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Books > Medicine > Clinical & internal medicine > Endocrinology
This volume features contributions from participants of an ESRF
Workshop on "Systems Biology" held in Berkeley, USA, in November
2005. Significant progress has been made in developing technologies
that enable systems interrogations at a molecular level. Recent
successes and challenges of applying systems level measurements to
the different steps of drug discovery and development in the
pharmaceutical industry are summarized.
As a result of the rapidly growing rate of obesity worldwide,
clinicians are struggling to provide the best strategies for
treating obese patients with concomitant pulmonary conditions.
Obesity does not simply change the epidemiology of pulmonary
disease; obesity has a profound impact on the pathophysiology of
common pulmonary diseases. Obesity affects the severity of asthma,
response to treatment, and is likely a major modifier of the
phenotype of asthma. Obesity also appears to affect response to
pathogens, and as such has a major influence on response to
pneumonia, and has a significant impact on outcomes pertaining to
acute lung injury in the intensive care unit. Obesity and Lung
Disease: A Guide to Management is the first text in the field to
cover the full range of issues related to managing obese patients
with pulmonary problems. All the relevant conditions, in the
context of obesity, are covered, including airway inflammation,
sleep apnea, asthma, pulmonary hypertension, obesity
hypoventilation, as well as others. Written by an international
group of experts, this important new volume is an invaluable
resource for all clinicians and scientists concerned with the
challenging problems surrounding obesity and lung diseases.
The prevalence of hypertension is almost three times as high as
that of diabetes mellitus type 2, with both conditions being major
risk factors for stroke, ischemic heart disease, cardiac
arrhythmias, and heart failure. The exact prevalence of
hypertension related to hormonal derangements (endocrine
hypertension) is not known but estimated to affect less than 15% of
hypertensive patients. Recent scientific discoveries have increased
the understanding of the pathophysiologic mechanisms of
hypertension. In Endocrine Hypertension, a renowned panel of
experts provides a comprehensive, state-of-the-art overview of this
disorder, discussing when to assign an endocrine cause in one of
many conditions that may present with hypertension. The first part
of Endocrine Hypertension is dedicated to adrenal causes. The
second part of the volume concerns potential nonadrenal causes of
hypertension, such as growth hormone excess or deficiency, primary
hyperparathyroidism, vitamin D deficiency, testosterone deficiency,
insulin resistance, obesity-associated hypertension, and the role
of central mineralocorticoid receptors and cardiovascular disease.
An important contribution to the literature, Endocrine Hypertension
is an indispensable reference not only for endocrinologists,
diabetologists, and adrenal investigators, but also for
translational scientists and clinicians from cardiology, internal
medicine, pediatrics, family medicine, geriatrics, urology, and
reproductive medicine / gynecology.
Oxford Textbook of Clinical and Biochemical Disorders of the
Skeleton 2 is a definitive reference providing comprehensive
coverage of common polygenic and rare monogenic disorders,
emphasizing new advances in bone cell biology and human skeletal
disease. With an up-to-date account of common and rare metabolic
disorders of the skeleton, including their causes, clinical
aspects, and treatment, this book offers the reader clarity in the
complex field of the molecular biology of the skeleton. Topics
covered include bone biology and investigation, osteoporosis,
osteomalacia and rickets, parathyroid bone disease, Paget disease,
and the effects of malignancy on the skeleton. Newer metabolic bone
disorders are also included, along with chapters on osteogenesis
imperfecta, skeletal dysplasias, osteopetrosis and osteosclerosis,
Marfan syndrome, Ehlers-Danlos syndrome, fibrous dysplasia, and
ectopic mineralisation. Essential for postgraduates and clinicians,
this accessible and highly illustrated book provides a clear
authoritative account of metabolic bone diseases in their widest
sense. Bringing together considerable advances in the field, it
discusses molecular causes and personal experiences of all
disorders, ensuring a comprehensive and didactic reference.
Enriched with over 100 new illustrations and revised chapters to
reflect a rapidly developing field, this second edition will be
indispensable for those who look after patients with metabolic bone
disease, including general physicians, rheumatologists,
endocrinologists, and orthopaedic surgeons, along with
paediatricians and geneticists. This print edition of The Oxford
Textbook of Clinical and Biochemical Disorders of the Skeleton
comes with a year's access to the online version on Oxford Medicine
Online. By activating your unique access code, you can read and
annotate the full text online, follow links from the references to
primary research materials, and view, enlarge and download all the
figures and tables. Oxford Medicine Online is mobile optimized for
access when and where you need it.
Why sex matters Among human and nonhuman animals, the prevalence
and intensity of infection typically is higher in males than
females and may reflect differences in exposure as well as
susceptibility to pathogens. Elevated immunity among females is a
double-edged sword in which it is beneficial against infectious
diseases but is detrimental in terms of increased development of
autoimmune diseases. The present book critically reviews the
evolutionary origin and the functional mechanisms responsible for
sexual dimorphism in response to infection. It emphasizes the value
of examining responses in both males and females to improve our
understanding about host-pathogen interactions in both sexes. The
contributors are experts in their specific disciplines which range
from microbiology and immunology to genetics, pathology, and
evolutionary biology. The book aims at bringing insight to the
treatment and management of infectious diseases; it delineates
areas where knowledge is lacking and highlights future avenues of
research.
Creating clinical guidelines is a modern trend. Published studies
pertaining to a given theme are collected, their credibility
evaluated, and then treatment options in the form of evidence-based
guidelines are offered. There are a number of guidelines for the
treatment of thyroid tumors that have established positions in
clinical practice in North America and in Western European
countries. In Japan, however, where radioisotope facilities are of
limited availability, treatment plans for differentiated thyroid
cancer differ considerably from those of America and Europe, and
the associated clinical guidelines need modification before they
can be adopted. In addition, although thyroid tumor is a common
disease in endocrine practice, its management can differ even among
specialists. Thus, a Japanese clinical guideline for the treatment
of thyroid tumor was desired by many clinicians. As a combination
of evidence-based and consensus-based guidelines for the treatment
of thyroid tumor, this book offers alternatives to conventional
approaches in the West. Ultimately, the authors hope the guideline
will lead to the best possible treatment for patients all over the
world in the not-distant future.
The first report that rapid eye movements occur in sleep in humans
was published in 1953. The research journey from this point to the
realization that sleep consists of two entirely independent states
of being (eventually labeled REM sleep and non-REM sleep) was
convoluted, but by 1960 the fundamental duality of sleep was well
established including the description of REM sleep in cats
associated with "wide awake" EEG patterns and EMG suppression. The
first report linking REM sleep to a pathology occurred in 1961 and
a clear association of sleep onset REM periods, cataplexy,
hypnagogic hallucinations and sleep paralysis was fully established
by 1966. When a naive individual happens to observe a full-blown
cataplexy attack, it is both dramatic and unnerving. Usually the
observer assumes that the loss of muscle tone represents syncope or
seizure. In order to educate health professionals and the general
public, Christian Guilleminault and I made movies of full-blown
cataplectic episodes (not an easy task). We showed these movies of
cataplexy attacks to a number of professional audiences, and were
eventually rewarded with the report of a similar abrupt loss of
muscle tone in a dog. We were able to bring the dog to Stanford
University and with this as the trigger, we were able to develop
the Stanford Canine Narcolepsy Colony. Breeding studies revealed
the genetic determinants of canine narcolepsy, an autosomal
recessive gene we termed canarc1. Emmanuel Mignot took over the
colony in 1986 and began sequencing DNA, finally isolating canarc1
in 1999.
This book discusses both the beneficial and harmful aspects of NO
in biology and medicine, and also introduces the emerging discovery
of artemisinin in antitumor, antibacterial infection,
anti-inflammation, and antiaging contexts. In 1992 nitric oxide
(NO) was voted "Molecule of the Year" by Science magazine, and the
discovery of its physiological roles has led to Nobel Prize-winning
work in neuroscience, physiology and immunology. The book explains
why we should maintain a steady-state NO level that is derived from
neuronal or epithelial NO synthase, and avoid the extremely high NO
level resulting from inducible NO synthase. The book offers a
valuable resource for medical chemists, clinicians, biologists and
all those interested in health and disease.
captured for the published proceedings. Nevertheless, the two
Supplements to this Journal (also available together as a
hard-backed book) do, over the years, embrace many of the major
aspects of the study of inborn errors of metabolism and can,
particularly with the Short Communications section, be used as a
way into the literature on specific new topics. We hope that with
judicious selection of material these supplements will continue to
provide, as did the Society's earlier annual publications, a
balanced record of the present state of the subject in all its
facets, a record of interest to those working in allied fields as
well as to the specialist. R. J. Pollitt G. M. Addison R. A.
Harkness The papers listed below were also presented at the
meeting. Scripts were not available by the time of publication. 1.
Tangier disease and related disorders of apolipoprotein Al. G.
Assmann, Munster. 2. Contribution to Ethics Symposium by M. E.
Pembrey, London.
Breast and prostate cancers are both hormone-dependent, at least in
some stages of their progression. Hormonal manipulation represents
an important therapeutic approach. Although most of breast and
prostate cancers initially respond to hormone therapy, most tumors
reinitiate to growth. Finally, hormone-resistant and metastatic
breast and prostate cancers may develop. Thus, the challenge is the
dissection of mechanisms by which steroid receptor signaling
pathways continue to influence cell growth and invasiveness.
Compelling evidence indicates that steroid hormones elicit
non-genomic responses in extra-nuclear compartment of target cells.
In this cellular location, steroid-coupled receptors rapidly
recruit signaling effectors or scaffold proteins and activate
multiple pathways leading to proliferation, survival, migration and
invasiveness. The immediate challenge is the dissection of key
events regulating the steroid response of target tissues to prevent
progression and improve treatment of breast and prostate cancers.
It has been known for over 150 years that hallmarks of inflammation
can be observed in the wall of atherosclerotic vessels. It was,
however, not clear if this inflammation is the cause or the
consequence of atherogenesis. More recently, it has become evident
that inflammation mediated both by innate and adaptive immunity is
instrumental even in the earliest stages of the development of
atherosclerotic lesions, i.e., that it plays an important
pathogenetic role. In this volume, international experts in the
field discuss the pathogenetic, diagnostic, preventive and possible
therapeutic relevance of inflammation in atherogenesis. This book
is intended for researchers and physicians in the fields of
vascular biology, immunology and atherosclerosis.
Vassopressin, Volume 111, the latest release in the Vitamins and
Hormones series, first published in 1943, covers the field of
hormone action, vitamin action, X-ray crystal structure, physiology
and enzyme mechanisms, with this release focusing on topics
relating to hepcidin, bacterial infection, and iron overload, the
role of heparan sulfates in hepcidin regulation, hepcidin CDNA and
human gene sex hormones, growth factors and hepcidin, HFE gene
polymorphisms and hereditary hemochromatosis, hepcidin and
il-1beta, hepcidin-ferroportin axis, cardiomyocyte hepcidin,
adipocyte iron, leptin and hepcidin, regulators of hepcidin
expression, and much more.
This book will be the first that focuses on solely on model
organisms for lymphoma. It's editors are internationally recognized
in the field.
As the title suggests, and unlike other existing books on sleep
medicine, Neuroendocrine Correlates of Sleep/Wakefulness will be
devoted primarily to endocrine regulation of the behavioral state
control. It will address a wide spectrum of sleep./wakefulness
phenomena (both animals and humans), including pathogenesis,
diagnosis, and management. From molecular biology to applied
clinical therapy, sleep research has been transformed in the last
few years from a research backwater to an important
interdisciplinary field. Anyone who regularly reads the literature
on sleep, biological rhythms, or neuroendocrinology is aware that
one of the subspecialties within sleep medicine, the neuroendocrine
correlates of sleep/wakefulness, has in particular experienced a
growth rate that is even faster than that of the field as a whole.
To a significant extent this has been due to the introduction of
new research technologies. The widespread adoption of a range of
new methods in sleep research has opened a window into activities
at the cellular and molecular level, which previously had been
tightly closed. Consequently these activities are being
characterized with a degree of precision and sensitivity that is
without precedent. This volume invites the reader to explore the
new vistas that have been opened onto the neuroendocrine frontier
of sleep medicine. The editors have selectively identified a number
of key articles having a citation frequency, which is considerably
above the norm or which otherwise have contributed importantly to
defining the neuroendocrine perspective. This new volume on
Neuroendocrine Correlates of Sleep/Wakefulness is an up-to-date
resource of research summaries and reviews written by major
contributors to the fields of sleep, biological rhythms and
neuroendocrinology. Its coverage is broad and its basic and
clinical science reviews are detailed. In this volume, an
international team of experts discuss their latest ideas, concepts,
methods, and interpretations with supporting examples. This volume
is intended for advanced students and specialists in psychobiology,
neuroscience, neuroendocrinology, and psychiatry but might also be
interest to anyone concerned with understanding the Neuroendocrine
correlates of sleep/wakefulness. The contributions are directed
more towards providing an integrated view of the field from the
perspective of the authors, rather than being a compendium of
recent results. The intent is to provide a reference book for
recent and future workers in this and related areas of medicine and
biology. Each topic in this volume has received the attention of a
panel of authors who have responded to our request to review and
place into perspective the major issues, which will undoubtedly
confront newcomers to the field. The topics dealt with in
Neuroendocrine correlates of Sleep/wakefulness are both diverse and
complex. The editors hope that this volume will provide an
authoritative summary of important issues in the neuroendocrine
correlates of sleep/wakefulness. We also hope that it will motivate
new researchers to join the quest for solutions to the problems
that have been identified by our contributing authors.
The molecular era ushered in the cloning of the growth hormone (GH)
gene and the production of unlimited amounts of GH through
recombinant technology. The continuing momentum of research from
basic science to clinical evaluation has brought unprecedented
advances to the understanding of GH biology for the clinical
endocrinologist. Growth Hormone Related Diseases and Therapy: A
Molecular and Physiological Perspective for the Clinician distills
all the new information of relevance to the endocrinologist over
the last 20 years by offering five sections: physiology, molecular
genetics, GH deficiency, acromegaly and pharmacotherapy. The first
section on physiology focuses on GH action. A review on the
structure and function of the GH receptor is followed by a
perspective on the regulatory role of ghrelin on GH secretion. The
second section on genetics covers pituitary function and adenomas,
including new and fascinating information on familial pituitary
adenomas, their genotype and phenotype. The adult GH deficiency
section spans the epidemiology and diagnosis of GH deficiency with
a strong reminder for the clinician that the transition period
represents a critical time of somatic maturation, which continues
for years after cessation of liner growth. The section on
acromegaly focuses on management, giving practical guides to the
value of GH and IGF-1 measurements, the place of somatostatin
analogues and of radiotherapy while reminding the reader as to why
evaluating quality of life is an important part of management.
Finally, the section on GH pharmacology takes the reader through
innovative developments of long-acting GH formulations with some
products on the threshold of clinical use. This section provides a
balanced evidence based review of the effects of GH supplementation
in aging and in sports where recent data indicates an enhancing
effect on a selective aspect of performance. Growth Hormone Related
Diseases and Therapy: A Molecular and Physiological Perspective for
the Clinician integrates a wealth of information and will prove an
invaluable reference for pediatric endocrinologists, adult
endocrinologists, endocrine scientists and internists interested in
the human biology of GH.
Western knowledge of progress in biomedical research in Russia is
severely limited by the scarcity of Russian journals available to
us as well as the fact that few of us can read Russian. Therefore,
it is of special significance that this recent contribution to the
Russian scientific literature has been trans lated into English.
This publication, Thyroid Hormones, brings to us a detailed
analysis of recent work in Russia, and in particular in the
Laboratory of Hormone Biochemistry, Institute of Biochemistry,
Academy of Science of the Uzbek SSR and the Laboratory of
Pathological Physiology, Institute of Experi mental Endocrinology
and Hormone Chemistry, Academy Medical of Science of the USSR. The
review illustrates the parallel pathways of inves tigation taken by
investigators in Russia and in the West, indicating where the
results have complemented each other or stimulated new questions
and approaches. Consequently, the book provides an excellent review
of the contributions made by Russian scientists in thyroid research
and couples it with Western thought on these subjects to produce a
complete review of the thyroid hormones. The large amount of data
provided and the inclusion of multiple view points toward specific
problems provides an excellent survey of the mecha nisms of
biosynthesis and control of hormone formation, physiological
effects of the hormones, and the molecular mechanisms involved in
thyroid hormone action."
This book is part of a series dedicated to recent advances on
preventive, predictive and personalised medicine (PPPM). It focuses
on the theme of "Drug delivery systems: advanced technologies
potentially applicable in personalised treatments". The critical
topics involving the development and preparation of effective drug
delivery systems, such as: polymers available, self-assembly,
nanotechnology, pharmaceutical formulations, three dimensional
structures, molecular modeling, tailor-made solutions and
technological tendencies, are carefully discussed. The
understanding of these areas constitutes a paramount route to
establish personalised and effective solutions for specific
diseases and individuals.
The rapid developments in molecular genetics have clarified many of
the muta tions in monogenic thyroid diseases over the last two
decades; now the target of molecular thyroid genetics has become
the oligogenic thyroid diseases. These include the autoimmune
thyroid diseases and familial thyroid cancers, both of which are
much commoner than the monogenic diseases. However, the method
ological approach to the genetics of these more complex diseases is
still far from being well established. Although the discovery of
susceptibility genes has been partially accomplished in complex
diseases such as asthma, Crohn's dis ease, and types I and II
diabetes mellitus, the elucidation of susceptibility genes in
complex diseases remains a major challenge. This volume contains
papers presented at the International Symposium on the Genetics of
Complex Thyroid Diseases. This meeting was held in association with
the International Thyroid Congress in Kyoto in October 2000 and sup
ported in part by the Japan Intractable Diseases Research
Foundation and Knoll Pharmaceuticals Inc. The symposium was the
first international symposium con cerning the genetics of complex
thyroid diseases and was restricted to the study of the autoimmune
thyroid diseases and familial thyroid cancer. Twenty distin guished
researchers from the United States, the United Kingdom, France, Ger
many, Italy, and Japan were invited. Each presentation precipitated
intense dis cussion and there was much consensus during the
meeting. Nevertheless, this volume will leave the reader with a
clear understanding of how little we still know.
A number of chapters present the most novel research on testicular
and epididymal functions or on more general fields of hormone
action and molecular cell biology as it is now a tradition.
However, exceptionally, the book also contains several chapters
dealing with the "Approaches and Tools in the Third Millenium." The
unusual inclusion of technologies as such in the 2000 edition of
the workshop was an absolute necessity, as these technologies are
revolutionizing the fields of biology and medicine and, in many
instances, how to do research. This volume gives the scientific
community essential information about the very latest technical
developments and their potential for future progress.
Readers of this book can update their knowledge in the fast-moving
field of endocrinology and neurobiology. Topics concerning growth
and development are extensively reviewed from both basic science
and clinical viewpoints. Aspects related to growth development and
to the control of cellular differentiation and multiplication are
discussed. Further new information is provided on: synthetic
recombinant human growth hormone (rHGH); potential diagnostic and
therapeutic applications of the neuropeptide, growth hormone
releasing hormone (GHRH); the physiology and physiopathology of the
neural control of growth hormone secretion; the diagnosis and
therapy of growth hormone deficiency or excess states; and the
biology, function and possible utilization of growth factors. These
important new findings are relevant to progress in pediatrics,
pediatric and clinical endocrinology, neuroendocrinology and
physiology.
The current age of clinical medicine is witnessing biotechnological
innovation at an unprecedented pace. As a result, the recently
popularized clinical practice guidelines (CPG), as a tool to assist
clinical decision-making, have been struggling to keep up. Thyroid
Cancer: From Emergent Biotechnology to Clinical Practice Guidelines
rides the wave of medical innovation, analyzing current and future
CPG, and providing an up-to-date and comprehensive treatise on
thyroid cancer, its diagnosis, and treatment. A synthesis of ideas
by prominent world experts in the field of thyroid cancer research
and clinical practice, Thyroid Cancer covers:
Technologically-advanced diagnostic procedures and therapeutic
interventions Diagnostic techniques employed in the detection and
follow-up of thyroid cancer including ultrasound, needle aspiration
techniques, CT, PET, PET-CT, and MRI Basic principles of systems
biology, molecular and translational medicine, CPG development, and
risk stratification for thyroid cancer How CPG contain knowledge
gaps and produce uncertainty Advances in the field, including new
surgical techniques, molecular targeted therapies, external beam
radiation therapy, and chemotherapy A comprehensive, scientific
description of current and future diagnostic and therapeutic
modalities for the management of thyroid cancer, this treatise is
an indispensible reference for both the specialist and referring
physician.
In mammals, a robust physiologic system acts to maintain
relative constancy of weight. A key element of this system is
leptin. The nature of this "brain-somatic" cross talk is as yet
poorly understood, but it is likely to have important implications
for the pathophysiology and treatment of obesity, diabetes and
other metabolic disorders.
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