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Author : Henry Oliver
Publisher : Unknown
Page : 442 pages
File Size : 46,9 Mb
Release : 1894
Category : Railroads
ISBN : STANFORD:36105041788949
Author : Great Britain. Parliament. House of Commons
Publisher : Unknown
Page : 768 pages
File Size : 55,6 Mb
Release : 1874
Category : Bills, Legislative
ISBN : HARVARD:32044106501448
Author : Great Britain. Board of Trade
Publisher : Unknown
Page : 936 pages
File Size : 54,9 Mb
Release : 1890
Category : Railroads
ISBN : STANFORD:36105118858088
Author : Anonim
Publisher : Unknown
Page : 460 pages
File Size : 49,5 Mb
Release : 1889
Category : Electronic
ISBN : UCAL:C2622244
Author : Jake Dunne
Publisher : Publishamerica Incorporated
Page : 198 pages
File Size : 48,6 Mb
Release : 2008-08
Category : Fiction
ISBN : 1606107151
Heas handsome, intelligent and a local celebrity, but like the rest of the world, Sam Stone is far from perfect and he has made his fair share of mistakes in life. From the top of the world to inside a television studio, Johnstone Junction is an ironic twist of fate that grants Stone the opportunity to be close again with his one true love in life, his son. But when one of Samas colleagues turns up dead, Sam must clear his sonas name as Ethan Stone becomes the prime suspect for murder!
Author : Great Britain. Parliament. House of Commons
Publisher : Unknown
Page : 952 pages
File Size : 54,9 Mb
Release : 1916
Category : Great Britain
ISBN : OSU:32435067615187
Author : Great Britain. Parliament. House of Commons
Publisher : Unknown
Page : 606 pages
File Size : 50,8 Mb
Release : 1876
Category : Electronic
ISBN : OXFORD:555101312
Author : Great Britain. Parliament. House of Lords
Publisher : Unknown
Page : 606 pages
File Size : 44,5 Mb
Release : 1872
Category : Electronic
ISBN : OXFORD:555100018
Author : Railway clearing house
Publisher : Unknown
Page : 244 pages
File Size : 55,6 Mb
Release : 1853
Category : Electronic
ISBN : OXFORD:590823252
Author : William Tait,Christian Isobel Johnstone
Publisher : Unknown
Page : 838 pages
File Size : 53,6 Mb
Release : 1834
Category : Great Britain
ISBN : SRLF:A0001970813
Author : Great Britain. Parliament. House of Commons
Publisher : Unknown
Page : 1138 pages
File Size : 49,5 Mb
Release : 1845
Category : Great Britain
ISBN : CHI:099164736
Author : Parakrama T. Chandrasoma,Tom R. DeMeester
Publisher : Elsevier
Page : 464 pages
File Size : 42,6 Mb
Release : 2010-07-26
Category : Science
ISBN : 0080464742
Gastroesophageal Reflux Disease (GERD) is one of the most common maladies of mankind. Approximately 40% of the adult population of the USA suffers from significant heartburn and the numerous antacids advertised incessantly on national television represents a $8 billion per year drug market. The ability to control acid secretion with the increasingly effective acid-suppressive agents such as the H2 blockers (pepcid, zantac) and proton pump inhibitors (nexium, prevacid) has given physicians an excellent method of treating the symptoms of acid reflux. Unfortunately, this has not eradicated reflux disease. It has just changed its nature. While heartburn, ulceration and strictures have become rare, reflux-induced adenocarcinoma of the esophagus is becoming increasingly common. Adenocarcinoma of the esophagus and gastric cardia is now the most rapidly increasing cancer type in the Western world. The increasing incidence of esophageal adenocarcinoma has created an enormous interest and stimulus for research in this area. GERD brings together a vast amount of disparate literature and presents the entire pathogenesis of reflux disease in one place. In addition to providing a new concept of how gastroesophageal reflux causes cellular changes in the esophagus, GERD also offers a complete solution to a problem that has confused physicians for over a century. Both clinical and pathological information about reflux disease and its treatment are presented. GERD is meant to be used as a comprehensive reference for gastroenterologists, esophageal surgeons, and pathologists alike. Outlines how gastroesophageal reflux causes cellular changes in the esophagus Brings together the pathogenesis of the disease in one source and applies it toward clinical treatment Tom DeMeester is THE leading international expert on reflux disease; Parakrama Chandrasoma is one of the leading pathologists in the area Book contains approximately 350 illustrations Ancillary web site features color illustrations: www.chandrasoma.com
Author : Parakrama T. Chandrasoma
Publisher : Academic Press
Page : 320 pages
File Size : 43,9 Mb
Release : 2011-08-29
Category : Medical
ISBN : 0080878032
Gastroesophageal reflux is one of the most common maladies of mankind. Approximately 40% of the adult population of the USA suffers from significant heartburn and the numerous antacids advertised incessantly on national television represents a $8 billion per year drug market. The ability to control acid secretion with the increasingly effective acid-suppressive agents such as the H2 blockers (pepcid, zantac) and proton pump inhibitors (nexium, prevacid) has given physicians an excellent method of treating the symptoms of acid reflux. Unfortunately, this has not eradicated reflux disease. It has just changed its nature. While heartburn, ulceration and strictures have become rare, reflux-induced adenocarcinoma of the esophagus is becoming increasingly common. Adenocarcinoma of the esophagus and gastric cardia is now the most rapidly increasing cancer type in the Western world. At present, there is no histologic test that has any practical value in the diagnosis of reflux disease. The only histologic diagnostic criteria are related to changes in the squamous epithelium which are too insensitive and nonspecific for effective patient management. It is widely recognized that columnar metaplasia of the esophagus (manifest histologically as cardiac, oxyntocardiac and intestinal epithelia) is caused by reflux. However, except for intestinal metaplasia, which is diagnostic for Barrett esophagus, these columnar epithelia are not used to diagnose reflux disease in biopsies. The reason for this is that these epithelial types are indistinguishable from "normal" "gastric" cardiac mucosa. In standard histology texts, this "normal gastric cardia" is 2-3 cm long. In the mid-1990s, Dr. Chandrasoma and his team at USC produced autopsy data suggesting that cardiac and oxyntocardiac mucosa is normally absent from this region and that their presence in biopsies was histologic evidence of reflux disease. From this data, they determined that the presence of cardiac mucosa was a pathologic entity caused by reflux and could therefore be used as a highly specific and sensitive diagnostic criterion for the histologic diagnosis of reflux disease. They call this entity "reflux carditis". In addition, the length of these metaplastic columnar epithelia in the esophagus was an accurate measure of the severity of reflux disease in a given patient. At present, there is some controversy over whether cardiac mucosa is totally absent or present normally to the extent of 0-4 mm. While this should not be a deterrent to changing criteria which are dependent on there normally being 20-30 cm of cardiac mucosa, there has been little mainstream attempt to change existing endoscopic and pathologic diagnostic criteria in the mainstream of either gastroenterology or pathology. The ATLAS will be the source of easily digestible practical information for pathologists faced with biopsies from this region. It will also guide gastroenterologists as they biopsy these patients. The American Gastroenterological Association claims there are 14,500 members worldwide who are practicing physicians and scientists who research, diagnose and treat disorders of the gastrointestinal tract and liver According to the American Society for Clinical Pathology, there are 12,000 board certified pathologists in the U.S. Adenocarcinoma of the esophagus and gastric cardia is now the most rapidly increasing cancer type in the Western world Approximately 40% of the adult population of the U.S. suffers from significant heartburn and the numerous antacids advertised on national television represents an $8 billion per year drug market
Author : Lorenza González-Mariscal
Publisher : Springer Science & Business Media
Page : 235 pages
File Size : 45,5 Mb
Release : 2007-02-26
Category : Science
ISBN : 9780387366739
This book provides state-of-the-art insight into Tight Junctions (TJs), the intersection of epithelial and endothelial cells in various tissues. Opening with an analysis of the evolutionary development of a transporting epithelium in early metazoans, the book describes current understanding of TJ structure and function information, including evidence supporting the presence of ion channels within TJs. Also deals with TJs of central nervous system myelin and at the blood brain barrier.
Author : United States. Naval Oceanographic Office
Publisher : Unknown
Page : 582 pages
File Size : 46,7 Mb
Release : 1980
Category : Electronic
ISBN : STANFORD:36105211329870