Search

Die gesundheitliche Versorgung von Gefangenen bzw. Patienten im Justiz- und Maßregelvollzug wird zunehmend Gegenstand fachlicher Auseinandersetzungen, sowohl auf den Gebieten der Medizin, der Pflege, als auch der Rechtswissenschaften. Im vorliegenden Band werden zentrale Themen der Gesundheitsversorgung in Gefängnissen und Einrichtungen des Maßregelvollzuges bearbeitet. Die ethischen, fachlichen und gesetzlichen Grundlagen der medizinischen Versorgung werden für den deutschsprachigen Raum aufgearbeitet und bieten damit eine wichtige Grundlage der Arbeit für alle involvierten Berufsgruppen, wie Ärzte, Pfleger, Richter, Anstaltsleiter, Therapeuten, Sozialarbeiter, Rechtsanwälte und allgemein Bedienstete in den Gefängnissen und Maßregelvollzugseinrichtungen.

This textbook highlights the exciting field of nanoneuroscience and its potential to transform how we diagnose and treat neurological disorders.'The Textbook of Nanoneuroscience and Nanoneurosurgery,'dives deep into this emerging field, exploring the latest tools and techniques currently being developed at the nanoscale level. Key areas of focus include: Nanoplatforms: The book explores how scientists utilize materials on a near-microscopic scale for neurosurgery, neurology, and brain imaging applications. Bridging the Gap: Regulatory hurdles for translating research from the lab to real-world use are addressed, paving the way for future advancements. The Future is Now: The book showcases recent breakthroughs already impacting patient care alongside promising areas with significant potential. Collaboration is Key: Insights from over 220 researchers and 5000+ references, along with illustrative figures in B/W and color, provide a comprehensive overview of this dynamic field. With its focus on minimally invasive procedures and the latest regulatory considerations，'The Textbook of Nanoneuroscience and Nanoneurosurgery'equips researchers and medical professionals with the knowledge to develop groundbreaking treatments for neurological conditions. The text also reviews the latest regulatory guidelines that influence the translation of nanotechnological research from the laboratory to the clinic and the most recent information on biodevices and pharmaceutical spinoffs. It highlights presidential and congressional initiatives and programs that may impact the field soon. Some reviews of the First edition of the textbook.'…a significant contribution to the field of nanoneuroscience and nanoneurosurgery … the reader will come away with a deeper understanding of the history of nanotechnology and medicine.'—Neuroscience'This is a monumental first textbook on nanoneurosurgery. … recommended reading for neurosurgeons, neurologists, neuroradiologists, and neuroscientists involved in research on new techniques for application in neurosurgery. Biomedical engineers and various companies developing instruments and devices would benefit from the wealth of information about trends for the development of new technologies for neurosurgery.'K. K. Jain, MD, Basel, Switzerland'Phenomenal body of knowledge in this book that would take eons to collate by myself. Every answer to every one of my questions plus heaps more. Essential reading for everyone interested in the field. A must-have!'Albert Deme'This is an amazing foray into the future of a largely unexplored, but increasingly critical medical domain…..I have learned much from every page of this captivating text, and I highly recommend it to any medical student, researcher, medical professional in the neurosciences, or anyone who has an interest in the human brain and the future of medicine, to gather a glimpse of the incredible and beneficial paradigm shifts that will soon impact the field of neuroscience.'Frank Boehm, British Columbia, Canada

This revised, expanded third edition updates the reader on this fast moving field as well providing an overall understanding of the genetics of complex diseases by using stroke as a paradigm. The reader will gain a comprehensive understanding of cerebrovascular genetics including the epidemiological evidence for the genetic basis of ischemic and hemorrhagic stroke, knowledge of its molecular basis from association, linkage and recent genome-wide studies, and also monogenic disorders. Finally, the legal and ethical complexities in dealing with these issues are discussed.Stroke Genetics is a valuable resource for neurologists, stroke physicians, hypertension specialists, internists, clinical pharmacologists and those in training, as well as researchers in the field of disease genetics. Each chapter now contains teaching/training MCQs to help with retention of information learnt from each chapter and this will be of considerable use to those training or about to the examined inthe field of inherited stroke.Additional questions via app: Download the Springer Nature Flashcards app for free and use exclusive additional material to test your knowledge.

This book brings together a comprehensive set of chapters that cover the basic principles of fast track surgery, clinical enhancements, but also important aspects of project management and change management in Hip and Knee Arthroplasty. Although the value of care pathways and fast track surgery are probably well known by almost everyone, there are still too many differences in arthroplasty care not only around the world, but also within countries. How can it be that the fast track principles are implemented so poorly? Probably because it looks so simple, yet it's so complex that many doctors don't know where to start. This handy book, published in collaboration with ESSKA, provides an easy-to-consult guide that summarize the most important notions in a concise, accessible way.

Environmental pollution is a worldwide concern now. A major section of the world population is struggling for drinking water. Polluted soil is resulting into low agricultural productivity and thus creating challenges in the way of sustainable livelihood of a large section of human population. Biological treatment can offer both green solutions for wastewater treatment and resource recovery as well. Like algal-based systems can be utilized for wastewater treatment and production of biofuels from the biomass grown on the wastewater. Bio-based nanomaterials have been extensively studied for their employability in the health care, process optimization, water resource management, dealing with environmental pollutants, biosensors, and many others. Bioprospecting of novel biological agents, bio-based products, and bioresource recovery are paving the way for sustainable development as they are providing local solutions for a number of problems.In this proposed book, we start with the introduction to bio-nanotechnological principles and later on discuss bio-based nanomaterials employability for a diverse range of applications from environment to energy to health care. This book provides with current trends in bio-nanotechnology for anthropogonic purposes, prospects, challenges, and way forward.

This handbook reviews the clinical applications of stem cell-based therapy. The book covers the clinical applications of stem cells in cardiovascular diseases, neurological and ocular diseases, pediatrics, and the role of cancer stem cell-derived exosomal microRNA payload in lung cancer. The chapter reviews emerging stem cell therapy and tissue engineering approaches in neurodegenerative diseases. The book further examines the applications of stem cells in various fields of dentistry, and for the regeneration of oral and non-oral tissues. The chapters also explore the application of 3D bioprinting in conjunction with bone marrow mesenchymal stem cells for the treatment of bone defects and state-of-the-art technology for bone and cartilage regeneration using mesenchymal stem cells. The book presents stem cell-based therapy against renal, pancreatic, and kidney diseases and examines the advantages of a novel hepatic stem for cirrhotic liver repair and regeneration. Lastly, the book provides methodological and procedural advancements in stem cell-based therapy, including the applications of single-cell sequencing in stem cell research. This handbook is a major one-stop reference for researchers working in regenerative medicine, cellular pharmacology, stem cell research in general, and those involved in specific areas of adult stem cells as well as embryonic and induced pluripotent stem cells. ​

The Diabetes Textbook: Clinical Principles, Patient Management and Public Health Issues (2nd Edition) addresses diabetes from a comprehensive, multidisciplinary perspective. Its purpose is to integrate state-of-the-art information on diabetes from specialists in various disciplines, including epidemiology, public health, pathophysiology, non-pharmacologic and pharmacologic treatment, patient support, acute and chronic complications, new and unproven therapies, and prevention. The main benefit of “The Diabetes Textbook” is its integrative approach. The book is therefore intended for three main types of readers: 1) physicians and health professionals seeking a comprehensive approach to diabetes; 2) those with previous expertise in a specific professional area who want to expand their knowledge; and 3) those interested in learning about topics not previously covered, who will find the contents of “The Diabetes Textbook” both enriching and innovative. The Diabetes Textbook is intended for a broad readership, including professors of medicine and related disciplines (nursing, nutrition, psychology); general physicians; internists and specialists, e.g. in ophthalmology, endocrinology, cardiology, obstetrics and gynecology, pediatrics, geriatrics, epidemiology and public health. To address these readers'needs, the second edition is divided into the following eleven sections: 1) Magnitude of the Problem from an Individual and Social Context, 2) Diagnosis, Classification and Mechanisms of Disease, 3) Global Experiences in Diabetes Care, 4) Basic Components of Management: Patient-Centeredness, Evidence-Based Medicine, and Outcomes, 5) Resources of Support for Persons with Diabetes, 6) Drug Therapy, 7) Cardiovascular Risk Factors, 8) Acute Complications, 9) Chronic Complications, 10) Diabetes in Special Populations, and 11) Novel Therapeutic Approaches: Evidence-Based and Non-Proven, and Diabetes Prevention.

In the face of great challenges, utopian thinking is currently in vogue. The fact that utopias, with their ideas of an idealized target society, are not compatible with the basic features of an Open Society was already pointed out by Karl Popper in his book'Die Offene Gesellschaft und ihre Feinde'(The Open Society and its Enemies) under the impression of National Socialism and Stalinism. In the present book, further forms of Closed Societies and the principal similarities (and differences) of their construction are examined. This is done by drawing on Ralf Dahrendorf's concept of life chances, in which he deals with the interaction of options and ligatures. The ambivalence of Dahrendorf's understanding of ligatures, since they restrict options on the one hand, but also give them meaning on the other, is resolved by a threefold differentiation: into ethical and moral, internally and externally directed, and explicit and implicit ligatures. While the former are capable of enabling lifechances, the latter tend to limit them. Based on this, the authors elaborate on the landscape (side) consequences of various closed societies and how ill-suited they are for dealing with current challenges.

This book summarizes a range of psychological research into how zoos and aquariums operate in the minds of visitors and the broader public. Bringing together core findings from emerging international research, the book provides data-based summaries that situate the content in the larger context of how cultural institutions shape public understanding. The focus of this book is to bring into a single resource, the major strains of research that have explored how zoos and aquariums are situated in public consciousness, to ground the discourses around what zoos and aquariums do in the empirical data and evidence, and to find opportunities to summarize well-established fact to support future research expanding on the known. Among the topics discussed:History of zoo and aquarium developmentThe role of zoos and aquariums in environmental literacyEmpathy development at zoosApplying behavior change theories to the zoo visitor's experienceSocial radiation of ideas from cultural institutionsProfessional practitioners, zoo industry professionals, and business leaders will find this book an invaluable guide to the psychological literature surrounding the zoo industry.

This book explores the close connection between immunology and nuclear medicine, which has led to radioimmunoimaging and radioimmunotherapy (RIT). Molecular imaging with positron emission tomography (PET) and single-photon emission computed tomography (SPECT) is increasingly being used to diagnose, characterize, and monitor disease activity in the context of inflammatory disorders of known and unknown etiology, such as sarcoidosis, atherosclerosis, vasculitis, inflammatory bowel disease, rheumatoid arthritis, and degenerative joint disease. The first chapters discuss the various radiopharmaceutical agents and radiolabeled preparations that have been employed in inflammation imaging. Of these, FDG-PET imaging has been shown to have the great value in the detection of inflammation and has become the centerpiece of several initiatives over the last several years. This very powerful technique will play an increasingly important role in the management of patients with inflammatory conditions in the future. The book also explores the growing role of nuclear medicine and molecular imaging in the diagnosis and treatment of cancer. The rapid pace of change has been fueled by advances in our understanding of tumor biology, on the one hand, and the development of specifically targeted medical therapies, diagnostic agents, and radiotherapies, on the other. Written by leading international experts in the field, this book is an invaluable tool for nuclear medicine physicians, radiologists, oncologists, and immunologists.

This book provides recent progress of neuroendovascular surgery, which is a minimally invasive treatment of cerebral aneurysms. Great advances have been made in the techniques, devices and large randomized clinical trials showing striking therapeutic benefit for cerebral aneurysms. The treatment of cerebral aneurysms has also seen substantial evolution, increasing the number of aneurysms that can be treated successfully with minimally invasive therapy. In the 17 chapters, authors introduce the techniques, devices, device structures and therapeutic concepts. Attendings, fellows, residents, medical students or anyone interested in sharpening their diagnostic and therapeutic skill set will benefit from reading this text. This book will include many clinical cases and skills and clinical concepts, which will benefit professional /practitioner.

This book is designed to provide easy-to-read and basic information about vaccines for those undertaking a vaccine course or for medical providers seeking to improve their skills. Written by expert medical educators in the areas of infectious diseases, medical microbiology, and pediatrics, this book begins by establishing the fundamentals of vaccines such as what constitutes a vaccine, how they are manufactured and composed, how they are tested for safety and efficacy, and how vaccine recommendations are developed and conveyed to health care providers and their patients. The book then explains the composition, safety profile, effectiveness, and current recommendations for use of every available vaccine, alphabetized by infection. The concluding section illuminates practical concerns every vaccinating clinician experiences, including vaccine confidence and hesitancy, misconceptions, and patient communication. Vaccines: A Clinical Overview and Practical Guideis an excellent learning tool for all students and providers administering vaccines to patients, including infectious disease specialists and other internal medicine subspecialists, pediatricians, geriatricians, as well as all other primary care physicians, nurse practitioners, physician's assistants, and nurses.

Diabetes has become a worldwide health problem, the global estimated prevalence approaches ten percent and the burden of this disease in terms of morbidity and mortality is unprecedented. The advances acquired through the knowledge of the mechanisms of the disease and the variety of therapeutic approaches contrast with the inability of private and public health systems in underdeveloped and even developed countries to achieve the goals of treatment. This paradox has been described in many sources: the surge of scientific advances contrast with an unprecedented amount of human suffering. Thus, a patient centered and an evidence based approach with the capacity to produce measurable clinical and economic outcomes is required. The purpose of this textbook is multiple: to offer a comprehensive resource covering all aspects of outpatient management; to address diabetes as a health problem from an epidemiological, economic and clinical perspective; to discuss the role of social determinants of health on the worldwide increase in diabetes; to highlight the challenges and obstacles in providing adequate care; and to outline a multidisciplinary approach to management in which medical visits retain their importance as part of a team comprising the patient, his or her family and a multidisciplinary group of health professionals who are able to move beyond the traditional approach of diabetes as a disease and greatly improve outcomes.

This book presents advanced molecular imaging techniques used to assess metabolic function. Covering state-of-the art modalities, it discusses the evaluation of a wide range of diseases that have a metabolic component, including cancer, inflammatory conditions, diabetes, neurodegeneration, and cardiovascular disorders. Imaging provides a quantitative perspective to the assessment of metabolic function and complements genetic analysis of disorders related to disrupted metabolism. Organized into four parts, the book highlights basic principles in molecular imaging techniques; metabolic imaging approaches, including magnetic resonance imaging (MRI), single-photon emission computed tomography (SPECT), positron emission tomography (PET), and hybrid modalities; metabolic diseases; and future perspectives. Featuring contributions from leading authorities in radiology, oncology, cardiology, and neurology, Imaging and Metabolism is a pioneering exploration of the role of imaging modalities in assessing the physiological status of abnormal cells and diagnosing disease.

This volume focuses on our current understanding of the molecular underpinnings of prostate cancer and their potential application for precision medicine approaches. The emergence and applications of new technologies has allowed for a rapid expansion of our understanding of the molecular basis of prostate cancer and has revealed a remarkable genetic heterogeneity that may underlie the clinically variable behavior of the disease. The book consists of five sections which provide insight about the following: (1) General principles; (2) Molecular signatures of primary prostate cancer; (3) Molecular signatures of advanced prostate cancer; (4) Key molecular pathways in prostate cancer development and progression; (5) and Precision medicine approach: Diagnosis, treatment, prognosis. Precision Molecular Pathology of Prostate Cancer is an important resource for the practicing oncologist, urologist, and pathologist, and will also be useful for researchers in the prostate cancer community.

This book contributes to the current discussion on climate change by presenting selected studies on the ways in which past human groups responded to climatic and environmental change. In particular, the chapters show how these responses are seen in the animal remains that people left behind in their occupation sites. Many of these bones represent food remains, so the environments in which these animals lived can be identified and human use of those environments can be understood. In the case of climatic change resulting in environmental change, these animal remains can indicate that a change has occurred, in climate, environment and human adaptation, and can also indicate the specific details of those changes.

This revised, expanded second edition updates the reader on this fast moving field as well providing an overall understanding of the genetics of complex diseases by using stroke as a paradigm. The reader will gain a comprehensive understanding of cerebrovascular genetics including the epidemiological evidence for the genetic basis of ischemic and hemorrhagic stroke, knowledge of its molecular basis from association, linkage and recent genomewide studies, and also monogenic disorders. Finally, the legal and ethical complexities in dealing with these issues are discussed.Stroke Genetics is a valuable resource for neurologists, stroke physicians, hypertension specialists, internists, clinical pharmacologists and those in training, as well as researchers in the field of disease genetics.

This book presents the general concepts of self-organized spatio-temporal ordering processes. These concepts are demonstrated via prototypical examples of recent advances in materials science. Particular emphasis is on nano scale soft matter in physics, chemistry, biology and biomedicine. The questions addressed embrace a broad spectrum of complex nonlinear phenomena, ranging from self-assembling near the thermodynamical equilibrium to dissipative structure formation far from equilibrium. Their mutual interplay gives rise to increasing degrees of hierarchical order. Analogues are pointed out, differences characterized and efforts are made to reveal common features in the mechanistic description of those phenomena.

Most biological reactions and functions occur within a narrow range of pH. Any changes in the pH have great impacts on the biological functional at every level, including protein folding, enzymatic activities and proliferation and cell death. Therefore, maintain the pH homeostasis at the local or systemic level is one of the highest priorities for all multicellular organisms. Many redundant mechanisms are in place to maintain the pH homeostasis, a topic that is well covered in the scientific literature and medical textbooks. However, when the pH homeostasis is disrupted in various physiological adaptations and pathological situations, resulting acidity may trigger significant pathophysiological events and modulate disease outcomes. Therefore, understanding how various cells sense and react to acidity have broad impact in a wide variety of human diseases, including cancer, stroke, myocardial infarction and diabetes, renal and infectious diseases. In this book, many investigators have summarized the molecular genetics on the detailed mechanisms by which different mammalian cells sense and response acidity. These chapters cover the acidity with broad impact in biological understanding and human diseases and review various sensing mechanism and cellular responses to pH alterations in both physiological (taste, pain) and pathological settings (ischemia and cancers). Furthermore, these authors present a broad spectrum of investigative approaches to cellular response to acidosis in a in wide variety of human diseases.

This volume provides a brief résumé of the history of testosterone research, from the early pioneers through to the most recent advances in the field. We discover how steroid hormones were first identified and how testosterone was shown to be essential for male development. Moving forward we explore how and where testosterone is produced, and how the body controls testosterone production. We then investigate the impact testosterone has on different body systems both during their development and function, and how perturbation of testosterone action is associated with disease. We complete our story with an exploration of the emerging roles of testosterone in clinical therapy, and the future potential for manipulation of the testosterone signaling system for human health benefit.

In multicellular organisms, communication between cells involves secretion of proteins that bind to receptors on neighboring cells. While this has been well documented, another mode of intercellular communication has recently become the subject of increasing interest: the release of exosomes. In cancer, tumor exosomes are involved in various aspects of pathogenesis, including proliferation, immunosuppression, and metastasis. Given the ability of exosomes to export unneeded endogenous molecules from cells, these structures hold great potential as anticancer therapeutic agents. They are also being studied as prognostic markers for cancer.

Dendritic cells are vital to induce potent anti-viral immune responses. It will become clear to the reader that dendritic cells often play a dual role during viral infections. On the one hand they are able to mount potent antiviral immune responses, and on the other hand several viruses, including HIV-1, use DC as a vector to be transferred from the periphery to the lymph nodes where they infect their prime target.

In this launch of the Galapagos series, this book provides a broad “framing” assessment of the current status of social and ecological systems in the Galapagos Islands, and the feedback that explicitly links people to the environment. It also highlights the challenges to conservation imposed by tourism in the Galapagos Islands and the attendant migration of people from mainland Ecuador to service the burgeoning tourism industry. Further, there is an emphasize on the status of the terrestrial and marine environments that form the very foundation of the deep attraction to the Islands by tourists, residents, scholars, and conservationists.

During August 24-27, 1993, approximately 60 scientists from the Americas, Europe and Japan, gathered in the city of Guanajuato, in the state of Guanajuato, Mexico, at the II Latin American Workshop on Magnetism, Magnetic Materials and their Applications. The group of scientists converging into the beautiful city of Guanajuato had come from Argentina, Chile, Brazil, Venezuela, Cuba, several places in Mexico, U. S. A., Japan, Spain, France, Italy, Germany, Austria, Switzerland, and Denmark. The event attested to the success of the previous Workshop on Magnetism, Magnetic Materials and their Applications, held in Havana, Cuba, in 1991, as well as to the interest, level of activity and quality of the work being carried out in Latin America in the area of magnetism and magnetic materials. Equally important to everyone present was the fact that we had come to honor a friend, Professor L. M. Falicov, on his sixtieth birthday. The choice of a Latin American Workshop on magnetism as a Festschrift for Leo Falicov was, in our opinion, quite appropriate not only because of Leo's strong ties to Latin America, but also because of his superb contributions to science, and in particular, to magnetism. Professor Falicov was born in Buenos Aires, Argentina, where he spent a good part of his formative years.

The aim of this book is to provide the target audience, specifically students of Medicine, Biology, Systems Biology and Bioinformatics, as well as experienced researchers in research fields relevant to metabolic syndrome (MetS) with an overview of the challenges and opportunities in systems biology and how it can be used to tackle MetS. In particular, the aims are: (1) to provide an introduction to the key biological processes involved in the pathophysiology of MetS; (2) through the use of specific examples, provide an introduction to the latest technologies that use a systems biology approach to study MetS; and (3) to give an overview of the mathematical modeling approaches for studying MetS. The clearly written chapters by leading experts in the field provides detailed descriptions crucial for the unique position of this book and its focus on the application of systems biology to tackle specific pathophysiologically relevant aspects of MetS and provides a valuable practical guide to this research community.

Die Sepsis ist das Ergebnis eines Krankheitsprozesses, dessen Werdegang noch kaum verstanden wird. Das Problem dieses Krankheitsbildes und des geringen Verständnisses seiner Ursachen wird noch deutlicher, wenn man bedenkt, daß die in diesem Werk angesprochenen Pathomechanismen nicht nur bei inflammatorischen Erkrankungen, sondern auch bei der Pathogenese der Arteriosklerose erwähnt werden. Ziel des vorliegenden Buches ist es, die Pathogenese der Sepsis, da wo möglich, krankheitsspezifisch darzustellen, aber gleichzeitig auch noch offene Fragen anzusprechen. Deswegen wurde zunächst die transkriptionelle Aktivierung durch Mediatoren der Sepsis dargestellt und aufgezeigt, daß die Aktivierung von Transkriptionsfaktoren nun auch in vivo am Patienten in klinischen Studien untersucht werden kann. Dieses Buch weist dem Kliniker einen Weg von der Pathophysiologie, zur Darstellung der klinischen Symptome und hin zur Behandlung der Sepsis.

Earth Sciences and Archaeology brings together contributions from an experienced group of archaeologists and geologists whose common objective is to present thorough and current reviews of the diverse ways in which methods from the earth sciences can contribute to archaeological research. Many areas of research are addressed here, including artifact analysis and sourcing, landscape reconstruction and site formation analysis, soil micromorphology and geophysical exploration of buried sites. Archaeology has benefited from geological methods in many ways in recent decades. However, in the past ten to twenty years, this informal collaboration between geologists and archaeologists has grown into a formal integration of earth science and archaeology on a significant scale. This book allows the contributors to assess where we are in terms of interdisciplinary research, which approaches work best in specific situations, and where this collaborative approach should progress to in the future.

Spezialisierungen innerhalb der Psychotherapie werden in den nächsten Jahren immer mehr an Bedeutung gewinnen. Dieser Herausforderung muss sich die Psychotherapie auch von Seiten der Wirtschafts- und Arbeitswelt stellen, zumal die psychosozialen Belastungen mittlerweile die größten Hürden zur Entfaltung der Kreativität und partnerschaftlichen Zusammenarbeit am Arbeitsplatz darstellen. In fundierter Weise wird erstmalig ein Beitrag zur Legitimierung und Etablierung der Wirtschafts- und Arbeitspsychotherapie geleistet, wobei präventive und kurative Leistungsangebote integriert in die Organisations- und Personalentwicklung sowie in die betriebliche Gesundheitsförderung dargestellt werden. Ein besonderer Schwerpunkt wird der Fragestellung'Sinn und Motivation in der Arbeit'aus dem Blickwinkel der Logotherapie und Existenzanalyse nach Viktor Frankl gesetzt, die durch eine Studie in einem Industrieunternehmen dokumentiert wird.

Over the past decade, the study of microglial cells has gained increasing importance, in particular for those working in the fields of degeneration and regeneration. Microglia in the Regenerating and Degenerating CNS supports the assertion that understanding microglial biology could perhaps be pivotal for unraveling the pathogenetic mechanisms that underlie Alzheimer's disease, currently the most widely studied disorder of the central nervous system. In addition, microglia are also critical for understanding the sequelae of traumatic brain and spinal cord injury, and for the vitally important post-traumatic repair processes. This book gives an up to date account of the role of microglia in degeneration and regeneration of the nervous system and also reviews microglial cell function and physiology. Cellular neurobiologists will find that this is a valuable guide to the importance and role of microglia in the CNS.

Lake Titicaca, because of its area and volume and its situation at high attitude within the tropics, is a unique hydrological site in the world. It should be noted that it stands at the transition point between two very distinct geographical regions: the desert fringe of the Pacific coast to the west and the great Amazonian forest extending to the Atlantic coast to the east. Many scientists have been attracted to the lake in the past because of its unusual limnological features. In this book the editors have compiled an exhaustive review of current knowledge from the existing literature and from the results of more recent observations. It is certain that this book will become the essential reference work for scientists wanting to make progress in revealing the lake's secrets. It can be stated unequivocally that this work constitutes a complete review of the present state of knowledge on Lake Titicaca and that it provides the latest results of research on this habitat.

The first edition of my book'Climate and Circulation of the Tropics'was reasonably up to date to the middle of 1985. In a second printing in 1988 it was possible to complete a few literature references and to correct some misprints. However, vigorous research has taken place over the past five years in various areas of tropical climate dynamics, especially in the atmosphere-ocean mechanisms of climate anomalies, climate prediction, ocean circulation, and paleoclimates. Promising progress has also been made in the application of general circulation modelling to tropical climate problems. In the present second edition, named'Climate Dynamics of the Tropics', I have attempted to incorporate much of the recent work to late 1990. Chapters 8 and 9 have been essentially re-written, and major additions have been made to Chapters 4 and 12 in particular. I would like to acknowledge the continued support by the U.S. National Science Foundation over the past five years. B. Parthasarathy, Poona, and H. Lessmann, San Salvador, sent me updates of data series not easily accessible. I have benefitted from discussions with numerous colleagues in the United States and overseas. In the preparation of this second edition, Marilyn Wolff patiently transferred my illegible hand-written drafts onto word processor. Dierk Polzin and Dan Skemp assisted me with the creation of the page masters and the subject index and Christopher Collimore with the author index.

Progress in Basic and Clinical Immunology is a result of the 14th European Immunology Meeting - EFIS 2000, held in Poznan, Poland, on 23-27 September 2000. EFIS 2000 gathered over 1400 immunologists from all over the world. It was an exceptionally memorable meeting for a number of reasons: 1) it was held in the last year of the century and the millennium, thus provoking conclusions of past achievements of immunology and projections for the future; 2) it was held in Poland, a country that is a symbol of struggle for freedom for a large number of scientists originating from the `Eastern Bloc'countries; and 3) EFIS celebrated its 25th anniversary at this occasion. This comprehensive volume contains 62 chapters grouped into 11 sections: T-cells, Immune Receptors, Antigen Presentation/Dendritic Cells, Cytokines, Immunodeficiencies, Autoimmunity, Allergy/Inflammation, Immunotherapy, Vaccines, Tumor Immunology, and Cancer Immunotherapy.

Non-myeloablative allogeneic stem cell transplantation (also known as mini-transplantation or reduced-intensity conditioning transplantation) is a major advance in the field of hematopoietic transplantation within the last 5 years. This approach uses non-cytotoxic or reduced-intensity cytotoxic therapy to prepare patients for allografting of hematopoietic stem cells and lymphocytes. It has the potential to deliver the potent anti-tumor immunotherapy and bone marrow replacement capacity of allogeneic stem cell transplantation to patients with reduced treatment-related morbidity and mortality. It may also enable allogeneic transplantation in patients who would be considered ineligible for conventional transplants because of co-morbidity or advanced age. However, this approach may necessitate more careful monitoring of post-transplant chimerism and malignant disease-status than is usual with conventional allografting. There is also controversy regarding the best preparative regimen and graft-versus-host disease prophylaxis to use.

When phagocytes are exposed to a number of different stimuli, they undergo dra­ matic changes in the way they process oxygen. Oxygen uptake increases markedly, frequently more than 50-fold; the phagocytes begin to produce large quantities of superoxide and hydrogen peroxide; and they immediately begin to metabolize large amounts of glucose by way of the hexose monophosphate shunt. This series of changes has become known as the respiratory burst. It was first believed that the major function of this respiratory burst was to generate powerful antibacterial agents by the partial reduction of oxygen. It is becoming apparent that the respiratory burst has much wider application, and its physiological function in many different biolog­ ical areas is clear. In this volume, we have attempted to bring together the work of experts who have published extensively on the involvement of the respiratory burst in different physiological functions. In the first three chapters, Dr. Borregaard and Dr. Berton and co-workers and Dr. Roos and co-workers bring together what is known about the respiratory burst. They present up-to-date versions of the biochemical and metabolic activities associ­ ated with the burst. In Chapter 4, Dr. Styrt and Dr. Klempner discuss the respiratory burst as it affects cellular ion homeostasis. Dr. Cohen and Dr. Britigan (Chapter 5) present some interesting data on the competition between the respiratory burst and bacteria for oxygen. Dr. Dobrina and Dr.

The field of hematopoietic stem cell transplantation is rapidly evolving. Realization that hematopoietic stem cells give rise to the immune compartment has resulted in clinical trials of hematopoietic stem cell transplantation for patients with autoimmune diseases. Allogeneic hematopoietic transplants are a form of adoptive immunotherapy resulting in beneficial graft versus tumor effects. Large numbers of hematopoietic cells can be collected with ease. Therefore, a renewable source of cells for ex vivo genetic manipulations is readily available. Multiple trials combining hematopoietic transplants and gene therapy are in progress. One such application is the infusion of allogeneic lymphocytes containing a suicide gene to abort graft versus host disease. Hematopoietic stem cell transplantation is in reality the clinical and practical application of cellular therapy. Hematopoietic transplant physicians are by design or by practical application evolving into cell and gene therapy specialists. The excitement and enthusiasm in hematopoietic transplantation is that it offers a door to the future. A future not of drugs or titrating poisonous chemotherapy but rather of cellular and gene therapy. 1 ALLOGENEIC PERIPHERAL BLOOD STEM CELL TRANSPLANTATION FOR HEMATOLOGIC DISEASES Martin Korbling University o/Texas MD. Anderson Cancer Center, Houston, Texas 77030 INTRODUCTION Circulating hematopoietic stem cells have emerged as an alternative to bone marrow (BM) stem cells for allografting. For many years the reconstitutive potential of circulating stem cells was questioned; peripheral blood stem cells (PBSC) were even characterized a waste product (1).

In recent years, research studies into sports injuries have provided healthcare professionals with a better understanding of their etiology and natural history. On this basis, novel concepts in the diagnosis and management of these conditions are now being explored. This timely book offers a complete guide to the latest knowledge on the diagnosis and treatment of the full range of possible sports injuries. Individual sections are devoted to biomechanics, injury prevention, and the still emerging treatment role of growth factors, which foster more rapid tissue healing. Sports injuries of each body region are then examined in detail, with special attention to diagnostic issues and the most modern treatment techniques. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference.

Several hundred nuclear scientists from more than a dozen countries met in Miami Beach, Florida, in September 1989 for a Symposium on Exotic Nuclear Spectroscopy, sponsored by the Division of Nuclear Chemistry and Technology of the Amencan Chemical Society. Braving five days of beckoning beaches, they presented, listened to, and discussed a series spectroscopy-both experimental and of invited papers covering the renaissance of nuclear theoretical-that has occurred during the past decade and which promises to continue well into the decade to come. This book contains the Proceedings of that Symposium on Exotic Nuclear Spectroscopy. But it is much more: During the ensuing six months, most of the pa{>ers were rewritten, polished, and/or expanded; so the resulting book is a much more fimshed, comprehensive, and up-to-date product than a general proceedings. Chapter se~uences follow the original symposium program, which, with a few exceptions, juxtaposes like topics. Each chapter can stand more or less on its own-although, as in any complex, interrelated scientific field, there are many cross-references among chapters. The manuscripts were edited and then uniformly typed in the Department of Chemistry at Michigan State University. I tried to keep the editing to a minimum so as to preserve the flavor of individual styles. A great debt of gratitude goes to those who helped make this volume possible, especially to Vada O'Donnell, who bore the largest burden of typing (and clarifying) the manuscripts.

GEOFF NORMAN McMaster University, Hamilton, Canada CEES VAN DER VLEUTEN University of Maastricht, Netherlands DA VID NEWBLE University of Sheffield, England The International Handbook of Research in Medical Education is a review of current research findings and contemporary issues in health sciences education. The orientation is toward research evidence as a basis for informing policy and practice in education. Although most of the research findings have accrued from the study of medical education, the handbook will be useful to teachers and researchers in all health professions and others concerned with professional education. The handbook comprises 33 chapters organized into six sections: Research Traditions, Learning, The Educational Continuum, Instructional Strategies, Assessment, and Implementing the Curriculum. The research orientation of the handbook will make the book an invaluable resource to researchers and scholars, and should help practitioners to identify research to place their educational decisions on a sound empirical footing. THE FIELD OF RESEARCH IN MEDICAL EDUCAnON The discipline of medical education began in North America more than thirty years ago with the founding of the first office in medical education at Buffalo, New York, by George Miller in the early 1960s. Soon after, large offices were established in medical schools in Chicago (University of Illinois), Los Angeles (University of Southern California) and Lansing (Michigan State University). All these first generation offices mounted master's level programs in medical education, and many of their graduates went on to found offices at other schools.

Despite recent advances in the diagnosis and treatment of various cardiac illnesses, including ischemic, valvular and cardiomyopathic disease, the most cost-effective means of employing laboratory testing and treatment modalities remains an issue in most practice settings. With the advent of managed care and vigilant third-party payer evaluation of the use of diagnostic tests and hospital length of stay, the most effective medical and economic method of managing everyday cardiac illness is a question that arises daily in practice. To this end, we have selected well-known and widely published experts in cardiac diagnosis and therapy to develop practical and informative approaches outlining the most cost-effective methods of patient management. The topics include the entire range of cardiac diseases and emphasize the economic impact on decision-making. We develop guidelines and present general strategies for the practicing cardiologist and general internist. Additionally, the editors, who have 10 years of experience in this area, discuss the methods necessary to bring critical pathways and practice guidelines into clinical use. Both hospital and out-patient phases of illness are considered. Special concerns of hospital, private practice managed care and group practice settings are specifically addressed.

Cardiovascular disease is a leading cause of death throughout the world. Chronic negative emotions such as depression and anxiety place cardiac patients at greater risk for death and recurrence of cardiovascular disease. In 2008 the editor published a book related to this topic, titled Psychotherapy with Cardiac Patients: Behavioral Cardiology in Practice (American Psychological Association). Aside from that book, there are very few resources specifically written for clinicians who treat psychologically distressed cardiac patients. Unlike other medical specialty areas such as oncology, the field of cardiology has been slow to integrate behavioral treatments into the delivery of service. Perhaps because the field has been largely defined and dominated by researchers, mental health clinicians are only starting to recognize behavioral cardiology as a viable arena in which to practice. There is a large void in the practitioner literature on behavioral cardiology. In a review of Psychotherapy with Cardiac Patients, Paul Efthim, Ph.D. wrote,'Her new book goes well beyond previous works by giving specific and detailed guidance about how to tailor psychological interventions with this variegated population.'He added,'It would benefit from even more details about treatment approaches.'This proposed volume goes beyond the editor's previous volume by providing in-depth descriptions of behavioral treatments for distressed cardiac patients written by eminent leaders in behavioral cardiology. This book describes a wide range of behavioral treatments for the common psychologically based problems encountered by clinicians who treat cardiac patients. The book is organized as follows: Part I focuses on the most psychologically challenging and common presentations of cardiac diagnosis; coronary artery disease, arrhythmia, and heart failure. This section also includes a chapter on heart transplantation, which is a treatment, not a diagnosis, but a treatment that incurs profound psychological impact for the individual. In Part II, behavioral interventions for the general cardiac population are described. Mainstream therapies such as stress management, cognitive-behavioral therapy, and medical family therapy are described, along with approaches that have less empirical support but considerable practical significance such as personality-guided therapy and interventions aimed at altering type D personality traits. The literature in behavioral cardiology has a rich history of investigating maladaptive personality traits and thus it is important to include behavioral approaches that target personality in this volume. Part III focuses on common behavioral problems encountered by clinicians who work with this patient population. Most patients who seek psychological help do so because they perceive themselves to be stressed due to their job or overextended in all areas of their life. Other people with heart disease present with sleep problems and/or an inability to motivate themselves to exercise or quit smoking. There are many practical behavioral approaches that can be helpful for patients with these difficulties and these are detailed in this section of the book. The conclusion of the book focuses on how to integrate the behavioral treatments described in the preceding chapters into a comprehensive treatment model.

More than 40 articles provide an extensive coverage of clinical and basic science advances over the last three years of research on subarachnoid hemorrhage-induced brain injuries. Early brain injury, the new frontier of subarachnoid hemorrhage research, which may be a key contributor to the high mortality and morbidity, promotes collaborative efforts from neurosurgery, neurology, neuro-ICU into other interrelated fields and basic neurosciences. For the first time, subarachnoid hemorrhage research is almost equally divided by early brain injury and cerebral vasospasm, mechanistic investigations and therapeutic approaches, demonstrating a translational feature of the future direction.

Infections and their complications are a very important clinical area in the intensive care unit setting. Community-acquired infections and nosocomial infections both contribute to the high level of disease acquisition common among critically ill patients. The accurate diagnosis of nosocomial infections and the provision of appropriate therapies, including antimicrobial therapy effective against the identified agents of infection, have been shown to be important determinants of patient outcome. Critical care practitioners are in a unique position in dealing with infectious diseases. They are often the initial providers of care to seriously ill patients with infections. Additionally, they have a responsibility to ensure that nosocomial infections are prevented and that antimicrobial resistance is minimized by prudently employing antibiotic agents. It is the editors'hope that this book will provide clinicians practicing in the intensive care unit with a reference to help guide their care of infected patients. To that end they have brought together a group of international authors to address important topics related to infectious diseases for the critical care practitioner.

Neurocutaneous diseases are a wide group of conditions that affect the nervous system but appear as lesions of the skin. Some of the more common entities have variable forms of expression that can confuse the diagnosis; for the rare conditions it is difficult to find descriptions in the literature. Recent insights into their cellular, biochemical and molecular genetic bases have shown the essential need for a new nosology and updated genotype-phenotype correlations. The book provides an authoritative source of knowledge about these difficult problems and bridges the gap between clinical recognition and the new molecular medicine. The editors, distinguished clinicians and geneticists, assembled an internationally renowned group of collaborators, many of them the experts who first described a particular disorder or established its present accepted definition. They have written a practical, comprehensive guide to the recognition, investigation and management of more than 60 recognised phakomatoses.

Immer mehr Unternehmen nutzen Online-Assessments, um Potenziale von Bewerbern oder Mitarbeitern via Internet zu testen. Online-Tests sind effizient und mittlerweile auch für mittelständische Unternehmen erschwinglich - doch sie haben auch ihre Grenzen. In diesem Buch zeigen erfahrene Personaler, was bei der Planung und dem Einsatz zu beachten ist und in welchen konkreten Bereichen Online-Tests sinnvoll eingesetzt werden können: Von der Vorselektion und dem Personalmarketing, über die Personalauswahl und -entwicklung, bis hin zu besonderen Einsatzgebieten wie Karriereberatung und Erfassung interkultureller Kompetenzen. Diese Darstellung wird eingerahmt von wissenschaftlichen und technischen Grundlagen sowie einem Überblick über neueste Entwicklungen und Trends. Fallbeispiele aus führenden Unternehmen, Checklisten zu Erfolgskriterien sowie eine kommentierte Übersicht über Anbieter von Online-Tests machen dieses Buch zu einem unverzichtbaren Leitfaden für alle, die Online-Assessments einsetzen möchten, aber auch für jene, die sich einen ersten Überblick über die Thematik verschaffen wollen.

More than 90 papers give a summary of clinical and basic studies on cerebral vasospasm, including reviews by leading researchers in this field. Several new frontiers are proposed for future research directions that will not only promote research from neurosurgery and neurology but also from other interconnecting fields of emergency medicine, electrophysiology, molecular biology, and vascular biology.

86 short papers originating from the 13th International Symposium on Intracranial Pressure and Brain Monitoring held in July 2007 in San Francisco present experimental as well as clinical research data on invasive and non-invasive intracranial pressure and brain biochemistry monitoring. The papers have undergone a peer-reviewing and are organized in eight sections: brain injury: ICP management and cerebral physiology; hydrocephalus and cerebrospinal fluid dynamics; advanced neuromonitoring; biomedical informatics; imaging; ICP: brain compliance, biophysics, and biomechanics; stroke, subarachnoid hemorrhage, and intracerebral hematoma; and experimental studies and models. The papers address the increasing use of decompressive craniectomy for the treatment of brain edema as well after brain injury and the rapidly expanding field of advanced neuromonitoring and neuroimaging.

Various pharmaceutical nanocarriers, such as nanospheres,nanocapsules, liposomes, micelles, cell ghosts, lipoproteins and some others are widely used for experimental (and already clinical) delivery of therapeutic and diagnostic agents. The use of nanoparticulate pharmaceutical carriers to enhance the in vivo efficiency of many drugs well established itself over the past decade both in pharmaceutical research and clinical setting. Looking into the future of the field of drug delivery, we have to think about the development of the next generation of pharmaceutical nanocarriers combining the whole variety of properties and allowing for the simultaneous performance of multiple functions. Surface modification of pharmaceutical carriers is often used to control their properties in a desirable fashion and make them to simultaneously perform several different functions. This book is all about these'futuristic'multifunctional medicines. Key features: -all chapters written by international leaders in the field -offers the most recent innovations and discoveries related to nanopharmaceuticals -detailed illustrations -latest volume in the Fundamental Biomedical Technologies series About the Editor: Vladimir P. Torchilin, Ph.D., D.Sc. is a Distinguished Professor and Chair of the Department of Pharmaceutical Sciences and Director, Center for Pharmaceutical Biotechnology and Nanomedicine, Northeastern University, Boston, Mass.