Perspectives on Biomarker and Surrogate Endpoint Evaluation

Discussion Forum Summary

Author: Institute of Medicine,Food and Nutrition Board,Board on Health Sciences Policy,Board on Health Care Services,Committee on Qualification of Biomarkers and Surrogate Endpoints in Chronic Disease

Publisher: National Academies Press

ISBN: 9780309187008

Category: Medical

Page: 140

View: 6501

In 2010 the Institute of Medicine (IOM) recommended a framework for the evaluation of biomarkers in the chronic disease setting. Published in the book Evaluation of Biomarkers and Surrogate Endpoints in Chronic Disease, the framework is intended to bring consistency and transparency to the previously disparate process of biomarker evaluation. Following the book's release, the IOM convened a 2-day discussion forum in Washington, DC, in order to provide an opportunity for stakeholders to learn about, react to, and discuss the book. Presentations reviewed the authoring committee's work process, recommendations, and provided perspectives on the book from the point of view of participants. Thomas Fleming, professor of biostatistics and statistics at the University of Washington, gave a keynote presentation on the critical issues in the validation of surrogate endpoints, a specific use of a biomarker. The present volume recounts the discussion forum proceedings, focusing in turn on each represented sector. A summary of Dr. Fleming's presentation then sets the committee's recommendations within the context of biomarker utilization. Lastly, this summary examines the main themes raised by stakeholders, and the challenges and opportunities presented to stakeholders by the book's recommendations.

Oxford Textbook of Neuroscience and Anaesthesiology

Author: George A. Mashour,Kristin Engelhard

Publisher: Oxford University Press

ISBN: 019106355X

Category: Medical

Page: 351

View: 6908

The perioperative care of individuals with neurologic compromise is critically important, yet it is only one dimension of the rich relationship between anaesthesiology and the neurosciences. The mechanism of everyday therapeutic interventions such as anaesthesia and analgesia is exciting neuroscience in its own right. At the new frontier of outcomes studies lies the question of how the perioperative period might impact the brain. For example, questions related to anaesthetic neurotoxicity, delirium, and cognitive dysfunction pose critical challenges for the field. The Oxford Textbook in Neuroscience and Anaesthesiology addresses the exciting field of neuroanaesthesiology in a new and stimulating way. In twenty eight chapters, the neuroscientific basis of anaesthesiology, the full spectrum of clinical neuroanaesthesia, and the care of neurologic patients undergoing non-neurologic surgery are explored in one comprehensive textbook for the first time. The first section considers the neural mechanisms of general anaesthetics, cerebral physiology, the neurobiology of pain, and more. The second section explores the care of patients with neurologic disease in the operating room or intensive care unit. These clinical chapters systematically treat the perioperative considerations of both brain and spine surgery, and provide introductions to neurocritical care and pediatric neuroanaesthesia. The final section outlines the care of neurologic patients undergoing non-neurologic surgery. It examines key connections of neurology and anaesthesiology, examining how conditions such as dementia, stroke, or epilepsy interface with the perioperative period. Each chapter has been carefully crafted to be concise yet highly informative, reflecting the cutting edge of neuroscience and neuroanaesthesiology. This international textbook gathers the best available expertise of authors and leaders worldwide. Includes access to online-only content, including more than 20 cases and more than 90 questions that can be used in presentations and teaching sessions. By activating your unique access code, you can access and use the material.

Braunwald. Tratado de cardiología + ExpertConsult

Texto de medicina cardiovascular

Author: Douglas L. Mann,Douglas P. Zipes,Peter Libby,Robert O. Bonow

Publisher: Elsevier España

ISBN: 8490229112

Category: Medical

Page: 2048

View: 4371

Obra de referencia en Cardiología que pretende seguir siendo un recurso fundamental en todos los aspectos de la Cardiología contemporánea proporcionando a clínicos, médicos en formació y estudiantes de todos los niveles las herramientas críticas para mantenerse al día en las bases científicas y los avances clínicos de la medicina cardiovascular. Ayuda al lector a aplicar los conocimientos más actuales en biología molecular y genética, imagen, farmacología, cardiología intervencional y electrofisiología entre otras cuestiones. Del total de los 89 capítulos que constituyen esta nueva edición, 27 son nuevos. Igualmente colaboran en esta nueva edición 53 nuevos autores, todos ellos reconocidos expertos internacionales en sus respectivas disciplinas. Todos los capítulos han sido revisados y actualizados en profundidad para recoger todas las novedades registradas en el área de la medicina cardiovascular. La nueva edición de esta obra de referencia incluye un total de 2.600 figuras, 600 tablas y 240 vídeos. Algunas de las novedades que incorpora esta nueva edición hacen referencia a imagen molecular, ultrasonido intravascular, regeneración cardiovascular e ingeniería de tejidos, terapias avanzadas para fallo cardiaco, manejo de la fibrilación atrial, enfermedad cardiaca estructural, cuestiones éticas en Medicina cardiovascular, cuestiones relacionadas con ensayos clínicos y otras cuestiones de interés. La nueva edición de este tratado de Cardiología presenta un acceso on line a través de en el que los usuarios podrán acceder a la videoteca completa, actualizaciones en línea, lecturas adicionales y audios.


Diagnostik makroskopischer, histologischer und radiologischer Strukturveränderungen des Skeletts

Author: Claus-Peter Adler

Publisher: Springer-Verlag

ISBN: 3662121603

Category: Medical

Page: 592

View: 5826

Dieses interdisziplinäre Nachschlagewerk bietet Ihnen das Fundament für Ihre exakte Diagnose und gezielte Therapie-Planung. o Sie erhalten einen praxisorientierten Überblick über alle modernen und etablierten Diagnostik-Verfahren. o Didaktisch übersichtlich stehen die jeweiligen radiologischen und pathologisch-anatomischen Strukturen dem Text gegenüber. o Kurzgefaßte Therapievorschläge ergänzen die diagnostischen Richtlinien. => Das aktuelle Nachschlagewerk für die multidisziplinäre Zusammenarbeit von Orthopäden, Radiologen, Rheumatologen und Pathologen. Schnell * präzise * praxisgerecht

Verwaltete Körper

Strategien der Gesundheitspolitik im internationalen Vergleich

Author: Herbert Gottweis

Publisher: Böhlau Verlag Wien

ISBN: 9783205771135

Category: Medical policy

Page: 376

View: 5225

Berichte zur Lebensmittelsicherheit 2005


Author: Peter Brandt

Publisher: Springer Science & Business Media

ISBN: 3764383461

Category: Science

Page: 60

View: 9113

Lebensmittelmonitoring - das von Bund und Ländern durchgeführte Untersuchungsprogramm - ergänzt die amtliche Lebensmittelüberwachung der Bundesländer. Lebensmittelüberwachung kontrolliert die Einhaltung lebensmittelrechtlicher Vorschriften v.a. durch verdachts- und risikoorientierte Untersuchungen. Das Lebensmittelmonitoring hingegen misst und bewertet - wiederholt und repräsentativ - den Gehalt unerwünschter Stoffe (z.B. Pflanzenschutzmittel, Schwermetalle) in und auf Lebensmitteln. Es erkennt Risiken für Verbraucher und stellt sie ab. 2005 wurden 5159 Proben von 50 Lebensmitteln bzw. -gruppen in- und ausländischer Herkunft untersucht.

Assessing and Improving Value in Cancer Care

Workshop Summary

Author: Institute of Medicine,Board on Health Care Services,National Cancer Policy Forum

Publisher: National Academies Press

ISBN: 0309138140

Category: Medical

Page: 164

View: 686

Unlike many other areas in health care, the practice of oncology presents unique challenges that make assessing and improving value especially complex. First, patients and professionals feel a well-justified sense of urgency to treat for cure, and if cure is not possible, to extend life and reduce the burden of disease. Second, treatments are often both life sparing and highly toxic. Third, distinctive payment structures for cancer medicines are intertwined with practice. Fourth, providers often face tremendous pressure to apply the newest technologies to patients who fail to respond to established treatments, even when the evidence supporting those technologies is incomplete or uncertain, and providers may be reluctant to stop toxic treatments and move to palliation, even at the end of life. Finally, the newest and most novel treatments in oncology are among the most costly in medicine. This volume summarizes the results of a workshop that addressed these issues from multiple perspectives, including those of patients and patient advocates, providers, insurers, health care researchers, federal agencies, and industry. Its broad goal was to describe value in oncology in a complete and nuanced way, to better inform decisions regarding developing, evaluating, prescribing, and paying for cancer therapeutics.

Geschichte unter der Haut

ein Eisenacher Arzt und seine Patientinnen um 1730

Author: Barbara Duden

Publisher: N.A


Category: Eisenach (Germany)

Page: 269

View: 5594

Issues in Cancer Epidemiology and Research: 2011 Edition

Author: N.A

Publisher: ScholarlyEditions

ISBN: 1464963525

Category: Medical

Page: 3510

View: 9381

Issues in Cancer Epidemiology and Research / 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Cancer Epidemiology and Research. The editors have built Issues in Cancer Epidemiology and Research: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Cancer Epidemiology and Research in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Cancer Epidemiology and Research: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at