The chapters in this book vary from methods of assessing and monitoring nutritional status to those of the use of intravenous and enternal nutritional support. Practical chapters define laparoscopic placement of feeding tubes as well as the use of a variety of nutritional substrates, which can be administered in different clinical scenarios. The di
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.
There is a growing need for a book on emergency general surgery in the elderly, as adults age 65 and older are the fastest growing segment of the population worldwide, and their number is expected to double to 89 million between now and 2050. Based on these changing demographics, it is expected that there will be a concurrent rise in the demand for a variety of surgical services, including vascular surgery (with a projected growth of 31%) and general surgery (with a projected growth of 18%), as well as in all sub-disciplines of surgery (thoracic, cardiac, oncology, hepatobiliary, transplant, plastic colorectal, orthopedic, gynecologic, urology and neurosurgery).In addition, older surgical patients often require a different level of care than younger patients during the preoperative, intraoperative and postoperative phases. Many of our geriatric population have multiple chronic illnesses beyond the one for which surgery is required, and therefore are prone to developing postoperative complications, functional decline, loss of independence, and other undesirable outcomes. In response, this book offers surgeons, geriatrists and nurses state-of-the-art surgical approaches and essential information on the complex perioperative care of the elderly.
This Surgical Clinics issue is Part 1 of a special two part issue on nutrition and metabolism of the surgical patient, co-guest edited by Dr. Stanley Dudrick, a pioneer in total parenteral nutrition. Part 1, guest edited by Dr. Dudrick and Dr. Juan Sanchez present topics on nutrition and metabolism for the acutely ill patient. Topics will include: metabolic considerations in management of surgical patients, sepsis associated with nutrition support of surgical patients, parenteral nutrition and nutrition support of surgical patients, cachexia and refeeding Syndrome, prevention and treatment of intestinal failure associated liver disease (IFALD) in neonates and children, adjuvant nutrition management of patients with liver failure, comprehensive management of patients with enteric fistulas, nutrition management of patients with malignancies of the head and neck , nutrition support of pediatric surgical patients, management of the short bowel syndrome, what, how and how much should burn patients be fed?, nutrition support in trauma and critically ill patients, and nutrition as an adjunct to management of patients with pulmonary failure.
As with the first edition, the second edition of this book covers the surgical anatomy of the abdominal wall, pathology of abdominal wall defects, such as hernias, enterocutaneous or entero-atmospheric fistulae, and indications for and surgical techniques used to reconstruct the abdominal wall from the practical stand point. In addition, through a number of illustrations, the placement of mesh in the abdominal wall reconstruction as well as manipulations of patient’s tissue including lateral compartment release techniques and other tissue transfer techniques are described in detail. The text also covers reconstruction of complex contaminated abdominal wall defects in patients with complex enteric fistulae, stomas, defects created after the excision of previously placed infected prosthetic mesh, and defects associated with acute tissue loss after severe trauma or necrosis of abdominal wall such as necrotizing soft tissue infections. Complex abdominal wall defects in the pediatric population and long-term outcomes and durability of these repairs are also addressed. The second edition of Surgery of Complex Abdominal Wall Defects is written by experts in their respective areas from around the world and has been updated thoroughly. As with the first edition, it will continue to serve as a guide for current practice for surgeons, including general, trauma, acute care, plastic and reconstructive surgeons.
Present Knowledge in Nutrition, 10th Edition provides comprehensive coverage of all aspects of human nutrition, including micronutrients, systems biology, immunity, public health, international nutrition, and diet and disease prevention. This definitive reference captures the current state of this vital and dynamic science from an international perspective, featuring nearly 140 expert authors from 14 countries around the world. Now condensed to a single volume, this 10th edition contains new chapters on topics such as epigenetics, metabolomics, and sports nutrition.The remaining chapters have been thoroughly updated to reflect recent developments. Suggested reading lists are now provided for readers wishing to delve further into specific subject areas. An accompanying website provides book owners with access to an image bank of tables and figures as well as any updates the authors may post to their chapters between editions. Now available in both print and electronic formats, the 10th edition will serve as a valuable reference for researchers, health professionals, and policy experts as well as educators and advanced nutrition students.
The attraction of plastic surgery is its tremendous scope, and the multitude of approaches for every clinical situation. Yet it is precisely these aspects of plastic surgery that make its study and teaching especially challenging. Although there exist several excellent atlases and texts on this topic, there are few references that are compact, affo
This publication is intended as a guide to common diagnostic, operative and percutaneous techniques used in creating and maintaining vascular access for hemodialysis. When writing the text, the authors have focused on surgeons in training, fellows, interventional radiologists and clinically active nephrologists. Dialysis nurses and other clinicians
“Carolyn and Annika bring decades of expertise in the care of patients with Anorexia, Bulimia, Binge Eating Disorder, and the many related atypical and subsyndromal variants. Their clinical wisdom, understanding of the experience of sufferers and those who love them, and understanding of these illnesses and the recovery process infuse these pages.” —Diane Mickley, MD, Director, Wilkins Center for Eating Disorders The ever changing field of eating disorder treatment needs innovative new techniques and approaches. As the number of people with these challenging disorders increases at an alarming rate, treatment has not kept pace. The death rate for Anorexia Nervosa in the U.S. is twelve times higher than all other leading causes of death combined for the 15-to-24 age group. Measuring Health from the Inside is a major step forward in treating patients with eating disorders. This important book explains how two simple measurement techniques—Metabolic Testing and Body Composition Analysis—can help patients make rapid progress in understanding their condition and tracking their progress toward recovery. Thousands of patients have been successfully diagnosed and treated by this technology at Carolyn’s clinic and Annika’s private practice. In Measuring Health from the Inside, they explain how the information from the tests can be used to help treat patients not only for their underlying eating disorder but also for the malnutrition that almost always accompanies—and worsens—the condition. Based on their extensive experience, they offer practical guidance for therapists, patients, and loved ones on the often overlooked importance of nutrition in treating eating disorders.
Surgical Critical Care and Emergency Surgery In this newly revised edition of Surgical Critical Care and Emergency Surgery, a distinguished team of emergency surgeons deliver a one-of-a-kind question-and-answer book on the growing specialty of surgical critical care and acute surgery, ideal for those caring for the critically ill and injured surgical patient. This book reviews surgical critical care, emergency surgery, burns and trauma, and includes full color, high-quality surgical photographs to aid understanding. Readers will also benefit from access to a website that offers additional topics and tests, as well as an archive of all test questions and answers from previous editions. The authors’ focus throughout is on the unique problems and complexity of illnesses of the critically ill and injured surgical patient, and the specialist daily care that such patients require. Perfect for the acute care surgeon, surgical intensivist and those in training, Surgical Critical Care and Emergency Surgery will also earn a place in the libraries of those working in or with an interest in critical care.
