New Immunosuppressive Modalities And Anti Rejection Approaches In Organ Transplantation
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Author : Jerzy W. Kupiec-Weglinski Publisher : R G Landes Company Page : 177 pages File Size : 50,6 Mb Release : 1994-01-01 Category : Health & Fitness ISBN : 1570591369
New Immunosuppressive Modalities and Anti-rejection Approaches in Organ Transplantation by Jerzy W. Kupiec-Weglinski Pdf
This book brings together reviews from acknowledged experts on current trends in the treatment of transplant rejection. It provides a glimpse into the future of immunosuppressive therapy and an advance into the understanding of biological anti-rejection host immunomodulation. It offers the hope that rejection may either be prevented or treated more safely and effectively than ever before.
Kidney Transplantation by Claudio Ronco,Stefano Chiaramonte,Giuseppe Remuzzi Pdf
Transplantation is today firmly established as the therapy of choice for end-stage organ failure. However, despite recent developments, this therapy is still not without challenges and risks: The necessity to take immunosuppressive drugs for the rest of one's life to prevent allograft rejection trades the morbidity and mortality of organ failure for the risks of infection and cancer as well as for an increased mortality from cardiovascular disease. Thus, there is an urgent need for optimizing the outcome of transplantation by achieving long-term, drug-free graft acceptance with normal organ function.Recently, numerous insights into the dynamic inter-relationship of host immune responses elicited by donor antigen presentation have substantially broadened our understanding of the cascade of events resulting in the acquisition of tolerance. With the pharmacopoeia of the transplant biologist continually expanding, the potential treatment combinations have become baffling and their impact on strategies to induce tolerance even more complex.This book presents novel insights into the pathways of acute rejection and their monitoring through molecular tests, new immunosuppressive agents currently under development as well as the most recent and promising approaches to induce tolerance that have emerged from experimental animal studies.
Current and Future Immunosuppressive Therapies Following Transplantation by Giuseppe Remuzzi Pdf
This title provides a comprehensive and state-of-the-art summary of current and future immunosuppressive strategies in transplantation, with emphasis on the basic science mechanisms and clinical applicability of these strategies. The uniqueness of this book is the inclusion of up-to-date information on the basic mechanisms of actions of the immunosuppressive drugs as well as a summary of the clinical trials data and the potential use of these drugs in clinical organ transplantation. In addition to describing the various immunosuppressive strategies, the book has three special features, including immunosuppression in xenotransplantation, gene therapy approaches, and transplantation tolerance. A group of outstanding investigators have been assembled to write the chapters. The book is intended for the transplant professional and the specialist who wants to stay abreast of the current status of immunosuppression in organ transplantation. The book is also useful for basic scientists who work in the field of transplantation immunology.
Leading clinicians and scientists in solid organ transplantation review the current status of the field and describe cutting-edge techniques for detecting the immune response to the allografted organ. The authors present the latest techniques for HLA typing, detecting HLA antibodies, and monitoring T-cell response, and examine more specialized methods utilizing proteomics, laser dissection microscopy, and real-time polymerase chain reaction. The area of tolerance induction and reprogramming of the immune system is also covered, along with a discussion of up-to-date methods of organ preservation, of today's optimal immunosuppressive drug regimens, as well as the difficulty of mimicking chronic rejection in experimental models. Introductory chapters provide a theoretical update on current practices in renal, liver, islet, and lung transplantation and on the pathways of antigen presentation and chronic rejection.
Modern Immunosuppressives by H.-J. Schuurman,G. Feutren,J.-F. Bach Pdf
Expanding from the classic use of immunosuppressants in transplantation and rejection, this current overview highlights their new roles in clinical medicine. Immunosuppressants are at the forefront of new treatment modalities. Individual chapters focus on their use not only in prevention or treatment of transplant rejection, but also on their use in immune-complex and autoimmune diseases, including rheumatoid arthritis; on combination therapies to achieve synergy in immunosuppression; on new drugs, low molecular weight chemicals, the use of antibodies and gene therapy; on immunological tolerance to prevent or inhibit transplant rejection; and how data derived from transplant studies can be applied to other avenues of immunosuppression. Clinicians and researchers will appreciate the scope of the work and the presentation of new approaches in the rapidly developing field of immunosuppression.
Kidney Transplantation: Strategies to Prevent Organ Rejection by C. Ronco,Stefano Chiaramonte,Giuseppe Remuzzi Pdf
Transplantation is today firmly established as the therapy of choice for end-stage organ failure. However, despite recent developments, this therapy is still not without challenges and risks: The necessity to take immunosuppressive drugs for the rest of one's life to prevent allograft rejection trades the morbidity and mortality of organ failure for the risks of infection and cancer as well as for an increased mortality from cardiovascular disease. Thus, there is an urgent need for optimizing the outcome of transplantation by achieving long-term, drug-free graft acceptance with normal organ function. Recently, numerous insights into the dynamic inter-relationship of host immune responses elicited by donor antigen presentation have substantially broadened our understanding of the cascade of events resulting in the acquisition of tolerance. With the pharmacopoeia of the transplant biologist continually expanding, the potential treatment combinations have become baffling and their impact on strategies to induce tolerance even more complex. This book presents novel insights into the pathways of acute rejection and their monitoring through molecular tests, new immunosuppressive agents currently under development as well as the most recent and promising approaches to induce tolerance that have emerged from experimental animal studies.
Institute of Medicine,Division of Health Care Services,Committee on Medicare Coverage Extensions
Author : Institute of Medicine,Division of Health Care Services,Committee on Medicare Coverage Extensions Publisher : National Academies Press Page : 410 pages File Size : 51,8 Mb Release : 2000-05-07 Category : Medical ISBN : 9780309068895
Extending Medicare Coverage for Preventive and Other Services by Institute of Medicine,Division of Health Care Services,Committee on Medicare Coverage Extensions Pdf
This report, which was developed by an expert committee of the Institute of Medicine, reviews the first three services listed above. It is intended to assist policymakers by providing syntheses of the best evidence available about the effectiveness of these services and by estimating the cost to Medicare of covering them. For each service or condition examined, the committee commissioned a review of the scientific literature that was presented and discussed at a public workshop. As requested by Congress, this report includes explicit estimates only of costs to Medicare, not costs to beneficiaries, their families, or others. It also does not include cost-effectiveness analyses. That is, the extent of the benefits relative to the costs to Medicareâ€"or to society generallyâ€"is not evaluated for the services examined. The method for estimating Medicare costs follows the generic estimation practices of the Congressional Budget Office (CBO). The objective was to provide Congress with estimates that were based on familiar procedures and could be compared readily with earlier and later CBO estimates. For each condition or service, the estimates are intended to suggest the order of magnitude of the costs to Medicare of extending coverage, but the estimates could be considerably higher or lower than what Medicare might actually spend were coverage policies changed. The estimates cover the five-year period 2000-2004. In addition to the conclusions about specific coverage issues, the report examines some broader concerns about the processes for making coverage decisions and about the research and organizational infrastructure for these decisions. It also briefly examines the limits of coverage as a means of improving health services and outcomes and the limits of evidence as a means of resolving policy and ethical questions.
Secondary Neoplasias Following Chemotherapy, Radiotherapy and Immunosuppression by Ursula Rüther,Christa Nunnensiek,Hans-Joachim Schmoll Pdf
'... This book, by Ruther and colleagues, is a very comprehensive review of the mechanisms of carcinogenesis, clinical features and therapies for secondary malignancies. '... Its an excellent resource for those interested in the subject, as well as oncologists who are increasingly forced to deal with second cancers. The material is well referenced.'
The Role of Immune Mechanisms in Cardiovascular Disease by Heinz-Peter Schultheiss,Peter Schwimmbeck Pdf
An involvement of the immune system is suspected in various cardiovascular diseases. Recent advances in the fields of molecular biology, genetics, cell biology, and immunology have made it possible to identify several pathomechanisms. However, still more questions arise with regard to the pathophysiology, diagnosis, and treatment of immunologically mediated cardiovascular diseases. In this book, leading scientists and clinicians from different areas of cardiology present the state-of-the-art knowledge on the involve ment of the immune system in myocardial and vascular diseases. In the field of myocarditis, both the virological and the immunological findings are presented, and the interactions between the virus and the immune system are discussed. Since the cellular immune system and its mediators play an important role in the inflammation by bacteria that cause endocarditis and septic shock, studies investigating the underlying pathomechanisms are de scribed. Another major topic in this volume is the involvement of the immune system in arteriosclerosis and coronary heart disease, which represents an important problem in clinical cardiology. The final chapter addresses the question of therapeutic options, presenting new approaches for a specific and effective therapy based on the current knowledge of immunologically mediated cardiovascular diseases.
Nicholas L. Tilney,Terry B. Strom,Leendert C. Paul
Author : Nicholas L. Tilney,Terry B. Strom,Leendert C. Paul Publisher : Lippincott Williams & Wilkins Page : 776 pages File Size : 45,5 Mb Release : 1996 Category : Medical ISBN : UOM:39015037814764
Oxford Textbook of Transplant Anaesthesia and Critical Care by Ernesto A. Pretto,Gianni Biancofiore,Andre DeWolf,Claus Niemann,John R. Klinck,Peter D. Slinger Pdf
Saving lives through organ transplantation has become increasingly possible thanks to advances in research and care. Today, the complex field of transplantation continues to develop rapidly, fuelled by demographic change and further evolutions in scientific understanding. The Oxford Textbook of Transplant Anaesthesia and Critical Care has been written and edited by pioneers in the field of organ transplantation with an international team of authors, in order to equip anaesthetists and intensivists with the knowledge and training necessary to provide high quality and evidence-based care. The text addresses fundamentals aspects of scientific knowledge, care of the donor patient, transplant ethics and special considerations. Dedicated sections address each of the major organs; kidney, pancreas, liver, heart and lung, intestinal and multivisceral. Within each organ-based section, expert authors explore underlying disease, planning for transplantation, specialized procedures, perioperative and critical care management as well as post-transplant considerations. Focus points for future developments in transplant immunology are also set out, inspiring current practitioners to engage with current clinical research and help participate in the further advancement of the science of transplantation. The print edition of the Oxford Textbook of Transplant Anaesthesia and Critical Care comes with a year's access to the online version on Oxford Medicine Online. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables.
Renal Transplantation by Ron Shapiro,Richard L. Simmons,Thomas Earl Starzl Pdf
This study describes the principles and practice of kidney transplantation, providing details on: implantation technique, non-immunologic monitoring, HLA matching, the mechanisms of action of immunosuppressive agents, and the clinical aspects of both conventional and new immunologic agents.
Modern Pharmacology with Clinical Applications by Charles R. Craig,Robert E. Stitzel Pdf
Building on the strengths of previous editions, the Sixth Edition of Modern Pharmacology with Clinical Applications continues to provide an up-to-date and comprehensive textbook for students of pharmacology. Focusing on the clinical application of drugs within a context of the major principles of pharmacology, this text supplies both students and faculty with an introduction to modern pharmacotherapeutics.
Primary Care of the Solid Organ Transplant Recipient by Christopher J. Wong Pdf
Solid organ transplantation offers a new chance at life to those suffering from failing organs. With these successes, however, comes the everyday management that is required to maintain health. The field of solid organ transplantation has become a part of medicine that generalists should be familiar with, as recipients are living longer and frequently returning to primary care for management. While specialists will still need to be involved with the care of solid organ transplant recipients on a life-long basis, many conditions will still need initial and often ongoing care by generalists, including infections, metabolic conditions, psychiatric illnesses, and malignancy. This book focuses on the care of adult solid organ transplant recipients, and is targeted at the level of the primary care provider. It begins with an introduction and overviews of solid organ transplantation and anti-rejection medications. It then delves into organ-specific chapters that provide the primary care provider with an overview of how to take care of patients with the most commonly-transplanted solid organs: kidney, kidney-pancreas, liver, heart, and lung. The final section focuses on specific complications that arise from transplantation including cancer, metabolic conditions, infections, and common presenting syndromes. Preventative health is also discussed, and the book concludes with a chapter on palliative care. Primary Care of the Solid Organ Transplant Recipient is a unique text that provides the reader with organ and complication-specific sections that can be independently read as they relate to the individual physicians and their patients. Written by experts in the field, this text is a valuable resource for primary care providers, medical students, residents and anyone involved in the care of solid organ transplant recipients.
Richard N. Fine,Steven A. Webber,William E. Harmon,Deirdre A. Kelly,Kim M. Olthoff
Author : Richard N. Fine,Steven A. Webber,William E. Harmon,Deirdre A. Kelly,Kim M. Olthoff Publisher : John Wiley & Sons Page : 488 pages File Size : 47,6 Mb Release : 2009-04-08 Category : Medical ISBN : 9781444312737
Pediatric Solid Organ Transplantation by Richard N. Fine,Steven A. Webber,William E. Harmon,Deirdre A. Kelly,Kim M. Olthoff Pdf
Pediatric Solid Organ Transplantation is acomprehensive and succinct text on all aspects of pediatric solidorgan transplantation. It provides a ready source of reference, toboth the basic science and organ specific surgical technique andafter care. This second edition has been extensively updated inlight of recent developments in this rapidly advancing area. The only textbook devoted to the field of pediatrictransplantation A definitive reference for all those interested in improvingthe care and quality of life of children undergoing solid organtransplantation Section on immunosuppression has been expanded by four chaptersto include sections on; - mechanisms of action - therapies for the sensitized patient - post-transplant lymphoproliferative disorders - organ toxicities of immunosuppressive therapy A new section has been added on the many topics related toquality of life that effect survivors of pediatrictransplantation International editorial and contributor team represents a widegeographical range and contains both recognized leaders andemerging experts Whether you are an established sub-specialist in pediatrictransplantation, a transplant surgeon, or a pediatric specialist ina related area, this book will answer all your questions about careof the pediatric patient before, during, and aftertransplantation.
