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The fourth edition of this well received book provides an authoritative and up-to-date resource to support good practice in travel medicine, a field that has evolved substantially in recent years. Concretely, there has been intensified monitoring of health problems among travellers, as well as extensive research efforts, which have led to the development of evidence-based approaches to the field. The book includes expert recommendations regarding e.g. immunizations, malaria prophylaxis, travellers’ diarrhea, altitude sickness, emerging infections, and non-infectious health issues encountered by travellers. It provides a practical approach to the pre-travel consultation and management of most issues that arise in medical care for travellers. In addition, it provides expert advice for high-risk travellers, e.g. those with immunosuppression, the elderly, pregnant women and young children. The text offers a user-friendly, practical handbook for healthcare practitioners during their clinical consultations, as well as nurses and pharmacists.

Travel --- Health aspects --- Internal medicine. --- Internal Medicine. --- Medicine, Internal --- Medicine

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Internal medicine --- Diagnostic imaging --- Medicine --- Medicine. --- Internal medicine. --- Diagnostic imaging.

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This multidisciplinary book addresses three lines of evidence (medieval, contemporary, and epigenetic) regarding the effect of human socio-economic status on bone health. It provides an overview of the extent to which human social background affects adult bone quality and quantity, and makes recommendations for future skeletal biology research into lifestyle-related musculoskeletal disorders. The book is divided into three major parts, the first of which discusses bone and dental health in medieval human skeletal remains from distinct socio-economic status groups. In turn, Part 2 reviews bone health in contemporary human populations with a range of social backgrounds; in addition, a conceptual model proposing a social gradient of osteoporosis and fracture risk related to biological mechanisms and cumulative stressors throughout the human lifecycle is presented. Lastly, Part 3 highlights the role of epigenetics in socially patterned risk factors for skeletal disorders, and discusses how epigenetic mechanisms transduce the psychosocial environment and increase the risk of developing conditions such as osteoporosis. Overall, the book highlights the importance of considering the social-biological nexus in future skeletal biology research and future treatment of bone disease. Increased awareness of this nexus can potentially improve individual and population-level bone health interventions, reducing the social inequities observed in fracture risk. Given its scope, the book offers a valuable resource for researchers, academics, and students in the fields of medicine, epidemiology, the health sciences, biological anthropology, human anatomy and adaptation, developmental studies of human societies, human biology, and any field concerning musculoskeletal disorders and health. It will also benefit clinical practitioners evaluating osteoporosis, osteopenia, fracture risk, bone quality and quantity.

Endocrinology. --- Internal medicine --- Hormones --- Endocrinology .

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Internal medicine --- Diagnostic imaging --- Medicine

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This book presents the latest advances in our understanding of the pathophysiologic basis that induces the chronic positive energy balance necessary to progressively store excessive amounts of fat mass. It highlights the clinical complications of obesity, while also focusing on the major scientific advances that have highlighted the role of genetics, adipose tissue endocrinology and the environment in the mechanisms and causes of obesity. Particular attention is given to the consequences of obesity, including an ever -increasing number of other diseases such as type 2 diabetes, cardiovascular diseases and cancer, as well as conditions such as arthropathy, asthma, non-alcoholic liver disease, and dementia. Increasingly recognized uniting causes highlight the role of systemic, local and paracrine actions of adipocytokines in causing inflammation. As we come to better understand how hypothalamic control of energy balance is influenced by endocrine signaling from the gut and adipose tissue, it paves the way for new therapeutic targets and a resurgence of pharmacological and surgical approaches to treatment. Written by respected experts in the field, this volume is intended as a major reference source for endocrinologists, nutritionists, basic and clinical scientists alike.

Endocrinology. --- Internal medicine --- Hormones --- Obesity --- Treatment. --- Endocrinology .