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This volume contains the proceedings of the Ninth Meeting of the "International Study Group for Tryptophan Research" (lSTRY), held at the University of Hamburg, Germany, from October 10 to 14, 1998. At this meeting the recent developments in the field of tryptophan research were presented by leading researchers from all over the world in 81 oral and 48 poster contri butions. Research on tryptophan and its derivatives provides an inexhaustible subject. At the conference we tried to compose a multifacetted picture of the recent investiga tions through contributions from the major disciplines involved. Thus, we tried to strike a balance between basic research topics and clinical, nutritional or...
Osteoarthritis can be categorized as the deterioration of protective cartilage surrounding joints resulting in swelling, pain and increased difficulty in joint movement. Several factors are known to increase risk of osteoarthritis such as joint injury, comorbidity with other conditions (rheumatoid arthritis), age and obesity. While joint damage is irreversible, symptoms can be managed and various life-style changes can slow disease progression. To date, there is no cure for osteoarthritis and while joint damage is irreversible, symptoms can be managed with various life-style changes to slow disease progression. Pain management can often be achieved with over-the-counter analgesics. Alternatives include Non-steroidal anti-inflammatory drugs (NSAIDs), Opioids, Capsaicin cream, and in extreme cases Steroid injections. Non-pharmaceutical treatments include physiotherapy, assisted devices such as specialized footwear and transcutaneous electrical nerve stimulation (TENS). In cases of extreme joint damage various surgeries may be available to patients, such as arthroplasty surgery.
This handbook fully investigates reverse shoulder arthroplasty (RSA), presenting all the recent advances in the field to enable shoulder surgeons to treat patients with complex conditions, such as rotator cuff tears and instability, failed surgery and combined arthritis, or proximal humerus neoplasia. Reverse shoulder arthroplasty is becoming increasingly common because conventional total shoulder replacement may cause pain, loss of strength, simple or complex disabilities as well as limited motion, reducing general quality of life. The goal of a reverse prosthesis is to restore a painless, biomechanically valid joint. Drawing on the results of recent studies, the book covers all relevant aspects of RSA, including basic science, pathogenesis, clinical and instrumental evaluation, surgical techniques and complication management, helping readers to better understand when and how reverse shoulder arthroplasty should be implanted and what to do in cases of poor results. Written by leading shoulder specialists, the book provides surgeons and rehabilitation specialists, as well as residents and shoulder fellows, with a valuable, state-of-the-art guide for clinical practice.
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