für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The aim of this epidemiological study was to investigate the prevalence of psychological and somatoform dissociation and associated factors in the general population. The course of psychological dissociation was examined in a three-year follow-up study. Dissociation was measured with the Dissociative Experiences Scale (DES) and its subscale for pathological dissociation, the Dissociative Experiences Scale Taxon (DES-T), and with the Somatoform Dissociation Questionnaire (SDQ-20). Participants in the study (n = 3004) were derived from a random sample of general population adults (25-64 years old) in eastern Finland. The data were gathered by postal questionnaires in 1998, 1999 and 2001. The response rate was 68% at baseline, and 75% of the baseline respondents returned the questionnaire on three-year follow-up in 2001. ····· 10361147319
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In this thesis, the condition of autism spectrum (AS) is reviewed with regard to cognitive theory and re-evaluation of the current literature. The experiences of individuals, with and without a diagnosis of AS, will be compared and contrasted. The levels of evidence for each cognitive theory of AS will be explored. These cognitive theories are: Theory of Mind (ToM) Weak Central Coherence theory (WCC) Executive Functioning Theory (EF) and Enhanced Perceptual Functioning Theory (EPF). It is argued in this thesis, via a process of falsification (for example, all swans are white is proven to be false when we find a black swan) that AS is a particular cognitive difference associated with the use of single attention. Whereas typical individuals have a brain configuration allowing the use of divided attention and associated connectivity with the sensory system allowing a diverse interest system, autistic individuals use single attention with less connectivity to a sensory system leading to less related multiple interests. ····· 10361147301
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Many surgical diseases can be treated only by extirpation of the organ or a part thereof correction of pathophysiological process is not possible. Even here, consideration of pathological aspects of the disorder proves useful. One, it enables the surgeon to understand the mechanism of production of symptoms and signs of the disorder. Second and more important, it enables the surgeon to understand physiological derangements that may result from surgery. This knowledge would help the surgeon in long-term postoperative management of the patient. Perusal of this book is expected to result in clearer thinking and sound clinical care of the surgical patients. This book is expected to be useful to every surgical trainee and even a practicing surgeon who desires to re-educate himself in pathophysiology of surgical disorders. ····· 10361147170
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This case-control study was designed to describe the plasma lipid profile of newly diagnosed Black African hypertensive subjects and normotensive controls, to compare the plasma lipid levels of hypertensive subjects with age- and sex-matched normotensive controls and to determine the relationship between total cholesterol and biophysical/demographic parameters. The study showed that both hypertensives and controls had mean lipid and lipoprotein levels at the lower level of the generally accepted cut-off point. Hypertensives also had higher Body Mass Index Waist to Hip Ratio Total Cholesterol (TC) and Triglyceride (TG) than the controls. These findings are to assist health practitioners especially primary care physicians, the first point of call for most hypertensive patients whose conditions are often diagnosed during routine clinical contact for other conditions especially in a low resource country like Nigeria. This will ensure that attention is paid towards identification of risk factors and attempt made to modify them rather than commencing drug treatment of hypertension as soon as it is detected. ····· 10361147164
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In sports training sessions and competitions we often come across the phenomena of hyperthermia and dehydration which cause physical fatigue and interfere in achieving high sports results. It is not clear, what is the effect of pre-exercise rehydration to central fatigue under conditions of hyperthermia. The main purpose of the study was to establish the impact of hyperthermia and dehydration on the skeletal muscle fatigue of men and women both actively engaged and not engaged in sports when performing physical exercises of high intensity. I also aimed to analyze the impact of pre-exercise rehydration on central fatigue under the conditions of hyperthermia performing isometric exercises of maximum intensity. The most important results from experimental-clinical research, obtained from my doctoral dissertation, are described and analyzed in this book. All the research was done in Lithuanian Academy of Physical Education, the Laboratory of Human Motor Control. I am very grateful for all the laboratory employees and research participants for helping me with this research. ····· 10361147130
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray No Tobacco Day is being observed on the 31st May The suffering, disfigurement and death due to oral cancer is easily avoidable since the factors associated with the disease have been identified. Another important aspect is its easy accessibility for diagnosis. This feature along with the finding that oral cancer is generally preceded by precancerous lesions provide an excellent opportunity for early detection and control. Regards Dr. Suveet Mathur (B.D.S., Implantologist) ( M.I.D.A.)INDIA ····· 10361147091
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The results of health technology assessment and cost-effectiveness analysis for particular different health technologies are relatively well defined in high-income countries, but little is known about these in low- and low-middle-income countries. However, there is a shortage of methodological guidance to adjust cost-effectiveness results from one to another country setting. This research is to compare the cost-effectiveness of a new hospital-based health technology of a low-middle-income country with a high-income country, to find the factors which systematically determine the difference in cost-effectiveness between high- and low-middle-income countries. A combination of primary data methods from population-based registration, administration, hospital-based, patient level data and secondary data methods from academic and grey literature for the research in multiple fields of demography, epidemiology, clinical practice, patient characteristics, health services and health finance was all applied in this research to find the answer for the hypothesis of the cost-effectiveness of a new health technology in low-middle income countries is lower than that of high-income countries. ····· 10361147053
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray As the incidence and prevalence of diabetes increase, innovative models of care can meet the growing demand for access and utilization of diabetes self-management education programs. Programs focusing on chronic conditions to improve outcomes can be replicated by health care providers in primary care settings. Diabetes Self-Management is the cornerstone of care for all individuals with diabetes who wants to achieve successful health-related outcomes. Lifestyle Management enables you to cost-effectively help patients make healthier food choices and increase physical activity to improve overall health. ····· 10361146989
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Post-traumatic chronic ankle pain is a common problem in orthopedic, sports medicine and podiatric clinics. Several causes may lead to persistent pain after ankle trauma including ankle impingement, instability, chondral and osteochondral lesions of talus,occult syndesmotic injury,..etc. Ankle arthroscopy plays an important role in diagnosis and treatment of such conditions. In this book we reveiw the causes of post traumatic ankle pain and the current methods of treatment of these disorders. Readers of this book,will find adequate information about the technique of ankle arthrosocopy, as well as technical tips about arthroscopic management of many ankle disorders. The authors had icluded an interesting prospective long cases series study on 36 patients with post traumatic chronic ankle pain who were treated by ankle arthroscopy. This book should help podiatrists and orthopedic surgeons who are intersted in arthroscopic ankle surgery. ····· 10361146983
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Nordipine is a generic for amlodipine. It has equivalent effect and comparable to amlodipine in reducing blood pressure in healthy subjects. Its side effect is tolerable in studied subject. It may be used alternatively to amlodipine in indicated hypertensive patient. its role in treating hypertensive crisis in the emergency department however needs to be further studied. A multicentered and multiethnic cohorts will further ensure its safety and effectiveness in controlling blood pressure. ····· 10361146960
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Diagnosis of Antiphospholipid syndrome (APS) depends on laboratory findings, such as detection of Lupus Anticoagulant (LAC) and anticardiolipin antibodies (ACLa). Recurrent pregnancy loss (RPL) is the commonest pregnancy morbidity related to this condition. The syndrome is defined by the occurrence of venous and arterial thromboses and pregnancy morbidities, in the presence of anti phospholipid antibodies (aPA), namely LAC, ACLa and anti- 2 glycoprotein I ( 2GPI) antibodies. ····· 10361146934
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Mental health problems are the major cause of disability in the world and some 450 million people worldwide currently suffer from some form of mental disease or brain condition. On the other hand, almost half the countries in the world have no explicit mental health policy and nearly one-third have no program for coping with the rising tide of brain-related disabilities. There is also a severe lack of mental health personnel and facilities throughout the developing world. This book is a compilation of six articles and one report on mental health interventions in six developing countries on four different continents. The articles were published or accepted for publication in different peer-reviewed journals. In comparison to many theoretical and fancy academic reports and/or studies on global mental health, this book offers first a hand experiences on implementation of mental health projects around the world and is a useful resource for any organization and / or individual interested in global mental health issues. ····· 10361146926
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Diabetic patients who require surgery present special challenges in perioperative management. Special attention must be paid to prevention and treatment of metabolic derangements. There is a high frequency of heart failure accompanied by an increased mortality risk for patients with diabetes. The poor prognosis of these patients has been explained by an underlying diabetic cardiomyopathy exacerbated by hypertension and ischemic heart disease. This study was conducted to identify the indicators of cardiac risk among diabetic surgical patients, and the physiological implications for nursing practice. ····· 10361146909
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This textbook is designed to help the readers in acquiring concise knowledge and understanding of the causes, symptoms that might be reported, and then, outlines accurate first aid basic principles and techniques, in a step-by-step fashion, to be practiced by first aiders in different emergency situations. These basic techniques should be learnt and practiced by anyone interested in achieving self-reliance. After reading this textbook, the readers can check their understanding of each chapter by answering the challenging questions and later checking answers using the Answer-Key provided. Abduelmula R. Abduelkarem and Dareen M. Abdulhadi ····· 10361146816
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Although there is substantial documentation of prevalence, severity and health consequences of vitamin A deficiency (VAD) in preschool-aged children, very few studies have been done to find out the extent of VAD in primary school children. Present study was carried out in school children (5-15 years age) from slum areas of Ahmedabad city to see the prevalence of xerophthalmia. The present study was designed as a cross sectional study conducted in primary schools of urban slums in Ahmedabad from October 2007 to July 2008. 1000 children were randomly selected from 10 schools and examined with predesigned and pretested Performa.Xerophthalmia was diagnosed if there was history of night blindness, or on examination, there were signs of conjunctival xerosis, Bitot s spots, corneal xerosis or keratomalacia. The collected information was analysed by using the Microsoft Excel and the Epi info 3.4 software.In this study prevalence of VAD was found to be 2.9%. Prevalence of VAD among girls (4.1%) was significantly high than boys (1.9%). In present study 0.5% cases of night blindness, 1.4% cases of conjunctival xerosis and 2.1% cases of Bitot s spot were found. ····· 10361146799
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Anemia is one of the commonest medical disorders. It is a pathological condition in which the oxygen carrying capacity of red blood cells is insufficient to meet the body s needs. Nutritional anemia is the most important cause of maternal anemia. Anemia during pregnancy has been reported to increase the risk of small-for-gestational-age birth and low birth weight infants. Strong evidence also exists for an association between maternal anemia and preterm birth and premature rupture of membranes. Moreover, women who suffer from anemia during pregnancy are more liable to have heavy bleeding at the time of birth. Severe anemia may weaken uterine muscle, contributing to postpartum hemorrhage and subsequent maternal mortality. Appropriate preconception evaluation and antenatal follow up, together with iron supplementation programs should be implemented to minimize the prevalence of anemia and its adverse maternal and fetal effects. ····· 10361146597
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Adipose tissue is a complex endocrine organ and its quantity and distribution are markers of morbidity risk. The third trimester of human development is a period of rapid adipose tissue deposition. Preterm infants are subject to periods of suboptimal nutrition and chronic illness and may be at risk of altered adiposity. Using the technique of Magnetic Resonance Imaging to study adipose tissue for the first time in preterm infants, this work describes the differences between preterm infants at term age equivalent and healthy term born infants and explores the possible underlying reasons for the differences. ····· 10361146528
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The frequency of platelet-specific antibodies in multitransfused patients and their implication in platelet transfusion refractoriness has been a matter of controversy for years. The main reasons are the difficulties encountered in differentiating between HLA- and platelet-specific antibodies and, within platelet-specific antibodies, between auto- or alloantibodies, using the available platelet antiglobulin test. In the recent years, capture assays were developed, using immobilized platelet membrane glycoprotein (GP) carrying the antigens under investigation to avoid using whole platelets. These assays overcome the difficulties in differentiating platelet-reactive antibody mixtures and allow determination of antibody specificity. For the group of highly HLA-immunized patients in need for HLA-matched single donor platelets, however, there are only as many as 25% will have additional platelet-specific alloantibodies. These platelet-specific alloantibodies will prohibit satisfactory transfusion results if HLA-matched but HPA-incompatible platelets are transfused. ····· 10361146501
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray An actinide dependent shadow biosphere of archaea and viroids and related disorder of porphyrin metabolism can contribute to the pathogenesis of metabolic syndrome x, malignancy, psychiatric disorders, autoimmune disease, AIDS, prion disease, neuronal degeneration and epileptogenesis. These are civilizational diseases. Archaeal porphyrin synthesis is crucial in the pathogenesis of these disorders. Porphyrins may serve as regulatory molecules modulating immune, neural, endocrine, metabolic and genetic systems. The porphyrins photo-oxidation generated free radicals can produce immune activation, produce cell death, activate cell proliferation, produce insulin resistance and modulate conscious/ quantal perception. Porphyrins can regulate hemispheric dominance. The archaeal porphyrins functions as key regulatory molecules with mitochondrial benzodiazepine receptors playing an important role. The role of porphyrins in abiogenesis and origin of life as well as biological universe is discussed ····· 10361146495
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study investigates the impact of HIV and AIDS on Ndau masculinities in Chipinge district, Zimbabwe in order to find out whether the Ndau are renegotiating and redefining their masculinities in the context of HIV and AIDS. Many writers have discussed masculinities and HIV and AIDS. These writers include female and male African theologians and individual writers who argue from secular perspectives. In most of these works, the authors feminize HIV and AIDS. This gender perspective and gender mainstreaming have often ignored the gender of men and boys. This study wants to find out whether the Ndau are creating a new man by renegotiating and redefining Ndau masculinities in the context of HIV and AIDS. This study intends to find out if there is something changing in Ndau religio-cultural practices such as widow inheritance, polygamy, kubarira and kuripa ngozi in the context of HIV and AIDS. Ndau masculinities are never the same. These masculinities are being renegotiated and redefined and consequently images of new men are emerging. With the emergence of new men come new Ndau masculinities. ····· 10361146493
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Progressive muscular dystrophy refers to a group of hereditary myopathies characterized by progressive weakness, deterioration and regeneration of muscle fibers. Duchenne muscular dystrophy (DMD)is an X-linked recessive disorder that affects 1:3500 males and is caused by mutation in the dystrophin gene which is responsible for the maintenance of mechanical stability at the muscle cell membrane. Symptoms are seldom noted until the child is between 2-5 years old. The disease affects male only and is inherited in the female line. The major characteristics of the disease are muscle wasting, weakness and concurrent hypertrophy. Usually between the age of 8 to 12, severe contractures and muscle weakness are apparant and most children are unable to ambulate. There has been a debate for many years on whether muscular training is beneficial or harmful for patients with myopathic disorders. So we have tried to evaluate the effect of a well-designed isokinetic rehabilitation program on patients with DMD and clarify whether muscle strength training exercises cause improvement or further deterioration in those patients. ····· 10361146462
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Health care costs are on the rise in Australia. Rational decisions using cost-effectiveness analyses are necessary to prioritise health interventions for the allocation of limited resources. Immunisation is an important component of preventive health care intervention and its cost-effectiveness analyses are useful in prioritising the choices. This book describes economic evaluation of two immunisation interventions in Australia: influenza and hepatitis B. We have analysed cost-effectiveness of reducing universal influenza vaccination age threshold to 50 from the current 65 using a decision tree model and cost-effectiveness of various hepatitis B infant vaccination strategies using a micro-simulation model. Here we describe the strength of the evidence to reduce universal influenza vaccination age threshold. Our results also suggest that the current hepatitis B vaccination strategy in Australia is an expensive one, but yields maximum health gain in general population. Is that the best choice How good is Australian hepatitis B immunization strategy for indigenous population Do we have alternative cost-effective choices This book tries to explore all these questions. ····· 10361146435
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This research work was done to know the effect of abdominal insufflation and study the effect of antibiotics on bacterial growth especially in cases of peritonitis. There were few schools of thoughts regarding use of abdominal insufflation during laparoscopy and gasless laparoscopy in cases of peritonitis. Few studies suggested that gasless laparoscopy is better, in other studies it was seen that there is no difference in abdominal insufflation and gasless laparoscopy. The attendant mortality and morbidity was more in some studies when laparoscopy was done using abdominal insufflation. By this work we tried to see the effect of abdominal insufflation on bacterial growth in abdominal insufflation, non insufflation and effect of antibiotics on bacterial growth in experimental model of rats. This book is targeted at the young researchers having innovative concepts in surgical field. ····· 10361146276
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book discusses about the brain injuries, their types and preventions. In this we will review the consequences of traumatic injury to the brain and spinal cord and the regenerative strategies that are being pursued to overcome the tissue degeneration that ensues. This begins with a discussion of the epidemiology and pathogenesis of traumatic injury and is followed by a discussion of the challenges associated with promoting regeneration and limiting degeneration. Strategies for treatment are described approaches aimed at achieving functional recovery after traumatic central nervous system (CNS) injury. This concludes with an outlook on research dedicated to future treatment strategies. ····· 10361146259· 1 · ::::: · 4 ·· 5 ·· 6 ·· 7 ·· 8 ·· 9 ·· 10 · ::::: · 74 ·
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