Saturday, December 5, 2009

The Culprit and The Cure or Called to Heal

The Culprit and The Cure: Why Lifestyle is the Culprit Behind America's Poor Health and How Transforming That Lifestyle Can be the Cure

Author: Steve Aldana

This book presents a wealth of evidence that reveals how a healthy diet, exercise, and other healthy lifestyles can impact life-span and the risk of cancer, heart disease, diabetes and other chronic diseases. It provides easy-to-follow guidelines that will help individuals begin and maintain a healthy lifestyle for life. No infomercials here, just the facts from an authority who knows.



New interesting textbook: Driving Dilemma or Alberto Salazars Guide to Running

Called to Heal: African Shamanic Healing

Author: Susan Schuster Campbell

Focuses on the master healers of Southern Africa, the individuals chosen by the ancestors to receive a spiritual calling.



Friday, December 4, 2009

Miladys Hair Care Product Ingredients Dictionary or Psychiatric Aspects of HIV AIDS

Milady's Hair Care Product Ingredients Dictionary

Author: John Halal

"Milady's Hair Care and Product Ingredients Dictionar"y is a valuable reference resource of the names, definitions, and purposes of hair care product ingredients. For students, the phonetic pronunciations and detailed definitions provide an easy reference to further learning and retention. For instructors and professionals, this dictionary offers a complete source of hair care product ingredients with cross-referencing capabilities valuable for teaching and continuing education.



Read also Homeopathy Pocket or Understanding Cosmetic Laser Surgery

Psychiatric Aspects of HIV/AIDS

Author: Francisco Fernandez

This comprehensive text focuses on psychiatric issues associated with HIV/AIDS and provides clinicians with a basic understanding of epidemiology, virology, transmission, and medical treatments inclusive of occupational exposures. Psychosocial, spiritual, and sociocultural aspects of HIV/AIDS are covered, describing implications of HIV/AIDS across minority groups. The treatment section allows clinicians to organize an effective psychiatric treatment plan for all mental disorders associated with HIV/AIDS. Issues of adherence, prevention, and public well-being are emphasized throughout. The management of medical problems such as delirium, dementia, and pain management in special HIV/AIDS patients with co-morbid substance abuse as well as end of life care is also included.

Doody Review Services

Reviewer: Michael J. Schrift, DO(University of Illinois at Chicago College of Medicine)
Description: This is an outstanding, comprehensive new book covering HIV/AIDS all the way from the molecular level to public policy regarding the psychiatric problems encountered in this patient group. Written and edited by internationally recognized clinician-scientists in the HIV/AIDS field, this book is essential reading for all those involved in the care of patients with HIV/AIDS.
Purpose: The purpose, according to the editors, is to "bridge existing gaps in knowledge and communication among clinicians working in HIV/AIDS and others who are concerned with the psychological, social, cultural, spiritual, psychiatric, and neurobehavioral complications of HIV infection and AIDS." The editors and chapter authors have succeeded in creating an excellent multidisciplinary volume that will be the benchmark for all books in this area.
Audience: The intended audience includes psychiatrists, psychologists, social workers, primary care physicians, infectious disease specialists, bioethicists, and policymakers.
Features: The first of the book's seven sections provides the basics: epidemiology, the biology of HIV/AIDS, and medical treatments. Section 2 reviews diagnostic tools in assessing the psychopathology, including psychiatric assessment, psychological/neuropsychological testing, and electrophysiology. Psychiatric comorbidity, which is a significant complicating factor in diagnosis and treatment, is covered in section 3. This is followed by a section on medical comorbidity, which is another complicating factor, and contains informativechapters on drug interactions, pain syndromes, and STD. Section 5 focuses on specific populations and the special problems encountered with chapters on Hispanic Americans, African Americans, Asian and Pacific Islander Americans, American Indians and Alaskan Natives, neonates and infants, children and adolescents, older adults, women, the gay and lesbian population, the homeless, prisoners, and the patient's family. Section 6 addresses such issues as ethical, forensic, and legal problems, religious and spiritual issues, psychotherapy, alternative medicine, suicide, and terminal care issues. The concluding section targets prevention and educational strategies and the difficult issues of physician assisted suicide and voluntary euthanasia. Each chapter ends with pertinent and timely references.
Assessment: This is an important book for all to read since HIV/AIDS directly and indirectly affects everybody.



Table of Contents:

BACKGROUND: Epidemiology of HIV/AIDS and its Clinical Implications, Margarita Alegria, Doriliz Vila, Sarah Train, Sandra Williams and Nabila El-Bassel / Virology, Immunology, Transmission, and Disease Stage, Karl Goodkin / Medical Treatment and Occupational Exposure, John Levenson and Ellen Morrison

DIAGNOSTIC TOOLS: Psychiatric Assessment, Mary Alice O'Dowd / Psychological and Neuropsychological Testing, Joel Levy / Electrophysiology of HIV Disease, Harold W. Goforth and Lukasz Konopka

PSYCHIATRIC COMORBIDITY: The Meaning of HIV-Related Illness: Psychological and Adjustment Reactions, Vicenzio Holder-Perkins and Jeffrey S. Akman / Stress-Distress Spectrum and Adjustment Disorders, Dimitri Markov, Elisabeth J. S. Kunkel and Howard Field / Anxiety Disorders, Annette Matthews / Clinical Management of Mood Disorders Among HIV/AIDS Patients, Pedro Ruiz / Personality Disorder and HIV Infection, Khenu Singh and Herb Ochitill / Cognitive Disorders in HIV/AIDS, Angela McBride and Francisco Fernandez / Psychotic Disorders Associated with HIV/AIDS, Ewald Horwath and Francine Cournos / Substance Use Disorders, Steve Ferrando / Sleep Disorders in HIV/AIDS, Carlos A. Santana and Francisco Fernandez

MEDICAL COMORBIDITY: Psychotropic Drug Interactions with Antiretroviral Medications, Philip A. Bialer, Kyle Kato and Vassilios Latoussakis / Pain Syndromes, William Breitbart / Sexually Transmitted Infections in HIV/AIDS, Angela Stotts, Mark Evans, Shelly L. Sayre and Katherine A. McQueen / Psychiatric Diagnosis and Treatment of Medically Hospitalized HIV/AIDS Patients, Stephen J. Ferrando and Constantine G. Lyketsos

SPECIAL POPULATIONS: HIV/AIDS Among Hispanic Americans, Pedro Ruiz and Frank Fernandez / HIV/AIDS Among African Americans, William Lawson / HIV/AIDS Among Asian and Pacific Islander Americans, Lynette J. Menezes, Todd Wills and Karina D'Souza / HIV/AIDS Among American Indians and Alaskan Natives, Carol E. Kaufman, Janette Beals, Sara Jumping Eagle and Christina M. Mitchell / Neonatal and Infant HIV/AIDS, Andrea Stolar and Johanna Goldfarb / HIV/AIDS Among Children and Adolescents, Andres J. Pumariega, Margaret Shugart and JoAnne B. Pumariega / Psychiatric Aspects of HIV/AIDS Among Older Adults, Maria Llorente and Julie Malphurs / HIV/AIDS Among Women, Isabel T. Lagomasino and Gustavo Rodriguez / HIV/Psychiatry Among Men Who Have Sex with Men, Milton L. Wainberg and Kenneth Ashley / HIV/AIDS Among Women Who Have Sex with Women, Alison R. Jones and Cynthia L. Hoyler / HIV/AIDS Among the Homeless, Jacqueline Maus Feldman and Stephen M. Goldfinger / HIV/AIDS Among Prisoners, Wade Myers / HIV/AIDS and the Patients' Family, James L. Griffith and Michael Golder

SPECIAL ISSUES: Ethical, Forensic, and Legal Considerations, James Satriano / Religious and Spiritual Considerations in HIV and AIDS, Daniel Hicks and Francis G. Lu / Psychotherapy Strategies for People with HIV Infection and AIDS, Claire Zilber / Complementary and Alternative Medicine and AIDS/HIV, Janet Konefal / Biopsychosocial Aspects of Living with HIV/AIDS: Implications for Disease Progression and Psychoneuroimmunology, Cheryl Gore-Felton, Cheryl Koopman and David Spiegel / Suicide and End-of-Life Care, Mary Ann Cohen

POLICY ISSUES: AIDS Prevention: The Clinician's Role, Michael Knox and Tiffany Chenneville / Physician Assisted Suicide and Voluntary Euthansia in HIV Infected Patients, Marshall Forstein

Appendices

Thursday, December 3, 2009

Heart of a Woman or Miladys Art Science of Nail Technology

Heart of a Woman: Preventing and Healing Heart Disease

Author: Pat Bondi Krantzler

This book could save your life!

This first-person account of one woman's experience chronicles her enduring a life-threatening heart attack (with no prior knowledge that she was even at risk for heart disease), her physical and emotional roller-coaster ride directly following the attack, her rehabilitation, her ongoing efforts to reverse heart disease, and, especially, her commitment to reclaiming her life and re-creating her self-image. It is a candid and intimate portrait, and a testament to the courage and faith necessary to successfully undertake a journey of healing, the magnitude of which inevitably results in self-transformation.

This is the first book to recognize that heart disease is the most serious killer of women in the United States--a fact of which women themselves are unaware--and that it deserves the same degree of attention that breast cancer and men's heart disease receive. The Heart of a Woman will eliminate the myths most women harbor about heart disease--myths that can kill if believed. While it is a book for all women, it will especially appeal to: women who have had heart disease or heart attacks, women with a history of heart disease in their families who may be unaware of their own genetic predisposition to heart disease, women seeking knowledge of preventive measures for themselves and their children, women who are unaware of the symptoms of a heart attack (different for women than for men).



Book about: Dogfriendly Coms Lodging Guide for Travelers with Dogs or Arizona and the Grand Canyon 2009

Milady's Art & Science of Nail Technology

Author: Milady

Designed to provide students with the knowledge and skills required to pass state licensing exams and to provide professional nail technology services, this newly revised resource will enable you to educate and graduate the most well prepared nail technicians the industry has ever had! It's the only nail resource that provides education current with today's ever changing workplace. This book includes all of the information required to become a licensed nail technician. Advanced topics are also included to make the text more complete and contemporary, and to give the student exposure to those skills that will make him/her particular marketable. The full-color art program includes photographs as well as line drawings of procedures, anatomy and physiology, nail diseases and disorders, the practitioner and the salon. Information has been compiled with the help and guidance of leading educators and nail professionals.



Wednesday, December 2, 2009

Tylers Herbs of Choice or Elements of Pharmaceutical Pricing

Tyler's Herbs of Choice: The Therapeutic Use of Phytomedicinals

Author: Varro Tyler

You won't find folklore and spurious claims in Tyler's Herbs of Choice, only proven direction toward the safe and healthy use of a cornucopia of therapeutic herbs. This reliable follow-up to the original Herbs of Choice is source that will help you keep abreast of one of the most rapidly growing and expanding fields of medicine. You'll get the information and direction you need to make informed, cost-effective decisions toward healing choices - the natural way.

Healthline Magazine - Paul Insel

You won't find folklore and spurious claims in Tyler's Herbs of Choice — only proven direction toward the safe and healthy use of a cornucopia of therapeutic herbs....This book is a reliable follow-up to Herbs of Choice and an excellent source that will help you keep abreast of one of the most rapidly growing fields of medicine.

Doody Review Services

Reviewer:Douglas McDaniel, MTOM, LAc(Mercy College)
Description:This is a clear, concise, well referenced guide to the use of herbal remedies in the treatment of many common conditions. The selection of the remedies included is based upon well- documented safety and efficacy data.
Purpose:The authors' intent is to educate the practicing physician, student, and lay person about recent clinical studies and advances in the understanding of the mechanisms of action and the important and ever-expanding role that high-quality phytomedicinals can play in the management of chronic conditions and health maintenance. They fulfill this intention by addressing the need for well-documented scientific evidence on the safety and efficacy of herbal remedies to support many years of similar claims based solely on anecdotal evidence.
Audience:This book is written with a wide audience in mind, from the practitioner of Western biomedicine who is thinking of incorporating phytomedicinals into his or her practice, to the student of any herbal tradition, and to the patient who is interested in the safe and effective use of herbal remedies to treat common, everyday ailments. The authors are extremely knowledgeable of phytomedicianls as they are used in the West, but seem to be lacking in understanding of the theories that inform the practice of Chinese and Indian herbal traditions.
Features:This is a brief, well-written overview of the basic principles of medical herbalism as practiced in the West, as well as a history of herbal regulation in the United States, including prudent suggestions as to the development of future regulations. Itis divided into common conditions that have been historically treated with phytomedicinals. The pathogenesis of each condition is clearly presented. Each herb represented has substantial scientific evidence supporting its inclusion. Diagrams illustrating various metabolic processes help the reader to understand what is occurring in the body and how an appropriate herbal intervention may help the body regain healthy function.
Assessment:This is a valuable resource for anyone looking for compelling scientific evidence that phytomedicinals are viable alternatives or complements to many standard forms of treatment.

Library Journal

Originally published as The Honest Herbal in 1982, Tyler's Honest Herbal is still the classic herbal guide for consumers and health practitioners alike, fully referenced with the latest peer-reviewed scientific data. As in previous editions, great emphasis is placed on safety concerns when taking herbs. Tyler's Herbs of Choice, a new edition of the 1994 Herbs of Choice, discusses the therapeutic application of herbal remedies for over 100 health problems. Objective and scientifically sound, it augments Tyler's Honest Herbal, although the titles do not need to be bought together. An added bonus is the useful chapter on "Herbal Regulations," as reliable and understandable information on this topic is hard to find. Copyright 1999 Cahners Business Information.

Booknews

Provides readers with concise, science-based information on hundreds of herbs, organized by the conditions they are generally used for, from the digestive to the immune system. Introductory chapters discuss basic principles, faux herbal medicine, and regulatory concerns. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Internet Book Watch

Tyler's Herbs of Choice provides an important treatise on the therapeutic use of phytomedicinals (herbal remedies) and provide important information on the most effective herbs, what they do, how they work. This is not for the casual reader: technical medical descriptions of common conditions and treatments cover details doctors will need to know and provide explanations of how the herbs interact with the body, and what constitutes acceptable levels of dosage.

Healthline Magazine - Paul Insel, Ph.D.

You won't find folklore and spurious claims in Tyler's Herbs of Choice — only proven direction toward the safe and healthy use of a cornucopia of therapeutic herbs....This book is a reliable follow-up to Herbs of Choice and an excellent source that will help you keep abreast of one of the most rapidly growing fields of medicine.

Haworth Press Incorporated The

This new edition, with additional scientific material, will become one of the most often used references by health practitioners of all types.
---Mark Blumenthal, Founder and Executive Director, American Botanical Council; Editor, HerbalGram

Fluent and free of unnecessary jargon....A splendid update to the original volume...addresses recent developments in the use of herbal medicines in the United States and elsewhere.
---A. Douglas Kinghorn, PhD, DSc. Professor of Pharmacognosy, University of Illinois at Chicago; Editor, Journal of Natural Products

One of the most useful and most quoted references in the field of herbal medicine.
---Jerry L. McLaughlin, PhD, Professor of Pharmacognosy, School of Pharmacy and Pharmacal Sciences, Purdue University.



Table of Contents:
Preface
Ch. 1Basic Principles1
Ch. 2The Herbal Regulatory Dilemma23
Ch. 3Contents and Use of Subsequent Chapters41
Ch. 4Digestive System Problems47
Ch. 5Kidney, Urinary Tract, and Prostate Problems89
Ch. 6Respiratory Tract Problems111
Ch. 7Cardiovascular System Problems127
Ch. 8Nervous System Disorders153
Ch. 9Endocrine and Metabolic Problems185
Ch. 10Arthritic and Musculoskeletal Disorders199
Ch. 11Problems of the Skin, Mucous Membranes, and Gingiva211
Ch. 12Performance and Immune Deficiencies235
Index261

Interesting book: Healing with Aromatherapy or Mastering the Zone

Elements of Pharmaceutical Pricing

Author: Eugene Mick Kolassa

Elements of Pharmaceutical Pricing shows account managers, product managers, marketing researchers, and other practitioners in the pharmaceutical industry how to improve your marketing and pricing skills. By describing the process for reaching pricing decisions and clarifying the environment of pharmaceutical marketing, this book demystifies the area of pharmaceutical pricing and shows how to use prices to capture the value of products instead of lowering their value.

Recent pharmaceutical pricing decisions have reflected uninformed, emotional, and short-term thinking. Elements of Pharmaceutical Pricing shows you how to avoid these kinds of decisions, helping you refine your pricing skills and increase your firm's profitability by:

  • showing you how to determine the value of a pharmaceutical product
  • outlining a pricing philosophy that addresses the politics and problems you'll encounter
  • tracing the pricing research process
  • examining the role of price in the decision to purchase, prescribe, or use pharmaceuticals
  • addressing the challenges facing the industry in the future
As Dr. Kolassa explains in the Foreword, Elements of Pharmaceutical Pricing aims to “help create within [pharmaceutical] firms, and the industry, something that has been long overdue—the ability to 'price on purpose,’to make pricing decisions that are less emotional and more informed. This volume does not contain all the answers, but I believe it does pose many of the right questions, to help those charged with pricing to make informed decisions, to understand the likely implications of their pricing actions before taking them. This information should lead to better,more profitable pricing in the industry.”

Kenneth Witte

This book provides information on the various elements that cuurently go into, as well as those that should go into, the pricing of pharmaceutical products. The purpose of this book is to provide a framework for making pricing decisions on pharmaceuticals based on informative ""pricing on purpose,"" rather than pricing on emotion. Various elements in the pricing decision process are outlined and implications discussed with the intent of leading the reader through the various actions needed to make rational decisions in pricing pharmaceuticals. This book is targeted primarily to the marketing staff of the pharmaceutical industry and to the buyers of pharmaceutical products who deal with issue of price. This book provides the reader with the various elements of pricing pharmaceuticals to capture the value of the product in terms of other healthcare goods and services, rather than the concept of pricing just to move more unit volume. The author outlines the logical steps for the pharmaceutical pricing research process that helps reduce the uncertainty and risk in making pricing decisions. The book emphasizes the importance of knowing the terminology of the market place, the role of the changes in health care, the characteristics of patient and disease for which the product is used, the value of the therapy, public policy, the company needs, and other elements that should go into the price decision-making process of pharmaceuticals. Numerous examples and figures make the text easy to follow. Examples of pricing are given from different settings (retail, hospital, wholesale, etc.) and one can easily see the need for more rational pricing. This is an extremely useful reference forinformation on how pricing should be done and what considerations need to go into the decision making process of pricing pharmaceuticals. The objectives of the book are worthy and well met. The book should be a reference source for anyone involved in pricing pharmaceuticals.

Doody Review Services

Reviewer: Kenneth Witte, PharmD (University of Illinois at Chicago College of Pharmacy)
Description: This book provides information on the various elements that cuurently go into, as well as those that should go into, the pricing of pharmaceutical products.
Purpose: The purpose of this book is to provide a framework for making pricing decisions on pharmaceuticals based on informative "pricing on purpose," rather than pricing on emotion. Various elements in the pricing decision process are outlined and implications discussed with the intent of leading the reader through the various actions needed to make rational decisions in pricing pharmaceuticals.
Audience: This book is targeted primarily to the marketing staff of the pharmaceutical industry and to the buyers of pharmaceutical products who deal with issue of price.
Features: This book provides the reader with the various elements of pricing pharmaceuticals to capture the value of the product in terms of other healthcare goods and services, rather than the concept of pricing just to move more unit volume. The author outlines the logical steps for the pharmaceutical pricing research process that helps reduce the uncertainty and risk in making pricing decisions. The book emphasizes the importance of knowing the terminology of the market place, the role of the changes in health care, the characteristics of patient and disease for which the product is used, the value of the therapy, public policy, the company needs, and other elements that should go into the price decision-making process of pharmaceuticals. Numerous examples and figures make the text easy to follow. Examples of pricing are given from different settings (retail, hospital, wholesale, etc.) and one can easily see the need for more rational pricing.
Assessment: This is an extremely useful reference for information on how pricing should be done and what considerations need to go into the decision making process of pricing pharmaceuticals. The objectives of the book are worthy and well met. The book should be a reference source for anyone involved in pricing pharmaceuticals.

Rating

3 Stars from Doody




Tuesday, December 1, 2009

Not an Easy Target or Molecular Therapeutics

Not an Easy Target: Paxton Quigley's Self-Protection for Women

Author: Paxton Quigley

Personal security expert Paxton Quigley has taught thousands of women how to protect themselves against criminal attacks. Her hugely successful "Self-Empowerment for Women" seminars and hundreds of national media appearances have made Quigley the most famous female authority on self-protection in the country.

Her message is loud and clear: regardless of where you live--in cities, suburbs, or small towns--you must discover how to protect yourself from criminal assaults on the streets, in shopping malls, in parking lots, in office buildings, and even in your bedrooms.

Not an Easy Target is a truly effective, up-to-date guide to self-protection that gives you the knowledge and strength to avoid criminal attacks and to fight back when trouble strikes.

Plus, Quigley recommends the most affordable state-of-the-art personal safety devices, services, and training schools.

Whether it's carjackings, robberies, sexual assaults, or domestic violence, Paxton Quigley offers a comprehensive, sensible approach that teachers women a vitally important lesson: Don't be an Easy Target!



New interesting textbook: IIS 6 or Pocket PCRef

Molecular Therapeutics: 21st Century Medicine

Author: Michelle McCulley

Molecular therapeutics refers to the developments in molecular biology that are focused on treating disease with new molecular-based drugs.

By taking advantage of recent advances and increased understanding in the field of human genetics, this book provides essential background knowledge and key literature on a broad range of novel approaches and disciplines. These include making recombinant proteins, xenotransplantation gene therapy and therapeutic cloning. Molecular Therapeutics: 21st Century Medicine describes the techniques - including their associated benefits, problems, pitfalls - and discusses their applicability with respect to treating microbial, inherited, multifactoral and acquired diseases. The book also pays specific attention to the ethical issues associated with this new field.



• Cutting-edge topics and clinically relevant materials engage and maintain student interest

• Self-assessment questions are included throughout the book

• Features an additional web site, with a web forum, regular updates and PowerPoint slides of figures from the book



Molecular Therapeutics: 21st Century Medicine is a comprehensive, accessible and engaging guide to the rapidly developing field of molecular therapeutics. It is essential reading for all students in this area of research and also of interest for health professionals involved in these novel therapies.

Doody Review Services

Reviewer:Eugene A Davidson, PhD(Georgetown University School of Medicine)
Description:This book, derived from lecture notes used for an undergraduate level course, is an overview of current approaches to treatment of disease with a focus on genetic/recombinant methods.
Purpose:The apparent goal is to introduce students to current methods used to combat disease. In general, an awareness of these topics is of value, and the authors have partially achieved their goal.
Audience:Students taking a course in modern approaches to disease control are the intended audience, although it is not clear what the general concentration aim of such students may be. The material is presented at a level suitable for beginning undergraduates and presumably represents the distilled efforts of the authors who have extensive background in teaching such material.
Features:Disease control is a universal health goal. Targets in this ongoing struggle begin with childhood threats/vaccinations and continue through gene replacement, cancer management, transplantation, etc. In developing strategies to combat these problems, new methods are coming into use and this book provides a student-oriented overview of some of the common approaches. Each of the chapters has a reference set, several cover associated ethical issues, and the book concludes with a discussion of legal concerns. Naive students (presumed audience) will develop an understanding of many of the modern methods used, an appreciation of the diverse ethical issues, and some sense of the regulatory and legal hurdles encountered. With the clear understanding that all of the coverage issuperficial, most of the references are not to primary sources but to web-based sites, and essentially none of the science is critically assessed, this book can provide good background information for an uniformed audience. Students in the sciences need a more critical assessment of these issues.
Assessment:This book is suitable for uninformed students not majoring in a scientific discipline. The lack of critical assessment is a serious drawback and diminishes somewhat a generally good overview.



Table of Contents:
Prologue     xi
Introduction     1
Microbial diseases     2
Cancer and heart disease     3
Cancer     4
Heart disease     5
Genetic diseases     5
Dominant diseases     6
Recessive diseases     6
Role of molecular biology in therapeutics     7
Prenatal diagnosis and pre-implantation     11
Should we treat inherited diseases?     11
Genetic screening     12
Pre-implementation genetic diagnosis     13
Counselling     15
Simple protein replacement therapy     17
Preventing transfusion-transmissible infectious diseases in the UK     18
Ensuring the safety of organ transplants     19
Preventing transfusion-transmissible infectious diseases worldwide     20
HIV     20
Recombinant protein production     23
Choice of organism     23
Somatostatin: an example of protein produced in E. coli     27
Insulin: an example of a recombinant protein     27
Alternatives to E. coli for the production of recombinant proteins     29
Insect cells     29
Whole insects     30
Mammalian cells     30
Plants     30
Transgenic animals     31
Problems with recombinant protein production     31
Problems with glycosylation     32
Effect of glycosylation     33
Erythropoietin: an example of protein produced in mammalian cells     35
Production method     36
Preparation of Factor VIII     36
Transgenic pigs and Factor VIII     37
All recombinants must be tested before they are given to humans     38
Why make recombinant proteins?     39
Recombinant products     40
Generics     40
Recombinant vaccines     43
Vaccine history     43
Vaccines     45
Vaccine methods     46
Types of vaccine     47
The limitations of vaccine programmes     48
The role of the WHO     50
Problems specific to developing countries     51
Economics and logistics of vaccinology     52
Recombinant vaccines     54
Simple recombinant protein vaccines     55
Gene vaccines: the vaccinia virus approach     57
DNA vaccines     57
Edible vaccines from transgenic plants     58
Rational design: bioinformatics and proteomics     59
Other interesting area for vaccine development     60
Conclusion     60
Therapeutic antibodies and immunotherapy     63
Monoclonal antibodies     63
Monoclonal production     64
Therapeutic monoclonal antibodies     66
Human monoclonals     66
Humanised antibodies     67
Transgenic monoclonals     69
The uses of monoclonal antibodies in therapy     69
Specific examples of therapeutic strategies     70
Unconjugated antibodies - treatment of kidney rejection     70
HIV treatment     71
Cancer therapy and monoclonal antibodies     71
Herceptin in breast cancer therapy     71
Treatment of multi-drug-resistant cancer cells     72
Anti-endotoxin antibodies     73
Conjugated antibodies     73
Delivery of radionuclides to leukaemia and lymphoma patients     74
Drug delivery     74
Toxin delivery     75
Bispecific antibodies     75
Other recombinant proteins used in immunotherapy     76
Cytokines     76
Colony-stimulating factors and growth factors     79
Transgenic animals     83
Why do we want to engineer the genomes of animals?     83
Experimental procedure     85
Method 1: Germline manipulation     85
Method 2: Using embryonic stem cells     87
DNA constructs, insertional mutagenesis and homologous recombination     90
Uses of inducible and tissue-specific promoters     91
Introduction of the DNA into the cells     92
Uses of transgenics     93
Recombinant protein production     93
Animal models of human diseases     94
Transplantation: a form of gene therapy     99
Introduction     99
Bone marrow     100
Logistical problems with BMT     102
Solid organ transplantation     102
Heart transplantation     103
Lung     104
Kidney     105
Liver     105
Ovarian tissue     106
Other cells and tissues     106
Summary of the problems associated with transplantation     107
Transplantation statistics     108
Legislation     108
Religious beliefs and transplantation      110
Xenotransplantation     113
Introduction     113
Rationale for the use of non-human donors     114
Organs from non-human primates     114
Pigs     115
Can we pretreat the recipient to prevent rejection?     116
Problems with pigs     117
Will pig hearts function in humans?     117
Xenozoonoses     117
Religious objections     118
Animal activists     119
Government legislation     119
When will xenotransplantation start?     120
Patient attitudes     120
Ethics     121
Alternatives to xenotransplants     121
Reproductive cloning     125
History     125
Problems     127
Why was there so much interest in Dolly?     128
Was Dolly a lone example?     129
Why is cloning useful?     129
Is human cloning a reality?     130
Why can we not produce human clones that are identical?     131
So why clone humans?     132
What are the ethical and moral problems?     132
Stem cell therapy     137
The potency of cells     137
Cloning      137
Potency of stem cells     138
Potential sources of stem cells     138
Stem cells and therapeutic cloning     138
Legislation and therapeutic cloning     140
Other sources of stem cells     142
What can be done?     142
Experiments on embryonic cells     143
Experiments on fetal tissue and cord blood     143
Stem cells from adult tissues     143
Safety and technical problems     144
Perceived scope of therapy     145
Clinical trials of stem cell therapy     145
What are the future prospects for stem cell research?     146
Gene augmentation therapy     149
Introduction     149
Strategy     150
DNA delivery     151
Viral vectors and gene therapy     152
Artificial viruses     155
Non-viral delivery in gene therapy     155
What tissues can we currently target?     157
Targeting gene expression     159
Problems associated with augmentation therapy     160
Gene augmentation therapy vs. recombinant DNA therapy or transplantation     161
Current criteria for the use of gene therapy      162
The bystander effect     163
Candidates for gene therapy     163
Gene therapy trials for inherited diseases     165
Introduction     165
Examples of disease treated with retroviral gene therapy     166
Severe combined immunodeficiency     166
Hypercholesterolaemia     169
Cystic fibrosis     170
Rationale for adenoviral vectors     171
Early animal trials     171
Is CF gene therapy 'safe but not useful'?     172
Problems also found in in vivo delivery     172
Animal trials with Factor IX     173
Adenoviruses have also been used to introduce genes into brain     174
Duchenne's muscular dystrophy     175
Problems with adenoviruses     175
The uses of adeno-associated viruses     176
Haemophilia B treatment with Factor IX gene augmentation     176
AAV therapy for DMD     177
Liposome vector trials     178
Trials with polymer mareix delivery     178
Gene silencing technologies     181
Antisense therapy     181
Modification of antisense molecules     183
Replacement of oxygens in the phosphate bridge      184
Modifications can be made to the bases themselves     184
Other types of modifications     185
The ideal oligonucleotide     185
Uptake     185
Uses of antisense oligonucleotides     187
Examples     187
Catalytic antisense molecules     191
Triple helix (triplex) technology     191
Problems     193
Advantages over antisense strategies     193
Experimental data     194
Ribozymes     196
Examples of ribozyme therapies     197
Small interfering RNAs (siRNAs)     198
Clinical trials and siRNA     202
Is RNAi better than antisense?     202
Gene therapy for cancer     205
What causes cancer?     205
Cancer: a multifactorial disease     206
Cancer statistics     207
Best treatment currently available     208
Avoidance     208
Screening     208
Surgery     209
Chemotherapy     209
Radiotherapy     210
Do chemo- and radiotherapy cause problems?     210
New cancer therapies     210
Cancer models in animals      211
What kinds of gene therapy can we use to treat cancer?     212
Perceived problems in cancer gene augmentation therapy     213
Killing cells with ganciclovir or suicide therapy     213
Prodrug activation therapy     214
Enhancing the immune system with gene therapy     215
Gene silencing technologies and cancer     217
Conclusion     219
Single-nucleotide polymorphisms (SNPs) and therapy     223
Legislation, clinical trials and ethical issues     231
Legislative bodies     231
Clinical trials     233
The problems of placebo controlled trials     236
The need for informed consent     238
Trials in developing countries     239
Recent trial issues     241
Conclusion     242
Epilogue     245
Sourcing references     245
Index     247