This book gives a comprehensive overview of surgery that results in creating an ileoanal pouch or continent ileostomy. It deals with the entire journey of pouch surgery starting from patient selection and counselling to technical tips and tricks and ending in managing pouch function and failure. Containing a patient experience section this volume helps clinicians better understand what a patient expects from the ileoanal pouch. This is a very specialised topic but one that is covered very poorly and this book has the potential to consolidate all that is known about the topic to provide a comprehensive overview on the surgery and its consequences.
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This book is about the recently revived technique of Kock pouch in inflammatory bowel disease. It discusses the Kock pouch as an alternative to patients not suitable for a pelvic pouch or where the pelvic pouch has failed. It provides clinicians with all the necessary information on patient guidance and surgical revisions after a long life with a Kock pouch. The reader will learn about the development of the pouch, pre and post-operative strategies, surveillance, complications and the limitations and weaknesses of the method. New pioneering experimental methods used by the authors are also discussed. The use of ileorectal anastomosis and Kock’s continent ileostomy has regained interest as the long term problems of the pelvic pouch have and this book brings the knowledge and valuable experiences of a few experts at international centres to a large audience. This is an indispensable guide for colorectal surgeons, gastroenterologists and stoma therapi sts involved in the care of patients with inflammatory bowel disease where colectomy is still needed, either in an emergency setting or due to dysplasia or cancer.
Josephines Pouch is a story with a message for children, teens, and adults about a young kangaroo girl who experiences resistance as she struggles to be herself and to receive acceptance from others. The story starts with Josephine at the start of a school year, excited and eager to learn and be friends with her classmates. She soon encounters resistance to her self-expression and tries to change who she is, only to realize that she must be strong, love herself, and encourage others to accept themselves when they feel they have lost their value or are not being heard and accepted for their unique strengths.
This innovative book will provide the nurse, working within a general or specialist surgical unit, with the information required to care for a patient who has undergone surgery resulting in the formation of an ileal anal pouch, Koch pouch, Colo-anal pouch or continent urinary diversions. These techniques have been with us for more than twenty years but have in the main only been performed within specialist centres. More recently however they have become widely used, as more colorectal and urology surgeons acquire the skills to perform the procedure. In response to this, the nurse needs to acquire the skills to care for these patients pre-operatively, post-operatively and through their rehabilitation. Julia Williams has drawn together the work of acknowledged experts in this field, both nursing and medical, to produce a book that will be essential reading for all those who practice in this fast-developing specialty.
The delightful tale of a curious baby kangaroo, from the creator of Leaves When you?re new to the world, every hop brings another surprise! Joey wants to go exploring, but everything he discovers is almost too exciting. Bees, rabbits, birds . . . other creatures can be scary! But Mama is never far away, and who knows?Joey might even make a friend. David Ezra Stein?s gentle story will amuse and comfort readers.
As Pearl and her friend Dash practice a magic trick, they are watched by a prankster.
The author was in the U.S. Foreign Service from 1957 to 1969. This is a true story of his experiences while employed as a diplomatic pouch clerk in the American Consulate General in Sydney, Australia; and in the U.S. Embassies in Manila, Beirut and Tokyo. The story entails his fight with Neo-McCarthyites in the State Department; the effects in Beirut of the 1967 Six Day War; a nuptial quandary with a Japanese Qantas airline stewardess; and assorted golfing, drinking and sexual divertissments. It is punctuated with original insights and with the malaise and anger which has befallen the psyches of Americans of good will following the death of FDR and the assassinations of his potential successors.
Kangaroos are among the strangest of all mammals. This is not so much because they are marsupials and keep their young in a pouch but because they hop. They are the only large animals in the history of vertebrates to have hopped. Author Terry Dawson gets to the heart of the biology that what makes these animals special.
No other equine quick reference comes close to providing this much accurate, timely, and clinically useful diagnostic and therapeutic information. Clinical Veterinary Advisor: The Horse is six books in one -- Diseases and Disorders, Procedures and Techniques, Differential Diagnosis, Laboratory Tests, Clinical Algorithms, and a Drug Formulary. Plus, a companion website gives you convenient, searchable access to the full text and other useful tools. Covering hundreds of current topics in a concise at-a-glance format, this authoritative resource from David A. Wilson, DVM and a group of respected contributors is a must-have guide for the busy equine or mixed-practice practitioner. A consistent, easy-reference format allows for quick retrieval of practical, clinical information. A wealth of high-quality illustrations clearly demonstrates key concepts and procedures. Concise, at-a-glance format offers six books in one with these sections: Diseases and Disorders provides at-a-glance coverage of nearly 500 common medical problems, arranged alphabetically for immediate access. Each entry presents the topic in the sequence it follows clinically, including: history and physical exam findings, diagnostic testing, treatment (including specific medications and dosages), prognosis, and recommended monitoring. References for each topic support the data presented. Procedures and Techniques offers illustrated, step-by-step instructions for understanding and performing over 100 important clinical procedures. Differential Diagnosis displays nearly every possible cause for 65 different clinical disorders. Laboratory Tests summarizes essential information needed for interpreting 110 laboratory tests. Clinical Algorithms provides easy-to-follow, step-by-step guidance to clinical assessment and treatment planning for 50 of the most common clinical conditions/disorders. Drug Formulary is a compilation of dosages and other relevant information by expert Nathan Slovis, DVM for 145 new and current medications. A companion website includes the complete text of the book in a fully searchable format, which allows quick access to any topic and its related information in the six different sections. The website also includes a searchable drug formulary, a color image collection, clinical algorithms, and 50 client education sheets available in both English and Spanish.