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Knowledge of cutaneous lymphomas has been growing significantly as a result of important discoveries in immunology, molecular biology, and immunohistochemistry. Improved clinical pathologic correlation and follow-up data, as well as the synergistic collaboration among different lymphoma registries and specialists from several academic medical centers have greatly contributed to the understanding of the difficult field of cutaneous lymphoproliferative disorders. While these advances have increased understanding of skin lymphomas, they have also produced an extensive and sometimes confusing litany of articles, studies, and classification schemes. This issue on Cutaneous Lymphomas in Surgical Pathology Clinics provides an organized and updated review of this challenging topic by leading experts. It bridges critical knowledge gaps in the diagnosis of cutaneous lymphomas. Sezary Syndrome, Mycosis Fungoides and variants are presented along with B-cell, CD30, lymphoproliferative disorders among others. In addition to multiple clinical and microscopic images, tables and algorithms are presented to aid in diagnosis and staging. Beyond its usefulness to general pathologists, dermatopathologists, and hematopathologists, this information is intended to be helpful for dermatologists, hematologists/oncologists, fellows, and residents.
Hospice care is one of the fastest-growing segments of the U. S. healthcare system, a trend that is expected to accelerate as the median age of the population continues to rise over the next three decades. Despite over forty percent of the population now dying while on hospice care, very little has been published on the ethical opportunities and challenges experienced in the everyday lives of those giving and receiving hospice care. This book is the first comprehensive collection devoted to analyzing distinctive ethical issues arising in the delivery of hospice care and designed to promote best ethical practices for hospice care professionals and organizations. Thirteen newly commissioned chapters by seventeen hospice experts populate three thematic sections of the book, each devoted to an aspect of the intersection between ethics and hospice care. Contributors have unique qualifications and abilities to articulate and respond to ethically significant phenomena that - while not always unique to hospice care - arise in especially poignant and complex ways when caring for patients enrolled in hospice. As the shift or return to home-based care at the end of life continues, hospice professionals and programs will be faced with a broader array of terminal illnesses, cultural beliefs and traditions, and patient and family values than ever before. Hospice will no longer be tailored solely to the final stage of cancer, but will need to accommodate patients whose illnesses are variable in their progression and whose treatment plans include many medical options. The ethical orientations and frameworks that have served hospice for the past 50 years will need to be supplemented and refined if hospice is to fulfill this changing social mission. Hospice Ethics explores a new paradigm for hospice ethics from a multi-disciplinary and provides an important educational resource for professional training in end of life care.
Student feedback has appeared in the forefront of higher education quality, in particular the issues of effectiveness and the use of student feedback to improve higher education teaching and learning, and other areas of student tertiary experience. Despite this, little academic literature has focussed on the experiences of academics, higher education leaders and managers. The final title in the Chandos Learning and Teaching Series to focus on student feedback, Enhancing Learning and Teaching through Student Feedback in the Medical and Health Sciences expands on topics covered in the previous publications, focussing on the medical and health science disciplines. This edited title includes contributions from experts in higher education quality, and student feedback from a range of countries, such as Australia, Europe, Canada, the USA, the UK, South East Asia and India. The book is concerned with the practices of evaluation and higher education quality in medical and health science disciplines, with particular focus on student feedback. The book begins by giving a discipline-specific overview of student feedback in medical and health sciences, before moving on to take a global perspective. The penultimate chapter considers the accountability of student evaluations in health and medical sciences, before a conclusion summarises the practices of student feedback and accountability in medical and health sciences, and suggests future improvements.
Techniques in Revision Hip and Knee Arthroplasty is the one authoritative volume that gives you an efficient, problem-based approach to revision arthroplasty of both the hip and knee. Dr. Giles Scuderi and other leading experts from North America and Western Europe present their favored surgical procedures and post-surgical management strategies in this straightforward, heavily illustrated, video-intensive reference. It's your one-stop, go-to guide for successful revision surgery for a myriad of complications, such as implant loosening, polyethylene wear, osteolysis, or infection of the hip and knee. Get expert guidance on implant choice, management of complications (including infection and wound healing), and failure of mechanisms, as well as step-by-step surgical techniques. Quickly find the exact information you need with a straightforward "just what you need to know" approach, including surgical tips and pearls. Stay up to date with new insights regarding anatomic landmarks, recommended reconstruction options in revision surgery, including management of bone defects and instability. Access the fully searchable contents of the book and an abundance of surgical videos online at Expert Consult.
"Electroporation-Based Therapies for Cancer" reviews electroporation-based clinical studies in hospitals for various cancer treatments, including melanomas, head and neck cancers, chest wall breast carcinomas, and colorectal cancers, as well as research studies in the lab using cell lines, primary cells, and animals. Cancer kills about one American per minute, amounting to over 500,000 deaths in the United States and millions, worldwide, each year. There is a critical need for safe, effective, and affordable alternative treatment modalities, especially for inoperable, recurring, and chemo-resistant cancers, that do not respond well to current treatment regimen. An electrical-pulse-mediated, enhanced drug delivery technique known as electroporation is one way to effectively treat these patients. This technique is especially suitable for low- and middle-income
countries, where lack of infrastructure and resources leads to
cancer diagnoses at late stages. This quick, safe, effective,
economical, out-patient-based technique is a boon to these patients
for palliative and other care with enhanced quality of life. This
book features discussions by interdisciplinary authors-including
practicing oncological surgeons, medical professionals, and
academic and other researchers-of the basics and clinical medical
applications of electroporation.
No other neurological condition allows the same opportunities for an intracranial electrophysiological study of the human brain as epilepsy does. Epileptic surgery is designed to remove the epileptic focus from the human brain, thereby effecting either cure or substantial reduction of seizures in an individual with an otherwise intractable condition. Its use as a treatment modality dates from the late 19th century, and it has become a widely used treatment option throughout the world in the last 20-30 years. The complexity of epilepsy cases in surgical centres, and the need for invasive electrode studies for pre-surgical evaluation, are both greatly increasing. Invasive Studies of the Human Epileptic Brain is the definitive reference text on the use of invasive electroencephalographic (EEG) diagnostic studies in human epilepsy. Written by some of the most renowned epilepsy experts of the 20th and 21st centuries, the authors provide their expertise and insights into the identification and mapping of intracranial epileptiform and non-epileptiform activity, mapping of the human brain function, and approaches in the use of invasive electroencephalography in a variety of clinical situations. The book is organized into an easily readable series of chapters and is brilliantly illustrated with case studies; each providing an intuitively comprehensive approach to invasive brain studies.
Therapeutic risk management of medicines is an authoritative and practical guide on developing, implementing and evaluating risk management plans for medicines globally. It explains how to assess risks and benefit-risk balance, design and roll out risk minimisation and pharmacovigilance activities, and interact effectively with key stakeholders. A more systematic approach for managing the risks of medicines arose following a number of high-profile drug safety incidents and a need for better access to effective but potentially risky treatments. Regulatory requirements have evolved rapidly over the past decade. Risk management plans (RMPs) are mandatory for new medicinal products in the EU and a Risk Evaluation and Mitigation Strategy (REMS) is needed for certain drugs in the US. This book is an easy-to-read resource that complements current
regulatory guidance, by exploring key areas and practical
implications in greater detail. It is structured into chapters
encompassing a background to therapeutic risk management,
strategies for developing RMPs, implementation of RMPs, and the
continuing evolution of the risk management field.The topic is of
critical importance not only to the pharmaceutical and
biotechnology industries, but also regulators and healthcare
policymakers.Some chapters feature contributions from selected
industry experts.
With growing concerns about the rising incidence of obesity, there
is interest in understanding how the human appetite contributes to
energy balance and how it might be affected by the foods we
consume, as well as other cultural and environmental factors.
Satiation, satiety and the control of food intake provides a
concise and authoritative overview of these areas. Part one
introduces the concepts of satiation and satiety and discusses how
these concepts can be quantified. Chapters in part two focus on
biological factors of satiation and satiety before part three moves
on to explore food composition factors. Chapters in part four
discuss hedonic, cultural and environmental factors of satiation
and satiety. Finally, part five explores public health implications
and evaluates consumer understanding of satiation and satiety and
related health claims.
Cerebral Palsy in Infancy is a thought-provoking book which introduces a new way of thinking on the development and use of interventions. Relevant to current practice, it advocates early, targeted activity that is focused on increasing muscle activation, training basic actions and minimizing (or preventing) mal-adaptive changes to muscle morphology and function. The authors present recent scientific findings in brain science, movement sciences (developmental biomechanics, motor control mechanisms, motor learning, exercise science) and muscle biology. This knowledge provides the rationale for active intervention, underpinning the need for an early referral to appropriate services. The book features methods for promoting relatively intensive physical activity in young infants without placing a burden on parents which include assistive technologies such as robotics, electronic bilateral limb trainers and baby treadmills. Cerebral Palsy in Infancy begins by specifying the guidelines for training and exercise, outlining the rationale for such intervention. It goes on to cover the fundamentals of neuromotor plasticity and the development and negative effects of limited motor activity on brain organization and corticospinal tract development. Neuromuscular adaptations to impairments and inactivity are discussed along with the General Movement assessment that can provide early diagnosis and prognosis, facilitating very early referral from paediatric specialists to training programs. The book ends with a section featuring various methods of training with the emphasis on preventing/minimizing muscle contracture, stimulating biomechanically critical muscle activity and joint movement. An ideal clinical reference for those working to improve the lives of infants suffering from cerebral palsy. CONTRIBUTORS: Adel Abdullah Alhusaini (Saudi Arabia); David I. Anderson (USA); Nicolas Bayle (France); Roslyn Boyd (Australia); Giovanni Cioni (Italy); Diane L. Damiano (USA); Janet Eyre (UK); Linda Fetters (USA); Mary Galea (Australia); Andrew M Gordon (USA); Martin Gough (UK); Richard L Lieber (USA); Jens Bo Nielsen (Denmark); Micah Perez (Australia); Caroline Teulier (France). "This book provides a comprehensive overview of the challenges of motor development and the consequent impact of poor motor function in later childhood for infants with cerebral palsy (CP)." Reviewed by: Oxford Brookes University on behalf of the British Journal of Occupational Therapy, Dec 2014 conceived and edited by Roberta Shepherd with contributions from internationally renowned expert clinicians and researchers discusses new research and new evidence-based treatment interventions shows how to organize very early and intensive physical activity in young infants to stimulate motor development and growth therapies include the specificity of training and exercise, with emphasis on promoting muscle activity and preventing contracture by active instead of passive stretching methods include new interactive technologies in enhancing home-based training sessions carried out by the infant's family extensive referencing in each chapter for further study chapters feature "Annotations" which illustrate scientific findings
Textiles play a vital role in the manufacture of various medical
devices, including the replacement of diseased, injured or
non-functioning organs within the body. Biotextiles as medical
implants provides an invaluable single source of information on the
main types of textile materials and products used for medical
implants. The first part of the book focuses on polymers, fibers
and textile technologies, and these chapters discuss the
manufacture, sterilization, properties and types of biotextiles
used for medical applications, including nanofibers, resorbable
polymers and shaped biotextiles. The chapters in part two provide a
comprehensive discussion of a range of different clinical
applications of biotextiles, including surgical sutures, arterial
prostheses, stent grafts, percutaneous heart valves and drug
delivery systems.
Cancer can affect people of all ages, and approximately one in
three people are estimated to be diagnosed with cancer during their
lifetime. Extensive research is being undertaken by many different
institutions to explore potential new therapeutics, and
biomaterials technology is now being developed to target, treat and
prevent cancer. This unique book discusses the role and potential
of biomaterials in treating this prevalent disease.
Ocular transporters and receptors contains detailed descriptions of
major transporters and receptors expressed in the eye, with special
emphasis on their role in drug delivery. The complex anatomy and
the existence of multiple barriers in the eye pose a considerable
challenge to successful drug delivery to the eye. Hence ocular
transporters and receptors are important targets for drug delivery.
A significant advancement has been made in the field of ocular
transport research and their role in drug delivery. In this book
the cutting edge research being carried out in this field is
compiled and summarized. The book focuses on key areas, including
the anatomy and physiology of the eye, biology of ocular
transporters and receptors, techniques in characterization of
transporters and receptors, transporters and receptors in the
anterior and posterior segment in the eye, the role of ocular
transporters and receptors in drug delivery, and
transporter-metabolism interplay in the eye.
A range of new and innovative tools used for preformulation and
formulation of medicines help optimize pharmaceutical development
projects. Such tools also assist with the performance evaluation of
the pharmaceutical process, allowing any potential gaps to be
identified. These tools can be applied in both basic research and
industrial environment. Formulation tools for pharmaceutical
development considers these key research and industrial tools.
Lethal Spots, Vital Secrets provides an ethnographic study of varmakkalai, or "the art of the vital spots," a South Indian esoteric tradition that combines medical practice and martial arts. Although siddha medicine is officially part of the Indian Government's medically pluralistic health-care system, very little of a reliable nature has been written about it. Drawing on a diverse array of materials, including Tamil manuscripts, interviews with practitioners, and his own personal experience as an apprentice, Sieler traces the practices of varmakkalai both in different religious traditions-such as Yoga and Ayurveda-and within various combat practices. His argument is based on in-depth ethnographic research in the southernmost region of India, where hereditary medico-martial practitioners learn their occupation from relatives or skilled gurus through an esoteric, spiritual education system. Rituals of secrecy and apprenticeship in varmakkalai are among the important focal points of Sieler's study. Practitioners protect their esoteric knowledge, but they also engage in a kind of "lure and withdrawal"--a performance of secrecy--because secrecy functions as what might be called "symbolic capital." Sieler argues that varmakkalai is, above all, a matter of texts in practice; knowledge transmission between teacher and student conveys tacit, non-verbal knowledge, and constitutes a "moral economy." It is not merely plain facts that are communicated, but also moral obligations, ethical conduct and tacit, bodily knowledge. Lethal Spots, Vital Secrets will be of interest to students of religion, medical anthropologists, historians of medicine, indologists, and martial arts and performance studies.
As medical devices become more intricate, with an increasing number
of components made from a wide range of materials, it is important
that they meet stringent requirements to ensure that they are safe
to be implanted and will not be rejected by the human body. Joining
and assembly of medical materials and devices provides a
comprehensive overview of joining techniques for a range of medical
materials and applications.
Rehabilitation psychology is one of the fastest growing fields in applied psychology and involves the application of psychological knowledge and skills to the understanding and treatment of individuals with physical disabilities. Rehabilitation psychologists aim to optimize outcomes in terms of health, independence, and daily functioning while also minimizing secondary health problems. The Oxford Handbook of Rehabilitation Psychology provides background and overview of the associated psychological processes and types of interventions that are critical in managing the consequences of disability and chronic disease. Psychological models and research have much to contribute to those working with the physical disabilities; this volume has a broad cognitive behavioral focus within the general banner of the biopsychosocial framework. The editor has successfully brought together contributions from a range of well-established and experienced researchers and practitioners from a wide variety of clinical and academic contexts. They highlight the critical psychological aspects, review applied interventions, and consider the wider conceptual, clinical and professional themes associated with disability and society.
This issue of the Neurosurgery Clinics, Guest Edited by Drs. Jian, Ames, and Shaffrey, presents updates and state-of-the-art approaches to spinal deformity surgery. Spine surgery is a timely topics amongst neurosurgeons, and one that is continually evolving. Articles in this issue include Radiographic and Clinical Evaluation of Adult Spinal Deformity; Use of Surgimap in Osteotomy Planning, Correction Calculation, and Reciprocal Changes; Adolescent Scoliosis Classification and Treatment; Osteotomy for Rigid Deformity; Coronal Realignment, Reduction Techniques, and Complication Avoidance; Cervical Deformity; High Grade Sponylolisthesis; Proximal Junctional Kyphosis; and The Role of Minimally Invasive Techniques in the Treatment of Adult Spinal Deformity.
Computational pre-screening of antigens is now routinely applied to
the discovery of vaccine candidates.
The UK has a deservedly strong reputation for work on understanding social inequalities in health. But there is some way to go in ensuring that research and other types of knowledge are used to reduce inequalities in child health. This revised and updated edition of an important report looks at macro public policy interventions, community interventions, and individual level interventions in a variety of settings, and for a range of populations: infancy, early years, childhood and adolescence, and those with particular needs including looked after children. It considers 'what works' in practice. There are new case studies, updated research, and reference to cost effectiveness - particularly relevant for doing the right thing in a climate of austerity. Drawing on evidence from the UK and beyond, the book presents these in an accessible form not just for those who make decisions now, but also for the students of today who are the decision makers of tomorrow.
Based on the 103rd annual meeting of the American Psychopathological Association, Long-Term Outcomes in Psychopathology Research: Rethinking the Scientific Agenda explores the long-term course of illness and functioning of individuals treated for mental health and substance use disorders and the outcomes research derived from these cases. Sections cover topics including: findings from long-term psychopathology outcome studies, problematic case definitions, differing perspectives on the concept of recovery, the need for continued long-term outcomes research, and research priorities for patients with chronic and severe disorders. The book employs the experiences of innovative mental health providers, reflecting the value of personal narratives in research conducted in cross-sectional increments with pre-formulated questions and response options. As psychiatry continues to refine its diagnostic categories and psychology demands greater attention to dimensionality, the need for interdisciplinary long-term studies is as critical as ever. This final volume in the American Psychopathological Association Series reflects on developments in outcomes research conducted in parallel with different disorders and offers suggestions for preserving long-term outcome studies as the mainstay of clinical knowledge.
Scottish Medicine and Literary Culture, 1726-1832 examines the ramifications of Scottish medicine for literary culture within Scotland, throughout Britain, and across the transatlantic world. The contributors take an informed historicist approach in examining the cultural, geographical, political, and other circumstances enabling the dissemination of distinctively Scottish medico-literary discourses.
Implantable sensor systems offer great potential for enhanced
medical care and improved quality of life, consequently leading to
major investment in this exciting field. Implantable sensor systems
for medical applications provides a wide-ranging overview of the
core technologies, key challenges and main issues related to the
development and use of these devices in a diverse range of medical
applications.
First published in 1963, "Advances in Parasitology" contains
comprehensive and up-to-date reviews in all areas of interest in
contemporary parasitology. * Informs and updates on all the latest developments in the field * Contributions from leading authorities and industry experts
Carbon is light-weight, strong, conductive and able to mimic
natural materials within the body, making it ideal for many uses
within biomedicine. Consequently a great deal of research and
funding is being put into this interesting material with a view to
increasing the variety of medical applications for which it is
suitable. Diamond-based materials for biomedical applications
presents readers with the fundamental principles and novel
applications of this versatile material.
"Immune Biology of Allogeneic Hematopoietic Stem Cell Transplantation" provides clinical and scientific researchers with a deep understanding of the current research in this field and the implications for translational practice. By providing an overview of the immune biology of HSCT, an explanation of immune rejection, and detail on antigens and their role in HSCT success, this book embraces biologists and clinicians who need a broad view of the deeply complex processes involved. It then moves on to discuss the immunobiology mechanisms that influence graft-versus-host disease (GVHD), graft-versus-leukemia (GVL) effect, and transplantation success. Using illustrative figures, highlighting key issues, describing recent successes and discussing unanswered questions, this book sums up the current state of HSCT to enhance the prospects for the future. Allogeneic HSCT is a medical procedure in which a patient receives blood-forming stem cells from a genetically similar but not identical donor. This procedure is commonly performed for people with diseases of the blood, bone marrow, or certain cancers, but it remains risky with many possible complications. As such, experimental practice is reserved for preclinical animal models including the mouse and dog. These animal models have been essential in developing transplant
protocols, including preclinical testing of conditioning regimens,
treatment of GVHD, and understanding the pathology of GVHD as well
as the immunological mechanisms of GVHD and GVL effect. However,
recent research has revealed significant species differences
between humans and animal models that must be considered when
relating animal model studies to clinical allogeneic HSCT
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