Unconventional Organ Damage in Diabetes - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 813123214X
Total Pages : 112 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Unconventional Organ Damage in Diabetes - ECAB by : Samar Banerjee

Download or read book Unconventional Organ Damage in Diabetes - ECAB written by Samar Banerjee and published by Elsevier Health Sciences. This book was released on 2012-09-14 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cell health depends on a steady supply of fuel from glucose and free fatty acids. Both these major fuels are regulated by insulin. Cells in the muscle, liver, and fat need insulin to receive glucose, and hence do not become exposed to high blood glucose levels when the blood sugars are high and insulin levels are low. The lack of insulin slows the movement of glucose into these cells, and probably spares them from damage when blood sugars are high. However, other cells such as those in the brain, nervous system, heart, blood vessels and kidneys pick up glucose directly from the blood without using insulin. These cells, except the brain, are more prone to damage from high blood sugars because they become exposed to high internal levels of glucose. This to quite an extent explains why damage tends to occur in specific organs such as in nerve and kidney cells, and in small blood vessels like those in the eyes. This project on the organ damage in diabetes is an attempt to elaborate on the various factors to be considered in managing these patients, the pointers for early diagnosis and prevention of the same.

Insulin Resistance - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131232212
Total Pages : 131 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Insulin Resistance - ECAB by : Gita Ganguly Mukherjee

Download or read book Insulin Resistance - ECAB written by Gita Ganguly Mukherjee and published by Elsevier Health Sciences. This book was released on 2010-10-26 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: The insulin resistance syndrome can be defined as insulin resistance, compensatory hyperinsulinemia, and their associated co-morbidities. Clinically, the term insulin resistance syndrome describes a constellation of abnormalities such as obesity, hypertension, dyslipidemia, type 2 diabetes/hyperglycemia, and coronary artery disease. Insulin is responsible for glucose uptake into the body cells and tissues. The response of the cells to insulin varies from individual to individual. In some individuals, the tissue response to insulin may be diminished. This means that even with adequate levels of insulin, the glucose uptake into the cells and tissues is not optimal. This results in a compensatory over-secretion of insulin from the pancreas. The persistence of high levels of insulin in the blood or hyperinsulinemia is thought to be responsible for some of the abnormalities associated with this condition. However, the exact causal association of the condition with these disorders and the pathophysiology of their evolution are unclear. The most common underlying mechanism proposed is increased free fatty acids from abdominal fat in individuals with central obesity. This leads to deranged insulin signaling, reduced muscular glucose uptake, increased triglyceride synthesis, and hepatic gluconeogenesis. A genetic basis of the disease as well as several other factors such as tumor necrosis factor-a, adiponectin, leptin, Interleukin-6, and some adipokines have also been implicated. Insulin resistance syndrome is of clinical significance because of its association with potentially debilitating conditions that contribute to long-term morbidity and even mortality of the individual. People with insulin resistance syndrome are at an increased risk of developing type 2 diabetes, hypertension, dyslipidemia, myocardial infarction, polycystic ovarian disease, and fatty liver. In this book, we have tried to collate the experiences of the pioneers of this field on the subject and provide the reader a comprehensive view on the topic along with practical management points, which we are sure will benefit the physicians in their clinical practice. The contributors have focused on the condition as is prevalent in our subcontinent and have tried to give an insight on the issues pertaining to the same with a topical flavor.

Critical Issues and Diabetes - ECAB - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131239241
Total Pages : 124 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Critical Issues and Diabetes - ECAB - E-Book by : Samar Banerjee

Download or read book Critical Issues and Diabetes - ECAB - E-Book written by Samar Banerjee and published by Elsevier Health Sciences. This book was released on 2014-12-12 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical Issues and Diabetes - ECAB - E-Book

Infections in Diabetes - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131232069
Total Pages : 110 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Infections in Diabetes - ECAB by : Samar Banerjee

Download or read book Infections in Diabetes - ECAB written by Samar Banerjee and published by Elsevier Health Sciences. This book was released on 2012-07-05 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients with diabetes are predisposed to infections. The risk ratio for infectious disease-related hospitalization for diabetic versus nondiabetic persons is more than 2, and almost 2 for death attributable to infection. Infections in diabetes may precipitate metabolic derangements and, conversely, the metabolic derangements of diabetes may facilitate infection. Abnormalities in the microvascular circulation of individuals with diabetes may result in decreased tissue perfusion, which facilitates the acquisition of infection and impairs response to therapy. The incidence of TB among diabetic patients is 2–5 times higher when compared to the general population, which recently has raised the concern that a combination of DM and HIV infection might lead to a further increased incidence of TB in India and in other developing nations. However, it is unclear whether diabetes is an independent risk for common upper and lower respiratory tract infections. Urinary tract is also reported to be the most prevalent site of infection in patients with diabetes. These infections are known to account for a relatively smaller percentage of reported patients probably due to the fact that most patients, including diabetics, with urinary tract infection are treated as outpatients. A number of long-term effects of diabetes mellitus on the genitourinary system predispose diabetic patients to bacterial urinary tract infections. In addition, complications of urinary tract infection (e.g., bacteremia, renal abscesses, and renal papillary necrosis) are more common in patients with than without diabetes. Rhinocerebral mucormycosis and emphysematous pyelonephritis are some of the less commonly reported conditions seen in diabetics though being important pathologies. The primary goal of this book is to provide a high-quality, evidence-based text on the various aspects of the associations of various infections in diabetics with prime focus on TB and diabetes, rare conditions such as rhinocerebral mucormycosis and emphysematous pyelonephritis and also the various acute infections commonly reported in the condition. The book includes in-depth analysis of the diagnostic and management issues considering the same.

Insulins in Diabetes - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131232077
Total Pages : 122 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Insulins in Diabetes - ECAB by : Rangasamy V. Jayakumar

Download or read book Insulins in Diabetes - ECAB written by Rangasamy V. Jayakumar and published by Elsevier Health Sciences. This book was released on 2012-07-05 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decision making in instituting insulin therapy is an important aspect of diabetes management. The appropriate insulin regimen for an individual patient should take into account the patient’s lifestyle, age, motivation, general health, self-management skills, and treatment goals. In addition, a discussion of the newer insulins versus older insulin is a much desired topic in the Indian context. Another area of interest is the insulin delivery mechanism in the intensive care units in hospital settings. This CME module is designed to address such questions with supportive typical clinical scenarios, with which all readers will be able to identify. Thus it provides an excellent opportunity to widen one’s perspective in this area.

Lipids in Diabetes - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131232131
Total Pages : 134 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Lipids in Diabetes - ECAB by : S V Madhu

Download or read book Lipids in Diabetes - ECAB written by S V Madhu and published by Elsevier Health Sciences. This book was released on 2013-07-23 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes mellitus is associated with a greater risk of developing atherosclerotic macrovascular diseases like myocardial infarction, stroke, and peripheral vascular disease. There is 2- to 4-fold increased risk of atherosclerotic heart disease and stroke in diabetic patients compared to non-diabetic patients. As the prevalence of type 2 diabetes is increasing rapidly, this diabetes related atherosclerotic disease is predicted to be a major public health problem. Atherosclerosis is a complex process and in diabetic patients, it behaves differently with increased lesion progression and severity. This accelerated atherosclerotic process in diabetics is explained on the basis of several risk factors like hyperglycemia, dyslipidemia, accelerated formation of advanced glycation end products, increased oxidative stress, and genetic factors. It is difficult to establish precisely the elements responsible for this atherosclerosis in diabetics, but by epidemiological, clinical, and by animal studies, it has been possible to get an idea of this problem in diabetics. Of the several risk factors for atherosclerosis in diabetes, dyslipidemia is the leading one, and an insight into the pathophysiologic relation of isolated triglyceridemia in Indian diabetics with the identification of the targets for control of lipids in diabetes (practical vs. ideal) needs to be well understood by the treating physician. This book is designed to address such issues with supportive typical clinical scenarios, with which the readers will be able to identify. Thus, it provides an excellent opportunity to widen one’s perspective in this area.

Diabetic Foot - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131232085
Total Pages : 146 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Diabetic Foot - ECAB by : Arun Bal

Download or read book Diabetic Foot - ECAB written by Arun Bal and published by Elsevier Health Sciences. This book was released on 2012-07-05 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: Of all lower extremity amputations, 40–70% are related to diabetes. In most studies, the incidence of lower leg amputation is estimated to be 5–25/100,000 inhabitants/year: among people with diabetes the number is 6–8/1,000. Lower extremity amputations are usually preceded by a foot ulcer in people with diabetes. The most important factors related to the development of these ulcers are peripheral neuropathy, foot deformities, minor foot trauma, and peripheral vascular disease. The spectrum of foot lesions varies in different regions of the world due to differences in socioeconomic conditions, standards of foot care and quality of footwear. This clinical update is designed to address this condition in a comprehensive way to help the reader take important questions while managing the patient with supportive typical clinical scenarios, with which all readers will be able to identify. Thus it provides an excellent opportunity to widen one’s perspective in this area.

ECAB Deceased Donor Transplantation: Lessons to Learn - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131239519
Total Pages : 115 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis ECAB Deceased Donor Transplantation: Lessons to Learn - E-Book by : Georgi Abraham

Download or read book ECAB Deceased Donor Transplantation: Lessons to Learn - E-Book written by Georgi Abraham and published by Elsevier Health Sciences. This book was released on 2014-12-11 with total page 115 pages. Available in PDF, EPUB and Kindle. Book excerpt: ECAB Deceased Donor Transplantation: Lessons to Learn - E-Book

Chronic Rhinosinusitis - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131232387
Total Pages : 305 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Chronic Rhinosinusitis - ECAB by : V P Sood

Download or read book Chronic Rhinosinusitis - ECAB written by V P Sood and published by Elsevier Health Sciences. This book was released on 2012-06-15 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic rhinosinusitis is a widely prevalent condition globally as well as in India. The chronicity of the condition and its multifactorial origin makes the detection of the underlying mechanism of the disease difficult to detect and renders the management challenging. This clinical update handbook put together by the eminent exponents of otolaryngology in India aims to simplify this elusive condition for the benefit of all practitioners involved in the management of this disease. The first chapter highlights socio-economic burden and the impact of this disease on the health related quality of life. The second chapter describes the underlying mechanisms involved in development of the disease. The third chapter showcases the various diagnostic modalities used to detect the disease, differentiate it from other similar conditions and assess its severity. The fourth chapter gives a very succinent overview of the various management modalities. The fifth chapter encapsulates the medical treatment and the sixth offers a lucid description of the latest surgical techniques for this disease. The seventh chapter deals with the other associated conditions that can confuse, complicate or impact the management of the disease as well as affect its prognosis. The eighth chapter describes fungal rhinosinusitis, which is of special importance because of its high prevalence in India.

ECAB Recent Advances in Hepatology - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131239705
Total Pages : 151 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis ECAB Recent Advances in Hepatology - E-Book by : Sanjiv Saigal

Download or read book ECAB Recent Advances in Hepatology - E-Book written by Sanjiv Saigal and published by Elsevier Health Sciences. This book was released on 2014-12-11 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt: ECAB Recent Advances in Hepatology - E-Book

Hepatitis - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131231860
Total Pages : 138 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Hepatitis - ECAB by : Abhijit Chowdhury

Download or read book Hepatitis - ECAB written by Abhijit Chowdhury and published by Elsevier Health Sciences. This book was released on 2009-07-15 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hepatitis means inflammation of the liver, which can be classified as acute or chronic depending upon the duration of the condition. Various etiological agents have been correlated with the occurrence of various forms of the disease. The developed countries have a majority of drug-induced and toxic liver injury, while the developing countries like India present with a majority of feco-oral and blood borne transmissions of the disease. Viral hepatitis virtually constitutes a separate etiological group. It causes a set of typical clinical, biochemical, and histological changes with or without icterus resulting from hepatic cell damage. It may be acute or chronic. The acute form causes considerable morbidity and mortality, and the chronic sequelae may prove to be fatal by resulting in liver cirrhosis and hepatocellular carcinoma (HCC). Hepatitis A and E are transmitted feco-orally, while B and C are transmitted only through blood/secretions. Hepatitis D occurs only in association with hepatitis B. Morphological pattern of liver injury in acute hepatitis varies with etiology and severity of insult. The typical lesion in all forms of acute viral hepatitis is panlobular infiltration with mononuclear cells, predominantly lymphocytes, hepatic cell necrosis, and variable degree of cholestasis, Kupffer cell hyperplasia. In fulminant hepatic failure, massive hepatic necrosis results in a soft shrunken liver. All forms of acute viral hepatitis run similar clinical course, which include incubation period after infection during which they are asymptomatic, followed by prodromal, icteric, and convalescent phases. Extrahepatic manifestations of viral hepatitis include renal, neurological, and hematological disorders. Most patients with acute viral hepatitis recover with supportive management. Hospitalization is required only in severe cases as evidenced by prolonged PT, altered sensorium, deep jaundice with ascites. Identification of etiology of acute hepatitis is of prime importance for the treatment of hepatitis. Definitive therapy is needed in drug-induced hepatitis. Most mild forms of viral hepatitis resolve with supportive treatment. Progressive liver failure mandates urgent liver transplantation. Prognostic models (Kings’ College criteria, Clichy’s criteria) have been developed for early identification of patients who would require liver transplant.

ECAB Clinical Hepatology - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131239543
Total Pages : 137 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis ECAB Clinical Hepatology - E-Book by : Deepak Amarapurkar

Download or read book ECAB Clinical Hepatology - E-Book written by Deepak Amarapurkar and published by Elsevier Health Sciences. This book was released on 2014-12-11 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: ECAB Clinical Hepatology - E-Book

Acute Pancreatitis - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131231895
Total Pages : 282 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Acute Pancreatitis - ECAB by : Pramod Kumar Garg

Download or read book Acute Pancreatitis - ECAB written by Pramod Kumar Garg and published by Elsevier Health Sciences. This book was released on 2013-05-24 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute pancreatitis is defined as an acute inflammatory process of the pancreas that may also involve peripancreatic tissues and/or remote organ systems. It typically presents with sudden deep, boring pain that starts in the epigastrium and radiates to the back, which usually worsens on intake of food. It may be of varying severity ranging from mild to severe. Mild disease, if managed promptly and adequately resolves with minimal or no sequelae and seldom leads to extended morbidity or mortality. However Severe Acute Pancreatitis has a longer course of resolution, usually requires hospitalization and has a greater propensity to lead to adverse outcomes. As a thumb rule, it has greater morbidity and mortality rates as compared to Mild Acute Pancreatitis. Understandably, the management protocol for the severe acute pancreatitis is more invasive and emergent, and may require intensive care management. Hence understanding and assessment of the condition in the first 48 hours is a critical step in deciding the outcome. The various assessment criteria that are used to prognosticate and plan the management for this disease have been discussed in this clinical update. Previously, the condition was thought to be caused by infection, but now it is an established fact that it is an acute inflammation of the pancreatic gland with activation of the pancreatic enzymes within the gland leading to its autodigestion. Previously, acute pancreatitis was considered to be mostly associated with chronic alcohol abuse or acute bouts of binge drinking. With the availability of data from recent studies in India and the Asian subcontinent, Biliary disease is emerging as the commonest etiological agent. Extensive genetic analysis and mapping have helped put a cause to the erstwhile "idiopathic" cases. Newer diagnostic modalities and minimal invasive procedures have made the conventional surgeries nearly obsolete now. The rationale and use of antimicrobial treatment in the medical management of the condition has also undergone a change. This clinical update has been designed to update the readers on the important aspects of Acute Pancreatitis. The book has stressed upon various aspects of the condition like the etiology, pathogenesis, diagnosis and evaluation along with an insight into the management approach of the patient including the supportive and nutritional management. Overall, the book presents to the readers an excellent compilation of clinically applicable literature sourced from the most acclaimed physicians in the country.

ECAB Reviews in Neurology 2013 - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131239691
Total Pages : 151 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis ECAB Reviews in Neurology 2013 - E-Book by : Shyamal Kumar Das

Download or read book ECAB Reviews in Neurology 2013 - E-Book written by Shyamal Kumar Das and published by Elsevier Health Sciences. This book was released on 2014-12-11 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt: ECAB Reviews in Neurology 2013 - E-Book

A Dictionary of Chemical Engineering

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Publisher : OUP Oxford
ISBN 13 : 0191002690
Total Pages : 449 pages
Book Rating : 4.1/5 (91 download)

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Book Synopsis A Dictionary of Chemical Engineering by : Carl Schaschke

Download or read book A Dictionary of Chemical Engineering written by Carl Schaschke and published by OUP Oxford. This book was released on 2014-01-09 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Dictionary of Chemical Engineering is one of the latest additions to the market leading Oxford Paperback Reference series. In over 3,400 concise and authoritative A to Z entries, it provides definitions and explanations for chemical engineering terms in areas including: materials, energy balances, reactions, separations, sustainability, safety, and ethics. Naturally, the dictionary also covers many pertinent terms from the fields of chemistry, physics, biology, and mathematics. Useful entry-level web links are listed and regularly updated on a dedicated companion website to expand the coverage of the dictionary. Comprehensively cross-referenced and complemented by over 60 line drawings, this excellent new volume is the most authoritative dictionary of its kind. It is an essential reference source for students of chemical engineering, for professionals in this field (as well as related disciplines such as applied chemistry, chemical technology, and process engineering), and for anyone with an interest in the subject.

Acute Cholecystitis

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Publisher : Springer
ISBN 13 : 3319148249
Total Pages : 231 pages
Book Rating : 4.3/5 (191 download)

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Book Synopsis Acute Cholecystitis by : Soumitra R. Eachempati

Download or read book Acute Cholecystitis written by Soumitra R. Eachempati and published by Springer. This book was released on 2015-08-20 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text covers all aspects of the current diagnosis and treatment of acute cholecystitis. Different diagnostic tests are discussed as well as the preoperative evaluation needed to initiate treatment. Other sections include the management of acute cholecystitis in the critically ill and elderly patients, recent advances in operative strategies that have further altered the treatment of acute cholecystitis, and the utilization of routine intraoperative cholangiography and its relative merits. Primarily intended for general surgeons and residents training in general surgery, Acute Cholecystitis will also serve as a comprehensive reference material for other health care providers, including primary care providers, mid-level nurse practitioners, emergency room physicians and medical students.

Photosynthetic Microorganisms

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Author :
Publisher : Springer
ISBN 13 : 3319091239
Total Pages : 131 pages
Book Rating : 4.3/5 (19 download)

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Book Synopsis Photosynthetic Microorganisms by : Shailendra Kumar Singh

Download or read book Photosynthetic Microorganisms written by Shailendra Kumar Singh and published by Springer. This book was released on 2014-08-25 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a cohesive overview of carbon concentrating mechanism (CCM) of photosynthetic microorganisms such as cyanobacteria and microalgae. This unique mechanism is by far the most spectacular physiological process in algal growth and productivity. Due to this fact, the study of CCM has captivated phycologists, algal molecular and cellular biologists, botanists, agriculturalists, crop growers, and most recently algal biofuel researchers, around the world. In the brief, the authors draw a contextual in-depth overview, on the basis of the latest findings, to develop an account of the core concepts regarding state-of-the-art of CCM. Subsequent chapters use this account to explore carbon concentrating mechanism of cyanobacteria and microalgae. They highlight the concise summaries of cutting-edge research and integrated industrial applications of photosynthetic microorganism based CO2 mitigation system, across a wide spectrum of energy and environment. The brief also presents sustainable perspectives of carbon concentrating mechanism in the context of current global energy and environmental challenges.