This is a book about using the best evidence to inform treatment decisions for people with cancer. It is written by oncologists for oncologists, using examples throughout to illustrate key points. The book starts off with a «toolbox» section, written in a way which will help those relatively new to the principles of evidence-based oncology to understand the key issues, and equip them with the basics of how to tell a good study from a bad one. The majority of the book then deals with an evidence-based summary of the common and important cancers in a structured and easy to read format around common patient scenarios and frequently asked questions. Whilst most of the evidence is based on randomised controlled trials, other studies are cited where appropriate eg when discussing adverse events. The unique accompanying book website will contain updates of new chapters and studies as they become available. Written by leading world figures in the evidence-based movement Includes free CD-ROM with PC eBook and sample PDA chapter Methodology of reviewing and appraising evidence discussed in the context of cancer management Clinical sections covering prevention and screening Chapters on treatment of the individual major cancers review the current best available evidence to most frequently asked questions Rigorously structured explicit searches, evidence of efficacy and harms, plus comment around clinical scenarios Free-access update website keeping the text current and live: www.evidbasedoncology.com
The importance of good nutrition for individual health and well-being is widely recognized, yet for a significant number of people who rely on institutions for food and nutrition, this importance has not always been a primary consideration. People, therefore, may find themselves consuming food they would not ordinarily choose to eat, with, in some cases, restricted choices precluding individual preferences and compromising health. In recent years, there have been major advances in the quality of catering in some areas, particularly schools. Other institutions which have not been thrust into the media spotlight have fared less well in terms of policy drive and commitment. This insightful new book looks in detail at five institutions: schools, hospitals, care homes for the elderly, prisons and the armed forces. As well as providing a fascinating history of the provision of food in each institution, each section considers: current policy and standards and their implementation adequacy of food provided with regard to the health status and dietary requirements of the people in the care of each institution efficiency of catering organization and issues relating to contract tendering, expenditure and procurement A broad spectrum of further relevant issues is also covered, including the meaning of food to those in institutions and determinants of choice.
Arthritis affects millions of people throughout the world and while its treatment is usually medical or surgical, there exists an increasingly large body of evidence concerning the positive effects of nutrition on the condition. There are over two hundred forms of rheumatoid disease, with conditions varying in prevalence. In this important title the authors have focussed on osteoarthritis (OA) and rheumatoid arthritis (RA), the most common arthritic diseases with the largest body of dietary data. Including coverage of disease incidence and prevalence, pathology, aetiology and measures of disease assessment and dietary risk factors, Nutrition and Arthritis is a clear, concise and user-friendly book gathering the latest research to bring the reader state-of-the-art information on: Micronutrients (e.g. vitamins C, D and selenium), food supplements and their potential to ameliorate arthritis Polyunsaturated fatty acids, with particular attention paid to n-3 fatty acids Glucosamine and chondroitin The value of exclusion, vegetarian, vegan and other dietary approaches Nutritionists and dietitians, including those working in the health services, rheumatologists, orthopaedic surgeons, general practitioners, osteopaths and commercial organisations involved in the formulation of dietary supplements will find this book an important and practical reference source. Libraries in medical schools and universities and research establishments where nutrition, dietetics and food science are studied and taught will find it a valuable addition to their shelves.
Stroke is a common and devasting event, which often results in death or major loss of independence, with immense human and financial costs. In the developed world stroke accounts for around 10 per cent of all deaths and is the most important single cause of severe disability among western people living in their own homes. Futhermore, in the next 30 years, the burden of stroke will grow substantially in most developing nations. There is now substantial evidence that dietary habits not only influence the prevalence of stroke, but also its course and outcome once it has occurred. The author, Salah Gariballa, who has many years’ experience working in this area, carefully presents and reviews this information in a user-friendly and accessible manner. The book is divided into three major sections. Section I covers nutrition and ageing and includes chapters on the challenge of stroke, ageing changes and nutrition, macro- and micronutrient intake in elderly people and the diagnosis of protein-energy undernutrition. Section II deals with nutritional factors and the risk of stroke, and includes details of the role of dietary and nutritional factors in stroke prevention, antioxidants and risk from ischaemic stroke, homocysteine and endothelial dysfunction. The final section of the book covers nutrition factors following stroke, including cerebral ischaemia, protein-energy undernutrition and the nutritional status and support of stroke and special stroke patients. A final chapter looks at probable future directions, including important recommendations. Nutrition and stroke is essential reading for nutritionists, dietitians and many other groups of health professionals, including general practitioners, gerontologists, occupational therapists and nursing staff. Personnel in pharmaceutical and food companies involved in the formulation of dietary supplements and nutraceuticals will find much of interest within the book’s covers. Those dealing with the prevention and treatment of stroke around the world should read this book, and copies should be available in libraries of universities and medical schools worldwide.
This exciting and important book covers the impact on demography of the nutrition of populations, offering the view that the change from the hunter-gatherer to an agricultural life-style had a major impact on human demography, which still has repercussions today. Demography and Nutrition takes an interdisciplinary approach, involving time-series analyses, mathematical modelling, aggregative analysis and family reconstitution as well as analysis of data series from Third World countries in the 20th Century. Contents include details and analysis of mortality oscillations, food supplies, famines, fertility and pregnancy, infancy and infant mortality, ageing, infectious diseases, and population dynamics. The authors, both well known internationally for their work in these areas, have a great deal of experience of population data gathering and analysis. Within the book, they develop the thesis that malnutrition, from which the bulk of the population suffered, was the major factor that regulated demography in historical times, its controlling effect operated via the mother before, during and after pregnancy. Demography and Nutrition contains a vast wealth of fascinating and vital information and as such is essential reading for a wide range of health professionals including nutritionists, dietitians, public health and community workers. Historians, social scientists, geographers and all those involved in work on demography will find this book to be of great use and interest. Libraries in all university departments, medical schools and research establishments should have copies of this landmark publication available on their shelves.
This standard work has been comprehensively revised and expanded to meet the needs of the modern practising and student dietitian. In tune with current trends, a greater emphasis has been placed on public health issues such as the treatment of childhood nutritional disorders in the community, including obesity and faltering growth. The book now also contains a dedicated chapter on the important issue of allergy prevention. Edited by leading experts at Great Ormond Street and the Institute of Child Health Officially supported by the British Dietetic Association Written for dietitians, by dietitians With worked examples of dietary management given throughout, Clinical Paediatric Dietetics is an indispensable guide for all those involved in the nutritional treatment of children.
Continuing accumulation of scientific evidence demonstrates that nutrition is one of the most important determinants of health for the individual, and that specific nutrition habits of various populations can significantly decrease the overall risk of several chronic diseases. This landmark publication, which contains papers presented at the 1st Nutrition and Health conference, covers the major topics relating to nutritional aspects of health. Chapters within this important book cover vital health issues, including details of the links between diet and cardiovascular disease, obesity, cancer, diabetes and osteoporosis. Further chapters within Nutrition and Health cover important nutritional issues, for example managing the human gut flora, vegetarianism and the role of phytoprotectants. Each chapter has been written by a well-known expert, and the whole has been drawn together and carefully edited, providing an important reference resource for the future. All health professionals interested or involved in nutrition and the impact of nutrition on health should have a copy of this book on their shelves, as should libraries in all medical schools, and universities and research establishments where nutrition, dietetics and food science are studied and taught. Also available from Blackwell Publishing A major series of textbooks from the Nutrition Society Introduction to Human Nutrition (0 632 05624 X) Nutrition and Metabolism (0 632 05625 8) Clinical Nutrition (0 632 05626 6) Public Health Nutrition (0 632 05627 4) Nutrition Bulletin (Journal) Published quarterly ISSN: 0141 9684 Adverse Reactions to Foods Edited by J. Buttriss (BNF) 0 632 055472 Principles of Human Nutrition Second edition M. Eastwood 0 632 05811 0
This book provides an up to date reference for healthcare professionals working in palliative care. It provides an overview of resuscitation in palliative care, and then looks at guidelines, decision making, including patient and family in the decision making process and the law and ethics of resuscitation. Written in an easily understandable and absorbable manner, it brings to light the difficulties which may be involved in palliative care, and reinforces the importance of correct decision making and communication is in this field.
Learning disability nurses play a leading role in the care and support of people with learning disabilities. Learning Disability Nursing explores the theory and practice of learning disability nursing, with an emphasis on understanding the experiences of learning disability nurses as they seek to practice effectively. It examines key issues faced by people with learning disabilities and those who support them and promotes the role of knowledgeable and reflective practitioners. * Develops a framework for learning disability nursing practice * Examines key issues for people with learning disabilities * Identifies distinctive features of learning disability nursing * Supports learning disability nurses in developing their roles and to support those with learning disabilities in exercising their rights. * Explores ethical and moral dilemmas, challenges and successes
The increasing number of individuals with co-existing substance misuse and psychiatric disorders presents a key challenge to mental health and addiction nurses. This practice-based text focuses on the management and intervention strategies to effectively meet the needs of this client group in both community and residential settings. Dual Diagnosis Nursing is a comprehensive text for practitioners on contemporary approaches to working with dual disorder and dual diagnosis patients. It explores both clinical and theoretical perspectives in a variety of different care and treatment settings, addressing key issues such as needs of special populations, multi-dimensional assessment, dealing with emergencies, prescribing and medication management, nursing and psychological interventions, spiritual needs, carers’ interventions and professional development.