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Books > Medicine > Clinical & internal medicine > Diseases & disorders > General
In the span of a few short years the therapeutic management of
essential hypertension has been transformed from one of gross
empiricism to that of a stable, rational approach based on
established pharmacological principles. This success has required a
close liaison among the disciplines of chemistry, of pharmacology,
and of the clinic, for the niceties and fine nuances governing the
relationship between chemical structure and type of biological
activity of a compound are all too elusive for charting a reliable
course through unfamiliar synthetic molecular configurations.
Although autonomic nervous overactivity had never been demonstrably
implicated as an etiological factor in essential hypertension, it
had been realized earlier that suppression of this system by
pharmacological means offered potential therapeutic benefit.
Unfortunately, early investigative work had not yielded specific
potent autonomic blocking agents with suf- ficiently wide
therapeutic indices to be suitable for human use. The initial
successful surgical approach to the problem of sympathetic nervous
dampen- ing by means of a dorsal thoracolumbar sympathectomy
established the validity of such a procedure and laid the
groundwork for an ultimate pharmacological approach. Among the
effective agents which have been discussed, an action either
directly or indirectly upon the sympathetic nervous system or upon
the neurohumors which it elaborates has been a common denominator.
Such an occurrence inevitably poses the question as to whether such
a common denominator has basic meaning or is merely coincidental
with respect to the mode of action of the drug.
The Japanese Ministry of Health, Labor and Welfare, officially
recognizing that various risk factors for disease are present in
our environment, has proposed the concept of lifestyle-related
diseases. These include those diseases that are tied to such
lifestyle choices as excessive alcohol consumption, cigarette
smoking, exposure to stress, and poor diet. Ongoing attention to
this issue led to an International Symposium on Free Radicals and
Health: Molecular Interventions and Protection of Lifestyle-Related
Diseases bringing together the top experts in that area. With the
belief that the recognition of the occurrence of risk factors and
their identification are important to overcoming lifestyle-related
diseases, three of those experts invited prominent participants at
the symposium to contribute to a book. Molecular Interventions in
Lifestyle-Related Diseases is the result of that effort. This book
is divided into three main sections: Free Radicals,
Lifestyle-Related Diseases, and Their Protection Free Radicals,
Brain Diseases, and Their Protection Nutraceuticals, Functional
Foods, Micronutrients, and Pharmacological Interventions When bad
lifestyle choices cause oxidants and free radicals to have a
negative influence on cell signaling and gene expression,
lifestyle-related diseases are set into motion, which in turn lead
to further oxidative stress. Molecular Interventions in
Lifestyle-Related Diseases addresses the molecular basis of free
radicals and lifestyle-related diseases and preventive/therapeutic
approaches including the use of nutraceuticals, functional foods,
and pharmacological interventions. Each section contains several
chapters addressing critical molecular mechanisms, therapeutic
interventions, and other issues of relevance to human health that
will be of interest to students and researchers in the health
professions including nutritional and environmental scientists,
molecular and cell biologi
Restructured to be even more useful to real-world clinicians, the
revised and expanded second edition of this practical guide offers
proven strategies for improving the long-term outcomes and quality
of life of individuals with bipolar disorder. Extensive case
illustrations bring to life the complexities of helping clients
adhere to medication treatments, recognize the early warning signs
of manic and depressive episodes, build coping skills, and manage
specific symptoms. Replacing the original volume's 20-session
protocol (now included in the Appendix) is a new, more flexible
assessment and treatment framework that shows how to tailor
interventions to each client's needs and level of experience with
the illness. The second edition also features current treatment
data, information on new medications, and new strategies for
preventing relapse and addressing common comorbid conditions.
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