Traumatic injuries of the spinal cord continue to be the most common cause of permanent paralysis in young adults in the United States. New information has emerged on the response of spinal neurons to injury of either the spinal cord or peripheral nerves demonstrating that dendrites of injured motoneurons take on characteristics of axons. These and other new developments have helped to promote an exciting new era in the study of spinal cord neurobiology.

Motor Neurobiology of the Spinal Cord provides a description of the recent conceptual and technical advances in the field. It provides a description of the new experimental tools available for investigating the neuronal properties that allow populations of spinal cord neurons to control muscles responsible for limb movements and posture. It covers topics ranging from genetics to kinematics and examines cells, tissues, or whole animals in species ranging from fish to humans that are normal, injured, or diseased.

By integrating data derived from many new approaches, you'll learn about how spinal cord circuits operate under a variety conditions and about new and exciting inroads being made in motor neurobiology of the spinal cord. Motor Neurobiology of the Spinal Cord elucidates concepts and principles relevant to function and structure throughout the nervous system and presents information about changes induced by injury and disease.

Encyclopedic in scope, Reversibility of Chronic Degenerative Disease and Hypersensitivity, Volume 3: Environmental Manifestations of the Neurocardiovascular Systems draws deeply from clinical histories of thousands of patients. It focuses on clinical syndromes within the musculoskeletal, neurological, and cardiovascular systems with a special focus on vascular dysfunction and heart failure treatment. The book explores mechanisms of chemical sensitivity and chronic degenerative disease, their manifestations, diagnosis, and approaches to reverse dysfunction. It covers a wide variety of topics including environmental sensitivity due to external pollutants, environmental control for reducing total body load, pollutant damage to vascular perfusion, altered blood volume, fluctuations of oxygen extraction, effects of endocrine on the vascular system, effects of pollutants on myocardial cells, and mechanisms in vascular damage. The book also discusses in detail a wide variety of clinical manifestations including vasculitis, cardiac arrhythmias, cardiac metabolic syndrome, myocarditis, atherosclerosis, heart failure, urticaria, and anaphylaxis. Treatment for heart failure is also discussed. The third volume of a five-volume set, the book provides an essential resource for health care providers diagnosing and treating chemical sensitivity and chronic degenerative disease.

There are common midlife events that account for the special narcissistic vulnerabilities of this period of life, and Eda Goldstein ably reviews these events and the theoretical perspectives commonly brought to bear on them. In When the Bubble Bursts, however, Goldstein's special concern is those individuals who come to midlife with heightened narcissistic vulnerabilities that make the navigation of this stage of life more difficult still. In understanding the latter such patients and devising a treatment approach appropriate to their "self" issues, Goldstein adopts a broadly self-psychological frame of reference. It is a matter, she finds again and again, of understanding how current stressors frustrate healthy self needs and trigger narcissistic vulnerabilities. Self-psychologically informed treatment, which, in Goldstein's pragmatic purview, embraces modalities that are, to varying degrees, supportive, psychodynamic, and psychoanalytic, reworks and strengthens self structures in helping patients find new ways of affirming their sense of self. Her substantive case studies, which accompany the reader through all the chapters in her study, draw on personal and supervisory experiences to illustrate crucial foci of the treatment process with a range of midlife patients in psychotherapy. Eda Goldstein presents a study that comprises an admirable blend of theoretical astuteness, clinical wisdom, and personal honesty. Her clinical study of midlife narcissistic pathology is bracketed by her balanced discussion of theoretical perspectives on adult development and her concluding consideration of the countertransference issues elicited by midlife patients in midlife therapists. When the Bubble Bursts is an edifying contribution to the literatures of psychodynamic psychotherapy, self psychology, and adult development.

Encyclopedic in scope, Reversibility of Chronic Degenerative Disease and Hypersensitivity, Volume 2: The Effects of Environmental Pollutants on the Organ System draws deeply from clinical histories of thousands of patients. It focuses on clinical syndromes within the musculoskeletal, gastrointestinal, and respiratory systems. The book explores mechanisms of chemical sensitivity and chronic degenerative disease as well as the triggering agents of musculoskeletal, gastrointestinal, and sino-respiratory diseases. It then discusses triggering agents such as natural gas, pesticides, solvents, and micotoxins. The authors include new data for indoor and outdoor air pollution that harms the chemically sensitive and chronic degenerative diseased patient as well as new data for breath analysis. They also describe the physiology of chemical sensitivity and chronic degenerative diseases, their manifestations, diagnosis, and approaches to reverse dysfunction. The second volume of a five-volume set, the book provides an essential resource for health care providers diagnosing and treating chemical sensitivity and chronic degenerative disease.

1. Non-Ulcer Dyspepsia.- 2. Cellular Mechanisms: The Potential Role of Polyamines in Intestinal Adaptation.- 3. From Both Sides Now: The Modulation of Enterocyte Function by Contraluminal and Luminal Factors.- 4. Intestinal Microcirculation: Implications for the Pathogenesis of Gastrointestinal Disease.- 5. Radiation Effects on Normal Intestinal Tissue.- 6. Newly Recognized Bacteria Associated with Gastrointestinal Illness in Humans: Vero Cytotoxin-Producing Escherichia Coli.- 7. Food-Associated Toxicants.- 8. Central Organization of Gastrointestinal Vagal Reflexes.- 9. New Insights into the Pathogenesis and Pathophysiology of Irritable Bowel Syndrome.- 10. Management of the Irritable Bowel.- 11. Cholesterol Gallstones: Recent Advances with Particular Reference to Diet and the Relevance of Changing the Bile Acids of Animal Models.- 12. Diagnosis of Chronic Pancreatic Disease.- 13. Copper Metabolism and Wilson's Disease: An "Ion" Recent Advances.- 14. New Therapeutic Strategies for Chronic Hepatitis..- 15. Therapies for PBC.- 16. Gastrointestinal and Hepatobiliary Complications of Cystic Fibrosis.- 17. Sex Hormones and the Liver.

Dangerous Sexualities investigates how our ideas of health and disease are linked to moral and immoral notions of sex. Beginning in the 1830s, Frank Mort relates his social historical narratives to the sexual choices and possibilities facing us now.
The long-awaited second edition of this work takes on board modern scholarship in particular applying the methods and techniques of cultural history and the increasingly important formations of race and ethnicity in this field. Consequently issues of eugenics, race hygiene and social imperialism in the late nineteenth and early twentieth centuries are covered. With a new and extended bibliography, introduction and illustrations, this second edition brings this classic into the nineties.

Liver disease is the leading cause of death after heart, cancer, stroke and respiratory disease, and kills more people than diabetes and road deaths combined. But, there is hope. The liver is a uniquely regenerative organ, and some European countries have dramatically cut liver disease in recent years. This book looks at lifestyle factors and medical interventions that can help.

Now in its fourteenth edition, Clinical Anatomy is the definitive text offering medical students, postgraduate trainees and junior doctors the anatomical information they need to succeed in a clinical setting. Professor Harold Ellis and Professor Vishy Mahadevan provide an accessible, comprehensive, and detailed exploration of anatomy, specifically designed for students and trainees at all levels. Revised and updated, the fourteenth edition contains more information about the nervous system as well as medical images, diagrams and photographs that are overlaid with anatomical illustrations, revealing detailed surface anatomy. This edition: Puts greater emphasis on clinical relevance and contains more content for non-surgical trainees Offers a variety of illustrative clinical scenario case studies Contains many more medical images and diagrams such as CT and MRI Presents expanded information on the nervous system Includes a companion website that contains digital flashcards of all the illustrations and photographs presented in the book Written for medical students, junior doctors, and those studying for The Royal College of Surgeons examinations, the new edition of Clinical Anatomy continues to be an essential resource for understanding the basics of clinical anatomy.

There are 7,000 rare diseases affecting 6%-8% of the global population. That's 3.5 million people in the UK alone. Yet only 200 rare diseases have approved treatments. In recent years, there has been a surge of interest from business and social entrepreneurs in the field of health - including looking at ways to treat rare disease patients better and faster. This book presents some of the latest developments in the world of rare disease entrepreneurship from a global group of experts. It examines the topic from the business angle, considering the drug development process and providing case studies of successful orphan drug enterprises. It also looks at rare diseases from the perspective of the patient, analysing the growing rare disease patient movement, a successful patient group that uses social enterprise techniques, and chapters on key requirements for helping patients with rare diseases through registries and centres of excellence. The book will be an essential toolkit for social and business entrepreneurs who are interested in the world of rare/orphan diseases. It has the rigour of an academic publication, along with the clarity of a lay publication. An original and timely book, Rare Diseases will help to add knowledge and awareness to a vastly under-published subject.

Patients suffering from psychosomatic disorders represent a formidable challenge. Psychosomatic disorders are common, and account for substantial personal discomfort, unnecessary medical expenditures, socioeconomic loss, and disability. They are challenging to diagnose, treat, and are rarely completely cured. Furthermore, they often provoke strong negative reactions from family, friends, and caregivers, who are unable to fathom their inconsistencies. Currently, little is known as to how they develop or why their symptoms tend to transform over time. In Pathologies of the Mind/Body Interface, Richard Kradin, a medical internist, pulmonologist, and psychoanalyst at a large Harvard hospital, examines the historical, philosophical, cultural, psychological, and neurobiological factors that contribute to the development of psychosomatic disorders. He focuses on the role that developmental stress and attachment disorders appear to play in increasing the risk of developing psychosomatic symptoms, and advises medical practitioners and psychologists on how to diagnose and treat them. Dr. Kradin suggests areas of importance for future medical and psychological research into the causes and treatments of these debilitating disorders.

Patients suffering from psychosomatic disorders represent a formidable challenge. Psychosomatic disorders are common, and account for substantial personal discomfort, unnecessary medical expenditures, socioeconomic loss, and disability. They are challenging to diagnose, treat, and are rarely completely cured. Furthermore, they often provoke strong negative reactions from family, friends, and caregivers, who are unable to fathom their inconsistencies. Currently, little is known as to how they develop or why their symptoms tend to transform over time. In Pathologies of the Mind/Body Interface, Richard Kradin, a medical internist, pulmonologist, and psychoanalyst at a large Harvard hospital, examines the historical, philosophical, cultural, psychological, and neurobiological factors that contribute to the development of psychosomatic disorders. He focuses on the role that developmental stress and attachment disorders appear to play in increasing the risk of developing psychosomatic symptoms, and advises medical practitioners and psychologists on how to diagnose and treat them. Dr. Kradin suggests areas of importance for future medical and psychological research into the causes and treatments of these debilitating disorders.

Although acute inflammation is a healthy physiological response indicative of wound healing, chronic inflammation has been directly implicated in a wide range of degenerative human health disorders encompassing almost all present day non-communicable diseases including autoimmune diseases, obesity, diabetes and atherosclerosis. Chronic Inflammation: Molecular Pathophysiology, Nutritional and Therapeutic Interventions provides an exposition of the process of chronic inflammation in three parts:

1. Systems Biology of Inflammation and Regulatory Mechanisms describes the process of chronic inflammation including initiation, progression, and resolution.
   
2. Pathologies Associated with Inflammation gives a rigorous and critical treatment of specific human health disorders where chronic inflammation plays a major role.
   
3. Nutrition & Therapeutics for Inflammatory Diseases details the protective abilities of structurally diverse antioxidants, phytochemicals, anti-inflammatory diets, omega-3 fatty acids, NSAIDs, disease modifying anti-rheumatic drugs, and novel regimens.

Designed for scientists as well as clinicians, Chronic Inflammation provides critical understanding of the key checkpoints that regulate chronic inflammation. Going beyond the epidemiology of chronic inflammation, the text covers regulatory mechanisms controlling inflammation initiation, progression, and resolution. The authors address pathologies associated with inflammation and provide various nutritional and therapeutic interventions for inflammatory diseases.

The long-lasting effects of leprosy are still evident in various parts of the world. This book details the personal experiences of people in Fiji, New Caledonia, Samoa, Tonga and Vanuatu, the majority of whom contracted leprosy as children. It recounts how the victims were subject to prolonged isolation in various leprosaria as the first effective cure for leprosy only became available after 1949. Oral histories are utilized and verbatim extracts demonstrate the level of stigma experienced by these young people. Topics covered include the exact nature of the diagnosis, removal from one's family, the experience of isolation, and the reaction of family and villages upon the individual's return to community life.

It is now widely accepted that there are important links between inactivity and lifestyle-related chronic diseases, and that exercise can bring tangible therapeutic benefits to people with long-term chronic conditions. Exercise and Chronic Disease: An Evidence-Based Approach offers the most up-to-date survey currently available of the scientific and clinical evidence underlying the effects of exercise in relation to functional outcomes, disease-specific health-related outcomes and quality of life in patients with chronic disease conditions. Drawing on data from randomized controlled trials and observational evidence, and written by a team of leading international researchers and medical and health practitioners, the book explores the evidence across a wide range of chronic diseases, including: cancer heart disease stroke diabetes parkinson's disease multiple sclerosis asthma. Each chapter addresses the frequency, intensity, duration and modality of exercise that might be employed as an intervention for each condition and, importantly, assesses the impact of exercise interventions in relation to outcomes that reflect tangible benefits to patients. No other book on this subject places the patient and the evidence directly at the heart of the study, and therefore this book will be essential reading for all exercise scientists, health scientists and medical professionals looking to develop their knowledge and professional practice.

Motivational Perspectives on Chronic Pain is one of the first volumes to present a cohesive account of the adaptation to chronic pain from a motivational perspective. Contributing authors from diverse areas of pain research offer comprehensive summaries of the concepts, findings, and applied methodologies that converge on the role of goals and goal-related cognitive processes, self-regulatory support mechanisms, contextual forces, and emotionality as they influence (and are influenced by) the experience of chronic pain. This volume provides readers with an up-to-date compendium of cutting-edge research and interventions that collectively illustrate the utility of viewing chronic pain neither as a "disease" nor an imposed lifestyle, but as the emergent and potentially flexible product of a complex transactional system that is bounded by both sociocultural factors and by biogenetic and neural moderating forces. Within its pages, chapters capture the vibrancy of current theory, research, and practice while pointing toward unexplored new directions. Among the important topics addressed by this distinguished group of authors include: the nature and relevance of control systems, the role of neural mechanisms on pain processing, the influence positive and negative emotion regulation play on pain management, the impact of learning and conditioning, and the often neglected influence of interpersonal processes on adjustment to chronic pain.

Targeting the key active elements in the mechanism and application of apoptosis and its therapeutic implications, Apoptosis: Modern Insights into Disease from Molecules to Man covers apoptosis from A to Z. Comprehensive in scope, it explores a wide range of topics including various cancers, asthma, and multiple sclerosis as well as alcohol induced liver disease, chronic back pain, and cardiovascular health. With 40 chapters written by highly respected authorities, this single source reference provides researchers and scientists with the foundation they need.

This completely revised and updated second edition to integrates the many new technologies and insights now available for the diagnosis of genetic diseases. The authors use such methodologies as PCR optimization dosage analysis, mutation scanning, and quantitative fluorescent PCR for aneuploidy analysis, Neurofibromatosis type 1, and Duchenne muscular dystrophy. These largely generic methodologies may be adapted to most genetic conditions for which a molecular diagnosis is relevant, no matter how frequent or rare their incidence. Molecular Diagnosis of Genetic Diseases, Second Edition offers diagnostic molecular geneticists a unique opportunity to sharpen their scientific skills in the design of assays, their execution, and their interpretation.

From an acclaimed author in the field, this is a compelling study of the origins and history of the disease commonly seen as afflicting young unmarried girls. Understanding of the condition turned puberty and virginity into medical conditions, and Helen King stresses the continuity of this disease through history, depsite enormous shifts in medical understanding and technonologies, and drawing parallels with the modern illness of anorexia. Examining its roots in the classical tradition all the way through to its extraordinary survival into the 1920s, this study asks a number of questions about the nature of the disease itself and the relationship between illness, body images and what we should call'normal' behaviour. This is a fascinating and clear account which will prove invaluable not just to students of classical studies, but will be of interest to medical professionals also

Call it a remnant of our Victorian past, but sexual concerns lag behind other aspects of health, both in the training of physicians and therapists and in the way they impart this knowledge to clients. But as sexuality gains recognition as crucial to one's quality of life, evidence-based methods of understanding and discussing sex are imperative-and not only in treating pathology. Sexual Medicine in Clinical Practice provides framework, rationale, and strategies for both approaching sexual problems and addressing patients' questions about sexual health, behavior, and relationships. Analyzing sexuality along three dimensions-attachment, reproduction, and desire-this concise manual offers a biopsychosocial lifespan model readily translatable into clinical work. This "syndyastic" framework integrates attachment and relational theory to reinforce the bond between intimacy and connectedness, and models nonjudgmental approaches to disorders of sexual function, maturity, preference, and behavior. The authors' salutogenic rather than pathogenic focus lets clients become major players in their own healing, and the therapist or doctor serve as expert and guide. Among the topics covered: The communicative function of sexuality. The spectrum of sexual disorders. Principles of diagnostics in sexual medicine. Disease-centered versus client-centered aspects of sexual therapy. Therapeutic approaches for sexual traumatization. New challenges, including preventing child sexual abuse and online sex crime. Plus case studies, interdisciplinary references, and ethical issues. A timely, perspective- and practice-altering volume, Sexual Medicine in Clinical Practice is essential reading for family and primary care physicians, family and sex therapists, health psychologists, and psychiatrists.

Andrology is the fastest growing subspecialty in urology and has recently achieved remarkable advances in the understanding of the erectile mechanism and in reproductive medicine. Male Infertility and Sexual Dysfunction presents all the current avenues of treatment with emphasis on multidisciplinary considerations. Chapters are written by select international authorities presenting indepth coverage of their areas of expertise. Each topic will cover the background, anatomy, physiology, diagnosis, classification, and treatment (medical and/or surgical). Part I focuses on the study of male infertility and includes discussions of the basic sciences, office evaluation, laboratory and imaging techniques, and the use of testicular biopsy. This is followed by specialized chapters dealing with immunologic infertility, genital inflammation, reactive oxygen species, medical management, sperm processing and preventive adolescent andrology. Part II reflects a more diverse format in the coverage of sexual dysfunction and includes discussions of androgen insufficiency, nocturnal penile tumescence studies, neurotransmission, penile neurology, premature ejaculation, psychogenic impotence and the latest medical, noninvasive and surgical treatments.

Just a few decades ago, children born with significant congenital anomalies or genetic and metabolic diseases perished at an early age and very few survived into their teens and even less into adulthood. Congenital heart disease, major errors in metabolism, cancer, cystic fibrosis and many other major diseases were fatal. Because of that many physicians in adult primary care did not have the opportunity to see patients with these problems and thus unable to learn how to care for them. In this book, we have recruited highly qualified and experienced physicians to compile what is to the best of our knowledge, the first book dealing entirely with the issue of children's diseases in adults. Our goal is to provide a resource for all health care providers in order to help with caring for such adult patients. We believe that it will be valuable to all health care providers who provide care to adults with children's diseases. To our knowledge, there is no such resource available for practitioners which will make this book desirable.

Pharmacogenetics is becoming increasingly relevant in the diagnosis, treatment, and recovery of cancer patients. A major problem facing oncologists is the outstanding varied efficacy of treatment. Promising advances in pharmacogenetics have allowed the development of effective agents which will enable personalized cancer chemotherapy to become routine for the clinical practice.

Written by experts in the field and combining information that is unable to be found in a single source volume, Pharmacogenetics of Breast Cancer

• combines a complete overview of pharmacogenetics and how it relates to breast oncology for diagnosis, treatment, and the recovery of patients using an individualized therapy model
• is the first single source reference demonstrating the application of pharmacogenetics in the care of breast cancer patients
• enables physicians a coherent interpretation of the emerging science of pharmacogenetics, aiding them to incorporate individual therapies in their own practice
• gives practical guidance on various forms of specimen collection, tissue selection, and handling procedures

Written with a broader perspective and knowledge, Cancer Supportive Care: Advances in Therapeutic Strategies presents state-of-the-art management options for the full range of symptoms, toxicities, and complications experienced by cancer patients. In addition to "bread and butter" topics such as pain control and nausea and vomiting, the book contains unique, ground-breaking discussions of symptom measurement, the role of growth factors, and late effects and cancer survivorship. Written by key opinion leaders in the field, Cancer Supportive Care: Advances in Therapeutic Strategies: assembles and synthesizes state-of-the-art information into one convenient resource, helping busy clinicians learn the most effective supportive care strategies available discusses emerging therapies and approaches covers topics not included in other cancer supportive care books, such as measurement of symptoms, growth factors, thromboembolism, skeletal complications, fatigue, the elderly cancer patient, cancer survivorship, and alternative and integrative therapies