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
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Preeclampsia is a leading cause of pregnancy related maternal death. Its identification of patients at high risk for severe and / or early onset preeclampsia followed by prophylactic intervention may prevent or delay the clinical presentation of the disease and / or reduce its severity. There are many tests available for preeclampsia prediction. But decision making is currently hampered due to lack of precise and up to date comprehensive evidence summaries on estimates of risk of developing preeclampsia. Doppler ultrasonography examination has been used more often recently. It is a non-interventional, simple and repeatable method, which allows the evaluation of blood flow alterations during pregnancy . In trained hands, uterine artery Doppler remains one of the best screening tests available in terms of screening efficacy and practicality for everyday use in an antenatal setting . This monograph encompasses a group of tests which have high sensitivity and specificity, which can be helpful in predicting risk of preeclampsia, gestational hypertension and intrauterine growth restriction. This book will be helpful for undergraduates, postgraduates and practising clinician. ····· 10361100293
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Emergency contraception refers to contraceptive methods that may be used in the first few days after unprotected intercourse to prevent pregnancy. The main objective of this study was to assess the level of knowledge, Attitude &utilization of emergency contraceptives &factors influencing knowledge, Attitude &utilization of emergency contraceptives among female University & college students in Arbaminch town. Cross sectional survey has been conducted on female university & college students found in Arbaminch town from November 2009 up to September 2010. Self-administered questioners were employed to collect pertinent data. Though from a total of 791 respondents, 66.2% of them had reported that they have ever heard about Emergency contraception, 60.1% of them reported incorrect methods like Depo-Provera &Norplant &26 %of them don t know the exact time when Emergency contraception should be taken. only 76 (9.6 %) of the respondents have practiced Emergency contraception &majority of them 65(85.5%) used pills. Majority of the respondents 530(67%) are willing to use Emergency contraception ····· 10361100273
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Flow-mediated vasodilatation in healthy adult Indian male subjects was measured before and after exercise training using a high frequency ultrasound method. The technique of measurement is repeatable and reproducible as shown in this study. It could become a potential tool in diagnostics, as it is noninvasive, safe and nonexpensive. The purpose of this study was to determine whether exercise training produces an enhanced endothelium- mediated vasodilator response in peripheral vessels. Results indicate that endothelium-mediated vasodilatation increased after one month of exercise training at PWC of 65% performed for 30-min three times a week. Further studies are needed to confirm the hypothesis that exercise-training induces enhancement in flow-mediated responses in patients at risk or with cardiovascular disorders. It must also be established that exercise-training can reverse endothelial dysfunction. This will have an important clinical benefit for the patient. ····· 10361100265
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Ageing is associated with a decline in the function of the sinoatrial node (SAN there is decrease in intrinsic heart rate) and an increase in the incidence of sick sinus syndrome. We investigated the effect of ageing on ion channels in the SAN using young and old (3 and 24 months) rats. Although it is well known that there is an age-dependent remodelling of the extracellular matrix (ECM) in the heart, it is unclear whether there is a remodelling of ECM in the SAN. The aim of the present study was to investigate the effect of age on the expression of ion channels and components of the ECM and factors that control the ECM in the SAN and right atrium. In conclusion, although there is a remodelling of the ECM, the decline in SAN function during ageing is likely to be the result of a remodelling of ion channel expression and not due to fibrosis. ····· 10361100230
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The diagnosis of right lower quadrant abdominal pain has been an enigma for clinicians for centuries.Today, despite the availability of ultrasonograpy, computed tomography (CT) and diagnostic laproscopy the proportion of misdiagnosis of appendicitis as well as that of negative appendicectomy is significantly high. Appendectomy is the gold standard in the treatment of acute appendicitis.However, surgical complications cannot be discounted.The treating clinician is therefore faced with the need to balance the risk of misdiagnosis of acute appendicitis with the morbidity associated with an unnecessary surgical procedure. This study aims at revising the protocol of diagnosis of acute appendicitis. ····· 10361100172
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Present study was conducted to determine the concentration of heavy metals from compound herbal drugs such as Dawa-ul-Misk Moatadil Jawahir Dar, Laboob-e-Kabeer, Majoon Dabeed-ul-Ward and Majoon Flasfa manufactured by national herbal products companies Ajmal Dawa Khana, Hamdard Laboratories and Qarshi Laboratories. Heavy metals such as Chromium, Cobalt, Cupper, Iron, Lead, Manganese, Nickel and Zinc were determined by using Atomic Absorption Spectrophotometer. The literature showed that concentration of heavy metals in different plants is always unpredictable and greatly varied. These variations might be due to contaminated soil, ill storage conditions of the raw material as well as contamination during any step of production. As determination of heavy metals from compound herbal drugs is a preliminary study. Therefore a detailed study is proposed to detect heavy metals from all the market available compound herbal drugs before use. ····· 10361100165
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Thyroid disease is often manifested by cardiac abnormalities. A patient of cardiac disease who does not benefit from the routine treatment and when the nature of illness is not entirely in character with its cause, a thyroid dysfunction should be considered. We studied the prevalence and nature of cardiac manifestations in thyroid disorders. We also tried to correlate variables such as age,sex,serum cholesterol levels,chest roentgenogram, ecg and 2Decho studies with thyroid dysfunction. We concluded that the Incidence and severity of cardiovascular involvement are decreasing due to early and prompt recognition with the widespread awareness and availability of thyroid function tests and management of thyroid disorders. ····· 10361100157
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This is a prospective and retrospective study about the deaths due to suicide by hanging in a small town in Brazil. All bodies underwent autopsy examination. The author performed the prospective part of the study, while the retrospective data consists of postmortem examinations performed by other forensic team of the Forensic Medicine Institute of São Paulo. In addition to demographic data on suicide deaths in Brazil, the study compares the internal cervical lesions found in autopsies performed by the author and those found by other medical staff.The author is Professor of Forensic Medicine in different medical schools in Brazil, and has 25 years experience as a medical examiner. He is a leading specialist in death by asphyxiation. ····· 10361100133
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The increasing of healthcare services complexity over the past decades, and the increasing of the healthcare coverage has led to a corresponding rise in the number of reported adverse events, unintended injuries and medical errors that might be more serious than the disease itself. Concurrently, developing of the quality management concepts ensured the applications of good documentation and reporting systems, which helped in identifying the size of the problem, such as in the famous report of the US Institute of Medicine `To Err is Human: Building a Safer Health System`. This huge size of reported medical errors recognized by WHO as one of the key issues facing healthcare services. Consequently, led to establishment of World Alliance for Patient Safety at the start of the 21st century. The Alliance considered the importance of improving the safety of surgery as the second global patient safety challenge in 2008. Patient safety systems as a public health issue are challenging in all levels in development of evidence based standards, implementation and assessment. ····· 10361100117
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The aim of this work is to conduct a systemic overview and critical analysis of the body of data in the literature on polycystic ovary syndrome (PCOS). PCOS is the commonest single cause of anovulation affecting approximately 5-10% of women in the reproductive age. The syndrome can present in a variety of clinical manifestations including oligomenorrhea, hirsutism, obesity, and infertility. Endocrinal features include high sustained level of luteinizing hormone with normal level of follicle stimulating hormone, and hyperandrogenism. PCOS may be also associated with hyperinsulinemia, glucose intolerance, and altered lipid profile. Medical induction of ovulation is considered the first line of treatment for anovulatory PCOS. Laparoscopic ovarian drilling may be of value in women resistant to medical induction. However, the efficacy and long-term safety this technique is not yet established. ····· 10361100094
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book gives a short and brief insight into the technique and procedure of CT Enteroclysis. The CT-Enteroclysis findings of few common bowel diseases like Crohn s disease, Tuberculosis, bowel neoplasms, obscure GI bleed, strictures etc are discussed. The book is written in a very brief manner and is meant for a quick review. Extensive detailed discussion is beyond the scope of this book. The discussion is only concentrated on the CT-enteroclysis findings of various disorders and not on the disorders themselves. There is no discussion involving etio-pathogenesis or treatment of diseases. Images are provided wherever necessary. Towards the end of the book there is a short discussion of CT-Enteroclysis Vs other diagnostic modalities. This discussion is also brief giving only the salient points. ····· 10361100058
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Regular physical exercise reduces the risk of chronic diseases such as type-2 diabetes, osteoporosis, some forms of cancer, atherosclerosis, depression, arthritis, fibromyalgia, varicosity, obesity, fibromyalgia, anxiety, stress and depression. It also improves immune function, body composition, and joint health prevent low back pain and injury enhance self image and quality of life. These chronic health impairments can result a person in poor quality of life and premature death. Gestational age women can gain obstetric and general health benefits from exercise. This book includes topics about how exercise can be practiced pregnancy, and lactation. Indications and contraindications of maternal exercise are described in line with guidelines from various institutions such as ACOG, WHO, ACSM. More than eight factors that cause woman to lead sedentary lifestyle are discussed. Lifestyle change such as making daily activities more physical, selection methods of exercise in various maternal periods including menstruations, etc. are dealt. A number of health, and sport science professionals were consulted in addition to several research findings. ····· 10361100055
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This project is an unique work of the author to know why people donot wish to donate blood especially when they have already donated once. It is always said that to motivate people to donate blood is difficult task, but this study finds a more difficult task is to ask people to donate blood again. This is a worldwide phenomenon but more so in third world countries where already there is acute shortage of blood and many patients especially women during child birth die for want of blood. At a time when there is shortage of voluntary blood donors, to retain the donors becomes all the very necessary and to know the factors for not able to retain such donors is the only key to retain them and get continuous supply of blood to the patients. Hopefully this work would encourage the blood bank managers to take corrective actions so that more lives can be saved in future. ····· 10361100039
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Corneal transplantation is the oldest and most common form of solid organ transplantation. In uncomplicated first-time cases, corneal allografts enjoy a success rate of up to 90% even though the transplants are performed without HLA matching or the use of systemic immunosuppressive drugs. Yet, every year in the United States, nearly 8000 patients reject their transplanted corneas at a cost of a quarter of a billion dollars. In order to better understand the immune mechanisms underlying graft failure, my research examined the role of CD4+ Thelper lymphocytes in the process, notably the recently described Thelper 17 subset. Surprisingly, blockade of the effector CD4+ Thelper subsets, by depletion of their inflammatory cytokines, exacerbated corneal allograft rejection in a murine model of keratoplasty. Our investigations uncover novel protective roles for the cytokines IL-17A and IFN- , and describe how their interaction with T regulatory cells is required for anterior chamber associated immune deviation and corneal immune privilege. ····· 10361100031
für 74.61€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Trends during the past 20 years have revealed a dramatic increase in childhood obesity in the United States. At present, approximately nine million children over 6 years of age are considered obese According to American Academy of Pediatrics (AAP) the protocol for obesity care for youth is to monitor the body mass index (BMI) routinely (at least annually) and offer appropriate counseling and guidance to children and their families. A report in the literature indicated that the number of children attending yearly well-child visits that include measurement of BMI is well below the AAP recommendation. The dramatic increase in childhood obesity raises the question of what is the healthcare provider`s level of involvement in prevention, identification, and treatment of childhood obesity, and the prevalence of childhood obesity. The purpose of this retrospective exploratory design was to examine the number and content of well-child visits in children 6-11 years of age and describe the difference in attendance and content of the healthcare visit based on type of provider. ····· 1036199996
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The present investigation was carried out to evaluate the safety of the butanol fractionated extract of Asparagus africanus Lam. plant by determining its potential toxicity after single and repeated dose administration in mice. For the acute study, Swiss Albino mice were divided into three groups Group-I, Group-II & Group-III the butanol fraction extract of the plant in single doses of 1000, 3000 and 5000mg/kg body weight, respectively. General behavioral adverse effects and mortality were determined for up to 14 days. In the sub-chronic dose study, the extract was administered orally to two groups of mice at doses of 300 and 600mg/kg body weight/day for 42 days. Selected hematological and biochemical parameters followed by morphological pathology changes were determined after 42 days of daily administration. In the acute study, the butanol fractionated extract of Asparagus africanus plant did not caused dose-dependent general behavioral adverse effects, body weight change and mortality. ····· 1036199944
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray HIV is a member of the genus Lentivirus, part of the family of Retroviridae. Two types of HIV have been characterized: HIV-1 and HIV-2. HIV-1 is the most common and pathogenic strain of the virus. Despite the success of highly active antiretroviral therapy (HAART) in controlling HIV infection and reducing HIV associated mortality, current drug regimens are unable to completely eradicate HIV infection. Bioinformatics methods based on complex networks and Gene Ontologies (GOs) come to our rescue in predicting the possible targets for such diseases and are very useful in this area. This work reviews some bioinformatics concepts and previous studies related to HIV research using Gene Ontologies (GO), complex networks, and related methods. Also, we report new results mapping natural compounds on potential drug target for HIV network using GOs. The network is statistically analyzed and represented by the graphical interpretation to encounter the hub nodes and their locally parsed neighbors, ligands multi-receptor docking and the propensity of drug targets in hub nodes and related sub-networks. ····· 1036199895
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Khat (Catha edulis Forsk) is a dicotyledonous evergreen shrub of the family Celastraceae that grows in parts of East Africa and Yemen. Fresh leaves and stem tips or twigs of the plant are chewed for their euphoric properties. The habit of khat chewing is increasing remarkably and its health effects are not much known to the users. The study is aimed at investigating the toxic effects of khat extract on male gonad, the testes by assessing the histological changes of the testes as well as changes in serum testosterone level and amount of glycogen in testicular tissue. The organic extract of khat leaves at different doses were chronically administered to different age groups of mice. By means of qualitative histopathological examinations and quantitative histomorphometric investigations, as well as through testosterone and glycogen assays, the toxic manifestations of the extract was assessed at various doses. The results were compared with the control groups and statistically analyzed. ····· 1036199791
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Tuberculosis and human immunodeficiency virus co-infection is a major source of morbidity and mortality in Ethiopia. Routine offering of provider initiated HIV testing and counseling for TB patients is necessary to increase access to HIV care packages. However little is known about utilization of PITC service among tuberculosis patients in Ethiopia The main objective of this study is to assess the utilization of PITC service among TB patients in Ethiopia. Health facility based cross sectional survey was conducted from January to March 2010. A total of 385 participants were included in the study from seven health facilities. The study utilized both quantitative and qualitative study designs. Study participants were interviewed using structured questionnaire and three focus group discussions were conducted among TB patients.The utilization of PITC service among TB patients in the studied health facilities was 78.1%. ····· 1036199775
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Angiogenic and apoptotic activity plays an important role in the development and progression of soft tissue sarcoma. Both anti-apoptotic and pro-apoptotic activity are directly associated in tumor cells and endothelial cells in this study supporting the role of endothelial cells in survival and regression of tumor cells in tumoregenesis. Thus, the inhibition of endothelial cell survival factor or activation of endothelial cell death is a promising prospect as a candidate for tumor therapy. We also demonstrate that anti-apoptotic activity is associated with tumor histologic subtypes which are commonly seen in synovial sarcoma. In addition, there is also diversity seen in angiogenesis and pro-apoptotic activity amongst the various histologic subtypes of STS eventhough it is not statistically significant. This indicates the potential of the above protein expression as a useful marker for diagnosis of specific histologic subtypes. We also have shown that high angiogenic activity is correlated with weak apoptotic activity. This indicates that increased angiogenic activity may inhibit apoptotic tumor cells death which leads to cell proliferation. ····· 1036199751
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The book is designed for an educated reader, as well as for all those involved in medicine and interested in heart attacks. The aim of the book is to introduce the reader to the causes that may underlie the disease, so as to prevent its progress. The authors analyze the mechanism of the progressing of atherosclerosis with focus on the disorders in the lipid blood composition which, among other things, determine the development of the disease. The language of the book is easy to understand. The book is suppled with a vocabulary of the major medical terms. ····· 1036199710· 1 · ::::: · 32 ·· 33 ·· 34 ·· 35 ·· 36 ·· 37 ·· 38 · ::::: · 74 ·
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