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Douglas R. Higgs

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Beschreibung

This comprehensive textbook is the key resource for postgraduate trainees or residents in haematology. Now in its seventh edition, the book continues to provide everything the reader needs for examination preparation or clinical practice.

Postgraduate Haematology discusses up-to-date knowledge of the pathogenesis, clinical and laboratory features, management and treatment of a wide range of blood and bone marrow disorders in a concise and user friendly style. It presents essential information for everyday use and teaching, as well more detailed scientific background for more in-depth reading, accompanied by thoughtful referencing. 

The clearly illustrated full-colour figures and charts demonstrate key facts, and are supplemented by numerous high quality photomicrographs of blood cells and tissues. Over 51 chapters from international authors, including the WHO Classification of Haematopoietic and Lymphoid Tissues, Postgraduate Haematology provides an expert review of malignant and non-malignant haematology.

  • New sections reflect advances in the specialty, e.g. knowledge gained from new generation sequencing, latest anticoagulant drugs, diagnostic laboratory tools, and treatment strategies
  • Superb four-color illustrations and photomicrographs of blood cells and tissues throughout
  • Includes algorithms to aid with decision-making for treatment
  • Companion website featuring figures and tables from the book

Arm yourself with the textbook of choice for trainees and practitioners in haematology.

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Companion website

This book has a companion website:

www.wiley.com/go/hoffbrand/ph7

with:

Figures and tables from the book for downloading

Postgraduate Haematology

EDITED BY

A Victor Hoffbrand MA, DM, FRCP, FRCPath, FRCP (Edin), DSc, FMedSci

Emeritus Professor of Haematology, University College London, London, UK

Douglas R Higgs MD, FRCP, FRS

Professor of Molecular Haematology & Director,Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Oxford, UK

David M Keeling BSc, MD, FRCP, FRCPath

Consultant Haematologist, Oxford Haemophilia and Thrombosis Centre, Oxford University Hospitals, Oxford, UK

Atul B Mehta MA, MD, FRCP, FRCPath

Consultant Haematologist, Lysosomal Storage Disorders Unit, Department of Haematology, Royal Free Hospital, London, UK

Seventh Edition

This edition first published 2016 © 2016, 2011, 2005 by John Wiley & Sons Ltd

First published as Tutorials in Postgraduate Haematology © William Heinemann Ltd 1972 Second edition 1981 published © Butterworth Ltd Third edition 1989 published © Butterworth Ltd Fourth edition 1999 published © Butterworth-Heinmann Ltd

Registered office:   John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

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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.

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Library of Congress Cataloging-in-Publication Data

Postgraduate haematology / edited by A. Victor Hoffbrand, Douglas R. Higgs, David M. Keeling, Atul B. Mehta. – Seventh edition.       p. ; cm.    Includes bibliographical references and index.    ISBN 978-1-118-85432-7 (cloth)    I. Hoffbrand, A. V., editor. II. Higgs, Douglas R., editor. III. Keeling, David (David Michael), editor. IV. Mehta, Atul B., editor.    [DNLM:   1. Blood Physiological Phenomena.   2. Hematologic Diseases.   3. Leukemia–blood. 4. Thrombosis–blood. WH 100]    RC633    616.1′5–dc23

2015019099

A catalogue record for this book is available from the British Library.

Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.

Cover image: GettyImages-464401418 by Frentusha

Contents

Contributor list

Preface to the seventh edition

Preface to the first edition

Chapter 1 Stem cells and haemopoiesis

Introduction

Hierarchical organization and lineage relationships in the adult haemopoietic system

Sites of adult haemopoiesis

Development of HSCs

Haemopoietic-supportive microenvironments

Haemopoietic regenerative and replacement therapies

Selected bibliography

Chapter 2 Erythropoiesis

Introduction

The origins of erythroid cells during development

Specifying the erythroid lineage

Expression of critical transcription factors specifies the erythroid lineage

Terminal maturation of committed erythroid cells

Changes in the expression of transcription factors during terminal maturation

Changes in the expression of erythroid proteins during terminal maturation

Control of erythropoiesis via cell signalling

The erythroid niche

Red cell senescence and clearance

Assessing erythropoiesis

Conclusions

Selected bibliography

Chapter 3 Iron metabolism, iron deficiency and disorders of haem synthesis

Introduction

Distribution of body iron

Proteins important in iron metabolism

Intracellular iron homeostasis

Normal iron balance

Iron absorption

Iron uptake by erythroid cells

Haem synthesis and mitochondrial iron metabolism

Intracellular transit iron and plasma non-transferrin-bound iron

Breakdown of haemoglobin

Diagnostic methods for investigating iron metabolism

Iron deficiency anaemia

Pathological alterations in haem synthesis

Selected bibliography

Chapter 4 Iron overload

Introduction

Hereditary haemochromatosis

Iron-loading anaemias

Selected bibliography

Chapter 5 Megaloblastic anaemia

Introduction

Underlying basic science

Clinical features

Haematological findings

Cobalamin

Folate

General management of megaloblastic anaemia

Prophylactic folic acid

Megaloblastic anaemia not due to cobalamin or folate deficiency or altered metabolism

Other nutritional anaemias

Selected bibliography

Chapter 6 Haemoglobin and the inherited disorders of globin synthesis

Introduction

The structure, genetic control and synthesis of haemoglobin

Classification of the disorders of haemoglobin

The thalassaemias and related disorders

Structural haemoglobin variants related to thalassaemia (Table 6.3)

Acknowledgement

Selected bibliography

Chapter 7 Sickle cell disease

Introduction

Geographic distribution of sickle mutation

Pathophysiology

Clinical manifestations

Variant sickle cell syndromes

Diagnosis

Therapy

Selected bibliography

Chapter 8 Hereditary disorders of the red cell membrane and disorders of red cell metabolism

Haemolysis

Red cell membrane disorders

The clinical phenotypes of hereditary membrane disorders

Defects of red cell metabolism

The glycolytic pathway (Embden–Meyerhof pathway)

Defence against oxidative stress: the production of reducing power

Pentose phosphate pathway (hexose monophosphate shunt)

Glutathione

Nucleotide metabolism

Selected bibliography

Chapter 9 Acquired haemolytic anaemias

Introduction

Immune haemolytic anaemias

Non-immune acquired haemolytic anaemias

Selected bibliography

Chapter 10 Inherited aplastic anaemia/bone marrow failure syndromes

Introduction

Fanconi anaemia

Dyskeratosis congenita

Shwachman–Diamond syndrome (SDS)

Diamond–Blackfan anaemia (DBA)

Congenital dyserythropoietic anaemia (CDA)

Congenital and cyclical neutropenias

Thrombocytopenia with absent radii (TAR)

Congenital amegakaryocytic thrombocytopenia (CAMT)

Conclusion

Acknowledgements

Selected bibliography

Chapter 11 Acquired aplastic anaemia and paroxysmal nocturnal haemoglobinuria

Acquired aplastic anaemia

Paroxysmal nocturnal haemoglobinuria

Suggested further reading

Selected bibliography

Chapter 12 Red cell immunohaematology

Introduction

Blood group systems

The red cell membrane and chemistry of blood group antigens

Blood group antibodies

Clinical significance of red cell antibodies

Detection of red cell antigen–antibody reactions

Molecular techniques for blood grouping

The ABO system

The Lewis system

P blood groups

I and i antigens and antibodies

The Rh system

The MNS system

The Kell blood group system

Some other blood group systems

Polyagglutinable red cells

The biological significance of blood group antigens

Selected bibliography

Chapter 13 Clinical blood transfusion

Introduction

Blood transfusion and regulatory aspects

The blood donor (Tables 13.1 and 13.2)

Transfusion-transmitted infection (TTI)

Laboratory tests on blood donations

Clinical and laboratory transfusion practice

Laboratory tests in patients

Special requirements for the selection of blood

Safe administration of blood

Complications of blood transfusion

Haemovigilance

Appropriate use of blood and alternatives to allogeneic blood transfusion

Selected bibliography

Chapter 14 Phagocytes

Introduction

Mechanisms of phagocyte function

Production, structure and dysfunction of phagocytes

Selected bibliography

Chapter 15 Lysosomal storage disorders

Lysosomes

Pathophysiology of lysosomal storage disorders

Prevalence

Diagnosis

General aspects of therapy

Prognosis

Clinical manifestations

Selected bibliography

Chapter 16 Normal lymphocytes and non-neoplastic lymphocyte disorders

Introduction

The anatomy of the immune system

Nature of the antigen-specific receptors on T and B cells

Generation of antigen-specific receptors on T and B lymphocytes

B lymphopoiesis

T-cell production and selection in the thymus

The B-cell repertoire

The T-cell repertoire

Natural killer cells

The immune response

Cytokines and their classification

Chemokines and their classification

Interpretation of blood lymphocyte counts

Infectious mononucleosis

Selected bibliography

Chapter 17 The spleen

Evolution of the spleen

Structure and function

Splenomegaly and hypersplenism

Splenectomy

Hyposplenism

Selected bibliography

Chapter 18 The molecular basis of haematological malignancies

Introduction

The cancer genome

Classes of DNA mutations

Inherited predisposition to haematological cancers

From genotype to phenotype

Clonal evolution and subclonal architecture of haematological cancers

Selected bibliography

Chapter 19 Laboratory diagnosis of haematological neoplasms

Introduction

Blood count and blood film

Bone marrow aspirate

Bone marrow trephine biopsy

Cytochemistry

Histology

Flow cytometric immunophenotyping

Immunohistochemistry

Cytogenetic analysis

Fluorescence

in situ

hybridization

Molecular genetic analysis

Laboratory techniques and the WHO classification of tumours of haemopoietic and lymphoid tissues

Conclusions

Selected bibliography

Chapter 20 Acute myeloid leukaemia

Disease epidemiology

Pathophysiology and clinical features

Disease classification

Cytogenetics and molecular genetics

Treatment

Factors influencing the risk of relapse

Detection of measurable/minimal residual disease (MRD)

Impact of prognostic factors on treatment choice

Acute promyelocytic leukaemia

Treatment in the older patient

Management of relapse

Future developments

Selected bibliography

Chapter 21 Adult acute lymphoblastic leukaemia

Introduction

Diagnosis of adult ALL

Prognostic and predictive factors in ALL

Initial approach to a patient with ALL

Supportive care (see also Chapter 23)

Specific treatment of ALL

Specific approaches to defined clinical populations in the treatment of ALL

Selected bibliography

Chapter 22 Childhood acute lymphoblastic leukaemia

Introduction

Epidemiology

Aetiology

Pathogenesis (Figure 22.1)

Clinical features

Differential diagnosis

Laboratory features

Immunophenotypic classification (see also Chapter 19)

Cytogenetic and molecular classification

Prognostic factors

Treatment

Future strategies and conclusions

Acknowledgements

Selected bibliography

Chapter 23 Supportive care in the management of leukaemia

Introduction

Psychological

Reproductive

Anaemia

Thrombocytopenia

Infections

Chemotherapy-induced nausea and vomiting (CINV)

Nutritional

Metabolic complications

Skin, nail and dental problems

Pain

Palliation

Selected bibliography

Chapter 24 Chronic myeloid leukaemia

Introduction

Epidemiology and aetiology

Clinical features, natural history, laboratory haematology and cytogenetics

Treatment

Atypical CML/chronic neutrophilic leukaemia (see also Chapters 25 and 26)

Prospects

Acknowledgement

Selected bibliography

Chapter 25 The myelodysplastic syndromes

Introduction

History

Incidence

Aetiology

Classification

Pathogenesis

Immunological abnormalities in MDS

Apoptosis in MDS

Cytogenetic abnormalities in MDS

Molecular basis of MDS

Diagnosis

Natural history and prognostic factors

International Prognostic Scoring System

WHO Classification-based Prognostic Scoring System

Revised International Prognostic Scoring System

Molecular mutations and prognostic scoring systems

Management and treatment

Myelodysplastic/myeloproliferative diseases

Future directions

Selected bibliography

Chapter 26 Myeloproliferative neoplasms

Introduction

The polycythaemias

Essential thrombocythaemia

Primary myelofibrosis

Mastocytosis

Clonal hypereosinophilic syndromes

Chronic neutrophilic leukaemia

Neutrophilic chronic myeloid leukaemia

Transient abnormal myelopoiesis of Down syndrome

Selected bibliography

Chapter 27 Chronic lymphocytic leukaemia and other chronic B-cell disorders

Introduction

General aspects of diagnostic methodology (see also Chapter 19)

Chronic lymphocytic leukaemia

Other B-cell chronic disorders

The leukaemic phase of indolent NHL

Acknowledgements

Selected bibliography

Chapter 28 T-cell lymphoproliferative disorders

Introduction

Chronic T-cell leukaemias

Peripheral T-cell non-Hodgkin lymphomas

Cutaneous T-cell non-Hodgkin lymphomas

Conclusions

Acknowledgements

Selected bibliography

Chapter 29 Multiple myeloma

Definition

Epidemiology and aetiology

Pathogenesis

Differential diagnosis

Other special forms of plasma cell dyscrasia

Disease complications and their management

Prognostic factors

Treatment

Acknowledgements

Selected bibliography

Chapter 30 Amyloidosis

Introduction

Pathogenesis of amyloid

Systemic AL amyloidosis

Localized AL amyloidosis

Other forms of systemic amyloidosis

Conclusion and future directions

Selected bibliography

Chapter 31 The classification of lymphomas: updating the WHO classification

Introduction

Mature B-cell neoplasms

Mature NK-cell/T-cell neoplasms (see also Chapter 28)

Hodgkin lymphoma (see also Chapter 32)

Selected bibliography

Chapter 32 Hodgkin lymphoma

Introduction

Pathological features

Clinical features

Staging and risk stratification

Management

Conventional frontline treatment

Risk-adapted frontline treatment

Relapsed/refractory disease

Treatment of older patients

Late effects

Conclusion

Selected bibliography

Chapter 33 Non-Hodgkin lymphoma: low grade

Introduction

Epidemiology

Histology and classification of low-grade NHL

Follicular lymphoma

Marginal-zone lymphomas

Waldenström macroglobulinaemia

Mantle-cell lymphoma

Selected bibliography

Chapter 34 Non-Hodgkin lymphoma: high grade

Introduction

Epidemiology

Classification of high-grade lymphomas

Aetiology

Molecular basis of lymphomas (see also Chapter 18)

Diagnosis

Staging

Treatment

Diffuse large B-cell lymphoma

Primary mediastinal (thymic) large B-cell lymphoma

Intravascular large B-cell lymphoma

Burkitt lymphoma

B cell lymphoma, unclassifiable, with features intermediate between diffuse large B-cell lymphoma and Burkitt lymphoma

Transformed lymphomas (see also Chapter 33)

Double-hit or triple-hit lymphomas

DLBCL in HIV-positive patients

Primary central nervous system lymphoma

Post-transplant lymphoproliferative disorder

CNS prophylaxis in high-grade non-Hodgkin lymphoma

Suggested algorithm for therapy of aggressive non-Hodgkin lymphoma (summary)

Rare aggressive T-cell and NK-cell lymphomas (see also Chapter 31)

Future directions

Selected bibliography

Chapter 35 Stem cell transplantation

Immunological basis of stem cell transplantation

Stem cell engraftment

Stem cell mobilization

Conditioning regimens: basic principles

Clinical management of patients undergoing stem cell transplantation

Patient factors determining outcome after allogeneic stem cell transplantation

Indications for transplantation

Factors determining the choice of an allogeneic stem cell donor: the donor algorithm

Management of disease relapse

Future developments in stem cell transplantation

Selected bibliography

Chapter 36 Normal haemostasis

Introduction

Overview of haemostasis

Blood vessels

Coagulation factors

Naturally occurring inhibitors of blood coagulation

Fibrinolysis

Selected bibliography

Chapter 37 The vascular function of platelets

Introduction

Platelet structure and organelles

Animal models

Platelet formation

Thrombus formation

Stimulatory receptors and their signalling pathways

Second messenger pathways underlying activation

The molecular basis of platelet activation

Platelet-based bleeding problems

Platelet function testing

Platelets and thrombosis

Genetics of platelet function disorders

Conclusions and future developments

Acknowledgements

Selected bibliography

Chapter 38 Haemophilia and Von Willebrand Disease

Introduction

Haemophilia

Gene therapy for haemophilia

Haemophilia A and B in females

von Willebrand disease

Selected bibliography

Chapter 39 Rare inherited coagulation disorders

Introduction

Clinical symptoms

Classification

Laboratory diagnosis

Molecular diagnosis

Global haemostasis tests

Treatment

Fibrinogen deficiency

Prothrombin deficiency

Factor V deficiency

Combined deficiency of factor V and factor VIII

Factor VII deficiency

Factor X deficiency

Factor XI deficiency

Factor XIII deficiency

Vitamin-K-dependent coagulation factors deficiency

Concluding remarks

Acknowledgements

Selected bibliography

Chapter 40 Acquired coagulation disorders

Introduction

Tests of coagulation and point-of-care testing

Disseminated intravascular coagulation

Haemostatic dysfunction in acute promyelocytic leukaemia

Vitamin K and related disorders

Haemostatic disturbance in liver disease (Figure 40.5)

Haemostatic disturbance in renal disease

Pregnancy-related haemostatic dysfunction

Haemostatic dysfunction associated with cardiopulmonary bypass surgery

Haemostatic dysfunction associated with trauma

Coagulopathy in massive blood loss

Bruising

Haemostatic dysfunction associated with vasculitis

Arteriovenous malformations

Microthromboembolic disease

Haemostatic dysfunction associated with paraproteinaemia and amyloidosis

Acquired inhibitors of coagulation factors

Selected bibliography

Chapter 41 Congenital platelet disorders

Introduction

Thrombocytopenias

Thrombocytopathies

Treatment

Conclusions

Selected bibliography

Chapter 42 Primary immune thrombocytopenia

Introduction

Clinical features

Reaching a consensus on terminology

Pathophysiology

ITP is multifactorial

T cells may also be involved

Natural history of ITP

Diagnosis

Management

Patients with refractory ITP

TPO receptor agonists

ITP in children

ITP in pregnancy (see also Chapter 50)

Selected bibliography

Chapter 43 Thrombotic thrombocytopenic purpura and haemolytic–uraemic syndrome (congenital and acquired)

Historical introduction

Thrombotic thrombocytopenic purpura

Haemolytic uraemic syndrome

Concluding remarks

Selected bibliography

Chapter 44 Heritable thrombophilia

Introduction

Heritable thrombophilias associated with venous thrombosis

Treatment of patients with venous thrombosis and heritable thrombophilias

Case finding

Prevention of thrombosis associated with oestrogen-containing hormone preparations

Prevention of pregnancy-associated venous thrombosis

Purpura fulminans

Vitamin K antagonist-induced skin necrosis

Thrombophilia and arterial thrombosis

Neonatal stroke (see also Chapter 50)

Laboratory methodology and testing strategy

Counselling and genetic testing

Selected bibliography

Chapter 45 Acquired venous thrombosis

Epidemiology of venous thromboembolism (VTE)

Pregnancy and venous thromboembolism

Immobility as a risk factor for venous thromboembolism

Iatrogenic venous thromboembolism

Antiphospholipid syndrome

Venous thromboembolism and cancer

Thrombotic risk in myeloproliferative disease (polycythaemia rubra vera and essential thrombocythaemia) (see also Chapter 26)

Inflammation and thrombosis

Haematological prothrombotic states due to non-malignant diseases of the blood and bone marrow

Selected bibliography

Chapter 46 Antithrombotic agents

Heparins

Direct thrombin inhibitors

Vitamin K antagonists (VKA)

Non-vitamin K antagonist oral anticoagulants (NOACs)

Antiplatelet drugs

Selected bibliography

Chapter 47 Management of venous thromboembolism

Introduction

Diagnosis of deep vein thrombosis

Diagnosis of pulmonary embolism

Treatment of VTE

Long-term complications of VTE

Risk of recurrence and duration of anticoagulant therapy

Other treatments

Venous thrombosis in unusual sites

Selected bibliography

Chapter 48 Haematological aspects of systemic disease

Anaemia of chronic disease

Malignancy

Connective tissue disorders (Table 48.8)

Renal disease (Table 48.9)

Endocrine disease (Table 48.10)

Liver disease (Table 48.11)

Infections (Tables 48.12 and 48.13)

Haematological aspects of pregnancy (Table 48.15)

Anaemia in the elderly

Haematological aspects of HIV infection (Table 48.16)

Selected bibliography

Chapter 49 Haematological aspects of tropical diseases

Introduction

Ethnic variations in reference ranges

Tropical diseases with organisms in peripheral blood or bone marrow

Tropical diseases associated with changes in FBC and / or coagulation

Non-specific haematological abnormalities associated with tropical diseases

Selected bibliography

Chapter 50 Neonatal haematology

Developmental haemopoiesis

Neonatal anaemia

White cell disorders

Haemostasis and thrombosis in the newborn

Selected bibliography

Chapter 51 WHO Classification: Tumours of the Haematopoietic and Lymphoid Tissues (2008)

Myeloproliferative neoplasms

Myelodysplastic/myeloproliferative neoplasms

Myelodysplastic syndromes

Acute myeloid leukaemia

Precursor lymphoid neoplasms

Mature B-cell neoplasms

Mature T-cell and NK-cell neoplasms

Hodgkin lymphoma

Histiocytic and dendritic cell neoplasms

Post-transplant lymphoproliferative disorders

Notes

Index

EULA

List of Tables

Chapter 3

Table 3.1

Table 3.2

Table 3.3

Table 3.4

Table 3.5

Table 3.6

Chapter 4

Table 4.1

Table 4.2

Table 4.3

Table 4.4

Chapter 5

Table 5.1

Table 5.2

Table 5.3

Table 5.4

Table 5.5

Table 5.6

Chapter 6

Table 6.1

Table 6.2

Table 6.3

Chapter 7

Table 7.1

Table 7.2

Table 7.3

Table 7.4

Chapter 8

Table 8.1

Table 8.2

Table 8.3

Table 8.4

Table 8.5

Table 8.6

Table 8.7

Table 8.8

Chapter 9

Table 9.1

Table 9.2

Table 9.3

Table 9.4

Table 9.5

Table 9.6

Table 9.7

Chapter 10

Table 10.1

Table 10.2

Table 10.3

Table 10.4

Table 10.5

Table 10.6

Table 10.7

Table 10.8

Table 10.9

Table 10.10

Table 10.11

Table 10.12

Chapter 11

Table 11.1

Table 11.2

Table 11.3

Table 11.4

Chapter 12

Table 12.1

Table 12.2

Table 12.3

Table 12.4

Table 12.5

Chapter 13

Table 13.1

Table 13.2

Table 13.3

Table 13.4

Table 13.5

Table 13.6

Table 13.7

Table 13.8

Table 13.9

Table 13.10

Table 13.11

Table 13.12

Table 13.13

Table 13.14

Table 13.15

Chapter 14

Table 14.1

Table 14.2

Table 14.3

Table 14.4

Table 14.5

Table 14.6

Table 14.7

Table 14.8

Table 14.9

Table 14.10

Table 14.11

Table 14.12

Table 14.13

Chapter 15

Table 15.1

Table 15.2

Chapter 16

Table 16.1

Table 16.2

Table 16.3

Table 16.4

Table 16.5

Table 16.6

Table 16.7

Table 16.8

Table 16.9

Chapter 17

Table 17.1

Table 17.2

Table 17.3

Chapter 18

Table 18.1

Table 18.2

Chapter 19

Table 19.1

Table 19.2

Table 19.3

Chapter 20

Table 20.1

Table 20.2

Table 20.3

Table 20.4

Table 20.5

Table 20.6

Chapter 21

Table 21.1

Table 21.2

Table 21.3

Table 21.4

Chapter 22

Table 22.1

Table 22.2

Table 22.3

Table 22.4

Table 22.5

Chapter 23

Table 23.1

Table 23.2

Table 23.3

Table 23.4

Table 23.5

Table 23.6

Chapter 24

Table 24.1

Table 24.2

Chapter 25

Table 25.1

Table 25.2

Table 25.3

Table 25.4

Table 25.5

Table 25.6

Table 25.7

Table 25.8

Table 25.9

Table 25.10

Table 25.11

Table 25.12

Table 25.13

Table 25.14

Table 25.15

Table 25.16

Table 25.17

Chapter 26

Table 26.1

Table 26.2

Table 26.3

Table 26.4

Table 26.5

Table 26.6

Table 26.7

Table 26.8

Table 26.9

Table 26.10

Table 26.11

Table 26.12

Chapter 27

Table 27.1

Table 27.2

Table 27.3

Table 27.4

Table 27.5

Table 27.6

Table 27.8

Table 27.9

Table 27.10

Table 27.11

Table 27.12

Table 27.13

Chapter 28

Table 28.1

Table 28.2

Table 28.3

Chapter 29

Table 29.1

Table 29.2

Table 29.3

Table 29.4

Table 29.5

Table 29.6

Table 29.7

Table 29.8

Table 29.9

Table 29.10

Chapter 30

Table 30.1

Table 30.2

Table 30.3

Chapter 31

Table 31.1

Table 31.2

Table 31.3

Table 31.4

Table 31.5

Chapter 32

Table 32.1

Table 32.2

Table 32.3

Table 32.4

Table 32.5

Chapter 33

Table 33.1

Table 33.2

Table 33.3

Table 33.4

Table 33.5

Chapter 34

Table 34.1

Table 34.2

Table 34.3

Table 34.4

Table 34.5

Table 34.6

Table 34.7

Table 34.8

Chapter 35

Table 35.1

Table 35.2

Table 35.3

Table 35.4

Table 35.5

Table 35.6

Chapter 36

Table 36.1

Chapter 37

Table 37.1

Chapter 38

Table 38.1

Table 38.2

Table 38.3

Table 38.4

Table 38.5

Chapter 39

Table 39.1

Table 39.2

Chapter 40

Table 40.1

Table 40.2

Table 40.3

Table 40.4

Table 40.5

Table 40.6

Table 40.7

Table 40.8

Table 40.9

Chapter 41

Table 41.1

Table 41.2

Table 41.3

Table 41.4

Table 41.5

Chapter 42

Table 42.1

Table 42.2

Table 42.3

Table 42.4

Table 42.5

Table 42.6

Table 42.7

Table 42.8

Chapter 43

Table 43.1

Table 43.2

Table 43.3

Table 43.4

Table 43.5

Table 43.6

Table 43.7

Chapter 44

Table 44.1

Chapter 45

Table 45.1

Table 45.2

Table 45.3

Table 45.4

Chapter 46

Table 46.1

Table 46.2

Table 46.3

Table 46.4

Table 46.5

Chapter 47

Table 47.1

Table 47.2

Table 47.3

Table 47.4

Chapter 48

Table 48.1

Table 48.2

Table 48.3

Table 48.4

Table 48.5

Table 48.6

Table 48.7

Table 48.8

Table 48.9

Table 48.10

Table 48.11

Table 48.12

Table 48.13

Table 48.14

Table 48.15

Table 48.16

Chapter 49

Table 49.1

Table 49.2

Table 49.3

Chapter 50

Table 50.1

Table 50.2

Table 50.3

Table 50.4