gas analysis. The book maintains the author’s trademark humor and engaging writing style and is suitable for a broad and diverse audience of medical students, residents, fellows, physicians, nurses, and respiratory therapists who seek the latest and best evidence in critical care. From reviews of previous editions: “This is an excellent introduction to the concept of evidence-based medicine...The writing is clear, logical, and highly organized, which makes for fast and enjoyable reading. I believe this book will get daily use in most intensive care units, by a wide range of readers.” –Respiratory Care “This is one of the most comprehensive handbooks on critical care medicine with a strong emphasis on evidence base...Overall, this book should be useful for junior doctors or intensive care trainees who are starting their term in an intensive care unit.” –Anaesthesia and Intensive Care
Author: Joan Webster-Gandy
Publisher: Oxford University Press, USA
ISBN: 0199585822
Category : Medical
Languages : en
Pages : 842
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Book Description
Fully updated, the Oxford Handbook of Nutrition and Dietetics, second edition is a practical quick-reference guide to nutrition in the prevention and treatment of disease and the maintenance of good health.
Author: Sarah Joanna Lawes McKenzie
Publisher:
ISBN:
Category :
Languages : en
Pages : 182
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Book Description
The nutritional management of acute pancreatitis has evolved dramatically over the past few decades from the early regimen of 'pancreatic rest' to the modern paradigm of early enteral nutrition, or 'gut rousing'. This modern regimen has significantly improved clinical outcomes such as reducing infectious complications, multi-organ failure, and mortality for patients with acute pancreatitis; however the mechanisms behind these benefits remain largely unknown. In addition, despite these improvements, this has not eradicated the presence of a common nutrition-related complication; oral feeding intolerance (OFI). Characterised by pain relapse, nausea and/or vomiting, OFI has been associated with greater length of hospital stays and costs. As substantiated by literature there is a need for accurate, readily-available predictive markers that are capable of predicting OFI. Recently it was discovered that adipokines, mediators involved in inflammation and metabolism, have an early role in predicting the clinical severity of acute pancreatitis, thus it was hypothesised that adipokines may also provide insight into the mechanisms behind the benefits of early enteral nutrition, and may be predictors of other clinical outcomes. The aims of the study were to first investigate the effect of enteral nutrition on adipokine levels early in the course of acute pancreatitis, by comparing levels between patients receiving nasogastric tube feeding (a promising nutritional support therapy avenue) and those receiving nil-by-mouth (the conventional regime). The second aim was to investigate if adipokines could predict the primary outcome, OFI, and two secondary outcomes, systemic inflammatory response syndrome and prolonged hospitalisation, which often occur in acute pancreatitis. The five adipokines measured were adiponectin, leptin, omentin, resistin, and visfatin. Results obtained showed that two adipokines, omentin and leptin, were significantly higher in patients who received enteral nutrition compared to those who were nil-by-mouth. Literature shows that this may mediate the beneficial effects of early EN by having an anti-inflammatory effect, and may be protective against the development of insulin resistance and diabetes due to the role of these adipokines in insulin signalling pathways. Second, while none of the adipokines were significant predictors of OFI, resistin, a pro-inflammatory adipokine, was predictive of a prolonged hospitalisation; which could serve as a useful clinical indictor for patients who require more intensive monitoring. Future research should be directed towards understanding what role the increased levels play and whether they are responsible for the therapeutic benefits of enteral nutrition. Additionally, research should be directed towards determining the levels of omentin during AP and comparing them in differing levels of severity, to understand the role of this relatively new adipokine in AP. There is also great demand for research to investigate the mechanisms that cause and perpetuate OFI, to refine optimal refeeding practice and to ultimately understand how to prevent OFI.
Author: Savio George Barreto
Publisher:
ISBN: 9789811087561
Category : MEDICAL
Languages : en
Pages :
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Book Description
This book provides an evidence-based approach to the diagnosis and surgical management of the diseases of the pancreas and biliary tree, highlighting the most recent findings. The chapters are designed to accompany the reader on a step-by-step approach to the patient, providing the latest evidence to justify each recommendation. Wherever feasible and indicated, emphasis is placed on the use of tables and algorithms to simplify decision-making. The information contained in this well-referenced book is thus relevant not only to practicing pancreatobiliary and general surgeons, but also offers valuable guidance for surgical trainees. This book covers 14 diseases of the pancreas and biliary tree, from the more common gallstones and common bile duct stones, acute and chronic pancreatitis, to more complex benign conditions such as biliary fistulae and strictures, as well as cystic tumors of the pancreas, and finally the major malignancies include gallbladder cancer, pancreatic cancer and hilar cholangiocarcinoma. .
Author: Fang Gao Smith
Publisher: Cambridge University Press
ISBN: 1139489682
Category : Medical
Languages : en
Pages : 409
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Book Description
The critical care unit manages patients with a vast range of disease and injuries affecting every organ system. The unit can initially be a daunting environment, with complex monitoring equipment producing large volumes of clinical data. Core Topics in Critical Care Medicine is a practical, comprehensive, introductory-level text for any clinician in their first few months in the critical care unit. It guides clinicians in both the initial assessment and the clinical management of all CCU patients, demystifying the critical care unit and providing key knowledge in a concise and accessible manner. The full spectrum of disorders likely to be encountered in critical care are discussed, with additional chapters on transfer and admission, imaging in the CCU, structure and organisation of the unit, and ethical and legal issues. Written by Critical Care experts, Core Topics in Critical Care Medicine provides comprehensive, concise and easily accessible information for all trainees.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309068460
Category : Medical
Languages : en
Pages : 383
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Book Description
Malnutrition and obesity are both common among Americans over age 65. There are also a host of other medical conditions from which older people and other Medicare beneficiaries suffer that could be improved with appropriate nutritional intervention. Despite that, access to a nutrition professional is very limited. Do nutrition services benefit older people in terms of morbidity, mortality, or quality of life? Which health professionals are best qualified to provide such services? What would be the cost to Medicare of such services? Would the cost be offset by reduced illness in this population? This book addresses these questions, provides recommendations for nutrition services for the elderly, and considers how the coverage policy should be approached and practiced. The book discusses the role of nutrition therapy in the management of a number of diseases. It also examines what the elderly receive in the way of nutrition services along the continuum of care settings and addresses the areas of expertise needed by health professionals to provide appropriate nutrition services and therapy.
Author: David B. Adams
Publisher: John Wiley & Sons
ISBN: 1118924924
Category : Medical
Languages : en
Pages : 336
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Book Description
Pancreatitis: medical and surgical management provides gastroenterologists and GI surgeons, both fully qualified and in training, with a focused, evidence-based approach to the most exciting developments in the diagnosis and clinical management of pancreatitis. Focusing mainly on the rapidly changing and innovative medical and surgical strategies to manage the disease, new surgical procedures such as endoscopic biliary intervention and minimally invasive necrosectomy to exciting new medical therapies like Antiprotease, Lexipafant, probiotics and enzyme treatment are all discussed. Full colour throughout, with over 250 colour illustrations and with reference to the latest clinical guidelines from the AGA, ACG and UEGW at all times, it is an essential consultation tool for all those managing patients with this increasingly common condition.
Author: John M. Howard
Publisher: Springer Science & Business Media
ISBN: 1461505550
Category : Medical
Languages : en
Pages : 763
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Book Description
Never before has a comprehensive history of the pancreas like History of the Pancreas been published. It not only is a historical review of the science of medicine, it is liberally interspersed with anecdotal vignettes of the researchers who have worked on this organ. Much of it, such as the discovery of the duct of Wirsüng, of the islets of Langerhans, of insulin, gastrin and their tumors, reads like the adverture, which it is. This book, divided into 14 chapters, is written in a narrative style and is easily readable, as glimpses of the investigators, those who failed as well as those who succeeded, adds both perspective and human interest. Each chapter is completely referenced, totaling over 1500 references. As a reference book for students, teachers, investigators, writers, its detailed hjistorical documentation is unique. From the pre-Christian era of Asia Minor, to Greece, Rome, Europe and America, to the explosive progress in Japan, the history is there. History of the Pancreas: Mysteries of a Hidden Organ fills a gap.
