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Neural tube defects, spina bifida, anencephalus and encephalocoele, are among the commonest severe congenital abnormalities in most countries. The last decade has seen many advances, including the use of antenatal diagnosis by chemical and ultrasound methods, population screening, and many new findings in epidemiology, culminating in the demonstration of the protective effect of folic acid on recurrences. The progress in both antenatal diagnosis and in aetiological research on neural tube defects has been particularly dramatic, and may well anticipate developments in regard to other congenital abnormalities. Primary prevention now appears as an attainable goal. This book presents a critical review of the extensive findings of epidemiological studies, discusses several methodological issues of wider relevance such as ascertainment, seasonal variation, ethical and legal issues. As well as providing a resource in regard to neural tube defects, much of the material is relevant to those wit
This text investigates the epidemiological patterns, diagnostic advancements, and preventative strategies concerning neural tube defects. The authors, J. Harold Elwood, J. Mark Elwood, and Julian Little, synthesize decades of clinical data and research to establish a comprehensive framework for understanding the etiology and public health management of conditions such as spina bifida and anencephalus. By evaluating the efficacy of folic acid and modern screening methodologies, the work argues for the feasibility of primary prevention in clinical practice.
What You Will Find
Scope Limits
Experts recognize this monograph as a foundational reference for researchers and public health officials focusing on congenital anomalies. Readers frequently note the academic density of the prose, which serves as a rigorous resource for those studying the intersection of biostatistics and clinical epidemiology.
Page Count:
944
Publication Date:
1993-02-04
Publisher:
Oxford University Press
ISBN-10:
0192618849
ISBN-13:
9780192618849
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