This book reviews the pathophysiology and physical manifestations of acromegaly and discusses the multiple treatment options now available for the management of the patient with acromegaly. The book contains an ample number of illustrations that help to emphasize points of particular interest, including radiological, histopathological, and physical diagnosis images. Sections are devoted to detailing important topics including determinants of pathological effects of disease activity in acromegaly, individual therapeutic choices and criteria for diagnosis, and disease control.

The emergence of Optical Coherence Tomography (OCT) in recent years has revolutionized the way we see the retina. Providing, in real time, high-resolution cross-sectional images of the macula that are very similar to obtaining in vivo histopathological specimens, OCT represents a major advance in the diagnostics of retinal disease. The excitement of working with this new tool has been dampened by the non-availability of any standard textbook on the subject and meant that every new finding on the OCT saw us rushing to the library almost on a daily basis to locate any published reports on the subject. Until now. Containing nearly 900 scans of both normal and diseased appearances, most in full color, Atlas of Optical Coherence Tomography of Macular Diseases covers how to use Stratus OCT for diagnosing various macular disorders, identifying correct therapeutic approaches and monitoring the responses to therapies and interventions. The authors provide brief case summaries, fundus photographs, fluorescein angiography, and the OCT images and the follow up images. They discuss OCT applications for diagnosis, management, and follow-up in diabetic macular edema, macular hole, taut posterior hyaloid membrane, vitreofoveal traction, idiopathic central serous chorioretinoplasty, submacular pathology, and more.

Biotin and Other Interferences in Immunoassays: A Concise Guide is aimed at clinical laboratory scientists, medical technologists and pathologists who are often the first individuals contacted by a clinician when a laboratory test result does not correlate with clinical presentation. Research scientists working in diagnostics companies will also find this information essential. Sources of errors in non-immunoassay based methods used in clinical chemistry and toxicology laboratory are also discussed so readers can get all important information from one concise guide. This succinct, user-friendly reference provides the necessary information to address high levels of biotin in clinical laboratory results.

Pathology of Sharp Force Trauma illustrates and details sharp force trauma as seen in forensic pathology case work as well as in the clinical setting, outlining how one informs the other in interpreting such trauma for medico-legal purposes. For the purposes of discussion, the author defines sharp force trauma as: "The application of force to produce an injury which results in a clear division or separation of the skin and underlying tissues". Sharp force trauma may be caused by all manner of implements with a sharp edge and/or pointed end, whether or not they have been produced for use as a weapon, and includes knives, broken glass, scissors and many others, to name but a few. Certain tools, such as axes or machetes, combine a sharp edge with heavy weight and produce injuries with both sharp and blunt impact elements. In many countries, with the exception of those where firearms are readily available, sharp force trauma-particularly the use of knives-is the most common method of homicide and a frequent source of morbidity seen in emergency departments. Also, there has recently been an alarming upsurge in the use of knives in gang-related assaults and in terrorist incidents. As such, the book takes a comprehensive approach in explaining the different aspects of such trauma, most importantly the manner in which the victim has died. This includes cases of homicide, suicide or accident, indicating the type of weapon responsible, explaining how it was used, and presenting other such information to the investigation of such cases. Features: * Includes over 400 full-color graphic and illustrative images throughout * Addresses all aspects of the investigation including trauma, crime scene findings, post-mortem examination, characteristics of injuries and categorization into homicide, suicide or accident * Covers the biomechanics of knife trauma and tool mark examination techniques to identify implements used * Illustrates penetrating injuries caused by pointed implements which have linear components, such as arrows, nails, spears, stakes and others * Details cutting, penetrating, and other sharp force injuries resulting from medical intervention in a healthcare environment, such as might occur during surgical procedures * Examines sharp injuries caused by domesticated and wild animals * Written by one of the premier forensic pathologists in the world with over 40 years of first-hand case experience Pathology of Sharp Force Trauma is the first substantive book published in English to look exclusively at this subject. Although primarily intended for pathologists and clinicians who are involved in the examination of such injuries in the post-mortem room or in a hospital environment, it will also be of interest to medical examiners, police and criminal investigators, attorneys and legal professionals, personnel in other forensic disciplines, and all doctors and medical students with an interested in trauma and its management.

Current Presentation of his Work; De Marneffe. Anatomy and Physiology: Morphology and Distribution of Blood Vessels and Blood Flow in Bone; M. Brookes. Methods of Investigation: Measurement of Bone Blood Flow in Animals; P. Tothill. Fracture Healing and Bone Grafts: The Role of Vasculature in Fracture Healing; S.P.F. Hughes, et al. Circulatory Aspects of Bone Disorders: Bone Turnovers in Osteoporosis; A.M. Peters. Osteonecrosis: General Aspects of Osteonecrosis: Pathophysiology of Osteonecrosis; J.P. Jones. Methods of Diagnosis: Diagnosis of Osteonecrosis of the Femoral Head; D.S. Hungerford, L.C. Jones. Treatment: Long Term Results in Electromagnetic Fields Treatment of Osteonecrosis; M. Hinsenkamp, et al. ARCO Perspective for Staging: Methodologic Problems in Staging and Evaluating Osteonecrosis; B.N. Stulberg, J.W.M. Gardeniers. 34 additional articles. Index.

Diseases of the nail represent a surprisingly large section of most dermatologists' practice - and can present difficult, sometimes intractable, clinical problems. Co-authored by one of the world's foremost authorities in the field, An Atlas of Diseases of the Nail provides expert and authoritative guidance on all aspects of diagnosis and management.

A comprehensive guide to common nail diseases, the book includes anatomy and physiology of the nail unit, paronychia and onycholysis, nail fungal infections, nails in dermatologic diseases, nails in systemic disease, nail cosmetic chemistry, nail cosmetics, clinical aspects, plus the treatment of nail disorders and nail surgery. Examining the nail from every angle, An Atlas of Diseases of the Nail provides you with a visual reference to nail diseases supported by text covering diagnosis and treatment.

The complement system plays a major role in the host's defence against infections and in immune complex diseases. Although it is known to consist of a number of serum and membrane proteins that interact through a cascade, there is still a poor understanding of the exact nature of the components and their complex interaction. Many of the biological consequences of complement activation also await elucidation. This fully revised edition of "Complement in Health and Disease" provides an up-to-date account of how the system works and its effects on the host. Key topics covered include the history, phylogeny and evolution of the system; genetics and biochemistry; deficiency states and infection; immune complex diseases; complement and angioedema; anaphylatoxins; and diseases of the nervous system. The book is valuable both for those wanting an introduction to this complex area of immunology as well as those requiring a more detailed update on developments in specific topics.

Now in its second edition, this book remains a vital reference manual for those pathologists whose work involves them in the interpretation of endometrial biopsies. A full account is given of the appearances of the endometrium during the menstrual cycle, of the effects of hormones, the changes induced by steroid contraceptives and intrauterine devices, of functional disorders and of inflammatory disease. Particular attention is given to the various forms of hyperplasia and neoplasia, with special emphasis being placed upon the differential diagnosis of these conditions. Other chapters deal with sampling techniques, the anatomy and histology of the normal endometrium, descriptions of the tissue in normal and abnormal pregnancy, and gestational trophoblastic disease. This fully revised second edition reflects the fact that numerous new entities have been defined, the classification of many disease states has altered and new understanding of many endometrial diseases has been gained. This edition also discusses the changing pattern of endometrial biopsies resulting from modified clinical practice. Biopsy Pathology of the Endometrium provides the pathologist and gynaecologist with a highly illustrated and practical manual whose high quality photomicrographs will be an indispensable reference during the interpretation of endometrial biopsies.

The KRAS oncogene is believed to be the most common single nucleotide variant oncogene in human cancer. Historically, efforts to target KRAS and the other RAS GTPases have struggled. More recently, efforts have focused on identifying and exploiting features unique to specific oncogenic mutations. This has led to the first FDA approval for a RAS targeted therapy. This new agent is a covalent inhibitor that reacts with the cysteine residue created by a codon 12 glycine to cysteine (G12C) mutation within KRAS. Mutant-specific strategies may also exist for other KRAS single nucleotide variants, and recent studies provide examples and mechanisms.

Estimation of the Time Since Death remains the foremost authoritative book on scientifically calculating the estimated time of death postmortem. Building on the success of previous editions which covered both the early and later postmortem periods this edition includes a new chapter on DNA/RNA degradation and further new content on drug testing in hair, thus widening the scope of the material. Chapters have been improved, updated and expanded, and include new and additional images to enhance the text. A unique work of synthesis combining rigorous science with practical guidance, this update reinforces the book's reputation as an invaluable resource - and also the standard - for the estimation of the time since death.

The impact of Apoptosis, or programmed cell death, is thought to play a crucial role in the development and progression of disease. Whilst Apoptosis remains extensively studied in the context of immunology, the focus of research has greatly expanded to investigate the key role it is now believed to play in hematopoiesis, angiogenesis, inflammation and organ remodelling. It is hoped that, with an increase in our understanding of the mechanisms controlling apoptosis, there will come the development of a new class of drugs which can pharmacologically manipulate apoptosis and thus provide a means to treat important diseases which currently pose problems to our society.
Containing papers presented at the Eleventh SmithKline Beecham Pharmaceuticals United States Research Symposium and with contributions from leading researchers, Apoptosis in Health and Disease offers a comprehensive review of important developments and research in the field.

This handy reference demonstrates how to use blood, plasma, serum, instrumentation, bone marrow, lymph nodes, and splenic tissue to establish diagnosis, emphasizing practical information to aid in the operation of an efficient hematology laboratory and highlighting up-to-date investigative procedures. Supplies case studies to allow for self-testing in hematopathology and coagulation! Gathering contributions from nearly 40 experts in the field and including more than 1450 references, tables, drawings, micrographs, and photographs, the Handbook of Hematologic Pathology -highlights the need for peripheral blood smear (PBS) review to supplement the quantitative analysis of automated instruments -focuses on the importance of clinical correlation in bone marrow evaluation and interpretation -addresses leukemia and lymphoma -examines clonal stem cell disorders characterized by self-perpetuating and differentiating proliferation -considers common causes of a hypercoagulable state associated with intrinsic circulating plasma factors -details inherited and acquired reactive leukocyte disorders -describes assessing cell lineage and stage of differentiation with monoclonal antibodies -summarizes the results of immunologic and molecular studies of Hodgkin's disease -explores the mechanisms of action, dosage, therapeutic monitoring, and complications associated with anticoagulants -discusses mechanisms of surgical bleeding and laboratory assessment -differentiates between acquired and congenital bleeding disorders and emphasizes laboratory test selection for diagnosis and successful therapy -clarifies the complexity of coagulation instrumentation and offers insight into the recognition of proceduralor instrument errors and interfering medications -outlines blood and blood component therapy options used in the management of bleeding disorders -and more! Presenting brief illustrative examples that elucidate specific clinical problems, the Handbook of Hematologic Pathology is an exceptional reference for clinical and experimental hematologists; pathologists; hematopathologists; medical, surgical, radiation, and research oncologists; immunologists; molecular and cell biologists; and medical school and graduate students in these disciplines.

Like an army of millions ready to defend its territory, the human immune system acts as the body's primary line of defense-a complex network of interacting cells that protects us from pathogens and other foreign substances. But many components of the immune system exhibit change after prolonged, heavy exertion, indicating that it is suppressed and stressed, albeit transiently, following prolonged endurance exercise.

For marathon runners, distance swimmers and any other endurance athlete who undergoes repeated cycles of heavy exertion, a weakened immune system could lead to health complications such as respiratory infection. As a result, interest in various nutrient supplements with the potential to counter exercise-induced immunosuppression has grown.

Nutrition and Exercise Immunology reviews the link between nutrition and immune function, with special application to athletic endeavor. Written by respected researchers in sports medicine and exercise immunology, this text covers topics such as carbohydrates and the immune response to prolonged exertion; protein, exercise, and immunity; and vitamins, immunity, and infection risk in athletes. It also takes a look at future directions in nutrition and exercise immunology.

For sports medicine professionals, dietitians, nutritionists, exercise immunologists, as well as endurance athletes, Nutrition and Exercise Immunology provides an important and in-depth look into this exciting, new area of scientific research.

This book draws together important facts, in particular areas of vascular biology, and allows the generation of hypotheses and principles that unite an area and define newer horizons. It is designed for scientists and physicians interested in immunology, inflammation and cardiovascular diseases.

This detailed volume presents a variety of animal models that are commonly used to study sepsis and some key procedures to measure specific disease outcomes. The chapters describe well-established surgical and nonsurgical rodent models of sepsis, presented by experts in the field. In addition, the book includes protocols for burn injury and sepsis, modeling the mouse intensive care unit (MICU), and the development of humanized mice, which may be useful tools to increase the translational potential of rodent sepsis research. There is a chapter discussing the use of biomarkers for sepsis diagnosis and prognosis in humans and mice, as well as chapters describing specific methods for biomarker measurement, and the use of analgesics and humane endpoints in rodent sepsis research. Finally, agent-based computational modeling is presented as a valuable complementary approach to study sepsis. Written for the highly successful Methods in Molecular Biology series, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls. Authoritative and practical, Sepsis: Methods and Protocols serves as an ideal guide for researchers working toward improving the identification and treatment of septic patients.

This volume presents chapters by leading figures researching the various pathways by which stress may interfere with health maintenance and contribute to disease etiology and progression. Their work focuses on direct effects of stress on the immune and endocrine systems, on behavioral factors in diseases such as cancer and diabetes, and with the general role of stress in illness processes.

The much awaited third edition of the leading reference book in dermoscopy has undergone comprehensive revisions to all chapters, with updates and expanded content providing the reader with a more comprehensive and in-depth coverage of skin conditions, ranging from skin neoplasia to hair, nails, infections and inflammatory diseases. This compilation of contemporary dermoscopy knowledge will benefit the novice in building expertise and benefit experienced practitioners also by providing nuanced insights. Prepare to embark on a journey of learning as leading international experts in the field of dermoscopy explain via text and annotated exemplar images the amazing world of subsurface cutaneous colors and structures visible through a dermatoscope!

This volume is an outstanding collection of papers written by Jungian analysts from different schools of analytical psychology on various aspects of psychopathology. The subjects covered include depression, anorexia, schizoid personality, narcissistic personality disorder, borderline personality disorder, mania, psychosis, paranoia, masochism, fetishism, transvestism, perversion, marital dysfunction, survivor syndrome, and old age.The contributors, who include some of the most creative and distinguished clinicians in the Jungian world today, are: B. Bosnack, Gustav Dreifuss, Alan Edwards, Michael Ford Ham, C. T. Frey-Wehrlin, Rosemary Gordon, Judith Hubback, Peer Hultberg, Mario Jacoby, Thomas Kirsch, F. Langegger, Rushi Ledermann, Fred Plaut, Joseph Redfearn, Ch. Robinson, Nathan Schwartz-Salant, Eva Seligman, Anthony Storr, Mary Williams, and Luigi Zoja.The book is intended to appeal beyond the Jungian community, and the editor's introductory remarks which precede each paper highlight (and where necessary explain) concepts and attitudes that seem special to analytical psychology. In this way, psychoanalytically and eclectically oriented practitioners can make full use of the book.

This book provides a broad overview of pancreatic neuroendocrine neoplasms, focusing on the most important developments in the technologies used to diagnose, classify and treat them. After a historical and epidemiological overview, the opening chapters examine the various diagnostic approaches (radiology, nuclear medicine, endocrinology, cytology and immunohistochemistry) and discuss the WHO classification. The functioning and nonfunctioning tumor types are then fully discussed, covering epidemiology, diagnosis, morphology and prognosis of each entity. Careful consideration is given to the molecular features that have contributed in understanding the pathogenesis of such neoplasms and may have potential implications for the diagnostic and therapeutic pathways. The final chapters consider the surgical and medical approaches to therapy, providing a practical and analytical overview of the available options. The book is written by a multidisciplinary team of worldwide-recognized experts and is addressed to radiologists, nuclear medicine physicians, endocrinologists, pathologists, surgeons and oncologists.

Eighteen contributions consider various aspects of pulmonary vascular control and the pulmonary vasculature's response to injury and disease. They discuss recent advances in molecular biology to cell proliferation, interactions between the endothelium and smooth muscle, and the etiologies of various

Comprehensive and up to date, the Second Edition of Diagnostic Pathology: Infectious Disease, by Dr. Richard Kradin, is an invaluable tool for the accurate diagnosis of any infectious disease?from the common to the most challenging. The organ-based format makes it an especially useful tool for surgical pathologists' daily diagnostic and management issues. High-quality, full-color illustrations and differential diagnosis tables accompany each lesion, clearly depicting how to recognize the morphology of organisms and the spectrum of histological responses that they may cause. Addresses the most difficult diagnostic issues that practicing or trainee surgical pathologists face when handling infectious disease tissue specimens. Highlights morphological characteristics and landmarks of tissue samples for easy access to information necessary for signing out a specimen. Emphasizes the host responses critical in differential diagnosis to serve as a second opinion when non-infectious diagnoses mimic and confound the diagnosis of infection. Completely revised with the latest diagnostic support and hot topics in the field: A new chapter on novel techniques in microbiology A new chapter on eye infections New coverage of immunohistochemical staining and other molecular diagnostic techniques New discussions of human papillomavirus, a critical tool in predictive cancer screening New information on infections in the immunocompromised host and related special considerations Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos (including video updates), glossary, and references from the book on a variety of devices.

This book provides a state-of-the-art look at the applied biomechanics of accidental injury and prevention. The editors, Drs. Narayan Yoganandan, Alan M. Nahum and John W. Melvin are recognized international leaders and researchers in injury biomechanics, prevention and trauma medicine. They have assembled renowned researchers as authors for 29 chapters to cover individual aspects of human injury assessment and prevention. This third edition is thoroughly revised and expanded with new chapters in different fields. Topics covered address automotive, aviation, military and other environments. Field data collection; injury coding/scaling; injury epidemiology; mechanisms of injury; human tolerance to injury; simulations using experimental, complex computational models (finite element modeling) and statistical processes; anthropomorphic test device design, development and validation for crashworthiness applications in topics cited above; and current regulations are covered. Risk functions and injury criteria for various body regions are included. Adult and pediatric populations are addressed. The exhaustive list of references in many areas along with the latest developments is valuable to all those involved or intend to pursue this important topic on human injury biomechanics and prevention. The expanded edition will interest a variety of scholars and professionals including physicians, biomedical researchers in many disciplines, basic scientists, attorneys and jurists involved in accidental injury cases and governmental bodies. It is hoped that this book will foster multidisciplinary collaborations by medical and engineering researchers and academicians and practicing physicians for injury assessment and prevention and stimulate more applied research, education and training in the field of accidental-injury causation and prevention.