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Public Health Perspectives on Disability : Science, Social Justice, Ethics, and Beyond

https://libcat.nshealth.ca/en/permalink/provcat46358
Donald J. Lollar, Willi Horner-Johnson, Katherine Froehlich-Grobe, editors. (Second edition) --New York, NY: Springer , c2021.
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In this new edition, the editors and contributors update and expand on the educational framework that was introduced in the first edition for rethinking disability in public health study and practice and for attaining the competencies that should accompany this knowledge. The second edition highlights key areas of research that have emerged since the first edition was published. Public Health Perspectives on Disability: Science, Social Justice, Ethics, and Beyond, 2nd edition, is an essential r…
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Other Authors
Lollar, Donald J.
Horner-Johnson, Willi
Froehlich-Grobe, Katherine
Responsibility
Donald J. Lollar, Willi Horner-Johnson, Katherine Froehlich-Grobe, editors
Edition
Second edition
Place of Publication
New York, NY
Publisher
Springer
Date of Publication
c2021
Physical Description
1 online resource (xxi, 376 p.) : 9 illus., 2 illus. in color
ISBN
9781071608883
9781071608876 (Print ed.)
9781071608890 (Print ed.)
9781071608906 (Print ed.)
Subjects (MeSH)
Disabled Persons
Health Equity
Public Health
Specialty
Minority Health
Public Health
Social Medicine
Abstract
In this new edition, the editors and contributors update and expand on the educational framework that was introduced in the first edition for rethinking disability in public health study and practice and for attaining the competencies that should accompany this knowledge. The second edition highlights key areas of research that have emerged since the first edition was published. Public Health Perspectives on Disability: Science, Social Justice, Ethics, and Beyond, 2nd edition, is an essential resource for public health educators and practitioners as well as students in graduate schools of public health throughout the United States.
Contents
Part I. Core Public Health Topics -- 1. Introduction -- 2. Epidemiology and Biostatistics -- 3. Social Determinants of Health and Disability -- 4. Disability, Intersectionality, and Inequity: Life in the Margins -- 5. Environmental Contexts Shaping Disability and Health -- 6. Public Health Ethics and Disability: Centering Disability Justice -- 7. International Public Health and Global Disability -- Part II. Public Health Applications -- 8. Disability and Health Programs: Emerging Partners -- 9. Children with Special Healthcare Needs -- 10. Achieving Equity: Including Women with Disabilities in Maternal and Child Health Policies and Programs -- 11. Aging with a Disability -- 12. Disasters and Disability: Rhetoric and Reality -- 13. Law, Benefits, Disability Rights, and Public Health: A Sum Greater than the Parts? -- 14. Inter-relationship of Health Insurance and Employment for People with Disabilities -- 15. Public Health, Work, and Disability -- 16. Actions to Prepare a Competent Workforce.
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Endoscopy in Early Gastrointestinal Cancers, Volume 2 : Treatment

https://libcat.nshealth.ca/en/permalink/provcat46393
Philip W. Y. Chiu, Yasushi Sano, Noriya Uedo, Rajvinder Singh, editors. --Singapore: Springer , c2021.
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Endoscopy in Early Gastrointestinal Cancers, Volume 2: Treatment covers the detailed information of the indications, techniques and perioperative management of endoscopic resection including endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). Carcinoma of the gastrointestinal tract remained a major health issue worldwide, which is, however notoriously difficult to treat. Endoscopic resection for early neoplasia of the gastrointestinal tract had been developed for more…
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Chiu, Philip W. Y.
Sano, Yasushi
Uedo, Noriya
Singh, Rajvinder
Responsibility
Philip W. Y. Chiu, Yasushi Sano, Noriya Uedo, Rajvinder Singh, editors
Place of Publication
Singapore
Publisher
Springer
Date of Publication
c2021
Physical Description
1 online resource (x, 156 p.) : 83 illus., 73 illus. in color
ISBN
9789811067785
9789811067778 (Print ed.)
9789811067792 (Print ed.)
Subjects (MeSH)
Endoscopy, Gastrointestinal - methods
Gastrointestinal Neoplasms - therapy
Specialty
Gastroenterology
Medical Oncology
Abstract
Endoscopy in Early Gastrointestinal Cancers, Volume 2: Treatment covers the detailed information of the indications, techniques and perioperative management of endoscopic resection including endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). Carcinoma of the gastrointestinal tract remained a major health issue worldwide, which is, however notoriously difficult to treat. Endoscopic resection for early neoplasia of the gastrointestinal tract had been developed for more than 25 years. Endoscopic submucosal dissection (ESD) is a recently developed technique pioneer by Japanese endoscopists. The principle of ESD is to achieve a complete resection of gastrointestinal neoplasia limited to mucosa with adequate circumferential margins. This novel endoscopic technique not only allows the achievement of en-bloc resection for early GI cancers, it also conveys a significantly lower rate of local recurrence as compared to EMR for early gastric cancers. There is an urge for the knowledge in applying these novel technologies for the treatment of early GI neoplasia worldwide. This book on the endoscopic treatment of early GI neoplasia, containing lots of illustrations, artwork and numerous short video clips, serves as a bridge between the recent development in endoscopy and the knowledge of gastroenterologist, endoscopist and surgeons.
Contents
1. Overview -- 2. Indication for Endoscopic Resection of Early GI Cancers: Esophagus -- 3. Indications for Endoscopic Resection of Early Gastric Cancer -- 4. Indication for Endoscopic Resection of Early GI Cancers: Colon -- 5. EMR for Esophagus -- 6. Endoscopic Mucosal Resection for Gastric Neoplasia -- 7. Endoscopic Mucosal Resection: EMR for the Colon -- 8. History, Instruments, and Preparation for ESD -- 9. ESD for the Esophagus -- 10. ESD for Stomach -- 11. ESD for Colon -- 12. Handling of Specimen and Post-ESD Management Protocol -- 13. Surveillance Protocol After Endoscopic Resection -- 14. Management of Non-curative Resection and Local Recurrence After Endoscopic Resection: Non-curative ER in Esophagus -- 15. Management of Non-curative Resection and Local Recurrence after Endoscopic Resection: Non-curative ER in Stomach -- 16. Management of Non-curative Resection and Local Recurrence after Endoscopic Resection -- 17. Complications of Endoscopic Resection and Management: Esophagus and Stomach -- 18. Complication of Endoscopic Resection and Management: Colon -- 19. Special ESD Cases Illustrations -- 20. Special ESD Cases Illustrations: China.
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Sarcoma : A Practical Guide to Multidisciplinary Management

https://libcat.nshealth.ca/en/permalink/provcat46502
Peter F.M. Choong, editor. --Singapore: Springer , c2021.
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This book aims to compile an expert text on the multidisciplinary approach to treating sarcoma at a sarcoma centre. Separate chapters and sections highlight the specialist diagnostic and therapeutic approaches employed in treating bone and soft tissue sarcoma. This comprehensive book covers sarcoma and its management across specialties. It brings together the experience of the editor at a major centre for sarcoma management in Australia along with chapter contributions from various experts on t…
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Choong, Peter F.M.
Responsibility
Peter F.M. Choong, editor
Place of Publication
Singapore
Publisher
Springer
Date of Publication
c2021
Physical Description
1 online resource (x, 345 p.) : 93 illus., 71 illus. in color
ISBN
9789811594144
9789811594137 (Print ed.)
9789811594151 (Print ed.)
9789811594168 (Print ed.)
Subjects (MeSH)
Sarcoma - diagnosis
Sarcoma - therapy
Specialty
Medical Oncology
Abstract
This book aims to compile an expert text on the multidisciplinary approach to treating sarcoma at a sarcoma centre. Separate chapters and sections highlight the specialist diagnostic and therapeutic approaches employed in treating bone and soft tissue sarcoma. This comprehensive book covers sarcoma and its management across specialties. It brings together the experience of the editor at a major centre for sarcoma management in Australia along with chapter contributions from various experts on the topic. The real-life, pragmatic approach is a distillation of the evidence and intends to make much of what is written translatable. This book serves as a reference for managing this tumour type and as an indispensable guide for daily use across the spectrum of providers.
Contents
1. Centre-Based Care for Bone and Soft Tissue Sarcoma -- 2. The Epidemiology and Pathogenesis of Sarcoma -- 3. Anatomic Imaging of Bone and Soft Tissue Sarcoma -- 4. Nuclear Medicine and Molecular Imaging Techniques -- 5. Biopsy -- 6. Bone Tumour Pathology -- 7. Soft Tissue Tumour Pathology -- 8. Immunohistochemistry in Bone and Soft Tissue Tumours -- 9. Molecular Genetics in the Multidisciplinary Management of Sarcoma -- 10. The Role of Radiotherapy for Sarcoma -- 11. The Role of Systemic Therapies in the Management of Soft Tissue Sarcoma -- 12. The Role of Systemic Therapies in the Management of Bone Sarcoma -- 13. The Importance of Margins in Sarcoma Surgery -- 14. Surgical Management of Lower Limb Sarcomas -- 15. Surgical Management of Upper Limb Sarcomas -- 16. Surgical Management of Pelvic Sarcomas -- 17. Surgical Management of Chest Wall Sarcomas -- 18. Surgical Management of Pulmonary Metastases from Sarcoma -- 19. Management of Retroperitoneal Sarcomas -- 20. Soft Tissue Reconstructions After Sarcoma Resection -- 21. Management of Metastatic Sarcoma.
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Colorectal Cancer Liver Metastases : A Comprehensive Guide to Management

https://libcat.nshealth.ca/en/permalink/provcat44873
Mauro Monteiro Correia, Michael A. Choti, Flavio G. Rocha, Go Wakabayashi, editors. --Cham: Springer , c2020.
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Colorectal cancer is the third most commonly diagnosed condition in oncology, affecting around 1.23 million individuals per year, according to recent statistics. Of these patients, about 50% will develop liver metastases and approximately 20% will present a stage IV disease at diagnosis. These statistics make colorectal liver metastases (CLM) an issue of major importance in current oncology. The area of CLM is subject to great and continuous advances, as its pathophysiologic mechanisms are bett…
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Correia, Mauro Monteiro
Choti, Michael A.
Rocha, Flavio G.
Wakabayashi, Go
Responsibility
Mauro Monteiro Correia, Michael A. Choti, Flavio G. Rocha, Go Wakabayashi, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (xvii, 598 p.) : 97 illus., 67 illus. in color
ISBN
9783030254865
9783030254858 (Print ed.)
9783030254872 (Print ed.)
9783030254889 (Print ed.)
Subjects (MeSH)
Colorectal Neoplasms - complications
Liver Neoplasms - secondary
Neoplasm Metastasis - diagnosis
Neoplasm Metastasis - therapy
Prognosis
Specialty
Gastroenterology
Medical Oncology
Abstract
Colorectal cancer is the third most commonly diagnosed condition in oncology, affecting around 1.23 million individuals per year, according to recent statistics. Of these patients, about 50% will develop liver metastases and approximately 20% will present a stage IV disease at diagnosis. These statistics make colorectal liver metastases (CLM) an issue of major importance in current oncology. The area of CLM is subject to great and continuous advances, as its pathophysiologic mechanisms are better understood and more therapeutic and surgical options are developed. Consequently, all professionals involved with the diagnosis, treatment and follow up of CLM should be kept up to date with the latest advances on the field, to provide high standard medical care to their patients. This book is designed to present the state-of-the-art in CLM management and, in doing so, to review the current evidence on CLM, discussing all important topics in the field. Coverage is broad and comprehensive, encompassing introductory topics (history, definitions, epidemiology, etc.), basic science subjects (molecular biology, genetics, dissemination process, etc.) and practical clinical topics (tumor behavior, diagnosis, drug therapy, radiation therapy, surgery, ablation, multidisciplinary teams, etc.). Although comprehensive on the coverage and selection of topics, each chapter is concise and objective, dissecting topics in a practical and direct format. Evidences and recommendations are included. Chapters display a brief introduction of the common knowledge, go straight to the detailed revision of the most recent years of the literature, and end with practical closing observations. This book is a tool for professionals (general and cancer surgeons, HPB surgeons, clinical oncologists, gastroenterologists and medical residents) and interns who search for a qualified and reader friendly revision on topics concerning Colorectal Cancer Liver Metastases.
Contents
1. Surgical Treatment of Colorectal Cancer Liver Metastases (CRLM) - Historical Aspects -- 2. The Biology of Colorectal Liver Metastases -- 3. Molecular Biomarkers for the Management of Colorectal Cancer Liver Metastases -- 4. Diagnosis of Colorectal Liver Metastases -- 5. Role of Imaging in the Management of Patients with Potentially Resectable CRLM -- 6. Staging Classifications of Colorectal Liver Metastases -- 7. Prognostic Factors of Colorectal Cancer Liver Metastasis -- 8. Clinical Scoring Systems for Colorectal Cancer Liver Metastases -- 9. What Is the Impact of Positive Margins in the Liver? -- 10. Multidisciplinary Team (MDT) and the Management of Colorectal Cancer Liver Metastases -- 11. Defining Resectability of Colorectal Cancer Liver Metastases: Technical and Oncologic Perspectives -- 12. Algorithms for Patients with Colorectal Liver Metastasis -- 13. Treatment Options for Resectable Colorectal Liver Metastases in the Presence of Extrahepatic Disease -- 14. Anatomical, Physiological, and Kinetic Evaluation of the Future Liver Remnant of CRLM After Portal Vein Embolisation -- 15. Systemic Therapy for Colorectal Cancer Liver Metastases: Sorting Through the Options -- 16. Neoadjuvant Chemotherapy for Resectable Colorectal Cancer Liver Metastases: Indications and Results -- 17. Management of Disappearing Liver Metastasis Following Preoperative Chemotherapy -- 18. Conversion Chemotherapy for CRLM-Best Associations, and Does Conversion Translate into Longer Survival? -- 19. Adjuvant Chemotherapy for CRLM: Indications and Results -- 20. Surgical Outcome of Colorectal Cancer Liver Metastases in Our Facility: Efficacy of Conversion Surgery in Initially Unresectable Colorectal Liver Metastases -- 21. Immunotherapy in the Management of Colorectal Cancer Liver Metastasis -- 22. Adjuvant Hepatic Arterial Infusion Therapy -- 23. Sequencing of Systemic Chemotherapy for Unresectable CRLM -- 24. Role of Hepatic Artery Infusion Pump Chemotherapy for Unresectable Colorectal Cancer Liver Metastases -- 25. Enhanced Recovery After Liver Surgery -- 26. Surgical Results for Synchronous Colorectal Cancer Liver Metastases -- 27. Resection of Metachronous Colorectal Cancer Liver Metastases: Surgical Outcomes -- 28. Laparoscopic Resections for Colorectal Cancer Liver Metastases -- 29. Robotic Partial Hepatectomy for Colorectal Cancer Liver Metastases -- 30. Navigation and Augmented Reality for Liver Surgery -- 31. Staged Hepatectomies for Colorectal Cancer Liver Metastases: When and How -- 32. Parenchymal-Sparing Surgery: What Is Behind It? -- 33. Resection of the Primary in Unresectable Colorectal Cancer Liver Metastases – Is It Worth? -- 34. Liver Pedicle Lymphadenectomy: How and When? -- 35. ALPPS for Colorectal Cancer Liver Metastases—Short and Long-Term Results -- 36. Ablative Techniques for CRLM: Alone or in Association -- 37. Chemoembolization for Colorectal Liver Metastases -- 38. Role of Y90 Radioembolization in Hepatic Metastatic Colorectal Carcinoma -- 39. Liver Transplantation for CRLM—Is It Ever Indicated? -- 40. External Radiation for Unresectable CRLM -- 41. Lessons from Collaborative Big Data—Insights from LiverMetSurvey Registry -- 42. Prognosis and Management of Recurrent Metastatic Colorectal Cancer.
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e-Book
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Endoscopic Diagnosis of Esophageal Carcinoma for ESD

https://libcat.nshealth.ca/en/permalink/provcat44901
Tsuneo Oyama, editor. --Singapore: Springer , c2020.
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This volume addresses three general themes in the preoperative diagnosis of early-stage esophagus cancer starting. Beginning with detailed observations of diagnosis using Endoscopic Submucosal Dissection (ESD), subsequent sections describe the current medical treatments for various types of carcinoma and conclude with detailed explanations of difficult cases and their diagnoses. The book also includes a wealth of endoscopic and pathological figures, helping scholars understand the diagnosis and…
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Oyama, Tsuneo
Responsibility
Tsuneo Oyama, editor
Alternate Title
Endoscopic diagnosis of esophageal carcinoma for endoscopic submucosal dissection
Place of Publication
Singapore
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (x, 218 p.) : 166 illus. in color
ISBN
9789813290303
9789813290297 (Print ed.)
9789813290310 (Print ed.)
9789813290327 (Print ed.)
Subjects (MeSH)
Endoscopic Mucosal Resection
Esophageal Neoplasms - diagnosis
Esophageal Neoplasms - pathology
Specialty
Endoscopy
Medical Oncology
Otolaryngology
Abstract
This volume addresses three general themes in the preoperative diagnosis of early-stage esophagus cancer starting. Beginning with detailed observations of diagnosis using Endoscopic Submucosal Dissection (ESD), subsequent sections describe the current medical treatments for various types of carcinoma and conclude with detailed explanations of difficult cases and their diagnoses. The book also includes a wealth of endoscopic and pathological figures, helping scholars understand the diagnosis and treatment visually. Endoscopic Diagnosis of Superficial Esophagus Cancer for ESD is an essential book for clinicians and professionals in the fields of endoscopy and gastroenterology, offering them a comprehensive guide to diagnosis and treatment using ESD. Further, it is a valuable companion piece to the Editor’s well-received book Endoscopic Diagnosis of Superficial Gastric Cancer for ESD.
Contents
Part I. Basic Knowledge of Diagnostic Endoscopy of ESD for Esophagus Cancer -- Basic Structure of Esophageal Cancers -- Considering Indications for Endoscopic Resections -- Diagnosis of Lateral Margins -- Diagnosis of Invasion Depths -- Part II. Diagnosis and Treatment of Each Carcinoma Type -- Type 0-Is Esophageal Cancer -- Type 0-Ip Esophageal Cancer -- Type 0-Isp Esophageal Cancer -- Type 0-IIa Esophageal Cancer: 1st Case -- Type 0-IIa Esophageal Cancer: 2nd Case -- Type 0-IIb Esophageal Cancer: 1st Case -- Type 0-IIb Esophageal Carcinoma: 2nd Case -- Type 0-IIc Esophageal Carcinoma: 1st Case -- Type 0-IIc Esophageal Carcinoma: 2nd Case -- Type 0-III Esophageal Carcinoma -- Large Superficially Spreading Esophageal Carcinoma -- Part III. Practices -- Question 1: What is the Invasion Depth? -- Question 2: What is the Invasion Depth? -- Question 3: What is the Invasion Depth? -- Question 4: What is the Invasion Depth? -- Question 5: What is the Invasion Depth? -- Question 6: What is the Histological Type? -- Question 7: What is the Histological Type? -- Question 8: What is the Histological Type? -- Question 9: What is the Histological Type? -- Question 10: What is the Diagnosis? -- Question 11: What is the Diagnosis? -- Question 12: What is the Diagnosis? -- Question 13: What is the Diagnosis? -- Question 14: What is the Diagnosis?
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e-Book
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Online
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Textbook of Oral Cancer : Prevention, Diagnosis and Management

https://libcat.nshealth.ca/en/permalink/provcat45316
Saman Warnakulasuriya, John S. Greenspan, editors. --Cham: Springer , c2020.
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This comprehensive multidisciplinary book examines all aspects of cancers of the mouth and oropharynx with the aim of equipping advanced students and practitioners in the early stages of specialist training with an up-to-date guide and reference. A multinational team of authors – all experts in the field of oral oncology – provide illuminating contributions on the full range of relevant topics: epidemiology, risk factors, clinical features, staging and prognostic factors, pathology, diagnostic …
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Other Authors
Warnakulasuriya, Saman
Greenspan, John S.
Responsibility
Saman Warnakulasuriya, John S. Greenspan, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (xiii, 452 p.) : 197 illus., 184 illus. in color
Series Title
Textbooks in contemporary dentistry
ISBN
9783030323165
9783030323158 (Print ed.)
9783030323172 (Print ed.)
9783030323189 (Print ed.)
ISSN
2524-4612
Subjects (MeSH)
Mouth Neoplasms
Oropharyngeal Neoplasms
Specialty
Oral Health
Medical Oncology
Abstract
This comprehensive multidisciplinary book examines all aspects of cancers of the mouth and oropharynx with the aim of equipping advanced students and practitioners in the early stages of specialist training with an up-to-date guide and reference. A multinational team of authors – all experts in the field of oral oncology – provide illuminating contributions on the full range of relevant topics: epidemiology, risk factors, clinical features, staging and prognostic factors, pathology, diagnostic techniques, disease prevention, surgery, radiotherapy, and chemotherapy. Molecular biology, molecular targeted therapies for advanced cases, and future diagnostic and prognostic applications of new technologies also receive careful attention. In providing a wealth of essential information and guidance in a practical format, the book will be a superb asset for senior graduate students in dentistry and specialist trainees in head and neck oncology. It will also be of high value for the many physicians, surgeons, pathologists, dentists, and specialists involved in the prevention, diagnosis, and management of squamous cell carcinomas of the oral cavity and oropharynx.
Contents
1. Introduction – Cancers of the Mouth and Oropharynx -- 2. Epidemiology of Oral and Oropharyngeal Cancers -- 3. Risk Factors for Cancer of the Mouth: Tobacco, Betel Quid, and Alcohol -- 4. Human Papillomavirus Infection: A Risk Factor for Oral and Oropharyngeal Cancers -- 5. Clinical Presentation and Differential Diagnosis of Oral Cancer -- 6. Staging of Oral Cancer -- 7. Pathology of Oral and Oropharyngeal Cancers -- 8. Oral Biopsy: Principles and Practice -- 9. Diagnostic Adjuncts for Oral Cavity Squamous Cell Carcinoma and Oral Potentially Malignant Disorders -- 10. Detection Methods for Human Papillomavirus (HPV) in Head and Neck Cancers -- 11. Diagnostic Imaging of Oral Squamous Cell Carcinoma -- 12. Potentially Malignant Disorders of the Oral Cavity -- 13. Malignant Transformation of Oral Potentially Malignant Disorders -- 14. Molecular and Signaling Pathways During Oral Carcinogenesis -- 15. Early Diagnosis of Oral Cancer -- 16. Screening for Oral Cancer -- 17. Lifestyle Interventions for the Prevention of Oral Cancer -- 18. Chemoprevention in Oral Cancer -- 19. General Workup Prior to the Treatment Phase of Oral Cancer -- 20. Basic Surgical Principles and Techniques -- 21. Assessment of Surgical Margins -- 22. Chemoradiotherapy in Oral Cavity Cancer -- 23. Deintensification of Treatment for HPV-Associated Cancers of the Oropharynx -- 24. Treatment of the Neck -- 25. Factors Affecting Survival for Oral Cancer -- 26. Supportive and Palliative Care for Patients with Oral Cancer -- 27. Molecular Targeted Therapy for Advanced Oral Cancer -- 28. Immunotherapy-Based Approaches for Treatment of Oral and Oropharyngeal Cancers -- 29. Cancer Biology and Carcinogenesis: Fundamental Biological Processes and How They Are Deranged in Oral Cancer -- 30. Cancer Stem Cells in Oral Carcinoma -- 31. Controversial Factors on Causation of Oral Cancer -- Supplementary Information.
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e-Book
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Difficult Decisions in Thoracic Surgery : An Evidence-Based Approach

https://libcat.nshealth.ca/en/permalink/provcat45442
Mark K. Ferguson, editor. (Fourth edition) --Cham: Springer , c2020.
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This updated volume provides a practical guide to decision making within thoracic surgery. Focussed chapters contain pithy analyses and recommendations that allow useful information to be identified at a glance. All new chapters bring insight into the challenges faced operating on the lung, esophagus, diaphragm, airway, pleaura, mediastinum, and chest wall. Difficult Decisions in Thoracic Surgery aims to help the reader navigate the complexities of thoracic surgery through clearly formatted and…
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Other Authors
Ferguson, Mark K.
Responsibility
Mark K. Ferguson, editor
Edition
Fourth edition
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (xv, 705 p.) : 19 illus., 17 illus. in color
Series
Difficult Decisions in Surgery: An Evidence-Based Approach
Series Title
Difficult decisions in surgery
ISBN
9783030474041
9783030474034 (Print ed.)
9783030474058 (Print ed.)
9783030474065 (Print ed.)
ISSN
2198-7750
Subjects (MeSH)
Clinical Decision-Making
Thoracic Surgery
Treatment Outcome
Specialty
Thoracic Surgery
Abstract
This updated volume provides a practical guide to decision making within thoracic surgery. Focussed chapters contain pithy analyses and recommendations that allow useful information to be identified at a glance. All new chapters bring insight into the challenges faced operating on the lung, esophagus, diaphragm, airway, pleaura, mediastinum, and chest wall. Difficult Decisions in Thoracic Surgery aims to help the reader navigate the complexities of thoracic surgery through clearly formatted and evidence-based chapters. The book is relevant to practicing and trainee surgeons, as well as medical professionals working within thoracic surgery.
Contents
1. Introduction - 2. Evidence Based Medicine: Quality of Evidence and Evaluation Systems -- 3. Decision Analytic Techniques and Other Decision Processes -- 4. Decision Making: The Surgeon’s Perspective -- 5. Involving Patients in Difficult Decisions About Having Surgery -- Part I. Lung -- 6. EBUS vs. Mediastinoscopy for Initial Pathologic Mediastinal Staging in NSCLC -- 7. Does Preoperative Smoking Cessation Reduce Surgical Morbidity After Lung Resection? -- 8. Is Low Tech as Good as High Tech Exercise Testing in Assessing Healthy Candidates for Lung Resection? -- 9. Does Assessment of Frailty and Sarcopenia in Lung Resection Candidates Affect Patient Selection? -- 10. Can Frailty and Sarcopenia Be Mitigated in Lung Resection Candidates? -- 11. Is Antibiotic Prophylaxis Necessary for Major Lung Resection? -- 12. Uniportal Versus Multiportal VATS Lobectomy -- 13. Robotic Versus Video-Assisted Thoracoscopic Surgery (VATS) Major Lung Resection for Early Stage NSCLC -- 14. Does Blood Patch for Persistent Postoperative Air Leak Reduce Air Leak Duration -- 15. Is Resection of Persistent N2 Disease After Induction Therapy Effective? -- 16. N2 Disease Discovered at the Time of Vats Lung Resection: Resect or Abort? -- 17. Does Induction Immunotherapy Confer Increased Operative Risk for Lung Resection? -- 18. Does an Enhanced Recovery Program for Lobectomy Improve Surgical Outcomes? -- 19. Resection vs. SBRT for Stage I NSCLC in Patients with Good Pulmonary Function -- 20. Do Endobronchial Valves Assist in Resolution of Postoperative Persistent Air Leak? -- 21. Is Long-Term Surveillance Effective After Resection of Stage I Non-small Cell Lung Cancer? -- 22. Does ECMO for Lung Failure in ICU Patients Improve Survival? -- 23. Does Local Therapy for Oligometastatic Disease in Lung Cancer Patients Improve Survival? -- 24. Is Pulmonary Metastasectomy Effective in Prolonging Survival? -- Part II. Esophagus -- 25. Surgical Resection Versus Endoscopic Therapy for T1bN0 Esophageal Adenocarcinoma -- 26. Does Induction Therapy for T2N0 Esophageal Adenocarcinoma Patients Improve Survival? -- 27. Can Frailty and Sarcopenia Be Mitigated in Esophagectomy Candidates? -- 28. Do Enhanced Recovery Programs for Esophagectomy Patients Improve Outcomes? -- 29. Does Jejunostomy Tube Feeding Improve Outcomes After Esophagectomy? -- 30. Surgery Versus Definitive Chemoradiotherapy for Regionally Advanced Esophageal Squamous Cell Cancer -- 31. Robotic Minimally Invasive Esophagectomy (RAMIE) vs. Open Esophagectomy (OE) for Resectable Esophageal Cancer -- 32. Two-Field vs. Three-Field Lymphadenectomy for Esophageal Adenocarcinoma -- 33. What Is the Appropriate Extent of Lymph Node Dissection in Esophageal Cancer -- 34. Salvage Esophagectomy for Persistent or Recurrent Disease After Chemoradiation -- 35. Early Oral Feeding After Esophagectomy -- 36. Stent vs. Primary Repair for Esophageal Perforation -- 37. Endoluminal Vacuum Therapy vs. Stenting for Esophageal Anastomotic Leaks -- 38. Thoracoscopic Versus Endoscopic Therapy for Small Sub-epithelial Esophageal Tumors -- 39. Laparoscopic vs. Endoscopic Therapy for Achalasia -- 40. Laparoscopy or Endoscopic Therapy for Recurrent Symptoms from Achalasia -- 41. Laparoscopy or Thoracotomy for Symptomatic Recurrent Paraesophageal Hernia -- Part III. Diaphragm -- 42. Does Diaphragm Pacing for Bilateral Phrenic Nerve Paralysis Improve Function or Quality of Life? -- 43. Does Phrenic Nerve Reconstruction for Unilateral Diaphragm Paralysis Improve Function or Quality of Life -- 44. Is Plication for Diaphragmatic Eventration Effective in Improving Lung Function? -- Part IV. Airways -- 45. Is Long-Term Stenting for Benign Airway Obstruction Effective? -- 46. Are Engineered Tissues Useful for Tracheal Reconstruction? -- 47. Management of Positive Margins After Resection of Primary Tracheal Malignancies -- 48. Optimal Management of Posttransplant Bronchial Stenosis: Stenting or Reoperation -- Part V. Pleura and Pleural Spaces -- 49. Is tPA/DNase Effective in the Management of Pleural Empyema? -- 50. VATS vs Open Management of Pleural Empyema -- 51. Indwelling Pleural Catheters Versus Talc Pleurodesis for Recurrent Symptomatic Malignant Pleural Effusions -- 52. Quality of Life: Extended Pleurectomy/Decortication vs Extrapleural Pneumonectomy -- Part VI. Mediastinum -- 53. Does Thymectomy Improve Outcomes in Patients with Nonthymomatous Myasthenia Gravis? -- 54. Magnetic Resonance Imaging for Evaluation of Suspected Encapsulated Thymoma -- 55. Robotic vs. Thoracoscopic Thymectomy for Thymoma -- 56. VATS for Resection of Mediastinal Parathyroid Adenomas -- 57. Thymectomy in the Setting of Pleural Metastasis -- 58. Sympathectomy for Malignant Ventricular Arrhythmias -- 59. The Extent of Surgery for Palmar Hyperhidrosis -- Part VII. Chest Wall -- 60. Synthetic Versus Biologic Reconstruction of Bony Chest Wall Defects -- 61. Traumatic Rib Fracture in the Absence of Flail Chest: Conservative Therapy or Surgical Fixation? -- 62. Is Surgical Management of Flail Chest Effective? -- 63. Epidural vs Regional Blocks for VATS and Thoracotomy -- 64. The Nuss Procedure Versus the Modified Ravitch Repair for Pectus Excavatum in Adults.
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e-Book
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Surgery for Recurrent Soft Tissue Sarcoma : Barrier Resection and Reconstruction

https://libcat.nshealth.ca/en/permalink/provcat45477
Ruming Zhang, editor. --Singapore: Springer ; Shanghai Scientific and Technical Publishers , c2020.
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This book addresses surgical management for recurrent soft tissue sarcomas (RSTS) based on a wealth of clinical cases. With aim to reduce recurrence rate, a surgical strategy of barrier resection plus repair reconstruction referring to natural barriers in human body for enhancing curative effect is presented in details. The first part introduces the general theory of surgical treatment for RSTS. The second part is a portfolio of clinical cases, showing the essential of the surgical strategy fro…
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Zhang, Ruming
Responsibility
Ruming Zhang, editor
Place of Publication
Singapore
Publisher
Springer ; Shanghai Scientific and Technical Publishers
Date of Publication
c2020
Physical Description
1 online resource (xv, 581 p.) : 413 illus., 411 illus. in color
ISBN
9789811512322
9789811512315 (Print ed.)
9789811512339 (Print ed.)
9789811512346 (Print ed.)
Subjects (MeSH)
Margins of Excision
Reoperation
Sarcoma - surgery
Specialty
Surgical Oncology
Abstract
This book addresses surgical management for recurrent soft tissue sarcomas (RSTS) based on a wealth of clinical cases. With aim to reduce recurrence rate, a surgical strategy of barrier resection plus repair reconstruction referring to natural barriers in human body for enhancing curative effect is presented in details. The first part introduces the general theory of surgical treatment for RSTS. The second part is a portfolio of clinical cases, showing the essential of the surgical strategy from hundreds of cases with tumour of different anatomical sites. Each case report is composed of detailed medical history, radiographic images and operational photos. It will help readers to make proper decisions on the basis of specific purposes. This book will be of benefit to oncologists, orthopaedic surgeons, general surgeon, plastic surgeons, and medical students.
Contents
Part I. General Instructions -- 1. Overview of Recurrence of Soft Tissue Sarcoma (STS) -- 2. Principles of Surgical Treatment of RSTS -- 3. Barrier Resection -- 4. Simple Coverage and Closure of Wound -- 5. Special Relationship Between Muscle and Soft Tissue Sarcoma (STS) -- 6. RSTS Complicated with Bone Invasion -- 7. Tumor Bed Resection -- 8. Complications Requiring Surgical Intervention -- Part II. Surgical Treatment of Common RSTS -- 9. Surgical Treatment of RSTS in the Clavicular-Thoracic-Axillary Area -- 10. Surgical Treatment of RSTS of the Dorsal Scapula-Upper Arm -- 11. Surgical Treatment of RSTS in the Lower Abdominal Wall-Perineum, Iliac-Pelvic, Gluteal, and Inguinal Region -- 12. Surgical Treatment of Thigh RSTS -- 13. Surgical Treatment of RSTS Around the Knee and in the Proximal Segment of the Lower Leg -- 14. Surgical Treatment of Foot, Ankle and Lower Leg RSTS -- 15. Surgical Treatment of RSTS in Forearm and Elbow Area -- 16. Surgical Treatment of RSTS on the Wrist-Palmar-Dorsum of the Hand.
Format
e-Book
Location
Online
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Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME)

https://libcat.nshealth.ca/en/permalink/provcat44157
Sam Atallah, editor. --Cham: Springer , 2019.
Available Online
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Location
Online
This book captures cornerstone developments in a new body of knowledge and provides an expert resource on a “hot topic” in rectal surgery. Transanal minimally invasive surgery (TAMIS) was designed for local excision of select rectal neoplasms, however soon it became realized that the TAMIS technique could be used for applications beyond local excision, most notably for transanal total mesorectal excision (taTME). This new operative technique has revolutionized our approach to the distal rectum …
Available Online
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Other Authors
Atallah, Sam
Responsibility
Sam Atallah, editor
Place of Publication
Cham
Publisher
Springer
Date of Publication
2019
Physical Description
1 online resource (xxv, 521 p.) : 353 illus., 348 illus. in color
ISBN
9783030115722
9783030115715 (Print ed.)
9783030115739 (Print ed.)
Subjects (MeSH)
Minimally Invasive Surgical Procedures
Rectal Neoplasms - surgery
Transanal Endoscopic Surgery
Specialty
Colorectal Surgery
Medical Oncology
Abstract
This book captures cornerstone developments in a new body of knowledge and provides an expert resource on a “hot topic” in rectal surgery. Transanal minimally invasive surgery (TAMIS) was designed for local excision of select rectal neoplasms, however soon it became realized that the TAMIS technique could be used for applications beyond local excision, most notably for transanal total mesorectal excision (taTME). This new operative technique has revolutionized our approach to the distal rectum by allowing for improved access, especially in obese male patients with an android pelvis, and by minimizing abdominal wall access trauma. The endpoints of improved oncologic resection, as defined by mesorectal envelope completeness, negative circumferential resection margins, and negative distal margin, are assessed. This book details controversies, pitfalls, and future directions of taTME and TAMIS. Chapters are authored by those on the forefront of innovation with TAMIS and taTME, and each is considered an authority on the topic. Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME) is a must-have reference for surgeons who are performing this operation and fellows in training who want to completely understand the various nuances of TAMIS and taTME.
Contents
Part I. Transanal Minimally Invasive Surgery (TAMIS) -- Historical Perspectives and Rationale for Development -- TAMIS: Indications and Contraindications -- An Algorithm for Local Excision for Early Stage Rectal Cancer -- Complete Clinical Response in Rectal Cancer after Neoadjuvant Therapy: Organ-Preservation Strategies and the Role of Surgery -- Salvage Surgery after TAMIS Excision of Early Stage Rectal Cancer -- Organ Preservation and Palliative Options for Rectal Cancer -- Operative Equipment and Insufflator Options -- Operating Theater Setup and Perioperative Considerations -- Surgical Technique for Local Excision of Rectal Neoplasia -- Pyramidal Excision for Early Rectal Cancer and Special Closure Techniques -- Closure versus Non-Closure after Excision -- Operative and Peri-Operative Outcomes -- Functional Outcomes after Local Excision of Rectal Neoplasia -- Oncologic Outcomes for Local Excision of Rectal Neoplasia -- Applications Beyond Local Excision -- The Evolution of Robotic TAMIS -- Transanal Robotic Surgery and Future Directions -- TAMIS: Current Controversies and Challenges -- Part II. Transanal Total Mesorectal Excision (taTME) -- Indications for Malignant Neoplasia of the Rectum -- Indications for Benign Disease of the Rectum -- Operating Theatre Setup & Two-Team Coordination -- Single-Team taTME -- Transanal Access Platform Options & Instrument Innovations -- Intra-Operative Decision Making: Converting to taTME, When and for Whom? -- Key Aspects of the Abdominal Dissection -- Zen and the Art of the Pursestring -- An Overview of Operative Steps and Surgical Technique -- Strategies for Ultra Low-Lying Rectal Cancer -- Critical Anatomical Landmarks in Transanal Total Mesorectal Excision (taTME) -- Urethral Injury: The New Challenge for taTME -- How to Avoid Urethral Injury in Males -- A Roadmap to the Pelvic Autonomic Nerves During Transanal Dissection -- Operative Vectors, Anatomic distortion, and the Inherent Effect of CO2 Dissection -- Total Hindgut Mesenteric Mobilization for taTME -- The Role for Perfusion Angiography -- Perioperative Preparation and Post-Operative Care Considerations -- Intra-Operative Morbidity TaTME -- Functional Outcomes to Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME) -- Oncologic Outcomes -- TaTME for Radical Exenteration -- taTME for Abdominoperineal Resection -- Hartmann’s Reversal by a Combined Transanal-Transabdominal Approach -- Pure NOTES Transanal taTME -- Totally Robotic taTME--Experiences and Challenges to Date -- Next Generation Robots for taTME -- Video-Based Training Apps and Deferred Live Surgery -- Navigation for Transanal Total Mesorectal Excision -- Current Controversies and Challenges -- Transanal Total Mesorectal Excision: The Next Ten Years.
Format
e-Book
Location
Online
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Shaping Children : Ethical and Social Questions that Arise when Enhancing the Young

https://libcat.nshealth.ca/en/permalink/provcat44287
Saskia K. Nagel, editor. --Cham: Springer , 2019.
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Online
The volume offers a unique collection of articles on pediatric neuroenhancement from an international and multidisciplinary perspective. In recent years, the topic of “neuroenhancement” has become increasingly relevant in academia and practice, as well as among the public. While autonomous adults are free to choose neuroenhancement, in children it presents its own ethical, social, legal, and developmental issues. A plethora of potential (neurotechnological) enhancement agents are on the market.…
Available Online
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Other Authors
Nagel, Saskia K.
Responsibility
Saskia K. Nagel, editor
Place of Publication
Cham
Publisher
Springer
Date of Publication
2019
Physical Description
1 online resource (x, 212 p.) : 4 illus., 3 illus. in color
Series
Advances in Neuroethics
Series Title
Advances in neuroethics
ISBN
9783030106775
9783030106768 (Print ed.)
9783030106782 (Print ed.)
ISSN
2522-5677
Subjects (MeSH)
Adolescent
Child
Bioethical Issues
Biomedical Enhancement - ethics
Child Rearing - trends
Neuropharmacology - ethics
Psychopharmacology - ethics
Psychology, Adolescent
Psychology, Child
Specialty
Ethics
Pediatrics
Psychopharmacology
Abstract
The volume offers a unique collection of articles on pediatric neuroenhancement from an international and multidisciplinary perspective. In recent years, the topic of “neuroenhancement” has become increasingly relevant in academia and practice, as well as among the public. While autonomous adults are free to choose neuroenhancement, in children it presents its own ethical, social, legal, and developmental issues. A plethora of potential (neurotechnological) enhancement agents are on the market. While the manifold issues surrounding the topic have been extensively discussed, there is little work on the specific questions that arise in children and adolescents. This book addresses this gap in the literature: Next to conceptual and normative work on autonomy and self-control, the collection explores the implications for parenting and schooling, and provides input for a discussion of public attitudes. It is a valuable resource for the different academic communities confronted with questions of how to evaluate and approach enhancement in children and is of interest to neuroethicists, scholars in applied ethics and neurology, psychiatrists and psychologists as well as scientists developing enhancement interventions for children.
Contents
1. Introduction -- Part I. Perspectives on the Specific Value of Childhood: Self-Control, Autonomy, and Naturalness -- 2. Shaping Children: The Pursuit of Normalcy in Pediatric Cognitive Neuro-enhancement -- 3. Self-Control Enhancement in Children: Ethical and Conceptual Aspects -- 4. Neuro-enhancement at the Margins of Autonomy: In the Best Interest of Children and Elderly? -- 5. Paediatric Neuro-enhancement and Natural Goodness -- Part II. Learning from Perspectives of the Publics -- 6. Experimental Neuroethics -- 7. Public Perceptions of Prescription Drug Use for Cognitive Enhancement in Healthy Children and Adolescents -- 8. Enhancing Young Brains in Contemporary Family Life: Exploring the Context and Scope of Pediatric Neuro-enhancement -- Part III. Perspectives on Implications for Parenting, Education, and Policy -- 9. Education and the Ethics of Neuro-enhancement -- 10. Pediatric Pharmacological Cognitive Enhancement in a Self-Medicating Society -- 11. Self-Melioration, Autonomy and Music-Enriched Self-Control: On Enhancing Children’s Attention -- 12. Explaining Gender Differences in the Diagnosis of ADHD in Children -- 13. Pediatric Neuro-enhancement, Best Interest, and Autonomy: A Case of Normative Reversal.
Format
e-Book
Location
Online
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Oncoplastic and Reconstructive Breast Surgery

https://libcat.nshealth.ca/en/permalink/provcat44439
Cicero Urban, Mario Rietjens, Mahmoud El-Tamer, Virgilio S. Sacchini, editors. (Second edition) --Cham: Springer , c2019.
Available Online
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Online
This book demonstrates why oncoplastic and reconstructive surgery represents such an exciting tool for surgeons who undertake breast surgery. Fundamental principles and basic concepts are clearly outlined, and numerous techniques are presented by acknowledged experts from across the world. The emphasis is very much on a “how to do” approach, with detailed guidance and advice on the various techniques. The informative text is supported by a wealth of color illustrations, and accompanying videos …
Available Online
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Other Authors
Urban, Cicero
Rietjens, Mario
El-Tamer, Mahmoud
Sacchini, Virgilio S.
Responsibility
Cicero Urban, Mario Rietjens, Mahmoud El-Tamer, Virgilio S. Sacchini, editors
Edition
Second edition
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2019
Physical Description
1 online resource (xxxiii, 850 p.) : 750 illus., 692 illus. in color
ISBN
9783319629278
9783319629254 (Print ed.)
9783319629261 (Print ed.)
Subjects (MeSH)
Breast - surgery
Mammaplasty - methods
Mastectomy, Segmental - methods
Mastectomy, Subcutaneous - methods
Specialty
Gynecology
Surgery, Plastic
Abstract
This book demonstrates why oncoplastic and reconstructive surgery represents such an exciting tool for surgeons who undertake breast surgery. Fundamental principles and basic concepts are clearly outlined, and numerous techniques are presented by acknowledged experts from across the world. The emphasis is very much on a “how to do” approach, with detailed guidance and advice on the various techniques. The informative text is supported by a wealth of color illustrations, and accompanying videos of procedures can be accessed via the publisher’s website. This second edition of Oncoplastic and Reconstructive Breast Surgery has been completely revised and updated. More than 25 additional chapters have been included, and new videos of surgeries made available, with the aim of making this already very successful book truly comprehensive, and the most complete reference on the subject – a true classic. The new edition entails close collaboration between some of the most important centers for breast cancer treatment and research worldwide. It will be an ideal resource for surgical fellows and specialists wishing to learn about indications and the selection of patients, to master technical skills, and to manage complications effectively.
Contents
[provided by publisher] Part I. BASIC PRINCIPLES FOR ONCOPLASTIC AND RECONSTRUCTIVE BREAST SURGERY -- 1 Oncoplastic and Reconstructive Surgery: Blending Science and Art -- 2 Oncoplastic and Reconstructive Anatomy of the Breast -- 3 Breast Cancer Reconstruction Epidemiology -- 4 Hereditary Breast Cancer: Prophylactic mastectomy, breast conservation and rates of cancer -- 5 Breast Imaging in Oncoplastic and Reconstructive Breast Surgery -- 6 Magnetic Resonance Imaging of the Breast in Surgical Planning -- 7 Breast Cancer Pathology -- 8 Molecular Classification and Prognostic Signatures of Breast Cancer -- 10 Photography Principles for Medical Documentation and Presentations -- 11 Breast Cancer Patient and Reconstructive Consultation -- 12 Aesthetic Principles for Breast Reconstruction -- 13 Neoadjuvant Treatment in Breast Cancer -- 14 Adjuvant Treatment in Breast Cancer -- 15 Whole Breast Radiotherapy after Breast Conserving Surgery -- 16 Partial Radiotherapy with Intrabeam Techniques -- 17 Partial Radiotherapy with ELIOT Techniques -- 18 Radiotherapic Treatment after Mastectomy and its implications to breast reconstruction decision and outcomes -- Part II. ONCOLOGIC SURGERY -- 19 Oncologic Principles for Breast Reconstruction: indications and limits -- 20 Classic Lumpectomy and Quadrantectomy Techniques -- 21 Surgical Margins in Breast Conserving Surgery -- 22 Axillary Surgery -- 23 Skin-Sparing Mastectomy -- 24 Nipple-Sparing Mastectomy -- 25 Nipple Sparing Mastectomy with Eletron Intra-Operative Radiotherapy (ELIOT) -- Part III. PARTIAL BREAST RECONSTRUCTION -- 26 Preoperative Planning for Oncoplastic Surgery -- 27 Classification of Oncoplastic Techniques for Surgical Practice -- 28 Level I Techniques -- 29 Central Quadrant Techniques -- 30 Dome Mastopexy -- 31 Round Block Techniques -- 31 Superior Pedicle Techniques -- 32 Inferior Pedicle Techniques -- 33 Combined Pedicle Techniques -- 34 Distant Volume Flaps for Conservative Surgery -- 35 Non-Conventional Techniques in Partial Breast Reconstruction -- 36 Delayed Reconstruction after Breast Conserving Surgery -- Part IV. BREAST RECONSTRUCTION AFTER MASTECTOMY -- 37 Preoperative Planning for Breast Reconstruction after Mastectomy -- 38 History and development of breast implants -- 39 Staged Implant-Based Breast Reconstruction -- 40 One-Stage Breast Reconstruction with Definitive Form-Stable Implants -- 41 Breast Reconstruction with Definitive Expanders -- 42 Breast Reconstruction with Implants and Mesh -- 43 Immediate Impant-Based Breast Reconstruction using Variable Lower Pole Support -- 44 Skin-reducing mastectomy -- 45 Autologous Latisimus Dorsi Breast Reconstruction -- 46 Monopedicled TRAM flap -- 47 Bipedicled TRAM flap -- 48 Free flaps -- 49 Delayed breast reconstruction after Mastectomy -- Part V. MANAGEMENT OF COMPLICATIONS -- 50 Prevention and Treatment of Infections in Breast Reconstruction -- 51 Wound Management in Breast Surgery -- 52 Deformities and Asymmetry after Oncoplastic and Reconstructive Surgery -- 53 Implant Exposition and Extrusion -- 54 Physiopathology, Prevention and Treatment of Capsular Contracture -- 55 Implant Rupture -- 56 Inframammary Fold Reconstruction -- 57 Donor Site Complications after Reconstruction with Flaps -- 58 Complications of Unipedicled TRAM: Treatment and Prevention -- Part VI. REFINEMENTS AFTER BREAST RECONSTRUCTION -- 59 Treatment and Care of the Scars in Breast Reconstruction -- 60 Lipofilling -- 61 Nipple and Areola Reconstruction -- 62 Revisions after Breast Reconstruction -- Part VII. BREAST RECONSTRUCTION IN SPECIAL POPULATIONS -- 63 Immediate Breast Reconstruction in Pregnancy and Lactation -- 64 Breast Reconstruction in Elderly -- 65 Breast Reconstruction before Radiotherapy -- 66 Breast Reconstruction in Previously Irradiated Patients -- 67 Breast Reconstruction after Aesthetic Surgeries -- 68 Thoracic Wall Reconstruction in Local Recurrences and Advanced Cases -- Part VIII. OTHER SPECIAL CONSIDERATIONS -- 69 Systemic Impact of Breast Reconstruction -- 70 Psychological aspects of Breast Reconstruction -- 71 Post operatory Care after Oncoplastic and Reconstructive Surgery -- Aesthetics and Quality of Life after Breast Reconstruction -- 73 Oncoplastic and Breast Reconstruction Training -- 74 Oncoplastic and Reconstructive Qualification, Limits, and Mentoring -- 75 Bioethics and Medico-Legal Aspects in Breast Cancer Reconstruction -- 76 Costs and Cost-Effectiveness Considerations in Oncoplastic and Reconstructive Surgery.
Format
e-Book
Location
Online
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Difficult Decisions in Head and Neck Oncologic Surgery

https://libcat.nshealth.ca/en/permalink/provcat44622
Zhen Gooi, Nishant Agrawal, editors. --Cham: Springer , c2019.
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This book provides a practical guide to decision making in head and neck oncologic surgery. As new technology is introduced, there is increasing knowledge regarding the efficacy of traditional head and neck surgical therapies and how to select among these varied and complex approaches is becoming increasingly difficult. Concise easy to follow chapters are devoted to one or two specific questions or decisions in head and neck oncologic surgery, aiding the reader to develop their decision making …
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Other Authors
Gooi, Zhen
Agrawal, Nishant
Responsibility
Zhen Gooi, Nishant Agrawal, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2019
Physical Description
1 online resource (xvi, 387 p.) : 10 illus., 5 illus. in color
Series
Difficult Decisions in Surgery: An Evidence-Based Approach
Series Title
Difficult decisions in surgery
ISBN
9783030151232
9783030151225 (Print ed.)
9783030151249 (Print ed.)
9783030151256 (Print ed.)
ISSN
2198-7750
Subjects (MeSH)
Clinical Decision-Making
Head and Neck Neoplasms - surgery
Mouth Neoplasms - surgery
Patient Care Planning
Specialty
Clinical Decision-Making
Surgical Oncology
Abstract
This book provides a practical guide to decision making in head and neck oncologic surgery. As new technology is introduced, there is increasing knowledge regarding the efficacy of traditional head and neck surgical therapies and how to select among these varied and complex approaches is becoming increasingly difficult. Concise easy to follow chapters are devoted to one or two specific questions or decisions in head and neck oncologic surgery, aiding the reader to develop their decision making skills. Difficult Decisions in Head and Neck Oncologic Surgery is a timely reference source for practicing surgeons, surgeons in training, and educators on the recommended ideal approaches in selected clinical situations.
Contents
Part I. Oral Cavity -- 1. Elective Versus Therapeutic Neck Dissection for Clinically Node Negative Early Oral Cancer -- 2. Management of Moderate Dysplasia of the Oral Cavity -- 3. Ideal Resection Margins in Oral Cavity Cancer -- 4. Should Margin Sampling Be Obtained from the Specimen or from the Resection Bed in Oral Cavity Cancer? -- 5. Should Level IIb Be Addressed Routinely in Clinically Node Negative Oral Cancers? -- 6. Role and Efficacy of Sentinel Lymph Node Biopsy in Oral Cavity Squamous Cell Carcinoma -- 7. Surgical or Non-surgical Treatment for Advanced Oral Cavity Cancer -- Part II. Oropharynx -- 8. Surgical Versus Non-surgical Management of Early T-Stage Oropharyngeal Cancer -- 9. Management of Unknown Primary Cancer of the Head and Neck -- Part III. Larynx -- 10. Early Oral Feeding Following Primary Total Laryngectomy -- 11. Primary Surgery Versus Organ Preservation in Advanced Laryngeal Cancer -- 12. Surgery or Radiation Therapy for Early Stage Glottic Cancer -- Part IV. Thyroid/Parathyroid -- 13. How Should Well Differentiated Thyroid Cancer with Distant Metastatic Disease Be Managed? -- 14. Should Routine (Prophylactic) Central Neck Dissection Be Performed for Clinically Node Negative Well-Differentiated Thyroid Carcinoma? -- 15. Management of the Clinically Negative Lateral Neck in Medullary Thyroid Cancer -- Part V. Soft Tissue -- 16. Should Pre-operative Embolization Be Utilized Routinely for Carotid Body Tumors Prior to Surgical Excision? -- 17. Vagal Paraganglioma and Schwannoma—Surgical or Non-surgical Management -- Part VI. Salivary -- 18. Parotid Malignancy with Facial Weakness: Should the Facial Nerve Be Sacrificed? -- 19. Adjuvant Management of Advanced High-Risk Salivary Gland Malignancy -- Part VII. Cutaneous -- 20. Management of the Parotid Gland in Cutaneous External Auditory Canal Skin Cancer -- 21. What Is the Ideal Resection Margin in Head and Neck Merkel Cell Carcinoma? -- 22. Does Recurrent Cutaneous Squamous Cell Carcinoma of the Head and Neck Warrant Adjuvant Treatment After Surgical Resection? -- 23. Management of the Parotid/Neck Following a Positive Sentinel Node Biopsy in Patients with Cutaneous Melanoma of the Head and Neck -- Part VIII. Reconstruction -- 24. Is Routine Anticoagulation Warranted Following Free Flap Reconstruction? -- 25. Does Two Venous Anastomoses Lead to Better Outcomes in Free Flap Reconstruction of the Head and Neck? -- 26. Reconstruction for Early Oral Cavity Cancer -- Part IX. Multidisciplinary -- 27. Prophylactic Versus Reactive Gastrostomy Tube Placement for Advanced Head and Neck Cancer Patients -- 28. Is Antibiotic Therapy Warranted in Clean-Contaminated Head and Neck Surgery Beyond 24 h? -- 29. What Is the Best Imaging Modality to Predict Extracapsular Nodal Extension? -- 30. Is There a Role for Triple Endoscopy in the Staging of Head and Neck Cancer? -- 31. Is There a Role for Induction Chemotherapy in the Treatment of Advanced Head and Neck Cancer? -- 32. Is Routine Carotid Imaging Warranted Following Radiation Treatment of Head and Neck Cancer -- 33. Should Perineural Invasion Warrant Adjuvant Therapy in Surgically Treated Head and Neck Cancer.
Format
e-Book
Location
Online
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Changing Paradigms in the Management of Breast Cancer

https://libcat.nshealth.ca/en/permalink/provcat43132
Marissa Howard-McNatt, editor. --Cham: Springer , c2018.
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Online
This text is designed to present a comprehensive and state-of the-art approach to the management of breast cancer within the fields of surgery, medical oncology, and radiation oncology. Sections address changes in these fields. These areas include breast imaging, management of the axilla, atypical breast lesions, surgical margins, new techniques in breast reconstruction, and nipple sparing and contralateral mastectomies. Subsequent chapters focus on issues in medical oncology including, triple …
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Other Authors
Howard-McNatt, Marissa
Responsibility
Marissa Howard-McNatt, editor
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (xiii, 237 p.) : 42 illus., 35 illus. in color
ISBN
9783319603360
9783319603353 (print ed.)
9783319603377 (print ed.)
9783319868394 (print ed.)
Subjects (MeSH)
Age Factors
Breast Neoplasms - therapy
Genetic Predisposition to Disease
Mastectomy - methods
Specialty
Gynecology
Abstract
This text is designed to present a comprehensive and state-of the-art approach to the management of breast cancer within the fields of surgery, medical oncology, and radiation oncology. Sections address changes in these fields. These areas include breast imaging, management of the axilla, atypical breast lesions, surgical margins, new techniques in breast reconstruction, and nipple sparing and contralateral mastectomies. Subsequent chapters focus on issues in medical oncology including, triple negative breast cancer and metastatic breast disease. New paradigms in radiation oncology are examined. Breast cancer treatment in the elderly and in young women, and genetic risk in breast cancer management is also be discussed. Written by experts in their field, each of these sections addresses advances and changes in the field. A brief review of the existing literature addressing the particular topic follows in each section. The text concludes with chapters on pathological issues and advances in radiation oncology. As access to a comprehensive multidisciplinary resource such as this is currently limited in the literature, Changing Paradigms in the Management of Breast Cancer represents the first single source to provide information on advances and outcomes for the physician caring for breast cancer patients in a multidisciplinary setting.
Contents
Breast Imaging: Tomosynthesis, Elastography, Breast MRI, and Emerging Techniques -- Nipple Sparing Mastectomy -- Contralateral Prophylactic Mastectomy: Current Perspectives -- Management of the Axilla in Breast Cancer -- Margins and Breast Cancer -- Percutaneous Ablation in the Treatment of Breast Cancer -- New Technology and Techniques in Breast Reconstruction -- New Thoughts on Atypias of the Breast: Flat Epithelial Atypia, Atypical Ductal Hyperplasia, and Lobular Neoplasia -- New Techniques in Radiation Oncology -- Radiotherapy and Regional Nodes -- Triple Negative Breast Cancer -- New Treatments for Metastatic Breast Cancer -- Breast Cancer Treatment in Elderly Patients -- Breast Cancer Treatment in Young Women -- Genetic Risk Prediction in Breast Cancer.
Format
e-Book
Location
Online
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Active Surveillance for Localized Prostate Cancer : A New Paradigm for Clinical Management

https://libcat.nshealth.ca/en/permalink/provcat43371
Laurence Klotz, editor. (Second edition) --Cham: Humana Press , c2018.
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Location
Online
This fully updated and revised new edition provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in prostate cancer. The book reviews new data about molecular characteristics of the disease, profiles the new grading system for prostate cancer introduced in 2015, and provides new perspectives about imaging of prostate cancer, as well as the role of targeted biopsies. The text summarizes the…
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Other Authors
Klotz, Laurence
Responsibility
Laurence Klotz, editor
Edition
Second edition
Place of Publication
Cham
Publisher
Humana Press
Date of Publication
c2018
Physical Description
1 online resource (xii, 250 p.) : 39 illus., 27 illus. in color
Series Title
Current clinical urology
ISBN
9783319627106
9783319627090 (print ed.)
9783319627113 (print ed.)
9783319873756 (print ed.)
ISSN
2197-7194
Subjects (MeSH)
Disease Progression
Medical Overuse - prevention & control
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - therapy
Watchful Waiting
Specialty
Medical Oncology
Urology
Abstract
This fully updated and revised new edition provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in prostate cancer. The book reviews new data about molecular characteristics of the disease, profiles the new grading system for prostate cancer introduced in 2015, and provides new perspectives about imaging of prostate cancer, as well as the role of targeted biopsies. The text summarizes the role of biomarkers and MRI in patient selection and management and details the world wide results of active surveillance. Specific chapters address communication and ethical issues, QOL outcomes, economic aspects, and psycho-social aspects of surveillance. The role of focal therapy for low risk disease is summarized, and the data supporting preventive interventions during surveillance reviewed. This text will serve as a very useful resource for physicians and researchers dealing with, and interested in this common malignancy, as it provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts.
Contents
Cancer Overdiagnosis and Overtreatment -- Can We Screen and Still Reduce Overdiagnosis? -- The Role of Fear in Overdiagnosis and Overtreatment -- Ethical and Legal Considerations in Active Surveillance for Prostate Cancer -- Gleason 6 Tumors Should Still Be Labeled As Cancer -- Risk Based Selection for Active Surveillance -- Surveillance at the Margins: Management of High Volume Gleason 6, PSA>10, or Gleason 3+4 -- How Should Patients on Active Surveillance be Followed? -- Triggers for Intervention -- MR Imaging in Prostate Tumor Volume Assessment: How Accurate? -- Can MRI Replace Biopsy in Men on Surveillance? -- Tissue Based Markers for Risk Prediction -- International AS Registry: The Movember Foundation's Global Action Plan Prostate Cancer Active Surveillance Initiative -- Better Informed Decision Making to Optimize Patient Selection -- How Does QOL Compare Between Surveillance and Active Treatment? -- The Potential Benefits of Diet and Physical Activity among Active Surveillance Patients with Low-Burden Prostate Cancer -- Is there a Role for Pharmacologic Manipulation to Prevent Progression in Men on Active Surveillance? The Role of 5-ARIs, Statins, and Metformin -- The Update of Active Surveillance around the World: Utilization and Outcomes -- Tissue Preservation: Active Surveillance and Focal Therapy as Complimentary Strategies -- The Economics of Active Surveillance for Prostate Cancer -- Research Questions in Active Surveillance.
Format
e-Book
Location
Online
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Measurement and Analysis in Transforming Healthcare Delivery. Volume 2, Practical Applications to Engage and Align Providers and Consumers

https://libcat.nshealth.ca/en/permalink/provcat41562
Harry C. Sax, editor. --Cham: Springer , 2017.
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Online
This volume is complementary to Volume 1: Quantitative Approaches in Health Systems Engineering which provides in-depth analysis of the statistical and quantitative aspects of Health Systems Engineering. Volume 2: Practical Applications to Engage and Align Providers and Consumers builds upon these concepts with the integration of additional economic, performance and quality measures. Stressing the importance of changes in the economics of health care financing, it will serve as a resource for n…
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Other Authors
Sax, Harry C
Responsibility
Harry C. Sax, editor
Alternate Title
Practical Applications to Engage and Align Providers and Consumers
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (xiv, 126 pages) : 9 illus. in color
ISBN
9783319462226
9783319462202 (print ed.)
Subjects (MeSH)
Decision Support Techniques
Health Care Reform
Quality Assurance, Health Care
Statistics as Topic
Abstract
This volume is complementary to Volume 1: Quantitative Approaches in Health Systems Engineering which provides in-depth analysis of the statistical and quantitative aspects of Health Systems Engineering. Volume 2: Practical Applications to Engage and Align Providers and Consumers builds upon these concepts with the integration of additional economic, performance and quality measures. Stressing the importance of changes in the economics of health care financing, it will serve as a resource for not only leaders of organizations, but also providers who will be practicing a different type of medicine from that of which they were trained. After defining the challenges, the authors will quantify and define funds flows and various margins necessary for viability, how providers will be measured and rewarded for quality, and the importance of accurate dashboard of physician performance. Types of payment systems, including capitation, ACOs, risk contracts, and hybrid forms of fee for service will be defined and their relative advantages discussed. Lessons from other countries that provide high quality care at a lower cost will be examined for applicability to our challenges. Finally, experts in leadership will focus on influencing behavior to achieve results while remembering that healthcare is about the patient. This textbook will serve as a useful resource for clinicians, healthcare executives, governmental agencies, and emerging leaders in organizations.
Contents
Healthcare Transformation: What are the Challenges? -- Terminology and Applications: Hospital Performance Measures -- Measurements and Analysis in Transforming Healthcare Deliver--Terminology and Applications: Physician Performance -- Assuring Appropriate Care -- Aligning Medical Staff within the Academic Medical Center -- Aligning Healthcare Systems -- Influencing with Integrity -- Perspectives from Single Payer Systems -- Leadership to Encourage and Sustain Performance.
Format
e-Book
Location
Online
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Pancreatic Cancer : With Special Focus on Topical Issues and Surgical Techniques

https://libcat.nshealth.ca/en/permalink/provcat41874
Sun-Whe Kim, Hiroki Yamaue, editors. --Berlin, Heidelberg: Springer , 2017.
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This book provides state of the art knowledge on a broad range of clinical issues in pancreatic cancer, covering topics from screening and pathophysiology to surgical treatments. In particular, the focus is on current controversies and on evidence-based surgical techniques. Further aspects considered include the management of precancerous lesions, diagnostic methods, perioperative care and nonsurgical treatment. The description of surgical methods is supported by many helpful illustrations and …
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Other Authors
Kim, Sun-Whe
Yamaue, Hiroki
Responsibility
Sun-Whe Kim, Hiroki Yamaue, editors
Place of Publication
Berlin, Heidelberg
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (xvii, 472 pages) : 170 illus., 131 illus. in color
ISBN
9783662471814
9783662471807 (print ed.)
Subjects (MeSH)
Pancreatic Neoplasms
Pancreatic Neoplasms - surgery
Surgical Procedures, Operative - methods
Abstract
This book provides state of the art knowledge on a broad range of clinical issues in pancreatic cancer, covering topics from screening and pathophysiology to surgical treatments. In particular, the focus is on current controversies and on evidence-based surgical techniques. Further aspects considered include the management of precancerous lesions, diagnostic methods, perioperative care and nonsurgical treatment. The description of surgical methods is supported by many helpful illustrations and important technical issues are carefully addressed. Determination of resectability and extent of surgery is also discussed. Based on recent developments in surgical techniques, some surgeons are performing more and more radical operations. It is essential, however, that surgical strategy is based on the best available evidence and surgeons will find that this book offers valuable help in achieving this aim. In addition, it will be a great asset in clinical practice for all who are involved or interested in the management of pancreatic cancer.
Contents
Part I: Pathology and Tumor Biology -- 1. Epidemiology -- 2. Molecular Alterations in Pancreatic Cancer -- 3. Pathological Classification -- 4. Controversial Issues in Pathological Diagnosis -- 5. Operative Specimen Handling and Evaluation of Resection Margins -- 6. Tumor Markers -- Part II: Diagnostic Modalities -- 7. Imaging Diagnosis of Pancreatic Cancer: CT and MRI -- 8. Endoscopic Diagnosis -- 9. PET and Other Functional Imaging -- Part III: Treatment Guideline -- 10. Staging and Determination of Resectability of Pancreatic Cancer -- 11. Current Issues of Borderline Resectable Pancreatic Ductal Adenocarcinoma -- 12. Guidelines for the Management of Pancreatic Cystic Neoplasms -- 13. Guideline for the Management of Pancreatic Neuroendocrine Tumor -- Part IV: Surgical Treatment -- 14. The History and Evolution of Pancreaticoduodenectomy -- 15. Major Vascular Resection in Pancreatic Carcinoma -- 16. Retroperitoneal Nerve Plexus Dissection During Pancreatoduodenectomy -- 17. Mesenteric Approach for Pancreaticoduodenectomy -- 18. Artery-First Approach for Pancreatic Cancer -- 19. Mesopancreas Excision for Pancreatic Cancer -- 20. Concepts in Isolated Pancreatectomy for Pancreatic Cancer Using the Nakao Mesenteric Approach and Catheter Bypass of the Portal Vein -- 21. Role of Extended Resection in Pancreatic Cancer -- 22. Type of Reconstruction After Pancreatoduodenectomy -- 23. The Concept of Customized Pancreatoduodenectomy -- 24. Distal Pancreatectomy with En Bloc Celiac Axis Resection (DP-CAR) for Advanced Pancreatic Body Cancer -- 25. Radical Antegrade Modular Pancreato-splenectomy (RAMPS) -- 26. Laparoscopic Distal Pancreatectomy in Pancreatic Cancer -- 27. Robotic Application for Pancreatectomy -- 28. Organ-Preserving Pancreatectomy -- 29. Minimally Invasive Surgery for Pancreatic Cancer -- Part V: Morbidity and Perioperative Care of Pancreatectomy -- 30. Pancreatic Fistula -- 31. Delayed Gastric Emptying -- 32. Postoperative Bleeding -- 33. Rare Complications After Pancreatectomy -- 34. Late Metabolic Complications After Pancreatectomy -- 35. Enhanced Recovery Program After Pancreatectomy -- 36. Drain Management After Pancreatectomy -- Part VI: Nonoperative Therapy -- 37. Chemotherapy in the Management of Pancreatic Cancer -- 38. Radiation Therapy -- 39. Endoscopic Intervention -- 40. Personalized Peptide Vaccine for Advanced Pancreatic Cancer -- 41. Emerging New Treatment Modalities: Irreversible Electroporation.
Format
e-Book
Location
Online
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Eating, Drinking: Surviving : The International Year of Global Understanding, IYGU

https://libcat.nshealth.ca/en/permalink/provcat43949
Peter Jackson, Walter E.L. Spiess, Farhana Sultana, editors. --Cham: SpringerOpen , c2016.
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Access
Open access
Location
Online
This publication addresses the global challenges of food and water security in a rapidly changing and complex world. The essays highlight the links between bio-physical and socio-cultural processes, making connections between local and global scales, and focusing on the everyday practices of eating and drinking, essential for human survival.
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Other Authors
Jackson, Peter
Spiess, Walter E.L.
Sultana, Farhana
Responsibility
Peter Jackson, Walter E.L. Spiess, Farhana Sultana, editors
Place of Publication
Cham
Publisher
SpringerOpen
Date of Publication
c2016
Physical Description
1 online resource (xi, 105 p.) : 32 illus. in color
Series Title
SpringerBriefs in global understanding
ISBN
9783319424682
9783319424675 (Print ed.)
9783319424699 (Print ed.)
ISSN
2509-7784
Subjects (MeSH)
Food Supply
Health Planning
Internationality
Nutrition Policy
Socioeconomic Factors
Sustainable Development
Specialty
Public Health
Abstract
This publication addresses the global challenges of food and water security in a rapidly changing and complex world. The essays highlight the links between bio-physical and socio-cultural processes, making connections between local and global scales, and focusing on the everyday practices of eating and drinking, essential for human survival.
Contents
Introduction: Understanding the Complexities of Eating, Drinking, and Surviving -- Globalization and Malnutrition: Geographical Perspectives on Its Paradoxes -- Drinking Water -- The Politics and Consequences of Virtual Water Export -- Integrated Water Resources Management as a New Approach to Water Security -- Surviving as an Unequal Community: WASH for Those on the Margins -- Challenges to Food Security in a Changing World -- Moral Economies of Food in the Socialist/Post-socialist World -- The Nutrition Transition in Developing Asia: Dietary Change, Drivers and Health Impacts -- Food Sovereignty and the Possibilities for an Equitable, Just and Sustainable Food System -- Food Security and Food Waste.
Access
Open access
Format
e-Book
Location
Online
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[presented by] Bashari Films ; produced in association with Knowledge Network and Saskatchewan Communication Network. --Mississauga, ON: distributed by McNabb and Connolly , 2016.
Call Number
HV 4510 T6 S74 2002
Location
Yarmouth Regional Hospital
For years, as one of Toronto's 50 or so street nurses, Cathy Crowe has tended to the needs of the homeless. But she is also a passionate advocate on behalf of the homeless, writing letters to editors, appearing on radio and television, making submissions to the United Nations, and pleading with various levels of government, as she tries to get long term, permanent help for those who have fallen through the cracks and found themselves subsisting on society's margins.
Call Number
HV 4510 T6 S74 2002
Other Authors
Bishari Film Productions
Responsibility
[presented by] Bashari Films ; produced in association with Knowledge Network and Saskatchewan Communication Network
Place of Publication
Mississauga, ON
Publisher
distributed by McNabb and Connolly
Date of Publication
2016
Physical Description
1 DVD-video (45 min.)
Subjects (MeSH)
Homeless Persons
Social Problems
Public Health Nursing
Subjects (LCSH)
Homeless persons--Ontario--Toronto
Homeless persons--Services for--Ontario--Toronto
PersonalSubject
Crowe, Cathy
Abstract
For years, as one of Toronto's 50 or so street nurses, Cathy Crowe has tended to the needs of the homeless. But she is also a passionate advocate on behalf of the homeless, writing letters to editors, appearing on radio and television, making submissions to the United Nations, and pleading with various levels of government, as she tries to get long term, permanent help for those who have fallen through the cracks and found themselves subsisting on society's margins.
Format
DVD
Publication Type
Popular Works
Location
Yarmouth Regional Hospital
Loan Period
3 weeks
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Robot-Assisted Radical Prostatectomy : Beyond the Learning Curve

https://libcat.nshealth.ca/en/permalink/provcat40226
John W. Davis, editor. --Cham: Springer , c2016.
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Location
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This book addresses knowledge gaps in RARP in 3 key sections: 1) Step-by-step approach including multiple technique options and innovations, 2) Patient selection, safety, outcomes, and 3) Preparing the patient for surgery. The order is more based upon knowledge priority rather than a chronologic sequence in which part 3 would go first. Part two allows more summary and commentary on evidence and part three allows some creative content that is otherwise hard to find in one place: medical evaluati…
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Other Authors
Davis, John W
Responsibility
John W. Davis, editor
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (xxv, 335 p. : 209 illus., 191 illus. in color)
ISBN
9783319326412
9783319326399 (print ed.)
Subjects (MeSH)
Minimally Invasive Surgical Procedures - methods
Prostatectomy - methods
Prostatic Diseases - surgery
Robotic Surgical Procedures - methods
Abstract
This book addresses knowledge gaps in RARP in 3 key sections: 1) Step-by-step approach including multiple technique options and innovations, 2) Patient selection, safety, outcomes, and 3) Preparing the patient for surgery. The order is more based upon knowledge priority rather than a chronologic sequence in which part 3 would go first. Part two allows more summary and commentary on evidence and part three allows some creative content that is otherwise hard to find in one place: medical evaluations, imaging, clinical trials, patient education, etc. This textbook emphasizes content for the advanced skills surgeon in that multiple techniques are presented as well as state of the art evidence. The learning curve is addressed and the authors clarify how this text is useful for learners. The caveat is that they should be careful in patient selection and stick with what their mentors are showing them. With experience, they can then branch out into the many techniques presented here. Robot-Assisted Radical Prostatectomy: Beyond the Learning Curve will also have cross-over appeal for surgical assistants, physician assistants, nurses, and anyone else involved in the surgical care of prostate cancer.
Contents
Part I. Robot-Assisted Radical Prostatectomy: Step by Step -- 1. Minimally Invasive Access to the Prostate: The Concept of Surgical Space Creation -- 2. Surgeon’s Notebook: Beyond the Learning Curve: The Original Handouts from the American Urological Association Postgraduate Courses 2013–2015 -- 3. The Dorsal Vein Complex: Achieving Hemostasis and Proper Setup for Apical Division -- 4. The Simple Bladder Neck -- 5. Bladder Neck: Anatomic Variants, Prior TUR, Locally Advanced Tumours -- 6. Neurovascular Bundle Preservation: Anatomic and Technical Considerations -- 7. Partial Neurovascular Bundle Sparing During Robot-Assisted Radical Prostatectomy -- 8. Neurovascular Structure-Adjacent Frozen-Section Examination (NeuroSAFE) in Robot-Assisted Radical Prostatectomy -- 9 The Neurovascular Bundle: Wide Excision -- 10 Apex: The Crossroads of Functional Recovery and Oncologic Control -- 11. Post-resection: Hemostasis, Checking for Rectal Injury, and Anastomotic Leaks -- 12. Denonvilliers’ Fascia: Anatomy, Surgical Planes, Use in Reconstruction -- 13. Vesicourethral Anastomosis: Putting It Back Together -- 14. Pelvic Lymph Node Dissection: Open Benchmarks with Lymphoscintigraphy -- 15. Pelvic Lymph Node Dissection: Robotic Surgery Efficiency and Space-Creation Techniques to Achieve an Extended Template -- 16. Innovation and Orientation Challenges: Posterior “Retzius- Sparing” Technique -- 17. Getting Out: Closure, Prevention, and Management of Hernias -- 18. Robot-Assisted Laparoscopic Radical Prostatectomy: Extraperitoneal and Transperitoneal Technique -- Part II. Peri-operative Care and Safety -- 19. Perioperative Medical Evaluation of the Patient Undergoing RARP -- 20. Patient Positioning and Safety in Steep Trendelenburg -- 21. Safety Checklist for Training and Assessment in Robot-Assisted Prostate Surgery -- 22. Immediate Postoperative Care Following Robot-Assisted Radical Prostatectomy -- Part III. Outcomes -- 23. Penile Rehabilitation: Recovering Erectile Function Following Prostate Cancer Treatment -- 24. Structured Reporting of RARP Complications: Are We Making Measurable Progress? -- 25. Quality of Life Evaluation: What Is Published and Practical for Routine Use -- 26. Positive Surgical Margins: How to Self-Evaluate and Improve -- 27. High Risk Pathology: State-of-the- Art Post-operative Radiation Recommendations and Integration of Novel Genomic Risk Biomarkers -- 28. Long-Term Oncologic Outcomes of Robot-Assisted Radical Prostatectomy -- Part IV. Patient Education -- 29. Personalized Versus Generic Patient Handouts: Tools to Improve Patient Knowledge on Treatment Options and Perioperative Care -- 30. Active Surveillance and Patient Support Intervention -- 31. A Return to Key Surgical Technique: Neurovascular Bundle Sparing with Antegrade Technique -- Afterword: The Unwritten Chapters.
Format
e-Book
Location
Online
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Collimator-Based Tracking with an Add-On Multileaf Collimator : Modification of a commercial collimator system for realtime applications

https://libcat.nshealth.ca/en/permalink/provcat40339
Andreas Böhler. (1st ed.) --Wiesbaden: Springer Fachmedien Wiesbaden : Imprint: Springer , c2016.
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Location
Online
In this thesis, a tracking system was developed by modifying an add-on collimator, the Siemens Moduleaf, for realtime applications in radiotherapy. As the add-on collimator works almost completely autonomously of the linear accelerator (LinAc), no modifications to the latter were necessary. The adaptations to the Moduleaf were mainly software-based. In order to reduce the complexity of the system, outdated electronic parts were replaced with newer components where practical. Verification was pe…
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Author
Böhler, Andreas
Responsibility
Andreas Böhler
Edition
1st ed.
Place of Publication
Wiesbaden
Publisher
Springer Fachmedien Wiesbaden : Imprint: Springer
Date of Publication
c2016
Physical Description
1 online resource (xiv, 53 p. : 18 illus., 14 illus. in color)
Series Title
BestMedDiss
ISBN
9783658106584
9783658106577 (print ed.)
Subjects (MeSH)
Radiotherapy - instrumentation
Radiosurgery - methods
Abstract
In this thesis, a tracking system was developed by modifying an add-on collimator, the Siemens Moduleaf, for realtime applications in radiotherapy. As the add-on collimator works almost completely autonomously of the linear accelerator (LinAc), no modifications to the latter were necessary. The adaptations to the Moduleaf were mainly software-based. In order to reduce the complexity of the system, outdated electronic parts were replaced with newer components where practical. Verification was performed by measuring the latency of the system as well as the impact on applied dose to a predefined target volume, moving in the leaf's travel direction. Latency measurements in software were accomplished by comparing the target and current positions of the leaves. For dose measurements, a Gafchromic EBT2 film was placed beneath the target 4D phantom, in between solid water plates, and moved alongside with it. Based on the results, a tracking-capable add-on collimator seems to be a useful tool for reducing the margins for the treatment of small, slow-moving targets. Radiotherapy is one of the most important methods used for the treatment of cancer. Irradiating a moving target is also one of the most challenging tasks to accomplish in modern radiotherapy.
Contents
1. Introduction -- 2. Literature Overview -- 3. Hypothesis & Goals -- 4. Materials & Methods -- 5. Results -- 6. Discussion -- 7. Conclusions.
Format
e-Book
Location
Online
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