In einem alteren Anatomiebuche-findet sich iiber die Bauchspeichel- driise nichts als die Angabe: "Die Bauchspeicheldriise ist ein Organ, das sehr schwer zu finden ist und deshalb kein Interesse fiir uns hat. " Bis vor wenigen J ahren ging es der Physiologie des Wachstums nicht anders wie in obigem Zitat der Bauchspeicheldriise, widmet doch selbst das neueste vierbandige Handbuch der Physiologie von Nagel nicht den kleinsten Abschnitt eines Kapitels der Physiologie des Wachstums und in der Mehrzahl der physiologischen Vorlesungen an den Universi- taten findet die Grundfunktion alles Lebendigen, das Wachstum, wenn iiberhaupt, dann nur eine ganz fliichtige Erwahnung. In den letzten J ahren sind von verschiedenen Seiten und von verschiedenen Gesichts- punkten aus Wachstumsfragen experimentell und theoretisch in Angriff genommen worden, und die Zahl der Arbeiten iiber Wachstum ist be- reits derart groB und ihre Ergebnisse in so verschiedenen, oft schwer zuganglichen Zeitschriften niedergelegt, wie das Literaturverzeichnis be- weist, das es dem Verfasser angezeigt erechien, eine Physiologie des Wachstums mit besonderer Beriicksichtigung des Menschenwachstums einem weiteren Leserkreise zuganglich zu machen. Durch zahlreiche A bbildungen und Textvermehrung unterscheidet sich die vorliegende Monographie von der Arbeit des Verfassers iiber Wachstum, die in den Ergebnissen der inneren Medizin und Kinderheilkunde in Band VIII, Band IX und Band XI veroffentlicht worden war. Der Literaturnach- weis wurde dank der Zusammenstellung von Prof. Hans Aron in seiner Biochemie des Wachstums sehr erheblich vergroBert in bezug auf bio- chemische Arbeiten iiber Wachstum, wahrend zoologische Literatur den Arbeiten von pzibram entnommen werden konnte.

Clinicians and scientists are increasingly recognising the importance of an evolutionary perspective in studying the aetiology, prevention, and treatment of human disease; the growing prominence of genetics in medicine is further adding to the interest in evolutionary medicine. In spite of this, too few medical students or residents study evolution. This book builds a compelling case for integrating evolutionary biology into undergraduate and postgraduate medical education, as well as its intrinsic value to medicine. Chapter by chapter, the authors - experts in anthropology, biology, ecology, physiology, public health, and various disciplines of medicine - present the rationale for clinically-relevant evolutionary thinking. They achieve this within the broader context of medicine but through the focused lens of maternal and child health, with an emphasis on female reproduction and the early-life biochemical, immunological, and microbial responses influenced by evolution. The tightly woven and accessible narrative illustrates how a medical education that considers evolved traits can deepen our understanding of the complexities of the human body, variability in health, susceptibility to disease, and ultimately help guide treatment, prevention, and public health policy. However, integrating evolutionary biology into medical education continues to face several roadblocks. The medical curriculum is already replete with complex subjects and a long period of training. The addition of an evolutionary perspective to this curriculum would certainly seem daunting, and many medical educators express concern over potential controversy if evolution is introduced into the curriculum of their schools. Medical education urgently needs strategies and teaching aids to lower the barriers to incorporating evolution into medical training. In summary, this call to arms makes a strong case for incorporating evolutionary thinking early in medical training to help guide the types of critical questions physicians ask, or should be asking. It will be of relevance and use to evolutionary biologists, physicians, medical students, and biomedical research scientists.

Frank Nawroth thematisiert das Social Freezing und die zugehoerige Beratung, die nicht nur Chancen, sondern auch denkbare Komplikationen und Grenzen der Methode aufzeigen muss. Zum Beispiel haben die gesellschaftspolitisch nicht optimal geloeste Problematik des moeglichen Karriere-Nachteils einer berufstatigen Mutter oder die haufig bestehende Schwierigkeit, den geeigneten Partner zu finden, bei gleichzeitig verbesserten Kryokonservierungsmethoden dazu gefuhrt, dass Frauen ohne medizinische Indikation uber das Einfrieren ihrer Eizellen nachdenken. Die Technologie selbst ist seit Langerem Routine vor fertilitatsbeeintrachtigenden Therapien onkologischer Erkrankungen (Operation, Strahlen- und/oder Chemotherapie) im reproduktiven Alter.

I Saw His Face Before Me is the story of the late Heather Anese Burns, her surviving parents Samuel and Patricia Burns, and her much loved brother Keenan. This achingly honest, moving account of two "deserved" lives, renders page upon page of wisdom, knowledge and compassion - compelling us to face the challenges and celebrate the successes of Heather's and Keenan's journey with Sickle Cell Anemia. Encircled in a heartwarming message the authors offer riveting eye- opening insights into parenting children and adults with incurable diseases, knowing each "first time" experience might be a "first time once." "I can do all things through Christ which strengthens me.."...Philippians 4:13 Heather's passion for all things Godly and her love for education and learning inspired her family and others who loved her to establish the Heather Burns Memorial Scholarship Fund. Learn more about the HBMSF at www.hbmsf.org

The term Spondylarthitides refers to a group of common rheumatic disorders affecting the spine and peripheral joints. The distribution of this disease is world-wide, with both men and women affected (the average age of onset being below 30 years). These also serve as a model system for understanding the interaction between disease-inducing micro-organisms, and genetically-susceptible host, since both of these components are particularly well defined in the spondylarthopathies. They are therefore of great interest from the point of veiw of understanding the pathogenesis of inflammatory and autoimune diseases, such as arthritis, inflammatory bowel disease, and insulin dependent diabetes mellitus, all of which involve an interplay of microbial and genetic factors. The Spondylarthritides provides up to date, in depth reviews of the current state of knowledge of the genetic, epidemiologic, microbiologic, and immunologic aspects of these disorders.
The book provides extensive clinical descriptions of the spondylarthritides, as well as reviews of the clinical features of these diseases. Written by an international team comprised of leading authorities in the field, the book will be of considerable interest to researchers and clinicians investigating these specific disorders, as well as related inflammatory disorders.

New genetic causes of mental retardation are being discovered at rapid rates--every day more people are diagnosed with specific syndromes. This comprehensive guide identifies characteristics of people with these syndromes to help you understand their behaviors and needs, provide better interventions, and create wider community inclusion. Through easy-to-read, detailed discussions of four major syndromes--Down, Williams, fragile X, and Prader-Willi--you'll learn about genetic causes and implications, cognitive profiles, medical complications, prevalence of these syndromes, speech and language issues, behavioral issues, and basic physical characteristics. You'll also find research-based intervention strategies that help you manage issues related to education, personal relationships, employment, and living arrangements. And you'll get in-depth information on five less researched syndromes: velocardiofacial, Rubinstein-Taybi, Angelman, Smith-Magenis, and 5p- (cri-du-chat). This book provides the solid foundation of knowledge you're looking for to better support individuals with genetic disorders.

The purpose of this book is to fill the gap in a largely neglected fundamental branch of biology and medicine that is now becoming a hot topic. Although interest in the excellent protective power of hereditary immunity was sporadically characteristic of the history of immunology, its investigation has been out of the main stream of the science. Its origin and the mode of action have been beyond comprehension and exploitation. The agnostic attitude began to change very dramatically only at the edge of XXl Century. Until now, there has been no review book on the entire topic of hereditary immunity published in English. This is the first in-depth analysis of hereditary immunity both in the investigation of life and in health care.

Fragile X syndrome (FXS), is the most common cause of inherited mental impairment. This impairment can range from learning disabilities to more severe cognitive or intellectual disabilities (sometimes referred to as mental retardation). FXS is the most common known cause of autism or 'autistic-like' behaviour. Symptoms also can include characteristic physical and behavioural features and delays in speech and language development. This new book presents the latest research in this field.

This concise manual provides clinicians and other related health care professionals with an essential reference tool to the background of cystic fibrosis, and the management and treatment of this disease. The latest guidelines are reviewed and current and emerging treatments are discussed in the latter chapters. Cystic fibrosis is an inherited condition where a mutation in the gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) causes loss of function. The dysfunction of CFTR results in the production of thick mucus in the lungs and digestive tract, causing pulmonary and gastrointestinal manifestations. The incidence of cystic fibrosis in Europe and the US ranges between 1 in 2,000 and 1 in 25,000.

Myotonic dystrophy is a multisystemic disorder. The epidemiology of DM is examined in the first chapter of this book as well as potential therapeutic strategies. The authors then go on to review the various involvement of the endocrine system in myotonic dystrophy and therapeutic strategies are proposed. The fourth chapter gives an overview on the diagnostic assessment and management of distinct clinical manifestations of CNS (Central Nervous System) involvement in DM patients, and the main topics regarding its pathogenesis are explored. The next chapter focuses on the strategy of neuromuscular blockage for patients with myotonic dystrophy, especially focusing on premedication, induction of anaesthesia, response to muscle relaxants, the crucial points of safe anaesthesiological care and other perioperative triggers. The development of biomarkers is of high importance in the diagnosis and monitoring of diseases and thus is examined with relation to DM1 (myotonic dystrophy type 1) patients. Other chapters summarize the different rehabilitative approaches that have been proposed in this disease; the novel, interesting findings of therapeutic potential to target DM1 with small molecule kinase inhibitors and the promises his may provide to this devastating disorder; the controversial, phenotypical consequences of the interrupted alleles on DM1 patients; and the sleep disorders associated with myotonic dystrophies.

Recent years have seen rapid advances in our understanding of genetic diseases in terms of their molecular origins. The book focuses on DNA mutations which give rise to abnormalities of protein structure and function in genetic disease.

This second edition has been comprehensively updated to reflect current clinical practice and the latest technical developments, including pre-implantation genetic diagnosis, array CGH, QF-PCR, non-invasive prenatal diagnosis and next generation sequencing amongst others. The first section covers basic principles, while the second outlines the more common situations where obstetrics and gynaecology interact with medical genetics. The third section contains real-life clinical case scenarios which have been selected to represent typical problems and to highlight areas which, if mismanaged, could have serious medico-legal consequences. Together with its accompanying website (www.essentialmedgen.com), it provides an invaluable guide to the use and selection of useful online genetic resources. This book is essential reading for candidates preparing for the MRCOG postgraduate examination, and any health professionals requiring a clear understanding of medical genetics and its increasingly frequent uses in obstetrics and gynaecology, where incorrect genetic advice can have serious consequences.

The first advanced-level genetics counseling skills resource

As genetic medicine and testing continue to expand, so the role of the genetic counselor is transforming and evolving. "Genetic Counseling Practice: Advanced Concepts and Skills" is the first text to address ways that genetic counselors can deepen their skills to meet expanding practice demands. This timely resource not only helps readers further develop their abilities to gather relevant data and interpret it for patients, it also aids them in surpassing their usual role by truly understanding patient situations, incorporating patient values into clinical practice, providing in-depth support, and facilitating thoroughly informed, autonomous decisions.

Edited by an expert cross-disciplinary team consisting of a genetic counseling program director, a licensed psychologist, and a nurse/bioethicist/family social scientist, this authoritative reference provides specific and detailed instruction in addressing psychosocial aspects of genetic counseling practice and professional development and training issues of genetic counselors.

Provides a "process" view of genetic counselor service provision; i.e., skills that promote desired genetic counseling outcomes are emphasized (such as relationship skills, patient characteristics, client behaviors, and extra-clinical skills)

Includes experiential activities in every chapter to help readers apply concepts and skills

Draws on the experience of widely recognized experts in genetic counseling theory, practice, and research, who serve as chapter authors

Features numerous specific, real-life examples from clinical practice

"Genetic Counseling Practice" addresses issues relevant to practicing genetic counselors as well as students of genetic counseling programs. In addition, oncology nurses, social workers, and psychologists working with genetic counseling patients and families; medical geneticists and physicians training in the field; and physician assistants will also benefit from this resource.

In recent years, doctors and scientists have made great strides in increasing our knowledge of hundreds of genetic disorders. Many serious disorders have now been identified as having a genetic basis, and treatment for birth defects has improved substantially.""The Encyclopedia of Genetic Disorders and Birth Defects, Third Edition"" offers lay readers and professionals alike the most comprehensive single-volume reference to congenital disorders and birth defects. This accessible volume contains more than 1,000 expertly written entries - including more than 135 new entries and more than 60 revised entries, extensive appendixes providing updated tables of statistics and directories of service and support groups, and a concise introductory history of human genetics. This new edition has been extensively updated to reflect the most current research.

Examines common hereditary diseases and ways of avoiding them, discussing diabetes, heart disease, cancer, alcoholism, and the exploration of one's family medical tree.

An expert assessment of striking recent developments in molecular genetics and their implications for medical practice at present and in the immediate future. Adopting a public health approach the report aims to help medical decision-makers and practitioners understand both the technical basis of progress and its potential to revolutionize the management of numerous diseases. Advances in the prevention and treatment of classical genetic disorders are considered together with newer opportunities opened by knowledge that many common disorders including coronary heart disease and certain cancers have a genetic component. Throughout the report a special effort is made to help planners in developing and developed countries alike reap the full public health benefits of technologies that are becoming increasingly powerful simple and inexpensive to use. Information ranges from a discussion of the state-of-the-art in gene therapy through a tabular summary of treatment results for specific congenital anomalies to advice on ways to integrate simple genetic approaches into everyday medical practice. Relevant ethical social and legal issues are also critically assessed in an effort to provide comprehensive guidance. The report has eight sections. Background information is provided in the first which explains the structure and functions of DNA summarizes knowledge about the genetic basis of both single-gene and multifactorial disorders and traces the spectacular development of DNA technology and diagnostic tests over the past decade. The Human Genome Project - and its potential to transform medical practice on many levels - are also explained in detail. A section on epidemiology discusses factors influencing the frequency of genetic and congenital disorders and describes opportunities for their management and prevention. The impact that these advances will have on the demand for genetic services is also assessed. The large scale of implications for medical practice is underscored in the third section which reviews and interprets growing knowledge about the genetic component of many common disorders including coronary heart disease certain cancers asthma diabetes mental disorders and Alzheimer disease. A comprehensive review of current and future opportunities for prevention including both genetic family studies and population screening is followed by sections covering the basic principles of genetic counseling and opportunities within the context of obstetric care for prenatal diagnosis using ultrasound scanning and DNA technology. The remaining sections offer advice on the organization of genetic services in industrialized and developing countries alike and discuss the ethical social and legal aspects of genetic technology in medicine concluding that the broadest ethical issue in the area of genetic services is their limited availability.