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Pharmaceuticals, due to their pseudo-persistence and biological activity as well as their extensive use in human and veterinary medicine, are a class of environmental contaminants that is of emerging concern. In contrast to some conventional pollutants, they are continuously delivered at low levels, which might give rise to toxicity even without high persistence rates. These chemicals are designed to have a specific physiological mode of action and to resist frequently inactivation before exerting their intended therapeutic effect. These features, among others, result in the bioaccumulation of pharmaceuticals which are responsible for toxic effects in aquatic and terrestrial ecosystems. It is extremely important to know how to remove them from the environment and/or how to implement procedures or treatments resulting in their biological inactivation. Although great advances have been made in their detection in aquatic matrices, there remains limited analytical methodologies available for the trace analysis of target and non-target pharmaceuticals in matrices such as soils, sediments, or biota. There are still many gaps in the data on their fate and behavior in the environment as well as on their threats to ecological and human health. This book has included nine current research and three review articles in this field.
ifosfamide --- cyclophosphamide --- 5-fluorouracil --- cytostatic drug --- BDD anode --- electrochemical oxidation --- intermediates --- lincomycin --- monensin --- roxarsone --- migration --- residual --- toxicity --- pharmaceuticals --- endocrine disrupting compounds --- hydroponic cultivation --- determining target pollutants in plant materials --- municipal wastewater treatment plants --- ionic liquids --- green chemistry --- environmental and biological samples --- sample preparation --- determination of pharmaceuticals --- chromatographic methods --- electromigration techniques --- sulfamethoxazole --- antibiotic resistance genes --- sul genes --- bacterial community --- constructed wetlands --- environmental contaminants --- pharmaceuticals occurrence --- aquatic compartments --- soil --- poultry farms --- ultra-high performance liquid chromatography --- antibiotics, antibiotic resistance --- antibiotics --- wastewater --- sewage sludge --- risk assessment --- removal efficiency --- LC-MS/MS analysis --- Spirotox --- fluoxetine --- sertraline --- paroxetine --- mianserin --- pharmaceuticals in the environment --- wastewaters --- pharmaceutical residues --- conventional wastewater treatments --- solid phase extraction --- pharmaceuticals toxicity --- environmental risk assessment --- antibiotic resistance genes (ARGs) --- antibiotic-resistant bacteria (ARB) --- wastewater treatment plants (WWTPs) --- activated sludge (AS) --- constructed wetlands (CWs) --- environmental pollution --- spread of resistance --- tetracyclines --- sulfonamides --- fate in the environment --- fate in WWTPs --- ecotoxicity --- antibiotic resistance --- development of methods
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Minimally invasive surgery has become a common term in visceral as well as gynecologic surgery. It has almost evolved into its own surgical speciality over the past 20 years. Today, being firmly established in every subspeciality of visceral surgery, it is now no longer a distinct skillset, but a fixed part of the armamentarium of surgical options available. In every indication, the advantages of a minimally invasive approach include reduced intraoperative blood loss, less postoperative pain, and shorter rehabilitation times, as well as a marked reduction of overall and surgical postoperative morbidity. In the advent of modern oncologic treatment algorithms, these effects not only lower the immediate impact that an operation has on the patient, but also become important key steps in reducing the side-effects of surgery. Thus, they enable surgery to become a module in modern multi-disciplinary cancer treatment, which blends into multimodular treatment options at different times and prolongs and widens the possibilities available to cancer patients. In this quickly changing environment, the requirement to learn and refine not only open surgical but also different minimally invasive techniques on high levels deeply impact modern surgical training pathways. The use of modern elearning tools and new and praxis-based surgical training possibilities have been readily integrated into modern surgical education,which persists throughout the whole surgical career of modern gynecologic and visceral surgery specialists.
ovarian cancer --- laparoscopy --- minimally invasive surgery --- survival --- mortality --- platelet-rich plasma (PRP) --- thin endometrium --- hysteroscopy --- robotic surgery --- sexuality --- laparoscopic hysterectomy --- learning curve --- quality of life --- counseling --- patient-doctor-relationship --- body donors --- surgical education --- clinical anatomy --- live surgery events --- neuropelveology --- LION procedure --- genital nerves stimulation --- chronic pelvic pain --- esophagectomy --- esophageal cancer --- Ivor-Lewis procedure --- health-related quality of life --- cervical cancer --- robotic radical hysterectomy --- recurrence rate --- surgery --- artificial intelligence --- machine learning --- augmented reality --- hysterectomy --- NOTES --- minimally invasive --- systematic review --- meta-analysis --- pediatric surgery --- fetal surgery --- single-incision surgery --- surgical techniques --- surgical devices --- open surgery --- endoscopy --- endoscopic surgery --- cysts of the canal of Nuck --- Nuck hydrocele --- hydrocelectomy --- TAPP --- Lichtenstein --- colorectal liver metastases --- laparoscopic liver surgery --- minimal invasive surgery --- general anesthesia --- anesthetics --- perioperative care --- laparoscopic surgery --- endometrial cancer --- lymphadenectomy --- embryology --- sentinel lymph node mapping --- indocyanine green --- PMMR --- technical aspects --- rectal cancer --- mesorectal --- transanal --- laparoscopic --- local recurrence --- conversion rate --- minimally invasive surgical procedures --- radiotherapy --- ovarian neoplasms --- endometrial neoplasms --- uterine cervical neoplasms --- vaginal neoplasms --- vulvar neoplasms --- survival analysis --- n/a --- video feedback --- video modeling --- gynecology --- surgical training --- pelvitrainer --- prolapse --- pelvic floor --- native tissue --- pectopexy --- robotic assisted surgery --- pancreatic surgery --- pancreaticoduodenectomy --- pelvic floor repair --- laparoscopic repair --- vaginal repair --- mesh use --- VATS --- pain --- postoperative pain control --- thoracic surgery --- lung cancer --- intercostal catheter --- opioid --- regional anaesthesia --- hepatectomy --- single-port laparoscopy --- radiofrequency pre-coagulation --- endometriosis --- endometrioma surgery --- ovarian reserve --- anti-Müllerian hormone --- spontaneous pregnancy --- robotic liver resection --- da Vinci --- intraoperative imaging --- hepatocellular cancer --- real-life imaging --- hepatic metastasis --- COVID-19 --- sars-cov-2 --- surgical performance --- 3D printing --- skill assessment --- snorkel mask --- malabsorption --- Roux-en-Y gastric bypass --- one-anastomosis gastric bypass --- SADI-S --- biliopancreatic diversion --- weight regain --- hepatocellular carcinoma --- cholangiocarcinoma --- risk score --- pelvic compartments --- embryologic development --- oncologic surgery --- pelvic lymphonodectomy --- topographic anatomy --- autonomic pelvic nerves --- uterine cancer --- prostate cancer --- diaphragmatic hernia --- liver resection --- hernia repair --- mesh --- enterothorax --- anti-Müllerian hormone
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