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Leptin
The discovery of leptin little more than a decade ago, as a hormone produced in white adipose tissue with an important role in satiety and energy expenditure, was a seminal event in our understanding of adiposity. This initial advance in the new endocrinology of obesity was soon followed by the realization that leptin was not only produced in adipose tissue, but in many different tissues of the body, and that receptors were similarly distributed. Additionally, the early recognition of infertility that was associated with leptin deficiency prompted research that identified roles for the polypeptide in virtually every area of reproductive biology.
Lentil : An ancient crop for modern times
Presents the most comprehensive and up to date review of research on lentil production systems, biotic and abiotic stresses management, quality seed production, storage techniques and lentil growing around the world. This book will be of great value to legume breeders, scientists, nutritionists, academic
Learning Diagnostic Imaging : 100 Essential Cases
Intended to provide medical students, residents of Radiology, and anybody else beginning to be involved in the radiological world, with a useful tool that gives them a quick and comprehensive overview of Radiology.
Le Distilbène trente ans après : Les enfants des 2èmes et 3èmes générations = Distilbene thirty years later : The children of the 2nd and 3rd generations
The various consequences on the anatomy and physiology of the female genitalia, as well as male, of children exposed in utero are reviewed. The impact on girls is greater than on boys: modification of the uterine cervix, reduction in the volume of the uterus with its consequences on fertility and the progress of pregnancies, risk of cancer of the vagina and the cervix. . The potential repercussions on the third generation are analyzed from experimental studies. Finally, the medico-legal implication is studied from the various trials that took place in the United States and from the first French trial that took place in Nanterre in November 2003. This work is the result of the collaboration of several experts recognized for their competence in this field. It will be of interest to all obstetrician gynecologists, urologists, but also public health physicians and midwives.
Le dépistage du cancer colorectal : État des lieux et perspectives = Colorectal cancer screening: Current status and perspectives
Prevention and screening are two major challenges for Public Health to reduce cancer mortality in our country. Screening for colorectal cancer is therefore quite exemplary. The number one cancer in both sexes in France, its incidence continues to increase due to the aging of the population. Its mortality remains high, in the order of fifty percent, despite the major therapeutic advances made in recent years. Preceded by a precancerous lesion - the adenomatous polyp, which can be removed by colonoscopy - colorectal cancer is also curable at the early stage. Finally, it can be the subject of a screening strategy, the impact of which has been demonstrated today on the reduction in mortality, when it is detected before any symptom by a simple test for blood in the stool followed by , in case of positivity, by a total colonoscopy. This book takes stock of the scientific rationale and the state of play of organized colorectal cancer screening in France. It is also an opportunity to discuss emerging techniques and strategies that can help improve the results of this screening if they prove their superiority over the current strategy. Intended primarily for doctors, this book is also intended for healthcare professionals and all those who, concerned about their health, have a proactive attitude in terms of screening and preventing this cancer.
Le dépistage du cancer bronchique : De l'espoir à la réalité = Lung cancer screening : From hope to reality
An ambitious program has been launched in terms of research, diagnosis, prevention, and screening. Among cancers, the leading cause of cancer death is lung cancer. This disease, so closely linked to behavioral habits, both focuses and encapsulates the problem. Despite constant progress in treatment, the prognosis remains bleak, explaining the fatalistic impression left by the last decade. While significant efforts were being made in screening for other cancer sites, lung cancer remained in the shadows, with studies showing limited effectiveness in this approach. The advent of spiral CT scanning has revolutionized the field, giving rise to new hope alongside anti-smoking campaigns. Autofluorescence endoscopy, by enabling the diagnosis of pre-neoplastic lesions, completes an arsenal that finally allows us to envision an effective, combined strategy. This book brings together all the elements relating to screening and early diagnosis. The road from hope to reality is long, but we must acknowledge that, for the first time, we know it exists.
Le complicazioni neurologiche in oncologia = Neurological complications in oncology
This volume, both necessary and new in the panorama of Italian medical literature, acknowledges this and presents an updated and complete review of the pathologies of the central and peripheral nervous system associated with tumors and their treatment. The purpose of the volume is to present an integrated approach between specialists that must see the neurologist and the oncologist in dialogue, and able to develop a new super-specialized clinical capacity in neuro-oncology. Many experts have contributed to its preparation by sharing knowledge on topics ranging from metastatic complications, to those of surgical cancer therapy, radio- and chemo-therapy, paraneoplastic syndromes, pain therapy, delirium and the affective alterations associated with the disease. The book is aimed in particular at neurologists, oncologists, palliative care practitioners and surgeons, but it is certainly useful for general practitioners and all operators who are daily involved in the demanding work of taking care of cancer patients.
Le Cancer du rein = Kidney cancer
Localized tumors are discovered at an earlier stage. The concept of active surveillance emerges. Minimally invasive treatments such as cryotherapy or radiofrequency for selected cases are now available. The indications for elective open partial nephrectomy are expanding and laparoscopic and then robotic partial nephrectomy are being evaluated.
Laser Dermatology
The continual array of laser technology throughout the world has been nothing short of miraculous. Over the last fifteen years, this field has continued to grow and expand with new technologies. This book represents the most up to date description of the latest in laser and light source technology.
Lapproccio e la gestione per processi in pneumologia = The process-based approach and management in pulmonology
The topics covered are highly relevant to the application of the methods and tools outlined in quality improvement programs. This is in an effort to enhance the specific skills of the pulmonologist, thus making him an effective and independent liaison with the relevant strategic management. With great sensitivity, the SIMeR (Italian Society of Respiratory Medicine) has chosen to sponsor this edition, the only one to date in the field of Pulmonology, whose contents are based on the proposals and work of the leaders of one of its most recently established Study Groups, the "Continuous Quality Improvement in Pulmonology" Study Group.
Lamto : Structure, Functioning, and Dynamics of a Savanna Ecosystem
Known as "a dream place for scientists," the Lamto savannas, located on the edge of the Cote d'Ivoire rain forests, are one of the only savannas in the world where ongoing ecological research has endured for more than forty years. Drawing from and synthesizing this abundance of research, the book examines the structure, functioning, and dynamics of the Lamto humid savanna. Beginning with the history of the Lamto ecology station and an overview of the major environmental conditions of the site, this exacting work specifically examines the integrative view of energy and nutrient fluxes relative to the dynamics of the savanna's vegetation.
Lake Taihu, China : Dynamics and Environmental Change
There are many shallow lakes in the world. Many of them play an important socio-economic role as contributors to the drinking water supply, in flood attenuation, fisheries and recreation activities. Because of the current anthropogenic changes in the environment, such lakes rapidly respond to eutrophication and swamping. It is often hard to address these issues because many changes in the ecosystems of shallow lakes are associated with little studied physical processes. This interaction between the aquatic biota and the physical and chemical environment increases the complexity of shallow lake ecosystems. Lake Taihu, located in the delta of Yangtze River, is a typical large, shallow eutrophic lake with area of 2338 km2 and maximum depth of less than 3m . This book provides basic data on various aspects of this lake and summarizes research work on the interaction between its ecology and physical limnology. It will be a reference for teachers and students of freshwater ecology and biology, the aquatic environment in general, and, most strikingly, for all those interested in physical limnology.
Lagomorph Biology : Evolution, Ecology, and Conservation
Lagomorphs are a mammalian order which includes rabbits, hares and pikas. They are distributed throughout the world and are of both scientific and public interest as they are classified between endangered and pest species. In addition, some have a high economic value as important game species. In the last few decades, a huge amount of information was made available to the scientific community and resulted in remarkable advances on all aspects of Lagomorph biology. However, this information is dispersed in multiple scientific and non-scientific journals. This book provides an updated synthesis of the current knowledge on Lagomorph biology.
La TC multidetettore nella diagnostica cardiovascolare : Opera multimediale di aggiornamento e formazione sulla cardio-TC = Multidetector CT in cardiovascular diagnostics : A multimedia training and refresher course on cardiac CT
Con il patrocinio della Società Italiana di Radiologia Medica e il supporto di GE Healthcare, Springer-Verlag Italia presenta un'opera multimediale di aggiornamento e formazione dedicata alla TC cardiovascolare. Curata da Rossella Fattori del Dipartimento Clinico di Scienze Radiologiche e Istocitopatologiche del Policlinico S. Orsola di Bologna e con il contributo dei più autorevoli esperti italiani, l'opera è articolata in 4 monografie che trattano in maniera completa gli ambiti applicativi della cardio-TC, un CD-ROM didattico e interattivo basato su casi clinici e un DVD che consentirà di apprendere preziose informazioni attraverso filmati di refertazione.
La scuola dell’atopia = The school of atopy
The need to clarify the current concepts of atopy, which for too long have oscillated between a primitive purely clinical vision and a subsequent purely immunological one, had been ripe for some time. Understanding that the role of immunoglobulins E is not exhaustive and accepting the Solomonic division between intrinsic and extrinsic atopy were the first two fundamental steps. Recent discoveries of the role of innate immunity, and therefore of antimicrobial peptides, have opened fundamental spaces for understanding in atopy and beyond. What now appears clear is that atopy is not the disease of an organ but rather a defect in the membranes that delimit our "self". The fact that these membranes are called skin, intestines, conjunctiva, bronchi or whatever has artificially fragmented the understanding and treatment of a unitary phenomenon. This book seeks to summarize the different experiences but above all to be a stimulus to ensure that medicine focuses constructively on the same target. If this is the case, we will no longer see "religious wars" between scientists and practicing doctors or, even worse, between the different specialists vying for the patient. If atopy, as we believe, is a global problem, it can only be adequately addressed in a multidisciplinary context and in a collaborative atmosphere, not only between doctor and doctor but also between doctor and patient.
La pratica dellatopia = The practice of atopy
The purpose of this publication is to "translate" and outline the arguments developed in an academic manner in the first edition of the School of atopy and which have been condensed into the text of the same name. This book, on the other hand, aims to be a synthetic and quick reference tool, intended for those who deal with these patients on a daily basis.
La marche de linfirme moteur cérébral enfant et adulte = Gait in children and adults with cerebral palsy
Patients with cerebral palsy (CP) face numerous neuromotor problems related to brain damage, the functional consequences of which, in the early years of life, impact the acquisition of walking. A better understanding of gait and its levels of control, along with refined and quantified clinical analysis in the laboratory, allows for the definition of therapeutic options in collaboration with the patient, their family, and the healthcare team. Managing muscle tone disorders and neuro-orthopedic problems is a daily challenge for patients at all ages. Patients with CP increasingly benefit from new drug therapies, regular adjustments of walking aids and orthotics, and specific rehabilitation, sometimes combined with surgical procedures, whether orthopedic or neurological. This book reviews the evolution of knowledge and practices.
La gonarthrose : Traitement chirurgical : De l´arthroscopie à la prothèse = Knee osteoarthritis : Surgical treatment : from arthroscopy to prosthesis
The aim of this work is to take stock in a clear and didactic way on all the current knowledge on osteoarthritis of the knee and its treatment. It successively addresses the diagnosis and the medical treatment, then the surgical treatments then finally the various aspects of the total knee prosthesis. This book is designed to be read at several levels: basic information is intended particularly for non-specialist or trainee surgeons, rheumatologists, rehabilitation physicians, radiologists and physiotherapists. More specialized aspects are discussed in a second part of the book concerning the future of medical treatment (biology, gene therapy) and certain complex problems of surgical techniques. The points of controversy concerning the total knee replacement are discussed in the last part of the book, of interest to physicians and surgeons.
La disprassia in età evolutiva : Criteri di valutazione ed intervento = Dyspraxia in developmental age : Evaluation criteria and intervention
As clinical and rehabilitation practice shows, children with dyspraxia are unable to plan and organize an action plan; they cannot control what they are doing during an action; therefore, they cannot do something, but we could also admit that they cannot yet do something; that is, they have not yet learned to perform functions. Functions and actions, however, can be learned and performed with the help of targeted exercises performed consistently. It is, however, essential to recognize the difficulties children with dyspraxia face when faced with new, unusual tasks. The author proposes an assessment and intervention model that takes into account etiological and neuropsychological hypotheses, emphasizing the need to proceed with an analysis on multiple levels: perceptual, motor, and representational. Particular importance is given to early diagnosis and intervention to define and implement appropriate treatment plans. The work concludes with the analysis and description of clinical cases related to some specific forms of dyspraxia: verbal dyspraxia and dysgraphia.
L’insuffisance rénale aiguë = Acute renal failure
The aim of this book is to make current data from the experimental and clinical literature accessible to readers. More than a thousand articles are published each year on the theme and the authors aim to synthesize this information. These data relate in particular to the identification of early markers of renal dysfunction without which screening, recognition of the main pathophysiological determinants and prevention remain uncertain. This book focuses attention on clinical situations characterized by the renal impact of the main dysfunctions of vital functions, the prognosis of which is worsened by the occurrence of this renal failure. The following will be treated in particular: the renal consequences of oxidative stress, the renal consequences of respiratory dysfunction, cardiac dysfunction, hepatic dysfunction, alterations in hemostasis, septic shock and hemorrhagic shock. Finally, the physiopathological data from experimental models are gradually finding their echo in the clinical field, opening up therapeutic avenues whose recent evaluations will be analyzed.
