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Mass Vaccination : Global Aspects - Progress and Obstacles
Mass immunization is the blitzkrieg of vaccination practice. It serves to rapidly protect populations, both because of the high coverage achieved and because of the herd immunity thereby induced. However, as in war, mass immunization campaigns must be conducted intelligently, with careful strategy and strong attention to logistics of supply and deployment. If conducted badly, mass immunization may fail or even be counter-productive. In this volume, some of the most successful practitioners of mass im- nization tell us about its art and science. David Heymann and Bruce Aylward of WHO begin the book with a theoretical and practical overview of mass immunization. Michael Lane, who participated in the successful effort to eradicate smallpox relates how this was done using mass vaccination and other strategies. Application of mass immunization by the US military is c- ered by John Grabenstein and Remington Nevin, who have a large experience in these matters. Karen Noakes and David Salisbury recount the striking s- cesses of mass immunization in the United Kingdom. The global control of the clostridia that produce diphtheria toxin is described by Charles Vitek. Hepa- tis A is decreasing dramatically under the impact of large-scale vaccination, as Francis André illustrates. The French experience with Hepatitis B vac- nation has been mixed, and François Denis and Daniel Levy-Bruhl explain the circumstances. In?uenza vaccination is an annual example of large-scale campaigns, the complexity of which is recounted by Benjamin Schwartz and Pascale Wortley.
Manuale di accreditamento delle strutture diabetologiche = Accreditation manual of diabetic facilities
Healthcare quality is not a new issue, but it is often underestimated. The doctor focuses on his relationship with the patient, and is led to believe that technique and technology are sufficient to guarantee effective and efficient performance, regardless of the organizational system. Quality understood as "Total Quality Management" is a way to cross a border, to create knowledge, to break the armor of self-referentiality and that individualistic vision of work learned during university studies and consolidated by professional practice. The path of professional peer accreditation is the tool that the scientific society Associazione Medici Diabetologi has developed and provided to diabetologists to facilitate the understanding of ways of looking at the world of healthcare that are different from those they usually use.
Management of Complications in Refractive Surgery
This guide offers the reader practical pearls to the solution and prevention of the different complications of corneal and refractive surgery. All complications are described and lavishly illustrated from its pathogenesis to its treatment modalities.
Management of atopic dermatitis : Methods and challenges
This new edition builds upon the foundational knowledge covered in the first edition, covering the epidemiology, pathogenesis, and clinical presentation of atopic dermatitis in both pediatric and adult patients. It provides an overview of the mechanism and presentation of atopic dermatitis and focuses on the management methods experienced dermatologists have used to successfully manage atopic dermatitis. The book includes new chapters describing the special considerations for atopic dermatitis in skin of color patients, dedicated chapters on topical and oral prescription management reflected the latest FDA-approved treatments, and also a chapter covering the updated guidelines from the American Academy of Dermatology. A final chapter includes updates on the future of atopic dermatitis treatment.
Management of Acute Pulmonary Embolism
Management of Acute Pulmonary Embolism highlights traditional, novel, and evolving aspects of the diagnosis and treatment of pulmonary embolism (PE). Emphasis is placed on specific issues related to PE, including pregnancy, cancer, thrombophilia, and air travel. The authors critically review and interpret available data, and provide clear recommendations for diagnosis and therapeutic concerns in clinical management of PE patients. Management of Acute Pulmonary Embolism is organized in three precise sections - diagnosis, treatment, and special topics. Each section is up-to-date and detailed, and provides clear recommendations for diagnostic and therapeutic approaches to patients with PE in clinical practice. This practical volume is an essential starting point for future study for both medical students and established investigators.
Malattie dellapparato respiratorio = Respiratory system diseases
This book reports the status of the art of the community more diseases of the respiratory apparatus. The first part is dedicated to the anatomy of the lung, to the regulation of the respiration and to the respiratory mechanics, follows the functionalities of the respiratory pain and the invasive and non-invasive diagnosis, including the diagnosis per imaging in pneumology. Nella description of the particular malattie importance of this date in the chiarire the "perché" of the diversi symptoms and according to the clinical practice within the therapeutic approach, confronted with te international guideline, with the communication of the vast experience of the clinic of the author. The main objective of this book is that the recent acquisition of the physiology, pathophysiology and clinic of the respiratory system, including non-invasive mechanical ventilation, oxygen therapy and respiratory rehabilitation, and combining a clear description from the respiratory pathophysiology with emphasis on its clinical application. The volume is aimed both at students of the specialist degree course in medicine and surgery, and at specialists in diseases of the respiratory system. It also represents a valid reference for the general medicine doctor, above all when the last intention will increase the proprietary knowledge of clinics, diagnosis and therapy in the sector of the respiratory pathology, branch that always is often shared by the doctor and the specialist in the risoluzione of almost anche molto complessi.
Magnetic nanoparticles in human health and medicine : Current medical applications and alternative therapy of cancer
Progress in improving diagnosis by magnetic resonance imaging (MRI) and using non-invasive and non-toxic magnetic nanoparticles for targeted drug delivery. Focusing on cancer diagnosis and therapy, the book covers both fundamental principles and advanced theoretical and experimental research on the magnetic properties, biocompatibilization, biofunctionalization, and application of magnetic nanoparticles in nanobiotechnology and nanomedicine.
Lymphocyte Trafficking in Health and Disease
Since the discovery of chemokines and of chemokine receptors it has become evident that expression of chemokines at the site of inflammation may regulate the composition of cellular infiltrate, thereby directing the type of immune response. Recently, the molecular characterization of inherited disorders of immune system, (e.g., Wiskott-Aldrich syndrome, WHIM syndrome, leukocyte adhesion deficiency), which are characterized by cytoskeleton/adhesion defects or by altered response of chemokine receptors has contributed to clarifying the key players of immune response in normal physiology and in disease. This book, which deals with the description of the role of chemokines in immune response and underlines potential targets of therapeutical intervention, offers a series of contributions of the most challenging aspects of lymphocyte migration in homeostasis and in disease.
Lifestyle nutrition eating for good health by lowering the risk of chronic diseases
Provides physicians with an evidence-based introduction to nutrition science with a practical emphasis on how to apply this information to improve the health of their patients and enhance their own lives. From nutrition and atherosclerosis to erectile dysfunction and chronic kidney disease to osteoporosis, this comprehensive guide covers a wide range of conditions influenced by diet. It delves into specialized areas, such as nutrition for physically active people to the elderly, ensuring relevance for diverse patient populations. The reader will find detailed analysis of the Dietary Guidelines for Americans 2020–2025 and their applications and strategies for adopting healthy plant-based diets, such as Mediterranean, DASH, and vegan.
Les thérapies ciblées = Targeted therapies
We are at the start of the development of new therapeutic classes, directed against new molecular targets (EGFR, VEGF, IGFR, Rank, etc.) Several diseases such as kidney, colon or breast cancer, GIST, have a natural history now modified thanks to these therapies. This practical book takes stock of the current use of these molecules.
Les cancers ovariens = Ovarian cancers
Deals with ovarian cancers and their therapeutic management. Besides the epithelial tumors which are the most frequent, the rarer tumors, with attenuated malignancy, germ cells or of the ovarian stroma are also studied. Specialists from multiple backgrounds each deliver in their field the most recent knowledge on the fundamental aspects of the disease, its genetic, epidemiological and prognostic characteristics and its pathological peculiarities. Modern means of diagnosis are presented. The surgical technique, including laparoscopy, is detailed at the different stages of the disease. The therapeutic strategy aims to position the surgery and chemotherapy according to the stage. The current place of radiotherapy and isotopic therapies is indicated. Some more specific aspects are discussed, screening, lymph node dissection, the “second look”, intraperitoneal chemotherapy with or without hyperthermia, treatment of the elderly, monitoring after treatment… as well as the emergence of targeted therapies.
Le cancer du sein = Breast cancer
The reader will find there both a synthetic summary of the current state of knowledge of epidemiology, risk factors and pathological aspects as well as a presentation of the surgical aspects, in particular, of the new approach that constitutes the sentinel node procedure. Radiotherapy, in a practical view, is divided into essential clinical questions. The medical treatment is then discussed according to the different situations encountered on a daily basis. Particular attention is of course paid to recent data both with the contribution of hormone therapy and targeted therapies. Finally, the symptomatic treatments and especially the psychological care of these patients are not forgotten.
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.
Le bouddhisme et la médecine traditionnelle de lInde = Buddhism and traditional medicine from India
Aims to return to ancient India, to the sources of Buddhism. It is a question of comparing the religious bodies of Buddhism of the origins with the treatises relating to Ayurveda, the medicine practiced in India at that time.
Lake Verevi, Estonia : A highly stratified hypertrophic lake
The present book summarises investigations on Lake Verevi (surface 12.6 ha, mean depth 3.6 m). The seventeen articles in this issue deal with a wide range of questions, starting with a holistic overview of the ecological status, over assessments of long-term changes in biotic and abiotic conditions and finishing with proposed restoration plans. Abiotic chapters provide calculations on water and mass balance, distribution and fractions of phosphorus in the sediment, optical properties and penetration of radiation in the water column, sedimentation rate during the formation of stratification, and nitrogen circulation characteristics.
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 respirazione artificiale : Basi e pratica = The artificial respiration: Basi e pratica
Mechanical respiration is a procedure with an intensive medicine physician and specialized specialist in the discipline of general medicine if I must daily confront. The volume is described in detail and foundation of the clinical practice: starting from the basic anatomy and physiology of the mechanical respiration and the variety of forms of respiratory insufficiency. metodi alternativi and il management delle malattie specifiche dell'apparato respiratorio. We are here to discuss the latest technology for respiratory therapy and non-invasive mechanical respiration.
La phytocosmétologie thérapeutique = Herapeutic phytocosmetology
Deals with restorative cosmetology. This is understood through the eyes of the doctor specializing in phytotherapy. Three main aspects are discussed: the diagnosis of disturbance of the skin and integuments, external treatment with natural substances, as well as oral treatment (internal treatment). Oral cosmetology has no official recognition, yet the effects of plant extracts on the condition of the skin and integuments are well known. After an introduction to the physiology of the skin, the dosage and the phenomena of skin deterioration, the author discusses different types of treatment depending on the extracts used while explaining their mode of action. This work was written by a doctor, Doctor Paul Goetz, teacher in clinical phytotherapy, and a pharmacist, Doctor Christian Busser, pharmaceutical and scientific advisor, doctor in ethnology and ethnopharmacologist.
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.
KRAS : Methods and protocols
Details protocols ranging from high yield production metabolically labeled KRAS for NMR studies to approaches that quantify engagement of novel molecules that bind KRAS in live cells. Chapters focus on protein production and characterization, biochemical assays, cell-based assays, KRAS-membrane interactions, targeting KRAS, and cell models.
