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Bargains with Fate: Psychological Crises and Conflicts in Shakespeare and His Plays (pdf)

Barges and Bread: Canals and Grain to Bread and Baking

The book is a history of watermen, lightermen and dockers, and a recipe book for bread. From parched grain and flatbreads to Ezekiel bread, and the bread we eat today, this is a book for the boating enthusiast, and the home baker.

Barging Round Britain: Exploring the History of our Nation's Canals and Waterways

Barging Round Britain by David Bartley is a beautifully-illustrated guide to a unique and fascinating part of our history: the canal network.Explore the people and places that have forged this national treasure, from the birth of the Industrial Revolution to the leisure explosion on our waterways today. Fully-illustrated with maps and photographs, the book will trace canal routes across the UK, from the Georgian grandeur of Bath to the dramatic splendour of the Scottish Highlands.This is the official tie-in to the ITV series, coming to prime-time TV in January 2015. David Bartley's Barging Round Britain includes a foreword and chapter introductions by the presenter of the TV series, John Sergeant.

Bariatric and Metabolic Surgery: Indications, Complications and Revisional Procedures (Updates in Surgery)

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.

Bariatric and Metabolic Surgery

Bariatric and Metabolic Surgery is recognized to be an important and effective option for the treatment of severe obesity and the various associated conditions and diseases. This book presents state of the art knowledge on such surgery with the aim of facilitating the sharing and exchange of knowledge, documenting effective techniques, and enhancing safety and outcomes. All technical aspects are covered in detail, and the text is complemented by many helpful illustrations. A further key feature is the provision of accompanying surgical videos, which will be of value to both novice and experienced surgeons. This textbook will be a great asset in clinical practice for all who are involved or interested in bariatric and metabolic surgery.

Bariatric Endocrinology: Evaluation And Management Of Adiposity, Adiposopathy And Related Diseases

This unique book – the first ever on bariatric endocrinology – is a comprehensive endocrine and metabolism approach to the diseases that result from excess fat mass accumulation and adipose tissue dysfunction. It takes an approach that places adipose tissue at the center of the clinical approach to patients, as opposed to the complications of adipose tissue accumulation and dysfunction, which has been the dominant approach to date. Initial chapters include discussion of adipose tissue physiology and pathophysiology (adiposopathy), hormonal, central nervous system, and gut microbiome regulation of energy balance and stores, and primary and secondary causes of adipose tissue weight gain. Subsequent chapters cover the evaluation and treatment of dyslipidemia, insulin resistance and hyperglycemic states, hypertension, neoplasia, and gonadal function in men and women. Management strategies, such as nutrition, physical activity, pharmacotherapy, and bariatric procedures, round out the presentation. Each chapter is bookended by bullet-pointed clinical pearls at the beginning and a full reading list at the end. Written and edited by experts in the field of endocrinology and obesity management, Bariatric Endocrinology redefines practice to focus not just on weight loss as measured in pounds lost, but on adipose tissue mass and pathology, decreasing fat mass for adiposity-related diseases and returning adipose tissue to normal function.

Bariatric Endoscopy

To date, diet programs and medical therapies for the treatment of obesity have had limited success. Bariatric surgery, however, provides a means of effective weight loss for many of those with morbid obesity. Most of these weight loss procedures are performed with a variety of techniques that continue to evolve. Each technique is associated with unique challenges and complications and it is important for the clinician to be knowledgeable about the endoscopic management of these patients. Additionally, as endoscopic technology evolves it may offer more than just the diagnosis and treatment of complications. Endoscopic therapy may soon allow less invasive bariatric revision procedures as well as a variety of primary obesity therapies for various patient populations. Bariatric Endoscopy reviews the management of obesity, normal post-surgical anatomy, endoscopic and medical management of post-surgical complications, and future endoscopic therapies for obesity management. Organized into five sections, the volume covers an obesity overview, traditional therapy, endoscopy and the bariatric patient, medical management of post-surgical complications, and the future role of endoscopy in obesity management. Detailed illustrations are also provided for surgical procedures, complications and obesity management chapters. Authored by authorities in the field, Bariatric Endoscopy is an indispensible tool for the gastroenterologist or surgical endoscopist as they care for patients with complicated bariatric issues.

Bariatric Psychology and Psychiatry

This book offers a step-by-step guide to mental health assessment for bariatric surgery patients. A general introduction explains the concepts of bariatric psychology and psychiatry, their relevance in contemporary bariatric surgery, and reasons to include psychologists and psychiatrists in multidisciplinary teams taking care of bariatric patients. The following four chapters address the aspects of mental health that are investigated by bariatric psychology. The psychological processes analyzed here play a major role in influencing patients’ perception of the outcomes of bariatric surgery and in determining their commitment to lifestyle changes and follow-up programs. The second part of the book includes nine chapters addressing the clinical conditions relevant to bariatric psychiatry. For each condition, the major focus is on the impact of psychopathology on bariatric surgery outcomes (weight loss, weight regain, quality of life) and the impact of surgery on its course (remission, worsening, de novo onset). Each chapter in this part includes a discussion of the diagnostic instruments (i.e., structured interviews, clinician-rated tests, and patient-rated tests) that should be used to obtain a valid assessment of the patient’s mental status. Separate chapters focus on psychiatric complications (e.g., suicide and addiction transfer) and psychological problems related to quality of life (e.g., body image dissatisfaction) that may emerge postoperatively. Data on these postsurgery conditions has been reported only recently and, therefore, no published book deals with them. The final chapter offers an overview of unsolved issues in bariatric psychology and psychiatry and reviews emerging research findings that are likely to change assessment and care of bariatric patients’ mental health in the near future. Given its scope—and its wealth of tables, diagrams, mnemonics, and key fact boxes—the book will be an invaluable reference tool for clinicians.

Bariatric Robotic Surgery: A Comprehensive Guide

The present book intends to provide a comprehensive guide to the field of robotic bariatric surgery. It covers all the stages and procedures needed to fulfill credentialing for performing robotic surgery. Also, robotic surgery is presented as an institutional program, and we describe how to establish a robotic program in a hospital environment. The currently accepted and most common procedures – sleeve gastrectomy, gastric bypass and duodenal switch – are described in detail, with a step-by-step description of the techniques, followed by a wealth of photos and videos for each case. Special attention is given to the employment of robotic bariatric surgery in exceptional conditions, such as in super-obese patients, reoperations and revisional procedures. Critical issues, for the success of the robotic surgical interventions, such as anesthesia, are also addressed. Finally, the outcomes of robotic bariatric surgery are described, including long-term weight loss, improvement and resolution of comorbidities and improvement in quality of life. Bariatric Robotic Surgery is the first book specially devoted to this modality of surgical intervention. It is a fundamental tool for surgeons, residents and fellows who want to start a robotic bariatric surgery program. The book also helps experienced robotic surgeons to keep up to date with the various available robotic surgical techniques.

Bariatric Surgery: What Every Provider Needs to Know

With obesity levels continuing to rise despite efforts in diet, exercise, and medical management, the focus has now turned to surgery to help combat the obesity epidemic. The operation is just the beginning, and there can be many different complications and side effects associated with weight loss surgery. Bariatric Surgery: What Every Provider Needs to Know takes a multidisciplinary team approach to maximize the patient’s weight loss and to minimize complications, from patient selection to postoperative care. This book was written for any healthcare providers or students involved with bariatric surgical patients to provide them with the important information needed to manage their patient. Drs. R. Armour Forse and Caroline M. Apovian and more than 50 contributors have designed Bariatric Surgery: What Every Provider Needs to Know to provide practical information for non-surgeons and non-nutrition experts who are involved in the care of a patient undergoing bariatric surgery and makes the concepts easy to understand and to apply when caring for a patient with obesity.Bariatric Surgery: What Every Provider Needs to Know covers the fundamental issues that need to be addressed with the overall care of the surgical patient for a multidisciplinary team, including nurse practitioners, physician assistants, gastroenterology residents, dieticians, and medical students. Some topics covered include: Adolescent obesity and weight loss surgery Various surgical procedures such as gastric banding, sleeve gastrectomy, and gastric bypass Anesthetic issues in the patient with obesity undergoing surgery Bariatric surgery and the elderly Immediate postoperative complications Medical management of the patient after bariatric surgery Psychological issues in the bariatric surgery patient

Bariatric Surgery: What Every Provider Needs to Know

With obesity levels continuing to rise despite efforts in diet, exercise, and medical management, the focus has now turned to surgery to help combat the obesity epidemic. The operation is just the beginning, and there can be many different complications and side effects associated with weight loss surgery. Bariatric Surgery: What Every Provider Needs to Know takes a multidisciplinary team approach to maximize the patient’s weight loss and to minimize complications, from patient selection to postoperative care. This book was written for any healthcare providers or students involved with bariatric surgical patients to provide them with the important information needed to manage their patient. Drs. R. Armour Forse and Caroline M. Apovian and more than 50 contributors have designed Bariatric Surgery: What Every Provider Needs to Know to provide practical information for non-surgeons and non-nutrition experts who are involved in the care of a patient undergoing bariatric surgery and makes the concepts easy to understand and to apply when caring for a patient with obesity.Bariatric Surgery: What Every Provider Needs to Know covers the fundamental issues that need to be addressed with the overall care of the surgical patient for a multidisciplinary team, including nurse practitioners, physician assistants, gastroenterology residents, dieticians, and medical students. Some topics covered include: Adolescent obesity and weight loss surgery Various surgical procedures such as gastric banding, sleeve gastrectomy, and gastric bypass Anesthetic issues in the patient with obesity undergoing surgery Bariatric surgery and the elderly Immediate postoperative complications Medical management of the patient after bariatric surgery Psychological issues in the bariatric surgery patient

Bariatric Surgery: Technical Variations and Complications

The increasing prevalence of obesity in many countries means that it should now be considered a pandemic. It is widely recognized that obesity increases the risk of a variety of life-threatening conditions, including heart disease, diabetes, and hypertension. Bariatric surgery is often the most effective way to treat such morbid obesity. Nevertheless, while various bariatric procedures have been proposed, to date standards have been lacking. In this book, leading experts from around the world discuss all aspects of bariatric surgery and present their own favored versions of surgical procedures with the aid of informative illustrations. Technical nuances are carefully described, and detailed attention is devoted to potential complications and how to avoid them. The expertise of the authors and the range of techniques considered guarantee that both trainees in bariatric surgery and experienced surgeons will find this book to be an invaluable source of information and guidance in their daily work.

Bariatric Surgery: A Guide for Mental Health Professionals

This book provides mental health professionals with a basic overview of the types of procedures involved in bariatric surgery and the specific psychological impacts such operations can have on their patients. It also serves as a valuable resource to surgeons, nurses, doctors, and support staff who are involved in the medical treatment of obesity, but who may have little background in the psychosocial implications of their work. An accompanying questionnaire is available at http://www.eatingdisordersarena.com/resources/EDQ.pdf

Bariatric Surgery: A Guide for Mental Health Professionals

This book provides mental health professionals with a basic overview of the types of procedures involved in bariatric surgery and the specific psychological impacts such operations can have on their patients. It also serves as a valuable resource to surgeons, nurses, doctors, and support staff who are involved in the medical treatment of obesity, but who may have little background in the psychosocial implications of their work. An accompanying questionnaire is available at http://www.eatingdisordersarena.com/resources/EDQ.pdf

Bariatric Surgery Complications: The Medical Practitioner’s Essential Guide

This text provides a background of scientific evidence to understand the complications that occur after bariatric surgery for all providers responsible for care after surgical intervention. Written by experts and based on current peer reviewed literature, the text provides a focused approach to the identification and treatment of bariatric surgery complications. To establish a context for providers, the initial section concentrates on presenting the current procedures as well as risks and expected benefits of each with an emphasis on mechanism of action. It examines the issue of weight regain from the aspect of heterogeneity in order to present the perspective that every procedure has risk of weight regain. The text provides guidance to those front line providers who manage acute emergencies and chronic long term problems. State of the art management of complications like leaks, bleeding, ulcers, blood clots and pneumonia are discussed for all procedures in addition to the management of rapid remission of obesity related disease like Type 2 Diabetes and coagulopathies (Leiden Factor V, Protein C and S) that occur commonly in patients with obesity. Each chapter features a review of the current literature in an easy to reference table format and where appropriate an algorithm to focus the reader on the process of care for any given presenting sign or symptom.Bariatric Surgery Complications will be of great value to fellows in minimally invasive surgery, general surgeons, emergency room physicians, gastroenterologists, primary care physicians, medical students and residents in surgery rotations, integrated health personnel.

Bariatric Surgery Complications and Emergencies

This book provides a concise, focused and clinically relevant summary of complications and emergencies related to bariatric surgery. The first section of the text addresses general complications related to anesthesia and the stress of surgery, including issues such as deep vein thrombosis, pulmonary embolism, hemorrhage, pneumonia and cardiac complications. Additionally, this section addresses the workup of the bariatric patient with abdominal pain. The second portion of the text focuses on gastric bypass and sleeve-specific complications, including staple line and anastomotic leaks, internal hernia, marginal ulceration, GI obstruction, hernia formation and gallstone disease. The third portion of the book examines metabolic, nutritional and psychological complications after bariatric surgery. The text also covers management of weight loss failure. Bariatric Surgery Complications and Emergencies serves as a very useful resource for physicians and surgeons who are involved in any parts of evaluation or management of bariatric patients suffering from postoperative complications or emergencies including bariatric surgeons who perform these operations on a regular basis, non-bariatric general surgeons who cover such patients when on-call, surgical trainees, and primary care physicians.

Bariatric Surgery in Clinical Practice (In Clinical Practice)

The book is needed for several reasons. Bariatric surgery is one of the most clinically effective and cost effective services in any field of medicine, and is growing in popularity, and the non-specialist family practitioner, allied health professional and pharmacist need to know exactly what it involves. Bariatric surgery is in everyone’s interest – whether medic or patient, as it offers improvement in diabetes, heart disease, sleep apnoea, fatty liver and many cancers, whilst reducing benefits, housing costs and the general burden on the economy. There is a lot of flawed thinking on surgery in primary care, with only a minority of family practitioner specialists making the majority of referrals, whilst many are denying their patients access because of their own misconceived ideas. A ‘back to basics’ book will help tackle the negative views surrounding the topic, and improve the volume and quality of referrals. Very often patients turning up to obesity centres have been given poor advice, and inappropriate treatment, and arrive with little or no idea what to expect. Many medics prioritise other conditions first, overlooking the underlying cause, i.e. obesity. Basic education on obesity and co-morbidities is fast becoming essential.

Bariatric Surgery Patients: A Nutritional Guide

"Approximately 65% of our population is overweight and 12% are morbidly obese. This is despite more than 25 years of attempted medical management. Clearly all current efforts have failed to control this enormous problem. Could it be that we have failed to recognize the cause of the disease and therefore have misdirected our efforts?" — Alfredo Fernandez, MD, FASMBS, Surgeon, Tampa, Florida Reducing obesity through bariatric surgery provides a sustainable weight loss regimen, because it restricts the size of the stomach and limits food intake. However, the surgery limits the amount of nutrients absorbed by the stomach and small intestine. This book provides a comprehensive, practical guide on pre- and post-nutrition considerations in bariatric patients. It describes surgeries including gastric bypass, lap band, and sleeve; nutrition protocols for surgery patients; pregnancy considerations- pre- and post-surgery; food consumption post-surgery; advancing healthy food intake after surgery; minimizing negative side effects; and recommendations to maintain healthy diet. This nutritional guide provides health care practitioners descriptions and answers to the many questions bariatric surgery patients need to know and ask in support group meetings and individual counseling sessions. The first chapter focuses on Selling Obesity and Food as a Cheap and Legal Drug, outlining how food advertising, portion size increases, and food frauds have contributed to the obesity crisis. New research into gut hormones, microbiome influence on obesity, firmicutes, and histamine are included, as well as pregnancy after bariatric surgery and lifestyle changes—eating, sleep, hydration, stress management—needed for success after surgery. Many health care practitioners will use the Post Op Discharge Diet stages of progression to explain how the patient needs to prepare for their liquid diet and overcome numerous issues like dumping syndrome, hypoglycemia, and alcohol and caffeine consumption. Diet plans for Ketogenic, Mediterranean DASH, Glycemic, and Low FODMAP are included within this book.

Bariatric Surgery Patients: A Nutritional Guide

"Approximately 65% of our population is overweight and 12% are morbidly obese. This is despite more than 25 years of attempted medical management. Clearly all current efforts have failed to control this enormous problem. Could it be that we have failed to recognize the cause of the disease and therefore have misdirected our efforts?" — Alfredo Fernandez, MD, FASMBS, Surgeon, Tampa, Florida Reducing obesity through bariatric surgery provides a sustainable weight loss regimen, because it restricts the size of the stomach and limits food intake. However, the surgery limits the amount of nutrients absorbed by the stomach and small intestine. This book provides a comprehensive, practical guide on pre- and post-nutrition considerations in bariatric patients. It describes surgeries including gastric bypass, lap band, and sleeve; nutrition protocols for surgery patients; pregnancy considerations- pre- and post-surgery; food consumption post-surgery; advancing healthy food intake after surgery; minimizing negative side effects; and recommendations to maintain healthy diet. This nutritional guide provides health care practitioners descriptions and answers to the many questions bariatric surgery patients need to know and ask in support group meetings and individual counseling sessions. The first chapter focuses on Selling Obesity and Food as a Cheap and Legal Drug, outlining how food advertising, portion size increases, and food frauds have contributed to the obesity crisis. New research into gut hormones, microbiome influence on obesity, firmicutes, and histamine are included, as well as pregnancy after bariatric surgery and lifestyle changes—eating, sleep, hydration, stress management—needed for success after surgery. Many health care practitioners will use the Post Op Discharge Diet stages of progression to explain how the patient needs to prepare for their liquid diet and overcome numerous issues like dumping syndrome, hypoglycemia, and alcohol and caffeine consumption. Diet plans for Ketogenic, Mediterranean DASH, Glycemic, and Low FODMAP are included within this book.

Bariatric Surgical Practice Guide: Recommendations

This book provides a comprehensive review of literature of various aspects of bariatric surgery arriving at practical recommendations for simplifying day to day practice. This book is divided into 10 sections covering selection of patient, preoperative predictors of outcome, technical considerations, specific situations, post-operative pathways, management of complications, revisional surgery, and perioperative nutritional aspects. It covers specific situations in bariatric surgery such as GERD, hernia repair, gallstone disease, PCOD, NAFLD and end-organ disease.Bariatric Surgical Practice Guide is a quick resource for practicing bariatric surgeons, young and experienced, to understand all practical aspects of this surgery which is gaining importance worldwide at a rapid pace. Recommendations are based on existing literature as well as opinions of the authors who work at state-of-the-art clinical facilities.

Bariatric Therapy: Alliance Between Gastroenterologists And Surgeons

This book aims to deepen collaboration between gastroenterologists and surgeons by providing endoscopists and gastroenterologists with a clear understanding of the anatomic alterations likely to be observed after bariatric surgery and acquainting bariatric surgeons with the possibilities offered by endoscopic treatment of obesity itself and of the complications associated with bariatric surgery. The treatment approach in patients with obesity and morbid obesity is usually stepwise, starting with dietary measures, exercise, and behavioral therapy, followed by pharmaceutical therapies, endoscopic bariatric therapy, and, finally, bariatric surgery. Endoscopists and gastroenterologists are involved first because the gastrointestinal tract is affected by obesity-related co-morbidity and second because it provides access for a range of treatment modalities involving endoscopy. Bariatric surgeons may need the assistance of endoscopists and gastroenterologists in the preoperative work-up of patients, in the perioperative period, when acute complications may require an endoscopic intervention, or in the late follow-up period, when complications or insufficient weight loss may be present. This book will be of value for both groups of specialists, enabling them to optimize their cooperation to the benefit of patients.

Barile’s Clinical Toxicology: Principles and Mechanisms

Examines the complex interactions associated with clinical toxicological events as a result of therapeutic drug administration or chemical exposure. Special emphasis is placed on signs and symptoms of diseases and pathology caused by toxins and clinical drugs. Includes the source, pharmacological and toxicological mechanism of action, detection and identification in body fluids, and treatment of exposure. An overview of protocols for managing various toxic ingestions, and the antidotes and treatments associated with their pathology, are discussed. In addition, effect of toxins on a limited number of body systems and drug-induced adverse drug reactions are also covered. Key Features Examines the complex interactions associated with clinical toxicological events Emphasis is placed on signs and symptoms of diseases and pathology caused by toxins and clinical drugs Discusses source of the drug or chemical, pharmacological and toxicological mechanisms of action, detection, identification, and treatment Covers effect of toxins on body systems and drug-induced adverse reactions

Barile’s Clinical Toxicology: Principles and Mechanisms

As with the two previous editions, Barile’s Clinical Toxicology: Principles and Mechanisms, Third edition, examines the complex interactions associated with clinical toxicological events as a result of therapeutic drug administration or chemical exposure. With special emphasis placed on signs and symptoms of diseases and pathology caused by toxins and clinical drugs, the new edition, examines the complex interactions associated with clinical toxicological events as a result of therapeutic drug administration or chemical exposure. The new edition presents the latest, up-to-date protocols for managing various toxic ingestions, and the antidotes and treatments associated with their pathology. In addition, the effect of toxins on a limited number of body systems and drug-induced adverse drug reactions are also covered. KEY FEATURES • Discusses source of the drug or chemical, pharmacological and toxicological mechanisms of action, detection, identification, and treatment • Examines the complex interactions associated with clinical toxicological events • Emphasizes the signs and symptoms of diseases and pathology caused by toxins and clinical drugs • Covers effect of toxins on body systems and drug-induced adverse reactions • Offers a unique perspective for toxicology, pharmacology, pharmacy and health professions students The target audience for this book is undergraduate and graduate toxicology students, clinical pharmacy (Pharm.D.) students, emergency medical personnel, regulatory agencies, and other related health science professionals. It satisfies an essential need for a concise yet detailed authoritative, fundamental text addressing the current principles of clinical toxicology.

Baring Brothers and the Birth of Modern Finance (Financial History)

In 1995, the Baring Brothers collapsed over a weekend, brought down by the 'rogue trader' Nick Leeson. Utilizing British and American archives, this work charts Baring Brothers development from wool merchants to one of the most powerful global financial institutions. It also analyses the errors which led to its downfall.

Baring Brothers and the Birth of Modern Finance (Financial History #3)

In 1995, the Baring Brothers collapsed over a weekend, brought down by the 'rogue trader' Nick Leeson. Utilizing British and American archives, this work charts Baring Brothers development from wool merchants to one of the most powerful global financial institutions. It also analyses the errors which led to its downfall.