für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Young medical students have to confront significant amount of stress throughout their career which affects their physical as well as mental health. Rate of depression & suicides have been found to be higher in medical students than in other graduate students. How a student handle a stressful situation depends on his or her personality. Type D personality is based on the two stable personality traits of negative affect & social inhibition. Persons with Type D personality are at increased risk for developing depression and other psychiatric disorders. A total of 295 medical students (226 male & 69 female) are included in this study to determine prevalence of depression & type D personality among medical students of Midnapore Medical College, West Bengal to find out whether they have any significant association or not. Moreover, Perceived Stress Score Index (PSSI) among study population was carried out to compare it among students with and without depression. ····· 10361101375
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Over the decades, peroral delivery has been the popular route of administration for the majority of therapeutic agents targeting systemic delivery. Oral administration generally leads to extensive presystemic elimination, which may include GI degradation, metabolism, or first-pass clearance via the liver. Transmucosal drug delivery offers attractive alternative routes for administration of drugs and may avoid the significant drawbacks of peroral and parenteral administration. These routes of administration bypass first pass metabolism by delivering drug directly into the systemic circulation. Buccal drug delivery offers several advantages over the oral route and other alternative routes of drug administration. The membranes that line the oral cavity are readily accessible, robust, and exhibit fast cellular recovery following local stress or damage and are exposed to various exogenous compounds. Properly constructed oral transmucosal drug delivery systems are easy and painless to administer and well accepted by the patient. Precise localization of the dosage form is possible and there is the ability to terminate delivery when required (e.g. because of toxicity). ····· 10361101359
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Maternal mortality in Bangladesh is 320 per 100,000 live births between the years of 1998 and 2000. In Bangladesh, around 4 million women become pregnant each year and more than half million women suffered pregnancy complications. This study attempts to evaluate the levels, patterns and trends of utilization of maternal health services in Bangladesh. This is a descriptive study based on national surveys of Bangladesh Demographic and Health Survey (BDHS) 2004, BDHS 1999-2000, BDHS 1996-1997 and BDHS 1993-1994. Despite the gaps in access to skilled delivery, delivery at health facility, assistance sought for pregnancy complications and postnatal care, receiving antenatal care, tetanus toxoid and delivery by cesarean have made a remarkable progress. Delivery at health facility and assistance sought from medically trained providers remained resistant to change. Women sought assistance for their complications around delivery from non-medically trained providers. Very few women received postnatal care though it was a period during which most maternal deaths occurred. ····· 10361101344
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Methadone is a synthetic opiate mu receptor agonist that is widely used in the management of opiate dependence is to prevent opiate users from injecting and sharing needles in order to reduce the spread of blood borne viruses. Therefore in this study we aimed to determine the safe and effective dose of methadone in terms of treatment retention rate and re-injecting behaviour. They were treated according to guidelines provided by Ministry of Health Malaysia.We found that adequate daily doses of methadone were an important determinant in order to achieve successful outcome in patients on MMT. ····· 10361101322
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Medicinal plant preparations have found widespread use particularly in the case of diseases not amenable to treatment by modern methods. Semecarpus anacardium (SA) linn (Family: Anacardiaceae), is a plant well-known for its medicinal value in ayurvedic and siddha system of medicine. Chemical and phytochemical analyses of Semecarpus anacardium nut reveal the presence of biflavonoids, phenolic compounds, bhilawanols, minerals, vitamins and amino acids. The results of preclinical and toxicity study provide the necessary data for further clinical trials in immunomodulatory disorders with SA nut as an add on` therapy to established immunomodultory agents. Semecarpus anacardium can be a potential complementary in drug therapy as immunomodulator in cancer therapy. ····· 10361101309
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The book chronicles poignant experiences of family members who provided care for HIV and AIDS patients before antiretroviral drugs were available in the public health sector in Lesotho. Central to the caregivers` experiences is the patients` bodies that need attention, resist care and project suffering. The issues of confidentiality, the minimum package of care , de-medicalisation of HIV/AIDS care and rationing are discussed to illustrate their significance in the studied care contexts. Policy and practice that are consistent with the ethic of care and ubuntu are needed in the provision of humane interventions. It is concluded that improved communication between care-recipients, health care providers and family caregivers about HIV diagnosis and prognosis as well as improved access to appropriate medical care are consistent with the ethic of care and ubuntu and these could influence caregiving experiences positively. ····· 10361101243
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Osteoporosis is widely recognized as a major public health problem. It is a serious metabolic bone disorder that often results in hip fracture and is usually asymptomatic in its initial stages. It is mainly seen in elderly people as decreased quantities of sex hormones is one important factor causing bone loss. Most patients suffering from osteoporosis are post-menopausal women exhibiting loss of estrogen. Also, menopause is associated with a substantial decline in melatonin secretion which subsequently stimulates bone resorption. Numerous drugs are approved for both the prevention and treatment of osteoporosis but with multiple side effects. This book, therefore, provides new insights for developing novel melatonin analogues containing heterocyclic moieties that could be expected to be alternative modalities for prevention and intervention of osteoporosis in ovariectomized rats as an experimental model for postmenopausal osteoporotic women. Our finding could be useful for future strategies for osteoporosis management in postmenopausal women. ····· 10361101238
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There is substantial evidence from the developed world that health care provision is an industry that frequently, and, avoidably, harms vulnerable people. Over the last decade, the awareness of policy makers and health professionals about patient safety has been raised in many countries all over the world through important reports proposing recommendations for improvement.In spite of the relatively low dispensing error rates further improvements in pharmacy distribution systems are still important because pharmacies dispense such high volumes of medications that even a low error rate can translate into a large number of errors. Human error is inevitable, and organizational risk management experts have proposed the deployment of robust defense systems in the dispensing process.This monograph, reports on three separate but related dispensing error studies aimed at evaluating some of the potential causes of errors and error defense operations in the dispensing process in selected UK hospitals. ····· 10361101229
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A new, simple, rapid, selective, precise and accurate isocratic RP-HPLC assay has been developed for simultaneous estimation of Ciprofloxacin Hydrochloride, Ofloxacin, Tinidazole and Ornidazole in tablet formulations. The separation was achieved by using C-18 column (Phenomenax, 250 x 4.6mm i.d.) coupled with a guard column of same material, in mobile phase Acetonitrile: Water: Tri ethylamine (25:75). The pH of mobile phase was adjusted to 6.0 ± 0.1 with 50% ortho phosphoric acid. The flow rate was 1.0 mL.min-1 and the separated drugs were detected using UV detector at the wavelength of 300 nm. The retention time of Ciprofloxacin Hydrochloride, Ofloxacin, Tinidazole, and Ornidazole was noted to be 2.7, 3.5, 4.5 and 5.8 min, respectively, indicative of rather shorter analysis time. The method was validated as per ICH guidelines. The proposed method was found to be accurate, reproducible, and consistent. It was successfully applied for the analysis of these drugs in marketed formulations and could be effectively used for the routine analysis of formulations containing any one of the above drugs, or a combination, without any alteration in the chromatographic conditions. ····· 10361101224
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book is based on critical analysis of healthcare partnerships between public and private sectors (PPPs). Additionally, a protocol of norms and standards was also developed and implemented in analysing two Jordanian PPPs. Generally, Health PPPs successfully provided high quality and cost-effective national health services, and internationally helped developing countries in fighting neglected diseases by mobilising further resources, assets and support. Also, in developing and producing new vaccines at low prices, and forming multiple diseases ventures. However, PPPs brought some unwelcomed side effects. The Jordanian PPPs were effective in supporting and enhancing women`s health, enhancing quality of private sector health services, and reinforcing health system. The protocol was effective in assessing and evaluating current healthcare partnerships, and can be used in the planning process of future healthcare partnerships. ····· 10361101170
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray 1- Of the five tested minor blood groups MNSs, Duffy and Kidd are the most informative. 2- The use of the highly polymorphic three DNA loci is superior to blood groups 3- Single exclusion by the blood groups or DNA fingerprinting may be considered as false exclusion. 4- Blood groups testing for paternity determination have in general low values of probability of paternity 5- DNA fingerprinting for paternity determination has higher values of PP in legal fathers 6- The combination of major and minor blood groups with three DNA loci has the highest PP in legal fathers and it is superior to the blood grouping only or DNA fingerprinting only. 7- The combination of major blood groups (ABO & Rh) with three DNA loci is proved to be the most reliable test system ····· 10361101162
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Assessment of growth is a single measurement that best defines the health & nutritional status of children. Malnutrition is an important public health problem in developing countries being indirectly responsible for a high proportion of deaths among children under 5 years. A cross-sectional retrospective study was carried out in Khwisero division, Western Kenya with the aim of establishing the nutritional status of children 6-24 months),the performance of the growth monitoring programme in this community against the laid down aims of the programme. Previous researches in this division has indicated that it had the highest prevalence of infant and child mortalities compared to other divisions. This book therefore provides the results of a research aimed at establishing the nutritional status of children, frequency of growth monitoring, in relation to various socio-economic characteristics of their caregivers. The analysis will help shed some light on the various factors that influence child growth monitoring programme adherence in developing countries and suggestions for improvements. ····· 10361101149
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray One technique for making a dressing is electrospinning, which is a very simple procedure used to produce fibers. Due to much smaller fiber- diameters than produced with the conventioanl technique, the fibers from electrospinning have unique properties: high porosity and high surface areas, which are advantageous for wound healing. This book covers both the theory and applications of wound dressings made from eletrospinning process and should be found useful for anyone who is interested on this subject. ····· 10361101099
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The Level of Expressed Emotion is a measure of perceived emotional climate of one`s social environment. The measure has been used in previous studies in predicting relapse in other psychological disorders. This study sought to investigate the relationship of the level of expressed emotion and the quality of life of PLWHA. The LEE scale and the WHOQOL-HIV were administered to 72 participants who were HIV positive and a control group of 43 participants who were HIV negative. The LEE scale`s four dimensions were used to establish the overall level of expressed emotion of the participants. The QOL of PLWHA was found out to be relatively higher than that of HIV negative participants. The results also indicated an inverse correlation between the LEE and the QOL that participants perceived themselves to have. Male participants were found to have higher EE than female participants and the QOL was generally low for males than females. The findings suggest that future interventions in HIV positive people should take into account their home environment and issues of care and support in their families. ····· 10361101034
für 49.41€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Welcome to the first concise book of Skull fracture. It has always been our intent to produce a practical user-friendly book that helps clinicians and surgeons manage their patients who have skull fractures or skull trauma. We have accomplished this through a systematic approach to each type of skull fracture that enables you to find the information you need quickly, including what to look for, what to do in the acute setting, how to manage the fracture long term, and when to refer. The many high-quality radiographs and illustrations help clinicians properly identify those fractures that can be managed by primary care providers and those that need to be referred. Focus has been placed on including a greater number of images, approaches and treatment modality in this book. The resolution has been heightened and summarized details of skull fractures: that is to equip a wide variety of medical professionals with a general understanding of skull fracture. We hope, this book is a reliable reference for what you need to remember, regardless of time day or night. ····· 10361100979
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book traces the health care crisis, reforms and transition in Kenya. The application of the various health care policy reforms and transformational strategic approaches, however, is not designed exclusively for sociologists but to a wide array of health care financing and management specialists such as nurses, public health officers, health administrators and management practitioners. Practically, the book traces the origin and evolution of health care services delivery crisis since the introduction of the Structural Adjustment Programmes (SAPs) in the 1990s and the reforms that were instituted to ameliorate the situation. This book therefore provides useful insights into the implementation of health care reforms in the country and the mechanisms used to steer the health sector out of the SAPs quagmire. The analysis is critical in shading some light on the health care crisis, reforms instituted and the transformation made with regard to users` satisfaction with health care services, acceptability of user fees and the performance of the District Health Management Boards (DHMBs). ····· 10361100937
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Since the beginning of Radiation Therapy, the Radiation Mold Technology has continued to develop. It continues to find new applications, most notably, so far as mold technology, in the development of delivery a homogenous dose of radiation to an accurately localized target volume in order to produce tumor control with minimal effect on surrounding normal tissues. Mold technology itself has also moved forward. No self-respecting mold room will now wish to be seen without Simple or complex immobilization devices and even automatic Styrofoam cutters are to be found in some departments. The automatic Styrofoam offers real advantages for lead blocks cutting. The manual Styrofoam is now supplanted by fully digital approaches, offering the advantage of greater reliability and the ability to handle accurate foam cutting. Radiation Mold Technology`s role in Radiotherapy is increasing, for example in immobilization of the affected part of the patient, Localization to assess the size and relationship of the tumor volumes to the skin, Protection of vital structures adjacent to the tumor volume and Reproducibility of treatment technique. ····· 10361100918
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In recent years, the governance of the health system has become a key issue of discussion for international organisations such as the WHO, the WB, UNDP, USAID and the EC. Furthermore, they state that spending on health would not alone achieve the intended results in health without addressing governance. The study aims to recommend specific strategies to strengthen governance of the DHA in Bihar. In doing so, it first identifies and critically analyses the causes of poor governance. Moreover, it reviews theories and documented effective examples of strengthening governance in the district level health systems in low and middle income countries. The study finally analyses various strategies for strengthening governance and outlines appropriate governance for the DHA. To undertake this study, a framework developed by Brinkerhoff et al. (2008) is used, which covers leadership and management capacity, accountability, community participation and transparency in decision making. The methodology primarily involves reviewing secondary data however, a number of health and development professionals were contacted to obtain a number of practical experiences. ····· 10361100894
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Complex humanitarian emergencies are an unfortunate contemporary reality. Responding to immediate health needs requires urgent action to reduce excess mortality and morbidity. However, from a strategic perspective, it is desirable that post-conflict humanitarian assistance build the foundation for the future development of a strong national health system. Is it possible to use short-term relief efforts as a set of opportunities to eventually develop a sustainable health sector Research on conflict and post-conflict health has thus far ended at emergency needs and programs. In CREATING OPPORTUNITIES FROM CRISIS, Daphne Hemily creates a conceptual framework that looks beyond the immediate response by examining the potential for health care system transition. Haiti`s post-conflict and recent post-earthquake decisions are evaluated through this model to assess the success of the country`s attempts to rebuild their health sector. Lessons learned are consolidated to guide health system reconstruction strategies and highlight the opportunities that emerge from crises. ····· 10361100859
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Vitamin D deficiency has suggested that not only a biochemical abnormality, but is also associated with adverse effect of poor bone mineralization in growing children and adolescents. The findings of the present study clearly demonstrate that vitamin D deficiency occurs in a high proportion of adolescent girls, regardless of what 25(OH)D level is used to define vitamin D deficiency. In addition, body mass index (BMI), milk intake, participation in organized sports and total physical activity all emerged as major determinants of vitamin D status. The relationship between vitamin D status and bone mass and bone biomarkers showed that girl participants with a higher vitamin D status had significantly higher bone mass at the total body and distal and proximal forearm, and higher concentrations of IGF-I, lower concentrations of BAP and a lower urine Dpd/creatinine ratio compared to those of poor vitamin D status. Therefore, continuous participation in high physical activity, and adequate vitamin D status throughout childhood and late adolescence could help achieve maximum peak bone mass at maturity and thus reduce the risk of osteoporotic fractures later in life. ····· 10361100744
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Modern health care increasingly faces ethical problems in relation to new technologies, costs and rationing and changing social values. An ageing population and an increase in the prevalence of chronic diseases have led to difficult choices in allocation of limited resources. There is greater public awareness of ethical issues through media reporting and a greater demand for public accountability of health care professionals. Health care professionals need not only strive to give the best possible clinical care, but also have to consider the ethical dimensions of the care they provide. To ensure high ethical standards in patient care, individual health care professionals and health care institutions need support and advice.The author argues that clinical ethics committees serve that purpose. ····· 10361100681
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The book is about exploring the reasons of why people do not practice what they have known. It is a crucial part in health promotion. An example of mothers of children with diarrhoea is widely elaborated in this book. Psychological analysis and contextual community understanding and belief are well discussed using social and psychological perspective of analysis. The unmatched biomedical concept and community understanding are well presented in this study. Evidence of this study allowing us to learn the need of translating biomedical language into a more contextual language of any targeted communities to enhance the health of the people. ····· 10361100661
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book was produced to answer the need expressed by dental physicians, dental surgeons and radiology technologists for a clear and detailed description of the application of analysis approach in noise estimation using one of image processing programs. The issue of whether the dentist should use the radiographs in diagnosis or delegate this task to the radiographic technologist must be tackled responsibly for achieving radiographic quality and accurate radiation dose. This book also presents a new approach for Independently Identically Distributes (IID) noise in panoramic images and reduction of the redundancy in the image data using image processing technique. In addition, it highlights the role of the proposed approach (Noise Variance) by preservation of the image`s overall look, preservation of the diagnostic content in the image, detection of small and low contrast details in the diagnostic content of the image. Furthermore, it highlights the role of using image processing technique in Radiology. ····· 10361100380
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Tuberculosis is the leading cause of death and common presenting illness among people living with HIV. Likewise, HIV infection is more common among tuberculosis patients than among the general population. The consequence of failing to diagnose TB in person living with HIV or of not diagnosing HIV in a TB patient are severe. The aim of this study was to asses HIV/TB program &identify challenges to effective implementations. The findings revealed out 102 HIV positive patients registered in October 2008 in both facilities, 14(13.7%) of them have been screened for Tuberculosis. None of the patients has been put on IPT, whereas 74.5% of HIV positive patients were put on CPT. out of 61 illegible patients for antiretroviral therapy, 59% of them were put on this regimen. Out of 93 registered tuberculosis patients 67.7% of them were screened for HIV and 26.9% of them were found to be HIV positive. Among these 52.9% of them were put on CPT and 41.1% were put on ART. Both facilities didn t have HIV/TB coordinator but they have trained person on HIV/TB. There was no adequate resources allocated for both facilities, no adequate room for ART, TB and data clerks. ····· 10361100368· 1 · ::::: · 31 ·· 32 ·· 33 ·· 34 ·· 35 ·· 36 ·· 37 · ::::: · 74 ·
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