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Major surgical societies have been publishing perioperative recommendations for over half a century, based on committees conducting reviews of the literature. Surgical books fundamentally target the intraoperative period when anesthesia is going on. Fatalities are often embedded in a larger context of systemic failures, in which initial problems are sidestepped or mishandled till they become overwhelming and irreversible. There must be a guiding principle and a truly integrated approach for each condition and treatment, of course based on the strongest available evidence. This unique book provides the reader standardized instructions and recommendations on the management of all high-risk surgical candidates in different specialties and contexts, encompassing a continuum of care, and not just in selected phases or groups.Written by worldwide experts, it is divided in 11 sections and 41 chapters which discuss: Preoperative evaluation, Lifestyle interventions, Surgical specialties, Protocols of special relevance, Fluids, electrolytes and shock, Perioperative surgical challenges, Bedside and adjunct procedures, Wound care, Innovative Approaches (including artificial intelligence and machine learning), End of life care and other ethical challenges. It also includes an additional section with supplementary material.Residents, fellows, practitioners in training and seasoned professionals seeking society recertification, primarily in surgery, anesthesiology, intensive care medicine, internal medicine, emergency services, trauma, vascular surgery, nursing, and physical therapy will find this book valuable. Professionals in the industry (especially those related to surgery, critical care monitoring devices, imaging diagnosis and interventional radiology), policy makers and government agencies will also benefit from this work.

This book provides a scientific and ethical approach to all forms of fraud and misconduct focusing on a scholarly however practice-oriented description of the problems, roots and potential solutions.Organized in dedicated parts, an international team of experts systematically analyzes the most prevalent forms of misconduct, ghost writing, pseudo-science, dubious trials, predatory journals, fake news, mistreatment and harassment, in research, publications, at academic institutions, and in the professional and healthcare environment. A special focus is given to corrective interventions and the role of prevention, education and training. Comprehensive in its scope, the book offers an easy-to-read overview along with a number of real cases for experienced and novice personnel alike. The significance of scientific integrity and research ethics increased during the last couple of years and ethic committees and offices have become an integral part at universities, hospitals, research institutions, government agencies and major private organizations all over the world. Thus, this book provides an indispensable, comprehensive overview across disciplines and for everybody working in research and affiliated institutions.Chapter 37 is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

Now in its second edition, this comprehensive handbook provides a state-of-the-art overview of recent advances in drug and non-drug therapies for obesity and diabetes. It also addresses major comorbidities, covering topics such as, cardiovascular diseases, renal and neuropsychiatric disorders, appetite control and micro RNAs. Special attention is also devoted to pediatric care, including the latest recommendations for therapy and prevention. Obesity and type 2 diabetes are among the top global health-care budget concerns worldwide and impact professional practice at all levels: in hospitals, clinics and physicians'offices alike. They prominently feature in headlines, and virtually no family, community or country is exempt from their protean, deleterious consequences. Furthermore, given the multiple intersections in their pathways, they often go hand in hand.The good news is that scientific advances in all fields, including genomics, metabolomics, lipidomics and microbiomics, are increasing our understanding of these two disease areas. At the same time, artificial intelligence, machine learning, mobile health and advanced implantable and external devices are rendering prevention and management more available, safe and cost-effective. In addition, bariatric and metabolic surgery has evolved from a niche specialty to an officially endorsed option for several modalities of obesity and diabetes. This book presents the latest lifestyle, pharmacological, surgical and non-surgical treatment options, including endoscopic intervention and cell therapy. Objectively reviewing natural and artificial sweeteners and critically examining issues such as public health initiatives, government mandated taxes for unhealthy foods and environmental planning, no stone is left unturned in gathering the latest practical information. As such, the book will appeal to seasoned specialists, as well as students and healthcare professionals in training.

Precision Medicine for Investigators, Practitioners and Providers addresses the needs of investigators by covering the topic as an umbrella concept, from new drug trials to wearable diagnostic devices, and from pediatrics to psychiatry in a manner that is up-to-date and authoritative. Sections include broad coverage of concerning disease groups and ancillary information about techniques, resources and consequences. Moreover, each chapter follows a structured blueprint, so that multiple, essential items are not overlooked. Instead of simply concentrating on a limited number of extensive and pedantic coverages, scholarly diagrams are also included. - Provides a three-pronged approach to precision medicine that is focused on investigators, practitioners and healthcare providers - Covers disease groups and ancillary information about techniques, resources and consequences - Follows a structured blueprint, ensuring essential chapters items are not overlooked

Microbiome and Metabolome in Diagnosis, Therapy, and Other Strategic Applications is the first book to simultaneously cover the microbiome and the metabolome in relevant clinical conditions. In a pioneering fashion, it addresses not only the classic intestinal environment, but also the oral, gastric, lung, skin and vaginal microbiome that is in line with the latest investigations. Nonbacterial microbiomes, such as fungi and viruses are not overlooked, and the plasma microbiome is also discussed. As plasma, brain, placenta, tumor cells, and other sterile fluids and tissues, are increasingly recognized to potentially host a microbiome, albeit a limited one, this is a timely resource. The book's editors were fortunate to have the input of renowned collaborators from nearly all continents. This is truly an international effort that brings the latest in the field to students and professionals alike. - Provides comprehensive coverage on diagnosis, therapy, pharmacotherapy and disease prevention in context of the microbiome and metabolome - Focuses on the proposed physiological or pathological conditions - Presents an up-to-date, useful reference

A practical guide on the evaluation, diagnosis, and treatment of varicose veinsChronic venous disease is a common condition, with a prevalence as high as 50% in industrialized countries worldwide. Of those, about 20-25% of women and 10-15% of men have visible varicose veins. Varicose vein treatment has become an increasingly multidisciplinary field, and one that has seen cutting-edge advances and significant growth.Felipe B. Collares, Salomao Faintuch, and a team of venous disease experts have compiled, Varicose Veins, a concise book that covers the full range of interventional procedures for venous insufficiency. Following introductory chapters on anatomy and pathophysiology, the authors guide readers through the clinical exam, imaging, compression therapy, and various minimally invasive techniques. Highly practical and an affordable alternative to larger published tomes.Key HighlightsStep-by-step guide on core venous interventions - from compression therapy to sclerotherapy - ambulatory phlebectomy to endovascular ablationIllustrations delineate anatomy and specific treatment modalitiesClinical pearls on patient safety and preventing complicationsDiscussion of emerging endovascular approaches that do not require administration of tumescent anesthesiaThis handy resource is a must-have for trainees and veteran physicians. The practical and focused layout provides a well-rounded reference for all specialists who perform varicose vein procedures - interventional radiologists, vascular surgeons, phlebologists, cardiologists, and dermatologists.

This timely and clinically oriented book uniquely addresses the entire spectrum of treatment for severe obesity and diabetes. It thoroughly examines all aspects from robotic surgery to cell therapy, from the latest antidiabetic drugs to endoscopic procedures and devices, from appetite-inhibiting signals and nutrients to gastric arterial embolization. It offers objective and authoritative information for practicing professionals; not only are successful interventions discussed and updated, but cutting-edge and experimental pathways are also anticipated.Obesity is the foremost nutritional challenge worldwide. Its companion is type-2 diabetes, the most prevalent metabolic disease. Together they represent the diabesity epidemic, which is draining resources, overwhelming healthcare facilities, and impacting life expectancy and quality of life everywhere. No country has been spared, and most medical specialties have been affected. Many books focus on the surgical options for obesity and diabetes, namely bariatric and metabolic operations. Information on the clinical and pharmacological treatment is also available, conveyed by standard texts on internal medicine and endocrinology. Yet endoscopic maneuvers and prostheses, cell therapy for diabetes, and other innovative approaches are hard to come by, as conventional texts overlook such therapies. This timely publication bridges the gaps between all different therapeutic options, also covering advances in the conservative, surgical and parasurgical domains.This book will appeal to seasoned specialists, students and healthcare professionals in training alike.