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Emergency and Disaster Medicine
C. Manni The focusing of general interest and of many disciplines on disaster medicine is an interesting and recent phenomenon in our society. Disasters have by now left the his torical and philosophical sphere and finally entered the operational arena. Modern man, in other words, no longer accepts disasters in a passive and fatalistic manner, but claims to be able to control them like so many other forces of nature. The new approach is aimed at preventing, containing, and remedying the invariably tragic consequences of these events. The role of medicine in this context is of fundamental importance and is charac terized by two main aspects: application of techniques of intervention appropria...
Brain Function in Old Age
Experimental gerontopsychology attempts to test causal hypotheses about old age-related behavioral changes by the manipulation of age-differences. An experimental treatment is introduced with the purpose of equating different age-groups with respect to a potentially relevant function. If the treatment results in an assimilation of the behavior of the different age-groups (age by-treatment interaction), differences in this function are con sidered as causal for the normally observed behavioral differ ence. If it does not result in an assimilation of the behavior of the different age-groups (main effect of treatment), differ ences in this function are considered as irrelevant for the nor mally...
Brain and Heart Infarct II
Dr. Kaufmann and I wish to welcome you here in Schloss Auel to this second symposium on brain and heart infarct. We have chosen this lovely castle because I am always dissatisfied with meetings in great hotels in cities, where we rush to and from the meeting rooms. I had such an experience overseas just 3 weeks ago from 8 o'clock in the morning until 10 o'clock at night. We want you to feel some of the wonderful atmosphere of the Bergisches La~d. Moreover, we wanted like you to enjoy a bit of the spirit of the Rhein valley and the 2000-year-old city of Cologne, even at the expense of losing a few hours of discus sion; though this may be a quantitative loss, we feel sure that the environment of this city will stimulate our discussions. Two years ago we gathered here in Schloss Auel for the first time, attempting to conduct a discussion between neurologists and cardiologists on the similarities and dissimilarities of circulatory disorders of the brain and heart. We are happy to continue this discussi?n in the days to come.
Animal Models and Hypoxia
Animal Models and Hypoxia consists of proceedings from an international symposium. The text discusses the developments made on the study of brain metabolism. An article about the regional utilization of glucose in the brain of mammals is presented. There is also a section that reviews the energy metabolism in the nervous system of insects. The topics covered includes the role of sympathetic innervation in the regulation of cerebral blood flow during hypercapnia, the comparative aspects of energy metabolism in non-mammalian brains under normoxic and hypoxic conditions, and an anoxic rat model. A method developed to gauge the rates of glucose utilization in the central nervous system is evaluated. This method is effective in mapping the functional neural pathways base on stimulated metabolic responses. Factors that contribute to the development of gerontopsychiatric disorders in men are reviewed. The book will provide useful information to doctors, veterinarians, neurologists, students, and researchers in the field of neurology.
Neuroprotection
In this first book to cover model systems, molecular mechanisms and clinical trials all in one volume internationally renowned scientists and clinicians provide a comprehensive treatment of neuroprotective strategies for all important neurological disorders. Following an overview of neurodegenerative, traumatic, and ischemic disorders, the book goes on to cover in vitro and animal model systems as well as cellular and molecular mechanisms. An extremely helpful analysis of clinical studies explains reasons for their success and failure, and the whole is rounded off with a look at the current challenges and hopes for the development of effective treatment strategies in the future.
Cerebral Blood Flow
Cerebral Blood Flow: Quantifying Consciousness Although the heart may be the source of energy needed to generate blood flow,and other organs absolutely essential for normal living,the brain is the reason we are alive. The collected book chapters are aimed at addressing this most fundamental organ and its blood flow. These papers reflect detailed descriptions of similar topics presented over a two-day period as part of the 5th International Symposium on Applied Physiology of the Peripheral Circulation held in Pittsburgh, Pennsylvania, in June 2000. The symposium and this volume were organized into four distinct groupings that follow in a logical fashion. The initial papers focus on the basic ...
Pathophysiology of Cerebral Energy Metabolism
Introductory Remarks.- Pathophysiology of Cerebral Ischemia.- The Interpretation of Ultrastructural Abnormalities in Cerebral Ischemia.- Short-Term Unilateral Ischemia in Gerbils: A Reevaluation.- Some New Aspects of the Pathochemistry of the Post-Ischemic Period.- Blood Flow, Oxygen, and Electrical Dynamics in Cerebral Ischemia.- Cytochemistry of Hippocampus Following Cerebral Ischemia.- Cerebral Water and Electrolyte Content Following Ischemia and Blood-Brain Barrier Disturbances.- Behavior of the Blood-Brain Barrier (BBB) in Cerebral Ischemia.- Reemphasis of the Role of 5-Hydroxytryptamine.
Acute Aneurysm Surgery
During recent years, major advances in surgical techniques, diagnostic methods, anesthesia and adjunctive treatment in the care of patients with subarachnoid hemorrhage have been achieved. Nevertheless, the overall outcome of patients with SAH cannot be regarded as satisfactory. The first part of the book concentrates on the pathogenetic mechanisms underlying vasospasm and edema, the principal causes of poor outcome. Recent progress in the field of membrane lipid metabolism has allowed the problem to be approached from an entirely new perspective. The possible participation of free radicals, membrane lipids and eicosanoids is thoroughly discussed. The second part features the problems of practical management of SAH patients. Timing and indication of surgery of aneurysms and the surgical techniques are described in detail.
Neurobiology of Ischemic Brain Damage
In the eight years since the publication of Volume 63 of Progress in Brain Research, on this subject, developments in the research field have been very fast. For example, receptor physiology and pharmacology is now an intensively studied field, and the excitotoxic hypothesis of cell death is commonly accepted. Furthermore, it is recognized that ischemia and other insults give rise to a sustained depression of overall protein synthesis, yet lead to the expression of dormant genes and to synthesis of new proteins. In view of this development, this volume focusses on the cellular and molecular aspects of ischemic brain damage. The book will be of great value to all those interested in the pathophysiology of ischemic and traumatic brain damage.
