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"Clinical Chemistry encompasses the study of the fundamental princi
ples of chemistry as applied to an understanding of the functioning
of the human organism in health and disease." 1 From its very
definition, clinical chemistry is an applied science. Its scope
includes the following: I. Studies designed to elucidate the
chemical mechanisms whereby the human normally functions. 2. The
application of this information to an understanding of the disease
process in the human. 3. The development of methodology and
instrumentation in order to facilitate data gathering so as to
apply the above principles to the diagnosis and treatment of
disease in the human. This book is an attempt to organize the
information gathered relative to points I and 2 into a logical
sequence so as to define the areas oj learning encompassed by the
science oj clinical chemistry. It is constructed around the subject
which is the target of this science, namely the human. The material
is presented from the point of view of the clinical chemist, but
since it is impossible to discuss a mechanism adequately without
visualizing its parts, some schematic anatomical drawings are
included to simplify the discussion of responses to chemical
challenges. The book is partly a curriculum which has been worked
out by the authors for the training of clinical chemists and
clinical pathologists. It should also be useful for the training of
medical technologists.
This book, the third volume in the series, continues to explore the
application of chemistry to our understanding of the functioning of
the human in health and disease. It is the objective of the authors
to continue to present, in this and subsequent volumes, the
biochemical aspects of clinical chemistry, and to indicate how this
knowledge applies to the diagnosis of disease and the treatment of
the patient. For this purpose, the literature is reviewed carefully
and the findings of the different study groups are integrated, to
present an overall view of the present status of the various
fields. The text is written with the intent to serve in the
training of clinical chemists, clinical pathologists, and medical
students in clinical biochemistry. It is also intended to serve as
a reference text for the practicing physician who desires a more
rational approach to the use of the clinical chemistry laboratory,
as an aid in understanding (1) the chemical changes in disease and
(2) the logical use of the laboratory data in the treatment of the
patient. This volume is concerned with the plasma proteins and
their significance in normal human metabolism. The immunoglobulins
are not included in this study since, along with complement and
clotting factors, they form an integrated system concerned with
defense against invading organisms. These will be discussed in
Volume 4 of this series. A historical introduction (Chapter I) is
followed by a general presentation of the composition and
properties of proteins (Chapter 2).
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