für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray 510 males with ischemic heart disease were asked to fill out the abridged five-item version of the International Index of Erectile Function (IIEF-5. 90.4% (461) of the respondents reported some degree of erectile dysfunction(IIEF-5 score 22). 24.5% have mild ED 26.7% have mild to moderate ED 5.5% have moderate ED and 33.7% have severe ED. Age above 60 years old and diuretic are the most significant risk factors for ED by logistic regression when adjusted for all confounding factors. Other important risk factors include diabetes and hypertension. Erectile dysfunction is common among patients with established coronary heart disease. In this study, the prevalence is much higher than that of the normal population.The prevalence and severity of ED increased significantly in men above the age of 50 years old. Diabetes, hypertension and diuretic use are important risk factors for erectile dysfunction. Understanding the magnitude of the problem and taking remedial steps may significantly improve the quality of life of these affected individuals. ····· 1036191894
····· lezzter Preis 71.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book was produced to answer the need expressed by Radiologists and trainee Radiology Technologists for clear and detailed description of the PACS and its uses in Radiology service. The concept of picture Archiving and Communication System (PACS) has now been in existence for over 20 years. Advances in computer hardware technology only enabled it to become a realistic clinical entity in the 1990s. PACS installations are now rising exponentially worldwide, and although most institutions with PACS have achieved a completely filmless working environment, few function in a paperless mode. PACS integrates imaging modalities, interfaces with hospital and departmental information systems, and manages the acquisition, storage, retrieval, and display of images to radiologists, hospital physicians, and remote referring physicians, specialists, clinics and imaging centers. PACS serves as a secure database for medical images, but more importantly, PACS improves the efficiency of imaging departments. ····· 1036191850
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Peripheral vestibular disorder (PVD) is serious and common. Clinically, giving an accurate diagnosis of PVD can be challenging. Therefore, this study was conducted to enhance the accuracy in diagnosing PVD by investigating two new tests, i.e. VEMP and MVVSS to be compared with caloric test and Dix-Hallpike test (DHT). In this study, 40 normal participants and 65 PVD subjects participated. Sensitivity and specificity of each test was then determined using ROC method. Among VEMP parameters, N1 amplitude of 750 Hz stimulus produced the most ideal sensitivity and specificity. In fact, VEMP was found to be the most sensitive test. Surprisingly, the combination of canal paresis (CP) of caloric test and DHT yielded low sensitivity values. The combination of MVVSS and VEMP produced acceptably high sensitivity values. The combination of all four tests yielded the sensitivity of 80% on both sides. The combination of all four tests significantly increases the sensitivity to diagnose PVD patients. Consequently, the accuracy in PVD diagnosis can be enhanced and the number of false negative cases can be reduced greatly. ····· 1036191837
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book discusses two very important issues of chidren in the developing world i.e.,malnutrition and measles. These two conditions carry a high mortality rate even as separate entity. But when these conditions occur in the same child simultaneously, the mortality increases many fold. If the measles is complicated by Pneumonia, gastroenteritis or encephalitis, then the situation is even worse. Keeping in mind the importnce of the topic, we have tried to gauge the situation in the real scenario. These problems are at the priority of the WHO regrding its effforts to reduce the mortality of the children in the developing world. This book will be a little bit guidline to plan the strategies to rduce the malnutrition rates in the children in the developing world. At the same time efforts are needed to improve the vaccination against measles. ····· 1036191799
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book examines the first 10 years of policy implementation for Health Information Technology (HIT) in three patient safety systems (Barcode Medication Administration (BCMA), Computerized Prescriber Order Entry (CPOE), and Electronic Health Records (EHRs). since the landmark IOM report, To Err Is Human (2000) showed that 98,000 deaths occur in hospitals each year due to preventable medical errors. After ten years, there are still relatively few hospitals that have implemented these strategies. Descriptive statistics were examined of the means as an aggregate, and for each system, to determine a rank order for implementation barriers and policy impacts. Thirteen null hypotheses were constructed and tested for each system, a total of 39 hypotheses. Within each hypothesis 14 implementation barriers and 7 policy impacts were tested. We failed to reject all hypotheses with the independent variable of age, but found significant findings at the p.05 level (reject the null hypothesis) for other hypotheses, particularly for implementation barriers by executive group. Qualitative data were most revealing with significant new findings from the group of nurse executives interviewed. ····· 1036191773
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hepatitis C virus (HCV) infection is a global health concern that affects approximately 270 million people worldwide. HCV is responsible for acute and chronic hepatitis which can lead to liver fibrosis, hepatocellular carcinoma and death. Many small animal models and in-vitro models have been used to understand the replication cycle of HCV and to discover novel antiviral drugs against HCV infection. These models, once optimized can serve as powerful tool to understand HCV infection. To date, there is no vaccine available due to high strain variation. Current approved treatment for HCV is pegylated interferon (PEG-INF ) in combination with ribavirin and Bocepreir/Telaprevir. This book briefly summarizes HCV infection, its molecular biology, role of HCV viral proteins in HCV infection, HCV entry receptors, HCV life cycle, in-vivo animal models, in-vitro model systems and current trends of therapies. ····· 1036191701
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Urinary tumor markers that help in the early detection of bladder cancer promise a particular improvement in sensitivity, specificity and convenience over conventional, invasive diagnostic tests. This book present our research work which assessed the diagnostic efficacy of urinary survivin RNA for early detection of bladder cancer. The study included 78 bladder cancer patients, 61 patients with Schistosomal cystitis and 50 healthy volunteers. All underwent serological assessment of Schistosomiasis antibody, urine cytology, and survivin RNA estimation by qualitative and semiquantative reverse transcriptase- nested polymerase chain reaction in urothelial cells from voided urine. The study revealed significant difference in the positivity rate of survivin RNA among the 3 groups. Survivin RNA mean rank using semi quantitative method was increased in the malignant group vs the other groups. The best cutoff value for survivin RNA was 0.91. Using this cutoff value, survivin RNA sensitivity was 78.2% and specificity was 100%. Urine cytology sensitivity improved when combined with survivin RNA. We conclude that survivin RNA is a promising urine marker for bladder cancer detection. ····· 1036191676
für 49.41€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Histopathology is vital in health services as diseased condition brings about injury, distortion and destruction of tissues. No technician should lose sight of pathogenesis and subsequent clinical conditions in exploring tissue samples. Hence, efficient and committed laboratory professionals within a functioning histopathology lab play a prime role in clinical diagnosis. Rudolf Virchow (1821-1902), the father of microscopic pathology, marked the beginning of a new era in Histopathology. Over the years, histotechniques have developed extensively as a science, both in its expanse and depth. A truly cutting edge is the ability to implant its various techniques in the digital domain and advancements in diagnostic tools necessitates an in-depth analysis by lab personnel. Our experience with our own students of medical lab technology suggests that the simplified diagnostic protocol in the text book is a critical component in determining how well medical lab technicians grasp the material - particularly for complex, multistep processes and allows them to perform experiments without reference to any secondary source. ····· 1036191641
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book has been written to create public awareness on the health risks involved when one becomes exposed to zoonotic infections caused by viruses, bacteria, fungi, nematodes, trematodes, cestodes and some arthropods. Further, an attempt was made to provide a comprehensive, reference Health Information on the clinico-pathological effects of zoonotic infections on the Occupational and Industrial Health of workers worldwide. Indeed, due to the multi-organ damage caused by the chronicity of zoonotic infections, patients often require complex and multiple surgical operations to save their lives. Thus, the use of blood transfusion therapy, with its associated, inherent health hazards is, therefore, indispensable during these surgeries. It is for these reasons that blood transfusion therapy and the Haematological aspects of Iron-deficiency Anaemia observed in various zoonotic infections, were included and discussed in the text. ····· 1036191627
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Different studies reported that glutathione (GSH) play a major role in modulating methylmercury (MeHg) neurotoxicity. Glutathione synthetase deficiency (GSD) and 5- Oxoprolinase deficiencies are two inborn errors of GSH metabolism which were associated with physiological and pathological features resembling patients with Minamata disease (MD). The present study aimed to investigate whether there are similarities between the metabolic effects of MeHg and 5-oxoprolinase inhibitor (ICA) on both C6 Glial cells and PC12 neurons. ····· 1036191624
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A mother who is HIV positive not only worries of her health but also of the risk of transmitting the infection to her child. Health care workers intervene to prevent infection during pregnancy and child birth. There after infection is only likely to occur with breastfeeding hence replacement feeding is preferred to prevent HIV infection amongst mothers. It`s sustainability in economically constrained societies can lead to malnutrition. The results of the study carried out in Nairobi, Kenya reveal the nutrition status of breastfed and replacement fed infants. Though breastfeeding carries a risk of HIV infection it leads to better nutrition status in the children. ····· 1036191620
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Livestock has a great significance in the development of economic conditions of a country. In Pakistan the share of Livestock sector is approximately 53.2 percent in the agriculture value and 11.4 percent in national GDP during 2009-10. While other development sector experienced saturation and decline, there is trend in increase of livestock population in 2009-10. Total number of buffaloes and cattle is 30.8 and 34.3 millions respectively in Pakistan (Anonymous, 2009-10). The number of buffaloes and cattle is 14.4 and 17.8 millions respectively in Punjab province (Anonymous, 2006). Punjab is a home of highly specialized tropical/subtropical buffaloes and cattle breeds. Those animals suffer from a number of diseases. Ketosis is one of them , define as metabolic disorder and it is managmental influenced cows disease during the early lactation period. ····· 1036191587
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Contribution of livestock is about % of agriculture value and 11.4 % to the national GDP ith a total number of animals of million.In Pakistan the trend of extensive farming is common and has open grazing in the feild. Most of the farmers have up to 6 number of animals while sixteen percent farmers have more than 6 nimals. Gastrointestinal parasites are very common in sheep because of their open grazing and watering habbits. Parasites cause the economic losses and considered one of the most common infections. ····· 1036191586
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This work is designed to examine the effects of the potential nutritional antioxidants on tissue concentrations of these nutrients and markers of oxidative stress before and after exposure to radiation. From the present study, it can be concluded that different foods containing different types of antioxidant provide a significant protection against radiation-induced sickness, mortality and hematopathological alterations. The exact mechanism of action is not known however, it may scavenge free radicals produced by radiation and, thus, inhibit radiation-induced damage to the cellular DNA and RNA. Alternatively, it also increases GPx, CAT and SOD levels, reduces radiation-induced lipid peroxidation (MDA) and prevents liver dysfunction and kidney dysfunction. Finally, we recommend people who are exposed to radiotherapy, and all people in general, to consume different sources of variable antioxidants to protect them from any oxidative stress. ····· 1036191540
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book deals with mental fatigue, or so-called brain fatigue. In the case of long-lasting, mental fatigue can be a disabling consequence of traumatic brain injury, stroke, infection or inflammation in the CNS. Mental fatigue is characterized by pronounced fatigability even after moderate mental activity. Focused attention and concentration are maintained for only short periods of time. A typical feature is a prolonged, profound recovery period needed to restore mental energy. Affected persons often experience associated symptoms: stress sensitivity, irritability, tearfulness, sound- and light sensitivity and headache. It is important to explore the specific nature of the symptom, as this, together with the associated symptoms, constitute an important cause for impaired capacity to work and also to perform everyday activities. In this publication, it is our aim to make a contribution by presenting our understanding of the symptom, its identification, diagnosis, probable mechanisms of origin and perspectives for treatment. We hope that we have been able to stimulate further investigation into mental fatigue after diseases in the CNS thus leading to future innovation in the field. ····· 1036191463
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The influenza A H1N1 (2009) pandemic provided us the opportunity to look at the epidemiology of influenza in Malaysia which is often underestimated as laboratory diagnosis of influenza is rarely done. Records of all patients aged twelve and above who were hospitalized with symptoms of influenza-like illness and tested positive for the 2009 H1N1 virus with the use of a real-time RT-PCR assay were examined. Severe disease was defined as requiring ICU admission, ventilation or inotropic support. 214 patients were admitted and 117 tested positive for influenza A H1N1. 14 patients (12%) had developed severe disease of whom seven (6%) died. The mean duration of admission was significantly longer in those who developed severe disease compared to non severe disease (10.9 vs 2.9 days, p0.001). Two thirds of patients affected with influenza A H1N1 (2009) who required hospitalization had at least one underlying medical illness. ····· 1036191456
für 21.51€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Diagnosing Aortic Valve Stenosis (AS.Using two and three dimensional echocardiography technique.The data measurements were collected from 215 patients within three different groups of aortic valve patients (Native Aortic Valves, Tissue Prosthetic Aortic Valve{Pig and Cow tissue}and Mechanical Prosthetic Aortic Valves).Data acquired was subjected to discriminatory analysis using maximum velocity, maximum gradient, mean gradient, LVF/EF, age, and total cholesterol, HDL-cholesterol, LDL-cholesterol and triacylglycerol levels as quantitative explanatory, active variables, and gender, rhythm status, renal function status, and category as qualitative explanatory variables (monitoring year was obviously excluded since this is a non-contributory variable). Modified & unmodified risk factor influencing into the rate progression or restenosis of AS. Diagnosing AS from the asymptomatic and symptomatic stages (mild moderate & severe).AS pathophysiology, aetiology and clinical presentation of AS, other diagnostic techniques, AS treatment (medical& surgical treatment) and management clinical results after aortic valve replacement (AVR) surgical operation and the consequence complication of AS. ····· 1036191439
für 49.00€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Respiratory disorders are commonly classified into three basic categories: Obstructive disorders, Restrictive disorders and Mixed disorders. Pulmonary function tests distinguish between these three categories of respiratory disorders. Spirometry is the basic test of pulmonary function which is commonly used for diagnosis, assessment and reassessment purposes. All the lung volumes and capacities can be measured with the help of the spirometer, except for Functional residual capacity (FRC), Residual volume (RV) and Total lung capacity (TLC). FRC, RV and TLC are measured by other three methods, namely, Helium dilution method, Nitrogen wash out method and Body plethysmography. Results obtained from the pulmonary function tests should be interpreted accurately and the physical therapy protocol should be established accordingly. ····· 1036191411
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In Sub-Saharan Africa, women are at a higher risk of contracting HIV than men according to the Joint United Nations Programme on HIV/AIDS (UNAIDS). Unfortunately, there is very little research focused on the sub-population of married women in order to highlight how different risk factors affect them specifically and may place them at increased risk for HIV infection. This is especially important in the context of low condom use, childbearing and the trust inherent within marriage. A comprehensive literature review of peer reviewed articles from 1990-2005 was conducted and revealed that there is little known about the effect of marital status on HIV risk. The major factors in the transmission of HIV within marriage are low condom use, low educational attainment, migration as well as extramarital affairs. In order to further understand this population, data from the 2003 Kenya Demographic and Health Survey (2003 KDHS) was analyzed for this 2006 master`s thesis project in Epidemiology. ····· 1036191386
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Salient features: This study demonstrates that the oral mucosal transudate can be used as a diagnostic tool for detection of HIV antibodies because of its non- invasive, convenient and safe sample collection procedure. This study utilizes the Calypte Aware test kit which is a useful device for detection of HIV antibodies in oral mucosal transudate because of its simplicity, non-invasiveness, and accuracy for sensitivity and specificity with the standard tests. This study demonstrates the usefulness of Calypte Aware Test Kit as the method of choice for screening of serological status for HIV especially in developing countries like India. This test kit may also be used in emergency room settings and in marginalized populations (sex workers, intravenous drug users, etc.). Clear and coloured illustrations for enhancement of understanding. Concise and lucid language which makes for an interesting reading. Detailed explanation of the test procedures for the discerning reader. ····· 1036191332
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Diabetes is one of the most important chronic diseases in the World. It is understood that the subject diabetes itself very wide and big area of concern. Bangladesh is one of the thickly populated country among the world. The prevalence of diabetes in Bangladesh is 6.9%. Risk factors for diabetes include impaired glucose tolerance, obesity, high waist-to-hip ratio, high waist circumference (abdominal obesity), physical inactivity and low fruit and vegetable intake. People don`t know about the risk factors. This study help the physician to know the i. Socio-demographic characteristics ii. Knowledge about diabetic food, exercise. iii. Knowledge and practice on management of diabetes iv. Attitude of the patient regarding practice. v. Health beliefs about diabetes vi. Role of information & education in self-management of diabetes. ····· 1036191290
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Epigenetic is heritable changes in gene expression that do not involve changes in DNA sequence,is known to be involved in disease. Two important epigenetic changes that are known to contribute to disease are abnormal methylation patterns of DNA and modifications of histones in chromatin.This therapy describes a new development in pharmacology,epigenetic therapy,which attempts to correct these changes. ····· 1036191281
für 35.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Las tensiones y frustraciones propias de la civilización actual, requieren el desarrollo de recursos personales capaces de evitar sus efectos dañinos sobre nuestra salud física y mental, así como sobre nuestro estilo, calidad y duración de la vida. El autor, luego de 48 años de trabajo, dedicados a la psiquiatria, la ética y la psicología médicas, aborda la relevancia de las diferentes modalidades del humor como recursos para neutralizar el estrés y comenta sus formidables ventajas sobre otras tácticas de enfrentamiento, sumamente dañinas, entre las que sobresalen el uso indebido de sustancias psicoactivas y otros comportamientos de alto riesgo. Mediante um lenguaje asequible, aporta argumentos con sólidas bases científicas, que explican los efectos neutralizadores del humorismo, la comicidad y el chiste, sobre el estrés cotidiano. Describe el estilo de vida sano, así como otros que conducen a enfermedades crónicas no trasmisibles determinates de sufrimientos, y muertes prevenibles. Expone mediante chistes modelos, tácticas narrativas en contextos no profesionales y destaca que cada hora de buen humor, prolonga dos días mas de existencia de vida saludable. ····· 1036191216
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Este libro abarca tres temas apasionantes para el mundo Spa la primera parte aborda de manera explícita la clasificación de los Spa con el enfoque de tipo de cliente, instalaciones y formas de operación la segunda, es un amplio panorama de los tipos de masajes que se ofrecen en la actualidad, desde los tradicionales hasta los modernos y por último, se muestra la gama de productos complementarios para los múltiples tratamientos dentro del Spa. Este libro es un soporte teórico conceptual muy valioso para todos los especialistas del mundo Spa y el Turismo de Salud. Más de tres años de investigación y un grupo de expertos alrededor de la investigación dan validez a su contenido y aplicabilidad. ····· 1036191196· 1 · ::::: · 37 ·· 38 ·· 39 ·· 40 ·· 41 ·· 42 ·· 43 · ::::: · 74 ·
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