This supplement presents the papers submitted at the 27th meeting of the European Society of Toxicology, which was organised by the British Toxicology Society and held in Harrogate, England. As evident from the title of this book, the overall theme of the meeting was an exploration of some of the mechanisms of toxicity, as well as some models used in the investigation of toxic action. The topics dealt with can be grouped under four headings. The first of these, on the mechanisms involved in cell injury, was a joint symposium of the European Society of Toxicology and the Society of Toxicology of the United States of America. In the second group, mechanisms in carcinogen risk assessment were discussed. Mechanisms and models of teratogenesis was the subject of the third group of invited papers. Finally, a workshop on safety evaluation of biotechnological products dealt with present and future problems which this new area of technology poses for toxicologists. Short communications on recent studies and developments in toxicological techniques which were presented at the meeting are also included in this volume.

Contents:
1. Introduction and Historical Perspectives Eugene J. Olajos and Woodhall Stopford 2. Application and Use of Riot Control Agents Jeanne M. Ditter and Charles S. Heal 3. Synthesis and Chemical Analysis of Riot Control Agents Sidney A. Katz and Harry Salem 4. Biochemistry, Biological Interactions, and Pharmacokinetics of Riot-Control Agents Eugene J. Olajos 5. Riot Control Agents and Acute Sensory Irritation Eugene J. Olajos and Woodhall Stopford 6. Pharmacology/Toxicology of CS, CR, CN, Formulations, Degradation Products, Carriers/Solvents, and Propellants Eugene J. Olajos and Joan M. Antonio upLakoski 7. Pharmacology and Toxicology of Oleoresin Capsicum, Capsaicin, and Capsaicinoids Eugene J. Olajos and Joan M. Lakoski 8.
Chronic Toxicity of Riot Control Agents Woodhall Stopford 9. Reproductive and Developmental Toxicology of Riot Control Agents Russell F. Mankes and Kristina M. Mankes 10. Mutagenicity and Carcinogenicity of Riot Control Agents Joyce M. Durnford 11. Human Exposures to Riot Control Agents Woodhall Stopford and Frederick R. Sidell 12. Forensic Toxicology and Riot Control Agents Bryan Ballantyne and Harry Salem 13. An Approach for Assessing and Characterizing Risk from the Use of Riot Control Agents Jacqueline Patterson, Bert Hakkinen, Patricia Nance, Michael Dourson, and B. Jon Klauenberg 14. Occupational Exposures to Riot Control Agents
Woodhall Stopford 15. Riot Control Agents: Risk Management and Public Health Considerations Veronique D. Hauschild 16. Riot Control Agents: Environmental Issues Larry E. Erickson, Athertina N. Steinau, Terrie Boguski, and Frederick Oehme 17. Genomics, Proteomics and Computational Toxicology as Future Tools in Assessing the Health Hazards of Riot Control Agents Akbar S. Khan and Harry Salem 18. Riot Control Agents: Issues/Concerns, Needs, Emerging Concepts/Trends and AdvancesTechnological Advances Woodhall Stopford and Eugene J. Olajos Appendix A Definitions and Terminology Appendix B Medical Treatment/Management
Appendix C Table of RCA Formulations

Haschek and Rousseaux's Handbook of Toxicologic Pathology, recognized by many as the most authoritative single source of information in the field of toxicologic pathology, has been extensively updated to continue its comprehensive and timely coverage. The fourth edition has been expanded to four separate volumes due to an explosion of information in this field requiring new and updated chapters. Completely revised with a number of new chapters, Volume 1, "Principles and the Practice of Toxicologic Pathology," covers the practice of toxicologic pathology in three parts: Principles of Toxicologic Pathology, Methods in Toxicologic Pathology, and the Practice of Toxicologic Pathology. Other volumes in this work round out the depth and breadth of coverage.Volume 2 encompasses "Toxicologic Pathology in Safety Assessment" and "Environmental Toxicologic Pathology". These two sections cover the application of toxicologic pathology in developing specific product classes, principles of data interpretation for safety assessment, and toxicologic pathology of major classes of environmental toxicants. Volumes 3 and 4 provide deep and broad treatment of "Target Organ Toxicity", emphasizing the comparative and correlative aspects of normal biology and toxicant-induced dysfunction, principal methods for toxicologic pathology evaluation, and major mechanisms of toxicity. These volumes comprise the most authoritative reference on toxicologic pathology for pathologists, toxicologists, research scientists, and regulators studying and making decisions on drugs, biologics, medical devices, and other chemicals, including agrochemicals and environmental contaminants. Each volume is being published separately.

In this issue of Emergency Medicine Clinics, guest editors Drs. Christopher P. Holstege and Joshua D. King bring their considerable expertise to the topic of Toxicology Emergencies. The field of medical toxicology has grown dramatically over the past decade, with the emergence of new pharmaceuticals, abused substances, chemicals within the workplace, and agents of terrorism. In this issue, top experts in the field address some of the more common, controversial, or emerging areas in this challenging area. Contains 15 relevant, practice-oriented topics including the approach to the patient with an unknown overdose; emerging agents of substance abuse and misuse; differentiating the causes of metabolic acidosis in the poisoned patient; pediatric toxicology; and more. Provides in-depth clinical reviews on toxicology emergencies, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Molecules of Murder is about infamous murderers and famous victims; about people like Harold Shipman, Alexander Litvinenko, Adelaide Bartlett, and Georgi Markov. Few books on poisons analyse these crimes from the viewpoint of the poison itself, doing so throws a new light on how the murders or attempted murders were carried out and ultimately how the perpetrators were uncovered and brought to justice. Part I includes molecules which occur naturally and were originally used by doctors before becoming notorious as murder weapons. Part II deals with unnatural molecules, mainly man-made, and they too have been dangerously misused in famous crimes. The book ends with the most famous poisoning case in recent years, that of Alexander Litvinenko and his death from polonium chloride. The first half of each chapter starts by looking at the target molecule itself, its discovery, its history, its chemistry, its use in medicine, its toxicology, and its effects on the human body. The second half then investigates a famous murder case and reveals the modus operandi of the poisoner and how some were caught, some are still at large, and some literally got away with murder. Molecules of Murder will explain how forensic chemists have developed cunning ways to detect minute traces of dangerous substances, and explain why some of these poisons, which appear so life-threatening, are now being researched as possible life-savers. Award winning science writer John Emsley has assembled another group of true crime and chemistry stories to rival those of his highly acclaimed Elements of Murder.

In the last decade, the incidence of acute poisoning in the developed world has risen considerably, so that hospital admissions from this cause now repre sent a significant part of the work load of most medical units. The purpose of this book is to provide an up-to-date account of the diag nosis and treatment of all the clinically important poisons. Throughout the text the aim has been to emphasize the mechanisms of toxicity - wherever they are known - so that a rational approach to therapy may be devised. In addition, substantial chapters have been devoted to the psychiatric assess ment of self-poisoned patients and to the role of the laboratory. Two styles of presentation have been adopted. Certain topics are discussed in depth either because of their clinical importance or because recent data have become available concerning pathophysiology or treatment. In contrast, when subjects have been well described previously in general medical texts, for example, carbon monoxide poisoning, the discussion is far more brief and to the point. A similar style has been adopted with recently introduced drugs, where little is known about the effects in overdose. The value of cer tain chapters, especially those on poisonous plants and snake bites, has been enhanced by the inclusion of a large number of colour photographs."

Pharmacokinetics and Toxicokinetic Considerations explains the central principles, cutting-edge methodologies, and incipient thought processes applied to toxicology research. As part of the Advances in Pharmaceutical Product Development and Research series, the book provides expert literature on dose, dosage regimen and dose adjustment, medication errors, and approaches for its prevention, the concept of pharmacotherapy, and managed care in clinical interventions. It expounds on strategies to revamp the pharmacokinetics of the drug and the factors affecting the stability of drugs and their metabolites in biological matrices. Finally, the book offers focused elaborations on various bioanalytical methods for bioavailability and bioequivalence assessment and integrates the wide-ranging principles and concepts shared by toxicokinetics and pharmacodynamics as mutual crosstalk rather than isolated observations. It will be helpful to researchers and advanced students working in the pharmaceutical, cosmetics, biotechnology, food, and related industries including toxicologists, pharmacists, and pharmacologists.

Environmental Contaminants and Medicinal Plants Action on Female Reproduction discusses the problem of environmental pollution, medicinal and food plants, and their impact on reproduction. The book describes the mechanisms of environmental contaminants' action, outlines the key causes of their harmful impact on reproduction, and explores what regulatory substances and processes should be targeted due to the negative effect of pollutants on reproduction. Furthermore, it describes the provenance, properties, physiological and therapeutic effects, and possible areas of application of the known medicinal and functional food plants and their constituents with a focus on female reproductive processes. This book will be a useful resource for reproductive biologists, specialists in assisted reproduction, animal production and phytotherapy, toxicologists, pharmacologists, pharmaceutical scientists, endocrinologists, medicinal and natural product chemists, nutritionists and others engaged in the study of environmental contaminants and medicinal and functional food plants.

Handbook on the Toxicology of Metals, Volume II: Specific Metals, Fifth Edition provides complete coverage of 38 individual metals and their compounds. This volume is the second volume of a two-volume work which emphasizes toxic effects in humans, along with discussions on the toxic effects of animals and biological systems in vitro when relevant. The book has been systematically updated with the latest studies and advances in technology. As a multidisciplinary resource that integrates both human and environmental toxicology, the book is a comprehensive and valuable reference for toxicologists, physicians, pharmacologists, and environmental scientists in the fields of environmental, occupational and public health.

This second volume in an exciting and detailed series on contact allergens provides monographs of all 181 fragrances and 79 essential oils which have caused contact allergy / allergic contact dermatitis, including the indicators for fragrance allergy (fragrance mixes I and II and Myroxylon pereirae resin [Balsam of Peru]) and non-fragrance allergens in botanical products used in the perfume industry. The monographs present: Identification section; Contact allergy (general population, patients with dermatitis, case reports and case series); Cross-reactions; Patch test sensitization; Presence in products and chemical analyses; Other side effects (irritant contact dermatitis, photosensitivity, immediate-type reactions, systemic side effects) and more. Key Features: Presents monographs of all known fragrance chemicals and essential oils which have caused contact allergy / allergic contact dermatitis Provides a full literature review of relevant topics of allergenic fragrances and essential oils Identifies INCI and IUPAC names, synonyms, CAS and EC numbers, structural formulas, RIFM and Merck Index monographs, SCCS opinions, IFRA and EU restrictions and advises on patch testing Presents an alphabetical list of all synonyms indicating their INCI names Covers an extensive amount of information to benefit dermatologists, allergists, and non-medical professionals involved with the research, development and marketing of fragrances and essential oils

Systemic Drug Delivery Strategies: Delivery Strategies and Engineering Technologies in Cancer Immunotherapy, Volume 2 examines the challenges of delivering immuno-oncology therapies, focusing specifically on the multiple technologies of affective drug delivery strategies. Immuno-oncology (IO) is a growing field of medicine at the interface of immunology and cancer biology leading to development of novel therapeutic approaches, such as chimeric antigen receptor T-cell (CAR-T) and immune checkpoint blockade antibodies, that are clinically approved approaches for cancer therapy. Although currently approved IO approaches have shown tremendous promise for select types of cancers, broad application of IO strategies could even further improve the clinical success, especially for diseases such as pancreatic cancer, brain tumors where the success of IO so far has been limited. This volume of Delivery Strategies and Engineering Technologies in Cancer Immunotherapy discusses methods of targeting tumors, CRISPR technology, and vaccine delivery among many other delivery strategies. Systemic Drug Delivery Strategies: Delivery Strategies and Engineering Technologies in Cancer Immunotherapy, Volume 2 creates a comprehensive treaty that engages the scientific and medical community who are involved in the challenges of immunology, cancer biology, and therapeutics with possible solutions from the nanotechnology and drug delivery side.

Hazardous Gases: Risk Assessment on Environment and Human Health examines all relevant routes of exposure, inhalation, skin absorption and ingestion, and control measures of specifics hazardous gases resulting from workplace exposure from industrial processes, traffic fumes, and the degradation of waste materials and how they impacts the health and environment of workers. The book examines the risk assessment and effect of poisonous gases on the environment human health. It also covers necessary emergency guidelines, safety measures, physiological impact, hazard control measures, handling and storage of hazardous gases. Each chapter is formatted to include an introduction, historical background, physicochemical properties, physiological role discussing mechanisms of toxicity, its effect on human health as well as environment, followed by case studies and recent research on toxic gases. Hazardous Gases: Risk Assessment on Environment and Human Health is a helpful resource for academics and researchers in toxicology, occupational health and safety, and environmental sciences as well as those in the field who work to assess and mitigate the impact of toxic gases on the work environment and the health of the workforce.

Das Fachlexikon Toxikologie gibt den auf dem Gebiet des Umweltschutzes, der Arbeitshygiene und Toxikologie tatigen Wissenschaftlern und Praktikern ebenso ein Hilfsmittel in die Hand wie den mit dem Transport gefahrlicher Guter oder den mit der schadlosen Beseitigung toxischer Abprodukte Beschaftigten. Daneben wendet sich das Fachlexikon auch an die Mitarbeiter von Feuerwehr, Polizei, Rettungsdiensten, Zoll und anderen Kontrollbehorden sowie an Lehrende und Studierende naturwissenschaftlicher Disziplinen, die nach einem kompakten und zugleich kompetenten Ratgeber suchen."

Dr. Rustgi has assembled the leading experts in the management of Heptatitis B to present the current treatment and clinical course for diagnosis and management of the disease. Articles are devoted to: Drug metabolism in the liver; Mechanism of Liver Damage including the RUCAM scale; Drug-induced acute liver failure; Epidemiology and genetic risk factors; Adverse drug reactions: type A (intrinsic or pharmacological) or type B (idiosyncratic); Pathology of injury including phenotypes; The clinical course of drug-induced liver disease; Environmental factors of drug hepatotoxicity; Newer agents in drug hepatotoxicity; Drug hepatotoxicity: herbal products; Drug hepatotoxicity: models including "human on a chip" and zebrafish; Acute and chronic liver failure from drugs: impact on the kidney; and Management of acute hepatotoxicity including medical agents and liver support systems. Readers will come away with the cutting edge science behind the latest innovations in the treatment of Hepatitis B.

A unique book on recognition and investigation of criminal poisoning for investigators of all backgrounds and stages of their careers. Poisons: An Introduction for Forensic Investigators is a concise yet comprehensive overview of toxicants and unanticipated circumstances in which poisoning occurs. This book expands awareness of poisoning possibilities, heightens recognition of the toxic potential of many substances, and provides information to aid in focusing investigations. Poisons discusses life-threatening toxic substances and agents that modify behavior to achieve criminal goals. These include drugs that facilitate sexual assaults and robberies, and those found in medical child abuse and drug-product tampering. More than 230 case studies illustrate both unintentional and intentional poisoning and highlight situations where poisoning may not immediately be apparent. Information is included in pertinent criminal poisoning cases to illustrate the temperament of poisoners, their relationship to victims, their basis for poison selection, and their method of administration. Since Poisons is written by a single author, the discussions, format, educational level, and terminology remain consistent to aid crime scene investigators, homicide detectives, forensic scientists, death investigators, toxicologists, medical examiners, attorneys, and students. The book's more than 650 references are an asset to frame knowledge as well as a resource to return to again and again.

When every moment counts, count on Poisoning & Drug Overdose Speed is crucial when dealing with toxicologic and drug-related emergencies. Finding answers quickly is easier than ever with this streamlined eighth edition of Poisoning and Drug Overdose. This instant-answer guide provides the critical information needed to diagnose and manage drug-related emergencies and chemical exposures. Updated with newly released drugs and new information on existing drugs, the guide covers initial emergency management, including treatment of coma, seizures and hypotension; physical and laboratory diagnosis; and methods of decontamination and enhanced elimination of poisons. Poisoning and Drug Overdose, Eighth Edition is divided into four sections: Section I. Provides a stepwise approach to the evaluation and treatment of coma, seizures, shock, and other complications of poisoning and the proper use of gastric decontamination and dialysis procedures. Section II. Lists specific poisons and drugs, as well as the pathophysiology, toxic dose and level, clinical presentation, diagnosis, and specific treatment associated with each substance. Section III. Covers descriptions of therapeutic drugs and antidotes, including pharmacology indications, adverse effects, drug interactions, and recommended dosage. Section IV. Describes the approach to hazardous materials incidents; the evaluation of occupational exposures; and the toxic effects, physical properties, and workplace limits for over 500 common industrial chemicals. Poisoning and Drug Overdose, Eighth Edition is enhanced by numerous tables and charts, as well as a user-friendly index. This trusted resource has consistently been relied upon by front line professionals responding to drug-related emergencies and chemical exposures.

Toxicology: Oxidative Stress and Dietary Antioxidants examines the nature of oxidative stress as a consequence of exposure to toxins and how antioxidant approaches can mitigate the impact of toxicant exposures. Sections covers the basic biology of oxidative stress, from molecular biology, to physiological pathology, mechanisms of action of specific toxicants, metals and other chemicals/drugs, and antioxidant approaches and therapies for toxic exposures. With contributions from an international group of experts, useful summary sections, a dictionary of terms, and applications to other areas of toxicology, this book is an informative, consolidated reference that helps bridge the interrelationship between toxicology, oxidative stress and antioxidants.

Oxidative Stress: Its Impact on Human Health and Disease Onset examines all factors known to elevate oxidative stress (OS) and the mechanism of OS disease causation. Sections cover the causes and prevention of oxidative stress, the types of chemical exposures and environmental factors that precipitate disease, disease hallmarks and biomarkers, disease clusters, disease co-morbidities, free radical attacks at the cellular level, and the Oxidative Stress Index tool, its premise, and how it can be used to identify the primary causes of specific diseases and predict the likelihood of disease onset. With comprehensive coverage of not only the impact of OS due to chemical exposure but also the consequences of environmental factors, this book is a valuable resource for researchers and scientists in toxicology and environmental science, health practitioners, public health professionals, and others who wish to broaden their knowledge on this topic.

Reactive Oxygen Species (ROS), Nanoparticles, and Endoplasmic Reticulum (ER) Stress-Induced Cell Death Mechanisms presents the role of ROS?mediated pathways cellular signaling stress, endoplasmic reticulum (ER) stress, oxidative stress, oxidative damage, nanomaterials, and the mechanisms by which metalloids and nanoparticles induce their toxic effects. The book covers the ecotoxicology of environmental heavy metal ions and free radicals on macromolecules cells organisms, heavy metals?induced cell responses, oxidative stress, the source of oxidants, and the roles of ROS, oxidative stress and oxidative damage mechanisms. It also examines the nanotoxicity, cytotoxicity and genotoxicity mechanisms of nanomaterials and the effects of nanoparticle interactions. Antioxidant defense therapy and strategies for treatment round out the book, making it an ideal resource for researchers and professional scientists in toxicology, environmental chemistry, environmental science, nanomaterials and the pharmaceutical sciences.

Catastrophic events such as the Bhopal, India tragedy and rising incidences of cancer in areas neighboring industrial facilities have heightened concern over the use of toxic chemicals in manufacturing and industry, particularly with respect to long-term exposure. While legislation and publicity have reduced the use of some chemicals, risks remain that continue to threaten the health of individuals worldwide. Based on the authors' research conducted through their development of a program in Sao Paulo, Brazil, Toxic Chemicals: Risk Prevention Through Use Reduction examines various toxicity factors and proposes a plan to reduce the toxic impact of these hazardous substances. Explores all factors that contribute to toxicity The book begins by exploring the history of toxic chemical release reporting programs, a trend growing out of the Bhopal tragedy. It surveys their impact both in the United States through the Toxics Release Inventory (TRI) program and in the 29 other countries that maintain similar programs. Then, with the goal of developing a rational method of prioritizing toxic chemicals for reduction, the authors discuss mobility, persistence, and bioconcentration adjustment factors and present a method for integrating all of these factors to estimate the relative impact of chemical release. Compares alternate emphases in existing programs The book describes programs that concentrate on reducing the release of chemicals with the greatest adverse toxic impact and those that require companies to prepare pollution prevention plans and set goals for reducing use or release. It also examines technical assistance programs that help companies search for alternative chemicals to use or process changes that eliminate the use of toxic chemicals. In addition, it explores alternative market-based approaches for achieving environmental protection. Presents a workable plan for the future In the final chapters, the authors lay out their proposed program for reducing the use of toxic chemicals. This plan builds on the existing TRI program and uses lessons learned from this and other programs. The combined research assembled by the authors and their multifaceted approach to the issue of chemical toxicity enables companies and policy makers to move to the next level of toxic chemical use reduction, resulting in a safer environment for future generations.

The purpose of risk assessment is to support science-based decisions about how to solve complex societal problems. Indeed, the problems humankind faces in the 21st century have many social, political, and technical complexities. Environmental risk assessment in particular is of increasing importance as health and safety regulations grow and become more complicated. Environmental Risk Assessment: A Toxicological Approach, 2nd Edition looks at various factors relating to exposure and toxicity, human health, and risk. In addition to the original chapters being updated and expanded upon, four new chapters discuss current software and platforms that have recently been developed and provide examples of risk characterizations and scenarios. Features: Introduces the science of risk assessment-past, present, and future Provides environmental sampling data for conducting practice risk assessments Considers how bias and conflict of interest affect science-based decisions in the 21st century Includes fully worked examples, case studies, discussion questions, and suggestions for additional reading Discusses new software and computational platforms that have developed since the first edition Aimed at the next generation of risk assessors and students who need to know more about developing, conducting, and interpreting risk assessments, the book delivers a comprehensive view of the field, complete with sufficient background to enable readers to probe for themselves the science underlying the key issues in environmental risk.

Presenting all preclinical and clinical information available on genetically engineered toxins, this unique, single-source reference provides the most up-to-date methods and practical examples for conducting clinical studies in toxin molecular biology.;Reviewing difficult problems and their solutions, Genetically Engineered Toxins discusses techniques for clo;ning, expressing, and purifying recombinant toxins and genetically modified recombinant toxins; documents structure-function relationships in toxins, including comparative information; supplies theory and illustrations of chimeric toxins; delineates the preclinical assessments of new reagents; and summarizes approaches to drug design.;With over 1100 literature citations, Genetically Engineered Toxins is an invaluable resource for biochemists, molecular biologists, biotechnologists, pharmacologists, toxicologists, X-ray crystallographers, enzymologists, oncologists, hematologists, immunologists, rheumatologists, botanists, and graduate-level students in molecular biology, biotechnology, and clinical oncology courses.

Treating nuclear, biological, and chemical agent exposures presents a unique set of challenges. These scenarios usually involve multiple exposures, sometimes even mass exposures, from a single, often poorly-defined, event. Early symptoms are not distinct and can often be variable. Laboratory analyses may be required from environmental, often nonbiological, specimens. Scene evaluation and pre-hospital decontamination may turn out to be the most important intervention. Hospital resource utilization must be a consideration. Even the pathologist performing autopsies needs adequate preparation. It is with these considerations in mind that the Handbook of Nuclear, Biological, and Chemical Agent Exposures was created. Taking a concise yet comprehensive, clinical approach to the treatment of these exposures, the authors provide concise information on radiation substances, biological agents, chemical toxins, laboratory tests, and antidotes. The book includes essays on topics such as Field Identification and Decontamination of Toxins, Bioterrorism and the Skin, and Mass Exposures Involving the Pediatric Population. A quick review of the contents will tell you that this book contains the tools you need when facing the formidable tasks of diagnosing and treating nuclear, biological, and chemical agent exposures.

Botulinum toxin A is a remarkably versatile treatment with a steadily expanding list of indications, which include strabismus, hemifacial spasm, focal dystonias such as spasmodic torticollis, dysphonia and writer's cramp, as well as adult and childhood spasticity. Recent innovations include its use in some types of pain, in autonomic and gastrointestinal disorders, and in cosmetic medicine, such as hyperhidrosis, hypersalivation, rectal fissure, achalasia and facial wrinkles. Botulinum toxin is arguably the safest and most effective treatment in movement disorders since the introduction of levodopa, and is an increasingly important option in many other fields.

The long-awaited second edition of the Handbook of Botulinum Toxin Treatment brings the reader up to date with the many advances in background knowledge and in clinical practice in both the established and the newer indications, including the use of a second serotype botulinum toxin B.

The book is an introduction and practical guide for doctors and paramedical staff who use botulinum toxin or who may want to refer patients or care for patients being treated elsewhere. Initial chapters provide historical and general information. The rest of the book concentrates on the different conditions treated with botulinum toxin. Chapters follow a standard format with a pragmatic approach based on the wide experience of the authors.

Review from Doody's Review Service - A five star rating!

Description: This is a well-written and well-illustrated book that elegantly details the utility of botulinum toxin in treating a variety of neurological conditions.

Purpose: The authors have created a superb, well-edited bookthat details the practical aspects of selecting patients for botox injections as well as technique and possible adverse effects.

Audience: Any physician who plans to use botox in his or her practice -- whether for spasticity, dystonia, pain, or cosmetic purposes will want to read and own this book.

Features: This book is well written and well edited. It consists of 18 contributions from authorities in the field. The first five contributions delineate the discovery of botox and its mechanism of action. The next nine chapters describe in detail the use of botox in a variety of movement disorders including blepharospasm, tics, dystonia, spasticity, and tremor. Two chapters deal with treatment of autonomic disorders with botox and the book concludes with three chapters on use of botox for pain, strabismus, and cosmetic purposes.

Assessment: This is a superb book that combines theory with practical application. It is easy to read and filled with useful drawings. Any physician who wishes to use botox in his or her practice will want to have this book.

Score: Weighted Numerical Score: 99