This volume stems from the efforts of scholars who seek to understand the social dynamics of large technical systems. The purpose is to develop concepts and empirical knowledge concerning the dynamics of such systems, with particular emphasis on the processes ofcontrol and/or management in a variety of national settings, and to improve the basis of public policy so that future developments might be less distressing in consequence and more shaped to the desires of their "host" societies. One vehicle for this enterprise is a series of international conferences on the Evolution andDynamics...

This volume is based on a very successful meeting on organ transplantation that was held in Kuwait in 1990 under the auspices of the Middle East Society for Organ Transplantation. An international group of organ transplant experts attended this conference and their contributions and deliberations have been recent1y updated to produce this definitive and authoritative summary of current clinic al practice in organ transplantation. The initial chapters appropriately focus on the immunology of organ trans plantation with special emphasis on the initial events in the induction of alloreactivity,...

Diagnostic and therapeutic methods and controversies in the management of renovascular hypertension have undergone major ch- ges during the past few years. This book is based on the proceedings of a successful postgraduate Boerhaave Course held in 1982 at the Faculty of Medicine of the University of Leiden, The Netherlands. Current concepts concerning the diagnosis and treatment of reno- vascular hypertension were presented during this course to an audience composed of physicians, nephrologists, cardiologists, surgeons, uro- logists, and radiologists. Thus, this book aims at offering an...

After the Second World War the number of biliary diseases has abruptly risen and lithiasis has become in many regions the most frequent surgical disease of the abdomen. At present, though there are perspectives of rational conservative treat- ment and though endoscopic techniques permit removing some of its complications even without laparotomy, the basic treatment method still remains, and probably shall remain for long the classical surgical intervention. On the contrary, the indications for such intervention are always widening, as its risks become always smaller and the requirements for...

The "shoulder-hand syndrome" or pain in the shoulder or arm is an extremely vital subject for the multi-disciplinary approach and usually re- quires more than one speciality for complete evaluation. The proceedings of this symposium - organized by the department of general surgery of the University of Limburg - cover the field thoroughly with contributions from outstanding specialists from all over the world. Rheumatological, neuro- surgical, orthopedic, and traumatological aspects are covered. Vascular surgeons considering both venous and arterial problems entwine with thoracic surgeons to...

This book is a unique work devoted to the subject of disordered defaecation. It contains chapters written by experts in the field of ano-rectal physiology and management of disordered defaecation. The various contributions present personal views and special clinical experience of individuals. There are some personal views which we felt should be commented upon and a few areas where the experience of others has been included into the text. For the sake of completeness of each chapter, a slight overlap in some cases was inevitable. We hope the book will serve as a useful collection of opinions...

This book reflects a broad spectrum of current opinions and progress in the surgical management of liver, pancreatic and biliary disease. The enormous advances in diagnostic imaging techniques and in interven tional, radiological and biliary approaches, the pathophysiological problems and their management manifest often as complications in the post-operative period, new techniques and the results of surgical approaches are all thorough ly documented. Historical background is commented upon by Dr. Kenneth Warren of Boston in the first chapter. Subsequent chapters deal with a variety of...

Urinary incontinence is becoming an increasingly dominant condition in daily urological and gynaecological practice, although the total number of patients suffering from the different forms ofincontinence remains unclear. An estimated figure for The Netherlands, with a population of 14 500000, has been given as between 500000 and 600000 patients, showing that approximately 4 % of the total population suffer from this condition, the majority being female. The impact ofthis number is tremendous, not only regarding health care costs, but even more with regard to the psycho-social consequences....