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Challenges in Inflammatory Bowel Disease Second
Edition Derek P. Jewell Digital Instant Download
Author(s): Derek P. Jewell, Neil J. Mortensen, A. Hillary Steinhart, John A.
Pemberton, Bryan F. Warren
ISBN(s): 9781405122344, 140512234X
File Details: PDF, 4.67 MB
Year: 2006
Language: english
CHALLENGES IN

Inflammatory Bowel Disease

CHALLENGES IN
..................................................................................................................................................................................................................

Inflammatory Bowel Disease

..................................................................................................................................................................................................................

EDITED BY

Derek P. Jewell

Neil J. Mortensen
A. Hillary Steinhart

John H. Pemberton

Bryan F. Warren

Second edition

C 2001, 2006 by Blackwell Publishing Ltd

Blackwell Publishing, Inc., 350 Main Street, Malden, Massachusetts 02148-5020, USA
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK
Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia

The right of the Authors to be identified as the Authors of this Work has been asserted in accordance
with the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or
transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or
otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior
permission of the publisher.

First published 2001

Second edition 2006

1 2006

Catalogue records for this title are available from the British Library and Library of Congress

ISBN-13: 978-1-4051-2234-4
ISBN-10: 1-4051-2234-X

Set in 9.25/12 by TechBooks, India

Printed and bound in India by Replika Press Pvt., Ltd

Commissioning Editor: Alison Brown

Editorial Assistant: Saskia van der Linden
Development Editor: Fiona Pattison
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The publisher’s policy is to use permanent paper from mills that operate a sustainable forestry policy,
and which has been manufactured from pulp processed using acid-free and elementary chlorine-free
practices. Furthermore, the publisher ensures that the text paper and cover board used have met
acceptable environmental accreditation standards.
...................................................................................................................................................................................................................................

Contents

...................................................................................................................................................................................................................................

List of Contributors and Editors vii III Management of ulcerative colitis 117
Preface xi
9 miles p. sparrow, wee-chian lim and
stephen b. hanauer: Mesalazine for
I Clues to aetiology and pathogenesis 1 maintenance therapy in ulcerative colitis –
how much, how long? 119
1 richard f. a. logan and emma l.
armitage: Global changes in incidence 3 10 simon travis: Refractory distal
colitis 124
2 john b. beckly, tariq ahmad and
derek p. jewell:The role of genetics in 11 fergus shanahan, jude ryan and
inflammatory bowel disease 14 shomik sibartie: Pharmabiotics and
3 robin g. lorenz and charles o. inflammatory bowel disease – on the verge
elson: Microbial sensing in the intestine of evidence-based medicine 144
by pattern recognition receptors 33 12 r. john nicholls and mark j.
4 robert penner and karen madsen: cheetham: Current controversies in the
The role of bacteria 44 surgical management of ulcerative
colitis 154
5 kenneth croitoru: The appendix – how
might it influence susceptibility to ulcerative 13 alan f. horgan, william j. sandborn
colitis: the legend of Qebehsenuef 57 and john h. pemberton: What are the
causes and treatment of ileoanal pouch
dysfunction? 167
II Diagnosis and assessment 65
6 bryan f. warren and neil a.
shepherd: What are the controversies in IV Management of Crohn’s disease 179
histopathological diagnosis? 67
14 a. hillary steinhart: Is mesalazine
7 gary c. chen and simon k. lo: The useful in Crohn’s disease? 181
challenges of using capsule endoscopy in the
diagnosis and management of inflammatory 15 miquel a. gassull: Steroids or
bowel disease 85 nutrition? 194

8 stuart taylor and steve halligan: 16 s éverine vermeire and paul

Cross-sectional imaging of inflammatory rutgeerts: Do antibiotics have a role in
bowel disease 105 Crohn’s disease? 206

v
vi CONTENTS
...................................................................................................................................................................................................................................

17 geert d’haens: The optimal use of 24 jacintha n. o’sullivan and teresa a.

infliximab in Crohn’s disease 213 brentnall: Molecular markers – a
realistic hope? 303
18 stephan r. targan and loren c.
karp: Designer drugs: from bench to 25 maha guindi and robert h. riddell:
bedside 221 Adenomas versus dysplasia associated
lesion or mass – recognition and
19 w.m. chambers, i. lindsey and n.j. management? 312
mortensen: Current controversies in the
surgical management of Crohn’s
V Special management problems 327
disease 232
26 thomas d. walters and anne m.
20 carl j. brown and robin s. mcleod: griffiths: Growth impairment in
Perianal Crohn’s disease 246 children 329
21 karel geboes: What is dysplasia? 266 27 subrata ghosh: Osteopenia 340

22 urban sj öqvist and robert l öfberg: 28 philippe marteau: Pregnancy 360

Colonoscopic surveillance – if and 29 robert hilsden and lloyd
when? 281 sutherland: Can prognosis of ulcerative
colitis be predicted? 369
23 ralf kiesslich and markus f.
neurath: Cancer: new colonoscopic
techniques 293 Index 377
...................................................................................................................................................................................................................................

List of Contributors and Editors

...................................................................................................................................................................................................................................

editors Teresa A. Brentnall, Department of Medicine,

University of Washington, Seattle, 98195, USA
Derek P. Jewell, Gastroenterology Unit, Radcliffe
Infirmary, Woodstock Road, Oxford, UK
W. M. Chambers, Department of Colorectal
Surgery, John Radcliffe Hospital, Headley Way,
Neil J. Mortensen, Department of Colorectal Oxford, UK
Surgery, John Radcliffe Hospital, Headley Way,
Oxford, UK Carl J. Brown, Resident in Colorectal Surgery,
University of Toronto, Canada
John H. Pemberton, Professor of Surgery, Mayo
Clinic College of Medicine, Division of Colon Gary C. Chen, Department of Medicine
and Rectal Surgery, Mayo Clinic, Gonda 9-s, 200 Cedars-Sinai Medical Center, Los Angeles,
First Street SW, Rochester, MN 55905, USA California 90048, USA

A. Hillary Steinhart, Head, Combined Division Mark J. Cheetham, St Mark’s Hospital, Watford
of Gastroenterology, Mount Sinai Hospital/ Road, Harrow, Middlesex, UK
University Health Network, Associate Professor
Kenneth Croitoru, Intestinal Diseases Research
of Medicine, University of Toronto, Toronto,
Program, Division of Gastroenterology,
M5G 1X5 Canada
McMaster University, Hamilton, Ontario,
Bryan F. Warren, Department of Cellular Canada
Pathology, John Radcliffe Hospital, Headley Way,
Charles O. Elson, Department of Medicine,
Oxford, UK
University of Alabama at Birmingham,
Birmingham, AL 35294, USA
contributors
Miquel A. Gassull, Associate Professor of
Medicine, Universitat Autonoma de Barcelona,
Tariq Ahmad, Gastroenterology Unit, Radcliffe
Head of the Department of Gastroenterology,
Infirmary, Woodstock Road, Oxford, UK
Hospital Universitari Germans Trias i Pujol.,
Emma L. Armitage, Specialist Registrar, Badalona, Catalonia, Spain
Gastroenterology, GI Unit, Western General
Karel Geboes, Professor in Pathology, Department
Hospital, Crewe Road, Edinburgh, UK
of Pathology, University Hospital Kul,
John B. Beckly, Gastroenterology Unit, Radcliffe Minderbroedersstraat 12, 3000 Leuven,
Infirmary, Woodstock Road, Oxford, UK Belgium

vii
viii LIST OF CONTRIBUTORS AND EDITORS
...................................................................................................................................................................................................................................

Subrata Ghosh, Professor of Gastroenterology, Simon K. Lo, Associate Clinical Director of GI

Imperial College London, Hammersmith Endoscopy, Professor of Medicine, David Geffen
Hospital, Ducane Road, London School of Medicine at UCLA, Cedars-sinai
Medical Center, Los Angeles, California, USA
Anne M. Griffiths, Associate Chief (Clinical),
Division of GI Nutrition, 555 University Avenue, Robert Löfberg, Karolinska Institute, Huddinge
Hospital for Sick Children, University of University, Stockholm, Sweden
Toronto, Toronto, Canada
Richard F. A. Logan, Professor of Clinical
Maha Guindi, Assistant Professor, Department of Epideimiology, Division of Epidimiology and
Laboratory Medicine and Pathobiology, Public Health, University of Nottingham,
University of Toronto, and Department of Queen’s Medical Centre, Nottingham, UK
Pathology, University Health Network/Toronto Robin G. Lorenz, Department of *Pathology, The
General Hospital, Toronto, Ontario, Canada University of Alabama at Birmingham,
Geert D’Haens, Gastroenterology Unit, Imelda GI Birmingham, AL 35294, USA
Clinical Research Centre, Bonheiden, Belgium Karen Madsen, Associate Professor, Division of
Gastroenterology, University of Alberta,
Steve Halligan Professor of Gastrointestinal
Edmonton, Alberta, Canada
Radiologist Dept of Specialist X-Ray University
College Hospital, London, UK Philippe Marteau, Gastroenterology
Department, Lariboisiere Hospital, Assistance
Stephen B. Hanauer, Professor of Medicine and
Publique des Hôpitaux de Paris, and Paris V
Clinical Pharmacology, Director, Section of
University, France
Gastroenterology and Nutrition, University of
Chicago Medical Center Robin S. McLeod, Professor of Surgery and
Health Policy, Management and Evaluation,
Robert Hilsden, Associate Professor, Department University of Toronto; Head, Division of General
of Medicine and Community Health Sciences,
Surgery, Mount Sinai Hospital, Toronto,
University of Calgary, Calgary, Alberta, Canada
Ontario, Canada
Alan F. Horgan Consultant Colorectal Surgeon Markus F. Neurath, I. Med. Klinik und Poliklinik,
Freeman Hospital, High Heaton, Newcastle, Johannes Gutenberg Universität Mainz, Mainz,
NE7 7DN, UK Germany
Loren C. Karp, Division of Gastroenterology, R. John Nicholls, St Mark’s Hospital, Watford
Inflammatory Bowel Disease Center, and Road, Harrow, Middlesex, UK
Immunobiology Institute, Cedars-Sinai Medical
Center, 8700 Beverly Blvd., Suite D4063, Los Robert Penner, Kelowna General Hospital, 564
Angeles CA 90048, USA Leon Avenue, Kelowna, British Columbia

Ralf Kiesslich, I. Med. Klinik und Poliklinik, Jacintha N. O’Sullivan, Senior Research
Scientist, Centre for Colorectal Disease,
Johannes Gutenberg Universität Mainz, Mainz,
Education and Research Centre, St Vincents
Germany
University Hospital, Elm Park, Dublin 9, Ireland
Wee-Chian Lim, Section of Gastroenterology and
Robert H. Riddell, Professor of Pathology,
Nutrition, University of Chicago Medical Center,
Department of Laboratory Medicine and
Chicago, USA
Pathobiology, University of Toronto, and
I. Lindsay, Department of Coloretal Surgery, John Department of Pathology, Mount Sinai Hospital,
Radcliffe Hospital, Oxford, UK Toronto, Ontario, Canada
 LIST OF CONTRIBUTORS AND EDITORS ix
...................................................................................................................................................................................................................................

Paul Rutgeerts, Head of the IBD Miles P. Sparrow, Section of Gastroenterology

Research Unit, Department of Gastroenterology, and Nutrition, University of Chicago Medical
University Hospital Gasthuisberg, Center, Chicago, USA
Herestraat 49, 3000 Leuven, Belgium
Lloyd Sutherland, Departments of Medicine and
Jude Ryan, Alimentary Pharmabiotic Centre and Community Health Sciences, Univeristy of
Department of Medicine, University College Calgary, Calgary Alberta Canada
Cork, National University of Ireland, Ireland
Stephan R. Targan, Director, Division of
William J. Sandborn, Professor of Medicine, Gastroenterology, Inflammatory Bowel Disease
Mayo Clinic College of Medicine, Division of Center, and Immunobiology Institute,
Gastroenterology and Hepatology, Mayo Clinic, Cedars-Sinai Medical Center, 8700 Beverly Blvd.,
200 First Street SW, Rochester, MN 55902, Suite D4063, Los Angeles CA 90048, USA
USA
Stuart Taylor, Consultant Radiologist and Senior
Fergus Shanahan, Alimentary Pharmabiotic Lecturer Department of Specialist X-Ray
Centre and Department of Medicine, University University College Hospital, London, UK
College Cork, National University of Ireland,
Simon Travis, Consultant Gastroenterologist, John
Ireland
Radcliffe Hospital, Oxford, UK
Neil A. Shepherd, Department of
Séverine Vermeire, Department of
Histopathology, Gloucestershire Royal Hospital,
Gastroenterology, University Hospital
Great Western Road, Gloucester, UK
Gasthuisberg, Herestraat 49, 3000 Leuven,
Shomik Sibartie, Alimentary Pharmabiotic Centre Belgium
and Department of Medicine, University College
Thomas D. Walters, Fellow in Paediatric
Cork, National University of Ireland, Ireland
Gastroenterology and Nutrition, Division of
Urban Sjöqvist, Senior Consultant, Department of Paediatric Gastroenterology and Nutrition,
Medicine, Karolinske Institutet at Stockholm Hospital for Sick Children, University of
Söder Hospital, Stockholm, Sweden Toronto, Toronto, Canada
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Methodology 1: Research findings and conclusions

Learning Objective 1: Best practices and recommendations
• Practical applications and examples
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Learning Objective 2: Research findings and conclusions
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 2: Diagram/Chart/Graph]
Learning Objective 3: Problem-solving strategies and techniques
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Learning Objective 4: Key terms and definitions
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Learning Objective 5: Statistical analysis and interpretation
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Practice Problem 5: Comparative analysis and synthesis
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Current trends and future directions
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 7: Diagram/Chart/Graph]
Practice Problem 7: Problem-solving strategies and techniques
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Theoretical framework and methodology
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Learning outcomes and objectives
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Practice 2: Current trends and future directions
Remember: Current trends and future directions
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 11: Diagram/Chart/Graph]
Important: Theoretical framework and methodology
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 12: Literature review and discussion
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Historical development and evolution
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Current trends and future directions
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Research findings and conclusions
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Key Concept: Practical applications and examples
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Key Concept: Practical applications and examples
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 18: Historical development and evolution
• Practical applications and examples
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Important: Study tips and learning strategies
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
References 3: Comparative analysis and synthesis
Important: Critical analysis and evaluation
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Learning outcomes and objectives
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Practical applications and examples
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Fundamental concepts and principles
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Critical analysis and evaluation
• Practical applications and examples
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Example 25: Key terms and definitions
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Research findings and conclusions
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Study tips and learning strategies
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 28: Diagram/Chart/Graph]
Key Concept: Problem-solving strategies and techniques
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Assessment criteria and rubrics
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Chapter 4: Research findings and conclusions
Key Concept: Current trends and future directions
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Interdisciplinary approaches
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Problem-solving strategies and techniques
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Literature review and discussion
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
Key Concept: Interdisciplinary approaches
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Note: Interdisciplinary approaches
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Critical analysis and evaluation
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Assessment criteria and rubrics
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Important: Problem-solving strategies and techniques
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 39: Diagram/Chart/Graph]
Definition: Study tips and learning strategies
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 40: Diagram/Chart/Graph]
Review 5: Practical applications and examples
Example 40: Interdisciplinary approaches
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 41: Diagram/Chart/Graph]
Example 41: Ethical considerations and implications
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 42: Diagram/Chart/Graph]
Note: Statistical analysis and interpretation
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 43: Theoretical framework and methodology
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Learning outcomes and objectives
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Research findings and conclusions
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 46: Diagram/Chart/Graph]
Definition: Comparative analysis and synthesis
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 47: Historical development and evolution
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Example 48: Historical development and evolution
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
Note: Historical development and evolution
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Appendix 6: Problem-solving strategies and techniques
Remember: Theoretical framework and methodology
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Practical applications and examples
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Experimental procedures and results
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 53: Diagram/Chart/Graph]
Note: Critical analysis and evaluation
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Note: Experimental procedures and results
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Best practices and recommendations
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
[Figure 56: Diagram/Chart/Graph]
Definition: Study tips and learning strategies
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Learning outcomes and objectives
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Statistical analysis and interpretation
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Literature review and discussion
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Summary 7: Fundamental concepts and principles
Definition: Comparative analysis and synthesis
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
Important: Experimental procedures and results
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 62: Best practices and recommendations
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Historical development and evolution
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 64: Diagram/Chart/Graph]
Definition: Research findings and conclusions
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 65: Literature review and discussion
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Example 66: Study tips and learning strategies
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 67: Diagram/Chart/Graph]
Note: Critical analysis and evaluation
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Experimental procedures and results
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 69: Diagram/Chart/Graph]
Practice Problem 69: Research findings and conclusions
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Exercise 8: Literature review and discussion
Practice Problem 70: Interdisciplinary approaches
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Comparative analysis and synthesis
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Ethical considerations and implications
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 73: Literature review and discussion
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 74: Diagram/Chart/Graph]
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