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R. P. PHARIS and D. M. REID The idea of a separate Encydopedia
volume dealing with the "interrelations of plant hormones with
factors in the environment of the plant, and its organs and
tissues" originated with N. P. KEFFORD, and we are most
appreciative of the help and advice provided by Prof. KEFFORD in
the formative stages of this volume. We have thus interpreted
"environment" very broadly to indude not only factors external to
the plant, e. g. , gravity, light, temperature, wind, mechanieal
wounding, water, organism s (induding pollen), and magnetic and
electric stimuli, but internaI factors as well (e. g. , nutrients,
both inorganic and photoassimilate, direction, and time). In our
definition of "hormonaI effect", or "hormonaI involvement", we have
asked our authors to take a broad ap proach, and to examine not
only phenomena that are mediated by the known plant hormones, but
to discuss as well a wide variety of processes and events where
hormonal involvement is implied through more indirect analyses and
observations. The volume begins with environmental factors internaI
to the plant; R. J. WEAVER and J. O. JOHNSON thus examine "hormones
and nutrients", their inter relationship in movement, accumulation,
and diversion. As one studies a plant during its rapid growth
phase, and later as maturation and aging proceed, it becomes
apparent that time is an environmental cue of great significance,
one which may exert a major influence via hormonal messages.
Designed to be a practical handbook on clinical trial management in
these key therapeutic areas, 'Clinical Trials in Rheumatoid
Arthritis and Osteoarthritis' is aimed at principal investigators
pharmaceutical physicians and other pharmaceutical staff involved
in the design, conduct and monitoring of these increasingly complex
diseases. In the last several years a new classes of biologic
agents have emerged and changed the treatment paradigm for
patients, not only with classically defined rheumatoid arthritis,
but also with other related diseases such as ankylosing spondylitis
and psoriatic arthritis. Furthermore, osteoarthritis is a major
disease state that is often treated by the rheumatologist, but is
one where patient management programs are currently limited with a
need for new therapeutic approaches. In both inflammatory and
non-inflammatory arthritic conditions, clinical trials have become
both large and complex due to the nature of the diseases, with
ever-challenging new surrogate end-points being employed. Topics
covered in this title will therefore include study design, clinical
endpoints, technical issues, data collection, use of centralized
medical image reading facilities and biochemical marker
laboratories, as well as data analysis and future therapies. This
book takes the user through the process step-by-step from start to
finish, also providing a background on the regulatory guidelines,
ethical implications, endpoints, and current therapies.
Osteoporosis affects an estimated 3 million people in the UK. The
condition causes the bones to become more fragile and therefore
more prone to fractures, along with pain, a loss of movement, and
an inability to perform daily tasks. One in two women and one in
five men in the UK will suffer a fracture after the age of 50.
Aimed at patients and carers, this book covers topics such as who
is affected, what the risk factors are, and how patients can
prevent or lessen the efefcts. The book looks forward to advances
in diagnosis and treatment and how they have improved health
outcomes of patients. Written by a leading osteoporosis specialist
and Scientific Advisory Committee Member of the National
Osteoporosis Society, this addition to the Facts series is a
comprehensive guide to understanding and coping with this
debilitating disease.
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