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To err is human : building a safer health system
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ISBN: 0309068371 0309515637 0585212732 9780309515634 9780309261746 0309261740 9780585212739 9780309068376 0309132797 Year: 2000 Publisher: Washington, D.C. : National Academy Press,


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Reversing the obesogenic environment
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ISBN: 9780736078993 0736078991 Year: 2011 Publisher: Champaign, IL : Human Kinetics,

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Abord Clinique des Troubles du Sommeil
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ISSN: 16391063 ISBN: 9782817802794 9782817802787 2817802780 Year: 2012 Publisher: Paris Springer Paris

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Qu'ils soient évoqués spontanément par le patient ou recherchés par le médecin, les troubles du sommeil sont très répandus. Il s'agit parfois d'un symptôme de mal-être, mais aussi souvent d'une maladie à part entière comme le syndrome d'apnées du sommeil, à titre d'exemple. C'est pourquoi la médecine du sommeil est une discipline transversale proche de la médecine interne. En effet, pendant le sommeil, le temps se réorganise, le psychisme se reconstruit, la personne recouvre ses forces physiques et l'organisme sécrète un certain nombre d'hormones. Dans la solitude de la nuit l'inconscient cherche à se libérer, les désirs s'expriment dans des rêves ou se refrènent en de terrifiants cauchemars. Parfois, le sommeil se refuse sans que rien n'y fasse. Alors la plainte parvient aux oreilles du médecin. La tentation est alors grande de prescrire un somnifère ou un « remontant ». Pourtant, bien souvent, les troubles du sommeil sont la traduction d'une maladie sousjacente, d'une souffrance ou encore l'un des effets secondaires d'une thérapeutique mise en place pour une autre pathologie. Cet ouvrage se veut volontairement pratique avec des exemples concrets de façon à constituer un outil avec nombre d'adresses utiles et d'explications en annexe pour mieux cerner ces maux, mieux les situer au sein d'une nosologie et donc mieux les traiter.


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Prevention of bone metastases
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ISBN: 9783642218927 9783642218910 Year: 2012 Publisher: Heidelberg ; New York : Springer,

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Bone metastases continue to be a major cause of morbidity in cancer patients, but improved understanding of the biology of bone metastases has led to the identification of drugs that are of potential value in not only their treatment but also their prevention. This book, written by recognized experts in the field, provides a detailed overview of current knowledge on this subject. One important focus of the book is the efficacy of bisphosphonates in preventing bone metastases in patients with breast, lung, and prostate cancer and disease progression in cases of multiple myeloma.  The combined use of bisphosphonates and cytostatics is also discussed, with a report on first clinical data.  Further topics addressed include the significance of the bone microenvironment, special issues in the elderly patient, the use of bone turnover markers, and initial findings obtained with denosumab.

Preventive nutrition : the comprehensive guide for health professionals.
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ISBN: 9781588294456 9781592598809 1588294455 Year: 2005 Publisher: Totowa Humana press

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In this major revision and expansion of a highly respected reference work, the authors have created the most comprehensive and up-to-date review of the nutritional strategies available for the prevention of disease and the promotion of health through nutrition. This new edition combines fully updated versions of the best chapters of the first two editions with updated critical chapters from the much-praised Primary and Secondary Preventive Nutrition, and adds 16 new chapters. Here, practicing health professionals will find all new reviews of lycopene, tomatoes and prostate cancer, soy and cancer prevention; the effects of dietary supplement use on prescription drugs, osteoarthritis, osteoporosis, and cardiovascular disease; balanced, data-driven reviews of the effects of antioxidant supplements on health outcomes, and more. By synthesizing the latest data and integrating it into the broad body of existing information, this book provides in-depth guidance on nutrition and the prevention of cancer, cardiovascular disease, bone diseases, obesity, and diabetes, and on achieving optimal pregnancies and birth outcomes. Of special interest are the new chapters as well as the extensively revised chapters on drug-nutrient interactions, health economics, nutraceuticals, Food and Drug Administration regulations for supplements, carotenoids, the elderly, children, diet and cancer risk, obesity as a chronic disease, diabetes, and immune function. Key point summaries and clinical recommendations are clearly provided at the end of each chapter to highlight critical lessons for the reader. Comprehensive, authoritative, and readily accessible, Preventive Nutrition: The Comprehensive Guide for Health Professionals,Third Edition offers physicians, nutritionists, dentists, pharmacists, dieticians, health educators, policymakers, and research investigators a benchmark integration of the best available data on the role of nutrition in health. Unique in scope, size (over 900 pages), and detail, it demonstrates that many of the major diseases affecting middle-aged adults can be delayed, if not prevented, with simple nutritional approaches.


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Rare diseases epidemiology.
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ISSN: 00652598 ISBN: 9789048194858 9789048194841 Year: 2010 Publisher: New York Springer science & Business media

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'Rare Diseases Epidemiology' offers numerous approaches to increase the knowledge base of rare diseases and conditions and to facilitate the development and dissemination of interventions for the prevention, diagnosis, or treatment of over 6500 diseases and conditions. The goals of epidemiology are not restricted merely to providing numerical data on the prevalence or incidence of diseases in a limited or general population. Analyses of epidemiological data gathered from appropriately designed and conducted studies are required to establish public health policies and priorities in all nations. Information gained from these studies lead to a better understanding of the etiology and the impact of genetic or environmental factors on the occurrence and outcome of these disorders. The term Rare Diseases includes both acquired and inherited disorders. 'Rare Diseases Epidemiology' provides methods and approaches from the collective experiences of established research investigators who address these significant issues of the development of patient registries; the collection, storage and selected distribution of bio-specimens from bio-banking activities; the validation and utilization of genetic testing and newborn screening procedures; the presentation of issues related to the importance of case reports to increase knowledge of rare diseases; the challenges and models for population-based surveillance studies for rare congenital and inherited disorders; the statistical methods for the geographical analyses of rare diseases; the value and need for clinical trials and comparative effective studies; and meeting the requirements of regulatory agencies. Economic, societal, and ethical concerns are presented as patients and families encounter difficulties obtaining the correct diagnosis, gaining access to treatments, and receiving coverage or reimbursement for approved interventions, and for developing a public understanding of the costs to patients and their families and the burden of illness affecting the quality of life of millions of patients with rare diseases and conditions. Framework programs for rare diseases research as developed by the European Union and the value of national plans for individual member countries are discussed and represent the public commitment to patients with rare diseases. Likewise, similar programs have been implemented in the USA as a result of the Orphan Drug Act to address the needs of the rare diseases community.

Leakage in nanometer CMOS technologies
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ISBN: 128061658X 9786610616589 0387281339 0387257373 9780387257372 9780387281339 Year: 2006 Publisher: New York, NY : [Great Britain] : Springer,

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Scaling transistors into the nanometer regime has resulted in a dramatic increase in MOS leakage (i.e., off-state) current. Threshold voltages of transistors have scaled to maintain performance at reduced power supply voltages. Leakage current has become a major portion of the total power consumption, and in many scaled technologies leakage contributes 30-50% of the overall power consumption under nominal operating conditions. Leakage is important in a variety of different contexts. For example, in desktop applications, active leakage power (i.e., leakage power when the processor is computing) is becoming significant compared to switching power. In battery operated systems, standby leakage (i.e., leakage when the processor clock is turned off) dominates as energy is drawn over long idle periods. Increased transistor leakages not only impact the overall power consumed by a CMOS system, but also reduce the margins available for design due to the strong relationship between process variation and leakage power. It is essential for circuit and system designers to understand the components of leakage, sensitivity of leakage to different design parameters, and leakage mitigation techniques in nanometer technologies. This book provides an in-depth treatment of these issues for researchers and product designers.


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Doping in Sports: Biochemical Principles, Effects and Analysis
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ISBN: 9783540790884 9783540790877 Year: 2010 Publisher: Berlin Heidelberg Springer Berlin Heidelberg

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Doping in sports and the fight against it has gained increasing attention in recent years. The pharmacological basis for a possible performance enhancement in competitive sport through the administration of prohibited substances and methods as well as the analytical disclosure of such practices are comprehensively covered in 21 contributions by outstanding and distinctive authors.


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Stillbirth : prediction, prevention, and management
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ISBN: 9781444337068 1444337068 9781444398014 1444398016 9781444398038 1444398032 9781444398021 1444398024 128317846X 9786613178466 Year: 2011 Publisher: Chichester, West Sussex, UK ; Hoboken, NJ : Wiley-Blackwell,

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Stillbirth remains a major and tragic obstetric complication The number of deaths due to stillbirth are greater than those due to preterm birth and sudden infant death syndrome combined. Stillbirth: Prediction, Prevention and Management provides a comprehensive guide to the topic of stillbirth. Distilling recent groundbreaking research, expert authors consider:The epidemiology of stillbirth throughout the worldThe various possible causes of stillbirthThe psychological effects on mothers and families who suffer a stillbirthManagement of stillbirthManagi


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Brain protection in cardiac surgery
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ISBN: 9781849962933 9781849962926 Year: 2011 Publisher: London : Springer,

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Brain injury remains one of the most dreaded complications of cardiac surgery. The range of injury is broad; while a stroke may be easily defined and diagnosed, more subtle injuries most definitely occur. There remains debate as to how these are diagnosed and there is a lack of standard definitions allowing inter-study comparison. If we are to have confidence in strategies that may reduce brain injury, we need to have confidence in the end-points used to define that injury. We need to better understand the phenomena associated with neuropsychometric testing; we need to fully elucidate the relationship between structural brain injury, embolism counting, and surrogate biomarkers; and we need an improved understanding of the clinical significance of abnormalities detected on postoperative magnetic resonance imaging. Brain Protection in Cardiac Surgery presents a detailed background of studies of neurological morbidity and neuroprotection from a range of experts in the field of neuroprotection, providing a detailed reference for clinicians in the field. The Editors have detailed connections between the different strands of injury be it the pathology, the imaging, the clinical and cognitive examination, potential biomarkers and have then provided summary reports of treatment strategies that may reduce such injury. As we look to the future, the design of studies attempting to reduce such injury becomes increasingly important and this book provides the fundamental background information to fuel interest, initiate novel prevention and therapeutic strategies, and inform the investigator how to develop and design their research study.

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