Investigations on anatomical specimens have demonstrated that the subchondral mineralization does indeed show regular distribution patterns from which conclusions about the mechanical situation within an individual joint may be drawn. Since radiographical densitometry and histological methods are only available for determining the adaptive reaction of the bone to the mechanical situation in a joint after death, the information obtained applies only to an end situation and tells us nothing about the development of the changes with time. Furthermore, investigations carried out on human specimens by radiographical densitometry mostly apply to samples of a particular age, since such specimens can be acquired only from departments of pathology, forensic medicine or anatomy.

Glomerular flltration represents one of the basic mechanisms in the function of an organism. Our understanding of this process is still quite fragmentary. Regulation of blood flow and pressure, together with regulation of the ultraflltration coefficient (which is an attribute of the flltration barrier), are the two fundamental mechanisms accounting for maintenance and adaptability of glomerular flltration. Regulation of glomerular blood flow is generally considered to result from an interplay between afferent and efferent glomerular arterioles, and much progress has been made recently in understanding this interplay (Navar et al. 1996). The present study provides a detailed structural description of the glomerular vascular pole of rat. The results of this study appear to be relevant for several open questions of glomerular function. First, the interaction between afferent and efferent arterioles in regulating glomerular blood is generally understood to occur between the preglomerular and the postglomerular portions of these vessels. As shown in the present study, the structural elaborations of these arterioles and the spatial relationships between them within the glomerular hilum strongly suggest an interplay also at this site. Moreover, the current understanding of glomerular blood flow regulation by tuning the interplay between afferent and efferent arterioles is exclusively based on signals whose regulatory loops are established in follow-up events outside the glomerulus (tubuloglomerular balance, tubuloglomerular feedback).

With 38 specialist contributors, the author provides detailed guidelines for preparing histopathology reports, the interface between pathologists and clinicians. Organized on a systematic basis, the book provides lists of histopathological features to be considered and numerous specimen reports.;This book should be of interest to trainee pathologists and house officers; trainee clinicians; MRCPath students.

Originally published as part of the McMinn anatomy atlas family, McMinn's Color Atlas of Head and Neck Anatomy remains the only large format photographic atlas of the human head and neck, incorporating outstanding dissections, osteology, radiographic and surface anatomy images. It is the ideal study aid or trusted reference for the range of students and practitioners who require a detailed understanding of the head and neck, including those in dentistry, radiology and surgery. Dissections are accompanied by concise notes and commentaries, as well as orientational artworks to help readers locate the structure on the body. Dental anaesthesia information and important quick reference lists are also incorporated in appendices at the back of the book. This updated fifth edition offers increased clinical relevance and features an entirely new chapter on Imaging of the Head and Neck, reflecting the very latest modalities and techniques. It also comes with the complete, enhanced eBook for the first time. Increased clinical relevance - helps translate traditional anatomy into current clinical practice All new state-of-the-art clinical imaging - including: 3T MRI of the brain with tractography Cone-beam CT assessment of the jaws and middle ear Concise notes and commentaries for every dissection Dedicated dental section Access to complete downloadable eBook version via Expert Consult, with bonus enhancements - including: Over 180 additional figures - expands the imaging of normal and developmental structures and highlights common and clinically important variations, anomalies, defects and diseases Interactive question bank - over 150 multiple choice questions to aid exam preparation and check your understanding

}This eloquent book takes us on a spell-binding journey into the workings of our bodies in health and disease. Dr. Charles A. Pasternak captivates us with his vivid and even poetic explanations of what keeps us healthy and vital, and what tears away at our health. He possesses the gift for rendering complex topics clear and lyrical, as in the ways our molecules interact with one another to decide the fate of our heart, brain, and lungs---whether we live or die.Why does disease rear its ugly head? Why does cancer take hold in some of us and pass by others? What roles do nutrition and stress play in determining our chances for a long, fulfilling life? Can we hold our eventual demise at bay by trying novel drugs and therapies? Dr. Pasternak also explores to what extent the illnesses we sufferand even our level of intelligenceare dependent on the genes we inherit from our parents, or the food we eat, or even the environment we inhabit. The story of our bodies is a true saga that has never before been so engrossingly told. }

This is a classification of tumours and tumour-like lesions of the liver. It is based primarily on the microscopic characteristics of the tumours, and is therefore concerned with morphologically identi- fiable cell types and histological patterns. The haematoxylin- and eosin-stained section remains the mainstay of morphological diag- nosis, but special histochemical stains are often helpful and have been referred to in the explanatory notes. Readers interested in specific special stains mentioned in the text should consult Labora- tory Methods in Histotechnology of the Armed Forces Institute of *Pathology, Washington, D. c., USA. 1 The results of immunohisto- chemical methods for identifying various tumour "markers" have also been noted whenever indicated. The present classification incorporates all the previously classi- fied tumours, but also includes several new lesions, viz. biliary papil- lomatosis, the fibrolamellar variant of hepatocellular carcinoma and epithelioid haemangioendothelioma. Several subtypes of hepato- blastoma are mentioned. A serous type of bile duct cystadenoma is described. The section on tumour-like lesions has been expanded to include focal fatty change and inflammatory pseudotumour. The section on adenomatous hyperplasia, including macroregenerative nodules, has been amplified. The number of photomicrographs has been increased from the original 56 to 150. Unlike the first edition, the photomicrographs in the second edition are mostly black and white. All are new and were taken of representative cases on file at the Armed Forces Institute of Pathology.

1. 1 Scientific Aims In recent years, there has been a definite trend away from the casuistic scientific thinking which has dominated the scientific world, at least in the field of medicobi ological research. Now, in the last decade of this century, scientists are returning to a conceptual way of thinking that characterized the beginning of this century, namely organismal thinking. The holistic concept is not a new one; it was rekindled by a small group of scientists who, in the previous two decades, have begun to warn against too great an emphasis being placed on a molecular casuistic approach as the final pursuit to science (see Duncker 1983). These thinkers were perhaps instrumental in helping to turn the tide, to instruct and encourage fellow researchers to extend their findings from the molecular and to the organismal (see Duncker 1983, 1992a, b; Duncker and Kreite 1987). Having observed the ceca of many different animals for many years and having described their morphology at different levels of study -from the macroscopic to the electron microscopy level - the need to compare and observe these morphological entities in a quantitiative way became increasingly imminent. Quantitative methodol ogy in morphology requires the use of morphometry, which in the most general terms can be described as the measurement of the forms of animals. As defined by Reith and Meyhew (1988), it is quantitative morphology, i. e., the measurement of structures by any method, including stereology."

In the last few years, considerable attention has been paid to the presence of insulin-like growth factors (IGFs) and their binding proteins (IGF-BPs) in the brain and peripheral neuronal tissue. IGFs are synthesized within the CNS, are bound to specific IGF-BPs and act on specific receptors. They represent a new class of growth factors and messengers in the brain and the periphery. Written by a group of outstanding experts in the field, the book provides an invaluable forum where important aspects of the production, regulation, biological actions, pathophysiological involvement, therapeutic applications for IGFs in many neurologic and neuromuscular disorders are addressed and critically evaluated.

This book differs from others in the Histological Typing series by including more clinical aspects and by concentrating on cancer and precancer of the oral mucosa rather than attempting to cover all benign and malignant tumors of the oral and oropharyngeal tissue. One main aim is to inform general pathologists of the significance of the clinical features of the various lesions discussed as, on the whole, they may be unfamiliar with this territory. Attention is also drawn to those conditions particular to the oral mucosa that may give rise to appearances which are important in differential diagnoses but can be misleading to the pathologist who does not have detailed knowledge of the tissue involved. The TNM-classification for malignant tumors of the lip and oral cavity is also included.

The knowledge of the mammalian central nervous pared by Ms. Anne Dunn. I am truly grateful for system has increased dramatically during the last their contributions. decade, which has provided a major impetus for A caveat is in order for the first 5 figures in preparing the second edition of The Human Brain Chapter 10, which represent cross-sections through and Spinal Cord. For the medical profession this has different levels of the brainstem. Considering the been a revolutionary time, since modem imaging rapidly expanding reliance on in vivo imaging by the methods have provided unparalleled opportunities clinicians, figures 10-1 to 10-5 are presented with for anatomical and functional studies of the human the posterior parts of the brainstem facing down body in vivo. It is now essential for the clinician to wards, since this is the way the brainstem images have an intimate knowledge of anatomy including appear in axial MRls routinely used by neuro the functional-anatomical systems in the brain radiologists (see Chapter 5). This somewhat un and spinal cord. The new edition of this textbook conventional approach, suggested by Dr. Duane reflects this progress in the sense that almost all of Haines, is directly relevant for the transfer of basic the chapters have been rewritten and several new science information to clinical practice. All other figures have been included.

Over 400 short videos highlight the steps in a full-body human dissection in the gross anatomy lab. Each step is narrated and key structures labeled. Text of the audio is included for each video so that the narration can be appreciated without audio as well. In addition, key structures are defined and linked to a library of illustrations from the Atlas of Human Anatomy by world-renowned physician-artist Frank H. Netter, MD. The illustrations can be viewed in Test-Yourself mode to quiz your knowledge of structure names. This Retail Access Card contains a pincode that can be used to access the enhanced eBook on www.StudentConsult.com The eBook is viewable on desktop, laptop, and on phones and devices (via the Inkling app).

This chart illustrates ear anatomy including right auricle, right tympanic membrane, middle ear, auditory ossicles, membranous labyrinth, membranous ampulla, organ of Corti, macula of saccule. It also explains and shows how we hear--the physiology of sound.

Lippincott (R) Connect Featured Title Purchase of the new print edition of this Lippincott (R) Connect title includes access to the digital version of the book, plus related materials such as videos and multiple-choice Q&A and self-assessments. The go-to tool for mastering histology, Gartner & Hiatt's Atlas and Text of Histology, 8th Edition, equips medical, dental, allied health, and biology students with a concise review of all of the major tissue classes and body systems in an engaging approach optimized for superior classroom and clinical success. A consistent presentation combines relevant text and detailed photomicrographs to facilitate understanding and provide valuable review for in-class and licensing examinations. Helpful explanatory text in each chapter details Histophysiology, Clinical Considerations, Summaries of Histologic Organization, and more, accompanied by more than 700 vivid, full-color, high-quality images. NEW! Streamlined organization aligns relevant text, figures, and Clinical Considerations in one place to help students study most effectively. NEW! Clinical vignette-style review questions provide valuable self-assessment and board exam preparation. More than 700 images - including colorful photomicrographs and illustration as well as clear electron micrographs - clarify relevant structures and anatomic relationships. Tissues That Resemble Each Other appendix hones students' ability to distinguish commonly confused tissues. Clinical Considerations demonstrate the link between histology and pathophysiology. Chapter Outlines and Summaries of Histologic Organization keep students focused on key concepts. Histologic Techniques chapter elucidates various stains and techniques. Abundant tables consolidate related topics for fast, efficient review. Lippincott (R) Connect features: Full access to the digital version of the book with the ability to highlight and take notes on key passages for a more personal, efficient study experience. Carefully curated resources, such as interactive diagrams, audio and video tutorials, and self-assessment, all designed to facilitate further comprehension. Lippincott (R) Connect also allows users to create Study Collections to further personalize the study experience. With Study Collections you can: Pool content from books across your entire library into self-created Study Collections based on discipline, procedure, organ, concept or other topics. Display related text passages, video clips and self-assessment questions from each book (if available) for efficient absorption of material. Annotate and highlight key content for easy access later. Navigate seamlessly between book chapters, sections, self-assessments, notes and highlights in a single view/page.

During the two decades since the publication of the first edition of Histological Typing of Bone Tumours, new methods of diagnosis, es- pecially radiological imaging techniques (computed tomography and magnetic resonance imaging), associated with advances in the new cytomorphological methods including immunohistochemistry, DNA ploidy analysis, cytogenetic chromosomal investigation, etc., have greatly improved our diagnostic tools and treatment results. These advances are reflected by the publication of new editions of various important textbooks in recent years. In these publications classifica- tion criteria differed. In contrast, the WHO classification has been relatively unaltered, and has introduced a limited number of new entities and subdivided others because of distinct histological features and biological be- haviour. In general the framework and the concept of the original classifi- cation, as it has been widely accepted, remains essentially unchanged. The classification is based on the line of histological differentiation, in many instances reflecting the type of intercellular matrix material produced. This approach is justified because it avoids theoretical his- togenetic controversies.

International experts review the molecular biology of ion channels, diseases of the central nervous system including Alzheimer's disease, the molecular biology of atherogenesis, plasma lipproteins, lipid transport, long chain fatty acid transport and metabolism, and lipoprotein receptors. Future directions and perspectives and common features in these important areas are discussed.

Knowledge of tumours of the thyroid gland has advanced consider- ably in the 22 years that have elapsed since work was started on the first edition of Histological Typing of Thyroid Tumours. In the intro- duction to that volume it was recognized that the definitions and clas- sifications put forward would need revision in time, and the present text differs substantially from the first edition. As far as is possible, however, the framework of the classification proposed remains the same, as the original classification was widely accepted and proved useful in many studies. The link between the morphological type of thyroid tumour and its epidemiology, natural history, function, prognosis and response to therapy has been further strengthened since the first edition. In par- ticular, the decision taken to separate papillary and follicular carcino- mas and exclude a mixed papillary follicular type has been well justi- fied. One of the major changes has been the recognition that many tu- mours regarded 20 years ago as small cell carcinoma were really ma- lignant lymphoma, and this development has been incorporated into this edition, with increased importance given to primary malignant lymphoma of the thyroid. Much work has also been done on medul- lary carcinoma of the thyroid, its link with mUltiple endocrine neo- plasia syndromes, and its association in its inherited form with C-cell hyperplasia; this too is recognized by an expanded section on this tu- mour.

A new approach using comparative neuromorphology is taken in this study dealing with the organization of the efferent nuclei of cranial nerves. The authors use the cobalt labelling technique to identify neuron types and follow their presence, or absence, in different animal species. They suggest a new classification which is free from a number of controversies inherent in the classical classification. The results suggest that evolutionary changes in the center and in the innervated periphary parallel each other with increasingly complex function.

The task of updating the classification was given to the Classification and Nomenclature Committee of the International Society of Gynecological Pathologists and its four subcommittees. This classification reflects the present state of knowledge and modifications are almost certain to be needed as experience accumulates. Since many of the tumours and tumour-like conditions in the classification occur in several sites in the female genital tract, cross-referencing from one site to another has been done in illustrating these lesions.

The Understanding the Hip & Knee chart presents an in-depth look at the structure of hip and knee joints. The main image shows the skeletal structure of both joints with and without ligaments. Smaller views highlight various aspects, such as menisci and cartilage. Heavy gauge 3ml lamination with sealed edges and two metal eyelets for hanging makes chart highly durable. Write-on/wipe-off with dry erase marker (not included).

Although more than 12 years have passed since publication of the first WHO histological classification of central nervous system (CNS) tumours, the changes in this revised edition are not radical. Only one formerly recognized entity has been deleted: the monstrocellular sarcoma, because there is immuno- cytochemical evidence of its astrocytic nature. Several new tumour types have been added: the pleomorphic xanthoastro- cytoma has been generally acknowledged for almost a decade; the neurocytoma has gradually evolved as a clinical-pathological entity; and two new entries, the dysembryoplastic neuroepi- thelial tumour and the desmoplastic infantile ganglioglioma, have only been characterized morphologically during the past few years. We regard the classification as an international standard to facilitate communication and have tried to avoid current con- ceptual controversies. The majority of partiCipants supported inclusion of the term "primitive neuroectodermal tumour" (pNET). However, because of our limited knowledge of the biol- ogy of embryonal CNS tumours, preference was given to use PNET selectively, rather than applying it to all small cell embryo- nal childhood tumours, irrespective of their histological pheno- type. Ependymomas and meningiomas now have new histological SUbtypes. Most of these are not associated with biological behaviour different from the parent tumour type, but their description will aid the practising pathologist to identify and classify these lesions. 2 Introduction Histological Typing Following the philosophy of this WHO series, classification is based primarily on histological assessment of cell types and tis- sue patterns recognized by conventional light microscopy.

Successfully learn to apply dental anatomy to the practice of dentistry with Wheeler's Dental Anatomy, Physiology, and Occlusion, 11th Edition. Updated and visually enhanced, the eleventh edition of this market-leading dental text expands its focus on clinical applications and includes dozens of online 360-degree and 3-D tooth animations to give you an unparalleled view of dentitions, pulp formation, the sequence of eruptions, and countless clinical considerations. Every text purchase also comes with access to the companion ExpertConsult website - where you can reference the entire text electronically as well as engage with a wealth of learning activities, animations, and hands-on resources to better understand and retain the information covered in your text. In all, this proven learning package offers all the up-to-date information, best practices, and tools to prepare you for the dental anatomy and occlusion section of the exams and ensure long-term clinical success. More than 800 full-color images include detailed, well-labeled anatomical illustrations as well as clinical photographs. Bolded key terms draw students' attention to essential terminology. Practical appendices include Review of Tooth Morphology with a concise review of tooth development from in utero to adolescence to adulthood; and Tooth Traits of the Permanent Dentition with tables for each tooth providing detailed information such as tooth notation, dimensions, position of proximal contacts, heights, and curvatures. 360-degree virtual reality and 3-D animations on Expert Consult help students refine their skills in tooth identification and examination. Step-by-step videos on Expert Consult demonstrate occlusal adjustments. Labeling exercises challenge students to identify tooth structures and facial anatomy with drag-and-drop labels. Chapter on clinical applications includes practical applications and case studies to prepare students for exams. Topics include root planing and scaling; extraction techniques and forces; relationship of fillings to pulp form and enamel form; and occlusal adjustment of premature occlusal contacts and arch form in relationship to bite splint designs. NEW! Learning objectives and pre-test questions at the start of every chapter focus students' attention on the knowledge and critical thinking expectations for each chapter. NEW! Full-color images have replaced many of the black and white images to give students a more vivid picture of clinical situations and procedures. NEW! Updated information incorporates new research and visuals to ensure students are equipped with the latest best practices. NEW! Access to the companion Expert Consult website includes hands-on exercises, animations, videos, quizzes, exams, and more to round out students' learning experience and help ensure their ability to apply book content.

There's a silent epidemic in western civilization, and it is right under our noses. Our jaws are getting smaller and our teeth crooked and crowded, creating not only aesthetic challenges but also difficulties with breathing. Modern orthodontics has persuaded us that braces and oral devices can correct these problems. While teeth can certainly be straightened, what about the underlying causes of this rapid shift in oral evolution and the health risks posed by obstructed airways? Sandra Kahn and Paul R. Ehrlich, a pioneering orthodontist and a world-renowned evolutionist, respectively, present the biological, dietary, and cultural changes that have driven us toward this major health challenge. They propose simple adjustments that can alleviate this developing crisis, as well as a major alternative to orthodontics that promises more significant long-term relief. Jaws will change your life. Every parent should read this book.

The international symposium on transposition of the great arteries was held in Munich on May 3-5, 1991. It was organized by the German Heart Center Muni eh with two aims: firstly, to commemorate the 25th anniversary of Dr. Rashkind's publication: "Creation of an atrial septal defect without thoracotomy" (which appeared in 1966 in the Journal of the American Medical Association), and to honor this great pediatric cardiologist, who was one the pioneers of interventional catheterization. secondly, to give an overview of current medical knowledge about the pre- and postnatal diagnosis, medical and surgical treatment, and postoperative evalua- tion of transposition of the great arteries. Fig. 1. Dr. Rashkind in his Iabaratory checking his balloon catheter V This symposium brought tagether embryologists, morphologists, experts in fetal cardiology, pediatric cardiologists, and pediatric cardiac surgeons from 10 different countries. Thus, we were able to describe the current state-of-the-art of pre- and postnatal management and the surgical treatment of this second most common con- genital cyanotic anomaly of the heart. Dr. Rashkind's approach to create an atrial septal defect in the setting of com- plete transposition of the great arteries dramatically changed the natural history of this cyanotic heart defect, which carried a 90% neonatal mortality before this effec- tive palliation became available.

This is not a textbook. Instead, it contains what the author judges necessary to cope with questions relating to Gross Anatomy in board and licensure exami nations. Although material that has appeared recently on (Part I) National Board Examinations is covered, simply listing and answering such questions certainly would not prepare you for the myriad possible alternatives. Because of your suc cessful background in anatomy, the approaches used in a first-year course are not necessary here. Recall, review and synthesis are the goals. Please examine the entire book now, to understand its organization and content, and how they may serve your needs. Throughout, text is kept to a minimum. The style, size and boldness of type were chosen to aid the quick recognition of import items. The illustrations, es sentially adaptations from blackboard drawings used by the author in reviews, support the text in certain areas. However, the number of illustrations sufficient to make this an independent resource would defeat our purpose. I assume you will consult your favorite atlas as you review, and that you are experienced enough now to relate your reading to your own body. A general table of contents follows this preface; detailed tables of content precede individual chapters."

Three additional sections have been added in this edition in response to stu dents' suggestions. A short summary of motor deficits, a brief discussion of cra nial nerve functions and some examples of localizing signs of anatomic lesions should prove helpful in applying basic principles to clinical situations. P.A. Roberts Preface The following notes, originally known as Neuroanatomical Notations, were pre pared for the purpose of providing a quick review of some of the pertinent points that should be considered in refreshing your memory of Neuroanatomy. Obviously the booklet is not encyclopedic, and is certainly not intended as a text on the subject. However, hopefully, it will serve as a useful guide and be of aid in the task of systematically preparing for Part I of the National Boards and similar examinations. P.A. Roberts "I can't believe that " said Alice. "Can't you " The Queen said in a pitying tone. "Try again: Draw a long breath, and shut your eyes." Alice laughed, "There's no use trying," she said. "One can't believe impossible things." "I dare say you haven't had much practice," said the Queen."