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The Treatment of Epilepsy, fourth edition, is a comprehensive reference and clinical guide to the pharmacological, medical and surgical options available in the treatment of epilepsy.
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Edited by
Simon ShorvonMA MB BChir MD FRCP Professor in Clinical Neurology and Consultant Neurologist UCL Institute of Neurology, University College London National Hospital for Neurology and Neurosurgery London, UK Emilio PeruccaMD PhD FRCP(Edin) Professor of Medical Pharmacology Clinical Pharmacology Unit, Department of Internal Medicine and Therapeutics University of Pavia and Director, Clinical Trial Center C. Mondino National Neurological Institute Pavia, Italy Jerome Engel, Jr.MD PhD Jonathan Sinay Distinguished Professor of Neurology Neurobiology, and Psychiatry and Biobehavioral Sciences Director UCLA Seizure Disorder Center David Geffen School of Medicine at University of California Los Angeles, USA
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List of Contributors
Preface to the Fourth Edition
Preface to the First Edition
Historical Introduction The Drug Treatment of Epilepsy from 1857 to 2015
Commentary
Acknowledgement
References
Section I Introduction
1 Definition (Terminology) and Classification in Epilepsy: A Historical Survey and Current Formulation, with Special Reference to the ILAE
Definition
Classification
The future of classification schemes of epilepsy
Definition
Definition and classification – status epilepticus
Afterthought
Acknowledgement
References
2 Differential Diagnosis of Epilepsy
Introduction
General approach to the diagnosis of episodic disturbances
Syncope
Non-epileptic seizures
Panic disorder
Migraine
Sleep disorders
Vertigo
Movement disorders
Cerebral ischaemia
Endocrine and metabolic abnormalities
Transient global amnesia
References
3 Mechanisms of Epileptogenesis
Membrane ion channels
Membrane ion channels as targets for antibodies in acquired autoimmune disorders
Network and system involvement in epileptogenesis
Epileptogenesis as a process
New targets for antiepileptic and antiepileptogenic strategies
Conclusions
References
4 Antiepileptic Drug Discovery
Characteristics of the ideal model system
The current era of AED discovery
Anticonvulsant Screening Program
Early identification of antiepileptic activity
MES, scPTZ and 6-Hz tests
Differentiation of anticonvulsant activity
Pharmacological profile and potential clinical utility
Pharmacoresistant seizure models
Therapeutic index and toxicity assessment
Aetiologically relevant model systems
Beyond the seizure
Antiepileptogenesis and disease modification (see also Chapter 8)
Conclusions
Acknowledgement
References
5 Antiepileptic Drug Development
Introduction
Overview on clinical studies and trials for drug development
Opportunities for developing better antiseizure AEDs
Development of epilepsy drugs beyond suppressing seizures
Conclusions
Acknowledgements
References
6 Mechanisms of Antiepileptic Drug Action
Main targets
Other targets
References
7 Mechanisms of Drug Resistance and Tolerance
Introduction
The concept of drug resistance in epilepsy
Disease-related mechanisms of drug resistance in epilepsy
Drug-related mechanisms of drug resistance in epilepsy
Pharmacogenetic mechanisms of drug resistance in epilepsy
Proof-of-concept of drug resistance hypotheses
Conclusions
References
8 Epilepsy Biomarkers
Introduction
Need for biomarkers
Mechanisms of epilepsy
Potential biomarkers
Research to identify biomarkers
Acknowledgements
References
Section II Principles of Medical Management
9 General Principles of Medical Management
Aims of treatment
When should treatment be started?
Initiation of treatment and dose optimization
Assessing clinical response
What next when the initial treatment fails? – monotherapy and combination therapy
How long should treatment be continued?
References
10 Pharmacokinetic Optimization of Therapy
Introduction
Basic pharmacokinetic principles
Why do individuals respond differently to the same drug concentration?
The concept of reference range
The concept of individual therapeutic concentrations and interpretation of serum concentrations in the clinical setting
Practical aspects in the application of TDM
Tailored therapy and future developments for TDM
Conclusions
References
11 Management of Chronic Active Epilepsy in Adults
Prognosis and outcome of treatment of chronic active epilepsy
Provision of care
Treatment approach for chronic active epilepsy in adult patients
Acknowledgement
References
12 Management of Epilepsy in Remission
Introduction
Risk of relapse upon AED withdrawal
Factors associated with seizure relapse after AED withdrawal
Antiepileptic drug withdrawal after epilepsy surgery
Consequences of relapse
Risks associated with continuing AEDs (or benefits of withdrawal)
Patient attitudes
Clinical therapeutics
References
13 Management of Epilepsy in Neonates and Infants
Introduction
Currently available drug therapies for neonates
Currently available drug therapies for infants
Treatment of acute neonatal seizures and neonatal status epilepticus
Treatment of specific syndromes in the neonatal period
Treatment of specific syndromes in the infantile period
Prognosis and complications of neonatal and infantile seizures
Acknowledgements
References
14 Management of Childhood Epilepsy Syndromes
Introduction
Treatment of childhood epilepsy: the evidence base
References
15 Management of Epilepsy in People with Intellectual Disabilities
The importance of the topic
Comprehensive epilepsy service
Antiepileptic drug treatment
Influence of aetiology and disease mechanisms on epilepsy treatment
Non-pharmacological treatment
Acute seizure treatment with benzodiazepines
Concomitant psychopharmacological treatment
Prognosis of epilepsy in intellectually disabled patients
References
16 Management of Epilepsy in the Elderly
Introduction
Epidemiology
Diagnosis
Clinical presentation of epilepsy in the elderly
Investigations
Electroencephalography
Neuroimaging
Risk of recurrence
Treatment of epilepsy in the elderly
Pharmacokinetic changes
Pharmacodynamic changes
Antiepileptic drug choice
Older antiepileptic drugs
Newer antiepileptic drugs
Comorbid conditions and medication interactions
Epilepsy surgery
Aspects of the impact of epilepsy in old age
References
17 Emergency Treatment of Seizures and Status Epilepticus
Status epilepticus
Drug pharmacokinetics and pharmacodynamics
Treatment of acute seizures and acute repetitive seizures
Treatment of tonic–clonic status epilepticus
Drug treatment of tonic–clonic status epilepticus
Treatment of common forms of non-convulsive status epilepticus
Summary of drug therapies most commonly used in status epilepticus
Acknowledgement
References
18 Management of Medical Comorbidity Associated with Epilepsy
Introduction
Bone health in epilepsy
Organ dysfunction
Cancer and epilepsy
Infections and epilepsy
Connective tissue disorders
Pulmonary disease
Cardiac disease
References
19 Psychiatric Features of Epilepsy and their Management
Anxiety and affective disorders
Prevalence of anxiety and affective disorders in epilepsy
‘Bidirectional relationship’ between epilepsy and depression
Diagnostic criteria
Atypical affective disorders in epilepsy
Generalized anxiety disorder
Panic disorder
Obsessive–compulsive disorder
Suicide
Treatment of depression in epilepsy
Pharmacokinetic interactions between antidepressants and AEDs
Pharmacodynamic interactions
Cognitive behavioural therapy
Electroconvulsive therapy, transcranial magnetic stimulation and vagal nerve stimulation
Deep brain stimulation for treatment-resistant depression
Psychoses of epilepsy
Ictal delirium
Ictal psychosis (complex partial status epilepticus)
Postictal psychosis
Interictal psychosis
Therapy of psychosis in epilepsy
Postoperative psychiatric disorders
Forced normalization
Personality disorders in epilepsy
Mental and behavioural disorders secondary to AED use
References
20 Prevention and Management of Side-effects of Antiepileptic Drugs
Types of adverse effects
Prevention and management of adverse effects
References
21 Ketogenic Diets
Introduction
Mechanisms of action
Seizure outcomes
Ketogenic diets and adults
Alternative ketogenic diets
Indications for the ketogenic diet
Calculation of the ketogenic diet
Initiation of the ketogenic diet
Handling increased seizures
Discontinuation of the ketogenic diet
Side-effects
Conclusions
Acknowledgements
References
22 Complementary and Alternative Treatments for Epilepsy
Introduction
Importance of indirect benefits
Ancient medical traditions
Herbal remedies
Homeopathy
Behavioural approaches
Conclusions
References
23 Reproductive Aspects of Epilepsy Treatment
Fertility
Birth control
Pregnancy in women with epilepsy
Implications for the treatment of women of child-bearing age
References
24 Genetic Counselling in Epilepsy
Introduction
The pedigree as a diagnostic tool
Risk assessment
Genetic testing
Mode of inheritance of genetic disorders
Genetic counselling in epilepsy: approaching a heterogeneous disorder
Genetic syndromes including epilepsy as an important clinical feature
Conclusions
References
25 Drug Interactions
Introduction
Mechanisms of drug interactions
Pharmacokinetic interactions
Pharmacodynamic interactions
Conclusions
References
26 Medical Treatment of Epilepsy in Resource-Poor Countries
Introduction
Diagnosing epilepsy in LAMICS
Treating epilepsy in LAMICs
Epilepsy service organization in LAMICS
References
Section III Antiepileptic Drugs
27 Introduction to the Choice of Antiepileptic Drugs
Spectrum of efficacy in relation to seizure types and epilepsy syndromes
Magnitude of efficacy in specific seizure types
Adverse effect profile
Drug interaction potential
Impact on comorbidities
Other medication-related factors
Importance of patient-related factors
Conclusions
References
28 Acetazolamide
Introduction
Chemistry
Mechanism of action and activity in animal models
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
References
29 Adrenocorticotropic Hormone and Corticosteroids
Introduction
Chemistry
Mechanisms of action
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Current place in therapy
References
30 Benzodiazepines Used in the Treatment of Epilepsy
Introduction
Chemistry
Mechanisms of action
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place of benzodiazepines in current therapy
References
31 Brivaracetam
Introduction
Chemistry
Pharmacology
Toxicology data
Pharmacokinetics
Drug interactions
Efficacy
Adverse events
Place in current therapy
Acknowledgements
References
32 Carbamazepine
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
Mode of use
References
33 Eslicarbazepine Acetate
Introduction
Chemistry
Activity profile in animal models and mechanisms of action
Pharmacokinetics
Drug interactions
Serum drug level monitoring and pharmacokinetic–pharmacodynamic relationships
Efficacy
Adverse effects
Place in current therapy
Acknowledgments
References
34 Ethosuximide
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
References
35 Felbamate
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
Acknowledgement
References
36 Gabapentin
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
Acknowledgement
References
37 Lacosamide
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
References
38 Lamotrigine
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Distribution
Elimination
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Sudden unexpected death in epilepsy
Place in current therapy
References
39 Levetiracetam
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
Acknowledgement
References
40 Oxcarbazepine
Introduction
Chemistry
Pharmacology and mechanism of action
Pharmacokinetic properties
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Mode of use
Current place in therapy
References
41 Perampanel
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
References
42 Phenobarbital, Primidone and Other Barbiturates
Introduction
Phenobarbital
Primidone
Other barbiturates
References
43 Phenytoin
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
References
44 Piracetam
Introduction
Chemistry and mechanism of action
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
References
45 Pregabalin
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
References
46 Retigabine
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Clinical efficacy
Adverse effects
Current place in therapy
References
47 Rufinamide
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Current place in therapy
Acknowledgement
References
48 Stiripentol
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Current place in therapy
References
49 Tiagabine
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
References
50 Topiramate
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
References
51 Valproate
Introduction
Chemistry
Pharmacology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
Acknowledgement
References
52 Vigabatrin
Introduction
Chemistry
Pharmacology and toxicology
Pharmacokinetics
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
References
53 Zonisamide
Introduction
Chemistry
Pharmacology
Drug interactions
Serum level monitoring
Efficacy
Adverse effects
Place in current therapy
Acknowledgement
References
54 Other Less Commonly Used Antiepileptic Drugs
Introduction
Bromide
Lidocaine
Methsuximide
Paraldehyde
Sulthiame
Acknowledgement
References
55 Drugs in Clinical Development
Introduction
Allopregnanolone (SAGE-547 Injection)
Cannabinoids
2-Deoxy-d-glucose
Everolimus
Ganaxolone
Huperzine A (INS-001)
NAX 810-2
Pitolisant
PRX-00023 (naluzotan)
Selurampanel
Tonabersat
YKP3089
Precision therapeutics and the promise of genomics
Conclusions
References
Section IV Presurgical assessment and epilepsy surgery
56 Overview of surgical treatment for epilepsy
Introduction
Historical perspective
Epileptic disorders
The progressive nature of epilepsy
The concept of surgically remediable epilepsies
Types of surgical treatment for epilepsy
Presurgical evaluation
Outcome
Acknowledgements
References
57 Scalp EEG in the epilepsy surgery evaluation
Introduction
Technical considerations
Interictal EEG
Ictal scalp EEG
Ictal behaviour: the role of video
Seizure activation during video-EEG monitoring
Conclusion
References
58 Invasive EEG in presurgical evaluation of epilepsy
Introduction
Indications for intracranial EEG monitoring
Identifying networks on intracranial EEG
Technical aspects in intracranial EEG
Specific intracranial electrode techniques
Interpretation of invasive EEG recordings
Functional cortical mapping and advanced electrophysiological techniques
References
59 MEG in epilepsy surgery evaluation
Introduction
Method
Applications of magnetic source imaging in epileptic patients
MEG in presurgical evaluation
Acknowledgement
References
60 MRI in presurgical evaluation
Introduction
When to use MR imaging and where to perform it
General MRI protocol
Common epileptogenic lesions
Specific MRI protocols
Postprocessing
References
61 PET and SPECT in presurgical evaluation of epilepsy
PET and SPECT in presurgical evaluation of patients with refractory partial epilepsy
PET
SPECT
Multimodality imaging
References
62 Special neurophysiological techniques
Introduction
Source imaging of interictal spikes: methodology and validation
Imaging of the spiking volume
Validation studies of interictal spikes source imaging
Clinical relevance of spikes source imaging in presurgical evaluation of epilepsy
The modelling of ictal discharges
Functional connectivity studies
Conclusions
References
63 Neuropsychological testing in presurgical evaluation
Introduction
Determination of site of dysfunction
Potential pitfalls in presurgical evaluation
Temporal neocortex
Medial temporal lobe function: memory assessment
Evaluation of frontal lobe function
Parietal lobes
Occipital lobes
Computer-assisted batteries
Summary
Intracarotid anaesthetic procedures
Conclusion
Acknowledgments
References
64 Presurgical psychiatric evaluation
Introduction
The case for a presurgical psychiatric evaluation in every s\urgical candidate
Epilepsy surgery has a positive impact on presurgical psychiatric disorders
Impact of presurgical psychiatric history on postsurgical psychosocial outcome
Impact of presurgical psychiatric illness on postsurgical seizure outcome
Psychiatric aspects of paediatric epilepsy surgery
Presurgical psychiatric protocols
Disclosure of postsurgical psychiatric complications
Conclusions and future directions
References
65 Mesial temporal lobe surgery and other lobar resections
Introduction
Current practices of medial temporal lobe surgery
Extratemporal resections and temporal lobe resections outside the medial temporal lobe
Lobar epilepsy surgery evaluation
Epilepsy surgery outcomes
Epilepsy surgery complications
New therapies and future directions
Conclusion
Acknowledgement
References
66 Resective surgery of neoplasms
Introduction
Focal or localization-related epilepsy
Mechanism of epileptogenesis associated with structural mass lesions
Pathology: neoplastic lesions
Presurgical evaluation
Treatment
Outcome
References
67 Resective surgery of vascular and infective lesions for epilepsy
Introduction
Vascular lesions
Infective lesions
References
68 Surgery of developmental anomalies causing epilepsy
Introduction
Epidemiology
Selection of surgical candidates
Presurgical evaluation: to determine the extent of the epileptogenic zone
Surgical outcome
Conclusion
References
69 Hemispheric operations for epilepsy
Introduction
Indications
Evolution of the surgical techniques
Seizure outcome
Conclusion
References
70 Corpus callosum operations
Introduction
Indications
Surgical technique
Conclusion
References
71 Hypothalamic hamartoma
Introduction
Clinical features
Aetiology
Treatment
Surgical treatment
References
72 Multiple subpial transection
Introduction
Planning for multiple subpial transection
Cortical surgical anatomy
Operative procedure
Transections
Outcome
Indications for multiple subpial transection
Surgical morbidity
Conclusions
Acknowledgment
References
73 Awake surgery for epilepsy
Introduction
Preoperative and intraoperative functional assessments
Anaesthesia for awake craniotomy
Indications for awake tailored resection for medically refractory epilepsy versus anatomically guided resections
Technical aspects of temporal lobe resection tailored to intraoperative recording and stimulation
References
74 Epilepsy surgery in children
Introduction
Therapy-resistant epilepsy and the rationale for early seizure control
Risks of uncontrolled epilepsy
Symptomatic substrates in surgically treated children
Pre-evaluation in paediatric epilepsy surgery
Surgical interventions for epilepsy in children
Anaesthesia and perioperative considerations
Outcomes in paediatric epilepsy surgery: seizure remission and cognitive/psychosocial results
Conclusion
Acknowledgement
References
75 Complications of epilepsy surgery
Introduction
Complications of invasive procedures for presurgical assessment
Therapeutic procedures
Risk management
Conclusion
References
76 Anaesthesia for epilepsy surgery
Overview
Preanaesthetic evaluation for epilepsy surgery
Anaesthesia and antiepileptic therapy
Anticonvulsant and proconvulsant effects of anaesthetics
Anaesthesia and intraoperative electrocorticography
Anaesthesia for diagnostic procedures prior to epilepsy surgery
General anaesthesia for epilepsy surgery
Anaesthesia for epilepsy surgery with awake intraoperative functional brain mapping
Anaesthesia for vagal nerve stimulator placement
Anaesthesia for epilepsy surgery in infants and children
Anaesthesia for stereotactic MRI-guided laser ablation of epileptogenic foci
Conclusion
References
77 Vagus and trigeminal nerve stimulation
Introduction
Practical aspects of vagus nerve stimulation
Actions of vagus nerve stimulation and efficacy in animal models of epilepsy
Efficacy studies of vagus nerve stimulation
Safety and tolerability of vagus nerve stimulation
Clinical use of vagus nerve stimulation for epilepsy
Emerging technologies for vagus nerve stimulation
Trigeminal nerve stimulation for epilepsy
Conclusion
References
78 Brain stimulation for epilepsy
Introduction
Concept and requirements for programmed or chronic stimulation
Concept of responsive neurostimulation
Previous studies of chronic or programmed central neurostimulation
Clinical studies of responsive neurostimulation
Unresolved questions
Conclusion
References
79 Non-resective approaches for medically intractable epilepsy
Introduction
Preclinical evidence
Mesial temporal lobe epilepsy
Hypothalamic hamartoma-associated gelastic epilepsy
Arteriovenous malformations
Cavernous malformations
Long-term radiosurgical complications
Antiepileptic mechanisms of radiosurgery
Laser ablation
Focused ultrasound
References
80 Future focal treatment approaches to epilepsy
Introduction
Focal treatment principles
Focal drug delivery
Focal cooling
Genetic approaches to treatment
New therapeutic approaches for focal epilepsy
Conclusion
Acknowledgements
References
81 Epilepsy surgery in countries with limited resources
Introduction
The need for epilepsy surgery in countries with limited resources
Challenges to implement epilepsy surgery programmes
Simplification of presurgical evaluation protocols in surgically remediable epilepsies: conceptual advances and the impact on epilepsy surgery in countries with limited resources
The stepwise approach and the minimal requirements for epilepsy surgery
Present state of epilepsy surgery in resource-limited countries
Surgical treatment gap
Temporal trends in epilepsy surgery in resource-limited countries
Surgical outcome in resource-limited countries
Is epilepsy surgery cost-effective in resource-limited countries?
Are minimum requirements for performing epilepsy surgery changing?
A final word on education, early identification of refractory seizures and the value of epilepsy surgery
Conclusions
References
Index
EULA
Historical Introduction
Table 1
Table 2
Table 3
Table 4
Table 5
Table 6
Table 7
Table 8
Table 9
Chapter 1
Table 1.1
Table 1.2
Table 1.3
Table 1.4
Table 1.5
Table 1.6
Table 1.7
Table 1.8
Table 1.9
Table 1.10
Table 1.11
Table 1.12
Table 1.13
Table 1.14
Chapter 2
Table 2.1
Table 2.2
Table 2.3
Table 2.4
Table 2.5
Chapter 4
Table 4.1
Chapter 5
Table 5.1
Table 5.2
Chapter 6
Table 6.1
Table 6.2
Table 6.3
Chapter 7
Table 7.1
Chapter 8
Table 8.1
Table 8.2
Chapter 9
Table 9.1
Table 9.2
Chapter 10
Table 10.1
Table 10.2
Chapter 11
Table 11.1
TABLE 11.2
Table 11.3
Table 11.4
Table 11.5
Table 11.6
Table 11.7
Table 11.8
Chapter 12
Table 12.1
Table 12.2
Chapter 13
Table 13.1
Table 13.2
Table 13.3
Chapter 14
Table 14.1
Table 14.2
Table 14.3
Table 14.4
Table 14.5
Chapter 15
Table 15.1
Table 15.2
Table 15.3
Table 15.4
Table 15.5
Table 15.6
Table 15.7
Table 15.8
Chapter 16
Table 16.1
Table 16.2
Table 16.3
Table 16.4
Table 16.5
Table 16.6
Chapter 17
Table 17.1
Table 17.2
Table 17.3
Table 17.4
Table 17.5
Table 17.6
Chapter 18
Table 18.1
Table 18.2
Table 18.3
Table 18.4
Table 18.5
Table 18.6
Chapter 19
Table 19.1
Table 19.2
Table 19.3
Chapter 20
Table 20.1
Table 20.2
Table 20.3
Chapter 21
Table 21.1
Table 21.2
Table 21.3
Table 21.4
Chapter 22
Table 22.1
Chapter 23
Table 23.1
Table 23.2
Table 23.3
Table 23.4
Table 23.5
Chapter 24
Table 24.1
Table 24.2
Table 24.3
Table 24.4
Table 24.5
Table 24.6
Table 24.7
Chapter 25
Table 25.2
Table 25.3
Table 25.4
Table 25.5
Table 25.6
Table 25.7
Chapter 27
Table 27.1
Table 27.2
Table 27.3
Chapter 28
Table 28.1
Table 28.2
Table 28.3
Table 28.4
Chapter 29
Table 29.1
Chapter 30
Table 30.1
Table 30.2
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
Chapter 35
Table 35.1
Table 35.2
Table 35.3
Chapter 36
Table 36.1
Table 36.2
Chapter 37
Table 37.1
Table 37.2
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
Table 39.3
Table 39.4
Chapter 40
Table 40.1
Table 40.2
Table 40.3
Table 40.4
Table 40.5
Chapter 41
Table 41.1
Chapter 42
Table 42.1
Table 42.2
Table 42.3
Table 42.4
Table 42.5
Chapter 43
Table 43.1
Table 43.2
Table 43.3
Table 43.4
Table 43.5
Table 43.6
Table 43.7
Chapter 45
Table 45.1
Table 45.2
Chapter 46
Table 46.1
Table 46.2
Chapter 47
Table 47.1
Table 47.2
Table 47.3
Chapter 49
Table 49.1
Table 49.2
Chapter 50
Table 50.1
Table 50.2
Chapter 51
Table 51.1
Table 51.2
Table 51.3
Chapter 53
Table 53.1
Table 53.2
Chapter 56
Table 56.1
Table 56.2
Table 56.3
Table 56.4
Table 56.5
Table 56.6
Table 56.7
Chapter 57
Table 57.1
Chapter 58
Table 58.1
Table 58.2
Table 58.3
Chapter 60
Table 60.1
Table 60.2
Chapter 62
Table 62.1
Table 62.2
Chapter 66
Table 66.1
Table 66.2
Table 66.3
Table 66.4
Table 66.5
Table 66.6
Table 66.7
Chapter 67
Table 67.1
Table 67.2
Table 67.3
Chapter 68
Table 68.1
Chapter 69
Table 69.1
Chapter 71
Table 71.1
Chapter 72
Table 72.1
Chapter 74
Table 74.1
Table 74.2
Chapter 77
Table 77.1
Table 77.2
Chapter 78
Table 78.1
Chapter 80
Table 80.1
Chapter 81
Table 81.1
