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In response to stress, cells can activate a myriad of signalling pathways to bring about a specific cellular outcome, including cell cycle arrest, DNA repair, senescence and apoptosis. This response is pivotal for tumour suppression as all of these outcomes result in restriction of the growth and/or elimination of damaged and pre-malignant cells. Thus, a large number of anti-cancer agents target specific components of stress response signalling pathways with the aim of causing tumour regression by stimulating cell death. However, the efficacy of these agents is often impaired due to mutations in genes that are involved in these stress-responsive signalling pathways and instead the oncogenic ...
Over the last 50 years palliative care has usually been associated with cancer patients but more recently there has been increased discussion of the role of palliative care for neurological patients. In the past years, neurology has moved from being a purely diagnostic area to a very therapeutically active one. A further step needs to be taken to modify the therapeutic activity from “cure” to “care” depending on the patient’s disease trajectory. Palliative care has been associated with care at the end of life, whereas it may be appropriate earlier in the disease progression, and will extend after death in the support of bereaved families. The care of patients with neurological disease, and their families, will encompass the psychological, spiritual and existential issues and neurologists, and the teams in which they work, should develop skills to consider all aspects of care, in order to maximize the quality of life of all involved, and enable patients to die peacefully.
We are now entering the third decade of the 21st Century, and, especially in the last years, the achievements made by scientists have been exceptional, leading to major advancements in the fast-growing field of Oncology. Frontiers has organized a series of Research Topics to highlight the latest advancements in research across the field of Oncology, with articles from the Associate Members of our accomplished Editorial Boards. This editorial initiative of particular relevance, led by Prof. David Eisenstat, Specialty Chief Editor of the Neuro-Oncology and Neurosurgical Oncology section, together with Prof. Erik Sulman, focused on new insights, novel developments, current challenges, latest di...
Die Neuroonkologie umfasst ein breites Spektrum von Erkrankungen, darunter primäre Tumore und Metastasen im Nervensystem, Tumorprädispositionssyndrome und Tumortherapie-assoziierte neurologische Symptome. Diagnostische Kriterien und Therapiestrategien entwickeln sich dabei stetig weiter. Das vorliegende Werk greift diese Dynamik auf und ist ebenso für Einsteiger wie für erfahrene Kliniker konzipiert. Grundlagenkapitel vermitteln einen kompakten Einblick in relevante Kenntnisse für den klinischen Alltag und über 30 Fallbeispiele behandeln die einzelnen neuroonkologischen Erkrankungen. Die Herausforderungen einer evidenzorientierten und multiprofessionellen Behandlungsstrategie werden dabei systematisch aufgezeigt. Im Zeitalter der Personalisierten Medizin ist auch in der Neuroonkologie ein grundlegender Wandel eingetreten, v.a. durch die Definition prognostischer und prädiktiver molekularer Marker sowie die Biomarker-basierte Gestaltung klinischer Studien. So definiert z.B. die aktuelle WHO-Klassifikation 2021 eine Vielzahl neuer molekularer diagnostischer Kriterien, die in diesem Werk erstmals in deutscher Sprache erläutert werden.
This book provides a non-mathematical introduction to the theory and application of Exploratory Factor Analysis. Among the issues discussed are the use of confirmatory versus exploratory factor analysis, the use of principal components analysis versus common factor analysis, and procedures for determining the appropriate number of factors.
What is the relevance of epidemiology to decision making in the health services? If our ability to launch large-scale experimental studies of health services is limited, what are some alternative approaches to study design? How can we best make use of routinely collected data from health information systems? How can we best synthesize information to make more reasonable inferences? Epidemiology and Health Services is different from other books in the field. Many books and specialized publications have presented a comprehensive picture of epidemiologic methods, but they have not shown in a systematic way how these methods apply to health services. This book fills the gap, and goes even furthe...
Part of the Neurosurgery by Example series, this volume on surgical neuro-oncology presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. The cases explore a number of different types of nervous systems tumors, including glioblastoma, medulloblastoma, skull tumors, and more. Surgical Neuro-Oncology is appropriate for neurosurgeons who wish to learn more about this subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.
Encyclopedic in breadth, yet practical and concise, Medical Biostatistics, Fourth Edition focuses on the statistical aspects ofmedicine with a medical perspective, showing the utility of biostatistics as a tool to manage many medical uncertainties. This edition includes more topics in order to fill gaps in the previous edition. Various topics have been enlarged and modified as per the new understanding of the subject.
This book is intended as a practical manual on the use of intraoperative ultrasound (IOUS) as a tool for imaging guidance during cranial and spinal neurosurgical procedures. Full account is taken of the emergence of novel clinical applications and recent technical advances, with extensive coverage of the impact of developments such as improved probe technology, fusion imaging and virtual navigation, 3D ultrasound imaging, contrast-enhanced ultrasound, and elastosonography. Basic principles of ultrasound are elucidated in order to assist in the optimal use of IOUS and clear guidance is provided on the interpretation of imaging findings in various pathologies. Informative comparisons are also ...