····· lezzter Preis 4.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Coronavirus / COVID-19 Beatmungs-Karten 2020 (2er-Set )- 2 handliche Taschenkarten - das wichtigste zur Beatmung mit COVID-19 Patienten, kurz & prägnant! - rundum alles, was Sie im Umgang mit beatmeten `Corona Patienten` wissen müssen! - unerlässlich in der täglichen Beatmungspflege Mit diesem Karten-Set ergänzen wir unsere derzeitigen Beatmungs-Set`s um die Beatmungsproblematik mit dem `COVID-19 Virus`! Details: - COVID-19 Beatmung - mit (ARI) akute respiratorische Insuff. - COVID-19 Beatmung - mit ARDS - Respirator-Einstellungen wie FIO2 / AF / I:E / AZV / Pinsp / PEEP / Flow - Zielgrößen BGA zu jedem der beiden Krankheitsbilder - Wichtiges zu invasive/Nicht-invasive Beatmung - Beatmungs-Strategien - PCR-Diagnostik - Oxigenierungs-Index & Berechnung - ARDS-Network-Tabelle + ARDS-Tetwork-Tabelle `mit High-PEEP` Zudem unsere Karte Oxygenierungs-Störungen zum einstellen der Beatmungsmaschine bei Oxygenierungsproblemen! - Größe DIN A6 - laminiert und abwaschbar ····· 10361193201
····· lezzter Preis 7.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Vom Scheitel bis zur Sohle. Eine Übersetzung aller wichtigen anatomischen und histologischen Fachbegriffe. Für Studenten der Human-, Zahn- und Tiermedizin, Sportstudenten, Physiotherapieschüler, Krankenpflegeschüler, sowie für alle andern Anatomieinteressierten. \* Ein schnelles Nachschlagewerk für das Anatomie-/Histologielernen und den Präparierkurs \* Anschaulich und sicher lernen durch Verstehen der anatomischen Fachbegriffe \* insgesamt mehr als 3.500 Einträge \* zum Selbststudium sowie für Vorlesung und Kurs ····· 10361158656
····· lezzter Preis 10.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Handliche Häppchen für kluge Köpfe! Kapitel 1: `Der sich und Anderen helfende Mensch` aus dem sozialpsychiatrischen Standardwerk `Irren ist menschlich` jetzt als preiswerter Einzelband! Das Lehrbuch `Irren ist menschlich` hat mit klaren Positionen die Versorgung psychisch erkrankter Menschen erneuert und geprägt. Die in ihm vertretene Position, dass es für das volle Verständnis von psychischen Beeinträchtigungen und Krankheiten auf die Haltung ankommt, mit der wir uns den Betroffenen und den Phänomenen nähern, hat die nachfolgenden Generationen geprägt. ····· 10361202419
····· lezzter Preis 10.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Handliche Häppchen für kluge Köpfe! Kapitel 5: `Der sich und Anderen fremd werdende Mensch (Schizophrenie)` aus dem sozialpsychiatrischen Standardwerk `Irren ist menschlich` jetzt als preiswerter Einzelband! Das Lehrbuch `Irren ist menschlich` hat mit klaren Positionen die Versorgung psychisch erkrankter Menschen erneuert und geprägt. Die in ihm vertretene Position, dass es für das volle Verständnis von psychischen Beeinträchtigungen und Krankheiten auf die Haltung ankommt, mit der wir uns den Betroffenen und den Phänomenen nähern, hat die nachfolgenden Generationen geprägt. ····· 10361202422
····· lezzter Preis 10.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Handliche Häppchen für kluge Köpfe! Kapitel 6: `Der sich und Andere aufbrechende Mensch (Manie)` aus dem sozialpsychiatrischen Standardwerk `Irren ist menschlich` jetzt als preiswerter Einzelband! Das Lehrbuch `Irren ist menschlich` hat mit klaren Positionen die Versorgung psychisch erkrankter Menschen erneuert und geprägt. Die in ihm vertretene Position, dass es für das volle Verständnis von psychischen Beeinträchtigungen und Krankheiten auf die Haltung ankommt, mit der wir uns den Betroffenen und den Phänomenen nähern, hat die nachfolgenden Generationen geprägt. ····· 10361202425
····· lezzter Preis 10.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Handliche Häppchen für kluge Köpfe! Kapitel 7: `Der sich und Andere niederschlagende Mensch (Depression)` aus dem sozialpsychiatrischen Standardwerk `Irren ist menschlich` jetzt als preiswerter Einzelband! Das Lehrbuch `Irren ist menschlich` hat mit klaren Positionen die Versorgung psychisch erkrankter Menschen erneuert und geprägt. Die in ihm vertretene Position, dass es für das volle Verständnis von psychischen Beeinträchtigungen und Krankheiten auf die Haltung ankommt, mit der wir uns den Betroffenen und den Phänomenen nähern, hat die nachfolgenden Generationen geprägt. ····· 10361202428
····· lezzter Preis 10.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Handliche Häppchen für kluge Köpfe! Kapitel 8: `Der sich und Andere versuchende Mensch (Abhängigkeit)` aus dem sozialpsychiatrischen Standardwerk `Irren ist menschlich` jetzt als preiswerter Einzelband! Das Lehrbuch `Irren ist menschlich` hat mit klaren Positionen die Versorgung psychisch erkrankter Menschen erneuert und geprägt. Die in ihm vertretene Position, dass es für das volle Verständnis von psychischen Beeinträchtigungen und Krankheiten auf die Haltung ankommt, mit der wir uns den Betroffenen und den Phänomenen nähern, hat die nachfolgenden Generationen geprägt. ····· 10361202431
····· lezzter Preis 10.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Handliche Häppchen für kluge Köpfe! Kapitel 9: `Der sich und Andere bemühende Mensch (Neurotisches Handeln, Persönlichkeitsstörungen und Psychosomatik)` aus dem sozialpsychiatrischen Standardwerk `Irren ist menschlich` jetzt als preiswerter Einzelband! Das Lehrbuch `Irren ist menschlich` hat mit klaren Positionen die Versorgung psychisch erkrankter Menschen erneuert und geprägt. Die in ihm vertretene Position, dass es für das volle Verständnis von psychischen Beeinträchtigungen und Krankheiten auf die Haltung ankommt, mit der wir uns den Betroffenen und den Phänomenen nähern, hat die nachfolgenden Generationen geprägt. ····· 10361202434
····· lezzter Preis 11.80€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Über einen langen Zeitraum leistete Dr. med. Sandler bedeutende Forschungsarbeiten auf dem Gebiet der Kinderlähmung. Sein Beweismaterial belegt eindeutig, dass ein niedriger Blutzuckerspiegel ein Faktor bei der Empfänglichkeit der Kinderlähmung ist und daß eine Kostform, die ein Absinken des Blutzucker-spiegels unmöglich macht, die Erkrankung an Kinderlähmung verhütet. Da sich die Lebens- und Ernährungsgewohnheiten in den USA von denen in Deutschland unterscheiden, hat Dr. M. O. Bruker das Buch überarbeitet ····· 10361206550
····· lezzter Preis 12.12€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Mehr als 20% der Erwachsenen und bis zu 8% der Jugendlichen leiden an chronisch rezidivierenden oder anhaltenden Kopfschmerzen. Jeder zehnte Erwachsene beansprucht wegen chronischer Kopfschmerzen ärztliche Hilfe. Die Ursache der meisten chronischen Kopfschmerzsyndrome ist nahezu ungeklärt. Hierbei spielen psychische Faktoren eine wichtige Rolle. Detaillierte Anamneseerhebung und Analyse der Auslösebedingungen sind erforderlich, um optimale diagnostische und therapeutische Maßnahmen einzuleiten. Voraussetzung hier für ist die Kenntnis über Ätiologie, Pathophysiologie und pharmakologische Grundlagen. Durch die Umsetzung der neuen wissenschaftlichen Erkenntnisse in die Praxis lassen sich die diagnostische Zuordnung und therapeutischen Erfolge deutlich verbessern.Auf dem IV. Internationalen Symposium über Schmerzdiagnostik und -therapie mit dem Schwerpunkt `Kopfschmerz` in Bremen stellten Fachautoren und internationale Wissenschaftler Beiträge über Grundlagenforschung, Diagnostik und Therapie sowie Erfahrungsberichte verschiedener Kopfschmerzsyndrome dar. Viele Beiträge vermitteln einen praxisnahen Bezug. Ergebnisse verschiedener Studien sowie medikamentöser und nichtmedikamentöser alternativer Therapieverfahren ergänzen die Bestandsaufnahme. Dieses Buch soll der Aufklärung der Patienten ebenso wie der ärztlichen und psychologischen Betreuung unterstützend zur Seite stehen. Darüber hinaus will das Buch dazu bei tragen, das interdisziplinäre Denken in Diagnostik und Therapie des Kopfschmerzes zu fördern. ····· 10361200632
····· lezzter Preis 12.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Angehörige psychisch kranker Menschen grhörten in den letzten Jahrzehnten nicht gerade zu den Lieblingskindern der professionellen Psychiatrie-Mitarbeiter. Wenn sich die gegenseitige Wahrnehmung auch positiv verändert hat, so bleibt doch noch viel zu tun, sollen sich diese Veränderungen dauerhaft im psychiatrischen Alltag niederschlagen. Dreh- und Angelpunkt der Angehörigenbewegung, die unverzichtbare Basis aller Bemühungen, war und ist die Angehörigengrupe. Sicher, es gibt mittlerweile in fast allen Regionen Deutschlands Angehörigengruppen der unterschiedlichsten Art, aber noch immer gehören sie nicht zum Standardangebot jeder psychiatrischen Institution. Die vorliegende Psychosoziale Arbeitshilfe möchte dazu beitragen, die noch vorhandenen Lücken zu schließen. Sie möchte möglichst vielen Psychiatrie-Mitarbeitern, aber auch Angehörigen Mut machen, es mit der Angehörigengruppe zu versuchen. ····· 10361202115
····· lezzter Preis 14.50€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die klinische Elektrokardiographie wurde nach dem Motto `Langweiliges durch Lachen zu lernen`, verbrämt mit Gedächtnisstützen und einprägsamen Slogans, in aufgelockerter Form dargestellt. Bewusst wird nur das praktisch Wichtige herausgegriffen und auf alle Theorie und Problematik verzichtet. Es wird daran erinnert, dass aus dem EKG keine bindenden Hinweise auf die Güte der Kontraktion bzw. auf die Herzleistung zu erwarten sind. So sind auch die Schemata und Eselsbrücken nur darauf ausgerichtet, die elektrophysiologischen Grundlagen der Erregungsausbreitung und -rückbildung sowie ihre pathologischen Abweichungen dem Leser näher zu bringen, sodass Studierende das Dargebotene sehr rasch auffassen und für die Prüfung bzw. die tägliche Praxis bestens behalten und verwenden können. Die ganz unkonventionelle Weise der Darstellung nach Art der Comic Strips ist so erfolgreich, dass bereits die 9. Auflage in deutscher Sprache sowie mehrere fremdsprachige Ausgaben erscheinen konnten. ····· 1036150183
····· lezzter Preis 14.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Leitlinie befasst sich mit malignen Ovarialtumoren, Borderlinetumoren, Keimstrangstroma- und Keimzelltumoren. Die Zielorientierung der Leitlinie umfasst die Beratung von Hochrisikogruppen, die Diagnostik und Therapie der frühen und fortgeschrittenen Stadien und sowie die Behandlung seltener histologischer Subtypen. Die S3-Leitlinie richtet sich an alle medizinischen Fachrichtungen, die an der Diagnostik und Therapie von Patientinnen mit malignen Ovarialprozessen beteiligt sind, sowohl im ambulanten wie auch stationären Bereich. Ebenso richtet sich die Leitlinie an die Pflege und an interessierte Betroffene und Angehörige. Durch die eigenständigen Themenkomplexe Screening und Nachsorge sind auch niedergelassene Ärzte wichtige Adressaten der Leitlinie. Für die im Aufbau befindlichen Gynäkologischen Krebszentren soll die Leitlinie als Orientierung und Grundlage dienen. Wissenschaftlich begründete und praktikable Leitlinien sind ein wichtiges Instrument der Qualitätssicherung in der Onkologie. Leitlinien spiegeln den aktuellen Stand des medizinischen Wissens wieder und werden regelmäßig aktualisiert. Sie sind evidenz- und konsensusbasiert und sollten die Grundlage für alle diagnostischen und therapeutischen Maßnahmen bilden. In dieser Leitlinie sind erstmalig auch die Fachgesellschaften aus der Schweiz und Österreich einbezogen, sodass sich der Geltungsbereich auch auf diese Länder ausdehnt. ····· 1036179064
····· lezzter Preis 14.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die neue S2k-Leitlinie zum Vulvakarzinom wurde Ende April 2009 auf dem Kongress der AGO vorgestellt. Die beteiligten medizinischen Fachgesellschaften, Patientinnenvertreter und Vertreter der Pflegeberufe haben gemeinsam einheitliche Handlungsempfehlungen zur Diagnostik und Therapie des Vulvakarzinoms und dessen Vorstufen formuliert. Ziel ist es, die medizinische Versorgung und die Lebensqualität von Patientinnen mit dieser Erkrankung zu verbessern. Dies ist umso wichtiger, da diese Erkrankung nicht so häufig ist und deshalb auch nicht sehr viele Daten und Erfahrungen dazu vorliegen. ····· 10361203175
····· lezzter Preis 14.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Lernen und wiederholen Sie die Anatomie anhand von klinisch-anatomischen Fallbeispielen und begreifen Sie, wie wichtig fundierte anatomische Kenntnisse für den klinischen Alltag sind. Ideal als Begleitung während des Präparierkurses, als Wiederholung vor Testaten oder als Vorbereitung auf das Physikum. ····· 10361158686
····· lezzter Preis 15.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Therapeuten stehen selbstverletzendem Verhalten nicht selten ratlos gegenüber. Auch die Betroffenen sind ihrem selbstzerstörerischen Tun meist hilflos ausgeliefert und finden keine Erklärung.Mike Smith hat nun eine Arbeitshilfe für diese Menschen geschrieben. Das Material zielt in erster Linie darauf ab, den Betroffenen einen strukturierenden Zugang zu sich selbst zu ermöglichen. Die Arbeitshilfe eignet sich aber auch dazu, einen einzel- wie auch gruppentherapeutischen Prozess zu unterstützen. Diese Arbeitshilfe ist nach Stimmenhören verstehen und bewältigen die zweite aus der englischen Reihe Vom Opfer zum Sieger. Die Reihe wendet sich in erster Linie an Betroffene, in diesem Fall an die Selbstverletzer, aber auch an Therapeuten, die selbstverletzendes Verhalten besser verstehen möchten, sowie an Freunde und Angehörige, die jemandem dabei helfen wollen,l mit der eigenen Selbstverletzung zu leben. ····· 10361202118
····· lezzter Preis 15.20€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The appearance of mtDNA abnormalities including deletions, duplications,insertions or combinations of them in colorectal cancer (CRC) patients wasinvestigated in this work. Our result showed that 11 of 90 CRC patients had a 8.7kb mtDNA deletion (12.2%) while this deletion was not found in 33 healthycontrols. (P=0.035)We conclude that the 8.7 kb deletion can be a secondary effect of the cancerprocess, which is not inherited. This is the first report on large scale deletions inCRC.We also analyzed the correlation between cancers and mitochondrial haplogroups.The relationship between CRC and each of 9 major mitochondrial haplogroupswere examined in Iranian CRC patients. This is the first study to trace mtDNAHVSI variants in CRC patients of the Persian population. Our data showed thatpatients with CRC have a significantly (P=0.001) higher frequency of haplogroupK (9.5%) when compared with controls (0%). The mitochondrial polymorphismsin haplogroup K might play a causative role in predisposing to CRC.Variations in the D-loop region were found in both CRC patients and healthypeople but the frequency of SNPs in CRC patients was higher than in controlsamples. We found 13 new polymorphisms that had not been recorded in themitochondrial database. We also detected one T C transition at np16519 in 28out of 40 patients (70%). In a recent study researchers reported that the T16519Cvariation worsen the outcome of pancreatic cancer patients, possibly because it isinvolved in altering cellular metabolism. Because we found this mutationfrequently in our healthy controls (43%) and could not find any differentiationamong our patients with respect to the alleles at this mutation, we conclude thatthe functional significance of this mutation needs further investigation.We also analyzed somatic mutations in mitochondrial genes encoding subunits ofthe respiratory complex I. Seven somatic mutations in the MT-ND1 gene werefound. Six of these mutations were synonymous mutations. The T4216C mutationthat was detected in 26% of the CRC tested samples resulted in the substitution oftyrosine with the amino acid histidine at amino acid position 304.The T4216C mutation was recently reported in LHON patients (Povalko et al.,2005). The patients in our study who carried the T4216C mutation had no knownvision problems. It is difficult to speculate about the role of this mutation in CRC.LHON mutations were shown to affect complex I in mitochondria and otherinvestigators found other mutations in different parts of this gene. To showpathogenicity of this mutation or find its role in cancer, more investigationsparticularly in mtDNA of LHON patients are needed. Because cancer is amultifactorial disease and a causative mutation which leads to blindness andcancer has not been reported, we conclude that this mutation may be a secondaryeffect or rare polymorphism. ····· 10361169943
····· lezzter Preis 15.20€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der Glukokortikoidhaushalt der Mutter während der Schwangerschaft spielt einewesentliche Rolle bei der zeitgerechten Größenentwicklung des Fetus. Veränderungenführen u.a. zur Entwicklung von intrauteriner Wachstumsrestriktion, IUGR. DasEnzymsystem der beiden 11 Hydroxysteroiddehydrogenasen, insbesondere das Enzym 11HSD2, und der Regelkreis des plazentaren Corticotropin sind wichtige Systeme derPlazenta, die eine pathologische Veränderung des Glukokortikoidhaushaltes und dessenAuswirkungen auf das Wachstumsverhalten des Fetus verhindern sollen.In dieser Arbeit wurden insgesamt 88 Plazenten wachstumsveränderter Kinder (IUGR,SGA und Präeklampsie) und normal entwickelter Kinder auf eine veränderte Expressionvon CRH und 11ßHSD2 hin untersucht. Die Ergebnisse zeigen klare Expressionsunterschiedezwischen wachstumretardierter und normalgroß geborener Kinder.Über Theorien von Lamarck, Dubos, Dörner und Barker können Zusammenhängezwischen dieser Erscheinung und der späteren Entwicklung eines metabolischenSyndroms bei IUGR- geborenen Kindern hergestellt werden. ····· 10361170063
····· lezzter Preis 16.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Im Zentrum dieses Buches steht die Darstellung und Interpretation aktueller `Lernversuche` von fremden Kulturen in New Age und Wissenschaft (Ethnopsychotherapie, Ethnologie, Religionswissenschaft). Die dort zu registrierenden Trends einer teilweise begeisterten Hinwendung zum Fremden beziehen sich vor allem auf fremde Religionsformen.Ziel dieses Buches ist es, die dargestellten `Lernversuche` bezüglich ihrer inhärenten Deutungsmuster des Fremden zu untersuchen. Ausgehend von ethnologischen und pädagogischen Theorien wird deshalb eine analytische Unterscheidung zwischen `Interkulturellem Lernen` und `Exotismus` - als zwei verschiedenen Arten des Fremderlebens getroffen. ····· 1036158150
····· lezzter Preis 17.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Autoren dieses Fortbildungsbandes möchten dem Kinderarzt in der Praxis den Wissensschatz der Kinderkardiologie in einer knappen und verständlichen Form nahebringen. Inhalt: Einleitung Kardiologische Diagnostik: - Anamnese - Allgemeine Untersuchung - Zyanose - Blutdruckmessung - Herzgeräusche - Akzidentelles Herzgeräusch - Merkmale akzidenteller Herzgeräusche - Funktionelles Herzgeäusch - Organische Herzgeräusche - Phonokardiographie - Elektrokardiographie - Röntgenuntersuchung Echokardiographie: - Untersuchungstechnik - M-mode - Zweidimensionales Schnittbild - Dopplersonographie - Echokardiographische Diagnostik - Obstruktionen im Ausflusstrakt des rechten Ventrikels - Obstruktionen im Ausflusstrakt des linken Ventrikels - Anomalien des Ursprungs der großen Gefäße - Kardiomyopathien - Zusammenfassung Invasive Diagnostik: - Herzkatheterisierung - Angiokardiographie Systematik angeborener Herz-Gefäß-Anomalien: - Herzfehler mit überwiegendem Links-rechts-Shunt - Obstruktionen in der Ausflussbahn des rechten Ventrikels - Obstruktionen in der Ausflussbahn des linken Ventrikels - Anomalien des Ursprungs der großen Gefäße Operative (interventionelle) Therapie angeborener Herzfehler: - Herzfehler mit Links-rechts-Shunt - Herzfehler mit Obstruktionen im Ausflusstrakt des rechten Ventrikels - Herzfehler mit Obstruktionen im der Ausflusstrakt des linken Ventrikels - Komplexe Herz- und Gefäßanomalien mit Rechts-links-Shunt und Zyanose - Betreuung der am Herzen operierten Kinder Entzündliche Herzerkrankungen: - Bakterielle Endokarditis - Myokarditis - Perikarditis - Übergeordnete Krankheitsbilder Herzrhythmusstörungen: - Erregungsbildungstörungen - Erregungsleitungsstörungen Kreislaufstörungen ····· 10361196484
····· lezzter Preis 17.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In der Bewältigung von Psychosen spielt bei vielen Menschen auch das Hören von Stimmen eine große Rolle. Die englischen Autoren Mike Smith und Ron Coleman haben eine sehr erfolgreiche, ganz praktisch orientierte Arbeitshilfe zum Umgang mit dem Stimmenhören geschrieben.Monika Hoffmann hat die Arbeitshilfe ins Deutsche überSetzt. Marius Romme und Sandra Escher - Autoren des Buches Stimmenhören akzeptieren - habe eine Einleitung geschrieben.Die Arbeitshilfe ermöglicht Menschen, die Stimmen hören, die Funktionen der verschiedenen Stimmen zu verstehen und positiv zu bewältigen. Sie enthält viele Anregungen, auch für die (psycho)therapeutische Arbeit. ····· 10361202117
····· lezzter Preis 17.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der Umgang mit aggressiven Verhaltensweisen gehört - insbesondere in stationären Einrichtungen der psychiatrischen Versorgung - zum Alltag: Patienten, die sich verfolgt und attackiert fühlen, Patienten, die umtriebig sind und ihre Impulse nicht kontrollieren können, Patienten, die in anderen Personen das Böse sehen - sie alle können zur Bedrohung für Leib und schlimmstenfalls Leben von Personal und Mitpatienten werden.
Wie kann auf solche Situationen reagiert werden Lassen sich Eskalationen und Gewaltausbrüche vermeiden oder zumindest dämpfen
Wer früh erkennt, kann sanft reagieren. Die Arbeitshilfe Deeskalationsstrategien beschäftigt sich nicht nur mit den `Vorboten` der Aggression und gibt Anregungen, wie aggressive Zuspitzungen trotz eines hektischen Arbeitsalltags früh genug zu erkennen sind, sondern zeigt auch zahlreiche Möglichkeiten auf, deeskalierend zu wirken.
Ist der Gewaltausbruch nicht zu verhindern und muss unter Anwendung von härteren Methoden wie Isolierung, Zwangsmedikation oder auch die Fixierung ans Bett interveniert werden, sollte unbedingt nachbetreut werden, um Traumatisierungen zu verhindern. In welcher Form das geschehen kann, wird ebenfalls ausführlich dargestellt - nichts jedenfalls ist schlimmer als der `Mantel des Schweigens`, konstatieren die Autoren. Die Arbeitshilfe Deeskalationsstrategien in der psychiatrischen Arbeit wendet sich an alle psychiatrisch Tätigen, auch im Maßregelvollzug, und ist eine unentbehrliche Grundlage für Krisensituationen. ····· 10361202120
····· lezzter Preis 17.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hypoglykämien sind häufig zu beobachtende Stoffwechselentgleisungen und spielen gerade auch im Neugeborenenalter eine wichtige Rolle. Diese neonatalen Hypoglykämien können vorübergehend auftreten oder aber auch über einen langen Zeitraum persistieren. Sie können viele verschiedene Ursachen haben und unter anderem durch eine vermehrte Insulinsekretion bedingt sein. Ist diese vermehrte Insulinsekretion angeboren so spricht man vom kongenitalen Hyperinsulinismus, der die häufigste Ursache für persistierende Hypoglykämien im Säuglings- und Kindesalter darstellt und auch unter dem englischen Begriff `persistent hyperinsulinemic hypoglycemia of infancy` (PHHI) bekannt ist. In dieser Arbeit soll ein kurzer Überblick über die verschiedenen Formen des kongenitalen Hyperinsulinismus bei Neugeborenen gegeben werden, wobei auch auf Klinik, Diagnose und Therapiestrategien dieser Erkrankung eingegangen wird. ····· 10361192734
····· lezzter Preis 17.50€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray - Histologie, Physiologie und Pathophysiologie der Niere- Biochemische, mikrobiologische und pharmakologische Grundlagen - Nephrologie - Nierenerkrankungen in der Pädiatrie - Urologie Begleitend zu den Vorlesungen in Block 14 sollen hier alle wesentlichen Inhalte des Blocks überschaubar und in einheitlicher Form dargestellt werden. Es werden die Grundlagen zu Aufbau, Funktion und Erkrankungen der Niere und des Harntraktes vermittelt und dabei Inhalte aus zahlreichen Fachgebieten integrativ mit klinischem Wissen über wesentliche Krankheitsbilder der Nephrologie vernetzt. Mit seiner übersichtlichen Struktur und einer logischen Gliederung soll das vorliegende Werk auch als effiziente Prüfungsvorbereitung dienen und eine solide theoretische Basis für die klinischen Praktika des dritten Studienabschnitts sein. ····· 1036150210
····· lezzter Preis 17.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Bernd Meißnest, geb. 1967, ist Facharzt für Psychiatrie und Psychotherapie. Er ist Chefarzt der Klinik für Gerontopsychiatrie und Psychotherapie Geriatrie des LWL-Klinikums Gütersloh. ····· 1036172033
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Sterben chronisch kranker Kinder rührt uns heute weit mehr an als die unbegreifliche Kindersterblichkeit noch vor rund 100 Jahren, die die Pädiater und auch die Bevölkerung weit weniger erregte. Das Sterben einzelner Kinder erleben wir intensiver. Dieses Buch möchte Hilfe anbieten. Es verdankt sein Entstehen der Aktivität von Prof. Hubertus von Voss. Hier werden Brücken geschlagen von der Kinderheilkunde über die Kinderpsychologie und die Kinderpflege bis hin zur Theologie. Inhalt: - Geleitwort von Theodor Hellbrügge - Vorwort von Pastor Gerhard Boeddinghaus - Einführung von Hubertus von Voss - Bilder von schwerkranken und sterbenden Kindern - Kinder sprechen über ihren Tod - Trost und Gebet bei leidenden und sterbenden Kindern - Kind und Tod im Konzentrationslager und danach - Hoffnung und Verzweiflung sterbender Kinder und ihrer Eltern - Meditation zu dem Thema `Verstehen wir schwerkranke und sterbende Kinder` - Protokolle der Gruppenarbeit - Gedanken über die Humanität im Krankenhaus - Nachwort von Helmut Weiss - Autorenverzeichnis ····· 10361196483
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Kontakt- und Begegnungsstätten, oft auch Tagesstätten und Tageszentren oder Patientenclubs genannt, gehören zu den `klassischen` ambulanten Angeboten der psychiatrischen Hilfen. Dabei eröffnen die alltagsnahen und eher verborgen therapeutisch wirkenden Angebote dieser Begegnungsstellen vielfältige Möglichkeiten für die Mitarbeiter, Kontakt zu chronisch psychisch Kranken zu halten. Die Besucher schätzen die Möglichkeit, Mahlzeiten einzunehmen und Freizeitangebote zu nutzen und dabei das Maß an Kontakt zu anderen Besuchern und zu den dort Arbeitenden selbst bestimmen zu können.Die Autorin beschreibt die Arbeitsweisen der Kontakt- und Begegnungsstellen und stellt jeweils heraus, was wie genutzt werden kann, um den Besuchern Entwicklungschancen zu ermöglichen. ····· 10361202134
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Dieser Band gibt einen gleichermaßen umfassenden wie komprimiert-übersichtlichen Einblick in das Denken, Fühlen und Handeln demenzkranker Menschen. Pflegende erfahren, worin die besonderen Schwierigkeiten konkret bestehen, die beim therapeutischen und pflegerischen Umgang mit diesen Patienten auftreten, und sie lernen, wie sie kompetent und umsichtig bewältigt werden können. Vor allem Kommunikation, Kontaktaufnahme und Gesprächssituationen werden beschrieben, ebenso Anregungen zu Beschäftigungen. Ausführlich wird auch auf die Situation und das Erleben der Angehörigen eingegangen und Hinweise für wirksame Unterstützungsangebote gegeben ····· 10361202136
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Krisenintervention ist eine der großen Herausforderungen der psychiatrischen Arbeit. Es gilt in teilweise dramatischen Situationen das `Richtige` zu tun, um einer weiteren Eskalation vorzubeugen. Wie dies souverän gelingen kann, beschreibt dieser Basiswissen-Band.Vor allem in Kliniken, aber auch in ambulanten Einrichtungen ist der Umgang mit psychischen Krisen und teilweise aggressivem oder suizidalem Verhalten ein Dauerthema. Alle Mitarbeiter werden regelmäßig damit konfrontiert und müssen angemessene Maßnahmen ergreifen können. Ausgehend vom Fünf-Phasen-Modell der Krisenintervention zeigt Dr. Manuel Rupp, an welcher Stelle eines Krisenverlaufs man wie am besten reagiert. Die verschiedenen Schrittfolgen werden anhand von Praxisbeispielen dargestellt, ebenso das eventuelle Hinzuziehen anderer Dienste bis hin zur Polizei. Checklisten erleichtern eine gezielte Vorgehensweise und sorgen dennoch für die nötige Flexibilität. Zudem werden die eigene Fürsorge und der Schutz der Helfenden während und nach einer Intervention thematisiert. ····· 10361202141
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Kinder als Angehörige psychisch kranker Menschen werden zu oft übersehen. Dieses Buch zeigt, warum und wie sie innerhalb des psychosozialen Hilfesystems berücksichtigt werden sollten. Kinder bei der Versorgung ihrer psychisch erkrankten Eltern einzubeziehen ist nicht nur eine notwendige Maßnahme zum Schutz der seelischen Gesundheit der Kinder. Eine Mitversorgung der Kinder bedeutet auch, erkrankte Eltern nicht mit ihren Versorgungsnöten und -ängsten allein zu lassen. Der Autor, Fachmann für das Thema Kinder psychisch Kranker, zeigt zahlreiche konkrete Möglichkeiten, wie v. a. Kliniken die Mitversorgung von Kindern implementieren können. Der kompakte Band aus unserer bewährten Basiswissen-Reihe beleuchtet die Kooperationsmöglichkeiten zwischen Psychiatrie und Jugendhilfe und bietet eine überzeugende Darstellung des aktuellen Forschungsstandes zur Mitbetroffenheit von Kindern. ····· 10361202145
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Nichts ist wie vorher Traumata und ihre Folgen sind ein brennendes Thema, nicht nur innerhalb der psychiatrischen Versorgung. Dieser Band liefert das Basiswissen, um sich traumaerfahrenen Menschen kompetent, behutsam und beherzt zuwenden zu können. Nicht selten kommen wir unwissentlich mit Traumafolgestörungen in Kontakt. Besonders für psychiatrisch Tätige ist es wichtig, für typische Traumafolgen sensibilisiert zu sein, um `schräg` wirkende Verhaltensweisen einordnen zu können. Dieses Buch vermittelt leicht verständlich und kompakt Traumaursachen, Störungsbilder und Bewältigungsmuster. Es zeigt die therapeutischen Möglichkeiten auf und unterstützt praxisnah die professionelle Interaktion mit traumatisierten Menschen. Es hilft, Retraumatisierungen zu vermeiden und den Patienten auch in psychiatrischen Settings einen `sicheren Raum` zu schaffen. ····· 10361202152
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Übersichtlich, kompakt und praxisorientiert informieren zwei renommierte Fachleute über Ursachen, Erscheinungsformen und Behandlungsmöglichkeiten bipolarer Störungen. Der Wechsel von manischen und depressiven Phasen ist ein klassisches Thema in der psychiatrischen und psychotherapeutischen Versorgung. Kompakt und kompetent aufbereitet vermittelt dieses Buch Pflegekräften, Sozialarbeitern/innen, Heilpädagogen und Ergotherapeutinnen alles wichtige Basiswissen zum Thema Bipolarität. Wolkenstein und Hautzinger - beschreiben zahlreiche Fallbeispiele - schildern typische Alltagssituationen mit den dazu passenden Interventionen Das Ergebnis ist ein leicht zu lesender und schnell anwendbarer roter Faden zum konstruktiven Umgang mit bipolaren Klienten. ····· 10361202158
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der Umgang mit wahnerkrankten Menschen ist für viele professionell Tätige eine Herausforderung. Dieses Buch vermittelt grundlegendes Sachwissen und gibt Anleitungen zur Beziehungsgestaltung zwischen Therapierenden und Betroffenen und reflektiert über Ängste und andere Aspekte im Umgang mit Suizidalität und Fremdgefährdung. Wahnhaftes Verhalten ist manchmal skurril und faszinierend, aber auch eines der am schwierigsten nachzuvollziehenden psychiatrischen Phänomene und Bestandteil vieler Krankheitsbilder (Depressionen, Affektive Störungen, Psychosen, Schizophrenie). Wie soll man eine (therapeutische) Beziehung gestalten, wenn der Wahn selbst oft therapeutisch unveränderbar scheint Wahnerleben ist ein Erfahrungsmodus, ein Symptom, aber auch eine eigenständige Erkrankung - erst sein Verständnis als individueller Bewältigungsversuch einer belastenden Lebenssituation ermöglicht dem Therapeuten die Aufnahme und Gestaltung einer Beziehung zum Erkrankten. Kompetent, komprimiert und praxisnah machen zwei renommierte Experten Verstehenshilfen, Techniken der Gesprächsführung und Anleitungen zur Beziehungsgestaltung mit wahnerkrankten Menschen verfügbar. Aus dem Inhalt: - Was ist Wahn - Wie entsteht Wahn - Macht Wahn Sinn - Umgang mit wahnkranken Menschen - Wahn und selbstschädigendes Verhalten - Wahn und Fremdgefährdung ····· 10361202159
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Alkoholsucht ist aufgrund der Häufigkeit, der Schwere und der Stigmatisierung der Störung ein stets präsentes, oft frustrierendes Thema für alle, die in psychosozialen Berufsfeldern arbeiten. Sozialarbeiterinnen, Pflegekräfte, Berufsbetreuer, Mitarbeitende in der Suchthilfe, in Werkstätten und Beratungsstellen begegnen gerade alkoholabhängigen Patienten immer wieder und arbeiten sich allzu oft an den eigenen Zielen für diese problematische Klientengruppe ab. Was aber kann die Suchtfolgen effektiv mindern Was sind die professionellen Handlungsoptionen Praxisnah und kompetent erleichtert der Autor den Zugang - zur subjektiven Seite des süchtigen Alkoholkonsums - zur biografischen Dimension der Sucht - zu somatischen und sozialen Folgen ihrer Verfestigung - zum Krankheitsverständnis von Alkoholismus - suchtspezifischen Therapiemöglichkeiten und -strategien. Der Autor erklärt eindringlich und schlüssig, wie Patientinnen und Patienten zur Abstinenz oder frühzeitiger Reduktion ihres Alkoholkonsums motiviert werden können. Ein besonderer Fokus liegt auf der effektiven Unterstützung der Betroffenen bei der Zielfindung, der Ressourcenorientierung und der Unterstützung durch positive Verstärker aus dem familiären und sozialen Umfeld. ····· 10361202166
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Geduld, Wertschätzung und Empathie sind universale Tugenden im helfenden Umgang mit depressiven Patientinnen und Patienten, unabhängig von der Schwere der jeweiligen Erkrankung. Was darüber hinaus an krankheitsspezifischen Techniken wichtig ist, stellt die Autorin mit vielen Fallbeispielen aus der eigenen Praxis anschaulich dar. Die Alltags-, Milieu- und Beziehungsgestaltung spielt in der psychiatrisch-pflegerischen Arbeit, aber auch in der Sozial- und Betreuungsarbeit eine große Rolle. Dabei hängt der Erfolg der therapeutischen Bemühungen in vielerlei Hinsicht von dem Verständnis und der Kommunikationsfähigkeit der Pflege- und Bezugspersonen ab. Im bewährten, vollständig überarbeiteten Basiswissen-Band gibt die Depressionsexpertin Angela Mahnkopf einen Überblick über die Gefühls- und Erlebniswelt von depressiv erkrankten Menschen. Anhand vieler positiver Beispiele für gute Kommunikation vermittelt sie die Grundlagen und Kompetenzen für den richtigen Umgang mit depressiv Erkrankten. Ausführlich behandelt werden Themen wie - Diagnostik und depressive Symptomatik - Stigmatisierung - Beziehungsgestaltung - Motivation der Betroffenen - Rückfallepisoden - Kinder als Angehörige - Alltagsgestaltung der Betroffenen - Chronifizierung - Suizidalität - Hilfevermittlung und Behandlungsangebote Das Buch zeigt, wie ein motivierender Umgang mit depressiven Menschen gelingen kann. ····· 10361202190
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Forensische Psychiatrie arbeitet mit sucht- und psychisch erkrankten Straftätern im Spannungsfeld von Sicherung und fachgerechter Therapie. Kompakt und praxisnah gibt dieser BASISWISSEN: Band einen Überblick über die besonderen Anforderungen und erleichtert mit Informationen und Arbeitshilfen den Berufsalltag in Maßregelvollzug und Nachsorge. Eine Vielzahl besonderer Rahmenbedingungen und ein gesetzlicher `Besserungsauftrag` kennzeichnen die Ausgangssituation für die therapeutische Beziehung zwischen den im Maßregelvollzug untergebrachten Menschen und den professionell Tätigen. Besondere Faktoren wie Machtgefälle, Regelwerke, eine vordefinierte Beziehungsdauer, Delinquenz, herausfordernde Interaktionsmuster erschweren die persönliche Begegnung mit oft gewalttätigen und persönlichkeitsgestörten Menschen. Dieser Band stellt Grundlagen und Konzepte für ein hilfreiches therapeutisches und pflegerisches Vorgehen vor. Ein Schwerpunkt ist die Entwicklung der eigenen positiven, konstruktiven Grundhaltung. ····· 10361202192
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Immer häufiger sind auch psychiatrisch Tätige außerhalb der Kinder- und Jugendpsychiatrie, d.h. in Beratungseinrichtungen, ambulanten Diensten und der Jugendhilfe, mit der Dynamik von lang andauerndem Cannabiskonsum konfrontiert. Viele sind verunsichert, wenn es um Fragen der Wechselwirkung mit psychischen Erkrankungen, also um Komorbiditäten, geht. Hier bietet dieses Buch Abhilfe mit praktisch verwertbaren Informationen für den Arbeitsalltag und einem beispielhaft unaufgeregten, aber entschiedenen Umgang mit dem Thema. Der Autor zeigt, wie wichtig auch in diesem Bereich die Beziehung und die am Einzelfall ausgerichtete Behandlung ist. Aus dem Inhalt: - Grundinformationen zum Cannabiskonsum - Fragen (und Antworten) aus dem Alltag mit Cannabisklienten - Neurologische Prozesse bei der Entwicklung von Sucht - Wechselwirkungen zu psychischen Erkrankungen wie Depression, Angst- und Persönlichkeitsstörungen - Cannabiskonsum, Psychosen und Psychopharmaka - Rolle der Helfenden - Einbeziehung der Angehörigen ····· 10361202194
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Ob an Spielgeräten, in Casinos, bei Online-Poker oder Internet-Sportwetten - unter dem Titel Glücksspiel versammeln sich immer mehr und vielseitigere, oft `unsichtbare` Gefährdungspotenziale. Das Buch bietet einen systematischen und gründlichen Überblick über Phänomene und Dynamik des Störungsbildes Glücksspielsucht und beschäftigt sich ausgiebig mit der Früherkennung und der differenzierten Diagnostik dieses besonderen Suchtverhaltens. Verläufe und Kategorien von Spielverhalten, Spielerpersönlichkeiten und Spielerkarrieren werden erfasst. Der Autor stellt kompakt und praxisnah die einzelnen Bausteine erfolgversprechender Beratungsstrategien vor und formuliert konkrete therapeutische Hilfestellungen, die der Vielschichtigkeit des Geschehens und seiner oft existenziellen Bedeutung - auch für die Angehörigen - gerecht werden. Professionsübergreifende Beratungskonzepte für unterschiedliche Unterstützungssysteme (z.B. Suchtberatung und Schuldnerberatung) und die Rolle der Angehörigen werden vertieft. ····· 10361202195
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Angehörige sind längst im psychiatrischen Alltag angekommen, aber die konkrete Arbeit mit ihnen fordert professionell Tätigen einiges ab: eine klare Haltung, einen konstanten Perspektivwechsel und Sicherheit im kommunikativen Umgang. Vorurteile und Vorbehalte gegenüber Angehörigen als Mitverursacher von Störungen sind immer noch groß und verstärken die Unsicherheit im Umgang mit Familienmitgliedern, Partnern oder engen Vertrauten. Gefühlte Defizite und wenige qualitative Standards in diesem Arbeitsbereich sorgen für Unsicherheiten bei der Kommunikation von Bedürfnissen und Absprachen, gerade im Mehrpersonensetting. Das Buch bietet grundlegende Hilfe: Es formuliert praxisbewährte Leitlinien für den Arbeitsalltag, arbeitet systemische Grundlagen ab und widmet sich in einem Extrakapitel dem Thema `Kinder als Angehörige`. ····· 10361202196
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Fast alle psychisch Erkrankten werden zukünftig in vielfältigen, `eigenen` Wohnformen leben. Für den Berufsalltag der ambulanten psychiatrischen Versorgung bedeutet das, die bisweilen schwierigen Klienten bei der Alltagsbewältigung kompetent, flexibel und krisenfest zu begleiten. Die Autoren schildern alle damit verbundenen Anforderungen übersichtlich und praxisnah. In den letzten Jahren hat sich das Spektrum der Wohnformen für psychisch Erkrankte erheblich erweitert. `Betreutes Wohnen` findet nicht mehr nur in Heimen, sondern auch in Einzelwohnungen oder Wohngemeinschaften statt. `Betreuung` meint folgerichtig nicht mehr nur eine lebenslange Begleitung, sondern Unterstützung bei der Verwirklichung von mehr Selbstbestimmung. Dies setzt - breit gefächertes Wissen über fachliche Instrumente und Methoden der Alltagsbegleitung und Wohnversorgung und - eine reflektierte Haltung zu Rahmenbedingungen, Arbeitsauftrag und Hilfeplanung voraus. Die Autoren führen Berufseinsteiger kenntnisreich und kompakt in dieses Arbeitsfeld ein und liefern `alten Hasen` wertvolle Anregungen für die tägliche Arbeit. ····· 10361202199
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der Koran verpflichtet Gläubige ausdrücklich, sich bei gesundheitlichen Problemen fachliche Hilfe zu holen. Vorausgesetzt, die Behandlung widerspricht nicht der islamischen Lehre. Bei der Behandlung muslimischer Personen hilft Wissen über potenziell konfliktträchtige Themen, die mit divergierenden Krankheitskonzepten des Islam einhergehen. Das reicht vom Verständnis darüber, was eine psychische Erkrankung ist, bis hin zu einem angemessenen Verhalten beim Hausbesuch. Wer den Glauben seines Patienten versteht, kann Berührungsängste abbauen und kompetenter helfen. Das Buch informiert u.a. über - vom Islam geprägte alternative Krankheits- und Heilungskonzepte, - die psychosoziale Versorgung von Muslimen in Deutschland, - empfehlenswerte Vorgehensweisen bei bestimmten Krankheitsbildern, - Erkennen und Einordnen von traumatischen Erlebnisse und Traumafolgen. Praktische und praxisbewährtes Wissen entlastet und erleichtert Helfenden die ambulante und stationäre Arbeit sowie die Reflexion der eigenen Einstellung zum Islam. Fragestellungen zu vielfach vorliegenden Traumatisierung von Flüchtlingen werden kenntnisreich erörtert. ····· 10361202207
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Konfrontation mit Suizidalität betrifft alle Berufsgruppen in der Psychiatrie, Psychotherapie und Sozialen Arbeit. Das Ziel ist, der Krise kompetent und angemessen zu begegnen, ohne die eigenen Grenzen zu überschreiten. Der überarbeitete und aktualisierte Basiswissen-Band präsentiert übersichtlich und praxisnah, was im Umgang mit suizidgefährdeten Menschen hilft. Das Thema Suizidalität ist für viele Helfende, ob professionell, ehrenamtlich oder als betroffene Angehörige, angstbesetzt und existenziell: Darf man, kann man Selbsttötungen verhindern Welche Beziehung besteht zwischen der suizidalen und der helfenden Person Und wie schützt sich der oder die Helfende vor Überforderung oder Manipulation Mit ausreichendem Wissen über rechtliche Rahmenbedingungen, Hintergründe und Verlaufsmuster suizidaler Krisen und Präventions- bzw. Interventionsstrategien lassen sich lähmende Unsicherheiten in Beratungs- und Akutsituationen minimieren. Adressen und Literaturhinweise runden das Buch ab. ····· 10361202211
····· lezzter Preis 18.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Dieses Buch befähigt psychiatrisch Tätige, die berufliche Beratung für psychisch erkrankte Menschen systematisch durchzuführen und die Wiedereingliederung erfolgreich zu gestalten. Mit zahlreichen praxisorientierten Handreichungen und Downloadmaterialien. Menschen, die wegen einer seelischen Erkrankung vorübergehend aus dem Arbeitsleben ausscheiden mussten, brauchen Unterstützung im anschließenden Rehabilitationsprozess. Dieses Buch zeigt, wie die berufliche Wiedereingliederung gelingen kann, und bietet vielfältige Hilfestellungen. Ein grundlegender Baustein ist das Beratungsgespräch, das die Autorinnen in diesem Band differenziert darstellen. Sie schöpfen aus ihrem beruflichen Erfahrungsschatz, beschreiben Maximen und stellen wertvolle Ideen vor. ····· 10361202227
····· lezzter Preis 19.40€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Werk umfasst die molekularen Grundlagen didaktisch wichtiger wie häufiger Erkrankungen im gesamten Spektrum der Medizin, d.i. Neurologie, Endokrinologie, Infektiologie und Immunologie, Tumorologie, Gastroenterologie und Metabolismus, Hämato- und Cardiologie u.a. einschließlich der Erkrankungen des Alterns. Verstehen, Nachschlagen und Vertiefen/ 400 Tabellen, 1.500 Abbildungen, 900 URLs und 700 Review-Literaturstellen sowie Verzeichnisse von 10.000 Abkürzungen und 2.100 OMIM numbers erleichtern das Verständnis, das Nachschlagen und Vertiefen. Fächerübergreifend und integrativ Allgemein relevante Themen wie Diagnostik, Genetik, Gentherapie und Molekularbiologische Methoden sowie Zellphysiologie leiten das Buch ein. Das Kapitel Signaling beschreibt die für alle Organe essentiellen biologischen Prozesse, d.h. Signalwege und deren molekulare Komponenten wie Signale, Rezeptoren, Solute Carrier, Ionenkanäle, Pumpen, Signaltransduktionsproteine, aber auch deren Abnormitäten und die daraus resultierenden Erkrankungen. So wird dem Leser eine integrative Denkweise nahe gebracht. Neue organ- und fächerübergreifende Nosologiekonzepte wie (Protein)Trafficking/sorting/misfolding diseases, Protein aggregation dieseases, Synucleinopathien, Prion-, Amyloid-, Tricnucleotide repeat-, Protein-Glycosylierungs-Erkrankungen, Chaperonopathies, Channelopathies, DNA-repair diseases, Cell cycle control diseases, Mitochondriopathien u.a. werden ebenfalls berücksichtigt. Self-updating-Mechanismus Über 2.100 der in diesem Buch vorkommenden Gene/Proteine/Erkrankungen sind mit OMIM accession numbers versehen. Diese ermöglichen ein gezieltes Arbeiten mit dieser Internet-Datenbank (innerhalb der ehem. Library of Medicine), um sich über neue Forschungsergebnisse und Erkenntnisse zu informieren und Wissen zu vertiefen. Bildlichkeit Den Editoren und Autoren ist es ein Anliegen, dass sich das Verständnis für die Pathophysiologie und Pathogenese einer Erkrankung aus einem molekularen Zugang erschließt. Im gesamten Werk wird daher auf konsistente Bildsprache gesetzt, die in allen Bildern als vertraute Symbole diverser Molekül-Arten wiederkehrt.
Pathophysiologie. Molekulare, zelluläre, systemische Grundlagen von Erkrankungen dient als Nachschlagewerk für Studierende, ebenso aber auch für Ärztinnen und Ärzte. ····· 1036150182
····· lezzter Preis 19.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das vorliegende Buch beschreibt das System der `Münchener Funktionellen Entwicklungsdiagnostik`, welches die Frühdiagnostik der acht wichtigsten psychomotorischen Funktionen im Säuglingsalter ermöglicht. Inhalt: I. Entwicklungsdiagnostik in der Kinderheilkunde II. Somatische Entwicklungsdiagnostik III. Physiologische Entwicklungsdiagnostik in der Kinderheilkunde IV. Entwicklungsdiagnostik in der Kinderpsychologie V. Kindliche Verhaltensweisen als Grundlage der Entwicklungsdiagnostik VI. Die `Entwicklungsphysiologischen Tabellen für das Säuglingsalter` nach Hellbrügge und Pechstein VII. Grundlagen und Aufbau der `Münchener Funktionellen Entwicklungsdiagnostik` VIII. Durchführung und Beurteilung IX,. Diagnostik des `Krabbelalters` X. Diagnostik des `Sitzalters` XI. Diagnostik des `Laufalters` XII. Diagnostik des `Greifalters` XIII. Diagnostik des `Perzeptionsalters` XIV. Diagnostik des `Sprechalters` XV. Diagnostik des `Sprachverständnisalters` XVI. Diagnostik des `Sozialalters` XVII. Bedeutung der `Münchener Funktionellen Entwicklungsdiagnostik` für die Behindertenhilfen XVIII. Grundlagen einer funktionellen Entwicklungstherapie und Prophylaxe XIX. Abrechnungsfragen ····· 10361196485
····· lezzter Preis 19.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hervorgegangen aus meiner 2006 verfassten Habilitationsschrift, beschäftigen sich die in diesem Buch angesprochenen Themenkomplexe mit dezidiert problematischen Fragestellungen der forensischen Osteologie. Methodische Grundlage war dabei die Makromorphologie mit einer umfangreichen Fotodokumentation, ergänzt durch Lichtmikroskopie, Rasterelektronenmikroskopie und computertechnische Verfahren. In der bislang weltweit größten Auswertung von Exhumierungen (371 Fälle) wurden zahlreiche auch forensisch relevante Befunde und deren maximale Nachweisbarkeitsdauer herausgearbeitet.Als prägnanter Überblick der im Titel angeführten aktuellen Erkenntnisse und Diskussionen richtet sich das Buch zum einen an alle forensisch-osteologisch Interessierten, zum anderen aber auch an Fachleute sowie Studierende. ····· 10361158657
····· lezzter Preis 19.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Memo-Physiologie ist als Kompendium und Repetitorium der medizinischen Physiologie konzipiert. Im Zuge der Reformen der Approbationsordnung ist der zu vermittelnde Stoff eher angewachsen, so dass es für Studierende immer schwieriger wird, relevante Sachverhalte zu identifizieren. Dabei soll dieses Buch helfen. Bewusst hat der Autor darauf verzichtet, ein weiteres Kurzlehrbuch oder einen zusätzlichen Taschenatlas zu den bereits vorhandenen hinzuzufügen und auch ein großes Lehrbuch konnte nicht ersetzt werden. Im Gegenteil, das Memo-Physiologie versteht sich als Ergänzung zu einem Lehrbuch und ist besonders nützlich, wenn der Leser bereits Grundwissen aus Vorlesung, Seminar oder Praktikum erworben haben. Das vorliegende Buch schließt den vorklinischen Kreis der ebenfalls veröffentlichten Bände Memo-Anatomie und Memo-Biochemie und soll Studierenden der Medizin und Zahnmedizin, Ärzten und Ärztinnen sowie Auszubildenden und in den Pflegeberufen Tätigen ein physiologisches Rüstzeug an die Hand geben. - Prüfungsrelevantes Wissen nach der neuen AO - Hinweise und klinische Bezüge zum besseren Verständnis - Farbleitsystem und ausführliches Stichwortverzeichnis zur schnellen Orientierung - Umfangreiche schematische Darstellungen verdeutlichen Zusammenhänge - Zur optimalen Vorbereitung auf Prüfungen - Inklusive Lernposter der Stoffwechselwege! ····· 10361182129
····· lezzter Preis 19.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der Lernbegleiter zum Trail Guide Anatomie - Ganz gleich, ob Sie einfach nur den nächsten Test bestehen müssen oder tiefer in die Welt der Anatomie eintauchen, sie begreifen und nachhaltig verstehen möchten - dieses Arbeitsbuch unterstützt Sie dabei. Dieses, in der 2. Auflage komplett überarbeitete Werk, orientiert sich an der vom Buch `Trail Guide Anatomie` vorgegebenen Struktur und Reihenfolge der Kapitel. So ist es Ihnen eine übersichtliche Lernhilfe. Durch unterschiedlichste Übungen - u. a. mithilfe von Lückentexten, Ausmal- und Zuordnungsaufgaben sowie einem Palpationstagebuch - vertiefen und festigen Sie Ihr Wissen. Mit seinen 236 Seiten und mehr als 450 Abbildungen erweist sich dieses Arbeitsbuch als ein unverzichtbarer Lernbegleiter beim Studium des menschlichen Bewegungsapparats. Zeigen Sie, was Sie können! - Identifizieren Sie die anatomischen Strukturen des menschlichen Bewegungsapparats. - Ordnen Sie Muskelursprünge ihren Ansätzen zu. - Malen Sie Muskeln aus. - Beschriften Sie Abbildungen. - Haben Sie eine Menge Spaß! Lassen Sie mithilfe dieses Arbeitsbuchs Ihr Interesse am menschlichen Körper zu einer lehrreichen und nachhaltigen Erfahrung werden! ····· 10361182257
····· lezzter Preis 19.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Buch schildert, wie der elektrische Strom und seine Wirkung auf den menschlichen Organismus entdeckt und erforscht wurden - vom Froschexperiment Luigi Galvanis über die Entwicklung des EKGs bis hin zum modernen Herzschrittmacher. Zahlreiche Abbildungen illustrieren das Buch. Jeder Träger eines Herzschrittmachers kann sich in dem Band über die faszinierende Geschichte des kleinen elektronischen Wunderwerkes informieren, das in seiner Brust für ihn arbeitet und vielleicht sein Leben rettet. ····· 10361184726
····· lezzter Preis 20.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Vor dem Hintergrund von Arbeitsverdichtung und permanenten Strukturanpassungen fällt es Helfenden immer schwerer, ein dynamisches Gleichgewicht aller Lebensbereiche zu wahren. Die Fachleute für die Gesundheit haben das Klientenwohl fest im Blick, nicht aber immer das eigene Wohlbefinden. Kluge Selbstvorsorge ist aber die Voraussetzung, um helfen zu können und vermeidet das Burnout. Die vom Autor vorgestellten Präventionsstrategien enthalten Anleitungen zum Innehalten, Übungen zur Achtsamkeit und praktische Tipps für den eigenverantwortlichen Umgang mit Gesundheit. - Die praktische Anti-Burnouthilfe für alle psychosozialen Berufe - Mit Konzepten aus Salutogenese, Resilienzförderung und Logotherapie - Mit kostenlosem Downloadmaterial ····· 10361171704
····· lezzter Preis 20.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Teilhabemanagement, auf das Menschen mit Behinderungen seit Einführung des Bundesteilhabegesetzes (BTHG) Anspruch haben, ist ohne Kenntnis der ICF nicht möglich: `Die Ermittlung des individuellen Bedarfes des Leistungsberechtigten muss durch ein Instrument erfolgen, das sich an der Internationalen Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit orientiert.` Art. 1 118 BTHG. Der Autor beschreibt die Komponenten des Klassifikationssystems und gibt Hinweise zum Verständnis und zur Nutzung der ICF. So erschließen sich die Anforderungen an die neuen Verfahren zur Teilhabeplanung, mit denen alle bis Mai 2019 vorgestellten Instrumente - BEI_NRW, BEI_BW, B.E.Ni, TIB und ITP - zur Bedarfsermittlung abgeglichen werden. ····· 10361171738
····· lezzter Preis 20.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Menschen mit Psychiatrie-Erfahrung sind nicht nur seelisch krank - die meisten gestalten aktiv ihr Leben, mit eigenen Deutungsmustern für ihre individuellen Erfahrungen. Eine Psychose kann so gesehen nicht nur zum Zusammenbruch psychischer Funktionen führen, sondern gleichzeitig auch als subjektiver Lösungs- oder Bewältigungsversuch betrachtet werden. Mit diesem Verständnis von Krankheit und Gesundheit haben sich verschiedene Theoretiker beschäftigt und dazu Modelle entwickelt. In diesem Buch werden die Ansätze von Laing, Ciompi, Mentzos, Wulff und Bock und ihre existenzialistischen, systemtheoretischen, psychoanalytischen, ethnopsychiatrischen und anthropologischen Stränge der Subjektorientierung vorgestellt. Es sind allesamt Theoretiker, die großen Einfluss auf die psychiatrische Praxis hatten oder haben. Ihre Namen verbinden sich z.B. mit dem Ende der Anstalten, der Soteria und den Psychose-Seminaren. Das Buch bietet einen spannenden Überblick über die theoretische Fundierung der Subjektorientierung und dient gleichzeitig als Klärungshilfe für den Alltag: Subjektorientierung kann neue Zugänge schaffen bei Fragen der Rehabilitation, des Wohnens und der Therapie. ····· 10361202123
····· lezzter Preis 20.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Einstellen von psychiatrieerfahrenen Mitarbeitern und die Nutzung ihres individuellen Erfahrungswissens für den Genesungsprozess von psychiatrische Erkrankten hat den Trialog von Betroffenen, Angehörigen und professionell Tätigen um den Faktor `Peer Support` erweitert. Die institutionelle Verankerung von EX-IN Genesungsbegleitern (vom engl. `Experience Involvement`), ihre Einstellung in psychiatrischen Einrichtungen und die erfolgreiche und gewinnbringende Einbindung der Peers in die professionellen Teams ist trotz vieler Pilotprojekte immer noch kein Routineprozess. Für Führungskräfte und Mitarbeitende, die das Wissen der `Experten aus Erfahrung` nutzen möchten, stellt dieses Handbuch erstmalig konkrete Arbeitshilfen zusammen: - Klärung von Rahmenbedingungen - Erstellung von Aufgaben- und Arbeitsprofilen der Peers - Erarbeitung eines Integrationsplans - Aspekte aus dem Changemanagement - Praktische Informationen und Beispiele - nützliche Links Dieser hochaktuelle Handwerkskoffer trägt in einzigartiger Weise zu einer besseren Bedarfs- und Nutzungsorientierung im psychiatrischen Dienstleistungssystem bei. ····· 10361202188
····· lezzter Preis 20.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Krisen und Notfälle erfordern ein frühzeitiges und planvolles Handeln vonseiten der Helfenden. Wie psychiatrisch Tätige außerordentliche Situationen meistern können, beschreibt dieses Buch anhand vieler Fallbeispiele. Gerade aggressives oder suizidales Verhalten verlangt von dem einen auf den anderen Moment ein entschiedenes Vorgehen, das bei den Betroffenen für Entlastung sorgt. Es wird gezeigt, wie und an welcher Stelle Helfende ihre Energie und Fachkompetenz wirkungsvoll einbringen können und wie die Zusammenarbeit mit anderen Diensten, bis hin zur Polizei, gelingen kann. Checklisten und praxiserprobte Anregungen erleichtern es, in schwierigen Situationen die Übersicht zu behalten und die eigene Sicherheit nicht aus den Augen zu verlieren. Auch die Selbsthilfe und weiterführende Angebote werden in den Blick genommen, denn bei allen Herausforderungen gilt: Krisen bieten Chancen - doch man muss wissen, wie sie wahrgenommen werden können. ····· 10361202201
····· lezzter Preis 20.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Es zeigt sich immer mehr, dass viele Menschen mit einer psychischen Erkrankung auf dem ersten Arbeitsmarkt arbeiten wollen und dies auch können, wenn sie von Jobcoaches unterstützt werden. Dieses Buch vermittelt praxisorientierte Ideen für die tägliche Arbeit als Jobcoach. Anhand vieler Beispiele identifizieren die Autorinnen zentrale Themen der Klient innen und geben Tipps für die Beziehungsgestaltung. Wie gelingt die Vermittlung auf Arbeitsplätze, wie mit Ängsten umgehen Wie solltengemeinsame Gespräche mit den Arbeitgeber innen ablaufen und wie vorbereitet werden Aber auch die ganz besonderen Herausforderungen des Berufsbildes werden beschrieben, immer mit den nötigen praktischen Hinweisen versehen. ····· 10361202226
····· lezzter Preis 20.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die aufsuchende psychiatrische Arbeit bietet niederschwellige und flexible Hilfe, sie ist aber immer auch ein Eingriff in die Privatsphäre von Klientinnen und Klienten. Entsprechend sensibel sollte das professionelle Vorgehen ausfallen. Kompakt und strukturiert beschreibt dieses Buch Rollen, Aufgaben und Herausforderungen der aufsuchenden psychiatrischen Arbeit. Die Anlässe für einen Hausbesuch werden dargestellt, ebenso werden Tipps für den Umgang mit angespannten oder aggressiven Situationen und für die Selbstsorge gegeben. Das Sich-Einlassen auf die Häuslichkeit der Menschen ist einerseits mit Unsicherheiten und Unvorhersehbarem verbunden, weckt andererseits aber auch Neugierde und Zufriedenheit in der Arbeit. Menschen werden nämlich dort unterstützt, wo sie ihren Lebensmittelpunkt haben. Das Helfen geschieht also da, wo es sich unmittelbarer und direkter auf die Förderung von Lebensqualität auswirkt! ····· 10361202228
····· lezzter Preis 20.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Für eine neue Qualität der Behandlung Körperliche Komorbiditäten werden bei Menschen mit einer psychischen Erkrankung noch immer zu wenig erkannt und bleiben daher unbehandelt. Dieses Buch füllt die Wissens- und Versorgungslücke und hilft bei der Abstimmung somatischer und psychiatrischer Pflege. Mithilfe von Fallbeispielen zeigt das Autor innenteam Ausprägungen und Auswirkungen von Herz-Kreislauf- Erkrankungen, Erkrankungen der Lunge sowie endokrinologischer und Stoffwechselerkrankungen. Dabei geht es auch auf medikamenteninduzierte Problemstellungen ein, z. B. auf hohe Gewichtszunahmen, Polypharmazie oder Fehlernährung sowie auf pharmakainduzierte Wechselwirkungen. Aus der Praxis werden Empfehlungen dafür abgeleitet, wie sich Qualitätszirkel und interne Fortbildungsangebote zur Sensibilisierung implementieren lassen. ····· 10361202234
····· lezzter Preis 20.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Sich Gefühlen stellen Psychische Erkrankungen sind eng an Gefühle gekoppelt. Andreas Knuf ermutigt psychiatrisch Tätige, Gefühle in der Behandlung nicht nur als `Beiwerk` zu verstehen, sondern ihnen Raum in der professionellen Arbeit zu geben. Hinter allen psychischen Erkrankungen verbergen sich zumeist sehr unangenehme Gefühle wie Angst, Traurigkeit oder Scham. Das Buch vermittelt Techniken, die Fachpersonen nutzen können, um Klient innen zu helfen, mit solchen belastenden Gefühlen besser zurechtzukommen. Dabei geht es nicht darum, bestimmte Gefühle `wegzumachen`, sondern einen heilsamen Umgang mit ihnen zu finden. Das Buch zeigt auch, wie Helfende gut mit ihren eigenen Gefühlen wie Ohnmacht oder Ärger umgehen können. ····· 10361202402
····· lezzter Preis 20.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Bestimmte Verhaltensmuster der Borderline-Persönlichkeitsstörung stellen die Beziehung zwischen Betroffenen und Helfenden immer wieder auf die Probe. Wie eine auch langfristig wirksame Begleitung gelingen kann, zeigt Ewald Rahn praxisnah und begegnungsorientiert. Ein schneller Wechsel von hohen Nähewünschen zu radikaler Distanz, von Idealisierungen zu tief kränkenden Abwertungen löst auch aufseiten der Helfenden heftige Emotionen aus. Dieses Buch veranschaulicht die Empfindungen und Verhaltensmuster der Betroffenen und vermittelt wichtiges Know-how zur professionellen Beziehungsgestaltung, denn nicht nur die Betroffenen müssen lernen, mit innerlich erlebtem Stress und heftigen Emotionen besser umzugehen. ····· 10361202408
····· lezzter Preis 21.85€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Serinproteaseinhibitoren, wie der Plasminogen-Aktivator-Inhibitor 1 (PAI-1), sind an vielen wichtigen biologischen Prozessen, wie Blutgerinnung, Fibrinolyse oder Umbauprozessen der Extrazellularmatrix, regulatorisch beteiligt. Eine besondere Rolle spielt PAI-1 bei der Regulation der endogenen Fibrinolyse, indem es die Aktivität der Plasminogenaktivatoren t-PA und u-PA hemmt. Erhöhte PAI-1-Konzentrationen sind mit thromboembolischen, kardio- und cerebrovaskulären Erkrankungen assoziiert. In klinischen Studien konnte gezeigt werden, dass Hyperinsulinämie bei Patienten mit Diabetes mellitus Typ II, insbesondere bei Adipositas und arterieller Hypertonie, zu erhöhten PAI-1-Konzentrationen im Blut führte. Ferner induzierte Insulin die PAI-1-Expression in vitro in unterschiedlichen Zelltypen wie primär kultivierten humanen Hepatozyten, der humanen Hepatomzellreihe HepG2 oder arteriellen Endothel- und glatten Muskelzellen der Gefäße.In der vorliegenden Arbeit sollte überprüft werden, ob Insulin in primären Rattenhepatozyten die PAI-1-Genexpression über den PI3K/PKB-Signalweg induziert. Da Glucagon der klassische Insulinantagonist ist, sollte untersucht werden, ob Glucagon die PAI-1-Genexpression in primären Rattenhepatozyten supprimiert und ob der mögliche Glucagoneffekt auf die PAI-1-Genregulation über den cAMP/PKA-Signaltransduktionsweg vermittelt wird. Mittels Transfektion von Ratten-PAI-1-Promotor-Luc-Genkonstrukten sollten ebenfalls mögliche Insulin- oder Glucagon-responsive PAI-1-Genelemente identifiziert werden.In primär kultivierten Rattenhepatozyten konnte eine positive Regulation der Plasminogen-Aktivator-Inhibitor-1 (PAI-1)-Genexpression durch Insulin und Glucagon nachgewiesen werden. Ferner konnte gezeigt werden, dass die Glucagon-abhängige Induktion der PAI-1-Genexpression über den second messenger cAMP vermittelt wird.In Transfektionsversuchen mit PAI-1-Genkonstrukten, konnte erstmals gezeigt werden, dass an der Insulin- und Glucagon-vermittelten PAI-1-Induktion die zwei Hypoxie-responsiven Elemente (HRE-1 und -2) des PAI-1-Promotors unabhängig vom pO2 beteiligt sind.Ferner konnte gezeigt werden, dass wahrscheinlich sowohl an der Insulin- als auch Hypoxie-abhängigen Induktion der PAI-1-Genexpression der PI3K/PKB-Signalweg über die Aktivierung des Hypoxie-induzierbaren Faktors 1, beteiligt ist. Dagegen konnte für cAMP keine Beteiligung an der Hypoxie-abhängigen Expressionsinduktion von PAI-1 nachgewiesen werden.Aufgrund der hier vorliegenden Ergebnisse ist das Vorhandensein weiterer PAI-1-Promotorelemente in enger Nachbarschaft zu den zwei HRE, die eine cAMP-abhängige Induktion der PAI-1-Expression vermitteln, denkbar. Ebenso können bei der hier nachgewiesenen Induktion der PAI-1-Expression durch Glucagon und cAMP die neueren Untersuchungen zu weiteren möglichen Aktivierungswegen der PI3K/PKB- und MAP-Kinase-Kaskade über G-Protein-gekoppelte Rezeptoren und cAMP von besonderer Bedeutung sein. An der Glucagon-abhängigen PAI-1-Induktion scheint auch die PKA, als klassisches Zielprotein des cAMP, beteiligt zu sein. ····· 10361158034
····· lezzter Preis 21.85€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Klinische und experimentelle Arbeiten verfolgen seit Jahren das Ziel, bei Osteosynthesen und anderen wiederherstellenden operativen Eingriffen polymere Implantate zu verwenden. Wesentliche Fragen zur mechanischen Stabilität, des Prozesses der Degradation sowie der Biokompatibilität der Materialien insbesondere bei großem Implantatvolumen sind aber noch ungelöst . In einer tierexperimentellen Untersuchung wird die biologische Antwort auf eine degradable Platten-und Schrauben-Osteosynthese aus Poly-L-lactid (PLLA) beim Göttinger Miniaturschwein histomorphologisch im Weichteil- und Knochengewebe sowie mittels CT dargestellt. Den Bezug der im Tierversuch ermittelten Daten des Degradationsverhaltens und der Resorptionsdauer des Polymers sowie dessen Biokompatibilität zur klinischen Anwendung stellt eine Studie mit Verwendung biodegradabler PLLA-Osteosynthese-Implantate im Gelenkbereich beim Menschen her. Sowohl im Weichteilgewebe als auch im Knochen weisen die PLLA-Implantate im Tierversuch bis zum Abschluß des Beobachtungszeitraumes von 2 Jahren eine gute Gewebeverträglichkeit auf, ohne vollständig abgebaut zu sein. Auch ein großes Implantatvolumen induziert keine überschiessende inflammatorische Reaktion mit Ausbildung eines Seroms oder lokalisierte Knochenauflösung. Die Beobachtung guter Biokompatibilität in einem `ersatzstarken` Lager an der Wirbelsäule im Tierversuch bestätigt sich bei der klinischen Anwendung der Materialien im Gelenkbereich des Menschen. Suffiziente mechanische Eigenschaften der zur Refixation von osteochondralen Fragmenten verwendeten `selbstverstärkten Implantate` ermöglichen gute klinische und radiologische Ergebnisse unter Wahrung einer frühfunktionellen postoperativen Nachbehandlung. Die Weiterentwicklung biodegradabler Osteosynthese-Implantate sollte fokussieren auf die Adaptation der Degradationsgeschwindigkeit an den Indikationsbereich unter besonderer Berücksichtigung der Dauer der Knochenheilung, ohne bezüglich der mechanischen Stabilität und Biokompatibilität der Implantate Einschränkungen in Kauf nehmen zu müssen. ····· 10361169558
····· lezzter Preis 22.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Als Zeitzeuge beschreibt der Autor Prof. Dr. O. J. Beck die Entwicklung der Neurochirurgie von der kleinen `Privatklinik` am Beethovenplatz zu einer der weltweit größten neurochirurgischen Kliniken unter Prof. Dr. F. Marguth. Auf die Bedeutung der Definition `Hirntod`, die die Organtransplantation im großen Stil erst ermöglichte und die bis heute ihre Gültigkeit hat, wird hingewiesen. Neben Boston spielte vor allem München eine wesentliche Rolle bei der Einführung dieses Begriffs. Auch bei der Einführung des Lasers in der Neurochirurgie ist München wegbereitend gewesen. Vor- und Nachteile der verschiedenen Laserarten werden erklärt und gegeneinander abgewogen. Mit ca. 1.000 Laseroperationen hat der Autor weltweit maßgebenden Einfluss auf die Entwicklung einer neuen Lasertechnologie in der Neurochirurgie. Mit gut verständlichen Beschreibungen und eindrucksvollen Bildern vom Inneren unseres Gehirns und Rückenmarks erhalten auch Nicht-Mediziner einen faszinierenden Einblick in die Welt der Neurochirurgie. ····· 1036179158
····· lezzter Preis 22.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Bereits zum dreizehnten Mal erscheint mit diesem Buch eine hochaktuelleZusammenfassung und Interpretation der wichtigsten Studienergebnisse der modernen Gynäkologischen Onkologie, basierend auf dem größten internationalen Krebskongress ASCO mit über 30 000 Teilnehmern, sowie der aktuellsten Literatur und den neuesten Leitlinien. Thematisiert werden alle relevanten malignen Erkrankungen wie Mamma-, Ovarial-, Zervix- und Endometriumkarzinom. Die Autoren diskutieren differenziert und systematisch die verschiedenen Therapiesituationen und Prognosegruppen. Darüber hinaus werden die klinisch relevanten Themen `Hautnebenwirkungen` und `Gynäkologische Sarkome` praxisnah erörtert. Das Update 2012/13 richtet sich in besonderer Weise an alle in der Gynäkologischen Onkologie tätigen Ärzte, Wissenschaftler und Mitarbeiter der pharmazeutischen Industrie, die zum einen über den aktuellen Stand der klinischen und wissenschaftlichen Praxis informiert sein wollen und zum anderen neueste Trends in der Entwicklung multimodaler Therapiestrategien erkennen möchten. Das in dieser Form einmalige Konzept ermöglicht somit den Leserinnen und Lesern, systematisch und praxisorientiert den aktuellsten Wissensstand auf dem Gebiet der Gynäkologischen Onkologie zu erlangen, um diesen zeitnah in den klinischen Alltag für ihre Patientinnen einbauen zu können. ····· 10361173671
für 22.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Grundzüge zur praktischen Otiatrie ist ein Handbuch über die Praktiken der Ohrenheilkunde. Dr.Eduard Levinstein beschreibt Untersuchungsmethoden und technische Details der Ohrenheilkunde, die er in der täglichen Arbeit mit seinen Patienten an Erfahrung erlangt hat. Er legt nicht nur seine eigene Arbeit zu Grunde, sondern verweist auch auf die klassischen Lehrbücher von Tröltsch und Politzer. So geht Levinstein von der anatomischen Beschreibung des Gehörgangs über die Diagnostik der Erkrankungen bis hin zu den Behandlungsmethoden und Heilmaßnahmen.Desweitern wird eine Beschreibung über ein pneumatisches Cabinet und seine therapeutische Anwendung gegeben. Nachdruck der Originalausgabe aus dem Jahr 1865. ····· 10361138026
····· lezzter Preis 22.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In Deutschland wird mindestens jede fünfte Geburt medikamentös eingeleitet, davon etwa jede dritte wegen `Terminüberschreitung`. Ziel der Einleitung ist es, Tod, Behinderung oder Krankheit des Kindes zu verhindern. Eine Auswertung von über fünf Millionen Geburtsdaten bestätigt allerdings nicht, dass sich ab dem überschrittenen Geburtstermin die Rate der Totgeburten oder schweren Geburtskomplikationen erhöht. Die routinemäßige Geburtseinleitung bei gesunden Schwangeren, die ein gesundes Kind erwarten, gehört vermutlich nicht zu den Maßnahmen, die eine Totgeburt verhindern. Das Buch richtet sich an Hebammen, ÄrztInnen und Frauen, die nach einer fundierten Unterstützung bei der gemeinsamen Entscheidungsfindung für oder wider eine Geburtseinleitung suchen. Erstmals in Deutschland bietet es dafür eine Analyse der relevanten Daten und eine Bewertung von verfügbaren Entscheidungshilfen und Informationen für Schwangere.Das Buch richtet sich an Frauen, ÄrztInnen und Hebammen, die nach einer fundierten Unterstützung bei der gemeinsamen Entscheidungsfindung für oder wider eine Geburtseinleitung suchen. Erstmals in Deutschland bietet es dafür eine Analyse der relevanten Daten und eine Bewertung von verfügbaren Entscheidungshilfen und Informationen für Schwangere. ····· 1036172145
····· lezzter Preis 22.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In Deutschland variieren die Kaiserschnittraten in den einzelnen geburtshilflichen Abteilungen erheblich. Die möglichen Gründe für solche Unterschiede wurden in zahlreichen Veröffentlichungen untersucht. Dabei wurde festgestellt, dass die Vorgehensweisen der GeburtshelferInnen einen erheblichen Einfluss haben.Diese Arbeit geht der Frage nach, wie es in manchen Kreißsälen gelingt, Kaiserschnitte zu vermeiden. In Experteninterviews benennen Hebammen, GeburtshelferInnen und ÄrztInnen die aus ihrer Sicht relevanten Faktoren, die es ihnen ermöglichen, möglichst vielen Kindern ohne Operation auf die Welt zu helfen. ····· 1036172331
····· lezzter Preis 24.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Wir sind in einem Raum, in dem sich Menschen Erlebnisse erzählen, die man sich eigentlich nicht erzählt. Es geht um Wahn-Sinn und Ver-rücktheit, es geht um die Existenz, es geht um höllische Verzweiflung und den Garten Eden, es geht um Angst und um die Zerstörung von Beziehungen. In Raum 4070 findet das Potsdamer Psychoseseminar statt. Es ist ein Tabu darüber zu reden. Aus Angst. Aus Scham. Aus Schuldgefühlen. Im `Raum 4070` wird darüber gesprochen. Psychoseerfahrenen, Angehörigen und Professionellen gehört gleichberechtigt das Wort, sacht moderiert von Prof. Dr. Peter Stolz. Volker Schlöndorff: `Die außerordentliche Qualität des Films liegt in der inneren Haltung der Macher.` `Die Welt`: `Raum 4070 ist ein Kammerspiel der Ängste, der Täuschung, der Illusion, des Scheiterns und Neubeginns.` ····· 10361202126
····· lezzter Preis 24.80€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Kunst ist im Kopf. - Doch was passiert dort bei einem kreativen Prozess Speckmann versucht, seine naturwissenschaftlichen Erkenntnisse als Neurophysiologe mit den Resultaten aus seinem `Selbst-Bewusstsein` als Maler und Bildhauer zu verbinden. Voraussetzung dafür ist die Fähigkeit des Gehirns, sich seiner selbst bewusst zu sein, also über sich selbst nachdenken zu können.Den Leser erwartet eine erhellende Entdeckungsreise zu den aktuellen Fragen und Erkenntnissen der Hirnforschung und ein neuer, ungewöhnlicher Blick auf den künstlerischen Gestaltungsprozess. ····· 10361206264
····· lezzter Preis 24.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Manual zu den supportiven Maßnahmen in der Onkologie und Hämatologie wurde komplett überarbeitet. Es ist als klinischer Leitfaden für alle Fachbereiche gedacht, die an der Versorgung von onkologischen Patientinnen und Patienten beteiligt sind. Die Supportivtherapie ist Grundvoraussetzung für eine erfolgreiche, den Patienten wenig belastende Therapie. Der Erhalt der Lebensqualität und die Symptomlinderung stehen im Vordergrund der supportiven Maßnahmen. Dafür sind die Kenntnis und das Management der Nebenwirkungen von großer Bedeutung, u.a. zum Umgang damit und zur Therapie von Anämie, Übelkeit und Erbrechen, Tumorlyse-Syndrom, dermatologischen Nebenwirkungen, hämostaseologischen Komplikationen, Zytostatika-Paravasaten und Schmerz. Schwerwiegende Beeinträchtigungen der Immunabwehr sind bei Patienten in der Hämato-Onkologie Folge der Grunderkrankung und der Behandlung. Neueste Erkenntnisse der Infektionsdiagnostik, der Prophylaxe und der Therapie finden sich in separaten Kapiteln. Aufgrund der verbesserten Überlebensmöglichkeiten von Patienten ist die Fertilitätsprotektion inzwischen ein wichtiges Thema, vor allem bei jungen Patienten. In diesem Manual finden sich fertilitätserhaltende Maßnahmen bei onkologischen Patientinnen und Patienten. ····· 1036179071
····· lezzter Preis 24.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das multiple Myelom ist ein vom Knochenmark ausgehender Tumor er ist relativ selten. In den vergangenen Jahren hat sich Vieles in der Diagnostik und Therapie verbessert. Neue therapeutische Möglichkeiten haben zu Zulassungen von weiteren Medikamenten geführt - neuen Proteasominhibitoren, immunmodulatorischen Substanzen und monoklonalen Antikörpern. Die autologe Blutstammzelltransplantation bleibt jedoch ein zentrales Therapieelement, auch viele ältere Patienten können hiervon profitieren. In Kombination mit neuen Substanzen, gegeben im Rahmen der Induktion vor und als Konsolidierung oder Erhaltung nach der Transplantation, werden gute Ergebnisse in der Erstlinientherapie erzielt. Mit den 2014 überarbeiteten Kriterien für die Diagnose eines multiplen Myeloms wird angestrebt, für Patienten, die ein hohes Risiko für die Entwicklung klinisch relevanter Organschäden haben, ohne dass diese bereits vorliegen müssen, eine rechtzeitige Therapieeinleitung zu gewährleisten - vor Eintritt der Schäden. Die Diagnostik und die Definition der Tiefe einer Remission nach Therapie entwickeln sich weiter. Bei immer mehr Patienten wird durch die Therapie eine Komplettremission der Erkrankung erreicht. Dennoch treten Rezidive regelhaft zu unterschiedlichen Zeitpunkten auf. Die Ursache hierfür ist die sogenannte `minimal residual disease`, die durch hochsensitive Methoden erfasst werden kann. Das Manual befasst sich sehr ausführlich mit all diesen Themen. Es wurde von einem interdisziplinären Autorenteam erarbeitet und ist als Handbuch für die klinische Praxis gedacht, für Ärztinnen und Ärzte, die Myelompatienten betreuen. ····· 1036179112
····· lezzter Preis 24.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Manual zu den Knochentumoren und Weichteilsarkomen bietet Informationen zur Diagnostik und Therapie, sowohl für die Primär- als auch die Rezidivtherapie und die Nachsorge. Sehr ausführlich werden die operative Therapie, die Strahlen- und die Chemotherapie beschrieben.
Weichteil- und Knochentumoren sind selten, die Gruppe der Tumoren ist jedoch sehr heterogen. Die Therapiekonzepte sind meist multimodal, in Abhängigkeit von Histologie, Resektabilität, zu erwartendem Funktionsverlust, Alter und Komorbidität. Die Behandlung erfolgt interdisziplinär, meist an spezialisierten Zentren. Den häufigeren Tumoren sind eigene Kapitel gewidmet: den Osteosarkomen, den Chondrosarkomen und den Ewing-Sarkomen auch der Behandlung von Weichteilsarkomen im Kindes- und Jugendlichenalter.
Neu hinzugekommen in dem Manual sind Kapitel zur Pathogenese, zur orthopädischen Rehabilitation und zur Palliativmedizin. Alle Kapitel wurden interdisziplinär überarbeitet und aktualisiert, sodass sie den behandelnden Ärzten die konkrete Therapieplanung für Patienten mit Knochentumoren und Weichteilsarkomen erleichtern. ····· 1036179129
····· lezzter Preis 24.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das neue Manual zu endokrinen Tumoren geht auf die maßgeblichen Veränderungen und neuen Therapieansätze und -strategien bei endokrinen Tumoren ein. Es zeigt die zahlreichen neuen Empfehlungen in ihrer praktischen Umsetzung im klinischen Alltag auf. Der Band umfasst nationale/internationale Standards zu Diagnostik und Therapie folgender Tumoren: Schilddrüse, Nebenschilddrüse, Hypophyse, Nebenniere, Neuroendokrine Tumoren des Gastrointestinaltrakts, +Multiple endokrine Neoplasien ····· 1036179133
····· lezzter Preis 24.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Psychisch krank und alt - welche Hilfen braucht es da, wann und in welcher Form Die hier versammelten Beiträge zeigen Wege, die Handlungsspielräume aller Beteiligten zu erweitern. Pychosoziale, medizinisch-therapeutische, pflegerische, strukturelle, juristische und gesellschaftspolitische Aspekte werden gleichermaßen diskutiert. Ein besonderer Schwerpunkt liegt auf der sozialpsychiatrischen Betreuung im häuslichen Umfeld. Das Buch bietet in der Alterspsychiatrie Tätigen, aber auch gesundheits- und sozialpolitisch Verantwortlichen relevantes Wissen. ····· 1036172036
····· lezzter Preis 24.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Alljährlich kommt es in Deutschland und seinen als Urlaubsdestinationen beliebten Nachbarländern zu Millionen von Zeckenstichen in der Bevölkerung. Die Frühsommer-Meningoenzephalitis (FSME) ist die wichtigste und schwerwiegendste von Zecken übertragene virale Erkrankung des Menschen in Mitteleuropa. Allein im Jahr 2018 wurden in Deutschland 584 Fälle gemeldet, eine Rekordzahl. Das vorliegende Buch enthält in 18 Kapiteln den aktuellen Stand zum Thema FSME und Zecken in Deutschland, geschrieben von ausgewiesenen Fachleuten. Es geht um das FSME-Virus, seine Verbreitung und seine Zirkulation im Freiland. Wichtige medizinische Aspekte werden breit abgehandelt. Dazu gehören die Virusübertragung, die Diagnose, die Behandlung und die Prävention. Erstmals werden neue Karten zur Zeckendichte und Modellierungen des aktuellen Vorkommens der FSME vorgestellt. Das Buch richtet sich hauptsächlich an Mediziner, Veterinärmediziner, Parasitologen, Biologen, Beschäftigte im Gesundheitswesen (Public Health), aber nicht zuletzt auch an die große Zahl interessierter Laien. ····· 10361184743
····· lezzter Preis 25.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Wie bleibt man handlungsfähig, und wie schützt man sich und seine Mitarbeiter an Arbeitsplätzen in sozialen Einrichtungen, Behörden und Ämtern, in denen Einschüchterungen, Drohungen, Beschimpfungen, körperliche und sexuelle Übergriffe immer wieder vorkommen Das praxiserfahrene Autorenteam stellt wirksame Strategien der Kommunikation und Deeskalation vor. Die Autoren schildern typische (Konflikt-)Situationen, die sich leicht auf die eigene Umwelt übertragen lassen. Sie stellen wichtige, einprägsame Informationen zur Verfügung und erklären am konkreten Beispiel praxistaugliche Strategien für angemessenes Verhalten für typische Situationen mit Eskalationspotenzial. Sie legen einen Perspektivwechsel nahe, erleichtern in wenigen Schritten das Verständnis für Klienten und zeigen, dass man auch in scheinbar komplexen, unüberschaubaren Situationen den Überblick behalten kann. Dabei verbindet sich Wissen aus der Psychologie über Wahrnehmung, Kommunikation, Stress und Lernen mit polizeilichen Erfahrungen in Bedrohungssituationen. Themen der erweiterten Neuauflage: - Angespannte, alkoholisierte oder aggressive Klienten - Sexuelle Belästigung - Sicherheit bei Hausbesuchen - Mitarbeiterschutz
Fakultatives Hintergrundwissen, Downloadmaterial und Stichwortverzeichnis erleichtern die Umsetzung im Arbeitsalltag. ····· 10361171715
····· lezzter Preis 25.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Trainingstherapie ist eine, wenn nicht die entscheidende Therapiekomponente der Rehabilitation bei COPD und es müssen Wege gefunden werden, den betroffenen Patienten dieses zuverlässig wirksame Therapieelement adäquat zugänglich zu machen, d.h. einerseits flächendeckend und andererseits in der individuell erforderlichen Intensität. Hierfür ist ein gestuftes System erforderlich, welches vom einstündigen wöchentlichen ambulanten Lungensport bis zur umfassenden, multimodalen mehrwöchigen Rehabilitation reicht und das den unterschiedlichen Krankheitsschweregraden, den Komorbiditäten und den individuellen Bedürfnissen der einzelnen Patienten gerecht wird. Unter diesem Aspekt sind Diskussionen über Konzepte, praktische Durchführung und Ergebnisse der Trainingstherapie bei COPD längst keine Insiderthemen mehr. Das Buch fasst aktuell und praxisrelevant einerseits die notwendigen theoretischen und organisatorischen Aspekte der Trainingstherapie bei COPD, vor allem aber deren konkrete Durchführung praxisrelevant zusammen. ····· 10361195927
····· lezzter Preis 25.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Anthropologische Psychiatrie will philosophische Überlegungen nutzen, um den Zuwachs an Erkenntnissen in der somatischen, psychologischen und sozialen Psychiatrie sowie in der Psychotherapie zusammenzuführen, sie zu integrieren und dadurch erst wirklich nützlich werden zu lassen - eine Basis für offenes Verstehen und dialogische Therapie. Die Beiträge von ausgewiesenen Fachleuten der verschiedensten Disziplinen schlagen Brücken nicht nur zwischen Patienten, Angehörigen und professionell Tätigen, sondern - was manchmal noch schwieriger ist - auch innerhalb des Fachs.Dies Buch verdient öffentliches Interesse, weil es Ängsten und Vorurteilen wirklich im Ansatz entgegenwirkt. ····· 10361202121
····· lezzter Preis 25.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Phänomen Stimmenhören wurde jahrzehntelang zu den schwerwiegenden Geisteskrankheiten gezählt. Die Betroffenen behandelte man dabei ausschließlich mit Medikamenten. Diese psychiatrische Praxis wurde erst in den 90er Jahren durch Marius Romme und Sandra Escher in Frage gestellt. Sie fanden in ihren Studien heraus, dass die Stimmen wertvolle Aufschlüsse über ungelöste Lebensprobleme wie z.B. unbewältigte Verluste oder Traumata liefern. Ihr Ansatz ist es daher zu versuchen, die subjektive Bedeutung der Stimmen zu verstehen und den Stimmen-Hörenden bei der Bewältigung seiner Probleme zu unterstützen. Ziel von `Stimmenhören verstehen` ist es daher, Profis und Stimmenhörern zu einem besseren Umgang mit dem Thema Stimmenhören zu verhelfen. Der Autor und die Autorin beschreiben in theoretischer und ganz praktischer Weise neue Ansätze für Menschen, die wirklich Probleme mit dem Stimmenhören haben und sich in Bezug auf ihre Stimmen machtlos fühlen oder die Schwierigkeiten haben, ihr eigenes Verhalten zu kontrollieren. Mit Beilage `Maastrichter Fragebogen` ····· 10361202124
····· lezzter Preis 25.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Vom Willen zur Tat! Änderungsbereitschaft und Stabilisierungstendenzen stehen sich in jeder Therapie gegenüber. Aufgabe von Therapeuten ist es, Motivationsprobleme zu identifizieren und den Willen zur Veränderung zu fördern. Das Autorenteam beschreibt häufige Motivationsblockaden und stellt prinzipielle Strategien zur Motivationssteigerung vor. Die Entschlossenheit, Entscheidungen auch umzusetzen, nimmt zu, wenn die zentralen Ziele des Klienten angesprochen und die `Kosten` und `Gewinne` einer Veränderung genau analysiert werden. Zur `Energetisierung` von Klienten eignen sich insbesondere zwei Motivierungstechniken, die ausführlich vorgestellt werden: das Ein-Personen- Rollenspiel sowie die Pro-und-Kontra-Diskussion. Beispiele aus der Praxis und kommentierte Transkripte von Therapiesitzungen zeigen, wie auch in scheinbar festgefahrene Situationen Bewegung kommen kann. ····· 10361202400
····· lezzter Preis 25.65€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die im Folgenden dargestellte Arbeit handelt von spannungs- und Ca2+-abhängigen Kaliumkanälen, von den modulatorischen a-Untereinheiten spannungsabhängiger Kaliumkanäle, Kv9.1 und Kv9.3 und von SK2, einer a-Untereinheit spannungsunabhängiger Kaliumkanäle, die durch intrazelluläres Ca2+ aktiviert werden. Diese unterschiedlich aktivierten Kanäle gleichen sich in ihrer grundlegenden Funktion, der selektiven K+-Permeation. ····· 10361158025
····· lezzter Preis 25.65€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Im Rahmen der vorliegenden Arbeit konnten neue, wesentliche Erkenntnisse zum Kontrastmechanismus der Kraftmodulationsmikroskopie mit Modulation der Probenposition gewonnen werden. Während es in der Vergangenheit oftmals zu Problemen bei der Interpretation von FMM-Daten gekommen ist, weil der Einfluss des Bucklings auf das Detektionsverhalten des Rasterkraftmikroskops nicht berücksichtigt wurde, wurde in dieser Arbeit insbesondere der Einfluss lateraler Kräfte auf die Bewegung der Messspitze und deren Auswirkungen auf das Detektionsverhalten als Funktion der Modulationsamplitude untersucht. ····· 10361158065
····· lezzter Preis 25.65€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray To provide a model to be used for in vitro studies on drug effects in dogs, the aim of this study was the establishing of a protocol for the primary culture of canine corneal cells (i.e. endothelium, keratocytes, and epithelium) and subsequently the construction of a three¬dimensional culture of canine corneal cells (cornea equivalent). To study the glucocorticoid effects on the three major cell types of the cornea, dexamethasone was used. Since difficulties in the culture of primary canine corneal cells arose, a rabbit epithelial cell line (RCE cell) was used additionally. Both cell types were compared in their reaction to LPS and SDS stimulation, effects of dexamethasone and morphological appearance on the cornea equivalent. Canine corneal cells were isolated using a combined enzymatic and mechanical technique. In culture, the different cell types were verified with phase contrast microscopy, immunofluorescense and western blotting. The cornea equivalent was constructed step by step in membrane inserts of a six-well plate. Stromal fibroblast in a collagen matrix were seeded onto a confluent endothelial cell layer and cultured for 6 - 8 days. Then either primary canine epithelial cells or RCE cells were added and grown to confluence in a submerged culture. Finally, the equivalent was lifted to the air-liquid-interface for two more weeks to allow a differentiation of the epithelial cells. The glucocorticoid receptor (GR) was investigated in the primary canine corneal cells and the equivalents using RT-PCR and immunohistochemistry. The single cells (including RCE cells) and the cornea equivalents were stimulated with lipopolysaccharide (LPS) and sodium dodecyl sulfate (SDS) and treated with dexamethasone (1.0 and 0.01 µg/ml). The PGE2 concentration, which increases during an inflammatory reactions, was chosen as an indicator to study the effects of dexamethasone after such stimulation. This pro-inflammatory molecule was studied in the culture medium of single cultures of the three major cell types of the canine cornea, of RCE cells as well as in the canine cornea equivalents. A protocol for the isolation and culture of canine corneal cells was successfully established in this study, and the identity of the cells was verified. The three cell types were successfully reassembled in a vital cornea equivalent which was cultured for a total of five weeks. The GR was detected in both the cultured canine cells and the canine cornea equivalents. The use of RCE cells instead of canine corneal cells in the construction of the cornea equivalents revealed morphological differences. The equivalents constructed with primary canine cells resembled the canine cornea in vivo more closely. An increased PGE2 concentration was measured in canine epithelial cells and keratocytes after the stimulation with LPS and in canine epithelial cells and endothelial following stimulation with SDS. Dexamethasone reduced the LPS-induced PGE2 production in a dose¬dependent manner. The SDS-induced PGE2 concentration was less clearly reduced by dexamethasone, caused by a higher variance of the results. The RCE cells did not react similarly to the primary canine epithelial cells since both stimuli failed to induce an increase in PGE2. In the cornea equivalents, both stimuli led to a significant increase in PGE2 which could be reduced in a dose-dependent manner by both dexamethasone concentrations tested. The primary culture of the canine corneal cells and the cornea equivalent are interesting systems to test drug effects on corneal cells. The cornea equivalents were even more sensitive to the stimulation and dexamethasone treatment than the single cell cultures. Studies using single cell cultures and the equivalent may reveal further insights on pathophysiological and therapeutic mechanisms in ocular disease. As the dog is one of the species most often treated in veterinary ophthalmology, such models should help improve the treatment of ocular disorders in this species. ····· 10361169766
····· lezzter Preis 26.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray En este trabajo se presenta un meta-análisis con los datos de 6 ensayos clínicos con la vacuna CIMAvaxEGF en pacientes con cáncer avanzado de pulmón de células no pequeñas, con el objetivo de evaluar la seguridad de la misma. El estudio incluyó 221 pacientes de 6 ensayos clínicos: Piloto I (12 pacientes), Piloto II (34 pacientes), Piloto III (25 pacientes), Piloto IV (42 pacientes), Piloto V (28 pacientes) y Fase II (80 pacientes). El mismo se desarrolló durante un periodo prolongado de inmunizaciones hasta la muerte del paciente. Para evaluar la seguridad de la vacuna se analizó el comportamiento de 7 parámetros de laboratorio: 3 hematológicos (Hemoglobina, Leucocitos y Plaquetas) y 4 hemoquímicos (Transaminasa Glutámico Pirúvica, Transaminasa Glutámico Oxalacética, Fosfatasa Alcalina y Creatinina) y la aparición de eventos adversos, así como su grado de intensidad. La mayoría de los eventos adversos encontrados fueron ligeros y moderados y los severos encontrados no estuvieron relacionados con la administración de la vacuna. Otros resultados y conclusiones pueden leerse en el presente trabajo. ····· 1036122708
für 26.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Las enfermedades mentales, en especial la esquizofrenia, presentan características particulares al momento de reconocer las emociones en el rostro de las personas que los rodean. Este pobre reconocimiento se considera persistente a lo largo del tiempo y se ha llegado a asociar a las disfunciones sociales y laborales presentes en los pacientes. Este libro trata de resumir los hallazgos encontrados en diferentes trabajos, además de presentar los resultados de un estudio en población mexicana. ····· 1036189734
····· lezzter Preis 27.20€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In den letzten Jahren ist die durchschnittliche Kaiserschnittfrequenz in der BRD und Österreich auf über 20% gestiegen, nicht zuletzt infolge der vielfach nach Gutdünken und Laune eingeleiteten und daher sich hinziehenden Geburten. Zur Zeit bringen in der BRD und Österreich nicht viel mehr als 5% der Frauen ihre Kinder ohne eine der obskuren geburtsmedizinische Prozeduren zur Welt, obwohl bei den gegebenen sozialen und hygienischen Verhältnissen zumindest 95% spontan und autonom gebären könnten und in höchstens 5% geburtsmedizinische Maßnahmen vonnöten wären. Was 90% der Frauen als medizinische Erleichterung vorgegaukelt wird, ist nicht nur als überflüssig, sondern auch als prekär und schädlich zu betrachten. ····· 1036149299
····· lezzter Preis 29.50€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray `Das Thema Sucht hat Bestand in unserer Kultur! Zehn Jahre nach der ersten Auflage erscheint nun die zweite, überarbeitete und aktualisierte Version dieses Buches. Viele der kulturkritischen Anmerkungen von damals sind heute so aktuell wie eh und je.` (aus dem Vorwort von Arist von Schlippe). Es ist sicher ein besonderes Verdienst der systemischen Therapie, dass sie Sucht und Rauschmittel als soziales Phänomen betrachtet: `Eine systemische Betrachtungsweise von Sucht ermöglicht andere Gewichtungen und Ansatzpunkte bei der Behandlung und Vorbeugung. Sie macht Abstinenz als zentrales Behandlungsziel prinzipiell entbehrlich und erlaubt, die Aufmerksamkeit stärker auf den sozialen Kontext sowie die Dynamik der Interaktion und die Beziehungsmuster als auf die betroffene Person selbst zu richten.` (Dr. Guido Nöcker, Bundeszentrale für gesundheitliche Aufklärung/BzgA, in diesem Band). Unter diesem systemischen Blickwinkel setzen sich im vorliegenden Sammelband erfahrene Praktiker mit der Praxis der Suchttherapie auseinander: `Ich halte es für sinnvoll und notwendig, systemische und individualpsychologische (nicht sensu Adler) Ansätze in der Praxis zu verknüpfen. Beide Therapieformen haben ihre Vorzüge und Schwächen in unterschiedlichen Bereichen und lassen sich für die Behandlung von Suchtproblemen gut verbinden.` (Prof. Dr. Michael Klein, Leiter des Forschungsschwerpunktes `Sucht` an der KFH NW, Köln, in diesem Band) ····· 10361207979
····· lezzter Preis 29.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Tumortherapie im Alter ist in einigen Punkten identisch mit der Tumortherapie bei jüngeren Patienten, in einigen Punkten unterscheidet sie sich jedoch. Sie hängt stark davon ab, wie `fit` der Patient noch ist und wie seine Wünsche sind. Dazu gibt dieses Buch einen guten Überblick: Wie ist das `Alter` eines Patienten zu beurteilen, was ist zu beachten und wie kann eine adäquate Therapie aussehen. Die wichtigsten Informationen werden am Ende jedes Kapitels in einem `Fazit für die Praxis` zusammengefasst. ····· 1036179044
····· lezzter Preis 29.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der Leitfaden zur außerklinischen Intensivpflege fasst alles zusammen, was in der außerklinischen Intensivpflege wichtig ist, von der Überleitung, der Finanzierung, den verschiedenen technischen Versorgungsmöglichkeiten und therapeutischen Methoden bis hin zu den Erkrankungen und Komplikationen. Auch Themen wie alternative Therapien, Patientenwille und Behandlungsentscheidung finden Platz. Interdisziplinär von den entsprechenden Fachleuten verfasst und mit einem sehr hohen Praxisbezug. Der bewährte Leitfaden wurde von den Herausgebern und Autoren überarbeitet und ist so wieder ganz aktuell. Die einzelnen Themen sind kurz und übersichtlich zusammengefasst, sodass sich das Buch auch zum schnellen Nachschlagen und Nachlesen eignet vieles findet sich auch in Tabellen und Checklisten. Das Buch wendet sich an Haus-/Fachärzte, Pflegefachkräfte, Sozialdienste und andere, die außerklinisch Schwerstkranke betreuen. Auch Angehörige, die sich damit befassen wollen, finden darin viel Hilfreiches. ····· 1036179073
····· lezzter Preis 29.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Fibromyalgie-Syndrom wurde 1990 als solches definiert. Dennoch ist es unter den Ärzten in Deutschland noch immer nicht durchgehend als Krankheitsbild anerkannt. Das Buch soll helfen, das Syndrom zu erkennen und entsprechende therapeutische Maßnahmen zu ergreifen.
Ausführliche Kapitel u.a. zur Muskeldysbalance, Stadien der Fibromyalgie, zum diagnostischen Vorgehen und zur ambulanten und stationären Behandlung sind ebenso enthalten wie Ausführungen zum Gespräch mit dem Patienten oder in der Gruppe. Ein Übungsteil zur Selbstdehnung mit anschaulichen Abbildungen rundet das Buch ab. ····· 10361203174
····· lezzter Preis 30.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Ernährung und Krebs - Ein Leitfaden für den klinischen Alltag Die Arbeitsgruppe `Ernährung und Krebs` des Tumorzentrum Münchens stellt allen in der Behandlung von Krebspatienten tätigen Einrichtungen eine evidenzbasierte und praxisnahe Anleitung zur ernährungsmedizinischen Behandlung von Patienten mit einer Krebserkrankung bereit. Das Tumormanual setzt ein besonderes Augenmerk auf die praktische Umsetzbarkeit im klinischen Alltag.
Die Relevanz von Ernährung in der Krebsprävention Die Relevanz von Ernährung zeigt sich nicht nur in der Krebsprävention, sondern auch verstärkt im Krankheitsverlauf von Krebspatienten. Ernährung, Bewegung und Körpergewicht sind nicht nur Risikofaktoren für das Auftreten bestimmter Krebserkrankungen, sondern werden zunehmend auch als Prognosefaktoren und Therapiekomponenten nach einer Krebsdiagnose erkannt.
Bessere Prognosen - weniger Kosten Im Mittelpunkt stehen nach wie vor die frühe Erkennung und Behandlung einer Mangelernährung der Patienten. Diese korreliert positiv mit einer erhöhten Infektanfälligkeit, Komplikationen und um 43% signifikant längeren Krankenhausaufenthalten. Die damit verbundenen Mehrkosten pro Krankenhausaufenthalt für mangelernährte Patienten betragen 6000 Euro. Trotz schlechterer Prognosen und erhöhten Kosten hat sich die Situation in deutschen Krankenhäusern bisher kaum geändert. Dabei ist davon auszugehen, dass etwa ein Viertel der Strebefälle auf eine Mangelernährung und Kachexie zurückzuführen sind. Bereits vor 10 Jahren zeigten 37,6 % aller Patienten in onkologischen Abteilungen laut einer Studie von Pirlich et al. eine Mangelernährung.
Herausgeber und Autoren Das Manual wurde von der interdisziplinären Arbeitsgruppe `Ernährung und Krebs` des Tumorzentrums München an den Medizinischen Fakultäten der LMU und der TU in München erstellt. Herausgeber des Bandes sind der Leiter der Projektgruppe, Prof. Dr. Hans Hauner und Prof. Dr. Marc Martignoni. ····· 1036179139
····· lezzter Preis 30.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Unterstützte Beschäftigung im Betrieb: Unentbehrliche Hilfe für alle, die in den Arbeitsfeldern der Beruflichen Integration und der Beruflichen Rehabilitation beschäftigt sind! Angesichts zunehmender psychischer Erkrankungen am Arbeitsplatz bekommt die berufliche Integration von Menschen mit Behinderungen immer mehr Bedeutung. Mit diesem Buch legen zwei anerkannte Fachleute das erste Praxiskonzept zum Jobcoaching vor: methodisch fundiert, ergebnisorientiert, kreativ. Fallbeispiele und hilfreiches Downloadmaterial erhöhen den praktischen Nutzen und machen das Buch unentbehrlich für - angestellte oder selbstständige Jobcoaches - Ergotherapeuten - Mitarbeitende in der Unterstützten Beschäftigung, in der WfbM, in Integrationsfachdiensten - Mitarbeitende in Berufsbildungswerken, Berufsförderungswerken, Beruflichen Trainingszentren und Rehabilitationseinrichtungen - Mitarbeitende von Leistungsträgern - Personalverantwortliche, Personalräte. ····· 10361171676
····· lezzter Preis 30.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Bei den Sozialarbeitern stellen die Vertreter der Klinischen Sozialarbeit die aktivste Gruppe dar. So wundert es nicht, dass gerade sie sich in diesem zweiten Band der Forschung und den neuesten Entwicklungen für Sozialarbeiter und Sozialarbeiterinnen im sozialen und klinischen Bereich widmen und dabei ein großes Themenspektrum abdecken. Dieser Band zeigt ein Spektrum auf, das beispielhaft für sozialarbeitswissenschaftliche Forschung ist. Aus ihnen lassen sich Bausteine zur Theoriebildung für die gesamte Soziale Arbeit ableiten. Der Band beinhaltet Beiträge von Experten wie Albert Mühlum, Helmut Pauls, Peter Sommerfeld, Heiner Keupp, Konrad Maier, Jürgen Kriz, Gernot Hahn, Silke Birgitta Gahleitner und vielen anderen in diesem Fachbereich etablierten Autorinnen und Autoren.Empfehlenswert für Professoren und Studenten der Sozialen Arbeit, aber auch Praktiker in allen psychosozialen Arbeitsfeldern, die mit komplexen Problemlagen zu tun haben. ····· 10361202129
····· lezzter Preis 30.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Früherkennung von schizophrenen Psychosen ist ein Dauerthema der Psychiatrie, insbesondere der Schizophrenieforschung. Wer sich mit diesem Thema beschäftigt, kommt an dem Buch von Klaus Conrad nicht vorbei - es bleibt die eindrucksvollste, plastischste und bewegendste Darstellung des Beginns der Krankheit. Jeder, der dieses Buch liest, kann sich einfühlen in das, was geschieht, wenn eine Psychose beginnt, sie immer heftiger wird und die Kranken schließlich überwältigt. Conrads Untersuchungen basieren auf Krankenakten aus den 40er Jahren. Im Gegensatz zu den von Psychiaterkollegen oft angewandten Einzelfallstudien lag das Besondere bei seinen Untersuchungen auf dem `uniformierten` Erlebnismaterial: Alle Kranken waren Soldaten des Kriegsjahres 1941/42 mit einem akuten Schub. Der andauernde Krieg und die Nachkriegszeit verhinderten die umgehende Auswertung der Untersuchungen, das gesammelte Material konnte erst 16 Jahre später veröffentlicht werden. Trotzdem hat es - damals wie heute - nichts von seiner elementaren Kraft verloren es gehört nach wie vor zur empfohlenen Lektüre in der psychiatrischen Ausbildung ····· 10361202139
····· lezzter Preis 30.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Wie gehe ich damit um, wenn jemand Stimmen hört Was muss ich tun bei Selbstverletzungen Woher weiß ich, ob jemand krank oder einfach nur unmotiviert ist Dieses Buch liefert die Antworten. Wer mit psychisch kranken Menschen arbeitet, wird häufig mit Verhaltensweisen oder Symptomen konfrontiert, die fremd wirken und nur schwer zu verstehen sind. Das kann verunsichern und überfordern. Die Autoren vermitteln Hintergrundwissen, das uns die Logik psychischer Krankheiten verstehen lässt. Sie erklären, wie psychische Störungen entstehen und welche Bedingungen ihre Genesung beeinflussen. Wir erhalten das Handwerkszeug, das für den Umgang im Alltag hilfreich ist und erfahren, welche Selbsthilfestrategien wirksam sind. Diese Krankheitsbilder werden u. a. behandelt: - Psychosen - Depressionen - Bipolare Störungen - Persönlichkeitsstörungen - Angst- und Zwangserkrankungen Umfangreiches Download-Material hilft beim Lernen und unterstützt bei der praktischen Arbeit. ····· 10361202140
····· lezzter Preis 30.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Dieses Buch beleuchtet den Zusammenhang zwischen Spiritualität und seelischer Gesundheit in möglichst vielen Facetten. Einführend wird die besondere Bedeutung von Spiritualität für Menschen in existentiellen Notlagen und Krisensituationen dargestellt. Das Spannungsfeld zwischen moderner Psychiatrie und Psychologie mit ihrer Ausrichtung am medizinisch- naturwissenschaftlichen Paradigma und dem subjektiven Erleben von Spiritualität wird aufgezeigt. Spiritualität wird als Dimension von seelischer Gesundheit erläutert und mit Blick auf alle großen Glaubensrichtungen betrachtet. Sowohl die genesungsfördernde Wirkung spiritueller Bezüge und die Bedeutung von Gemeinschaftserleben in Krisenzeiten werden beschrieben wie auch dysfunktionale Aspekte der Unterordnung unter einer höhere Macht, die Gefühle von Schuld und Ohnmacht verstärken und den Blick auf die eigenen Handlungsmöglichkeiten verdunkeln kann Die Kapitel Methoden und Erfahrungen liefern praktisches Wissen im Umgang mit spirituellen Bezügen in der Beratung, Behandlung und Rehabilitation. Ergänzend wird thematisiert, wie in psychiatrischen Einrichtungen spirituelle Angebote und Räume zur Förderung seelischer Gesundheit beitragen können. Gleichzeitig wird die Notwendigkeit unterstrichen auch Kirchengemeinden in ihrer Kompetenz zu stärken, psychisch erkrankte Menschen in ihrer Mitte wahrzunehmen und zu unterstützen. ····· 10361202149
····· lezzter Preis 30.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Psychosoziale Interventionen greifen tief in das persönliche und soziale Geschehen von Klienten ein und bedürfen daher einer besonderen fachlichen und kritischen Reflexion. Mit dem vorliegenden Band werden aktuelle Forschungsergebnisse aufgegriffen und die theoretischen Grundlagen psychosozialer Interventionen wie Capability, Agency, Sozialtherapie, Lebensweltorientierung vorgestellt.Konkrete Interventionsbeispiele zeigen, dass die Klientinnen und Klienten beteiligende, fachlich versierte Problemanalyse zu einer komplexen Hilfeplanung führt, die die Bedürfnisse des Einzelnen berücksichtigt. ····· 10361202155
····· lezzter Preis 30.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der verantwortungsvolle Umgang mit Psychopharmaka will gelernt sein! Die komplett überarbeitete und erweiterte Neuausgabe des Bestsellers von Asmus Finzen gibt Ärzten und Nichtmedizinern ein alternatives Nachschlagewerk zu Psychopharmaka an die Hand, das sich an Krankheitsverläufen und nicht am Medikament orientiert. Stefan Weinmann und Harald Scherk haben den Fachbuch-Klassiker komplett überarbeitet und auf den Stand der aktuellen Forschung und evidenzbasierten Praxis gebracht. Dabei pflegen sie weiterhin die besondere Haltung und Fähigkeit von Asmus Finzen, mit einfachen und zugleich klaren Worten die notwendige Hilfestellung zu bieten, ohne dabei das therapeutische Risiko zu vernachlässigen. Die einzigartige Orientierungshilfe für Assistenzärzte und Nichtmediziner formuliert knapp und verständlich Einteilung und Wirkungsweisen, Auswahl und Dosierung, Nebenwirkungen und den sinnvollen Einsatz von Psychopharmaka bei - Stimmungserkrankungen und Manien, - Erkrankungen aus dem schizophrenen Formenkreis, - Schlaf-, Zwangs- und Angststörungen und Unruhezuständen, - Suchterkrankungen, demenziellen Erkrankungen und ADHS. Auch die Medikamentenbehandlung bei psychischen Begleiterscheinungen bei körperlicher Erkrankungen, in Akutsituationen und bei Suizidgefährdung werden behandelt. ····· 10361202167
····· lezzter Preis 30.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Junge Erwachsene in der Psychiatrie sind eine Patientengruppe, die als sogenannte `junge Wilde` zu den herausforderndsten für Jugendhilfe und Psychiatrie zählt. Dieses Buch erschließt die Ressourcen sowohl der Jugendhilfe als auch der Adoleszenzpsychiatrie für beide Berufsfelder. Es hilft, effektive und vernetzte Behandlungskonzepte für psychisch erkrankte junge Erwachsene zu entwickeln. Unsichere Bindungen in sich rasch verändernden Lebenswelten erschweren jungen Erwachsenen die Bewältigung alterstypischer Entwicklungsaufgaben wie die Gewinnung von Selbstsicherheit und Selbstkontrolle. Oftmals folgen daraus Störungen, die ein Eingreifen von Institutionen sowohl der Jugendhilfe als auch der Psychiatrie nötig machen. Dieses multiprofessionelle und diagnosenübergreifende Buch - verschafft einen Überblick über das Fachwissen. - gibt wertvolle Praxistipps für die ambulante und stationäre Therapie. - erleichtert die notwendige Vernetzung aller am Behandlungsprozess Beteiligten. - fordert ein besseres Schnittstellenmanagement. - stellt erfolgsversprechende Behandlungskonzepte vor. ····· 10361202189
····· lezzter Preis 30.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Irre praktische Methoden! Wie hängen Denken und Handeln zusammen Wie gehe ich mit heftigen Emotionen um Wie führe ich schwierige Gespräche Wie kann ich meine Klientinnen und Klienten motivieren Dieses Buch ist ein Grundlagenwerk für Mitarbeitende im psychosozialen Bereich, wie es praktischer kaum sein kann! Bei nahezu allen psychischen Erkrankungen treten in den Bereichen Denken, Fühlen, Kommunikation und Motivation Schwierigkeiten auf, und zwar ganz unabhängig von der eigentlichen Diagnose. Das können Grübeln, emotionale Anspannung oder auch Antriebslosigkeit sein. Matthias Hammer und Irmgard Plößl machen das Wissen aus der Psychologie und Psychotherapie für die psychosoziale Arbeit nutzbar. Eine klare Struktur, Übungen und Beispiele von Situationen, denen wir im psychiatrischen Feld ständig begegnen, vermitteln Verständnis dafür, wie die Klientinnen und Klienten die Zusammenarbeit mit den Fachkräften erleben, wie sie fühlen und denken. Es folgen theoretisches Fachwissen und Tipps für eine empathische, verstehende Haltung. Herzstück aller Kapitel sind die Methodenschätze für die praktische Arbeit im Alltag. Inklusive umfangreiches Downloadmaterial. ····· 10361202218
····· lezzter Preis 31.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Forensische Medizin hat sich in den letzten Jahrzehnten grundlegend gewandelt und sich international vom `Detektiv mit dem Skalpell` zu einer multidisziplinären High-Tech-Wissenschaft entwickelt. Das Spektrum in Wissenschaft und Praxis reicht von der Aufklärung plötzlicher natürlicher sowie gewaltsamer Todesfälle und der Beurteilung von Körperverletzungen bis zur Begutachtung medizinischer Behandlungsfehler. Die chemisch-toxikologische Untersuchung von Alkohol, Suchtmitteln, Medikamenten und Giften sowie die DNA-Analyse biologischer Spuren sind dabei ebenso bedeutsam wie die Obduktion. Die sich aus der zivil- und strafrechtlichen Praxis ergebenden speziellen Fragestellungen sind der `klassischen` Medizin, Chemie oder Biologie meist fremd, weshalb sie in der forensischen Medizin erforscht, validiert, angewandt und gelehrt werden müssen. Der Inhalt dieses Buches gibt einen umfassenden Einblick in das Fach, welches durch enge Verbindung von Wissenschaft und Praxis ständig weiterentwickelt werden muss. Einer optimal ausgestatteten, akkreditierten und international orientierten forensischen Medizin kommt in unserer Gesellschaft eine immer größere Bedeutung zu. ····· 1036150181
für 31.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der deutsche Psychiater Wilhelm Weygandt (1870 1939) hat sich einem interessanten Aspekt der psychologischen Forschung angenommen: den psychischen Epidemien. Er versucht zu ergründen, wie diese entstehen können und arbeitet verschiedene Typen unterschiedlicher Ausprägung heraus, an denen er die Möglichkeit der Beeinflussung von geistig Gesunden durch psychisch Kranke aufzeigt und erläutert. Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1905. ····· 10361139167
····· lezzter Preis 32.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Sir William Maddock Bayliss (1860-1924) war ein britischer Physiologe und gilt als einer der Begründer der Endokrinologie. Im Jahre 1902 entdeckte Bayliss gemeinsam mit Ernest Starling das Hormon Secretin und verwendete erstmalig den Begriff Hormon .Nach einem Studium der Zoologie, Anatomie, Physik und Physiologie am University College London wechselte Bayliss nach Oxford, um dort 1888 zu promovieren. Als Professor für Physiologie lehrte er ab 1912 wieder in London.Nach ihm ist auch der Bayliss-Effekt benannt. ····· 10361159281
für 32.31€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This handbook is written in response to requests for a simple protocol to train people in recognizing hunger. The reader will find the method outlined here invaluable in reducing a complex interoceptive phenomenon to its simplest elements. ····· 103613170
····· lezzter Preis 32.31€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray La problemática actual de los altos niveles de glucosa en sangre deriva en hiperinsulinemia y resistencia a la insulina mucho más de lo que se conoce en la literatura médica. Esto nos lleva a una progresión hacia la diabetes tipo 2 de forma acelerada. Este libro es un estudio sobre qué es la glucosa, las alteraciones que se producen en el organismo y las patologías que aparecen como consecuencia de los niveles alterados en sangre. ····· 1036122861
für 32.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Puerperalfieber ist ein anderes Wort für Kindbett- oder Wochenbettfieber, das in den vergangenen Jahrhunderten Ursache für den Tod zahlreicher Frauen war. Der Arzt Albert Döderlein legt seinen Fokus auf die Analyse des Scheidensekrets von Schwangeren und untersucht dieses in Hinblick auf eine mögliche Verbindung zu dem Unheil bringenden Fieber. Seine Aufzeichnungen spiegeln einen wichtigen Teil der Medizingeschichte wider.Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1897. ····· 10361139140
····· lezzter Preis 33.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Manual zum Zervixkarzinom gibt einen Überblick über die Diagnostik, Therapie und Nachsorge bei diesem Tumor. Es wurde interdisziplinär erarbeitet und gibt einen guten Überblick über das Vorgehen beim Zervixkarzinom. ····· 1036179166
····· lezzter Preis 33.21€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The book is divided in seven chapters consisting two parts for each of gastrointestinal organs. The first part of the chapters gives overview on anatomical and physiological data for the organs, symptomatology as well as laboratory and instrumental tests that are used in diagnosis of the diseases. The second part of the chapters refers to the most common diseases of esophagus, stomach, small and large intestine, liver, biliary system and pancreas respectively. The diseases are presented in the way that includes key practice points with essentials of etiopathogenesis, pathological anatomy, clinical picture, diagnosis and treatment. Modern approaches in diagnostic and interventional gastroenterology are highlighted by the thirty years of clinical practice of the author. The author integrates his practical knowledge with most recent scientific inventions in the field of gastroenterology. The book will be an affordable, highly practical handbook and is strongly recommended for gastroenterologists, general internists and general practitioners. ····· 1036124488
für 33.21€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Cardiovascular disease has overcome the other causes of mortality in chronic kidney disease patients, being the number one cause of morbidity and mortality in this population encountering for a 10-20 times higher mortality than that of the normal population. It is very intriguing that the extremely high mortality can not be explained by traditional cardiovascular risk factors. In this book are discussed the theoretical aspects of frequent coexistence and powerful interaction between malnutrition, inflammation, and atherosclerosis ( known as MIA syndrome), and the strong impact in the cardiovascular morbidity and mortality. There is also described and discussed a clinical study about the presence of this syndrome in chronic kidney disease patients in the pre-dialysis and dialysis stage. ····· 10361101426
····· lezzter Preis 33.68€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Fertilitätsstörungen stellen heutzutage ein Problem dar, welches immer mehr an Beachtung gewinnt. In dieser Arbeit wurde der Einfluss der murinen Hsp110 Genfamilie auf die männliche Fruchtbarkeit untersucht. Diese Genfamilie umfasst die klassischen Vertreter der Hitzeschockproteine mit Chaperonfunktion. Zur Analyse wurden Knockout- und Doppel-Knockout Mäuse generiert, bei denen die Gene Hspa4l, Hspa4 oder Hsph110 ausgeschaltet waren. Diese männlichen Tiere zeigten eine deutliche Fertilitätsstörung, die auf eine hohe Anzahl apoptotischer Keimzellen und degenerierter haploider Keimzellen zurückzuführen war. Neben der ausführlichen Analyse der Rolle der Hsp110 Genfamilie in der männlichen Fruchtbarkeit, zeigt diese Arbeit auch interessante Funktionen der Hitzeschockproteine in anderen Organen auf, wie zum Beispiel in der Niere und im Herzen. ····· 10361192876
für 33.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Mit Das menschliche Haar in seiner physiologischen, pathologischen und forensischen Bedeutung legt der Mediziner Emil Pfaff umfangreiche Forschungsergebnisse rund um das Haar vor, die durch eigene mikroskopische Untersuchungen untermauert werden. Ergänzt werden diese durch eine Darstellung verschiedener Therapien zur Behandlung von Haarkrankheiten.Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1869. ····· 10361139051
für 33.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Vorliegend findet sich die Dokumentation wichtiger Forschungsschritte bei der Ermittlung der Ursachen und Faktoren der Thrombose. Die Autoren liefern einen geschichtlichen Abriss und widmen sich ausführlich der Erläuterung des medizinischen Kenntnisstandes ihrer Zeit. Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1888. ····· 10361139442
····· lezzter Preis 34.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Rudolf Virchow (1821 - 1902) war Arzt an der Berliner Charité und Politiker (Deutsche Fortschrittspartei). Er gilt unter anderem als Gründer der modernen Pathologie und als einer der bedeutendsten modernen Medizinerüberhaupt. Er war Vertreter einer streng naturwissenschaftlich orientierten Medizin. Nach Abschluss seines Medizinstudiums promovierte er 1843 im Teilgebiet der Pathologie an der Berliner Charité. Er war Stipendiat der Berliner Militärärzte-Akademie Pépinière. Anschließend arbeitete er in der Prosektur der Berliner Charité. Für das preußische Heer entwickelte er das sogenannte `Virchowsche Gepäck` (mit Koppel und Trageriemen), das 1847 bei den Fußtruppen das Kreuzbandolier ablöste. 1848 beteiligte sich Virchow aktiv an der Märzrevolution. Dadurch wurde seine Stellung in Berlin unhaltbar, und er war gezwungen, einen Ruf an die Universität Würzburg anzunehmen. 1856 kehrte er nach Berlin zurück und übernahm das neu geschaffene Ordinariat für Pathologie sowie wieder seine alte Stellung als Prosektor an der Charité und blieb dort 46 Jahre bis zu seinem Tod. ····· 10361159241
····· lezzter Preis 34.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Durch 30 Jahre Forschung erbrachte Dr. Pekar den Nachweis der mikrobiellen Ursache der Entstehung von Tumoren. Neue Wege zur Fr¿hdiagnostik und organerhaltende Therapien werden aufgezeigt. Gefordert wird eine neue Denkweise `Nicht nur die Tumorvernichtung darf im Vordergrund stehen - die Krebsverursachung im Organismus muss erkannt und beseitigt werden.` ····· 1036150176
für 34.80€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Autoimmunerkrankung Morbus Basedow ist eine Schilddrüsenerkrankung, die in 30 bis 60% der Fälle zusätzlich zu einer Endokrinen Orbitopathie führt. Zahlreiche funktionelle und ästhetische Einschränkungen gilt es daher konservativ und operativ bestmöglich zu versorgen. Die vorliegende Studie ist ein Methodenvergleich der operativen Oberlidverlängerung mittels Implantat bzw. Desinsertion des Musculus levator palpebrae superioris. Ziel der Studie war es, potenzielle Dosis-Wirkungs-Effekte zu analysieren sowie den Zeitpunkt zu ermitteln, zu dem ein stabiles Operationsergebnis vorliegt. In die vorliegende, retrospektive Studie wurden 226 Patienten bzw. 347 chirurgische Oberlidverlängerungen aus den Jahren 1989-2011 inkludiert. Von diesen konnten, entsprechend den zuvor definierten Ein- und Ausschlusskriterien, 158 Patienten bzw. 240 Oberlidverlängerungen ausgewertet werden. Beide Operationsverfahren wurden anhand der Gesamtbehandlungsdaten sowohl einzeln als auch im Vergleich analysiert. Alle Parameter (wie z.B. Lidspaltenweite, Oberlidretraktion, Lidschlussdefekt, Oberlidbeweglichkeit), die durch die Operation verändert werden sollten, verbesserten sich in beiden Gruppen statistisch signifikant. Die Revisionsrate war in beiden Gruppen identisch niedrig (ca. 6,7%). Für die Gruppe der Implantate konnte ein Dosis-Wirkungs-Effekt und für die Gruppe der Levatordesinsertionen eine tendenzielle Dosis-Wirkungs-Beziehung nachgewiesen werden. Ein postoperativer Zeitpunkt, ab dem von einem langfristig stabilen Operationsergebnis ausgegangen werden kann, konnte für beide Gruppen ermittelt werden. Beide Operationsmethoden sind sehr sicher, gut steuerbar und gezielt einzusetzen. Das Verfahren der Implantate ist bei geplanten Oberlidverlängerungen von mehr als 3 mm zu empfehlen, das Verfahren der Levatordesinsertion bei Oberlidverlängerungen von bis zu 3 mm. Nachteile durch die Verwendung von Fremdmaterial sind nicht erkennbar. Bereits nach sechs Wochen kann in beiden Gruppen eine Aussage über das langfristige Operationsergebnis bzw. den Operationserfolg gemacht werden. ····· 10361108239
für 34.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hermann Oppenheim (1857 1919) gilt als einer der Begründer der deutschen Neurologie. Verschiedene Krankheitsbilder sind nach ihm benannt, genauso wie sich sein Name zu seinen Ehren bei einigen medizinischen Begrifflichkeiten findet.Der hier vorliegende Band versammelt folgende Vorträge Oppenheims: Nervenkrankheit und Lektüre Nervenleiden und Erziehung Die ersten Zeichen der Nervosität des Kindesalters Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1906/07. ····· 10361139152
····· lezzter Preis 34.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Psychische Störungen im Wochenbett können vom vergleichsweise harmlosen `Babyblues` bis hin zu einer massiven Erkrankung reichen. Werden die Symptome frühzeitig erkannt und behandelt, stehen die Chancen für eine Heilung gut. Eine besondere Rolle kommt hier den Hebammen zu. Dieses Buch bietet Ihnen praxisnahe Hilfestellungen, die Sie unterstützen, psychische Erkrankungen bei Wöchnerinnen zu erkennen und gegebenenfalls die erforderlichen Schritte einzuleiten: Welche Maßnahmen kann eine werdende Mutter präventiv ergreifen Welche Rolle spielt der Partner Auf diese und weitere wichtige Fragen liefert das Buch Antworten. ····· 1036172039
····· lezzter Preis 34.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der EKG-Kurs - das ultimative Lernpaket. Inklusive EKG-Lineal und 20-seitigem Kickstarter `In 5 Schritten zum EKG-Befund` für die Kitteltasche. Damit sind Sie für die praktische Auswertung im Stationsalltag optimal gerüstet.
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HIGHLIGHTS Über 400 einprägsame Abbildungen und Tabellen zahlreiche Merkhilfen Übungsfragen mit Lösungen am Ende jedes Kapitels 55 ausführlich und professionell befundete Original-EKGs als Trainingsmaterial für die eigenen Fähigkeiten 26 Übungs-EKGs mit Lösungen EKG-Lineal und Kickstarter für die Kitteltasche `In 5 Schritten zum EKG-Befund`
SPEZIALKAPITEL Koronare Herzerkrankung Bradykarde und supraventrikuläre Arrhythmien Ventrikuläre Extrasystolen und Tachykardien Gobale Erkrankungen des Herzens Notfälle Schrittmacher-EKG Langzeit-, Monitor- und Belastungs-EKG ····· 10361182154
····· lezzter Preis 35.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Für die Diagnose und Therapie der immer komplexer werdenden Nahrungsmittelallergien spielen Eliminationsdiäten eine zentrale Rolle. Hieraus ergibt sich das Problem einer Standardisierung derartiger Diätvorschläge, auf das sich die Bemühungen verschiedener Arbeitskreise aus dem Bereich der Ernährungsfachberatung, wie der ¿Diätetik in der Allergologie¿, bereits richteten. Das Nachschlagewerk Zur Nahrungsmittelallergie: Diätvorschläge und Positionspapiere für Diagnostik und Therapie vereint die aktuellste Überarbeitung der ausführlich und übersichtlich tabellarisch dargestellten Diätpläne mit konkreten Hilfestellungen beim Vorgehen gegen die verschiedensten Nahrungsmittelallergien, Pseudoallergien und spezifischen Erkrankungen. In diesem Buch sind alle bislang verfügbaren Positionspapiere abgedruckt, zu deren Erstellung namhafte Autoren, wie J. Sennekamp oder Th. Werfel, beigetragen haben. ····· 10361195921
für 35.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray El Clenbuterol es un anabolizante de la familia de los ß- agonistas, utilizado en el país como un fármaco para humanos y como uso veterinario. Su principal función es alterar la composición del cuerpo del animal disminuyendo la acumulación de grasa en los tejidos, provocando el aumento de la masa muscular, por consiguiente, el aumento de peso del mismo. El consumo de tejidos u órganos de animales tratados con altas dosis de clenbuterol, produce en el consumidor la aparición de sintomatología. A dosis elevadas en el ganado favorece la aparición de depósitos en el hígado, músculo, retina, pelo, etc., los cuales pueden originar intoxicaciones en las personas que consuman estos tejidos. ····· 10361137111
für 35.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Deutlich wendet sich Franz Erhardt gegen die Theorie des psychophysischen Parallelismus, die jedwede Wechselwirkung zwischen Leib und Seele in Abrede stellt. Dabei ist Erhardts Abhandlung auch für Fachfremde zugänglich, führt er doch zunächst in Thema und Theorie ein, bevor er sich daran macht, mit Hilfe von Beispielen und Erklärungen seinen Standpunkt zu verdeutlichen.Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1897. ····· 10361139074
für 35.91€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Background: Patients` perception and their expectations of care are valid indicators of quality nursing care and to improve health services in hospitals require to measure their own performance in order to improve upon current system of service delivery. Well-designed health care delivery system can reduce hospitalization, improve quality of life and provide patient satisfaction. Aim: to assess the patients perceptions toward quality of nursing service provided at Al Noor Specialist Hospital. Subject and methods: A descriptive correlation design was used in the present study. Ninety patients admitted to medical, surgical, burn and obstetric wards, they were selected from Al Noor Specialist Hospital. Tool: Consumer Perception of Service Quality Sheet (SERVQUAL) was used to measure both patient expectation and perception of service quality. It consisted of five dimensions as follows tangibility (assess the appearance of physical facilities and appearance of nurses), reliability (assess nurses ability to perform the promised service dependably and accurately), responsiveness (assess nurses willingness to help patients and provide a prompt service), Assurance. ····· 1036191461
für 35.91€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Health is a wealth and wonderful gift given by god. It`s our duty to preserve it to lead a healthy life. Good health is a priceless asset. But some people, for seeking temporary pleasure fall into bad habits such as smoking tobacco. The personal decisions on behaviour affect the prospects for good health and that ill health is not solely a consequence of ill fortune but frequently a direct consequence of behaviour under individual`s control. Tobacco smoking is most popular form of smoking, practiced by over one billion people leading to health problems. Nurses have an important role in prevention of smoking by conducting educative programmes on ill effects of smoking in schools, colleges, and also in hospitals. This study attempts to evaluate the effectiveness of structured teaching programme on ill effects of smoking among students of Government high school Fort, Bangalore. Tobacco use is one of the major preventable causes of death and disability worldwide. The emergence of tobacco related diseases burgeoning public health problem. According to recent WHO estimates, 4.9 million deaths annually are attributed to tobacco. ····· 1036191756
····· lezzter Preis 36.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Leitlinie ist ein evidenz- und konsensusbasiertes Instrument zur Versorgung der Patientinnen mit nachgewiesenem Brustkrebs. Sie dient dazu, den Patientinnen eine dem jeweiligen Stand der Erkrankung angemessene, wissenschaftlich begründete und wirtschaftliche Diagnostik, Therapie und Nachsorge zukommen zu lassen.
Diese Leitlinie wurde von einem Expertenkreis Mammakarzinom anhand eines zuvor definierten Vorgehens erarbeitet und abgestimmt.
Diese Leitlinie richtet sich an Ärzte und Frauen, um in der Entscheidung für die Diagnostik, Therapie und Nachsorge zu unterstützen. Das Ziel ist es, die Diagnosekette und die stadiengerechte Therapie sowohl bei der Ersterkrankung als auch beim Rezidiv bzw. der Metastasierung zu optimieren. Dadurch sollen mittel- und langfristig die Sterblichkeit der Brustkrebspatientinnen gesenkt und die Lebensqualität erhöht werden. ····· 1036179138
für 36.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Lehre von der Tabes dorsualis ist ein spannender Beitrag zur Geschichte der Medizin. Elie de Cyon kritisiert seinerzeit den Forschungsstand der Pathologie des Nervensystems und versucht, sich mit Hilfe der Analyse verschiedener Krankengeschichten der Tabes dorsualis anzunähern, um auf diese Weise den Wissensstand um diese Krankheit zu erweitern. Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1867. ····· 10361139014
für 36.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray J. L.C. Schröder van der Kolk war ein niederländischer Mediziner und einflussreicher Forscher auf dem Gebiet der Epilepsie und der Krankheiten des Geistes. Vorliegendes Werk versammelt 6 Vorträge Schröders van der Kolk, die alle die Wechselbeziehung zwischen Seele und Leib zum Thema haben. Gehalten wurden die Vorträge zwischen 1835 und 1858. Auf diese Weise bilden sie nicht nur einzelne Aspekte des Themas ab, sondern verdeutlichen zudem die Weiterentwicklung und die neu gewonnenen Erkenntnisse des Mediziners.Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1865. ····· 10361139073
····· lezzter Preis 38.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Robert Koch, geb. 1843, gest. 1910, war ein berühmter Mediziner und Mikrobiologe. Zu seinen größten Erfolgen zählte die Entdeckung des Tuberkuloseerregers im Jahr 1882. Für seine Bemühungen um die Erforschung der Krankheit erhielt er 1905 den Nobelpreis für Medizin und Physiologie. Bis heute bilden die Leistungen Robert Kochs die Grundlagen der modernen Bakteriologie. Robert Koch studierte von 1863 bis 1866 in Göttingen Medizin. Er war Leiter des Hygiene-Instituts der Berliner Universität, war in der Charité tätig und wurde schließlich zum Direktor des Königlich Preußischen Instituts für Infektionskrankheiten ernannt, dem heutigen Robert Koch-Institut. Auf seinen zahlreichen Reisen und Expeditionen in tropische Länder erforschte er die dort typischen Krankheiten wie Malaria und die Schlafkrankheit. Bereits zu Lebzeiten wurden seine Veröffentlichungen zu den Infektionskrankheiten in der wissenschatlichen Fachwelt hoch geschätzt. ····· 10361159257
····· lezzter Preis 38.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Leitliniendiskussion im Gesundheitswesen wird seit Jahren kontrovers geführt. Leitlinien stellen Korridore dar, in denen klinische Medizin betrieben werden soll. Sie dürfen keinesfalls als starre Handlungsanweisungen verstanden werden und sind auf den einzelnen Patienten und dessen Lebensumstände anzupassen.Im Gegensatz zu externen Leitlinien helfen interne Leitlinien im Krankenhaus Arbeitsabläufe transparent zu organisieren. Sie nützen der Ausbildung aller Berufsgruppen und unterstützen den Informationsfluss zu niedergelassenen Ärzten. Voraussetzung ist, dass eine regelmäßige Anpassung an den medizinischen Fortschritt erfolgt.Die Mitarbeiter der Klinik für Urologie, Andrologie und Kinderurologie des Klinikums Weiden haben deshalb für häufige urologische diagnostische Prozeduren und Behandlungsverfahren die vorliegende `Therapie des Hauses` entwickelt, die einen Arbeitskorridor und eine Informationsquelle auch für fachfremde medizinische Berufsgruppen darstellen soll. ····· 10361169710
····· lezzter Preis 38.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Buch gibt einen umfangreichen Einblick in orthopädische Erkrankungen des frühen 20. Jahrhunderts in Deutschland, speziell im Großraum Hannover. Unter humanbiologischen, geschichtlichen und soziokulturellen Aspekten wurde eine umfangreiche Sammlung von Röntgen- und Patientenbildern des Annastifts Hannover (ehemals `Krüppelheim`) aus der Zeit von Oktober 1908 bis September 1942 analysiert. Einige der häufigsten Erkrankungen in dieser Sammlung (Hüftluxation, Infektionskrankheiten (wie Tuberkulose und Osteomyelitis), Rachitis und Skoliose) werden beschrieben, ausgewertet und im Kontext der Epoche diskutiert. Auch die Auswirkungen der Ideologie des dritten Reiches auf die klinische Arbeit wurden untersucht. Ein weiterer Aspekt dieser Arbeit beschäftigt sich mit Harris-Linien (Wachstumsstillstandslinien), die gemeinhin als ein Zeichen für Mangelzustände gelten. Das frühe 20. Jahrhundert gilt als eine entscheidende Phase des Übergangs von einer hohen zu einer niedrigen Mortalität. Ob sich Beweise für diese Aussage finden lassen, soll die vorliegende Arbeit zeigen. ····· 10361169939
····· lezzter Preis 38.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Bei der `Therapie des Hauses - Klinik für Urologie, Andrologie und Kinderurologie an den Kliniken Nordoberpfalz AG ` handelt es sich nicht um ein medizinisches Lehrbuch, sondern primär um eine Prozedurenbeschreibung, Einarbeitungshilfe und Nachschlagewerk zur Ablaufoptimierung und Qualitätssicherung.Nach anfänglich geringer Aufmerksamkeit verwenden 7 Jahre nach der ersten Auflage immer mehr nicht-ärztliche und ärztliche Mitarbeiter die `Therapie des Hauses` als Werkzeug für die tägliche Arbeit. Für neue Mitarbeiter/innen über alle im Krankenhaus tätigen Berufsgruppen hinweg ist die `Therapie des Hauses` als Informationsquelle nicht mehr wegzudenken. Dies ist erfreulich und bestärkt uns. Offenbar werden einige Jahre benötigt, bis ein Hilfsmittel, wie dieses Buch, in die tägliche Arbeit Eingang findet. Interessant ist, wie dynamisch sich die Arbeitsabläufe in den letzten Jahren entwickelt haben. Dies lässt sich in den jeweiligen Auflagen der `Therapie des Hauses` gutnachvollziehen.In einigen Bereichen der modernen urologischen Diagnostik und Therapie hat sich Neues ergeben, sodass eine gründliche Überarbeitung notwendig wurde. Beispiele sind die Angiogenesehemmungbeim fortgeschrittenen Nierenzellkarzinom oder die Laparoskopie. Für die OP-Pflege sind die Kapitel der OP-Instrumentation erweitert und aktualisiert worden. Im neuen Anhang finden sich Fragebögen zur Erfassung von Risiko-, Lebensqualität- und Symptom-Scores. Es sind weiterhin einige wichtige Abschnitte insbesondere für die Bereiche Prostatakarzinom, Chemotherapie, Genitalchirurgie hinzugekommen, sodass das Werk sich nun sehr umfassend darstellt.Die vorliegende 4. Auflage dient u.a. als Arbeitshandbuch im Rahmen der DIN-EN-ISOZertifizierung der Klinik für Urologie, Andrologie und Kinderurologie sowie als Referenzwerk für dasProstatakarzinomzentrum Nordoberpfalz und für den uroonkologischen Teil des Onkologischen Zentrums Nordoberpfalz. Weiterhin stellt das Werk ein unerlässliches und etabliertes Werkzeug im Rahmen des Qualitätsmanagements und des neu etablierten Studienzentrums Nordoberpfalz dar. ····· 10361192642
····· lezzter Preis 39.50€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Taschenbuch Onkologie, interdisziplinäre Empfehlungen zur Therapie 2020/21, wurde überarbeitet. Alle 2 Jahre zum Krebskongress erscheint dieses Taschenbuch neu. Es ist im ersten Teil klar gegliedert nach den verschiedenen Tumorentitäten in der Hämatologie und Onkologie und bietet Informationen zu Klassifikation, Klinik, Diagnostik und Therapie. Alle gebräuchlichen Therapieschemata werden in übersichtlicher Form dargestellt, geeignet zum schnellen Nachschlagen. Der zweite Teil befasst sich mit der allgemeinen und speziellen Tumortherapie. Dort finden sich alle gängigen Medikamente in Kurzform beschrieben und alphabetisch sortiert, ebenso Wichtiges zur Supportiv-, Notfall- und auch Palliativtherapie. Das Buch ist ein praktisches Nachschlagewerk für den klinisch tätigen Arzt. Die Herausgeber und Autoren haben alles Wesentliche in kompakter Form zusammengefasst. Bewusst verzichten sie auf sehr seltene Entitäten und für den klinischen Alltag unwichtige Einzelheiten. ····· 1036179162
····· lezzter Preis 39.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This manuscript describes a parameter modification to the Radcalc software model such that it would be able to provide a valid check to the predicted radiation doses from the Monte Carlo treatment planning system. Thus the polynomial correction model obtained provides a simple but robust and empirically sound correction to the Radcalc commercial software such that monitor unit calculations from the Monte Carlo TPS may by verified for post mastectomy chest wall irradiation cases. This provides the medical physicist confidence that any persistent differences should be investigated as possibly due to an actual systematic error unassociated with a failure of the predictive model. ····· 1036125760
für 39.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Dieses Buch sollte als umfassendes Lehrbuch und Nachschlagewerk für angehende Hebammen genutzt werden. Unter Hebammenkunst versteht man den Inbegriff von Kenntnissen und Fähigkeiten, welche eine Frau geeignet machen, Schwangeren mit Rat und Tat beizustehen. Das Lehrbuch vermittelt das Fachwissen, das die angehenden Hebammen für ihre berufliche Tätigkeit in der Betreuung schwangerer Frauen, der Geburtshilfe und der Wochenbettbetreuung benötigen. Darüber hinaus gibt es Anleitungen, welche Art von Komplikationen während der Schwangerschaft und der Geburt auftreten können und wie sich die Hebammen in dieser Situation zu verhalten haben.Überarbeiteter Nachdruck der Originalausgabe aus dem Jahr 1856. ····· 10361138037
für 39.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der Mediziner Wilhelm Camerer präsentiert im vorliegenden Band die Ergebnisse seiner langjährigen Untersuchungen zum kindlichen Stoffwechsel, seinerzeit ein Standardwerk der Pädiatrie und Grundlage moderner natürlicher und künstlicher Säuglingsernährung. Sorgfältig überarbeiteter Nachdruck der zweiten Auflage aus dem Jahr 1896. ····· 10361138638
····· lezzter Preis 39.90€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Ernst Graser hat sich auf das Gebiet der Unterleibsbrüche spezialisiert und erläutert diese ausführlich. Er zeigt Entstehung entsprechender Brüche auf und erörtert Veränderungen bei längerem Bestehen bis hin zu möglichen Gefahren, die aus fehlender oder falscher Behandlung resultieren können. Darüber hinaus zeigt er Behandlungsmethoden und Therapiemöglichkeiten auf.Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1891. ····· 10361139455
····· lezzter Preis 39.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Buch umfasst das gesamte Spektrum der Diagnostischen Radiologie.Darstellung der technischen Grundlagen zum Verständnis der bildgebenden Verfahren mit umfangreichem Abbildungsmaterial: Digitale Radiographie MehrschichtSpiralCT Magnetresonanztomographie Anatomische Themengebiete mit normaler Röntgenanatomie und dazugehörigen Krankheitsbildern Integration der Einstelltechniken in die Kapitel der Skelettdiagnostik Ausführliches Glossar Fragenkatalog Übersichtliche Textgestaltung Modernes Layout mit zusätzlichen Schemata und Tabellen Über 2000 Abbildungen lassen die Radiologie in Bildern sprechen. Das Buch ist ausgerichtet auf die Bedürfnisse von MTRAs in und nach der Ausbildung, zur Weiterbildung zum Facharzt für Radiologie, Medizinstudenten im praktischen Jahr, ArzthelferInnen in der radiologischen Praxis, TeilnehmerInnen an Strahlenschutzkursen, Interessierte der klinischen Fachgebiete an der Radiologie. ····· 10361158662
····· lezzter Preis 40.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Anforderungen an Leitungskräfte in sozialen Organisationen sind komplex. Umbau der Sozialsysteme, Ressourcenverknappung, Wettbewerb, Kostendruck - all das erfordert permanent Veränderungen. Führungskräfte brauchen professionelle Instrumente und Management Know-How, um erfolgreich zu sein und gesund zu bleiben. Dieses Buch - vermittelt fundiertes Wissen über Führungsstile, Führungsfunktionen und Führungsmethoden - liefert praktische Instrumente zur Umsetzung des eigenen Führungsanspruchs - schildert die Vorgehensweise beispielhafter Führungspersonen aus sozialen Einrichtungen in spannenden Interviews Inklusive Materialien zum Download. ····· 10361171677
····· lezzter Preis 40.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Leitidee des Buches ist es, die medizinischen Voraussetzungen für eine Tauchtauglichkeit darzustellen. Neben allgemeinen Kapiteln zu Alter, Leistungsfähigkeit oder Medikamenten werden zu allen Organsystemen relative und absolute Kontraindikationen übersichtlich dargestellt und erklärt. Die verwendete Sprache berücksichtigt, dass neben Ärzten auch interessierte Tauchausbilder und Taucher angesprochen werden.Die Überarbeitung des Werks wurde notwendig aufgrund der Weiterentwicklung der Standards und Richtlinien für Tauchtauglichkeitsuntersuchungen, der aktuellen Erkenntnisse der tauchmedizinischen Forschung und der einschlägigen Rechtsprechung. Mit der steigenden Zahl der Tauchanfänger wie auch der erfahrenen Taucher wächst auch der Bedarf an Tauchtauglichkeitsuntersuchungen. Die offiziellen Tauglichkeitszertifikate der Deutschen Gesellschaft für Tauch- und Überdruckmedizin (GTÜM) sowie der Österreichischen Gesellschaft für Tauch- und Hyperbarmedizin (ÖGTH) dürfen von allen Ärzten, die sich an die aktuellen Richtlinien der Gesellschaft halten, ausgestellt werden. In der 2. Auflage wurden Anpassungen an aktualisierte Empfehlungen medizinischer Fachgesellschaften vorgenommen, sowie neue Kapitel zu reisemedizinischen Fragen und zur Seekrankheit im Hinblick auf die Tauchtauglichkeit eingefügt. Den zahlreichen Empfehlungen zu Medikamenten auf das Tauchen wurde ein eigenes Kapitel gewidmet. ····· 10361196292
····· lezzter Preis 40.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Mit `Ambulante Täterarbeit` legen Dr. Gernot Hahn und Michael Stiels-Glenn die erste umfassende Darstelllung der ambulanten therapeutischen Arbeit mit forensischen Straftätern vor. Ihr Anliegen: Die Täter sollen nach der Haftentlassung nicht sich selbst überlassen bleiben und dadurch evtl. rückfällig werden. Prävention, Nachsorge und der Sicherheitsaspekt sind dabei von zentraler Bedeutung. Früher fand die therapeutische Behandlung von psychisch kranken Straftätern vorwiegend stationär und unter dem Aspekt der Risikokontrolle statt, da man eine `Heilung` nicht für möglich hielt. Moderne Forensik hingegen Setzt auf Ressourcenförderung und ambulante Nachsorge, um den stationären Behandlungserfolg zu sichern und Rückfälle zu vermeiden. Alle Autoren sind erfahrene Praktiker und stellen anhand zahlreicher Beispiele Möglichkeiten der UmSetzung in der `ambulanten Täterarbeit` vor. ····· 10361202130
····· lezzter Preis 40.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Gibt es nicht schon genügend Bücher über Achtsamkeit auf dem Büchermarkt Warum also ein weiteres Buch zu diesem Thema Dies ist das erste deutschsprachige Buch, das sich mit der Anwendung des Achtsamkeitskonzepts speziell für den psychiatrischen und sozialpsychiatrischen Bereich beschäftigt. Methodik, praktische Umsetzung und wissenschaftlicher Hintergrund fügen sich zu einem umfassenden Grundlagenbuch zusammen. Schwerpunkt ist dabei die Umsetzung in verschiedenen psychiatrischen Arbeitsfeldern und zwar sowohl als Haltung professionell Tätiger wie auch als therapeutische Strategie bei verschiedenen Klientengruppen. Zahlreiche Fallbeispiele und der störungsspezifische Aufbau machen dieses Buch zum spannenden Leseerlebnis für alle in Versorgung und Therapie Tätigen, die wissen wollen, welche Lösungen Achtsamkeitsansätze für die eigene Arbeitssituation bereit halten. Es bietet auch viele Anregungen, die eigene Achtsamkeit mit dem beruflichen Alltag zu verbinden. `Achtsamkeit ist kein Allheilmittel, wohl aber eine Haltung, die den Umgang mit psychischen Störungen grundlegend verändern wird.` Matthias Hammer und Andreas Knuf ····· 10361202148
····· lezzter Preis 40.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray `Irren ist menschlich` ist seit 40 Jahren das sozialpsychiatrische Standardwerk. Es hat mit klaren Positionen die Versorgung psychisch erkrankter Menschen erneuert und geprägt. Die in ihm vertretene Position, dass es für das volle Verständnis von psychischen Beeinträchtigungen und Krankheiten auf die Haltung ankommt, mit der wir uns den Betroffenen und den Phänomenen nähern, hat die nachfolgenden Generationen geprägt. `Ur-Autor` Klaus Dörner versammelt für die 24. Ausgabe ein neues, hochkarätiges Herausgeberteam, das Theorien und Erfahrungen mit dem neuesten Stand der Forschung verknüpft. ····· 10361202176
····· lezzter Preis 40.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das `Handbuch Transkulturelle Psychiatrie`, herausgegeben von Dr. med. Thomas Hegemann und Ramazan Salman, ist die vollständig überarbeitete Neuausgabe ihres Standardwerks zur Arbeit mit Menschen mit Migrationshintergrund. Es vermittelt allen, die mit Patienten aus anderen Kulturen zu tun haben, theoretisches und praktisches Wissen, um ihnen ideenreich und wirksam helfen zu können. Es vermittelt die notwendige interkulturelle Kompetenz, die ein kultursensibles Arbeiten ermöglicht. Denn wenn die Seele am Boden liegt, beschreiben Einwanderer ihre psychischen Leiden meistens ganz anders als Einheimische. Das kann trotz guter sprachlicher Verständigung zu falschen Diagnosen und falscher Behandlung führen. Wie wichtig es ist, den kulturellen Hintergrund der Patienten und ihr Fühlen, Denken und Handeln zu verstehen, zeigen die Autoren in multiperspektivischen Beiträgen und vielen Fallbeispielen. Auf diese Weise machen sie deutlich, was es heißt, `kultursensibel` zu arbeiten und die Herausforderungen entsprechend zu meistern. ····· 10361202204
für 41.31€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Atrial fibrillation (AF) is the most common cardiac arrhythmia in clinical practice, and one of the main causes of ictus and strokes. Despite the advances in its comprehension, its thorough characterization and the choice of the most suitable therapy are still an open issue. Radiofrequency catheter ablation (CA) is becoming one of the most popular solutions. Yet, very little is known about its impact on heart substrate, thus leading to an inaccurate selection of positive responders to therapy hence, the need for advanced signal processing tools able to quantify such impact in an objective and quantitative manner. Valuable information about AF can be provided by multilead electrocardiogram (ECG) recordings of heart electrical activity in a noninvasive and cost-effective manner. However, most of standard techniques are affected by several issues, such as their manual computation in only one ECG lead. This work aims at exploiting multilead ECG spatial variability through multivariate decomposition techniques, so as to extract proper predictors of AF termination by CA. This approach would help selecting a patient-tailored therapy, thus increasing CA success rate. ····· 10361206
für 42.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Nicht viel kann einen Menschen so abrupt in Schmerz und Bewegungsunfähigkeit versetzen wie eine Verrenkung. Carl Gottlieb Burger hat sich dieser Thematik angenommen und beschreibt ausführlich Ursachen und Symptome von Verrenkungen sowie verschiedene Behandlungsmethoden. Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1854. ····· 10361138956
für 42.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Als Sehnenreflexe im engeren Sinne werden rasche Muskelzusammenziehungen bezeichnet, welche durch Schlag auf Sehnen oder durch plötzlichen Zug an ihnen hervorgerufen werden. Der Mediziner Maximilian Sternberg hat die Bedeutung dieser Sehnenreflexe für die Pathologie des Nervensystems erforscht. Seine Ergebnisse beruhen auf ausgiebiger Literaturrecherche und eigenen experimentellen und klinischen Untersuchungen.Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1893. ····· 10361139148
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The literature reports prevalence of overcrowding in emergency departments worldwide due to increased presentations for minor complaints. One reported solution to this problem is the establishment of fast track units. Several studies indicated that a fast track unit has a positive impact on patient satisfaction by decreasing waiting time, length of stay, and left-without being-seen rates of patients with low acuities. Self observation at the American University of Beirut Medical Center emergency department seems to suggest that it is struggling with overcrowding as well. Therefore, the aim of this study is to assess the need for the establishment of a fast track unit. In this study we propose to use a retrospective blind chart review of patients presenting to the emergency department. The variables that were extracted from the medical records, calculated and analyzed were: mean waiting time, length of stay, and left without being seen rate of patients presenting with minor chief complaints. Data suggests the need for a fast track unit at AUBMC. ····· 10361256
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The present study analysed the acoustic and perceptual voice characteristics in persons with GERD and LPR. 10 subjects with GERD, 10 subjects with LPR, and 50 normal controls were selected. Sustained speech samples of /a/, /i/ & /u/ and the narrated samples were recorded. The narrated samples were subjected to perceptual rating on GRBAS scale and 33 acoustic parameters of Multi Dimensional Voice Profile software (MDVP) were extracted from the sustained voice sample. It was found that few of the subjects with LPR were perceptually rated as exhibiting deviations in the form of mild to moderate roughness, breathy and strained voice whereas few of the subjects exhibited perceptually normal voice. The subjects with LPR showed significant deviations in frequency perturbation measures, Amplitude perturbation measures and noise related measures in (MDVP) software. Abnormalities in acoustic and perceptual parameters of voice were not evident in subjects with GERD. Hence, the present study confirms that GERD and LPR are distinct disorders with reference to voice and these results can be used for the early identification of voice problems due to Laryngopharyngeal Reflux. ····· 10361305
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This Health Education Curriculum was borne out of the need to encourage interventions that could eliminate the public health problem of HIV/AIDS among adolescents and it took cognizance of the fact that health education could not be said to have occurred unless there is an accompanying change in behavior. For expected change in behavior, the multifaceted conditions that influence behavior must be addressed. The curriculum was developed with particular attention to health education concepts, assumptions and components. Furthermore, several relevant behavioural theories guided the intervention study and lent support as the bedrock for the curriculum. Apart from the aforementioned components, the intervention features that guided the development of the curriculum was the inclusion of parents or guardians (significant persons) in the study, involvement of modeling and demonstrations as health education strategies instead of over-emphasis in only cognitive learning. It is therefore my greatest desire that this hand-book will be of immense benefit to all who are interested in preventive interventions and in spreading the message of HIV/AIDS prevention and control ····· 10361859
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Stroke is one of the leading cause of disability worldwide. The resultant is motor weakness which adversely affects the functional activities. The arm recovery after stroke is typically poor with 20% 80% of patients showing incomplete recovery depending on the initial impairment. The upper limb dysfunction is characterized by paresis, loss of manual dexterity and movement abnormalities that may impact considerably on the performance of the ADL with the recovery being poor and ranging from 20%-80% depending on the initial impairment. Neurorehabilitation approaches and various therapeutic techniques have evolved over the years from muscle reeducation in the 1940s to the neurophysiological/neurodevelopmental approaches in the 1950s and 1960s including NDT, Movement Therapy in Hemiplegia, PNF and sensory stimulation techniques, functional/task specific training, strength training, constraint induced movement therapy and so on. in this study Motor Relearning program and Progressive Resistance Exercise is being compared to find out the their effectiveness in upper limb function in hemiplegics. ····· 10361915
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The laboratory tests are an important and integral part of healthcare industry.The diagnostic evaluation contributes to patient physician relationship also.Hence, selection of tests,the analysis of the tests performed is essential and more essential is the analysis when there is a controversy.The authors decided to keep record of such data and felt to propagate so that they may be useful for others in the same profession.As the main author is a Clinical Biochemist the problems discussed are biochemistry related.The authors feel the effort will be of help to others. ····· 103611238
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Studies on recovery of abdominal muscles function in women with birth experience have been questioned despite the availablity and prescriptions of different types of postnatal abdominal exercises. The effect on abdominal muscles endurance of the developmental changes resulting from puberty, pregnancy, parity and menopause that women undergo are still not well investigated. A better understanding of women s abdominal muscles performances after childbirth may lead to better utilization of physical therapy in treating related dysfunctions associated with pregnancy and parity. This book presents the assessment and correlates of abdominal muscles endurance of nulliparous and parous women. ····· 103613491
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Critical care nursing is the field of nursing with a focus on the utmost care of the critically ill or unstable patients. The patient s oral care is a key component of nursing care. Oral care is often considered primarily an intervention for patient s comfort, a characteristic that may reduce its priority and hence frequency. When patients are hospitalized for critical illness in the ICU, the oral flora is altered, accompanied by a decrease in salivary volume and an increase in dental plaque. Hospitalization also alters a patient s usual oral hygiene measures, further compromising oral health. Oral care protocols have been shown to benefit ICU patients, but additional research is needed, especially on the optimal frequency of oral care, the duration of tooth brushing needed during an episode of oral care, and educational considerations to ensure consistency in oral care practices among healthcare providers and family members. This book specifies the need to develop and implement a comprehensive oral care program for patients in critical care and acute care settings who are at high risk for healthcare-associated pneumonia. ····· 103613845
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray V nastoyashchey monografii izlozheny dannye ob osobennostyakh klinicheskogo techeniya, metodakh diagnostiki i neyrokhirurgicheskogo lecheniya vestibulyarnykh shvannom (nevrinom VIII nerva). Dany svedeniya o patogeneze i patomorfologii opukholi. Blagodarya primeneniyu sovremennykh metodov issledovaniya v do- i posleoperatsionnom periode polucheny dannye, vazhnye dlya utochneniya khirurgicheskoy taktiki, vybora operativnogo dostupa i profilaktiki posleoperatsionnykh oslozhneniy. Kniga rasschitana na neyrokhirurgov, nevropatologov, otolaringologov, neyrofiziologov i vrachey drugogo profilya. ····· 103615160
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The Effect of Ramadan fasting on certain anthropometric, clinical and biochemical parameters among type 2 diabetic subjects has been discussed in this book. Ninety two type 2 diabetic subjects (age 47±9 years, M±SD) selected from a tertiary care hospital of the Diabetic Association of Bangladesh, was studied 1-4 weeks before and 3-4 weeks of Ramadan. There was no significant difference between before Ramadan and during Ramadan values of BMI and waist-to-hip ratio. However, during Ramadan fasting serum glucose, fructosamine, total cholesterol and creatinine were significantly higher compared to before Ramadan values (p0.0001). Before Ramadan the duration of physical exercise was adequate in 30% subjects, but during Ramadan the corresponding value decreased to only 8% . Total energy expenditure of the subjects was significantly lower during Ramadan (2178.2±215.9) compared to before Ramadan value (2232.8±209.7, p0.0001). The data suggest that Ramadan fasting is associated with a deterioration of metabolic control in diabetic patients. Coordinated education and motivation program should be undertaken to increase energy expenditure by physical activity. ····· 1036118264
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Reference values on percent body fat are essential in fitness programmes in identifying variations of body fat from normal and in clinical assessment of overweight and obesity. Accurate evaluation of the presence of excessive body fat is an important step to initiate preventive or treatment programmes. Therefore, clinically useful gender and age reference cut-point for the definition of excessive body fat is imperative. This book presents a study on gender and age reference norms for percent body fat among young adults using the skinfold caliper and the Bio-electric Impedance Analysis. ····· 1036118416
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray One of the most severe chronic complications of diabetes mellitus is retinopathy. Diabetic retinopathy is a microangiopathy of retina, which it affects nearly all the person with diabetes. The frequency of diabetic retinopathy in Pakistan is 33%. In diabetic retinopathy the visual acuity is lost when the area of the sharpest vision on retina is affected severely by the pre or intraretinal hemorrhages, macular edema, tractional detachment, or due to loss of capillaries of the peripheral loop network. This increase in sorbitol concentration has been hypothesized to cause osmotic damage to vessels of retina. Diabetic retinopathy consists of several stages including non-proliferative stage (NPDR), which is commonly called as background retinopathy, or BDR pre-proliferative stage and proliferative stage. There are several risk factors, which are responsible for the occurrence and progression of diabetic retinopathy. The basic risk factors are hypertension, duration of disease and quality of glycemic control, while others include the type of diabetes, sex, hyperlipidemia, anemia, HbA1c level, and surgery for premature cataracts in diabetic patients. ····· 1036118626
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Effective communication between nurses and physicians is essential in providing safe and effective care. Even if high-quality patient care is the goal of medicine and nursing, patients are dying and experiencing preventable complications because of poor nurse physician relationship. The main objective of this work was to assess perception of nurses & physicians towards barriers to nurse-physician communication and its impact on patients outcome at Hawassa University referral hospital. An institution based cross sectional study was carried out and included nurses and physicians who were working at Hawassa University referral hospital. Both nurses and physicians participated in the study have perceived that effective nurse-physician communication have positive impact on patient outcomes. Negative correlations were also existed between factors affecting nurse physician communication and patient outcomes. On the other hand nurses were not satisfied with their relation with physicians where as physicians were relatively satisfied with their relation with nurses... ····· 1036118834
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray About one-sixth of patient encounters are perceived by clinicians as involving `difficult patients. These patients often require special attention because their care is very complex and have ethical pitfalls. There are fewer studies on the difficult patient encounter in physiotherapy practice as opposed to other health professions such as medicine and nursing. However, behavioural problems of patients and patient satisfactions are some of the areas physiotherapists have found very difficult. This book presents a study on physiotherapists perception and strategies for the management of the difficult patient. ····· 1036119199
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray HIV/AIDS results in disability and morbidity including muscle wasting and weakness, fatigue, impaired functional and work capacity, depression, and decreased quality of life. The mechanism explaining the relationship between exercise capacity and Health-related Quality of Life of persons living with HIV/AIDS is still obscure. An assessment of exercise capacity and the factors that may influence the outcome of exercise in persons living with HIV/AIDS are required in designing an exercise program. This book presents a study on the relationship between the exercise capacity and Health-related Quality of Life of persons living with HIV/AIDS and apparently healthy controls. ····· 1036119319
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Various incidence of poor job performance among nurses has been observed over the years. It was discovered that one of the major causes is their family make-up, in which many of them belong to commuter family, where their spouses reside in a different geographical location. It is a social problem in the nursing profession where family burdens are solely carried by one person, that leads to stress and fatigue with poor attitude. This book reveals that majority of the nurses commute and the identified challenges include stress, psychological effect, children at risk, distractions at work, less punctuality, a lot of anomalies at work, down grading from a senior cadre to a lower one. Incidence of commuting life style among nurses is high and it is stressful both physically and psychologically which in turn influence nurses job performance directly or indirectly. This book is a must read for health workers, psychologists and other individuals whose nature of work makes commuting life style unavoidable. Hospital management and Government officials involved in transfer of service and policy making would also find the book helpful. ····· 1036119350
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Tuberculosis (TB) is a contagious and potentially fatal disease that can affect almost any part of the body but manifests mainly as an infection of the lungs. It is caused by a bacterial microorganism, the Tubercle Bacillus or Mycobacterium Tuberculosis. The Radiometric culture and polymerase chain reaction (PCR) test for diagnosis of pulmonary and extra pulmonary tuberculosis (TB) was evaluated in this work. ····· 1036119472
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Pay-for-performance (P4P) is a term that describes health-care payment systems that offer financial rewards to providers who achieve, improve, or exceed their performance on specified quality, cost, and other benchmarks. P4P programs are intended to increase the provision of quality care and decrease health care costs over the long term. This study assessed the provision of quality immunization services in Temeke Municipality following the introduction of Payment for Performance (P4P) strategy. The study provides useful information which could be used to advice the Municipality and the Ministry of Health and Social Welfare on refining P4P motivation scheme and even possibilities of scaling up to all Districts in all health facilities. We recommends that, the P4P implementation in Temeke should be revised and implemented systematically by ensuring stakeholders are consulted closely throughout the process, services included in the p4p scheme well defined and there should be a well designed monitoring and evaluation system. The other important steps include managerial capacity and capability arrangements, increasing p4p contractual transparency and ensure good governance. ····· 1036119500
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The issue of withholding and withdrawing clinically assisted nutrition and hydration (CANH) for imminently dying patients is very contentious. There is no agreement between medical professionals, ethicists and patients families. Problem of forgoing CANH is subject of a fierce and sometimes emotional debate. The Author makes an attempt to examine current clinical evidence on withdrawing and withholding CANH at the end of life. She tries to assess whether it is always beneficial for a patient to provide CANH or whether providing CANH may sometimes cause more harm than good. As the Catholic ethical standpoints are sometimes perceived as based on solely ideological presumptions, the Author calls for an in-depth analysis of the Catholic perspective on forgoing CANH. She argues that the actual position of the Catholic Church on this issue is consistent with current medical knowledge. ····· 1036119681
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Physical activity and exercise capacity assessments are measures of energy expenditure of an individual. Exercise capacity is an outcome measure, status indicator in health and diseases as well as a predictor of morbidity and mortality. Physical activity measures are seen as indicators of exercise capacity. However, the extent to which energy expenditure results derived from self-report physical activity can substitute physical performance tests remains inconclusive. This book presents a study on the relationship between physical activity and exercise capacity among young adults. ····· 1036120004
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Diarrhoea and nutrition related characteristics of children and their households who are urban dwellers and compare these characteristics associated with rural young children has been discussed in this book. One hundred seventy urban and rural children of age group 6-10 years were selected from a tertiary care hospital, ICDDR,B. The knowledge of urban population regarding the primary symptoms of diarrhoea was good (p=0.191). But it was found rural population know more about the preparation of home made fluid (p=0.220). It was significantly found that majority of the people does not know how long the ORS should continue (p=0.285). On the other hand, 55% urban and 52.4% rural dwellers do not know that using untreated surface water can cause diarrhoea (p=0.903). The study found that only 44.3% urban dispose their garbage at open space beside their dwelling place. Only 26.1% urban children and almost 16% rural children wash hand only with water and rural population used more unhygienic latrine compared with urban. The prevention of diarrhoel diseases, coordinated education and motivation program should be undertaken to improve the nutritional status of urban and rural. ····· 1036120183
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The relationship of oxygen consumption with -cell function and insulin sensitivity in IGT and newly diagnosed type 2 diabetes subjects has been explored in this book. One hundred and eighty eight subjects were selected from a tertiary care hospital of the Diabetic Association of Bangladesh. In this study DM (Diabetes Mellitus) subjects had significantly (p0.05) higher neck circumference compared to controls. The result showed significantly lowers (p0.05) HOMA (%) B in IGT, DM and IFG-IGT compared to controls. DM and IFG-IGT also had significantly lower (p0.05) HOMA B (%) than IGT subjects. Only DM subjects had significantly (p0.05) lower HOMA S (%) than the controls. The result showed significantly lower (p0.05) Oxygen consumption in DM in comparison with controls. The above data suggests that IGR (Impaired Glucose Regulation) and DM subjects do not differ in anthropometric features except in higher neck circumference where DM subjects have higher value. But Oxygen consumption in IGR and DM has a positive association with insulin sensitivity. Therefore early diagnosis of DM is needed for better fitness of health. ····· 1036120185
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray HIV/AIDS leads to a wide spectrum of physical, psychological, social, emotional and economical toll on the sufferer. Discrimination and stigmatization consequent to infection of HIV/AIDS is widespread among families, communities and health-care providers. HIV/AIDS related stigma from health-care workers is a major barrier to effective responses to the HIV/AIDS epidemic. The quality of care given by health-care workers to people living with HIV/AIDS is influenced by their knowledge, attitudes and willingness. Despite the emerging role of physical therapists for people living with HIV/AIDS, there is little information on their knowledge, attitudes and willingness to take care people living with HIV/AIDS. This book presents an assessment of knowledge, attitude and willingness to provide care for people living with HIV/AIDS among physical therapists. ····· 1036120372
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Chemotherapeutic drugs used in the treatment of various forms of cancer can cause severe cytogenetic effects to the normal cells and tissues of the body along with the cancerous cells. However with the concept of administration of proper antioxidants in correct dosages and duration prior to chemotherapy can reduce the cytogenetic effects.Again,administration of certain antioxidants can generate an additive response and therefore increase the level of damage induced by the drugs.This book reviews the cytogenetic damage induced by chemotherapeutic drug mitomycin C and cisplatin and also deals with the modulatory action of various potential antioxidants like vitamin C, vitamin E, quercetin and curcumin. ····· 1036120451
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray We performed a randomized, prospective, controlled trial in 54 patients, to compare norepinephrine and phenylephrine in the management of dopamine resistant septic shock. Patients were randomly allocated to receive either norepinephrine or phenylephrine infusion titrated to achieve a predefined haemodynamic and tissue perfusion targets for continuous 6 hrs as per protocol of our study. All the parameters were recorded every 30 min and increment in dose of studied drug was done in the specified dose range if targets were not achieved. Data from pulmonary arterial and hepatic vein catheterization, thermodilution catheter, blood gas analysis, blood lactate levels, invasive blood pressure, and oxygen transport variables were compared with baseline values after achieving the targets of therapy. No difference was observed in any of the investigated parameters except for statistically significant reduction of heart rate (HR) and increase in stroke volume index (SVI) by phenylephrine. We concluded that both drugs are comparable in reversing hemodynamic and metabolic abnormalities of sepsis patients, with an additional benefit of decrease in HR and improvement in SVI by phenylephrine. ····· 1036120541
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Acid-base balance is an vital invasive investigative procedure of the respiratory assessment. Any disorders in the normal homeostatic acid-base balance will lead to altered functioning of the body. The two major disorders are, either the acidotic state or the alkalotic state as reflected by the pH of the arterial blood. PaCO2 reflects the functioning of the lungs i.e either hypoventilation or hyperventilation. On the other hand, HCO3 reflects the function of the kidney i.e either absorption or removal of bicarbonate ions to normalize the pH. Either the lung or the kidney will compensate to correct the acid-base disorder. The physical therapist should be able to assess and interpret the disorders of the acid-base balance accurately and guide his treatment based on the findings of arterial blood gases. This book includes the explanation of the cause of these acid-base disorders, their assessment and the correction of the same. ····· 1036120914
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Iodine deficiency disorders (IDD) constitute one of the major health problems of the world. In the Sudan during the last 50 years a number of reports appeared about the prevalence of goiter in different region in Sudan. In this book we concentrated on the central area around the White Nile which lies between Kosti and Khartoum. The book illustrated on the prevalence of ID in schoolchildren aged 6-18 years and estimating the iodine content in local water and iodized salt. ····· 1036120991
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Attempts to determine the association between the radiographic and clinical findings of knee pathology have produced conflicting results. It is also not yet known how knee radiographs influence the conservative management of patients with knee pain. The objective of the study is to determine the association between the clinical and radiographic diagnoses of knee pain and to record the suspected clinical diagnoses and management of the patients prior to referral for radiographs of the knee. The study will also determine any change in the clinical diagnoses and management following radiographic reporting of the selected radiographs. Degenerative changes were the most common radiographic findings. The majority of the knee radiographs were requested at the initial consultation and as the length of treatment increased, the frequency of radiograph requests decreased. Knee radiographs were over-utilized at the CDC and the findings on radiography did not have much influence on the diagnosis and the management of the patient presenting with knee pain. The majority of the clinical diagnoses were degenerative causes of knee pain. ····· 1036121216
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Ischaemic preconditioning is a phenomenon where brief periods of ischaemia and reperfusion prior to a prolonged episode of ischaemia have a protective effect on tissue. Ischaemic preconditioning has been demonstrated in every animal species tested and many different tissues, including human myocardium (Yellon et al, 1993), (Hausenloy et al, 2007). Many different patterns of ischaemic preconditioning have been tested (Kloner and Jennings, 2001 a), and this investigation aimed to identify a pattern of ischaemic preconditioning that promoted protective effects in a rat heart strip model, with recovery of contractile function as end-point assessment. Three different patterns of ischaemia and reperfusion were tested and compared to a control group which received no preconditioning ischaemia. After preconditioning, all four groups were exposed to 30 minutes of ischaemia and 30 minutes reperfusion. Results showed some preconditioning effects in group 3 although statistical analysis found the results not to be significant. However, the pattern used in group 4 was found to exacerbate ischaemic damage, which was unexpected. Further testing is suggested. ····· 1036121257
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Paired kidneys are reddish bean shaped organs about 10-12cm long, 5-7cm wide, 3cm thick and has a mass of 135-150g.10 The kidneys lie on the posterior abdominal wall, one on each side of vertebral column, behind the peritoneum and below diaphragm. They extend from the level of 12th thoracic vertebrae to 3rd lumbar vertebrae. The main function of kidney can be categorized as Formation of urine, Water & electrolyte balance, Production of hormones & enzymes. In the resting adult, kidney receives 1.2-1.3litres of blood/min. In an adult, the GFR averages 120ml/min. The collecting duct of kidney is an area of fine control of ultrafiltrate composition & volume, where final adjustment in electrolyte composition is made by the action of mineralocortioid & ADH. The hypertonicity of medullary interstitium plays an important role in concentrating the urine. The kidney not only excretes the metabolic substances, but also toxic agents from the body.6 Hence kidney becomes one of the important targets for the toxicity of agents more than other organs in body. ····· 1036121301
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The content of the book is a honest work done with the involvement of good,renowned experienced doctors in a world class reputed hospital.It will help those people who work in a hospital setting particularly in surgical fields with definite satisfactory result.Safety and efficacy of the said drug have been already established in allover the world.Methodology that is how and at what dosage Fentanyl can be used during and after any surgery of any age group has been described .One of the most common symptoms for which a patient seeks medical advice is pain. Relief of pain is by far the most frequent indication of surgical intervention & a large majority, not all, which seek medical attention subsequently, undergoes operation. The surgeon in his mission induces pain, which at times is more severe than the original complaint. So Fentanyl is the answer to above worry. ····· 1036121601
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Peptic ulcer disease is commonly complicated by perforation. Mortality and morbidity arising out of these perforations can be high. Factors that influence outcome in patients with peptic ulcer perforation include treatment delay, ASA class of the patient at the time of operation and presence of shock. Of these treatment delay is most important and modifiable. This book reviews delay and how it affected outcome in patients treated for perforated peptic ulcers at the Kenyatta National Hospital, Nairobi, Kenya. In this book Patient s files for the period January 2002 to December 2008 were reviewed. Data sought included patient demographics, clinical presentation, time from symptom onset to presentation at emergency department, time from presentation at emergency to surgical treatment and the treatment outcomes. The data is analyzed, results presented. And conclusions made. This should provide an interesting read for surgeons at various levels of training and practicing alike. ····· 1036124448
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book was written as a result of extensive research carried out in Kitui district, Kenya. The focus was to determine the influence of prenatal care on pregnancy outcome. It covers broad topics on knowledge of prenatal care, utilization of prenatal care services and factors contributing to maternal and prenatal complications by women attending prenatal clinics in rural areas. In general women`s perception of prenatal care, knowledge on when to start attending prenatal clinic and it`s effectiveness in preventing pregnancy complications was found to be inadequate. Prenatal care services should be decentralized to communities to enable pregnant mothers access skilled birth attendants while health facilities should be properly equipped and well staffed with skilled birth attendants This book is intended to help policy makers in establishing policies on how prenatal care services in rural areas should be managed. It is presented in simple language and a straightforward manner, easy to be understood by the reader. The author of this book is a former Chief Nurse of Moi Teaching and referral Hospital ····· 1036124536
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Menopause increases the risk for women independent of age. Prior to menopause, the risk of Coronary Artery Disease (CAD) for women lags behind the risk for men. After menopause, women have similar risks of CAD as men of the same age. The functional and morphological alteration in endothelial cells is critical to atherosclerotic process. After menopause, marked decline in Estrogen and Nitric Oxide (NO) levels takes place. Estrogen exerts its various CAD protective actions by arterial endothelium sex steroid receptors. Nitric oxide released from vascular endothelium is one of most known versatile molecules and has a role in almost every biological system. Nitric oxide inhibits various key steps in development of atherosclerosis via inhibition of platelet activity and smooth muscle cell proliferation. Further presence of Endothelial Nitric Oxide Synthase (eNOS) gene polymorphism Glu298Asp may provide additional insult by decreasing NO levels adding to the CAD risk. Hence, postmenopausal women those who presents with eNOS Glu298Asp polymorphic gene may have higher CAD risk. ····· 1036124749
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The aim of this book was to establish the uptake, output and outcome of prevention of Mother to Child Transmission of Human immuno-deficiency virus. A total of 146 antenatal and intranatal mothers were targeted for the study. A descriptive cross sectional study was conducted. Sampling was done using systematic sampling. The method that was used for data collection was exist interview and also data abstraction form was used to collect data from patient`s records. The data was collected and entered into computer packages for analysis and presentation. The SPSS statistical program was used for analysis.Student s t-test was used to compare continuous variables and Chi-square test for categorical variables.The results of this study have shown that uptake of PMTCT services at Kakamega Provincial hospital was good and most clients were satisfied with the PMTCT services offered. However, it was not be easy to tell from this study whether there have been a reduction in mother-to-child transmission of HIV on the program or not. This was because there was no baseline data prior to the initiation of the program and also there was more than 60% dropout rate during follow-up of children. ····· 1036125538
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Submental intubation is an interesting alternative to tracheotomy, especially when short term post-operative control of airway is desirable with the presence of undisturbed access to oral as well as nasal airways and a good dental occlusion. Submental intubation with midline incision has been used in ten cases. All patients had fractures of the jaws disturbing the dental occlusion associated with fracture of the base of the skull, or/and a displaced nasal bone fracture. After standard orotracheal intubation, a passage was created by blunt dissection with a hemostat clamp through the floor of the mouth in the submental area. The proximal end of the orotracheal tube was pulled through the submental incision. Surgery was completed without interference from the endotracheal tube. At the end of surgery, the tube was pulled back to the usual oral route. There were no perioperative complications related to the submental intubation procedure. Average duration of procedure was less than 6 mins. Submental intubation is a simple technique associated with a low morbidity. It is an attractive alternative to tracheotomy in the surgical management of selected cases of panfacial trauma. ····· 1036125541
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray After a detailed study and comparison of my work with other workers, It can be concluded that diagnostic efficacy of sacral index is higher than Kimura s Base Wing Index for sex determination of sacrum, because the readings obtained by sacral index method were relevant and more significant than Kimura s Base Wing Index method . Continued study over a period of time in a defined area will definitely help in establishing the anthropometric standards. ····· 1036125555
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Doing two tasks together is a day today activity and is problematic in case of elderly with parkinsonism due to inefficient allocation of attention during performing tasks of daily routine therefore improvement of this via dual task training in different enviornmental context may prove beneficial and is economical in reference to time and money and reduces risk of falls during routine walking, obstacle crossing and many other. ····· 1036125634
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A most important function and aim of a university hospital is to educate students. The other main role of these hospitals is to care and protect their clients/patients. However, deaths in such university hospitals attributed to medical error are estimated to be the third leading cause of death. The involvement of students in patient care is considered to be the cause of these much death. 26.8% patients had negative attitude to health science students who were in clinical practice. Medical students are our future health care takers therefore they should be skilled in practice, but their lack of clinical knowledge, inexperience and lack of confidence let them vulnerable to not to have positive acceptance by patients. Every problem has a solution, only if we perhaps know the gap in our attitude make our attitude positive. ····· 1036186517
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The overall aim of this thesis was to develop a sound test battery for patients with different long-lasting musculoskeletal pain conditions, which can be used in clinical practice, as well as in future research. An existing examination battery from the Norwegian Psychomotor Physiotherapy Tradition (NPPT) was used, the Global Physiotherapeutic Muscle Examination (GPM-78). The tests included in the GPM-78 are well defined and standardised and cover five main domains: Posture, Respiration, Movement, Muscle and Skin. Structural Equation Modeling resulted in a modified and shorter assessment battery, the Global Physiotherapy Examination (GPE-52). A reduction from 78 to 52 tests hampered neither the reliability nor the validity of the test battery. The GPE-52 was found to be a reliable and valid instrument for assessing and documenting where and to what degree patients with long-lasting musculoskeletal pain have physical aberrations, findings which can be recorded objectively. By use of sound test batteries, health personnel can get insight into a patient s problem, which also may provide opportunities for documenting and developing new interventions. ····· 1036186588
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Over 70 % of people stuffer from chronic back pain at some stage during their life. Back pain is often related to muscular imbalanced, poor posture and even lifestyle which can be easily avoided if dealt with correctly. Unfortunately a large percentage of these people jump onto the back pain merry go round seeing some kind of therpaist every 3-4 weeks for pain relief, but never really understanding the problem or what they need to do to help manage and overcome. No matter what your back problem is there is always something you can do to reduce and control the pain. By focusing on a holistic approach you can be gain control of your back pain rather than it controlling you! Knowledge is Power, this book is designed to educate you in everyday terms so you can understand the causes of back pain and more importantly how you can reduce it and even prevent it. ····· 1036186651
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The purpose of the study was to explore nurses perceptions about their provision of mental health care to PLWHA in Blantyre district. A quantitative study was conducted to explore nurses perceptions about their provision of mental health care to PLWHA in Blantyre. Permission was granted by relevant authorities to conduct the study. Between March and April 2010, 165 nurses were randomly sampled from all wards and other departments at a central hospital and five selected health centres. They gave a written consent before joining the study. 151 questionnaires which were completed at participant s convenient time were personally collected. Descriptive statistics were used to analyse data and nonparametric tests were also used to explore associations amongst variables. This study found that nurses perceptions about their provision of mental health care to PLWHA vary. Most nurses reported positive perceptions about caring for PLWHA who have MHP in general settings although some had negative perceptions. It was apparent that a relationship exists between nurses willingness to deal with MHP and perceptions about their knowledge, skills & access to support from mental health specialist. ····· 1036187285
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Microbial keratitis is a serious ocular infection. It is often difficult to establish a microbial keratitis that is due to fungal infection. Inadequate therapy and delayed diagnosis of fungal keratitis leads to generally poor visual outcomes. The objective of this study is to determine the sensitivity and specificity of PCR to detect fungal pathogen in microbial keratitis. In this study, a PCR method was compared to the conventional method to detect fungal pathogen in microbial keratitis. The PCR was performed with primers pair F1,R2 and F3,R4 from two consecutive regions in the 18S rRNA gene. Positive result for PCR was considered when there was presence of this amplified target sequence in both primer pairs F1,R2 and F3,R4. A statistical diagnostic test revealed that the PCR has a sensitivity of 90.9% and a specificity of 94.7% to detect fungal pathogen in microbial keratitis. PCR is a rapid, sensitive and a useful method to detect fungal pathogen in microbial keratitis. ····· 1036187448
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The study of the effect of cassia siamea aqueous extract on the spleen was carried out on the Wister strain rats of about 16 in number, were of different sexes. They were divide into 4 different groups (Group A- D), where Group D served as the control. The extract was given to the rats orally in various quantities ranging from 500-900mg/kg as follows: Group A were administered 900mg/kg Group B were administered 750mg/kg Group C were administered: 500mg/kg Group D served as the control for the study. The result from the study showed that cassia siamea extract had effect on the spleen. It caused hyperplasia on the red pulp and on the white pulp of the tissue in groups A to C. But in group D which is the control group, it showed normal cells of the spleen. The extract had a toxic effect on the spleen. ····· 1036187516
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray To promote the health and survival of mothers and babies,Kenya has adapted the WHO goal-oriented Antenatal Care (ANC) package,popularly known as Focused ANC (FANC). ANC visits are now used as an entry point for a range of other reproductive health services, thus promoting comprehensive integrated service delivery. This book provides a descriptive survey carried out in Central Division,Kitui District to establish the factors influencing utilization of antenatal Care services. Utilization of ANC services increased with the number of previous deliveries (X2=22.891, df=4, p=0.0001). Negative attitude towards health providers was found to hinder utilization of antenatal care services (X2=8.019, df=1, p=0.005). Consequently, women who had support from the spouse were more likely to utilize antenatal care services (X2=4.112, df=1, p=0.043). It is recommended that the Ministry of health and hospitals should improve training sessions for ANC staff regarding client handling in order to make the services more acceptable. Hospitals should utilize CBOs to sensitize the community about ANC services in order to encourage early visits among women in their first pregnancy as well as spouse support. ····· 1036187759
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study aimed to develop a tool to asses the capabilities of staff nurses in rendering safe quality nursing care. A methodological design was used covering two rounds of a modified Delphi technique in phase 1 while correlational design in phase 2. One hundred thirty five (n=135) nurses participated in phase 1 and one hundred sixty (n=160) staff nurses of a tertiary hospital participated in phase 2. A 55-item Safe Quality Nursing Care Tool (SQNCT) with five categories on patient identification, assessment requisites (including for patients needing surgical intervention), environmental hazards precaution, infection control, and drug administration was developed.Nurses capability for safe quality nursing care showed high scores on capability and education significantly influenced the performance of staff nurses.This study contributes to evidence-based nursing knowledge on the various components of safe quality nursing care.Safe Quality Nursing Care Tool (SQNCT) is valid and relevant in the practice field of nursing. Education has bigger impact in influencing and developing competence of nurses. ····· 1036187930
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In 2002-2005 67 women with buprenorphine dependence were followed up during pregnancy. Their pregnancies were uneventful. The prematurity rate was similar and there were no more major anomalies compared to the national statistics. The neonates were lighter compared to the national statistics. They were also born in good condition, with no perinatal hypoxia as defined by standard clinical parameters or certain biochemical markers in the cord blood. Almost 80% of newborns developed neonatal abstinence syndrome (NAS) and two third of them needed morphine medication for it. Maternal smoking over ten cigarettes per day aggravated and benzodiazepine use attenuated NAS. An infant s highest urinary norbuprenorphine concentration during their first 3 days of life correlated with the duration of morphine treatment. The average length of infant s hospital stay was 25 days. During 1992-2001 524 women were followed at special antenatal clinics due to substance abuse problems. According to register data mortality rate was 38-fold higher among cases than controls. The risk for violent or accidental death was increased. Cases had also elevated risk for viral hepatitis and psychiatric morbidity. ····· 1036188459
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study scrutinizes various voice disorders, especially the ones that occur most frequently among teachers and other people who use their voice excessively in their occupations. The pathologies of phonation apparatus are illustrated in an overall classification together with their causes and suggested treatment for some of the voice disorders. Therefore, the book focuses on the anatomy and physiology of vocal organs with a special emphasis on the description of larynx and vocal folds. Furthermore,the process of speech production involving phonation and modulation of individual speech sounds is examined in more detail. The outcome of the pilot study is a user friendly handout giving advice on voice hygiene and care. It might serve as a useful guide for protecting one s voice and consequently avoiding possible voice disorders. ····· 1036188513
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Sex workers are the most marginalised and stigmatised group of women. The nature of the industry of selling sex to multiple sexual partners has a ripple effect on the health of people involved in the sex work cycle. Sex workers are considered to be a high risk group in the acquisition and transmission of STIs which include Human Immunodeficiency Virus (HIV) and Human Papillomavirus (HPV). Out of fear of being ridiculed at health care facilities, are unable to visit health facilities for routine health check-ups resulting in delayed health intervention. The monograph seeks to describe the prevalence of abnormal pap-smear among sex workers in Hillbrow, Johannesburg, South Africa. Additionally, describe the difference between Pap smear results between HIV positive and negative sex workers. However, further studies are required to explore the sexual health of sex workers that may influence a review on the National Cervical Cancer Screening Policy to take into consideration the needs of high risk population, such as sex workers. ····· 1036188819
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A community cross-sectional study, hospital-based retrospective study, hospital-based descriptive parasitological and Facility and drug availability study were designed to assess the impact of Roll Back Malaria (RBM) Programme on malaria prevalence in Kano Metropolis.Four hundred questionnaires were randomly distributed within the metropolis, the respondent`s knowledge on causes of malaria, treatment, prevention and types of drugs or herbs used, was assessed.Data was also collected from two major hospitals, on treated cases of malaria six years before RBM and six years into the programme.The malaria cases were found to be increasing during the RBM years i.e. from 2270 in 1994 and 10935 in 2005.Four hundred samples of blood were screened for Malaria Parasite (MP) and 62.5% were found positive. Facility and drug availability assessment was carried out and 72 health facilities were found in existence in the metropolis with about 55340 quarterly distribution of artesunate combination therapy (ACT) drugs. RBM was found to be a partial success therefore anti malarial campaign was recommended to be intensified. ····· 1036189327
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray El riñón es el principal órgano protector del medio interno y las enfermedades renales han experimentado un notable incremento y su prevalencia sigue en aumento. Los exámenes de laboratorio son esenciales para la detección precoz y el diagnóstico, determinación de la intensidad y pronóstico, selección de la terapéutica, e investigación de la enfermedad renal. Este libro, si bien modesto, tiene el propósito, no tanto de describir algunos de los procedimientos y técnicas más utilizados en la actualidad para el estudio de la función renal en el laboratorio, sino más bien poner de manifiesto el valor diagnóstico de los mismos, sus fortalezas y debilidades con el fin de estrechar las relaciones entre clínicos y laboratoristas, eslabón imprescindible para conseguir los resultados maravillosamente seguros y útiles que pueden obtenerse de la exploración renal. Luego, el éxito que tenga dependerá en gran medida del logro del objetivo propuesto por los autores. ····· 1036190175
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The book highlights the health status of tribal migrants in an urban setting with specific reference to Cuttack city in Odisha. This book is based upon intensive field work among the tribal migrants residing in the slums in the city. It provides a review of the research on tribes in Odisha and India. An attempt has been made to provide a detailed analysis of the social dimension of health and illness in tribal society, health profile of the tribal slum dwellers, traditional treatments, beliefs and practices, personal cleanliness etc. The author, critically analyses various strategies or steps taken by the Govt. for the improvement of health status of the tribal people in the slum areas in the state. The book suggests that willingness of the government, imparting education and awareness among the tribal migrants can create a better environment which provides a better health. ····· 1036191783
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Nutrition assessment is a huge multidisciplinary topic requiring input from a Nutrition Team where the clinician, the pharmacist, the dietician, specialist nurse and the laboratory personnel ensure the best available treatment protocols and outcomes for the frequently very sick patients requiring nutritional support. This book it thus intended to indicate how the laboratory personnel may help in the assessment and management of nutritional status. ····· 1036192113
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Physicians are often facing the task of predicting the immediate and long-term outcome in stroke patients. Early predictor of mortality and poor outcome are crucial for planning the level of care and optimizing resource utilization. The performance of Glasgow Coma Scale (GCS) in prediction of mortality of acute stroke patients was investigated. During the study period every patient admitted to Medicine and Neuro-medicine wards for cerebral infarction (CI) or intracerebral hemorrhage (ICH), were included consecutively in this study. Data for GCS was recorded, follow up and mortality at 7 days and 28 days was determined. Total GCS were labeled into three groups (I, II, III). Prognosis of patients in 7-day and 28-day of 3 groups was tested by chi square (x2) test. On the basis of CT scan finding, one-week case fatality of ICH and CI was 44.8% and 36.4% respectively. Four-week case fatality of ICH and CI was 56.7% and 42.4% respectively. This study shows, GCS is a valuable tool for prediction of short-term mortality in acute stroke patients. The less the GCS score at the onset of acute stroke the more is mortality. ····· 1036192114
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A comprehensive hearing evaluation should include an assessment of hearing that uses test stimuli similar to the auditory information conveyed during speech communication. Speech audiometry refers to a battery of testing procedures and protocols aimed at estimating an individual s ability to hear and understand speech. Recently, efforts have been made to create high-quality materials for Speech Reception / Recognition threshold (SRT), and other types of speech audiometry, in a variety of languages. There are various speech audiometry material developed in different languages since India being multilingual in nature .However, there are still many languages for which there are no materials widely available, such as the Tulu language. Tulu language is considered as one of the five Dravidian languages of South India. Though, Tulu is confined to a small region of India, it possesses a very rich vocabulary and has been considered as a highly developed language by linguists. Testing in the native language is preferred for the results to be accurate and relevant. The purpose of this project was to develop and digitally record materials in Tulu for measuring the SRT. ····· 1036192428
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Jigme Dorji Wangchuck National Referral Hospital is the busiest hospital of Bhutan located in the capital city Thimphu. The health workers puts maximum effort round the clock in providing HUMANE FACE service to the clients. The Nurses (light in darkness) shoulders great responsibilities in nursing a new born baby to an elderly client, trying hard to light up their face with smile despite PAIN and suffering. ····· 1036192481
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Tuberculosis is devastating disease at global level. TB is caused by members of Mycobaterium tuberculosis complex group. Presently available biochemical methods of diagnosis of tuberculosis are not accurate. The highly sensitive polymerase chain reaction (PCR) and specific molecular probes techniques are major advances in early diagnosis and molecular epidemiology of various diseases including TB. It is established that the ribosomal gene region of both the prokaryotic and eukaryotic comprise of sequences that are conserved during evolution interspersed with sequence which are divergent. The analysis of the 16S rRNA gene promoter region for rapid and accurate differentiation and identification of Mycobacterial species and understanding of their phylogenetic relationships is likely to prove to be advantageous over the use of previously used target genes. The resulting sensitivity is likely to allow the generation of RFLP patterns in a matter of hours to differentiate not only between the species investigated in the present study but others as well, by possible detection of novel RFLP patterns. For unidentified cases, PCR product could be characterized by subsequent sequencing. ····· 1036192520
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book will give the readers a general outline of mechanism pain processing and pain measurement. This will also helps the pain researchers to understand the relationship between pain and exercise. Very few existing pain studies have determined the pressure pain threshold (PPT) of different anatomical sites using the Quantitative Sensory Testing (QST) pressure algometer. Here we used upto date Somedic QST pressure algometer(2011) to measure pain. As a prelude to a larger study of the effect of exercise on knee pain in patients with osteoarthritis, we conducted a pilot study of PPT using a Somedic QST algometer in healthy volunteers. ····· 1036198289
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A temporomandibular disorder (TMD) is a collective term, embracing a number of clinical conditions that involves the masticatory musculature or temporomandibular joints (TMJ) and associated structures. These clinical conditions are characterized by pain in the pre-auricular area, TMJ, or muscles of mastication limitation or deviation in the mandibular range of motion and TMJ sounds during mandibular function. The present study was a descriptive cross sectional study which was designed to target the adult population at the Public, Military dental hospitals and Health centers in Khartoum State, based on gender and age groups. The purposes of this study were to determine the signs and symptoms of TMD and the treatment needs. Furthermore, to identify the distribution of patients with TMD, determine the percentage of the treatment needs, as well as to assess the relationship between patients seeking treatment for TMD and the socio- economic status. The subjects consisted of 385 (175 males and 210 females). They were selected in a stratified systematic random sample technique. Their ages were distributed according to age groups range (15 24, 25- 34, 35- 44, 45- 54, 55- above). ····· 1036198564
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Maternal and Perinatal morbidities and mortalities remain unacceptably very high worldwide with a higher proportion occurring in the developing or low resource countries. Efforts to reduce these mortalities are among the top five millennium development goals, to be achieved by the year 2015.Limited empirical literature exist on the factors influencing birth outcomes in the Sub Saharan region. Some parts of the world have reported maternal factors, past obstetric history, antenatal and intrapartal care among the determinants of birth outcomes. The Author of this book reveals how maternal social-demographic characteristics, past obstetric history, prenatal and intra-patal care affect birth outcomes among women that delivered at Moi Teaching and Referral Hospital. The author recommends actions that can be taken by various stakeholders in improving maternal and neonatal birth outcomes. ····· 1036198566
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Eating practices (EP) are important factors to consider in public health nutrition as people eat every day and throughout the day. Therefore, observing EP may give an idea of the nutritional status of individuals in the population. Indeed, certain EP may predict future health problems, such as high fast food consumption and obesity in certain developed countries. Other practices may be a form of prophylactic for certain diseases such as postulated in the French paradox. To this effect, studying EP within a population is complex due to the multiplicity of different factors which are involved in the process of choosing, acquiring, preparing and consuming food. While the number of non-communicable diseases is on the rise in many countries, there is an ever-growing need to gain information on the underlying nutritional causes to these diseases. In view of the fact that there is a dearth of literature pertaining to socio-demographic factors and EP in developing countries, this book therefore lay much emphasis on recent findings on this issue and explores the different eating practices in a multicultural and developing country like Mauritius. ····· 1036198643
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Fruits and vegetables have very significant roles in human nutrition in addition to their functional role, being a vital source of vitamins, minerals and dietary fiber and hence primordial to maintain or achieve good health. Ideally, a variety of fruits and vegetables must be consumed such that several nutrients are present in order to act together and maintains the proper functioning of the body. Indeed, currently more and more individuals are becoming health-conscious resulting in thorough assessment of the benefits of fruits and vegetables in relation to health. Nonetheless, it is also of no denying that many developing as well as developed countries have a low recommended intake of fruits and vegetables. To this effect, this book has been geared to address factors determining the intake of fruits and vegetables in a multicultural and developing country like Mauritius. Much emphasis has been laid on possible associations between demographic factors, food insecurity, intra- and inter-personal factors with respect to the frequency of fruits and vegetables intake and in a panoply of social settings. ····· 1036198825
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The aim of this book was to establish the nutritional status and socio-economic factors predisposing under five-years-old children at Kenyatta National hospital to protein energy malnutrition. A total of 118 children aged below 60 months were targeted for the study. A descriptive cross sectional study was conducted. Sampling was done using purposive non probability and systematic sampling. The method that was used for data collection was interview and the tools which were utilised were questionnaires and anthropometric equipments (weighing scale and height/length board). The data was collected and entered into computer packages for analysis and presentation. The SPSS statistical program was used for analysis of the factors while the anthropometric statistical program was used to convert raw anthropometric data into anthropometric indices and then was compared with the National centre Health statistics (NCHS) reference figures. The prevalence of underweight, stunting, and wasting was 59.3% 53.3% and 33.9% respectively. There was a significant relation between stunting and complementary feeding and wastingwith the type of alternative caregiver. ····· 1036199083
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Nurses routinely identify clinical problems and question the best care for their patients (ONS, 2005). This paper will include a plan for an evidence-based practice change for the problem of potential transmission of pathogens to surgical patients via lanyards. The posing clinical question is, In surgical patients does the use of lanyards worn by operating room staff increase the future risk of surgical site infections compared with staff not wearing lanyards The proposed problem is one that nursing could resolve. The objective of this project is to determine if lanyards worn by health care workers could increase the risk of surgical site infections. Operating room nurses have a responsibility to adhere to practices that prevent surgical site infections in their patients. A comprehensive literature search revealed 32 publications. After inclusion and exclusion criteria were applied to each publication, six studies were relevant to contamination of inanimate objects, the transmission of pathogens, and the potential for nosocomial infections. The studies include one systemic review, two cross-sectional study, and three unspecified observational studies. ····· 1036199346
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Poultry industry is an important portion of the livestock sector contributing in the national economy and the current status of Pakistan poultry industry is about Rs. 100 billion. There are about 25,000 poultry farms in the country. Poultry sector generates employment & income for about twelve hundred thousand people. Its growth rate is 10- 12% annually. Pakistan is producing 10,000 million table eggs & 750 thousand metric tons chicken meat annually. The per capita consumption of meat is 7 kg & 60-65 eggs annually (Anonymous, 2008) but unfortunately so many threats & fatal diseases i.e. bacterial, viral, fungal & parasitic diseases are still disturbing the industry. Among parasitic diseases, coccidiosis is one of the most important hazard. It is the disease of poultry caused by an obligate microscopic protozoan parasite, which belongs to the genus Eimeria (phylum Apicomplexa). Seven Eimeria species have been recognized infecting chicken: E. acervulina, E. maxima, E. tenella, E. brunette, E. necatrix, E. mitis & E. praecox. ····· 1036199587
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Dockyard laborers are exposed to a variety of genotoxic compounds including heavy metals, polycyclic aromatic hydrocarbons (PAHs), noise, airborne particles etc. But no specific information is available regarding the effect of exposure to occupational hazards of this group of laborers in Bangladesh. Immunoglobulins, Trace Elements, Lipid peroxidation, Plasma antioxidant vitamins level (retinol, alpha-tocopherol and ascorbic acid) and extent of DNA damage were analyzed in 100 dockyard laborers and compared with 100 control day laborers having similar socioeconomic status but not exposed to occupational hazards like dockyard laborers. The immunoglobulins levels varied significantly, the plasma MDA levels as well as extent of DNA damage were significantly higher whereas the plasma retinol and ascorbic acid levels were significantly lower in dockyard laborers than the control group (p0.05) but the change in a-tocopherol level was not statistically significant (p ····· 10361100304
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Clinical and virological outcomes are variable following acute infection with HCV. Chronic infection is characterized by attenuated and narrowly focused CD4+ and CD8+ T-cell responses in conjunction with reduced proliferative, cytokine, and cytolytic capacity of HCV-specific T cells and loss of antigen recognition. Conversely, CD4 and CD8 T-cell responses are maintained in individuals who clear the virus. Therefore, effective T-cell-dependent immune responses to HCV-specific viral epitopes, restricted by the presence of host human leukocyte antigens (HLA) class I (CD8 cytotoxic T cells [CTL]) and class II (CD4 helper T cells), appear to make an important contribution to adaptive immunity and disease outcome. ····· 10361100322
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Current study was designed to study variation of blood pressure with different seasons in Delhi, which has extremes of temperatures e.g.maximum temperature in summer crosses 40°C and minimum temperature in winter falls close to 0°C. Relationship of variation in blood pressure with meteorological factors has been analyzed.During summer,patients, particularly women often complain of symptoms such as weakness, giddiness and blackouts.These are often attributed by patients and even physicians to lowered blood pressure.Current study seeks to establish magnitude of this problem and analyse if there is an association of these symptoms with variation in blood pressure.The study shows significant increase in mean systolic and diastolic blood pressure during winter compared to summer.Results also show that the problem of summer associated symptoms is common but not associated with variation in blood pressure.The symptoms were not related to hyponatremia associated with heat exhaustion thus indicating mechanism other than lowered blood pressure to be responsible for these symptoms.Thus it highlights need for further research on this subject ····· 10361100633
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Almost all asthma patient demonstrate bronchial hyper responsiveness. Bronchial hyper responsiveness is an abnormality of the airway, which makes the airways to narrow too much & too easily in response to various stimuli either direct or indirect . Bronchoprovocation test is performed to evaluate the bronchial hyper responsiveness. In this study we proved that hypertonic saline is an equally effective bronchoprovocative agents as methacholine which was commonly used for challenge test or bronchoprovocation test for the diagnosis of Bronchial Asthma. More over hypertonic saline has very little effect or no effect in contrast to methacholine on normal subject,which is responsible for false positive result. So we can conclude that , hypertonic saline is more specific bronchoprovocative agent in the diagnosis of bronchial asthma .Since hypertonic saline is very cheap & easily available , we propose that it should be considered as reliable bronchoprovocative agent for the diagnosis of Bronchial asthma in underdevloped countries . ····· 10361100677
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The HIV epidemic is a new, complex challenge in the world today. AIDS is not simply a health issue but a general development concern above all else. It is a social and economic threat in countries where it is rampant. Its health impact is revealed in its association with morbidity and mortality. The increasing number of people, mostly healthy productive young men and women dying daily is causing concern. This book addresses the challenges of HIV and AIDS epidemic. ····· 10361100736
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Arterial stiffness has established as cardiovascular risk factor, it has also emerged as a potential target for intervention. Its serve as reliable surrogates marker in clinical endpoints like myocardial and cerebrovascular incidents. Drugs may improves the stiffness of arterial wall through either functional or structural mechanism. This book therefore review the effect of oral hypoglycaemic agent (OHA) metformin or sulfonylurea or combination on arterial stiffness in Malay diabetic patient. Diabetic patients have increased arterial stiffness compared with age and sex-matched non diabetic subjects, which may partly explain why diabetes mellitus are associated with increased CV risk. This study also showed that two different groups of OHA have no effect in relation to arterial stiffness. The information and finding should be useful to professionals who involved in care of diabetic patient and anyone who interest in chronic diseases management. ····· 10361100747
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Sonography is an imaging tool with many advantages while assessing the immature skeleton. In the last decade the Ponseti method of correcting clubfoot deformity by serial castings has gained terrain. By well-defined ultrasound (US) imaging projections the severity of the foot deformity can be assessed and its treatment monitored dynamically. Sonography can also be used in teaching how to perform the correcting manoeuvres properly. A reproducible US protocol for evaluating congenital clubfoot pathoanatomy, especially the talo-navicular and the calcaneo- cuboid joints, was developed. Normal configurations of the relationships at these joints were obtained by investigating healthy babies. Variations in clubfoot pathoanatomy are described. Morphological changes taking place during early clubfoot treatment, using the Ponseti method, were assessed and compared with a group treated by intensive physiotherapy and plexidur splint. The detailed descriptions of the sonographic protocol and its clinical implications should be useful to paediatric orthopaedic surgeons, physiotherapists, radiologist and other medical professionals treating and assessing clubfeet. ····· 10361100792
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Two-dimensional strain ( ) and strain rate imaging (SRI), are new ultrasound (US) indices for quantifying regional wall deformation. Tissue Doppler imaging (TDI) has already been shown to complement established parameters in evaluating early systolic and diastolic performance. However, the widespread use of this methodology remains limited due to the fact that Doppler-derived velocity and deformation data are one-dimensional, resulting in an angle dependency of the measurements. Speckle tracking is a novel method of assessing regional as well as global `contractility`. This method overcomes many limitations inherent in assessing myocardial functioning with current methodology. ····· 10361100814
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Diagnosis of cause of syncope is very difficult and often unrewarding even though it is fairly common problem. Universally accepted guidelines are not well established till now and only expert consensuses are available for managing syncope patients. In this study we choose a subset of young adults presentating with syncope and did extensive clinical evaluation followed by routine 12 lead ECG and then subjected them to either Tilt Table Testing or Holter monitoring, and we could arrive to diagnosis of syncope in majority of our patients without doing extensive investigations. This book focuses on various theories/mechanisms of syncope and detailed explanation for them have been elucidated clearly. To improve the diagnostic yield of HUTT (Head Up Tilt Table) we analysed clinical predictors or likelihood ratios of positive tilt table test based upon routine clinical examination and also did Time Domain and Frequency Domain analysis of Heart Rate Variability during HUTT testing. ····· 10361101048
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Chronic wounds are a common cause of morbidity world wide. The frequent lack of any clinical assessment of patients in the community has led to long periods of ineffective and often in appropriate treatment.When considering any health care problem it is useful to have a clear impression of scale of the problem and the burden of care it represents.The prevalence of leg ulceration has been the subject of study for more than 20 years.A leg ulcer is not a discrete disease with clear diagnostic criteria rather it is the consequence of various kinds of underlying disease process.The range of diseases and conditions with the potential for leg ulceration is broad.Although diagnostic and therapeutic decisions in patients with vascular diseases are guided primarily by the history and physical examination, the use of non invasive investigations has increased significantly in recent years mainly as a result of technological advances in ultrasonography ····· 10361101078
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book aims to determine the age and sex distribution of patients with end stage renal disease in Benin City Nigeria. 2. Study renal changes in chronic renal failure (CRF)and determine where possible the causal agents in relation to chronic renal failure. 3. Compare results with those of similar studies.Twenty nine of the patients (58%) are males, 21 (42%) are females, with a male to female ratio of 1.38:1. The largest concentration of CRF related deaths occurred in the 30-39 years 18 (36%), with the age range varying from 8 years in a male child who died of Good Pastures syndrome, to a 65 year old woman dying ofchronic hypertensive renal disease. The average age of patients dying from CRF is 43.9 years SD 6.6. Adult polycystic kidney disease is responsible for 2 (4%), Systemic lupus erythematosus 1(2%). Chronic glomerulonephritis is responsible for 21 (42%), the most significant cause of both end stage kidney disease and CRF. Diabetic nephropathy is responsible 7(14%) Hypertension is responsible for 15 cases (30%). Chronic renal failure related deaths in Benin city Nigeria has a slight male preponderance of 1.38:1, and occurred in the average age group of 43.9 years SD 6.6. ····· 10361101086
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Suicide is a much feared consequence of depression and carries a huge human cost for the individuals, their families and associates. Persons who suffer from a severe depression with melancholic or psychotic features show a particularly high risk of committing suicide. This book first gives some brief examples of the culture and history and the major aspects of suicide research. A long-term investigation into 89 suicide victims and matched controls is presented, by gender. Risk factors for suicide were found, i.e. brittle/sensitive personality in men. In men suicidal ideation beyond one`s own will was related to suicide. The first suicide attempt was more often severe among female suicide victims, as opposed to the controls who made severe attempts later in their career. Late mortality was investigated. Finally, continuation treatment with antidepressant pharmacotherapy after ECT seemed to be preventive of suicide in severe depression. The investigation may help shed light on risk judgement, the suicidal process and possibilities of prevention of suicide. It may be valuable for professionals dealing with suicidal people and also researchers in the field of suicidology. ····· 10361101111
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Follicular lymphoma (FL) represents the most common low-grade Non-Hodgkin`s lymphoma. FLs are of B cell origin, generally incurable, and frequently transform to high-grade diffuse large B cell lymphoma (DLBCL). Transformation is generally correlated with poor prognosis and the molecular mechanisms involved are largely unknown. This book gives an introduction to the field of carcinogenesis with focus on the events leading to Non-Hodgkin`s lymphoma and presents the results of a study aimed at identifying novel genes differentially expressed in patient-matched biopsies of FL and DLBCL to increase the understanding of disease progression. A general discussion of the methods applied, including the subtraction methodology cDNA Representational Difference Analysis (cDNA RDA), and the findings from this study are included. This book should be of interest to anyone who wants to get an understanding of the processes causing normal cells to transform into cancer cells and how studies of gene expression can highlight these issues. ····· 10361101187
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Epilepsy is a chronic disorder and treatment is often life long. Poor or non compliance with medication is a wide spread problem and is considered the major cause of unsuccessful drug treatment in epilepsy. In this book will explore the factors associated with non compliance among epilepsy patients attending Neurology Clinic, HUSM from January 2008 until November 2008. The percentage of drug non compliant was 52.2% and the factors that contribute to non compliant were duration of epilepsy, patients` understanding about their illness and medication barrier. Medication barrier that were significantly related with drug compliance includes the complexity of the drug regime and cost and physical of the medication. This book should give useful information to professionals who involve in health management and care of chronic diseases. ····· 10361101219
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Waterborne diseases are top killers world over it was important to investigate factors associated with their occurrence. This book presents literature and findings from a cross-sectional study that was done in Temeke, Dar es Salaam in 2007. Information gathered was on community`s level of knowledge and awareness, attitudes and opinions towards waterborne diseases, and hygiene practices as well as household water management and sanitation. It was found out that respondents were knowledgeable on transmission mechanisms of waterborne diseases. In spite of the relatively high level of knowledge, behavioral change was very limited. The health education received was more passive than participatory. Although majority of the people boiled drinking water, it was at a greater risk of re-contamination due to poor storage. Public health authorities need to do integrated health education with a participatory approach of stakeholders encompassing aspects of household water management, food hygiene and safe excreta disposal. This book therefore targets practitioners and scholars in water, sanitation and hygiene (WASH) sector more specifically among the urban poor. ····· 10361101327
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Acquired Immuno Deficiency Syndrome and its treatment has been the goal of several researchers worldwide. I have tried my best to analyze the causes of AIDS and prescribe its treatment which many of my patients have found useful.I hope my book will be useful to all the readers and help them get cured from this disease.However I request the doctors and nutritionists to continue their treatment for all subjects and recommend the dietary treatment which I have given in my textbook. ····· 10361101350
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Over the last few years, there have been noted remarkable developments in diagnosis and imaging techniques in the field of ophthalmology making the impact on clinical practice. With this in mind has also come a rise in the need of written book, since very little academic literature exists on the issue. This book is designed as an introduction to clinical ophthalmology and in an effort to make it of maximal knowledgeable value as a ready reference several specific features were incorporated, including chapters covering each element of a thorough ophthalmic examination, organized in the order in which each element is usually performed, and reflecting cutting edge technologies for diagnosis and monitoring patients with different ocular problems. It is written for the widest possible audience: medical students, residents, the practicing ophthalmologist, the emergency room physician, the family practitioner, the internist, the pediatrician, the neurologist to help each interested professional to gain a sound understanding of ocular disease through comprehensive eye examination so that their patients may achieve a better quality of life. ····· 10361101387
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Welcome to this fascinating complex and fast changing subject of breastfeeding. The age-old breastfeeding practice is now faced with challenges related to Human Immunodeficiency Virus (HIV) transmission challenges that we must find solutions to. We encourage you to read the book actively. There are more questions than answers. If we pose questions, stop and think about them. Does it relate to something for which you can find solutions Note that one of the most important roles of reading is to discover what you do not know, so that you can do something about it. We hope you will enjoy reading this book in pursuit of breastfeeding. ····· 10361101391
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Escherichia coli strains isolated from faecal specimens of patients with acute and persistent diarrhoeal diseases were analyzed for their major virulence factors using DNA probes, invasion and adhesion assays to Caco-2 and HeLa tissue culture cells. All the major serotypes and virotypes of E.coli, like the ETEC, EPEC, EIEC, EAggEC and EHEC strains have been identified from the majority of infants of under five years of age with diarrhoel diseases and having the problems of malnutrition. The study outcome has shown that the strains carrying genes for the different virulence factors are prevalent in diarrhoeal patients of developing countries like Ethiopia and Gambia. It has therefore become obvious that it is necessary to recommend that detection techniques of virulence factors and putative colonization factor antigens must be well practiced and should be included in epidemiological assessment activities of these diseases in such developing countries. ····· 10361101428
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Microbial foodborne illnesses are important health burdens to the public health system. Until the implementation of thorough intervention strategy (ies), the beef industry today will continue to experience challenges of microbial contamination from cattle hides and feces. According to Blezinger of Cattle Today` online magazine, the meat packing industries are looking to the feed yards and the cattle producers to implement strategies to help achieve this goal. Feeding direct-fed microbials (DFM) and or probiotics among other supplements have recently been implemented as a proactive intervention strategy in reducing the fecal shedding of these pathogens by cattle. Documented in this book is a clinical trial study using DFM as a preharvest intervention strategy to reduce the load of enteric pathogens such as E.coli O157:H7 and Salmonella in the beef production chain. The DFM used in this study is Lactobacillus acidophilus (BT-1386).This report and many other DFM documented studies proves the future potential of DFM as a natural weapon to combat and significantly curb the spread of medically and economic important bacteria in our food supply chain. ····· 10361101580
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Based on serial antibody analysis [gliadin (GA) and endomysium (EMA)], the prevalence of coeliac disease (CD) was 6/1970 (0.30%). In autoimmune chronic hepatitis 5.4% and in IDDM 2.6% had CD, why screening for CD could be motivated. IgA-GA positivity was increased in alcoholic liver disease, PBC, primary sclerosing cholangitis, chronic hepatitis, hepatitis C, IDDM, NIDDM, and in secondary diabetes to 11-24% compared with blood donors (5%). CD was correlated with HLA-DQ2/DR3, while DQ1, DQ7, DR1, DR4 and DR5 were inversely correlated. 79% of GA-positive but healthy individuals had DQ1, which would be expected to confer protection. The findings suggest GA- positivity to be independent of the HLA genotype in CD. From 848 IDDM patients 16 high titre GA patients were selected. Chronic thyroiditis, thyroid peroxidase, factor XIII IgA antibody positivity and HLA DRB1 13 were correlated with GA-positivity, while tissue transglutaminase IgG titres were inversely correlated. A patient with CD and antibodies against the active site of factor XIII is described. In 20 patients with EMA no correlation between tTg and factor XIII was observed. ····· 10361101618
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book is a compendium of twelve articles published personally in the world literature between 1963 and 2010. Each of them illumined Nicholson`s view that pathologists can dispense largely with animal experiments. The publications grew out of extensive researches on the topography of secondary deposits in lung cancer autopsies. This particular cancer is by its very situation in the vascular system the best to scatter its seeds to every soil in the body. Since Nature has in this manner provided giant opportunities, it is surprising that dwarf depositions commonly manifest. Accordingly, because Nature`s coded secrets are inherent in the recorded phenomena, the key to unlock them ought to be fashioned. It is hypothesized, therefore, that such a key or keys should be found by exploiting one or more of the human models outlined in this book. Hopefully, targeted therapy of human cancer would be greatly facilitated, especially as the old maneuver of cannulation can be reinforced with the new technique of videomicroscopy when carried out in consenting patients. ····· 10361101682
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Merozoite surface protein MSP2 is avaccine candidate antigen of Plasmodium falciparum that is polymorphic in natural populations. In this study we aimed to investigate whether malaria infection in associated with anti-malaria specific IgG, using recombinant proteins derived from the two major allelic types of MSP2 and ABO blood group. The conclusion is the Higher anti-malarial IgG1, IgG3, IgG2 and lower levels of IgG4 were associated with reduced risk of malaria infection. IgG2 is activator of the classical complement pathway, Fc RIIa H131 is essential for handling IgG2 immune complexes. These data suggest that an MSP2 based vaccine should be designed to induce high level antibody responses against the different MSP2 types present globally in P. falciparum populations and that MSP2 could be combined with other P. falciparum antigens to form a multi-component malaria vaccine. ····· 10361101853
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Trauma is one of the commonest causes for emergency room attendance and inability to protect the cervical spine in unconscious patient during primary assessment will cause significant morbidity and mortality in cervical spine injured patient. Mismanagement should be prevented at the first presentation. The emergency department residents frequently interpret plain radiograph without the presence of radiologist.The author would like to highlight that the emergency medicine trainees` ability to interpret the cervical spine radiograph in trauma is as accurate as radiologist. As a result hopefully it will give a strong impact towards improving Emergency Medicine services in future. Emergency physician has great responsibility to provide training and to teach their junior doctors working in their department. ····· 10361102066
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There is a hypothesis that a subgroup of patients with reversal of systolic dysfunction following hemodialysis have fluid overload. However, the underlying pathology has not been understood in those patients without significant fluid overload. Inflammatory markers have been found to be raised in chronic kidney disease, which prompts the theory for an underlying inflammatory pathology as a cause of reversible cardiac dysfunction in this group of patients. We studied 52 patients with chronic kidney disease. There were 29 patients with systolic dysfunction. Twenty three patients with preserved systolic function, had diastolic dysfunction. Of the 29 patients with systolic dysfunction, 10 patients had significant improvement in NYHA functional class, left ventricular dimensions, left ventricular ejection fraction . None of the patients had significant changes in dry weight. These patients had the highest baseline serum levels of troponin I which decreased significantly with recovery of cardiac function along with the c reactive protein levels. Those patients with C reactive protein greater than median change had significant improvements in LVIDs and EF. ····· 10361102077
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray It is assumed that autistic children suffer from gastrointestinal disorders more often than their peers. Children with ASD are diagnosed with platelet hyperserotoninemia more often than other children. Some gastroenterological disorders manifest themselves in parallel with dysfunctional serotoninergic neurotransmission in the gastrointestinal tract. The aim of this study was to compare the frequency of gastrointestinal problems in autistic children and in the control group and to establish the expression of 5-HT2A serotonin receptor mRNA in autistic children. Based on the performed research the following conclusions were drawn: autistic children report gastrointestinal disorders significantly more often than their peers. The disorders are confirmed through histopathological examination. Gastrological awareness should be maintained in autistic children. The considerably higher level of platelet 5-HT2A receptor mRNA indicates a molecular background of serotonin disorders. ····· 10361102270
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The prognosis of patients with acute myocardial infarction (AMI) or heart attack has shown a steady improvement over the last three decades. Nevertheless, it remains a major public health problem both in developed and developing countries including Malaysia. This book provided important prognostic data and information for patients with acute myocardial infarction in a local setting. The content of this book includes overview of AMI globally and locally, comprehensive methods on retrospective record review design for survival study, detail results of Kaplan Meier Product-limit Estimate and Cox Proportional Hazard Regression Model survival analysis and discussion. It will benefit the researchers who interested in coronary heart disease epidemiology, prevention and control. In addition, it will definitely provides a good guide to researchers or post graduate students who conduct survival study and analysis. ····· 10361102371
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Defects in the duodenal wall caused by trauma, giant perforation and duodenal fistula are technically difficult to repair and associated with high morbidity and mortality. Usually the defect can be closed primarily but in above mentioned conditions large defects are difficult to repair. Majority of duodenal perforations are closed best by omental patch. At such times, one has to use other techniques of managing the problem. In such cases various technically demanding operations have been proposed. Apart from more challenging surgical procedures, the pedicled flap of rectus abdominis muscle along with peritoneum (RAMP) for repair of duodenal defect may be an alternative in the treatment of high-risk patients. This flap is easy to construct and can cover large defect in the duodenal wall without any serious complications. Flap contains adequate blood supply, which help in healing of duodenal wall defect with excellent results. With these considerations in mind we investigated the results of RAMP flap for repair of large duodenal wall defect. This book is useful for trainee as well as practicing surgeons. ····· 10361102453
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hyperuricemia is indicative of a high level of uric acid in the blood (7mg/dl for men, 6mg/dl for women).The hyperuricemia may indicate an increased risk of gout.It is estimated that approximately 15 of every 1,000 males between 35 and 45 years of age have hyperuricemia. Hyperuricemia afflicts an estimated 840 out of 100,000 people. Hyperuricemia can also result in uric acid nephrolithiasis and possible nephropathy if uric acid accumulates in the renal interstitium and tubules.This book comprises of a clinical study conducted for the management of Hyperuricemia in Hamdard University Karachi,Pakistan.Hence it will provide its reader a better understanding of risk factors,causes,clinical features,diagnosis and treatment of Hyperuricemia and its relevant complications with allopathic as well as with modern herbal medicines. ····· 10361102473
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Intramedullary nail had been used for the treatment of long bone fractures since World War II. Gerhard Küntscher is credited with the first use of this device in 1939. Intramedullary fixation is valuable and appropriate for the majority of femoral shaft fractures, particularly for the mid-diaphyseal fractures. With the invention of newer nail designs and attention to surgical technique, nailing can be extended to both proximal and distal extraarticular fractures. ····· 10361102497
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study aimed to investigate the impact that the diagnosis of cancer has on the relationship of couples where one of the partners have been diagnosed with cancer. In order to achieve this, the study explored the elements in the cancer process that were most difficult for couples to cope with and what supported them most in coping. There are already many stressors in couples` lives without the added stress of cancer. When cancer is diagnosed in one of the partners, the couple is exposed to extraordinary challenges that they had never encountered before. It changes the appearance and the quality of the relationship. Their lives are disrupted by changes in all aspects. It was observed that the relationships of the couples were not adequately attended to during the cancer process. The study therefore attempted to assist couples and their medical teams to better understand some of the particular factors that could impinge on the relationship between patient and partner. Couple participants were purposively selected. The study used qualitative methods to elicit thoughts and attitudes of couples experiencing the cancer process. ····· 10361102525
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Glaucoma in childhood is vision threatening disease. The initial management mainly involves surgery, and both goniotomy and trabeculotomy have been shown to have high rates of success for primary congenital glaucoma. Even in the best hands, some 15-20% initial procedures fail. For most secondary glaucomas and primary pediatric glaucomas refractory to angle surgery, medical therapy is frequently unsuccessful. In these cases, surgeons are confronted with a choice of what procedure to do next. Classification, symptoms, and diagnostics of childhood glaucoma are mentioned in first descriptive part of book. Authors describe the initial surgical methods in the treatment of primary congenital glaucoma, options of medical therapy and the alternatives surgical options in refractory cases. Authors present glaucoma drainage implants in more details. The experimental study evaluates the clinical course, effectiveness and safety of Molteno and Baerveldt implants in a large group of primary and secondary pediatric glaucomas refractory to conventional surgery, with a long-term follow up. The book is intended for the professionals in ophthalmology. ····· 10361102596
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There are at least 300 million cases of malaria each year, resulting in more than a million deaths. Cerebral malaria is the most severe complication of malaria especially in young African children. Besides drug resistance, another challenge in the fight against malaria is the protective treatment of the host combined to the conventional antimalarial treatment. This opportunity came with the consideration of cerebral malaria residual case fatality rate of about 20%, despite a timely adequate antimalarial treatment. This work describes the available experimental model of cerebral malaria, the place of neuroprotective therapies in this disease and the efficacy of two neuroprotective drugs, recombinant erythropoietin and statins, during experimental cerebral malaria. Last, a proof- of-concept study documented the relevance of neuroprotection during human cerebral malaria in endemic area. This work should give new insights in medical practices. It should be especially useful to clinicians involved in critical care, infectious diseases, or neurological diseases. ····· 10361102650
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray AIDS has been known to have a wide variety of systemic manifestations but the associated psychiatric problems go undetected by the treating physicians. Out of the 100 patients assessed, 36% patients had neurological manifestations, with 47 neurological events. Meningitis was most common (19 patients) followed by mass lesions in 6. Psychiatric symptoms were seen in 78%. Depression was most common (45 patients) , followed by anxiety in 25 and adjustment disorder in 6. These AIDS related mental disturbances could be attributed to the psychological reactions to systemic illnesses, effects of psychosocial stressors associated with the disease or opportunistic infections of the central nervous system. ····· 10361102677
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Acquired Immune Deficiency Syndrome or Acquired Immunodeficiency Syndrome (AIDS) has commandeered media headlines, instigated public awareness, and garnered funding in more profound ways than any other disease in history. Present book has six chapters including the bibliography. In the first chapter, the description about survey site is discussed and in chapter two, I had tried to discuss the structure and function of HIV and also try to elaborate the current status of AIDS in INDIA. Various myths are found among general public, it was found during the survey. There is also much social awareness about AIDS and a number of non-governmental organizations are taking keen interest in educating people and helping them. Realizing the importance of this health hazard an investigations about its awareness among students was undertaken. ····· 10361102804
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Wound healing still remains a major problem in surgical practice, because of our inability to accelerate the process of healing. Abscesses are an extremely common problem in surgical clinics of India. Incision and draining along with systemic and local antibiotics are necessary elements of treatment of these abscess cavities. However some cavities are reluctant and slow to heal and lead to prolonged morbidity. Although it has been known for about 50 years that phenytoin can accelerates wound healing, very few authentic documentation of utility of phenytoin in wound healing as a standard procedure is available. Therefore the present study is conducted to evaluate the role of phenytoin in healing of abscess cavities. ····· 10361102870
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The pathological examination of foetuses provides data about the sensitivity and specificity of prenatal diagnostic work of clinicians, helps in genetic counselling, and informs about the prevalence of congenital diseases. There are no guidelines for the examination of foetuses in Hungary. The author`s foetopathologic diagnostic activity, performed since 1992, has been relied on the guidelines of the Royal College of Pathologists of the UK. The thesis summarizes the results of this activity, compares the efficacy of prenatal diagnostic work in two Hungarian universities, evaluates the prevalence of congenital malformations in western-southern and eastern-southern regions of Hungary, and suggests a protocol for foetal examinations. ····· 10361102992
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Wound healing of injured skin and other tissues is fundamental for survival. Platelets are a rich source of potential wound-healing promoting factors. Four different human acute wound models and a wide array of clinical and laboratory wound healing assessment tools and parameters were to used to investigate the effect of an autologous platelet- rich fibrin collagen synthesis and deposition in the ePTFE tube wound, breaking strength of small human incision wounds, epithelialization of the split-thickness skin graft donor site wound, epithelialization of the transplanted meshed autograft on a surgically revised leg ulcer, recovery of skin physiological properties over 1 year using non-invasive techniques (erythema, pigmentation, TEWL). The thesis is organized into an introduction to the wound healing process with emphasis on collagen metabolism and the very potent profibrotic growth factor TGF-b1, followed by a short literature review on the clinical use of different platelet-rich preparations. Specific studies are presented in detail, experimental methods are explained and results presented and discussed. ····· 10361103001
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The awareness of the nourishment to ensure healthy lifetime and prevent diseases ( e.g. cardiovascular, cancer etc.) is of great importance. In the world and specially in progressed countries in high incident the tie between atherosclerosis, coronary- heart diseases, other pathological cases and nourishing factors is important and gives information for modern medicine and dietary sciences. It is important from the point of view to be comprehended the correlation among fatty acids, coronary heart disease and atherosclerosis to examine the oxidation of saturated and unsaturated fatty acids as free radicals damage in our body and the concentrations of productions (oxidized LDL, MDA etc) which are formed. ····· 10361103022
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The aim of this work was to explore, how the operating technique of the first metatarsal osteotomy influences the forefoot conditions concerning pain, function and cosmesis. 327 patients were evaluated retrospectively and 34 patients prospectively following distal first metatarsal osteotomy. Examination methods included radiologic, pedographic and physical evaluations. Results suggest that the avoidance of shortening of the first metatarsal may decrease the onset of a postoperative transfer metatarsalgia on the middle rays. The magnitude of correction of either the hallux valgus angle or the 1-2 intermetatarsal angle did not influence the onset and magnitude of transfer metatarsalgia. Patients were more pleased with the appearance of their foot when the shortening of the first metatarsal was less intensive. A greater degree of correction of the hallux malalignment proved to lead to a higher level of patients` satisfaction with the foot appearance at each group. Pedography showed that the hallux loses its function, but the first metatarsal regains its role following the surgical procedure. An increased overall quality of gait dynamics at all the foot regions could also be detected. ····· 10361103068
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Leg ulcer is multifactorial disease with several known acquired and inhereted predisposing factors. In some cases, besides the characteristic acquired etiological factor such as venous insufficiency, there is a putative inherited etiological factor, which also contributes to the mechanism of delayed or pathologic wound healing and thus to the development of leg ulcer. Therefore the delineation of the molecular mechanisms of pathologic wound healing might lead to the development of causative treatment opportunities for the therapy-resistant forms. ····· 10361103070
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray TB and HIV: a community outreach training perspective This book explores the implementation of a TB and HIV community outreach training project offered from a Higher Education Institution. A historical overview is given as well as identification of the key roleplayers required and the steps in project initiation. The experiences of the trainers involved, as well as the challenges experienced and the impact of the project in diverse community settings is described. Adult learning methodology and innovation in the health context are discussed.Recommendations for implementation and sustainability of such a venture are put forward. ····· 10361113133
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book is a research work on brain specifically on the hippocampus. Depression is a very serious and heavy burden over mankind. Its etiopathogenesis is very complicated, but mostly it involves brain specially hippocampus. Any kind of Stress leads to depression. I used immobilisation as a mode of stress and leads to depression then i gave antidepressants to see any reversal. All the changes were observed in the hippocampus in the form of neuronal density. ····· 10361113328
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There is need for continued emphasis on the role of Nutrition in the Prevention and Management of Obesity, Diabetes, and Hypertension and other related lifestyle diseases globally. The commitment to encourage a healthy approach to eating has brought the recognition that, while a preventive approach to health care is key to maintaining health, proper management of diseases is an important aspect of the health care continuum. This book seeks to empower health care practitioners managing patients presenting with Obesity, Diabetes and Hypertension .Community and individual support is also covered through the self-management in-depth strategies well documented. It is my hope and prayer that this information will be useful in reducing the current disability, Burden of Disease, Medical Costs and Death related to and associated with Obesity, Diabetes and Hypertension. ····· 10361113502
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Antibiotics are inhibited in foods. FDA has approved the usage of nisin and natamycin as preservatives in foods.Decalepis hamiltoni is found in the nalla malla forests of Andhrapradesh Decalepis hamiltoni extracts were used to find out the antimicrobial potential against several food borne pathogenic microorganisms.The methanol,ethyl acetate, hexane extracts were found to inhibit several food borne pathogens. ····· 10361113604
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The devastating impact of HIV as a chronic infectious agent on human kind has forced a consideration of the rationale of administering combined drug therapies that incorporate fusion inhibitors, reverse transcriptase inhibitors and protease inhibitors in chronically infected HIV patients. It is also worth considering using alternative therapies, such as antioxidants, as anti-retroviral therapies are limited for economic reasons and their associated toxicity.This study models and analyzes pre-treatment dynamics of viral production and progression with cellular-mediated immune responses in chronic HIV infection. The pre-treatment model is then extended to investigate the impact of administering a three drug combination regimen of reverse transcriptase inhibitors, protease inhibitors and fusion inhibitors to chronically infected HIV-positive patients. Again from the pretreatment model we develop the antioxidant therapy model that considers HIV-induced free radicals as promoters of apoptosis and viral replication, incorporating antioxidants as agents of oxidative defense against the oxidative pressures caused by the free radical molecules in chronically infected HIV patients.. ····· 10361113608
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Objectives: Estimation of the prevalence of underweight in the Bengali and Indigenous communities of under five children in the Chittagong Hill Tracts in Bangladesh and attempt to find its causal relation with feeding practice and household food security. Methodology: Descriptive QUANqual type of Crosssectional Comparison study. Collected data on 432 under five children and their families, half from Indigenous and remaining half from the Settler Bengali communities were analysed and compared to meet the objectives of the study. Results: No significant differences (p0.5)were found in terms of prevalence of underweight in both communities. Direct and statistically significant association was found between mothers weight, duration of exclusive breast feeding and the nutritional status of the children only in the Indigenous group (P ····· 10361113800
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Laparoscopic cholecystectomy was first done by a French surgeon, Phillipe Mouret in 1987.It is one of the most common elective surgical procedure now-a- days. It has gained widespread acceptance as treatment of choice for cholelithiasis as it is associated with minimal morbidity and earlier return to work.Dexamethasone is well known for its anti-inflammatory, immune-modulating and anti- emetic effect. Dexamethasone is long acting (t half 36hrs) glucocorticoid.It is important modifier of the post-operative physiological inflammatory, humoral and immunological response by the regulation of the trauma induced humoral mechanism.I undertook present study to investigate in what way pre-operative intravenous administration of dexamethasone alters the surgical outcome in patients undergoing un- complicated laparoscopic cholecystectomy. ····· 10361113831
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Trophic ulceration of the foot and changes in the bony architecture of the foot is an expression of lesions common to widely diverse diseases, like leprosy, diabetes mellitus, tabes dorsalis, neurosyphillis, syringomyelia, spina bifida, peripheral nerve injury and neural defects etc. Disorganization of the Bony architecture of the foot in plantar defects basically results form two reasons. First, disease like leprosy (lepromatus granuloma) and diabetes mellitus (systemic metabolic disorder) lead to bony destruction. It is called primary or aseptic destruction. Second, bony destruction also results from neuro-vascular changes infection and repetitive trauma is called secondary or septic disorganization. Present study reports our experiences in the study of bony architecture in plantar defects. ····· 10361113972
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The doubling time of information in medicine and specifically in ophthalmology is estimated by some to be less than two and a half years. This ongoing explosion of knowledge has not been ignored by the professions involved in the care of the eye and its disease. The author believes it is time to provide the practicing ophthalmologist, the emergency room physician, the family practitioner, the internist, resident and medical student with an easy-to read, comprehensive handbook of urgent eye care. In an effort to make the book of maximal knowledgeable value as a ready reference each chapter is subdivided into the classical pathological rubric of symptoms-signs-etiology-differential diagnosis-treatment-follow-up. We have used an outline format to include all essential data for making a diagnosis and properly managing emergency cases in ophthalmology. When time is critical, you can`t stop to wade through all the background material. You need clinical facts fast. You need them tightly organized, clearly and concisely stated, easy to find. You need EMERGENCY IN OPHTHALMOLOGY. ····· 10361114031
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. Clinical examination has limited ability to assess injury severity or predict outcome. The identification of pathology- specific biomarkers can assist in the diagnosis and estimation of prognosis, and can serve as surrogate markers for monitoring the effectiveness of a treatment. Most of these biomarkers are mediators of responses to injury and subsequent cell damage or cell death. For patients with severe TBI, a biomarker may be helpful to predict which patients are likely to experience secondary insults and help prognosticate. The aims of this study were the correlations amongs biomarkers of brain injury in children with severity of brain injury, mortality and prediction of the final outcome. ····· 10361114057
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There are a vast number of worms that can live within the human body. The worms live in the digestive tract, especially in the intestines, from where they obtain their nutrition. Worm infestations are present in people of all ages but they are much more of a problem in children. Pinworm, hookworm and whipworm are the three major types of roundworms. As they are parasites, they can be found anywhere, in the soil, in bodies of animals as well as humans. Roundworm infection is most common in hot or tropical climates.Parasites can get into the intestine by going through the mouth from uncooked or unwashed food, contaminated water or hands, or by skin contact with larva infected soil. When the organisms are swallowed, they move into the intestine, where they can reproduce and cause symptoms.This book will provide its reader a better knowledge about worm infestation and their management by herbal medicines. ····· 10361114074
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray p21 ras protein is the most important component involved in the cell multiplication by participating in cell cycle. Due to point mutation in the gene coding p21 ras which ultimately results in the change in some nucleotide bases changing the confirmation of the protein which resulted in the production of altered ras p21 lacking GTP binding activity, which leads to the occurrence of ras p21 in a permanently activated state, causing uncontrolled multiplication of cells.Single nucleotide polymorphisms have been detected in p21 ras which are making the drug binding difficult and reducing the capacities of in binding of p21 ras with ATP_GTP_A motif. The current study focused in silico approach for identification and variation in drug bindings in association with cancer and ADME studies of the best drug.Six mutagenesis 59-T, 83-T, 119-N, 144-I, 164-A, 165-V have been proved to greatly reduce the GTP binding activity to ATP_GTP_A motif.Docking study has proved variations in drug binding due to the amino acid substitution and structural changes.Six mutated structures are obtained and 5 drugs through docking studies and the toxicity of the best drug is determined. ····· 10361114243
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray HIV infected patients have been shown to be at an increased risk of developing lymphomas. With a rising incidence and prevalence of HIV infections especially in Sub-Saharan Africa where over 60% of the HIV-positive patients in the world is found, this would certainly have a bearing on HIV/AIDS-associated conditions, lymphomas inclusive. Assessment of the epidemiological, clinical and biological aspects of AIDS-related lymphomas in Cameroon, a developing country in Sub-Saharan Africa has been of interest. The analysis at the Hematologic Unit of the University Teaching Hospital in Yaoundé, Cameroon, where most of these patients are seen, unveiled findings similar to several other studies on the same subject in other countries. This study offers basic information for medical students, doctors and researchers interested in AID-related lymphomas in Cameroon. ····· 10361114275
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Wound healing is a complex and dynamic process of restoring cellular structures and tissue layers. The study was conducted to compare the effectiveness of cyanoacrylate tissue adhesive with conventional suture in closing laparoscopic abdominal incision. They were randomly assigned to receive either tissue adhesive or suture. Main outcome measures were time taken for skin closure and post operative outcome. Both groups were comparable with respect to age, parity, education level, type of occupation and number of holes. In the study, there was a significant difference in time taken for skin closure where tissue adhesive was much more faster compared to suture. The use of tissue adhesive is easy and safe with complications comparable to suture and results in equally good cosmesis. Therefore tissue adhesive is a suitable alternative to suture in small wounds and low tension areas. ····· 10361114276
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Bipolar disorder (BD) is a chronic, severe, and highly disabling illness, which is estimated to affect 1% of the population worldwide. Recent studies have found that most bipolar patients have high rates of functional and cognitive impairment, contributing to the substantial psychosocial morbidity associated with the disorder. Although there has been a considerable increase in the understanding of the pathophysiological processes of Bipolar Disorder, the underlying biology and common mechanisms of comorbid physical and psychiatric disorders remain largely unclear. More recently, there has been an increasing interest in the role of the immune and inflammatory systems in mood disorders. It has been demonstrated that mood episodes are associated with changes in cytokines profiles and acute phase proteins such as immunoglobulins, complement proteins, factor B , and high-sensitivity C-reactive protein (CRP). The aim of the study was to find out role of inflammatory markers in patients of Bipolar Mood Disorder and its association with various demographic and clinical factors. ····· 10361114318
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Binding of merozoite proteins to erythrocyte during invasion is a critical step. However, little is known about interactions occurring during merozoite invasion of erythrocytes or complex formation of merozoite surface proteins among themselves.One such important merozoite proteins thought to play a crucial role during invasion of RBCs is Merozoite surface protein 1 (MSP-1), a potential candidate for blood stage vaccine development. In this work, an in vitro interaction assay of MSP-1 with human erythrocytes is described to investigate which subunit of MSP-1 bind to Erythrocytes. Although the specificity of the binding is not clear, our data indicates p38 and p42 appears to interact with erythrocytes. Taken together our data suggest that MSP-1 by itself might not be an initial interaction partner for erythrocytes. Interestingly, our data from association study between MSP-1 and MSP-6 performed in this work clearly indicate that hMSP-6 interacts with MSP-1 complexes as long as p38 is present making this subunit the most important interaction partner. Moreover, we also fine map a stretch of 51 amino acids in MSP-6 responsible for the interaction with MSP-1. ····· 10361114321
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Fifty patients of Rheumatoid arthritis were studied 88% were females. Rheumatoid factor was positive in 90%. Raised ESR and CRP were markers of ongoing inflammation. The maximum number of patients (98%) presented with articular symptoms 14% of had associated extra-articular symptoms 2% presented only with extra-articular manifestations.The most common joints to be involved were the small joints of the hand, followed by the wrist, elbow, toes, hip and knee joints. The disease related complications seen commonly were various joint deformities and osteoporosis. Spine involvement in the form of atlanto-axial dislocation was seen in 2%.Extra articular complications were episcleritis and vasculitis syndrome, dryness of eyes and mouth, and rheumatoid nodules. Postpartum flare of symptoms was seen in one patient. Drug related complications were uncommon (22%) most of which were minor side effects. Antirheumatic drugs especially DMARDs like methotrexate are very much safe and have high acceptability among the patients. Regular monitoring of patients is required. DAS 28 score is very helpful in assessing the patient response on treatment with DMARDs. ····· 10361114323
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This was a prospective randomized double blind study conducted in Himalayan Institute of Medical Sciences. The aim was to evaluate the onset time of sensory and motor block time required for complete sensory and motor block to assess the duration of analgesia, sensory and motor block to observe the haemodynamic changes and observe for any side effect and complications. Total 75 adult patients of either sex, ASA stutus I- III, body weight 50 kg and with no contraindication to peripheral nerve blocks were randomly divided into three equal Groups-A, B and C all patients underwent elective upper limb surgery. No premedication was given to any of the patients. Group A- lignocaine+bupivacaine Group B- A+buprenorphine Group C- A+ fentanyl . All the patients were given brachial plexus block by supraclavicular approach using nerve stimulator. Cardiorespiratory parameters and drug toxicity and side effects and complications were monitored. Conclusion: Success rate with the technique was 100% with no incidence of pneumothorax or other complications like horner`s syndrome, neurological deficit etc. ····· 10361114601
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Cancer is a class of diseases in which a group of cells display uncontrolled growth, invasion, and sometimes metastasis.. Prostate cancer is a form of cancer that develops in the prostate, a gland in the male reproductive system. Most prostate cancers are slow growing. However, there are cases of aggressive prostate cancers. The cancer cells may metastasize from the prostate to other parts of the body, particularly the bones and lymph nodes. Loss of PTEN and concomitant activation of AKT could act in partnership with the TMPRSS2-ERG fusion protein to promote progression to prostate cancer through downstream pathways that increase the selective advantage of pre malignant prostatic intraepithelial neoplasia cells. ····· 10361114644
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Tuberculosis has plagued mankind since the beginning of time. It has been estimated that one third of the people on the planet have been infected with Mycobacterium tuberculosis.The World Health Organization estimated that at least 180 million children aged less than 15 years were infected with Mycobacterium tuberculosis worldwide.The infection is almost exclusively transmitted through air from patients with pulmonary disease. The risk of transmission is greatest if the index case is `sputum smear positive`, and is directly proportional to the bacillary density in respiratory secretions.Children in contact with adult patients are at highest risk of getting infected, and hence contact screening is important for early detection of transmission of infection. This is of great value not only to detect infected individuals but for the community as a whole, because a child with tuberculosis represents recent and ongoing transmission of infection within the community.As pediatrician it is our duty to reach to the base of ice berg i.e. the children`s pool of tuberculosis lying in the siblings of family. ····· 10361114732
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The purpose of this study was to investigate the occurrence of confabulation in traumatic brain injury at different levels of cognitive functioning (according to the Rancho Los Amigos Levels of Cognitive Functioning) and to determine whether confabulation could be quantified. Participants were asked a series of questions in an interview format. Their responses were analyzed using a rating scale on the Sacramento Assessment of Confabulation (SAC, Boles, unpublished). Analysis revealed a significant relationship between confabulation and level of cognitive functioning. ····· 10361114765
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hyperbaric Oxygenation Therapy (HBOT) has a successive history for treating very specific groups of physical conditions. Research by Neubauer and colleagues states that HBOT`s ability to increase cerebral metabolism in the brain regenerates dormant neural tissue (Neubauer, Gottlieb, & Pevsner 1994). According to this research, the increase of cerebral metabolism levels restores mental capacity from the neurological insult. Despite promise, uncertainty exists as to whether this is a viable treatment option for people suffering from neural damage. The research results for this experiment will examine the effect of HBOT on cerebral metabolism levels in adults and pediatrics with chronic neurological problems. Fifty individuals diagnosed as having a neurological impairment whom met criteria for the study were analyzed from an archival data set. Criterion required chronic impairment, baseline SPECT, followed by HBOT exposures, and a post SPECT scan. ····· 10361114848
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Despite several developed treatment protocols used for treatment of patient with precursor B-cell leukemia/lymphoma, many of these patients relapse. Most of these patients relapse from clinically inapparent minimal residual disease (MRD), which refers to the presence of clonal cells in BM after treatment in a level below the morphological detection. The ability to predict who will relapse while still in a minimal disease state has important clinical implications. A reliable technique for MRD detection should be specific, sensitive, reproducible and quantitative. Currently, PCR analysis of Ag receptor gene rearrangements and flowcytometry represent the most clinically useful targets for MRD analysis in ALL. Molecular techniques may be sequence- or non sequence based methods. This book will discuss the basic knowledge about precursor B-cell neoplasms, MRD and different molecular methods for its detection with stress on a non-sequence based technique. This book should be useful for both medical student and medical professional in the field of laboratory or clinical hematology. ····· 10361114851
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray While recognizing the potential of genomics in improving health and the unprecedented advances in genomic science, plus its widely predicted revolutionary prevarication as we look at these realities, how then can we present and apply this scientific knowledge to our global world In the same vein, while proffering solutions in some genomic problem domain via culminating a positive evolvement of human genome, where do developing countries (for example Nigeria) stand in this revolutionary emancipation The author addresses these concerns through excavating its fundaments in this compact manual and rekindles hope as he shares perspectives and infers possibilities, comparably, for advancement. ····· 10361114928
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Breast cancer is the most common type of neoplasia in women. Most of hereditary cases are associated with mutations of breast cancer-associated genes (BRCA). Preventive mastectomy and chemoprevention are the only approaches available so far to prevent the development of neoplasia in patients with specific genetic background. However, side effects and invasiveness of these procedures make necessary the development of alternative strategies. This book describes a novel approach to prevent breast cancer based on the restoration of BRCA1 functional gene into target cells using an engineered virus. In fact viruses have developed an efficient mechanism to deliver their genetic material into target cells virus-derived vectors take advantages of this ability to vehiculate transgenes cells. To this aim a lentiviral vector expressing BRCA1 gene was produced. Restoration of gene function was validated in tumor and primary cells derived from patient encoding an inactive form of BRCA1, that, following gene delivery, restored the ability to repair DNA damages upon exposition to ionizing radiations These results pave the way to develop novel preventative approaches against human breast cancer. ····· 10361115027
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In this book, we identified new therapeutic targets for the treatment of leukemia within their microenvironment by using inhibitors of some signaling pathways. The contents of this book enables the reader to have good understanding of the news therapeutic approches regarding the treatment of leukemia. This book welcomes the scientific world to look into the alternative treatment option of leukemia. ····· 10361115042
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Human immunodeficiency virus related kidney disease is one of the leading causes of death and affects predominantly people of black descen. A cohort study was carried out at the Nylon District Hospital Douala, Cameroon to investigate the Kidney function trends amongst HIV seropositive individuals. Kidney function tests like serum urea, serum creatinine, creatinine clearance, proteinuria and urine chemistry was measured amongst 329 participants amongst whom 30.4% were HIV negative and 69.6% were HIV positive. The age range of the study population was 18 to 60 years. There were 94(28.6%) males and 235 (71.5%) females. The percentage of HIV seropositivity was higher in females than in males. Although, Serum creatinine, creatinine clearance and proteinuria were significantly higher in the control group than in the HIV infected subjects, these values were not indicative of renal pathology. Considering only HIV positive individuals the mean serum creatinine was significantly higher in the Antiretoviral treatment (ART) naïve group when compared to those who were already on ART. These findings indicate that renal function is not affected by the seropositivity status of individuals. ····· 10361115222
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In Malaysia, more than 50% of the registered vehicles are motorcycle and it becomes one of the most important forms of personal transportation. Approximately 52.2% of all fatalities and 70.9% of all casualties related to MVCs in Kelantan were motorcycle riders and pillion riders. The study aimed to determine the trend of motorcycle crashes in Kelantan between 1998 and 2003. The study revealed that majority of road traffic injuries involved motorcycle users. The proportion of fatality was between 8.6% and 10.7% and majority involved those aged 11-30 years. About 90% of the fatal motorcycle injuries were male. The peak hour for fatality was between 4.00 and 8.00 in the afternoons. There was no seasonal pattern of motorcycle accidents but, there was significant linear increasing trend over time (p0.001) with an average increase of 9 cases every year. ····· 10361115253
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Neural tube defect (NTD) is not uncommon in Bangladesh. Among the nutritional factors related to neural tube defects, in addition to Folate, low level of serum zinc has been described by many authors in the recent time. This study was conducted with the objective of finding the relationship of serum zinc with NTD in a Bangladeshi population. This case control study was conducted between in BSMMU, Dhaka. Newborns with neural tube defects and their mothers were considered as cases and normal babies and their mothers were taken as controls. Mothers taking zinc supplements in any part of pregnancy were excluded from the study. Venous blood specimens from mothers and newborns were obtained at or within one week of delivery. Serum zinc concentration was determined by Atomic Absorption Spectrophotometry. Low level of serum zinc in the mothers and newborns were found to be associated with neural tube defects, which is consistent with some other studies. However, it is also evident that some other factors (maternal parity etc) could significantly be associated with this defect. To confirm these findings, a further study with a larger sample size is recommended. ····· 10361115399
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Chronic kidney disease has a continuously increasing prevalence, associated with multiple comorbidities, that in an increased proportion of patients shows a progressive evolution. Knowing the factors involved in the progression of the chronic kidney disease can impose different therapeutic strategies. The final common pathway for almost all forms of renal disease is renal fibrosis. In order to better understand the progression of chronic kidney disease, it is mandatory to present the mechanisms of fibrogenesis, both at glomerular and at the tubulo-interstitial level, and also to find out which treatment targets can be used in order to prevent or reverse this process. After showing data regarding fibrosis, the following chapters will present the main factors involved in the progression of renal disease: arterial hypertension and the renin- angiotensin- aldosterone system, proteinuria, metabolic disorders, anemia, smoking, salt intake and the protective effect of alkali therapy. For an evidence- based approach the results from the main clinical trials that involve these progression factors are also be briefly presented. ····· 10361115502
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Plants since time immemorial have been used in virtually all culture as a source of food, clothes and shelter. Besides, they provide timber, fuel, dyes, gum, resin medicine etc to us and had very significant role in human civilization. The people on plant based material are increasing day by day. Medicinal plants have always been dependence of tribal and rural the principle source of medicine in India since ancient past and presently they are becoming popular throughout the developed countries. Besides, they also play an important role in the lives of tribal and rural people, particularly in remote part of developing countries. The present book deals with the medicinal plants with special reference to their phytothearpy. ····· 10361115639
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Preservation of reproductive health is critically important, meaning the ability of fecundity, uncomplicated pregnancy and delivery, the appliance of proper contraception and the recurrence of fertility after stopping contraception. The avoidance of abortion, ectopic pregnancy and pathologic conceiving can contribute to reproductive health. Approximately 910,000 conceptions befall worldwide each year, of which about the half are unplanned and about one quarter are unwanted. In total, 53 million pregnancies end with termination each year. In western countries, the time of pregnancy has been shifting towards advanced ages due to career and financial reasons. Furthermore, the rate of unwanted pregnancy among teenagers has significantly increased recently. The age groups at the highest risk concerning reproductive health are: teens and women with advanced age (women over 40 and primiparous women over 35). Generally, both groups are often unaware of their fertility during the menstrual cycle and it is typical that they do not have any regular sexual activity. Their ages lead to difficulties in fitting contraceptives. ····· 10361115897
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray As a part of the investigational project 1000 female patients were examined at the Clinic for Nuclear medicine of the University Clinical Center of Sarajevo, age 40 to 75, in the period of 48 months. This project is significant in the early detection of osteoporosis, especially given the inclusion of appropriate therapy. The goal of this study is to advance the progress in medicine and the social field by reducing the hospital costs or lengthy absences from work. The research focus is on the early diagnosis, patient education and marketing development. Additional goal of this study is to compare the cost-effectiveness modeling analyses of strategies to prevent osteoporotic and osteopenic fractures. This study also researches clinical risk factors, such as: mineral density, BMI, nutrition, hormones, postmenopause, alcohol, smoking, etc. and how they relate to the quality of life. In conclusion, this study examines how the hereditary factors influence the incidence of osteoporosis and subsequent bone fractures. ····· 10361115900
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Nurses who are mostly shift workers were found to be at risk for coronary heart disease (CHD). A cross sectional study was conducted among 404 female nurses working in a teaching hospital in Kelantan, Malaysia to determine the prevalence of metabolic syndrome and its associated factors. Data were collected using a proforma consisted of sociodemographic data, occupational history, physical activity and DASS 42 questionnaire (validated Malay version). Anthropometric, blood pressure measurement and fasting venous blood were taken from each subject for fasting lipid profile and blood sugar. The prevalence of metabolic syndrome was 24.3% (95% CI: 20.1, 28.4). The significant factors associated with metabolic syndrome were total duration of employment (years) and one way commuting time to work (minutes). High prevalence of metabolic syndrome indicates that nurses are occupational high risk group for CHD. Occupational factors which significantly associated with metabolic syndrome in this study are total duration of employment and one way commuting time to work, however there is no significant relationship between metabolic syndrome and shift work as well as self-perceived job stress. ····· 10361116022
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Malaria remains a major public health problem in the developing world, affecting approximately 500 million people worldwide. The disease is responsible for approximately 2.5 million deaths each year. The book discusses the role of spleen and liver as effectors against Plasmodium chabaudi malaria using the model of lymphotoxin receptor (LT R)-deficient mice. Even after castration or vaccination male LT R- /- mice succumb to infection in contrast to wild type male C57BL/6 mice. ····· 10361116146
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray It is the cell surface molecule receptor CD4 and the two chemokine co-receptors CCR5 and CXCR4 that allow the Human Immunodeficiency Virus (HIV) to enter and infect target cells these are the direct or indirect targets of anti-retroviral drugs (ARV) currently being tested in clinical trials. No characterisation of the potential effect of these drugs on the level of expression of the receptor and/or co-receptors on the cell surface has, as of yet been performed. This is despite the existence of heterologous modulation of at least CCR5 by compounds which are structurally similar to some ARV drugs. We investigated whether candidate microbicides could modulate the expression of CD4, CCR5 and/or CXCR4 on the cell surface membrane of various cell types. Cell lines expressing different or unknown levels of co-receptors were incubated with entry inhibitors, reverse transcriptase inhibitors and protease inhibitors in a time course mode before assessment by flow cytometry. ····· 10361116168
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The technologies are ready and quite mature today. The contents of this book enables the reader to have good understanding of the news therapeutic approches regarding the treatment of cancer. This book welcomes the scientific world to look into the alternative treatment option of cancer. This book presents the background literature, how other experts addressed the issue and a simple solution to the problem. ····· 10361116174
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Breast cancer is the commonest cancer in women. There was an increasing trend of breast cancer incidence and mortality in Malaysia because of the increasing life-expectancy, unhealthy diet and life-styles and increasing prevalence of reproductive risk factors. This study was aimed to identify the profile and risk factors of breast cancer. A matched case-control study was carried out at hospitals in Kelantan. We interview 147 cases and 147 controls. The mean (SD) age of breast cancer patients was 46.3 (9.3) years. The most common histological type was infiltrative ductal carcinoma (73%). The presentation at stage III and VI was 60%. The profile of breast cancers in this study such as age and stage distributions was different from other western studies. Factors contributing towards increased risk of breast cancer were nulliparity, having one or two children, family history of breast cancer and ever taken oral contraceptives. This study reconfirmed that similar risk factors identified in western population were responsible for the occurrence of breast cancer in Kelantan. It also supported the theory that breast cancer occurrence was related to oestrogen exposure and familial factors. ····· 10361116238
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Almost 80% of the UK public believe that antidepressants are addictive. Among the experts, there is a polarised debate of opposing views. Unfortunately, the argument is hindered by a lack of primary research and a virtual absence of research specifically investigating the prevalence of SSRI dependence according to ICD-10 criteria. Alleged SSRI dependence has become an internet hot topic` and the subject of much media attention. This pilot study aimed to fill in some of the gaps in the literature on this issue. ····· 10361118079
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The study was carried out at Kokilaben Dhirubhai Ambani Hospital, Mumbai. This study aims to evaluate the two well-performing prognostic model helps to make meaningful comparisons as which is more apt for the organization along with assessing the quality of care through severity scoring system in Intensive Care unit. This will help hospital in assessing hospital s current performance with its past such systems also provide objective data on which physicians may ground a spectrum of decisions regarding patient.The objective of this work is to find objective data which can help physician ground a spectrum of decisions regarding either escalation or withdrawal of therapy in critically ill patients. With a decision criteria of 10 %, sensitivity - that is, the proportion of deaths predicted by the model - was better for SAPS II (9%) than for APACHE II (20 %) however, the false-positive rate was high for both (APACHE II 66.32 %, SAPS II 58.68 %) the overall correct classification was better for SAPS II (57.54 %) than for APACHE II (53.56 %). This study demonstrated that both models failed to predict mortality accurately - that is, overall calibration was poor. ····· 10361118149
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Endometriosis is a common gynecologic disorder characterized by the presence of endometrial tissue outside the uterine cavity. It is often a perplexing medical condition for both the physician and the patient. The pathogenesis of endometriosis and its association with infertility remain controversial and poorly understood. The diagnosis of endometriosis may be suggested by careful history and pelvic examination however, laparoscopy is considered the gold standard investigation for definitive diagnosis. Laparoscopic evaluation of endometriotic lesions and their histopathologic confirmation provide a more comprehensive diagnostic approach in patients with infertility. ····· 10361118399
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray During coronary artery angiography, catheter is used to inject a contrast dye into the coronary arteries. Due to the anatomical variation of the aorta and the coronary arteries in different humans, one common catheter cannot be used for all patients. The cardiologists test different catheters for a patient and select the best catheter according to the patient`s anatomy. The focus of this work is to overcome these problems by proposing a computer-aided catheter selection procedure. This thesis work is best for coronary arteries with high take off. It involves segmentation of the aorta and coronary arteries, finding the centerline and computing some geometric parameters. Then after comparing these calculated parameters it suggests a catheter that is the closest to the patient s arteries geometry. This solution avoids testing of many catheters. The cardiologist already gets a recommendation about the optimal catheter for the patient. ····· 10361118800
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study will have an within-subject design and will propose the question: `Is there a perceived difference between pulsed ultrasound, 1 MHz, 1.0W/cm2, pulsed mode 1:4, fifteen minutes per session and sham ultrasound at the carpal tunnel in healthy adults ` The answer to this question has implications for both the clinical reasoning of therapist in selecting ultrasound as the treatment and in analyzing the evidence regarding the treatment effectiveness of ultrasound in various studies. ····· 10361118854
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Influenza A (H1N1) is a new human infection that causing a pandemic in year 2009. In Malaysia, the total number of death was 79 in April 2010. The Minister of Health Malaysia had announced that there were possibilities that the virus could generate a deadlier second wave and might lead to a national health emergency. This book illustrates methods used to validate the knowledge, attitude and practice of influenza A (H1N1) questionnaires (KAPH1N1Q). Cronbach`s alpha and exploratory factor analysis were used to assess the reliability and construct validity of the questionnaires. The KAPH1N1Q had satisfactory reliability and validity to assess the knowledge, attitude and practice on influenza A (H1N1). ····· 10361119209
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Since the dawn of civilization, snakes have inspired a mystic feeling of good and evil in human mind. It has appeared in various mythologies, either as demon or as a god.In Greek mythology it represented Goddess Hygeia and was worshipped along with Asclepius, the God of Health. The tradition is carried over to the modern time and the snake has found a place in the symbol of medical profession throughout the world. In India, snakes are found everywhere from 12,000 feet altitude of the Himalayas down to Cape Comorin, but different areas have different species preponderance. There are more than 250 species of land snakes in India, of which only four have been popularly known to be dangerously poisonous to man Cobra, common krait, Russell viper and Saw Scalled Viper. The high mortality in India is due to climatic factors, rural predominance of population and their agricultural dependence. The knowledge of type of snake preponderant over any area,identification of the snake species and the clinical syndrome produced by its venom has tremendous clinical significance. ····· 10361119257
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Red eye refers to hyperemia of the superficially visible vessels of the conjunctiva, episclera, or sclera. Hyperemia or engorgement of the conjunctival blood vessels, can be caused by disorders of these structures or of adjoining structures. A physician frequently encounters patients who complain of a red eye, often causing by simple disorder, but occasionally the cause is vision-threatening condition, which requires the immediate attention of a physician, whose specialized skills, knowledge, and examining instruments are needed in order to make correct therapeutic decisions. The author believes it is time to provide the practicing ophthalmologist, the emergency room physician, the family practitioner, the internist, resident and medical student with an easy-to read, comprehensive handbook of the red eye management. In an effort to make the book of maximal knowledgeable value as a ready reference each chapter is subdivided into the classical pathological rubric of symptoms-signs-etiology-differential diagnosis-treatment-follow-up. We have used an outline format to include all essential data for making a diagnosis and properly managing the RED EYE. ····· 10361119525
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Our liver is one of the main visceral organs handling and controlling all of metabolic pathways to make healthy our life. Over capacities of the liver to do the job generate the disease. A fatty liver disease is a primary disease that is initiated by excess accumulation of lipids in the liver generating steatohepatitis and even cirrhosis. This book described in detail a biochemical mechanism of the disease. The development of the disease involves an important role of the orotic acid intermediate metabolites from the pyrimidine nucleotide biosynthetic pathway. The development of the disease is inhibited by the shochu kasu. A beneficial function of the shochu kasu is to alleviate the disease. All those mechanistic developments and inhibitions of the disease found in this book are described in detail at molecular level. Overall, this book provides a useful discussion on the fatty liver disease from the initiation of the disease until its mechanistic inhibition. This book provides useful information for food product designers, industrial scientists, and every one who intensive study on liver function as well as the graduate students. ····· 10361119547
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book is prepared after an extensive review of latest published research articles and books about non- alcoholic fatty liver disease (NAFLD)and alcoholic liver disease (ALD) which are the most common liver disorders in the world. It has updated and analyzed latest advances in epidemiology, clinical aspects, pathogenesis, mechanisms, immune responses, therapies and future strategies to combat the development and progression of above liver diseases. ····· 10361119729
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray It has long been known that the uptake of high fat content & their deposition leads to atherosclerosis. Atherosclerosis is referred to as a silent killer, is one of the leading causes of death in the developed countries. The treatment of hyper lipidamia is considered. To be one of the major approaches towards decelerating the atherogenic process. Recently herbal hypolidemia has gained importance to fill the lunac created by allopathic drugs. The results of various studies have revealed that feeding of atherogenic diet leads to increased serum total cholesterol, LDL cholesterol and decreased HDL cholesterol. Coconut and coconut oil has been the subject of controversy for mearly three decades. Very extreme conclusions have been taken on the consumption of coconut oil. There has been a tendency to establish a link between coconut and coronary artery desire without taking in to view the various other factors that contribute to the incidence of cardiovascular disease. Hence the propose of our study was to explore the influence of coconut oil in hyper cholestrolemia and compare its effects with palm oil. Since diet has suspected to play a role in the development of coronary artery diseas ····· 10361132177
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Increase in population have led to the rapid enhancement in use of chemicals for industrial as well as house hold purposes. These chemicals affect the life of individuals and also the environment. The mercury compounds have shown ecotoxic potential. Mercuric chloride enters into aquatic as well as terrestrial ecosystem through industries. Mercuric chloride through distribution goes to the composition of the blood and affect the metabolism.The LD50 of mercuric chloride in the present investigation has been observed to be 9.26 mg/kg b.w. on the basis of probit analysis and the toxicity has been observed to be dose dependent.The effect of mercuric chloride on certain haematological parameters in albino rat, Rattus norvegicus have been observed after acute (1 day) and sub-acute (7, 14 and 21 days). ····· 10361132284
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The study investigated the knowledge levels of clients on long-term tuberculosis (TB) treatment at Kwekwe General Hospital, Zimbabwe. A quantitative, descriptive research design was chosen and data was collected using a structured questionnaire with a convenience sample of 60 clients on TB treatment and 10 professional nurses.The major findings of the study were that although clients had some knowledge about their condition, there was a lack of knowledge regarding critical aspects such as information on drug-resistant TB and the Directly Observed Therapy Short Course. The professional nurses experienced constraints such as insufficient time for appropriate health education and home visits.Based on the study findings and conclusions, several recommendations were made. ····· 10361132467
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The effectiveness of hand hygiene was determined by using water alone, carex soap, dettol, imperial leather and hibiscrub as the washing agents while veltia, mitsubishi, dyson, air blow and continuous rolling towel as the hand drying agents in this study.The hands were deliberately inoculated with swab from nostrils and gloves put on for 1 hour to allow the inoculums to be established. While the test (left) hand was washed and dried with selected washing and drying agents, the right hand (reference/control)remained gloved. Both hands (un-gloved)were inoculated on nutrient agar and incubated at 37oC. The colony forming units were Gram stained and biochemical tests done. There was significant difference in test (washed and dried) compared to untreated right hand ····· 10361132477
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This Systematically organized and well-balanced book compresses within the covers of a single volume of 7 chapters which includes the attention of quantitative analysis in gall stones and serum of the patients of cholelithiasis and biliary complications after laparoscopic cholecystectomy. However, there is no report available in the literature to indicate any direct correlation between the various chemical constituents found in gall stones and sera of the patients of cholelithiasis. But this study also describes the comparison and correlation between these chemical constituents such as total cholesterol, total bilirubin, inorganic phosphate, calcium and iron in the serum of the patients of cholelithiasis after laparoscopic cholecystectomy with those of apparently healthy control. Dedicated to my Father, Late Mr. Ram Kumar Sharma & mother, Mrs. Sushila Sharma. ····· 10361133209
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Globally, refractive error remains a public health problem. It is one of the leading causes of avoidable blindness. One major set back in controlling this easily preventable cause of visual impairment is the lack of data on the distribution of refractive error among various population groups especially in developing countries. The present work utilizes the Refractive Error Study in Children (RESC) protocol to determine the prevalence of refractive error among school children in the Cape Coast Municipality of Ghana. It is hoped that this modest attempt will be useful for planning school eye health in the country. ····· 10361133258
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The purpose of the study is to ascertain the extent to which music therapists are working in ways that utilize components of brief therapy. The goals are to gain insight into the following: 1) Are music therapists utilizing brief therapy 2) What are music therapist s perception(s) of brief therapy work A total of 108 Board-Certified Music Therapists participated in a three-part survey consisting of demographic information, clinical experience, and various perceptions pertaining to applications of brief music therapy. Survey Monkey administered the survey for one month via a linked email cover letter. Data from the survey was descriptively summarized. A Principal Components Analysis (PCA) revealed six components concerning the participants perceptions of brief music therapy. The findings reveals that music therapists are indeed utilizing elements of brief therapy in short-term settings and value brief approaches given the trends and constraints in the field. Implications for future work in this area were considered. ····· 10361133336
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A small practice, at my very own level, just to answer some questions regarding to the basic characteristics of drug molecules, having specific characteristics ,described as: Gastro-irritant Nature High First-pass effect Short t1/2, In need of Sustained action. Therefore Diclofenac Sodium works here as a Prototype drugmolecule for all such drugs. On the other hand, this work is based onto the Chronobiologic pattern of the disease Rheumatoid Arthritis. Work performed at R&D scale and the entire hard work and designing resulted in the form of an enteric-coated Bilayer Tablet,having a single drug in both the layers. ····· 10361134557
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray La experiencia como productora del texto, como motora de acontecimientos en donde la recuperación de los saberes olvidados es su horizonte. Horizonte en donde aparece la historia de un interés por transmitir un conocimiento negado. El acceso a la cultura comienza cuando el trabajador se calza el traje de narrador. Ese es el punto de arribo de una trayectoria, de un aprendizaje que demuestra como ese saber aprehendido puede invadir las prácticas reorganizando el seno donde se produce el discurso absoluto. Narrar es narrarse, contarse a través de otros, con otros, para otros, por otros. Estas palabras me permiten sostener que la posibilidad de producir conocimiento no está solamente desde las estructuras conceptuales y académicas. Son experiencias propias o relatos de otros que trabajan cuerpo a cuerpo con la locura manicomial o la llevan en el cuerpo. Discursos, ideas que se encienden en la penumbra del ostracismo manicomial y aparecen para atestiguar sobre otras maneras de ser-pensar-decir-hacer... ideas que quería compartir con ustedes y que me encantaría que ustedes puedan compartir con otros. ····· 10361134986
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The objectives of this study were to map the prevalence of goiter in Sudan and to study the etiological factors involved. A further objective was to explore the use of serum thyroglobulin (Tg) level in the assessment of endemic goitre. The endemicity of goitre in Sudan was firstly reported by Woodman in 1952. Although in the Sudan IDD control programmes and support for the universal salt iodization strategy began in the mid 1970s, no progress in implementation of the strategy was noted until 2006. Indeed, most of the iodine supplementation programmes, if not all, have now ceased to exist. In 2006 the United Nations Children s Fund (UNICEF) estimated that only 1% of all Sudanese households had access to iodized salt. The survey took place in the period from June to November 2006. The survey covered nine cities including Nyala and Elfasher (Western part), Wau (in The South), Atbara and Dongula (in the North), Dmazine (South East), Port Sudan (Eastern part), Kosti and Khartoum (in the Centre). Khartoum was divided into three different cities Khartoum, Khartoum North and Omdurman. The study included 6181 male and female schoolchildren at the age of 6-12 years old. ····· 10361135532
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book is a excellent hand book which is systematically organized and well-documented on the role of bile acids in liver and hepatobiliary diseases. However, the book includes the role of biosynthesis of primary and secondary bile acids from cholesterol as well as highlights their regulation with the clinical significance. It has also a good review on the clinical importance of various bile acids along with their serum level in patients of liver and hepatobiliary complications. -Dedicated to my Father, Late Mr. Ram Kumar Sharma and my Mother Mrs. Sushila Sharma ····· 10361135601
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Documenting nursing care provided to patients is an essential component of the nursing profession and it is best achieved through a nursing care plan. A nursing care plan is used to document and communicate nursing care. In the care of patients, each patient is regarded as unique. Therefore, a care plan demonstrates individualized patient care that is, care based upon changing and revised patient needs and coping abilities reflected in diagnoses, goals and interventions in the physical, psychological and socio-cultural areas of functioning. Furthermore, it helps professional nursing staffs to refine their understanding of nursing diagnoses and charting skills, to identify nursing problems in need of care and propose appropriate care plans. Despite the aforesaid advantages, nursing care plans remain largely unutilized by nurses in many healthcare institutions. This study sought to identify those factors (nursing work characteristics, nurse characteristics, nursing administration characteristics, and care plan characteristics) that hinder nurses from using nursing care plans. This will help the nursing fraternity to improve documenting care in nursing care plans. ····· 10361135975
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Chemokine receptors and their ligands may confer resistance to HIV-1 infection and/or AIDS progression. Our aim was to study our population for the most frequently studied polymorphism CCR5- 32 for evaluating their contribution to a protective genetic background against HIV infection and progression. One hundred and fifty blood samples from normal controls were recruited at random among prospective normal blood donors and forty blood samples of HIV/AIDS patients from Ethnic Kashmiri population were collected from Blood Bank and National AIDS Control Organisation of Sheri Kashmir Institute of Medical Sciences Soura, Kashmir respectively. Genotyping was performed by polymerase chain reaction (PCR) analysis followed by electrophoresis. The CCR5- 32 genotype frequency among our study group was wt/wt (93.3%), wt/mt (4%) and mt/mt (3%) from control group, revealing CCR5 32 allele frequency of 5%. The frequency of the CCR5- 32 allele among our study population seems to be remarkably higher compared to previously reported frequencies in other Asian populations. ····· 10361146330
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study aimed to determine the difference between the effect of laser and electromagnetic field on facial nerve regeneration. Thirty patients of both sexes with Bell`s palsy were included in this study. The patients were assessed by nerve conduction study (percentage of degeneration) and house brackmann functional grading scale. The amplitude was recorded from frontalis muscle at affected and unaffected sides. Moreover, the patients were assessed by functional grading scale (house brackmann grading scale) and percentage of degeneration. These assessments f were measured two times, firstly before treatment and secondly after treatment. The results of this study showed that, there is highly significant difference between before and after treatment within each group according to functional grading scale (house brackmann grading scale) and percentage of degeneration while there was no significance difference between both groups. The results of this study concluded that there is no significant difference between the effect of laser and electromagnetic field on facial nerve regeneration in Bell`s palsy patients. Therefore both modalities are effective equally in physical therapy. ····· 10361146616
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The present study was done prospectively on one of the most challenging topics in radiology, that is, paranasal sinus diseases. As we know computed tomography (CT) scan is the most widely used modality to evaluate paranasal sinuses. The study was undertaken in a reputed oncology institute to understand the importance of CT scan in evaluating the inflammatory and neoplastic diseases affecting the paranasal sinuses. ····· 10361146867
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In Rwanda, mental health became one of the priorities after the genocide against Tutsi.The intensified efforts were made to overcome the shortage of health professionals and to alleviate the consequences of this tragedy. KHI begun to train mental health nurses in 1998 and its training is structured in theoretical and practical teaching and learning. The clinical practice has been always and integral part of nursing education and use many strategies. Supervision is widely adopted as a strategy to support student development of clinical skills and the literature highlights the student s experiences of supervision. However, the literature seems to lack research done in Africa and in Rwanda in particular. This study aimed at exploring KHI mental health nurse students experience in clinical practice at Ndera hospital and identifying student expectations. A quantitative survey method using descriptive design was chosen for the method of this study. Forty one self questionnaires were distributed and those comprised the demographic data and CLES+T (Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale).. ····· 10361147030
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Establishing age and gender specific RIs is crucial for screening, diagnosis and monitoring of many pediatric diseases and disorders. However, the existing RIs for CMP analytes of pediatric population may not be used for Ethiopian pediatric population in one or another way.The objective of this study is to establish reference intervals for comprehensive metabolic panel analytes in cord blood and infants. A total of 117 infants and newborns were included and their samples were analyzed in TASH laboratory. All pre-analytical, analytical and post-analytical aspects were thoroughly controlled. A robust, CLSI/ IFCC recommended, method was used for the determination RIs. Combined RIs for newborns and infants were established for albumin, AST, ALP, DB, TB, creatinine, urea/BUN, Na+, K+ and Cl-. But, separated RIs were indicated for glucose, TP, ALT and GGT. Some maternal, neonatal and infantile factors were identified to affect the values of analytes.Almost all analytes were completely different from previously reported values for other target population of similar age group text book and kit insert values. These values were also different from the ones provided for adult populations. ····· 10361147037
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The book entitled Bio-social factors in relation to peptic ulcer has worth mentioning that most of the topics covered under this book is the smoking, alcoholic, dietary habits, genetic factors besides the blood groups. While framing the chapters, certain innovative graphs and tables have been inserted to facilitate understanding. Further in many chapters of this book explains the various types of peptic ulcers and also the quality of life styles is well indicated. The pupil will find a new dimension which is to help them in long run. This book contains the association of Bio-social factors and blood groups in relation to peptic ulcers among the southern Indian populations and human society in general. Studies of this nature contribute to the nation s development and all other spheres of human life and activity. ····· 10361147261
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Nosocomial infections are a major problem worldwide. The literature shows that nosocomial infections are problematic in developed countries and developing countries but a little is known about the prevalence of nosocomial infections in different countries includes Rwanda. This research aimed to explore the prevalence of nosocomial infections in the Butare University Teaching Hospital in Rwanda. The past is the foundation of the future, reason why looking behind gives overview of current event and help in planning the future accordingly. A retrospective, descriptive design guided the research process. ····· 10361147408
····· lezzter Preis 44.91€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The purpose of the study is to assess the level of knowledge and compliance of mothers in newborn screening towards designing health program in Philippine perspective. A multi-dimensional assessment approach were used, and thus further playing relevant role in formulating specific and generalized health program proposals for newborns and mothers as well as strengthening the curriculum of nursing and allied health sciences schools globally. ····· 1036125124
····· lezzter Preis 45.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die gesamte Kinderchirurgie - praxisorientiert und aktuell - in einem Band. Ein ideales Kurzlehrbuch für Studenten, kinderchirurgische Assistenten, Chirurgen und Pädiater. Nun liegt endlich die 3., überarbeitete und erweiterte Auflage vor.
Der allgemeine Teil beschreibt systematisch die Besonderheiten der Chirurgie bei Kindern mit Anleitungen für die tägliche Praxis, insbesondere prä- und postoperative Versorgung, Arbeitstechniken und Notfälle jetzt auch mit einem Kapitel zur Anästhesie. Der spezielle Teil umfasst bei klarer Gliederung die Neugeborenen-, Viszeral-, Neuro- und plastische Chirurgie sowie die Traumatologie, Urologie und Onkologie. Viele Tabellen, Abbildungen, Fotos und übersichtlichen Zeichnungen sorgen für mehr Verständlichkeit in Therapie und Praxis. ····· 1036179155
····· lezzter Preis 45.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Über lange Zeit gab es wenige Änderungen im Management der thorakalen Tumoren. Dies hat sich nun entscheidend geändert. Insbesondere veränderte sich die weitere Unterteilung und Individualisierung der Tumorhistologie und Bildgebung, der Tumorausbreitung und der funktionellen und sonstigen Patientencharakteristika, von denen die Therapie abhängt. Das Management dieser Tumoren ist sehr komplex geworden und kann nur noch interdisziplinär adäquat betrieben werden. Dies zeigt sich auch an dem Manual, das interdisziplinär geschrieben und aktualisiert wurde. Angefangen von einer adäquaten Diagnostik hin zu der entsprechend daran angepassten Therapie, in der auch verschiedene targeted Therapien nun ihren festen Platz haben. Einzelne Patienten profitieren auch im metastasierten Stadium inzwischen über Jahre von einer konsequenten, jeweils an der Tumorbiologie ausgerichteten Therapie. Auch die pneumologischen palliativen Therapiemöglichkeiten haben sich gebessert. Eigene Kapitel finden sich zu den neuroendokrinen Tumoren der Lunge, zu den Mediastinaltumoren und zum Mesotheliom, ebenso ein sehr ausführliches Kapitel zu den beruflichen Risikofaktoren, zu Berufskrankheiten und der arbeitsmedizinischen Begutachtung. Zwei übergreifende Kapitel zur multimodalen Therapie und der Therapieplan erleichtern die stadiengerechte Therapie und runden das Manual ab. ····· 1036179176
für 48.80€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Weichteilgewebereaktionen, die durch Metallpartikel hervorgerufen werden, stellen ein zunehmendes Problem in der Hüftendoprothetik dar. Die Metallpartikel können zum Knochenabbau um die Prothese führen und diese dadurch lockern oder die Bildung schmerzhafter Pseudotumoren verursachen, was einen Austausch der Prothese erfordern kann. Als eine Quelle für die Freisetzung von Metallpartikeln wurde die Konus-Steckverbindung zwischen Prothesenkopf und Schaft identifiziert. Bestimmte Prothesendesigns, Patienten- und Implantationsparameter können Korrosion und Relativbewegungen in der Konusverbindung begünstigen und folglich die Entstehung von Metallpartikeln. Ziel dieser Arbeit war es, eine Methode zur Bestimmung intraoperativer Kräfte zu entwickeln, den Einfluss verschiedener Fügeparameter auf die Festigkeit der Kopf-Schaft-Konusverbindung zu ergründen und Risikofaktoren für die Oberflächenschädigung in der Konusverbindung zu identifizieren. Zur Messung intraoperativer Kräfte erwies sich die Integration eines Kraftsensors im Einschlaginstrument als ungeeignet. Daher wurde aus den gemessenen Beschleunigungen am Einschlaginstrument die aufgebrachte Kraft berechnet. Anhand experimenteller Untersuchungen an einem Feder-Masse-Versuchsstand und in einer Leichenstudie sowie mittels eines Simulationsmodells wurde der Einfluss von Patienten- und Instrumenteneigenschaften auf die Kraft- Beschleunigungs-Korrelation am Einschlaginstrument untersucht, um mit deren Hilfe die intraoperative Kraft zu bestimmen. Der Einfluss verschiedener Design- und Fügeparameter auf die Festigkeit der Konusverbindung beziehungsweise die Relativbewegungen zwischen Prothesenkopf und Hüftschaft wurde in experimentellen oder numerischen Studien untersucht. Dafür wurden die Fügekraft, die Fügemethode, die Materialpaarung, die Protheseneinbettung, die Kopfgröße, die Konuswinkeldifferenz und der Konusdurchmesser variiert. Mittels der Finite-Elemente-Methode wurden die Auswirkungen der in vivo auftretenden Gelenkbelastungen auf die Kopf-Schaft- Konusverbindung analysiert. Es wurde ein linearer Zusammenhang zwischen Beschleunigung und Kraft am Einschlaginstrument festgestellt, der von der Implantatmasse sowie der Steifigkeit und Masse des Einschlaginstruments abhängt. Unter Berücksichtigung dieser Faktoren eignet sich die gemessene Beschleunigung am Einschlaginstrument zur Berechnung der intraoperativen Kraft und somit zur Untersuchung von Schlagvorgängen bei Prothesenimplantationen. Die Untersuchungen der Einflussfaktoren bei der Fügung von Konusverbindungen zeigten, dass unter anderem die Fügekraft von entscheidender Bedeutung für die Reduzierung der lokalen Relativbewegungen in der Konusverbindung ist. Diese können darüber hinaus durch die Kombination bestimmter Konuswinkel von Kopf und Schaft in Abhängigkeit von der Materialpaarung sowie die Wahl größerer Konusdurchmesser verringert werden. Anhand der identifizierten Risikofaktoren für Relativbewegungen in der Konus-Steckverbindung wurden Ansätze zur zukünftigen Reduzierung der Oberflächenschädigung zwischen Kopf- und Schaftkonus aufgezeigt. Seitens der Operateure ist insbesondere auf einen ersten festen Schlag mit einer Kraft von mindestens 4kN während der intraoperativen Fügung zu achten. Weiterhin ist seitens der Prothesenhersteller verstärkter Wert auf die Einhaltung strenger Fertigungstoleranzen zu legen, um günstige Konuswinkeldifferenzen zwischen den Prothesenkomponenten zu gewährleisten. ····· 10361108077
····· lezzter Preis 49.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A randomized,prospective,double blind,placebo controlled trial was conducted in the outpatient department of surgery,Chittagong Medical College Hospital over a period of 4 month to see the efficacy of topical application of 0.2% GTN ointment for the treatment of anal fissure.Patient were enrolled by computer generated randomization.Patient and assessor both were completely blind of two groups.All patients were followed at two weeks intervals for assessment of satisfaction,symptoms relief,fissure healing and complication.At the end of study the data was processed and analyzed using SPSS,setting the confidence level at 95%. After data analysis we found that GTN ointment was effective in 85.5% cases with insignificant number of transient complications like headache,pruritus and burning in anal canal.Complications in control arm were also insignificant but healing rate was 25% only.5 patients from the experimental group and 39 patients from placebo treated group were offered lateral internal sphincterotomy.In three patients in experimental group ulcer healed with the use of GTN ointment more than 8 weeks. ····· 1036119824
für 49.00€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Asthma is a chronic inflammatory disorder of the airways affected by many factors. This respiratory problem that can affect all ages of people can however be controlled by medication. A proper education and knowledge about the disease is essential, which will help in management and control of the disease. In this arena, this book is designed and conceded in the diagnosis and management of the disease. ····· 10361133711
····· lezzter Preis 49.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Neurologie ist in der langen Geschichte der Medizin ein vergleichsweise junges Fachgebiet. Es hat sich etwa Mitte des 19. Jahrhunderts entwickelt. An der Leipziger Universität wird die Neurologie seit 1880 sowohl in der Inneren Medizin als auch in der Psychiatrie betrieben. Die Anfänge gehen auf den Internisten Wilhelm Erb und den Hirnforscher Paul Flechsig zurück. Erb galt bereits als `erster Neurologe in Deutschland` (Strümpell), als er nach Leipzig berufen wurde. Flechsig hat mit seinen neurowissenschaftlichen Arbeiten Grundlagenforschung für die Neurologie betrieben und die neurologische Tätigkeit an seiner Klinik gefördert. Die Leipziger Universitäts-Neurologie ist damit Teil und Beispiel der allgemeinen Entwicklung des klinischen Fachgebietes. Das Buch schildert 100 Jahre Neurologie-Geschichte an der Universität Leipzig. In den Gründerjahren gehörte Leipzig zu den größten und berühmtesten Universitäten Deutschlands. Nach Adolf Strümpell war Leipzig damals `eine der Hauptstätten neurologischer Forschung`. In Leipzig wurden neurologische Krankheitsbilder entdeckt und erstmals beschrieben. Kriege und Zerstörung folgten. Ihre Auswirkungen bestimmten die weitere Entwicklung und konnten in der DDR bis zum Ende der Amtszeit von Peter Feudell, dessen Emeritierung 1985 auch das zeitliche Ende dieses Buches markiert, nicht beseitigt werden. Begrenzte Möglichkeiten waren für die Neurologie eine Herausforderung. Die Darstellung, die zahlreiche Zeitdokumente beibringt, soll die Geschichte des Faches an der Universität Leipzig und damit auch wesentliche Entwicklungen des Faches insgesamt lebendig bewahren, das Erreichte würdigen und zum Nachdenken anregen. Das Buch ist für den lokal- und wissenschaftshistorisch interessierten Leser wie für den medizinischen Fachmann in gleicher Weise bereichernd. ····· 10361161096
····· lezzter Preis 49.50€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Mit seinem Practischen Handbuch der gerichtlichen Medicin hat der deutsche Rechtsmediziner Johann Ludwig Casper 1857 ein Standardwerk vorgelegt. Bis zu Beginn des 20. Jahrhunderts acht Mal neu aufgelegt, führt das Werk mit Theorien und Erklärungen [ ] zurückhaltend und überall den practischen Standpunkt festhaltend in die Grundlagen der Gerichtsmedizin des 19. Jahrhunderts ein. Aus der Perspektive des Praktikers, legt Casper seinen Schwerpunkt auf den medizinischen, statt auf den juristischen Aspekt seines Berufsstandes, denn der gerichtliche Arzt ist - Arzt, nichts mehr, nichts weniger, nichts Andres . Die anschaulichen Erklärungen anhand von 344 Fallbeispielen, die nicht der Literatur, sondern der eigenen Erfahrung entstammen, machen das Werk auch ohne Medizinstudium gut lesbar. Für alle, die sich für Medizin-, Rechts- oder Wissenschaftsgeschichte interessieren. Das Werk erscheint beim Severus-Verlag in zwei Bänden. Der erste Band trägt die ISBN 978-3-86347-054-8 ····· 1036174612
····· lezzter Preis 49.50€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Mit seinem Practischen Handbuch der gerichtlichen Medicin hat der deutsche Rechtsmediziner Johann Ludwig Casper 1857 ein Standardwerk vorgelegt. Bis zu Beginn des 20. Jahrhunderts acht Mal neu aufgelegt, führt das Werk in die Grundlagen der Gerichtsmedizin des 19. Jahrhunderts ein.Aus der Perspektive des Praktikers legt Casper seinen Schwerpunkt auf den medizinischen anstelle des juristischen Aspekts seines Berufsstandes, denn `der gerichtliche Arzt ist - Arzt, nichts mehr, nichts weniger, nichts Andres`. Die anschaulichen Erklärungen anhand von 344 Fallbeispielen, die nicht der Literatur, sondern der eigenen Erfahrung entstammen, machen das Werk auch ohne Medizinstudium sehr lesenswert. ····· 1036174894
····· lezzter Preis 49.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Dieses Buch ist ein umfangreiches Nachschlagewerk für Mentoren, Auszubildende und neue Mitarbeiter in der Intensiv- und Anästhesiepflege. Schritt für Schritt wird der Prozess der Anleitung vorgestellt. Ausführlich sind die didaktischen und methodischen Ausprägungen erläutert. Daraus wird ein Konzept zur Einarbeitung neuer Mitarbeiter entwickelt, das leicht nachvollziehbar ist.Alle Autoren des Buches sind in der Aus- und Weiterbildung tätig. Sie haben die Standards in der Intensivpflege und Anästhesie bereits in der Praxis erprobt. Die Standards ermöglichen es, neue Kollegen rasch und nachhaltig in das Berufsfeld einzuführen und die pflegerischen Leistungen nachprüfbar zu machen. Das Buch hilft den zuständigen Mentoren systematisch und gezielt anzuleiten. Eine gute Anleitung verkürzt die Einarbeitungszeiten, und der Berufseinstieg neuer Kollegen gestaltet sich leichter als bisher. Die Standardisierung der Pflegetätigkeiten erleichtert auch die Dokumentation. Die pflegerische Leistung wird transparent - auch für die angrenzenden Berufsgruppen. ····· 10361198664
····· lezzter Preis 50.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Mammakarzinom (Brustkrebs) ist ein bösartiger Tumor der Brustdrüse. Mit über 70.000 Diagnosen im Jahr ist das Mammakarzinom die häufigste Krebserkrankung der Frau. Allerdings können auch Männer an Brustkrebs erkranken, aus hundert Fällen ist im Durchschnitt ein Mann betroffen. Durch das hohe Aufkommen des Mammakarzinoms begegnet diese Erkrankung den Ärzten sehr häufig im Klinik- und Praxisalltag, weshalb die Entwicklung neuer, verbesserter Therapien für die Versorgung der Patienten überaus wichtig ist. Die Erkrankung ist durch ihre Vielseitigkeit eine große Herausforderung für die behandelnden Ärzte und fordert ein umfassendes Wissen über ihre Symptomatik, Diagnostik und Therapie. Das Manual bietet in seiner 17. Auflage einen Überblick über die aktuelle Behandlung der Mammakarzinome und führt neben den empfohlenen Standardtherapien auch die aktuellen klinischen Studienkonzepte auf. Gerade auf dem Gebiet der Mammakarzinome ist der Fortschritt bei Diagnostik und Therapie enorm. Grund hierfür sind unter anderem zahlreiche Studien, die national sowie auch international durchgeführt werden, um Brustkrebs erfolgreich zu bekämpfen. Die blauen Manuale, einschließlich das der Mammakarzinome, werden interdisziplinär erarbeitet und richten sich sowohl an den Allgemeinarzt als auch an die Ärzte der entsprechenden Fachrichtungen, im Rahmen dieses Manuals also überwiegend an Gynäkologen. ····· 1036179171
····· lezzter Preis 50.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Moderne Berg- und Höhenmedizin erscheint vor dem Hintergrund einer dynamischen Entwicklung des Bergsports weltweit in allen seinen Varianten. Allein in Mitteleuropa suchen jährlich etwa 40 Mio. Menschen hoch gelegene Orte zu unterschiedlichsten Zwecken auf. Dazu spiegelt sich eine gesamtgesellschaftliche Entwicklung: Immer mehr immer ältere Menschen - ein Teil von ihnen mit diversen Vorerkrankungen - suchen Hochlagen auf und sind dort oben zum Teil sehr aktiv. All` dies findet in einer Umgebung statt, in der aufgrund der Abgelegenheit und Entfernungen nicht sofort und manchmal gar nicht mit organisierter Hilfe zu rechnen ist. Moderne Berg- und Höhenmedizin vermittelt aktuelles höhenmedizinisches und alpinistisches Faktenwissen und dessen Anwendung. Für Ausbilder, Bergsteiger und alpinmedizinisch interessierte Ärzte ist dieses Wissen unerlässlich. Professionelle Ausbilder, Bergführer und Ärzte müssen sich ständig fortbilden. Das Buch vermittelt die aktuellen Grundlagen zu praktisch allen Disziplinen des Bergsportes und außerdem für praktisch alle potentiellen Risikogruppen (z.B. Kinder, ältere Menschen, Schwangere). Detailliert werden auch die Faktoren systematisch erarbeitet, die für eine umfassende und spezifische alpin- und sportmedizinische Beratung notwendig sind. Moderne Berg- und Höhenmedizin ist ein methodisch ausgefeiltes Standardwerk. Die Inhalte sind fachlich professionell für den qualifizierten Leser aufbereitet. Die durchgehende Visualisierung - Tabellen, Fotos, Grafiken, Abbildungen und Flussdiagramme - erfolgt im Farbdruck und unterstützt die methodische Systematik. Für den Nutzer ist das Wissen damit übersichtlich geordnet und gewährleistet den schnellen Zugriff auf Zusammenhänge und Details. Moderne Berg- und Höhenmedizin ist weltweit das einzige Buch, dass umfassend die Berg- und Höhenmedizin darstellt und ein einmaliges Konzept aufweist , indem der Bogen von der Gefahr bis hin zum Notfallmanagement gespannt wird. ····· 10361196287
····· lezzter Preis 50.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Autoren führen in die medizinischen, sozialen und psychologischen Grundlagen der Alkoholabhängigkeit ein, plädieren für klare und realistische Ziele in der Arbeit mit Suchtkranken und stellen die wesentlichen Behandlungsangebote vor. Einen Königsweg in die Abstinenz haben auch sie nicht gefunden, aber vielfältige und niederschwellige `Schleichwege`, die auch in den Vorstufen der Sucht begangen werden können. Dieses Fachbuch bietet nicht nur für Sozialarbeiterinnen, Sozialpädagogen, Pflegepersonal, Psychologen und Fachärzte Anregungen und Hilfestellungen für das Erkennen und den Umgang mit der Alkoholabhängigkeit, sondern auch für Ärzte im Allgemeinkrankenhaus und in den Hausarztpraxen, die in vielfältiger Weise mit Abhängigen zu tun haben und oft deren erste und letzte Anlaufstelle sind. Kruse, Körkel & Schmalz haben - statt Fallbeispiele aus ihrer Praxis - für jedes Kapitel passende Literaturbeispiele ausfindig gemacht und illustrieren so nicht nur die Erscheinungsformen der Abhängigkeit, sondern eröffnen auch einen ungewöhnlichen Zugang zum Verständnis süchtigen Verhaltens. ····· 10361202183
····· lezzter Preis 53.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray According to WHO studies, approximately 170 million individuals of the world population are diagnosed to be infected with Hepatitis C virus. Unfortunately around 20 % of these patients experience progressive liver disease leading to cirrhosis or hepatocellular carcinoma over 20 to 40 years. Interferon-alpha and ribavirin combination therapy is the standard treatment for chronic hepatitis C. These drugs may trigger production of different types of non-specific and specific autoantibodies. Thyroid dysfunction, which has been reported to occur from 3.9-33.33%, is the most common autoimmune disorder associated with combination therapy. Therefore, it is necessary that thyroid functions are monitored during therapy and the course of thyroid disease is watched for once autoimmune thyroid disorder develops. This book highlights the effects of Interferon and ribavirin on thyroid functions, its pathogenesis, clinical features and outcome through a cohort study carried out on chronic hepatitis C patients. ····· 103613526
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Epidural analgesia is an effective strategy in acute postoperative pain management however not without the potential for adverse consequence. Increasing prevalence in hospital-acquired heel pressure ulcers are of growing concern in acute care facilities. Within the author`s hospital, two surgical patients prescribed epidural analgesia displayed signs of heel pressure despite adherence to local pressure prevention guidelines. A research project commenced aimed at preventing recurrence. Data generated from our study identified that both patients` innate characteristics and routine hospital practices were linked to heel injuries in these patients. Multiple Comorbidity, hypotension, and anti-embolic devices were just some of the factors found to be influential. These findings, and the suggested recommendations, are anticipated to assist us as safe clinicians continually striving to improve nursing practice in risk assessment and heel pressure preventive strategies our study found essential for this patient cohort. ····· 1036121441
····· lezzter Preis 53.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Laparoscopic cholecystectomy is the Gold Standard treatment modality for the treatment of cholelithiasis.But some factors may play part and lead to conversion to the open surgery! Distorted anatomy at Calots triangle and Haemorrhage that can not be controlled, are important contributory factors causing this un-planned conversion. This thesis is an important matter which discusses the details of gall bladder stones, their presentation, differt modes of treatment and the laparoscopic chlecystectomy! differnt factors leading to conversion are also discussed in details! this shall be an important and easy to understand knowledge to medical students, interns & residents. ····· 1036125804
····· lezzter Preis 53.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Cardiovascular diseases are fast growing problems since last century and vast studies has proven helpful to combat the problems more frequently but yet no tool could be discover to control the cardiovascular problems at early stages. Myeloperoxidase traditionally known as an inflammatory enzyme released from leukocytes during inflammation of cells. This book therefore, provide a new success to overcome the problem related to diagnosis of cardiovascular problems, more cost effective method as compared to traditional methods use currently. Present study is concerned with the development of enzyme linked immunosorbant assay (ELISA) for myeloperoxidase (MPO). Assay was validated by recovery and dilution experiment and show high % recovery and enough sensitivity as all requires. Second part of the present study was clinical application of developed assay. Blood serum MPO levels were measured from healthy individuals both male and female and results were compared with serum MPO levels of patients suffering from Acute Coronary Syndrome. The results were highly significant p 0.001, showing that this test could be used for research and diagnosis of cardiovascular diseases. ····· 1036125851
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Maternal thyroid hormones play critical role in brain development of fetus. Low maternal iodine intake and thyroid autoimmunity may hamper this development due to lack of thyroid hormone production in such situations. Iodine deficiency is a worldwide problem and thyroid autoimmunity is emerging in countries where universal salt iodisation is being promoted. Pakistan is one of such countries where both problems are coexisting. This book contains findings of a longitudinal study conducted to evaluate the magnitude of iodine deficiency and thyroid autoimmunity in pregnant women residing in a metropolis city of Pakistan. A comprehensive background as well as review of this problem is also provided.These findings are useful for future planning of strategies to improve maternal and neonatal health in less developed countries. ····· 1036186623
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The purpose of the study was to explore the different factors that contribute to motivation among nurses working at Butare University Teaching Hospital in Rwanda. A quantitative, exploratory and descriptive research methodology was used to explore these factors, and non-probability convenience sampling was used to include the most readily available persons as participants. A convenient sample size of 106 nurses, positively selected using the Raosoft sample size calculator, was chosen. The criteria for inclusion in the sample were that participants should all be nurses (enrolled and registered) who had been working at the hospital for at least six months who had completed their initial nurse training who were present during the period of the study and who consented to participate in the study. The data was collected using a structured questionnaire, which had closed- and open-ended questions. Data was analysed using SSPS 15.0 for Windows. The findings of the present study showed that the nurses at this hospital had a moderate level of motivation.. ····· 1036186790
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Viral hepatitis B and C and HIV infections do occur in Uganda. While up to 10% of Ugandans are infected with hepatitis B, 6.4% of the population are infected with HIV. The overall prevalence of hepatitis C is not clearly established. This book describes the distribution common liver diseases among the HIV infected population in Uganda. It also discusses the common problems of testing methods for viral hepatitis C with plenty of false positive antibody reactions. This causes anxiety to patients especially in a country where confirmatory tests are almost inexistent. The book goes ahead to describe liver enzyme elevations in HIV infected patients who are receiving treatment. It ends by describing consequences of HIV and hepatitis B infections in Uganda.This book is a must-read for people who are interested in hepatitis B C and HIV in resource limited settings giving a wide spectrum of information on the Ugandan situation. ····· 1036187243
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Cancer is emerging to be a major problem in Kenya. It is a multi-step process and not much is known in the causal matrix. Cases of non-Hodgkin lymphoma are very common in malaria holo-endemic areas a long the Lake Victoria Basin. The only suspected etiological agents for this cancer (Burkitt Lymphoma (BL)) are Epstein-Barr virus (EBV) and holoendemic Plasmodium falciparum malaria. However, recent BL incidence show a more refined spatial clusters within the region that strongly suggest the existence of co-factors. One such co-factor investigated GPx was selenium. This publication outlines the findings of the study on GPx selenium, a surrogate of the body nutritional status. It is known to regulate hormonal and enzymatic pathways, reactive oxygen species (ROS)and DNA repairs. Its deficiency potentiate microbial mutations and increased risk of BL pathogenesis. ····· 1036188485
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hemophilia A is an X-linked recessive bleeding disorder caused by mutations in FVIII gene. Genetic analysis in Haemophilia A families is widely carried out by linkage analysis by allelotyping using RFLP. These RFLP markers segregate co-dominantly following Mendelian inheritance pattern and can be amplified by PCR using flanking primers. To carryout linkage efficiently, the informativity of individual polymorphic markers should be established for devising a strategy to cover a large number of Haemophilia A affected families for molecular diagnosis and counseling. In present study RFLP marker Bcl 1 was used for identifying the carrier.The objective of present study was to assess the usefulness and application of Bcl 1 polymorphic marker in FVIII gene for genetic counseling in North Indian population. Therty four hemophilic families were examined for carrier detection. The clinical diagnosis was based on detailed family history, physical examination, bleeding time, blood clotting time, activated partial thromboplastin time (APTT) and assay of FVIII level in blood. The clinically confirmed cases of haemophilia were selected for molecular analysis. ····· 1036188650
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Stroke is the one of the commonest causes of death in the world after coronary heart disease and all cancers. About 80 percent of all first ever in life time strokes are ischaemic, 10 percent are due to primary intracerebral haemorrahge and in the remainder there is uncertainty. Stroke remains a major complications of atherosclerotic cerebrovascular disease, with extracranial carotid occlusive disease accounting for nearly one third of all events. Diagnosis and management of carotid arterial occlusive disease and its ensuring comorbid illnesses have been the focus of extensive debate during the past two decades. Following the favorable results obtained in treatment of coronary artery disease, combined angioplasty and stenting has been advocated for treatment of carotid stenosis as well. The results of early series have suggested that endoluminal revascularization in high risk patients can be performed with an acceptable degree of safety. ····· 1036191573
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Magnetic resonance imaging is a rapidly evolving and powerful technique, capable to noninvasively assess morphological evaluation and functional characterization of tissues. It has been successfully applied to the study of tumours, to diagnose, differentiate and guide therapy. Goal of this book is to describe imaging analysis and elaboration techniques to assess quantitative evaluations in advanced MR applications. The introduction of a quantitative tool to categorize lesions, masses or healthy tissues on the basis of MR behaviour will be of great advantage for clinicians during the diagnosis process and follow-up evaluation. The three main topics this book deals with are spectroscopy, diffusion and dynamic contrast enhancement acquisitions. When combined with other techniques they may increase MR diagnostic specificity and thus have a significant impact on patients treatment. At last a CAD system for tumour detection and characterization by assessing a malignancy probability value is also presented. ····· 1036191831
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hypertension, a slow progressive killer disease is a major public health problem. World Health Organization predicts that if there are no interventions by 2020, three quarters of deaths in Africa would be attributable to hypertension. Nurses have recognized role in providing patient education and so, are credible source of health information. Thus, it becomes imperative to assess nurses knowledge and attitude toward hypertension, since they can help in reducing the prevalence of hypertension by influencing communities to adopt healthy lifestyle. Chapter One provides the study background, objectives and significance of study. Chapter Two discusses epidemiology of hypertension and reviews varied roles of nurses in caring for hypertensives. The theoretical framework, applications and hypotheses were stated in this chapter. Chapter Three gives the research methods and procedures adopted during the study. Chapter Four presents results with their statistical interpretations. Chapter Five examines the rationale and implications of the research observations. The vade mecum is appropriate for student and practicing nurses,health care providers, teachers in the field and allied professions. ····· 1036198284
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In India, more than 60 species of venomous snakes are found from Himalayas down to Cape Comorin and snake bite envenoming is an ever present occupational risk and environmental hazard. According to WHO direct estimates India has the highest number of deaths due to snake bites in the world with 35,000 50,000 people dying per year. Clinicians have for a long time witnessed the tragic neglect of snake bite patients because of many associated myths, mainly propagated by cinema and TV serials. People believe that snakes take revenge against those who harmed them in previous births and also cutting across all distinction between rich or poor, educated or illiterate, it is an ingrained belief that belligerent snake should be burnt after killing as the picture of its killer gets recorded in the eyes of it. Later, the female snake identifies the killer by seeing the eyes of the killed snake and take revenge. Hence the snake is usually not available to identify its species. Further, due to deep rooted superstitions and strong beliefs people often resort to unscientific and traditional methods of management thus causing significant delay in arriving at health care centers. ····· 1036198374
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Pakistan still has a window of opportunity to act decisively to prevent the spread of HIV/AIDS. According to UNAIDS estimates HIV prevalence is 0.1 percent among adult population in Pakistan. The officially reported cases are, however, much lower than the estimated cases. As in many countries, underreporting is due mainly to the social stigma attached to the infection, limited surveillance and voluntary counseling and testing systems, as well as the lack of knowledge among the general population and health practitioners. Until recently, Pakistan was classified as a low-prevalence country with many risk factors that could lead to the rapid development of an epidemic. The presence of significant risk factors such as the very low use of condoms among vulnerable populations including female sex workers (FSW), men who have sex with men (MSMs), truckers, and Hijras, low use of sterile syringes among injecting drug users (IDUs), inadequate blood transfusion screening and high level of professional donors, large numbers of migrants and refugees may lead to an epidemic situation of HIV/AIDS in Pakistan. ····· 1036199002
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Naswar is a Smokeless Tobacco Product (STP) widely used in Pakistan. It has been correlated with oral and esophageal cancer in recent clinical studies. The toxic effects associated with S.T.P have been associated with trace level contaminants present in these products. That is why toxin level of Pakistani Naswar is reported for the first time in this study. Thirty Pakistani brands of Naswar were tested for a variety of toxic constituents and carcinogens such as cadmium, arsenic, lead and other carcinogenic metals nitrite and nitrate and nicotine and pH. The average values of all the toxins studied were well above their allowable limits, making the product a health risk for its consumers. Calculated life time cancer risk is well above the minimum target range for potentially hazardous substances.This study shows that the production, packaging, sale and consumption of Naswar should be regulated, and the general public be made aware of its harmful effects, so that to protect them from the health hazards associated with its consumption. ····· 1036199904
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Adequate resuscitation of shock early in the Emergency Department (ED) is essential to ensure improved patients outcome. The conventional end-points of resuscitation used are inadequate to determine systemic perfusion and oxygenation. Serum lactate is a more reliable endpoint of resuscitation. This study examines the use of serum lactate at various points of resuscitation in ED and their association with patients thirty-days survival time. Results of this study shall add to our understanding of the complex physiology of shock and its clinical relevance. Clinicians and scientists alike will undoubtedly benefit from the result in such a way that it will change the way we resuscitate critically ill patients. Hopefully we will be nearer to the truth in our endeavor to search for the most reliable parameter of shock during resuscitation. ····· 10361100033
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Iron-deficiency anaemia (IDA) in adolescents continues to be of worldwide concern. Among adolescents in the developing world, iron is the most common single-nutrient deficiency. Iron deficiency anaemia, in adolescent girls may be mainly due to eating habits, socioeconomic factors and menstrual bleeding. Iron deficiency anaemia may lead to serious consequences in adolescent girls who will be future mothers especially during pregnancy.The incidence of iron deficiency amongst adolescents is rising and the awareness regarding anaemia and appropriate diet is extremely poor in adolescents, which is made worse by the lucrative promotional campaigns of various junk foods. Hence nutrition education, supplementation and food fortification may be the strategy to prevent iron deficiency anaemia especially in adolescent girls. ····· 10361100169
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There is currently no effective tool available to quickly and economically measure a change in landmass in the setting of biomedical professionals and environmental specialists. The purpose of this study is to structure and demonstrate a statistical change- detection method using remotely sensed data that can detect the presence of an infectious land borne disease. Data sources included the Texas Department of Health database, which provided the types of infectious land borne diseases and indicated the geographical area to study. A method was developed to identify statistically the severity of changes of the landmass over a three-year period. Data analysis included using a unique statistical detection procedure to measure the severity of change in landmass when a disease was not present and when the disease was present. The statistical detection method was applied to two different remotely sensed platform types and again to two like remotely sensed platform types. The results indicated that when the statistical change detection method was used for two different types of remote sensing mediums (i.e.- digital orthophoto quadrangle and aerial videography) ····· 10361100650
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In vestibular neuritis, most of researchers had focused on studying its effects on gaze problems &illusion of change in head orientation or movement. In this essence, therapy was mostly directed to alleviate vertigo symptoms and gaze disorders through vestibular rehabilitation therapy addressing vestibule-ocular reflex VOR. This study focused mainly on examination of balance & posture control (vestibule-spinal reflex VSR) in patients suffering from vestibular neuritis under variable complex situations. It also addressed the effectiveness of Vestibular Rehabilitation Therapy VRT promoting balance control on the patient`s status& overall performance. Results elaborated that the majority of patients with vestibular neuritis really suffered gaze stabilization deficits however they also suffered balance disorders especially for complex actions and situations. Vestibular rehabilitation therapy using exercises promoting both VOR& VSR i .e. enhancing gaze stabilization & balance were superior to alleviate patients` symptoms and improve residual disabilities as shown by subjective& objective measures. In this way, VRT could have better image among patients as well as physicians. ····· 10361100944
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The ultimate aim of the study is to make a contribution to include HIV and AIDS content into the different programmes at tertiary institutions. A secondary aim is to contribute to the development of an institutional framework for a sustainable commitment to prevent and control the spread of HIV and AIDS. With this study it is hoped to start addressing the impact of HIV and AIDS on students at tertiary institutions. It is essential to develop curricula that prepare students for a new reality, which threaten their future. This study shows that there is a need to raise students` awareness of HIV and AIDS through mainstream curricula. Chapter 1 deals with the development of my personal interest and motivation for the investigation of this particular problem, and my professional growth during the study. In order to conceptualise the problem and related factors, Chapter 2 focuses on a literature review, which examines the research and findings of others working in the field. To integrate HIV and AIDS into the curricula, it is necessary to introduce changes and to gain insight into cultural patterns, which influence human behaviour with regard to sexuality.. ····· 10361101522
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In ophthalmic surgery, the logic idea is to operate on the affected eye. However, strabismus is unique in that surgery can be done on both eyes even if the deviation is unilateral. Moreover, in particular cases, surgery may be done only on the non-deviating `sound` eye. This is an astonishing and striking idea that may be refused by the non-strabismologists or the patients.This book discusses the importance, benefits and indications of doing surgery on the sound eye in strabismus based on a research on different cases with different etiologies.It may be the first to clearly adopt this principle as a basic part in the plan for strabismus surgery. Although the study lasted 3 years on 30 patients with a big effort, the author cordially invites other strabismologists for futher elaboration of his idea to establish special parameters and nomograms for surgery on the sound eye in different cases of strabismus. ····· 10361101589
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Renal disease is one of the most complex diseases in the world today. With multiple complex causative factors, renal disease prevalence continues to be on the rise globally. Understanding the necessary care needed to mitigate the rising mortality and morbidity among the renal population remains the greatest challenge. While malnutrition is endemic and a main cause of mortality in this population maintenance hemodialysis treatment compounds the malnutrition complex further.This book therefore seeks to empower the nutritionist/dietitian/nurse/doctor to optimally provide all the necessary nutrition care,support and education through a detailed understanding of the renal patient nutrition care process to suit the individual patient`s needs.In developing Countries the renal complexity disorder has continued to challenge and overburden the already strained medical facilities.Coupled with inadequate specialized personnel,high dialysis related costs and high poverty levels renal disease continues to be one of the leading causes of morbidity and mortality in Kenya and other developing countries and an emphasis on good medical-nutritional practices to retard nephropathy are necessary. ····· 10361101707
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The study focuses on how care and support around HIV/AIDS is perceived by volunteer community workers in Kwangcolosi, Kwazulu Natal. Using the social capital framework, the dissertation seeks to understand and illuminate the existing care and support efforts from the community from the perspective of volunteer caregivers. It emanates from the realization that government efforts in the area of care and support for those infected and affected by HIV/AIDS in most rural or peri-urban areas are usually insufficient. Community or family members usually have to step in to fill this gap but their efforts are seldom documented, let alone recognized. These community initiatives have been defined in the wider concept of social capital. The study sought to explore the perceptions of volunteer community workers on care and support provided to people living with HIV/AIDS (PLWHAs). The social capital framework and specifically the levels of bonding and bridging and the elements of trust, norms, reciprocity and social networks that act as resources for collective action was used to inform the understanding of these collective community efforts.. ····· 10361101923
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book examined the effects of HIV/AIDS awareness on the sexual behavior of students in tertiary institutions in Nigeria. The students were randomly selected from one university in Nigeria the University of Ilorin, Kwara State. The book shows a high awareness of HIV/AIDS. However, despite the awareness of the consequences of HIV infection,risky sexual behavior is high with high number of reported Participants engaging in sexual activity. In addition, the book shows that a relationship exists between age of respondents` first sexual intercourse as well as between the place of residence and sexual experience. ····· 10361101997
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray CD4 enumeration in the peripheral blood is an essential tool for the laboratory monitoring of HIV- infected patients. The objectives were to study the CD4+T-cell counts in patients on HAART,to study the relationship between the TLC and CD4 counts and to study the CD4 changes in different ART regimens.100 HIV positive patients were started on ART from August 20th 2006 to 19th August 2007 at ART centre, K.R. Hospital, MMC&RI, Mysore. Baseline CD4 counts, CBC and biochemical investigations were conducted before ART initiation.Theyweresubsequently followed up every 3 months till the end of the study period. A control group of 50 was included and CD4 counts were determined. Data analysis was done using SPSS software for windows evaluation version 14. The mean baseline CD4 counts were 110 cells/cu.mm. There was a median increase of 184.5 cells/cu.mm after 6 months of follow-up. A highly significant correlation was observed between TLC and CD4 counts both before and 6 months after ART. All the ART regimens showed a significant increase in CD4 counts after 6 months of HAART, irrespective of the regimen used. Thus, ART was beneficial in a majority of the patients. ····· 10361102251
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Zoonotic cutaneous leishmaniasis is a public health problem in many rural parts of 17 out of 30 provinces of Iran. In the present study P. papatasi salivary gland antigens (SGAs) and evaluation of the immune response generated against the SGAs in R. opimus and its role in correlation with L. major infection were investigated. Salivary gland lysate profile of wild caught and lab bred (F1) P. papatasi and also of different geographical populations did not show prominent differences. Positive Ab response of great gerbils against SGA is correlated with Leishmania infection and the season. Leishmania major, L. gerbilli and L. turanica circulate in the population of R. opimus in central part of Iran. Leishmania major infection usually accompanied by L. turanica in naturally infected gerbils. Study on the anti SGA in gerbil population can be considered in epidemiological studies of the disease. ····· 10361102267
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Invasive fungal infections (IFIs) demand a tremendous levy in terms of human life and healthcare costs, despite the fact that fungal diseases are still under-diagnosed and under reported. Several factors such as patient characteristics, antifungal prophylaxis and others appear to have contributed to a change in the spectrum of invasive fungal pathogens (i.e. Candida species, Non-Candida species, Aspergillus species and Non-Aspergillus species). Therefore, it is important to recognize and minimize the major risk factors associated with infection, and expanding the antifungal drug research for new antifungal agents to treat life-threatening invasive infections. This book would highlight past and current research on fungal pathogens and antifungal therapies, and also novel targets for antifungal agents for future development in medical practice to prevent invasive fungal infections. The book will describe novel antifungal agents, its targets, and various development phases and potential benefits of combination therapy. ····· 10361102374
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The HIV epidemic contributed to increase of tuberculosis (TB) in Tanzania. There is little information on the disease caused by M. bovis and nontuberculosis mycobacteria (NTMs) in Tanzania. This study aimed at generating epidemiological information on M. bovis and NTMs disease, to provide information for disease control tool. The study involves subjects from hospital and community settings in rural and semi-rural districts. We enrolled 468 adenitis patients and 426 randomly selected subjects for the community study. The laboratory tests included: culture on 468 biopsy specimens and biochemical identification, histology on 213 specimens, and HIV test on 154 sera. M. bovis caused one out of ten cases of culture positive TB adenitis. NTMs were more common than M. TB (50% and 40% of the cases, respectively). Details for risk factors histology and challenges for diagnosis of TB in the livestock-keeping communities are described. One health initiatives are highly recommended for research and control of this disease. More information on pulmonary disease caused by M. bovis and NTMs, and resistance pattern to anti-TB drugs is required. ····· 10361102383
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray It is important to note that one fifth of the world`s population comprises of adolescents and 87 percent of them live in developing countries and half of them are poor. The adolescents of today are said to be the largest ever generation in human history .Hence, adolescents as a group merit special attention not only in view of sheer numbers but also of vulnerable age.While on one hand there are problems of over - consumption leading to obesity and its resultant complications, on the other hand problems of under consumption are leading to dietary inadequacies and micro and macro nutrient deficiency disorders. These dietary imbalances coupled with other hiatuses of the technology such as greater affluence, rapid urbanization, unhealthy lifestyle patterns, reduction in the daily physical activity, work related stress, increased alcoholic and tobacco consumption have led to the development of diet related chronic degenerative disorders. Grain amaranth (Amaranthus caudatus L.) an underutilized plant has recently gained attention as a supplementary food crop with a potential for the future. ····· 10361102637
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Arthritis is a very common disease affecting the joints, skin and various internal organs. Arthritis is not an old person`s disease , nearly 3 out of every 5 people with arthritis are younger than 65. It affects about 42 million people, women make up more than two-thirds of all arthritis cases but anyone is vulnerable to the disease, even children. There are many proven Eastern/Unani medicines for rheumatoid arthritis and osteoarthritis. It is important that alternative or complementary strategy for the treatment with Unani medicine is another option to be followed. Many Unani medicine therapies for arthritis are heavily advertised and make attractive claims.This book will provide its reader a better understanding about all aspects of arthritis especially its management under the principals of Eastern/Unani medicines. ····· 10361102691
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Cardiovascular disease (CVD) remains the leading cause of morbidity and mortality in western nations. Endothelial dysfunction precedes atherosclerosis and subsequent CVD. Endothelial dysfunction can be monitored be assessing a phenomenon known as flow-mediated dilation (FMD)- the regulation of vessel diameter in response to changes in shear rate (a product of blood velocity and vessel diameter). A popular non-invasive test of FMD has been developed, and has been noted for its capacity to predict CVD. However, this test would be more sensitive and reliable if the FMD response (usually expressed as change in diameter) is normalized to the shear stimulus. This book presents a literature review on the relationship between blood velocity/shear rate and FMD, as well as the findings from two studies. The purpose of study one was to determine the importance of velocity acceleration to FMD. The second study assessed whether peak- and time integrated-shear rates independently predict FMD. Collectively these studies suggest that: 1) The shear stimuli is not a linear function of mean blood velocity. And, 2) Peak- and time integrated-shear rates independently predict FMD. ····· 10361103005
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There is a need to implement early-life predictors of allergic sensitization, so that at-risk newborns can be accurately defined and preventive measures instituted. The work presented in this book gives an in-sight into the possibility of in utero allergen exposure of the fetus in allergic and non-allergic mothers and suggests that maternal environmental exposure influences innate immune functions of the newborn. Three main findings can be emphasized. First, in-utero exposure to HDM allergens Der p1 & Blo t5 is prevalent, second, in-utero T-cell helper function imbalance due to in-utero allergen exposure and third, the newborn may already be on the way to the development of allergic disease. ····· 10361103077
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This monograph is comprised of selected published works of DR Snehamay Chaudhuri in Obstetrics and Gyncology.These original scietific papers were published in different peer reviewed journals of national and international level over a period of last five years.These researches cover very common problems in obstetrics and gynecology i,e Eclampsia, Medical Termination of Pregnancy, Premature rupture of membranes at term ,Puberty menorrhagia, Preterm labor, Primary amenorrhoea and mother to child transmission of HIV.As the works are based on clinically problematic area or clinical dillema in management , readers will be benifitted in day to day clinical practice. ····· 10361112998
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Alzheimer`s disease (AD) is the most common form of dementia. Alzheimer`s disease is unique for every individual. In the early stages, the most commonly recognised symptom is inability to acquire new memories, such as difficulty in recalling recently observed facts. As the disease advances, symptoms include confusion, irritability and aggression, mood swings, language breakdown, long-term memory loss, and the general withdrawal of the sufferer as their senses decline. Gradually, bodily functions are lost, ultimately leading to death. It was found that among three natural compounds Bulbocapnine is the best natural compound and better than commercial drugs and hence can be taken as AD chemopreventive agent and it can be effective inhibitors for AchE in AD pathway. ····· 10361113187
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Cancer of uterine cervix is one of the most common malignant diseases affecting women worldwide. It is responsible for almost 20 percent of all female deaths in India with almost 130,000 new cases every year. Multiple alterations are necessary for the development of this cancer in addition to the HPV infection. Comparatively a younger tumor suppressor gene, PTEN, was found to be located on chromosome 10q23.3 with nine exons and is deleted and mutated in a variety of human cancers. PTEN is expressed in normal cervical epithelium, implying that loss of function may have some consequences in cervical cancer. We analyzed carcinoma cases for detection of PTEN promoter methylation, mutation, gene expression and apoptosis. Promoter methylation was detected in 61% cases and found to be correlated with the loss of PTEN expression, suggesting that silencing of PTEN gene definitely contribute in the tumorigenesis of cervical cancer. This work is expected to attract the attention of both the clinicians and researchers in the fields of oncology. ····· 10361113208
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Daibetes mellitus is a strong risk factor for heart disease. In acute myocardial infarction, plasma glucose levels on admission ( in diabetics as well as non diabetics) affect the outcome and major adverse cardiac events. We studied the relationship between stress hyperglycemia and mortality in non- diabetic and diabetic patients having acute myocardial infarction. We also tried to correlate other variables like age, sex, systolic blood pressure , serum creatinine and lipid levels on admission, with the outcome.We concluded that admission plasma sugar levels can be regarded as a strong predictor of complications and mortality after acute myocardial infarction irrespective of presence or absence of diabetes. Thus stress hyperglycemia carries as bad a prognosis as diabetes mellitus in acute myocardial infarction. ····· 10361113272
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Ulcerative colitis is known for its remissions and relapses. It affects millions of people of all ages globally. Biomarkers can be used to predict relapse and monitor intestinal healing in a noninvasive manner so as to tailor the treatment before clinical relapse occurs .This book gives a brief account of various biomarkers of clinical significance.It can be useful for clinicians and researchers in ulcerative colitis. ····· 10361113293
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hyperlipidemia is one of the degenerative phenomenum that results in the development of atherosclerotic diseases and especially the coronary artery diseases (CAD). Eastern Medicine provides the better, safe and effective treatment option for the same.This book discuss the effective role of selected herbal medicine for Primary Hyperlipidemia. The research work done at the Faculty of Eastern Medicine, Hamdard University is an excellent example that brings the attention of scientific world closer to Herbal Medicine. The contents of this book enables the reader to have good understanding of the literature regarding the clinical problems, the effective herbal and the conventional pharmacological interventions and their comparative clinical trials. This book welcomes the scientific world to look into the alternative treatment option like herbal medicines used in Eastern System of Medicine. ····· 10361113442
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray : The past two decades have seen an explosive increase in the number of people diagnosed with diabetes mellitus worldwide, particularly type 2 diabetes (T2D), which is found associated with modern lifestyle, abundant nutrient supply, reduced physical activity, and obesity. Actually, between 60 and 90% of cases of T2D now appear to be related to obesity. Numerous studies have shown that insulin resistance precedes the development of hyperglycemia in subjects that eventually develop T2D. There are lots of chemical agents available to control and to treat diabetic patients, but total recovery from diabetes has not been reported up to this date. Alternative to these synthetic agents, plants provide a potential source of hypoglycemic drugs and are widely used in several traditional systems of medicine to prevent diabetes. Several natural compounds have been investigated for their beneficial use in different types of diabetes. ····· 10361114194
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book will cover a very interesting and relatively common pediatric tumor with recent advances of management of Wilms` tumor. and compering different management strategies used in different countries allover the world such as National Wilms` Tumor Study Group (NWTSG) which is used in North America, International Society of Pediatric Oncology (SIOP) group which used in European Countries, Japanese Wilms` Tumor Study Group (JWTSG) and etc..., to reach optimum management of Wilms` Tumor ····· 10361114547
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Cancer cervix is the 2nd most common cancer in women accounting for 68.5% of all gynecological malignancies.The estimated new cancer cervix cases per year are 500,000 of which 79% occur in the developing countries.Cervical dysplasia does not cause many symptoms therefore, regular screening and early diagnosis are important. The single most important step that a woman can take to prevent cervical cancer is a pap smear, which is a gentle scraping at the cervix during a gynecological examination.To judge the merits of a pap smear,Colposcopy provides a technique for visualization of cervix and vagina to examine physiological and pathological changes of squamocolumnar junction and select the optimal site for biopsy.Refined screening techniques and improved patient education have contributed to an increased awareness and early detection of pre-invasive lesions of the female genital tract and in particular those of cervix.The study is aimed to assess the predictive value of Pap smear and Colposcopy in cervical cancer detection programmes and further suggesting that cervical cancer is preventable and is highly suitable for primary prevention. ····· 10361114569
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Preterm birth is the most important cause of neonatal death and morbidity. Defective cervical barrier is a major cause of preterm labour. This hypothesis was assessed immunologically by using flow cytometry to quantify leucocytes subpopulation in the cervix, morphologically by cervical length and volume as assessed by 3D ultrasound, and the cervical blood circulation was assessed by 3D ultrasound with power Doppler in patients at high risk of preterm labour. Immunologically, the most prevalent cervical leukocyte was the macrophage. Macrophages and the rest of leukocyte types in general were fewer in high risk patients than in normal pregnant controls. Morphologically, this study showed a significant association between cervical length and preterm labour, but not cervical volume. Also, there is increase in the vascularisation of the cervix in preterm labour patients. This book should be especially useful to Obstetricians, General Practitioners, young doctors, women in fertile age and researchers in the medical field. ····· 10361114607
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Cancer being a highly complex combination of diseases, it can be studied and understood better by the complex networks in System/Network biology. Here is a novel step to study the relation between drug target network and the corresponding drug network using the advanced concept of proteomics and systems biology and to develop an effective strategy for cancer prevention.104 antimutagens were collected from literature survey. Of this only 81 structure were available and taken from the Pubchem database. The PDB ids of the Breast cancer genes were taken. Docking was performed with the help of Quantum docking software and the docking scores were obtained. The list of gene ids obtained is loaded into the VISANT application. From the data obtained and the various analysis done the antimutagen Beta-Sitosterol obtained from the Black cumin Seeds (Nigella Sativa) shows least RMSD value with the protein 2I1J corresponding to the gene UTP14A indicating that Breast cancer specific drugs are specific for the particular disease gene and not random among the networks. The ligands (Antimutagens) show good response to the specific type of cancer. ····· 10361115117
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There is ever growing risk of chronic exposure to nitrates due to their widespread usage in medicine, agriculture, manufacturing industry, and presence in the environment as pollutants. Particularly common is exposure to nitrates through the use of nitrosable drugs used to treat heart disease and consumption of vegetables grown on heavily fertilized farmlands. Oxidative stress is known to be involved as a pathophysiological mechanism in many disease processes, including chronic toxicity induced by nitrates. Currently, intensive research is on-going to discover the role of the available anti-oxidants in converting diseases. This book presents the findings of an experimental study aimed at characterizing the effects of anti-oxidant vitamins C and E on the negative effects resulting from chronic sodium nitrate exposure on some blood parameters, sperm count and male reproductive hormone. This book will be especially useful to academics, researchers and practitioners in medicine, pharmaceutical, food and biotechnology industries. ····· 10361115339
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Acromioclavicular separations are one of the most common shoulder injuries seen in young athletes. They usually result as a direct blow to the shoulder. Several ligaments stabilize the clavicle to the scapula. The anterior, posterior, inferior, and superior acromioclavicular ligaments stabilize the clavicle to the acromion, with the superior ligament being most important. The coracoclavicular ligaments, the conoid and trapezoid, are strong ligaments which stabilize the clavicle to the coracoid process of the scapula. Separations are divided into 6 types (Rockwood, 1984), and treatment is decided upon on the basis of the type of separation. ····· 10361115392
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study was done to assess the accessibility to, perceptions on and preferences for HIV-related health education among Myanmar migrant workers in Ranong, Thailand. Structured questionnaire and an open-ended question were used, and 357 subjects were interviewed. Non-parametric tests and bivariate correlation were used for hypothesis testing. In all, 245 workers (68.6%) had received HIV education. Longer length of stay in Ranong was associated with greater access, but youth had less access than others. There was no significant difference in access when comparing the high-risk occupational groups with others, but they had more frequent access than others. Regarding perceptions, only 6.2% agreed that they had adequate access, and also only 11.6% were satisfied with level of access. However, all believed that HIV/AIDS is an important matter. All preferred participatory types of HIV-related education over non-participatory ones. This preference was significantly stronger in the high- risk groups than in others. In addition, the majority of the supplementary qualitative information from the open-ended question reinforced the quantitative findings of the study. ····· 10361115788
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Cholistan desert is a wild land of its own kind with scarcity of endemic flora, counting only 128 species belonging to 34 families. Homeopathy is a system of therapeutics and 80% homeopathic medicines are based upon plants origin in the form of mother tinctures. Present study was designed to explore homeopathic way of treatment of various diseases by using the mother tincture. A double blind clinical study of mother tinctures and carbo-vegetabilis was performed based on the ethno-botanical information collected from the local people of Cholistan desert. The mother tincture of 19 medicinal plants and carbo-vegetabilis of 4 medicinal plants of Cholistan desert were clinically evaluated against various diseases. The results showed that out of 19 medicinal plants the mother tinctures of 8 plant species was very effective to control various diseases by giving 75-100 % curing percentage. The results of present study concluded that the homeo-mother tinctures of various medicinal plants from Cholistan desert should be trialed and this cheap and safe way of medication should be promoted in the area to control various diseases. ····· 10361115886
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Most of newborn infants develop hyperbilirubinemia in the first week of life. Moreover, jaundice is the most common cause of neonatal rehospitalization. Excessive hyperbilirubinemia may lead to irreversible bilirubin-induced neurologic dysfunction. Early identification of infants with high bilirubin levels requiring intervention is the key issue in the management of neonatal hyperbilirubinemia. Transcutaneous measurement of bilirubin concentration is an objective, noninvasive method, which provides real-time results and avoids pain due to blood sampling. It is a screening test for identifying the need for laboratory assessment of total serum bilirubin concentration. This book provides overview of neonatal hyperbilirubinemia and its management, and possibilities of noninvasive assessment of jaundice. The presented study evaluates the accuracy of a bilirubinometer with two optical paths in European newborn infants, and assesses the effect of gestational age, phototherapy and measurement site on reliability of transcutaneous measurements. The book should be useful to neonatologists, pediatricians, medical students and nurses, and it aims to serve as a resource for further studies. ····· 10361115910
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray ¿Los trastornos mentales producen síntomas en el cuerpo ¿los problemas físicos afectan a la salud mental Gran cantidad de síntomas físicos o corporales aparecen frecuentemente en trastornos psiquiátricos revelando la estrecha interacción existente entre el cuerpo y la mente. Las personas con trastornos de la conducta alimentaria necesitan una atención multidimensional para responder a los diferentes aspectos que engloban dichos trastornos. La insatisfacción corporal, la percepción distorsionada del propio cuerpo, la incapacidad para identificar sensibilidades internas (ej. hambre y saciedad), el rechazo hacia regiones corporales específicas (muslos, caderas y estómago) y el estado general de inefectividad física y baja autoestima son características comunes que presentan los pacientes con anorexia nerviosa. Enfrentarse al propio cuerpo y al contacto corporal con otras personas suele vivirse como algo negativo. La Fisioterapia en salud mental ofrece una metodología de tratamiento que ha mostrado efectividad y es actualmente aplicada en los centros sanitarios de muchos países europeos (Suecia, Noruega, Dinamarca, Bélgica, etc.). ····· 10361116725
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray V nastoqschee wremq prioritetnym naprawleniem neotlozhnoj kardiologii qwlqetsq izuchenie wozmozhnyh prediktorow neblagopriqtnogo prognoza zabolewaniq u pacientow s ostrym koronarnym sindromom (OKS). Osobyj interes predstawlqet wyqwlenie faktorow, wliqüschih na razwitie neblagopriqtnyh koronarnyh sobytij w techenie otdalennogo perioda posle rewaskulqrizacii miokarda posredstwom prowedeniq chreskozhnogo koronarnogo wmeshatel`stwa. Rannqq äffektiwnaq inwaziwnaq taktika lecheniq powysila wyzhiwaemost` bol`nyh OKS s älewaciej ST, odnako poqwilas` problema trombozow i restenozow stenta. V rabote proweden analiz komplexa klinicheskih, laboratornyh i angiograficheskih prediktorow, sposobnyh powysit` kachestwo stratifikacii riska koronarnyh oslozhnenij posle chreskozhnogo koronarnogo wmeshatel`stwa kak w rannem gospital`nom, tak i w otdalennom periode zabolewaniq. Izuchenie dinamiki faktorow nespecificheskogo wospaleniq i ändotelial`noj disfunkcii pozwolqet wzglqnut` na process razwitiq oslozhnenij posle interwencionnogo lecheniq s pozicii patogeniticheskih aspektow OKS. Kniga orientirowana na specialistow w oblasti neotlozhnoj i interwencionnoj kardiologii, wrachej obschej praktiki, terapewtow. ····· 10361117653
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In 1972 Dolores Krieger and Dora Kunz developed Therapeutic Touch as a healing modality for use by health professionals. Proponents of the intervention claim that its efficacy is well supported by a substantive amount of rigorously controlled and methodologically sound research. The evidence for the effectiveness of Therapeutic Touch was examined using a prototype research design for integrative review and meta-analysis. A total of forty-one studies were examined, of which 15 (37%) were included in an integrative review, and seven (17%) in a meta-analysis. The effect sizes of the studies combined to return a large positive treatment effect. The fail-safe n of 29.79 associated with the result was inadequate, and consequently the findings of the meta-analysis will be easily overturned by the results of future studies. The findings of the review did not provide support for the claims of the proponents of the intervention. The limited amount of research and the quality of that research is insufficient to establish the efficacy of the practice. ····· 10361118683
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Preeclampsia is a hypertensive disorder of pregnancy. It affects the health of both mother and fetus, and increases a woman s later cardiovascular risk.Normally during pregnancy, the immune system changes and women become more susceptible to infectious agents. Two infectious agents in particular, C. pneumonia and CMV, are thought to trigger early onset preeclampsia and have been linked to the development of cardiovascular disease later in life. However, it is still unclear what role they play in the onset and development of preeclampsia.Dr. Xie is investigating the mechanisms between infection, innate immune response and the development of preeclampsia. In the present work, she studied how pregnant women are affected by these two infectious agents and how immune system responds to the infection, including examination of TLR signaling and immune genetic variations that may increase disease susceptibility. Results from her work will assist to identify novel therapeutic targets for unfavorable pregnancy outcome management and later cardiovascular disease prevention, leading to improved health care for both mother and fetus. ····· 10361119152
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The technologies are ready and quite mature today. The contents of this book enables the reader to have good understanding of the news therapeutic approches regarding the treatment of cancer. This book welcomes the scientific world to look into the alternative treatment option of cancer. This book presents the background literature, how other experts addressed the issue and a simple solution to the problem. ····· 10361119392
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The research delineates a substantive theory on role transition in a Pakistani context. It describes the experiences of the fresh graduate nurse entering into a role of staff nurses in a private university teaching hospital. The journey of role transition begins with both excitement and anxiety, however through proper mentoring and preceptorship ends up into a smooth role adjustment. Findings reveal various physical, psychological and spiritual experiences and needs of novice nurses working in the nursing units. The research serves as a valuable guide for formulating effective orientation programs and competency based orientation modules for the fresh graduate nurses entering into the profession. Effective transition results in reducing turnover among nurses and improved retention. Moreover, it enhances the quality care and work satisfaction among nurses working in the hospital settings. ····· 10361119741
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hypertension,a lifestyle disease is the major contributor of cardiovascular morbidity and mortality.Though controllable ,its prevalence has been increasing worldwide as awareness, treatment and control rates are very poor.In India the situation is alarming and hence needs to be intervened.This book highlights the barriers perceived by hypertensive clients in adopting lifestyle modification practices and also provides a comprehensive educative material which can be used as a ready reckoner by health personnel or patients with hypertension. ····· 10361132210
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray It is estimated that almost one billion people regularly suffer from hunger worldwide most of whom are women and children and that one child dies every six seconds from hunger related causes in the the whole world. Under-nutrition prevents children from reaching their full developmental and cognitive potential. It usually occurs because of prolonged discrepancy between food consumption and the nutritional needs.This book assesses the food security and nutrition situation of rural populations in the Republic of Southern Sudan so as to generate information that will assist in the targeting of food assistance and nutrition intervention, in clinical settings geographically and at household level ····· 10361132858
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Snakebite is on the World Health Organization official list of Neglected Tropical Diseases. Moreover, most published data of snake bites in Malaysia were confined to the northern states of West Malaysia. The aim of the study is to obtain and analyze the demographic and clinical profiles of snakebite patients attending Emergency Department, Hospital Universiti Sains Malaysia, Kelantan. Kelantan is located at northeast of Peninsular of Malaysia. This is a 5-year retrospective study (Jan 2006 to Dec 2010). We reviewed 260 snakebite cases. Data on snakebites by time periods, demographic and others circumstances were recorded. We analysed the demographic characteristics and clinical profiles of snakebite patients. The outcome of snakebite patients such as severity of envenomation, wound complications, length of ward stay and death. The study findings would be useful for planning and formulating strategies and specific interventions to combat snake bite related health problems in Kelantan. ····· 10361132904
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study assessed the level of awareness and attitude towards breast and cervical cancer screening among women in Obafemi Awolowo University community. The results showed that 63.0% and 84.4% were aware of cervical cancer screening and breast cancer screening respectively. Age and occupation were significantly associated with the likelihood to screen for cervical cancer while occupation was the only variable that was significantly associated with the likelihood to screen for breast cancer. The study revealed that health belief factors were not significant predictors of breast cancer screening behaviour. However, occupation, perceived benefits of screening, internal locus of control and health risks behaviour all significantly predicted cervical cancer screening behaviour of women. Respondents in the non academic posts were less likely to uptake cervical cancer screening compared with the academic staff and students. The study concluded that women were more knowledgeable about breast cancer than cervical cancer. Health beliefs, perceived benefits and locus of control were significant predictors of cervical, but not breast cancer screening behaviour. ····· 10361135528
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray El texto se propone volver la mirada a los problemas de salud superando la mirada médica pensar en los problemas sanitarios en una escala superior a los problemas de enfermedad atender a las preocupaciones de la población en el terreno de su salud y ética, incorporando a las ciencias sociales y a las humanidades como elementos capaces de aportar soluciones más racionales, más integrales y más humanas. Bajo la perspectiva de la Medicina Social (MS) y de la Salud Colectiva (SC), la ética de la salud busca ser una ética que supere a la bioética clínica indudablemente apropiada para dar cuenta de las acciones de los involucrados en el proceso salud/enfermedad/cuidado y se sustente en principios éticos cuyo fin último sea el logro de una vida digna para la colectividad en cada uno de los ámbitos de la sociedad. ····· 10361136352
····· lezzter Preis 59.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die medizinische Versorgung von Schädel-Hirn-Verletzungen hat in Deutschland ein hohes Niveau erreicht. Es fehlen jedoch bisher exakte Daten zur Epidemiologie, zum (Qualitäts)Management der Versorgungsabläufe, zu den postakuten und langfristigen Krankheitsverläufen und zur funktionellen Neurorehabilitation, zur sozialen Wiedereingliederung und weitgehend auch zu den dadurch verursachten Kosten. Daher wurde diese Studie geplant und in Zusammenarbeit mit der Hannelore Kohl Stiftung und dem Kuratorium ZNS gemeinsam durchgeführt sie wird in diesem Buch vorgestellt.
An dem Projekt beteiligten sich 32 Akutkliniken in den Regionen Stadt und Landkreis Hannover inklusive Stadt Celle und Münster-Stadt inklusive einem rund 30 km großen Radius. Insgesamt 28 weiterversorgende Rehabilitationseinrichtungen, die mit den ausgewählten Akutkliniken zusammenarbeiten, nahmen ebenfalls an diesem Vorhaben teil. Eine kleine Arbeitsgruppe von Neurochirurgen und Unfallchirurgen sowie in der neurologisch-neurochirurgischen Früh- und Langzeit-Rehabilitation erfahrene Ärzte ließen ihr Wissen einfließen und koordinierten die verschiedenen Erwartungen und Fragestellungen an eine solche Studie.
Es gelang, 97 % aller Patienten, die wegen einer SHV ein Krankenhaus aufsuchten, hinsichtlich des Versorgungsweges zu analysieren. Bei 67 % aller Patienten konnte nach einem Jahr eine Nachbefragung zum Gesundheitsstatus und zu möglichen Restbeschwerden erfolgreich durchgeführt werden. Die gewonnenen Daten dokumentieren die gesundheitspolitische Bedeutung der SHV als Faktor, der gewaltige Ressourcen im Rettungswesen, der Notfall- und Intensivbehandlung und -diagnostik bindet und sehr hohe Kosten verursacht. ····· 10361203172
····· lezzter Preis 59.50€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Ursache, Verlaufs- und Therapieformen von Infektionskrankheiten sind Gegenstand dieses Werkes von Wilhelm Griesinger, das im Rahmen der ab 1854 von Rudolf Virchow herausgegebenen Reihe Handbuch der speciellen Pathologie und Therapie erschienen ist. Auf der Grundlage des damaligen Forschungsstandes stellt Griesinger anschaulich und detailliert die Ursachen und den Verlauf von Malaria, Gelbem Fieber, Typhus, Pest und Cholera dar und schlägt mögliche Therapieformen vor. Wilhelm Griesinger (1817-1868) war ein bedeutender Psychiater und Internist und gilt als der Begründer der modernen Psychiatrie. Durch seine aus heutiger Sicht bemerkenswert moderne Auffassung grenzte er sich von seinen Kollegen ab. Im Gegensatz zu ihnen betrachtete Griesinger psychische Erkrankungen grundsätzlich als Krankheiten des Gehirns und nicht als Ausdruck allgemein medizinischer Krankheiten oder aber als Folge moralischer Verfehlungen. Ebenso sah er die Bedeutung der individuellen Lebensgeschichte und der sozialen und familiären Situation des Kranken entsprechend einem modernen bio-psycho-sozialen Modell. ····· 1036174609
····· lezzter Preis 59.50€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Mit seinem Practischen Handbuch der gerichtlichen Medicin hat der deutsche Rechtsmediziner Johann Ludwig Casper 1857 ein Standardwerk vorgelegt. Bis zu Beginn des 20. Jahrhunderts acht Mal neu aufgelegt, führt das Werk mit Theorien und Erklärungen [ ] zurückhaltend und überall den practischen Standpunkt festhaltend in die Grundlagen der Gerichtsmedizin des 19. Jahrhunderts ein. Aus der Perspektive des Praktikers, legt Casper den Schwerpunkt auf dem medizinischen, statt auf den juristischen Aspekt seines Berufsstandes, denn der gerichtliche Arzt ist Arzt, nichts mehr, nichts weniger, nichts Andres . Die anschaulichen Erklärungen anhand von 344 Fallbeispielen, die nicht der Literatur, sondern der eigenen Erfahrung entstammen, machen das Werk auch ohne Medizinstudium gut lesbar. Für alle, die sich für Medizin-, Rechts- oder Wissenschaftsgeschichte interessieren.Das Werk erscheint beim Severus-Verlag in zwei Bänden. Der zweite Band trägt die ISBN 978-3-86347-055-5. ····· 1036174611
····· lezzter Preis 59.50€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Mit seinem `Practischen Handbuch der gerichtlichen Medicin` hat der deutsche Rechtsmediziner Johann Ludwig Casper 1857 ein Standardwerk vorgelegt. Bis zu Beginn des 20. Jahrhunderts acht Mal neu aufgelegt, führt das Werk in die Grundlagen der Gerichtsmedizin des 19. Jahrhunderts ein.Aus der Perspektive des Praktikers legt Casper seinen Schwerpunkt auf den medizinischen anstelle des juristischen Aspekts seines Berufsstandes, denn `der gerichtliche Arzt ist - Arzt, nichts mehr, nichts weniger, nichts Andres`. Die anschaulichen Erklärungen anhand von 344 Fallbeispielen, die nicht der Literatur, sondern der eigenen Erfahrung entstammen, machen das Werk auch ohne Medizinstudium sehr lesenswert. Das Werk erscheint beim Severus-Verlag in zwei Bänden. Der erste Band trägt die ISBN 978-3-86347-505-5. ····· 1036174907
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Monografiya posvyashchena krovotecheniyam vo vremya beremennosti i rodov patologii, imeyushchey neposredstvennoe vliyanie na sostoyanie zdorov`ya zhenshchiny, na pokazateli perinatal`noy zabolevaemosti i smertnosti, a takzhe na materinskuyu zabolevaemost` i smertnost`. V monografii dana neobkhodimaya informatsiya po voprosam etiologii, patogeneza, klassifikatsii, diagnostiki, lecheniya i profilaktiki akusherskikh krovotecheniy. Izlozheny sovremennye aspekty taktiki pri massivnykh akusherskikh krovotecheniyakh v sootvetstvie s trekhetapnoy sistemoy okazaniya meditsinskoy pomoshchi. ····· 103614883
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Traditional medicine based on herbal remedies has always played a key role to cure common diseases like cough, bronchitis and asthma, but also serious diseases like tumor, cancer and AIDS. The study involves the use of a poly herbal drug pentapala-04 which consists of five medicinal plants namely Adhatoda vasica, Nees., Ocimum sanctum, Linn., Coleus aromaticus, Benth., Glycyrrhiza glabra, Linn and Alpinia galanga Sw. in the prevention and curation of ova albumin and aluminium hydroxide induced lung damage rats and the influence of vermicompost on the growth parameters and secondary metabolites synthesis of selected medicinal plants. ····· 1036119510
····· lezzter Preis 61.20€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Historically systematic reviews have focused on evidence related to effectiveness and as such the aggregation of results of randomised controlled trials. However health care questions are often complex requiring different research approaches to yield appropriate answers. It is acknowledged that not all research questions are amenable to the results of RCTS and as such there is now a shift towards understanding the need to incorporate research findings that acknowledge social and cultural concerns. This shift has resulted in an increased use of qualitative research findings as evidence and more specifically the systematic review of qualitative research findings. While still a relatively new area of research, the methods surrounding qualitative systematic review are fast developing. To date there are many views and debates on how this type of research should be performed. In order to gain a deeper level of understanding of these positions a discursive analysis informed by Foucault was undertaken on contemporary literature. ····· 1036124834
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Clinical and radiological characteristics of aspergillosis are very similar to tuberculosis. This prompted us to investigate the prevalence of respiratory tract Aspergillus sp. in the sputum of patients suspected of pulmonary tuberculosis. Two hundred sputa samples were studied for Aspergillus sp. and Mycobacterium tuberculosis. Analysis for Aspergillus sp. was done by direct microscopy and fungal culture on two sets of Sabouraud Dextrose Agar. Mycobacterium tuberculosis was analysed by the Auramine-phenol fluorochrome technique. Aspergillus sp were isolated from 30(15%) patients, M. tuberculosis was found in 27(13.5%) and a co infection of 9(4.5%) was observed. Aspergillosis is common in individuals suspected of pulmonary tuberculosis in Fako Division. Once diagnosed, itraconazole should be the treatment of choice since it was observed to be very effective against all Aspergillus isolates. ····· 1036198479
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray an electrophsiological study in children.The aim of my work was to point out the risk stratification for morbidity, mortality and occurrence of SVT in children and adolescents with accessory pathways using their clinical data, 24 hour holter monitoring, exercise ECG and electrophysiological study.we conclude the following statments The 12 lead surface ECG during and after the SVT attacks and holter monitoring can be used non invasively to detect preexcitation in children with SVT. The localization of the accessory pathway can be done using fine and crude algorithm in the 12 lead surface ECG to localize accessory pathway. Not all accessory pathways are manifest thus EPS is done to exclude concealed pathways. During EPS the electrophysiologist should be aware that patients can have more than one AP. This study suggests that the left lateral position is a common site for accessory pathways to be looked for. Caution should be taken while ablating septally located pathways since they have a high rate of recurrence. Recommendation ····· 10361100710
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The best way to manage small and medium sized vestibular schwannomas is currently a matter of heated debate. As these tumors are not immediately life-threatening, patients are invariably concerned about how management would affect their quality of life. In comparison with microsurgical resection of vestibular schwannomas, radiosurgery has a lower morbidity rate, a similar risk of requiring further surgery, and higher patient satisfaction. As this information becomes more widely available, radiosurgery may replace surgical resection as the preferred management strategy for patients with small to medium sized vestibular schwannomas This work evaluates the applicability and effectiveness of gamma knife stereotactic radiosurgery as a treatment modality for vestibular schwannoma. It also reviews the use of gamma knife radiosurgery as a safe and efficient alternative therapy. ····· 10361100855
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The introduction section first offers the chief reasons for the application of psychosomatic reasoning in medicine in general and orthopedics. The sample consisting of 70 patients hospitalized because of severe physical trauma, and 105 control group. The subjects were tested with the following instruments: Event Effect Scale, PTSS-10 Scale, FHI, Brief Eysenck`s Personality Inventory, LEAIQ, GHQ-60, General Questionnaire for Accidents. As for immobile patients, a significantly higher level of family cohesiveness was determined, while the subjects with acute injury, although more extrovert, significantly more often took a passive attitude in coping with trauma consequences. While other clinical features did not correlate significantly with either of the psychological or psychopathological features of the subjects. The dream content of trauma, war and old home is in negative correlation with general neuroticism and in positive correlation with some symptoms of general neuroticism and symptoms of PTSD. All obtained results were compared with the results of research of other authors on psychopathology, dreams and other clinical problems of the somatically traumatized. ····· 10361113021
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The purpose of the present research work was to carryout clinical study on primary dysmenorrhoea to comparatively examine the coded herbal drug formulation with authentic allopathic medicines. A random controlled clinical trial was conducted to compare the effectiveness and safety of coded herbal medicinal treatment Dysmo-off with Voren. In this study clinical trial statistical data so generated and the results conclusively obtained proved that coded herbal medicine Dysmo-off had a significant greater improvement in combined symptoms of dysmenorrhoea compared with those of Voren treatment so the null hypothesis was strongly rejected on the basis of p value calculated by chi- square test in both treatment groups. The conclusion deduced that Dysmo-off is effective and safe for the treatment of dysmenorrhoea when compared with Voren. ····· 10361113486
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A good clinician should have a firm knowledge of oral pathologies, which is the science for understanding the intricate biological behavior of particular group of lesions. The approach to understanding oral disease processes will assists the clinician in the recognitions of specific conditions and in the development of differential diagnosis, rational treatment approach and prognosis. There are several excellent textbooks available on oral and maxillofacial pathology. However, the attempt has been made in this book to provide the basic understanding of a disease process of oral hamartomatous lesions. We tried to classify the oral hamartomatous lesions and we have discussed their pathological process towards their hamartomatous nature, clinical presentation, histological features, treatment and prognostic aspects. A book on oral hamartomatous lesions has been written with a view to present the type of pathological process and better understanding to the clinicians, surgeons, dentists, undergraduates and postgraduates. It is a humble attempt to find the niche for the clinicians with the current information about the oral hamartomatous lesions. ····· 10361113569
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book highlights the effective treatment of a very common ailment acute tonsilitis, acute pharynigitis and acute pharyngotonsilitis. Both treatment options, herbal and allopathic, have been studied in detail through case control direct unicentre prospective randomized clinical trial. Plants used in the herbal treatment include Glycerrhiza glabra, Trigonella foenum gracium, Solanium nigrum, Alpinia galanga, Cordia dichotoma and Morus nigrum versus Cephradine sodium, a cephalosporine drug. The results are very interesting to study and opens yet another solution to treat the common diseases. ····· 10361113601
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Malaria cases and its consequent deaths have been predominant unsolved public health issues in Thailand. Malaria transmits through three possible mediums malaria parasite, human hosts, and Anopheles mosquito. One possible way to solve the malaria problem is to have intervention on any of these mediums. This study focuses on Anopheles mosquito medium, a part of the malaria transmission cycle. As the malaria control methods depend on many setting-specific factors such as endemic, vector species and behavior, seasonality, disease patterns, health service factors and more, which they have not been distributed equally in spatial, therefore the accuracy of these predicted information at timely manner are necessary requirements for effective malaria control planning and preparations. Thus, increasing of spatial accuracy and information updates on the vector density are the main issues for the malaria control. In order to support these requirements, Geo-informatics technology is used to develop the model for predicting Anopheles mosquitoes, which is called Anopheles Mosquito Density Predictive Model (AMDP model) . ····· 10361114398
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Despite the scientific breakthroughs recorded in the management of diabetes mellitus over the last decade, stemming the increasing incidence of diabetes mellitus and providing a long-term effective management of the disease and its complications remain elusive to scientists and medical experts in the field of diabetology. This book provides an up-to-date insight into diabetes mellitus as a disease entity, examines the aetiopathological basis and the course of the disease, its cellular and molecular mechanisms as well as its diagnosis and monitoring. While providing an insight into the experimental techniques employed in the study of diabetes and their outcomes, the book, also provides an overview of the current conventional management modalities, as well as, the exciting results of some selected African, Asian and American single and multiherbal remedies that are popularly used in the disease management. Evidence-based results and prospects emanating from both preclinical and clinical studies of the antihyperglycaemic effects of these herbs indicate that these could soon become the ultimate alternatives to the disease management. ····· 10361114923
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Although breastfeeding is a key child survival strategy, breastfeeding practices in South African health institutions can generally be categorised as being poor. This cross-sectional study aimed to document practices around breastfeeding support and compliance with the Baby-Friendly Hospital Initiative s 10 steps to successful breastfeeding . Suboptimal practices were identified in both baby-friendly accredited and non-accredited facilities, but more so in the latter. None of the facilities passed all 10 steps. Steps that required advice and support from nursing staff - namely step 5 (showing mothers how to breastfeed), step 8 (encouraging breastfeeding on demand), and step 10 (breastfeeding support after discharge from the facility) were particularly poorly done in the majority of facilities. Baby-friendly certified institutions were significantly better than non-accredited facilities for steps 2 (training), 4 (initiating breastfeeding within 1 hour), and 7 (rooming-in). Baby-Friendly Hospitals could not maintain their accredited status on this assessment. However, some good practices appeared to be more sustainable over time. ····· 10361118385
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Heart disease or cardiovascular disease are the class of diseases that involve the heart or blood vessels (arteries and veins). While the term technically refers to any disease that affects the cardiovascular system (as used in MeSH C14), it is usually used to refer to those related to atherosclerosis (arterial disease). These conditions usually have similar causes, mechanisms, and treatments.Most countries face high and increasing rates of cardiovascular disease. Each year, heart disease kills more Americans than cancer. In recent years, cardiovascular risk in women has been increasing and has killed more women than breast cancer. A large histological study (PDAY) showed vascular injury accumulates from adolescence, making primary prevention efforts necessary from childhood. By the time that heart problems are detected, the underlying cause (atherosclerosis) is usually quite advanced, having progressed for decades. There is therefore increased emphasis on preventing atherosclerosis by modifying risk factors, such as healthy eating, exercise and avoidance of smoking. ····· 10361132332
für 64.71€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Soglasno jepidemiologicheskim dannym, ishemicheskaya bolezn` serdca (IBS) prodolzhaet zanimat` vedushhee mesto v mire po svoej rasprostranennosti, vysokomu urovnju smertnosti i invalidizacii vzroslogo rabotosposobnogo naseleniya promyshlenno razvityh stran, v tom chisle i Rossii. V 2011 g. dolya boleznej sistemy krovoobrashheniya sredi vseh sluchaev smertnosti sostavila 55,9% (753,0 sluchaev na 100 tys. naseleniya). Problema lecheniya IBS ostaetsya odnoj iz naibolee aktual`nyh i prioritetnyh zadach mirovogo i otechestvennogo zdravoohraneniya. Nesmotrya na gromadnyj progress, kak v medikamentoznom, tak i osobenno v hirurgicheskom lechenii IBS za poslednie 25 let, issledovaniya v jetom napravlenii idut vse narastajushhimi tempami. Aktual`nym i nedostatochno osvyashhennym v sovremennoj nauchnoj literature yavlyaetsya vopros, kakim obrazom koronarnoe stentirovanie vliyaet na chastotu recidivov stenokardii, chastotu povtornogo infarkta miokarda (IM), uroven` kachestva zhizni (KZh) i samoe glavnoe, na pokazatel` vyzhivaemosti v otdalennye sroki posle vmeshatel`stva. Perechislennye obstoyatel`stva opredelyajut aktual`nost` vybrannoj temy i celesoobraznost` provedeniya dannogo issledovaniya. ····· 10361875
für 64.71€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There are no limits to science. Each advance merely widens the sphere of exploration. Many a times the operator is confronted with situations where direct restoration are not feasible nor advisable because of extensive loss of tooth structure and /or need to modify or change the present occlusion . Keeping teeth is important for many functions, such as eating and speech, whilst in our present society good esthetics are a high priority for the majority of people. Dental care must also be designed to prevent any future problems and to help to maintain this healthy environment. This area of dentistry crosses many of the traditional departments that exist in teaching hospitals throughout the world and includes the disciplines of peridontology, operative dentistry, endodontics, fixed and removable prosthodontics. ····· 10361101413
····· lezzter Preis 68.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray P53 is guardian of genome but interpretations are always context dependent.This study contains detailed investigations on the role of tumor suppressor p53 in the growth of breast cancer cells and chemotherapy induced apoptosis in these cells both in vitro and in vivo. In addition, it not only includes the strategies to enhance therapeutic potential of specific anticancer drugs in breast cancer chemotherapy but also describes the potential implications of chemotherapeutic drugs induced bystander cell killing. ····· 10361113993
····· lezzter Preis 69.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der Psychiater und Neurologe Carl Friedrich Otto Westphal (1833-1890)wurde 1858 Assistent bei Wilhelm Griesinger, der als Begründer der modernen Psychiatrie gilt. Drei Jahre später habilitierte er und ging als Privatdozent für Psychiatrie an die Berliner Universität. 1869 übernahm er den Posten des Direktors für Neurologie im größten Universitätsklinikum Europas, der Berliner Charité. Westphal beschäftigte sich mit der Pseudosklerose, die eine Spätform der Erbkrankheit Morbus Wilson ist, mit der Agoraphobie (auch bekannt als Platzangst) und er entdeckte das autonome Kerngebiet des Nervusoculomotorius (heute Edinger-Westphal-Kern), das das Zentrum derAugenmotorik ist und die Pupillenreflexe steuert. ····· 10361159287
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Growth and nutritional studies are valuable as they provide virtuous knowledge on the health status of ethnic groups.The wide spread poverty, illiteracy, malnutrition, absence of safe drinking water and sanitary living conditions, poor maternal and child health services, ineffective coverage of national health and nutritional services, have been traced as significant contributing factors for gloomy health conditions prevailing among these vulnerable population. Such a large vulnerable population in our country is of great concern in view of the extraneous social pressures and their impact on their health conditions. The Indian government as well as state governments have earmarked priority areas of research on tribes to get knowledge in the aspects of growth and nutritional status and ecological conditions of the tribal populations. In Andhra pradesh there are 33 tribal groups living in divergent ecological settings. For the present study, Yanadi,the second largest tribal group with dark-skinned,platyrrhine,below medium stature,longheaded,broad facial profile with a short chin, broad and short nasal features are inhabiting in the Chittoor district of Andhra Pradesh is considered. ····· 103611075
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Breast cancer affects more women in the world today than any other cancer. Epidemiological studies have consistently shown that diet and lifestyle play a substantial role in the development of breast cancer in women. This study confirmed that apparently healthy and educated women participated in short term intervention can be motivated to increase their dietary intake of fruits and vegetables, improved their physical activity and reduce their body fat percentage. ····· 103613335
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Khimioterapiya zanimaet vedushchee mesto v lechenii bol`nykh tuberkulezom. Naryadu s bakteriostaticheskim effektom, protivotuberkuleznye preparaty (PTP) obladayut organotropnym deystviem na makroorganizm, okazyvaya negativnoe vliyanie na ego organy i sistemy. V klinike ono proyavlyayutsya v vide pobochnykh reaktsiy (PR). Razvitie pobochnykh reaktsiy (PR) neredko privodit k vremennoy otmene PTP, izmeneniyu skhemy khimioterapii, snizhaya effektivnost` lecheniya bol`nykh. V knige proanalizirovany chastota i kharakter PR na PTP. Izucheno ikh vliyanie na nekotorye zven`ya kletochnogo metabolizma (svobodnoradikal`noe okislenie lipidov i antioksidantnuyu sistemu zashchity, obmen svobodnykh aminokislot, ksenobiotiko-metaboliziruyushchuyu funktsiyu pecheni, aktivnost` klyuchevykh fermentov reaktsiy obrazovaniya energii i t.d.) i sistemu immuniteta. Issledovany faktory, vliyayushchie na razvitie PR i razrabotana metodika prognozirovaniya riska ikh razvitiya. Predlozhen metod korrektsii narusheniy vyzvannykh PR. Dlya ftiziatrov, pul`monologov i terapevtov. ····· 103614905
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In order to advance our understanding of self-injury this study (July 2007 to June 2010) investigated the experiences of adults who had used or were using self-injury. This was achieved by obtaining verbal narrative accounts of their experiences of using self-injury from its onset during childhood or early adolescence, throughout adolescence and into adulthood. These verbatim accounts formed a corpus of data which was analysed using a grounded theory method. The analysis established seven robust categories involved in the use of self-injury. By thoroughly examining these categories the substantial theory that self-injury develops as a versatile multi-functional behaviour was generated. ····· 1036120365
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Despite the lack of successful treatments for people with severe mental disorders, a large number of patients nevertheless recover. What is known today about recovery from severe mental disorders To what can the improvement in these patients condition be attributed And how do these factors impact on the recovery process The aims of the book are twofold: 1. to present what is known today about recovery from severe mental disorders. 2. to present the findings of a study on recovery from severe mental disorders from the perspective of those who have recovered, with respect to the course of the recovery process, which factors according to the interview subjects influenced their recovery and the user s descriptions of how these factors have influenced their recovery. ····· 1036121283
····· lezzter Preis 71.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Autonomy and empowerment are core concerns in the field of geriatric care but the discussion has been mostly based on the health professionals point of view and in the context of long-term care. The aim of this study was to explore the concept of autonomy and the empowerment process in hospitalized older people encompassing the nurses and patients points of view. A qualitative study design was drawn up within a phenomenological approach. Nurses life histories and patients biographic narratives were collected. Hermeneutic analysis was performed. Patients and nurses have different concepts from each other regarding autonomy and empowerment. Patients have a more comprehensive view of these concepts but feel powerless, voiceless and would like to hold more power regarding the dimensions of care that are currently dependent on nurses action. The differentiation of latent and manifest autonomy emerged in this study. In hospital, latent autonomy is significantly higher than manifest autonomy and nurses play a significant role in the extent of the gap between these two dimensions. Empowering interventions might transform patients latent autonomy into one that is vivid and manifest. ····· 1036124760
····· lezzter Preis 71.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The book contributes to the enhancement of evidence based knowledge in the area of cancer nursing care by giving voice to those involved in the caring process namely the patient, the nurse and the patient advocate. This book focuses on the holistic exploration of the nursing care provided to patients with cancer by taking into consideration issues such as spirituality, religiosity, respect, values and ethnohistoric background. This is achieved by a turn to Philosophy as a methodology for nursing research. Explicitly, Hermeneutic Phenomenology is applied as it was inspired by the philosophical ideas of Paul Ricoeur. The book offers a step-to-step description of Hermeneutic Phenomenology by unveiling the processes of distanciation, appropriation and the hermeneutic circle to the reader. The utilization of these processes in the lived experiences of the participants assigns new appropriated interpretations. The book opens up a new pathway to quality cancer nursing care by introducing a descriptive theory of the phenomenon. This theory reflects the aspects that are considered important by the users and at the same time promised by the providers of the health care services. ····· 1036125427
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Malaria remains a major cause of death and disability worldwide and is endemic to much of Africa, South America, and southeast Asia. Other malaria risk areas include the Middle east, some countries in Central America and Polynesia, with most other continents virtually free of the disease. The choice between RDTs and microscopy depends on local circumstances, including the skills available, patient case-load, epidemiology of malaria and the possible use of microscopy for the diagnosis of other diseases. Where the case-load of fever patients is high, microscopy is likely to be less expensive than RDTs, but may be less operationally feasible. Microscopy has further advantages in that it can be used for speciation and quantification of parasites, and to assess response to antimalarial treatment. Microscopy can also be used in the identification of other causes of fever. However, a major drawback of light microscopy is its requirement for well-trained, skilled staff and, usually, an energy source to power the microscope. ····· 1036187167
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Tissue and intestinal nematodes (Round worms) are known to cause chronic and debilitating patho-physiological changes in bodies of hundreds of millions of infected occupational and industrial workers worldwide. Indeed, these worms ruin many people`s careers, businesses, business plans and aspirations, educational and intellectual achievements they also ruin marriage and family relationships. Moreover, the chronicity of these infections often requires the use of Blood transfusion therapy, with all its associated, inherent health hazards. These hazards include: exposure to disease agents which often cause infections such as Hepatitis, HIV/AIDS, Brucellosis, Syphilis, Malaria, Toxoplasmosis, African Trypanosomiases and American trypanosomiasis. Further, these infections result in huge hospitalization bills and health insurance premiums for specialized health care. Thus, appropriate control and preventive measures need to be taken seriously by the general public, who may be exposed. ····· 1036187445
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Prior to the development of exchange lists in 1950, meal planning for persons in the United States with diabetes was chaotic, with no agreement among the major organizations involved with diabetes and nutrition. To solve this problem, the concept of `exchange,` or `substitution,` of similar foods was developed by the American Dietetic Association, the American Diabetes Association, and the U.S. Public Health Service. The world needs good book and research on this subject. Type-II diabetes, the sort that used to be called maturity onset diabetes or adult onset diabetes , cannot be known by that name any longer. It no longer only affects mature and adult people it also affects young adults, teenagers and children as young as 8 or 9. The management of Types-II diabetes involves behavioral change and behavioral change is best achieved through structured care and education. This study tackles these issues head on. It is indispensable for more comprehensive and intensive approach to diabetic care for the sake of keeping people away from this epidemic. ····· 1036189197
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The Male Erectile Disorder is the most common of all the sexual dysfunctions for which men seek help from the sexologists throughout the world. The research on this crucial area of male sexuality is relatively non existent in Pakistan. The author has rightly conducted a qualitative analysis of the case histories of men with erectile dysfunction. The results of the research reveal the distribution patterns of Male Erectile Disorder as it occurs in Pakistan. The author has documented the clinical and social correlates of the erectile dysfunction. The etiological perspectives within the context of Pakistani culture have been explained. The author gives recommendations on how to improve the sexual health of men in Pakistan. The formation of PAkistan Society of Sexologists (PASS)is a right step in this direction. The book is a must read for those who want to know about the sexual lives of men in Pakistan. ····· 10361100229
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Cerebral aneurysms and arteriovenous malformations (AVMs) are two major causes of hemorrhagic cerebrovascular diseases, Intra-arterial cerebral angiography is always the definitive diagnostic test in cerebral aneurysm however high resolution CT & CTA can discover small cerebral aneurysms that conventional angiography fails to reveal, also MRI & MRA are very useful in diagnosis of intracranial aneurysms. On the other hand, Cerebral angiography is the method of choice for the diagnosis of cerebral AVMs while advanced post processing techniques of 3D CTA and MRA studies can be used to highlight the feeding artery, the nidus and the draining veins. Cerebral aneurysms can be treated by surgical clipping or endovascular coiling with detachable coils, while treatment options of cerebral AVMs include endovascular embolization, radiosurgery and microscopic surgery. This book provides the basic and advanced information about intracranial aneurysms & arteriovenous malformations, how to diagnose and how to treat by endovascular technique, for the radiologists and interventionists. ····· 10361100727
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Assessment of sensorimotor status & balance are helpful in establishment of successful rehabilitation programs. Balance is a complex process that involves the integrated activity of sensory and motor systems. In this essence,lumbar radiculopathy could possibly cause balance disturbances that make these patients more prone to risk for fall. This was the hypothesis addressed in this work, where 45 patients with lumbar root compression were evaluated and examined for efficacy of balance control. Patients with lumbar radiculopathy demonstrated significant impairment in comparison to a matched control group of isometric strength of lower limbs muscles & vibration sense reflecting dysfunction of sensorimotor status. Balance examination by Berg scale & Computerized Dynamic Posturography tests supported the earlier hypothesis. Considering these data, implementation of specific vestibular and balance rehab therapy was tested versus classic muscle exercises. Vestibular & balance rehab programs combined with traditional muscle strengthening exercises for lumbar root compression patients had an additive & beneficial effects to minimize their disabilities and return to normal daily activities. ····· 10361101281
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book is intended to students studying Immunology, parasitology or molecular biology. In this book different types of vaccines used against Leishmania and applicable for other infectious agents are disscussed and lots of molecular and immunological tecniques are explaned. ····· 10361101292
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Despite the improvements that have been made in health care over the years, stroke remains a serious public health problem in low, middle and high-income countries. Informal caregivers are particularly important in low resourced settings. The aim of the study was to establish the impact of caregiver education on stroke survivors and their carers. This was done using a randomised controlled trial with a total of 200 patients and their caregivers. From the study, the one-year case fatality was 38%. About 78% of the patients were functionally dependent at 12 months post discharge. Caregiver education had the effect of improving the BI scores by one and 0.7 at the three and 12 months follow ups respectively and improved patients EQ-5D scores by a factor of three at 12 months. The patient ability to socialise and participate in community issues post-stroke is currently poor due to poor functional ability levels, necessitating dependency on caregivers. Structured and individualised caregiver training has the effect of improving patients quality of life and can help reduce deaths among stroke survivors. ····· 10361101462
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Over the last many years, immunology and serology has increased exponentially to apply in medicine. Since then it is very important diagnostic tools in the entire world. With this bang in popularity has also come rise in the need for immunology and serology within medical area to diagnose diseases both in infectious and non infectious conditions. For that reason, in preparing this book, it should be short and to the point, and provide the students with a complete knowledge. It contains different ideas from different recently published books and research literature including procedures, techniques, principles and methods of reporting laboratory tests. I believe it will be of a great help for those who are engaged in the actual medical practice at clinics, health centers, hospitals and other medical institutions as it is rich enough with every clear explanation and precise information of laboratory procedures and technicalities. Finally, the normal values of tests and definitions of important terms are included at the end of the text so that any health worker can read and understand it anywhere without a need of any guide. ····· 10361101641
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Microcephaly (congenital-postnatal, primary- secondary, isolated-multiple) is a heterogeneous congenital abnormality from clinical, pathogenetical and etiological aspects. We re- evaluated 82 patients with microcephaly. Patients were classified pathogenetically into primary and secondary and morphologically into isolated and multiple congenital abnormalities associated with microcepahly. This study demonstrated the clinical, neurologic, anthropometric features,recurrence risk and prenatal diagnosis for the different subgroups of microcephaly. Further, It presented the association of epilepsy,the EEG changes and control to anti-epileptic drugs with the different groups of microcephaly. We believe that the use of such classification will help in understanding, dealing with this heterogeneous disorder, application of the molecular testing and genetic counseling. In addition, this population-based study showed that the high parity, the low socio-economic status, the strong intrauterine growth retardation and the high fever related influenza increased significantly the risk of microcephaly. ····· 10361102361
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The present work by Salman highlights the role of the renal sympathetic nerves in the regulation of kidney functions and determines how the normal regulatory systems are disturbed during the pathology of renal failure and diabetes. Using animal models of these diseases, the mediated reductions in renal hemodynamic and excretory functions were characterized and evaluated prior to and directly after the induction of acute renal denervation. Data from this research provided experimental evidence that augmented renal sympathetic nerve activity is an early consequence of some pathological states affecting the kidney and that the contributory role of the renal sympathetic nervous system towards the observed derangements in renal indices is of major importance and requires further attention. Therefore, it is suggested that a reduction in the renal sympathetic basal tone is likely to forbid or at least reduce the occurrence of future renal complications. ····· 10361102560
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Digeneans are among the most common and abundant parasitic worms, second only to nematodes. They are parasites of all classes of vertebrates and many of them have great public health and veterinary significance. Human infections with digeneans are still persistently endemic in many parts of the world. In addition, some species are considered nowadays as emerging or re-emerging parasites. This book gives an up to date comprehensive overview of digeneans of medical importance and those rarely reported as human pathogens. I have tried to set down what is known about this group of parasites in a way that conveys the excitement of the science. ····· 10361102569
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In this work I have discussed the use of traditional medicinal plants to repel and kill mosquitoes and to treat malaria and other diseases.The plants used as mosquito repellents, mosquitocides and as sources of malaria curing agents have been described in details so that the reader might easily identify them. Other uses of the plants, particularly medicinal,together with geographical locations where they are used, have been described.Experiments to demonstrate the plants` uses as mosquito repellents,mosquitocides and malaria curing agents have been given, discussed and recommendations suggested. In an attempt to correct the misconception that herbal medicines are for the backward,I have shown how a single plant is used for similar purposes in many parts of the world. This demonstrates that plants are used as medicines all over the world. ····· 10361102844
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Colorectal cancer is one of the most common malignant diseases worldwide. Because the development of anti-tumor agents, therapeutic options have considerably improved. we Studied the expression of E-cadherin and Her- 2/neu in colon carcinoma trying to correlate between their expression and the prognosis of this disease.100 specimens of colorectal carcinomas were subjected to H&E staining and immunohistochemical staining for E-cadherin and Her2/neu. E-cadherin expression in colorectal carcinoma seemed to pass in chronological stages starting from its gradual absence from the membrane then its appearance in the cytoplasm and lastly its total loss. Also the over-expression of Her-2/neu protein and its positive relation with the poor prognostic variables may favor its role as prognostic marker in colorectal carcinoma and may become of great value in predicting the poor out come of the tumour. So both agents may act as prognostic markers to forecast the clinical course and outcome in colon cancer and as a predictive marker to predict the therapeutic response. ····· 10361103031
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Coxsackievirus B3 (CVB3) is the second main causes of viral myocarditis. Mouse infection with CVB3 mimics the heterotypic response to virus-induced disease observed in humans. Here we have used Evans blue dye as a quantitative biomarker for susceptibility to CVB3-induced myocarditis in addition to histopathological semi quantitative measures. We have found evidence of linkage between susceptibility to viral myocarditis and three loci. A locus on chromosome 1 was linked to sarcolemmal disruption in males (P=0.00005), a second locus on chromosome 4 was also linked to sarcolemmal disruption in males (P=0.0022). A third locus on distal chromosome 3 was linked to myocardial infiltration, with a logarithm of odds (LOD) score of 4.7 (P=0.0045), as well as sarcolemmal disruption in females (P=0.0015). These results provide strong evidence for the presence of loci contributing to the susceptibility of mice to viral myocarditis. Given the complexity of the regulation, development and prognosis of myocarditis the QTLs identified in this study will represent new avenues for developing new therapeutic strategies to control the disease. ····· 10361112964
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study was carried out to establish the prevalence of cataract and measure vision related quality of life among elders in Sri Lanka. The four-part study comprised a survey to establish cataract prevalence, a case control study of risk factors, an assessment of the National Eye Institute Visual Functional Questionnaire (NEI-VFQ), and a comparison of quality of life among elders with and without cataract. Cataract prevalence was 56%. Significant risk factors were age being female occupational exposure lower social class presence of chronic illnesses smoking. The NEI-VFQ was validated for use in Sri Lanka and quality of life of elders with cataract was significantly lower on the NEI-VFQ and two other standard measures. The findings inform the development of public health strategies for treatment and prevention of cataract in Sri Lanka where the impact of cataract is increasing with rapid population ageing, and are applicable to other developing countries. ····· 10361113201
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Globally, HIV/AIDS is one of the major health challenges threatening human existence and survival. Despite all HIV education and enlightenment campaigns that the infection could not be contracted by casual contact, the disease has accentuated social discrimination. However, not every person living with HIV/AIDS (PLWHA) experiences discrimination. Evidence has shown that social inequalities determine who suffers from the discrimination. Understanding HIV-related discrimination therefore, requires an understanding of how social inequalities foster it. This book therefore analyzes the influence of socio-economic variables on discrimination since socio- economic status is a fundamental factor of inequality. This analysis will advance theoretical understanding of the phenomenon and will be particularly useful to policy makers, PLWHA, their families, care givers and professionals to formulate policies, design strategies and programmes that will minimize the psychological trauma of the PLWHA and also protect their human rights. ····· 10361113508
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This story is about the author, a primary school teacher, who as a teacher-researcher wanted to improve the awareness of HIV/AIDS that has become a major challenge globally and has been on the increase over the past two-and-a-half decades, especially so, in sub-Saharan Africa. This is in spite of an overflow of HIV/AIDS information. The book documents two action research projects. Both of them are based on an emancipatory action research methodology. It has long been recognised that the HIV/AIDS pandemic requires more than medical attention and that the way in which teachers deal with HIV/AIDS education, especially at primary school level, becomes critical. A fundamental assumption of the author is that teachers play a critical role and are often the main adults, other than family members, with whom young people interact on a daily basis. Teachers can and must play a vital role in the development of valuable behavioural guidelines about reproductive health amongst the youth. This study views teachers, and more so primary school teachers, as important role players in the struggle to come to terms with HIV/AIDS.. ····· 10361113605
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Medicines is an ever changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. While many suggestions for drug usage are made herein, the book is intended for educational purpose only, and the author and publisher do not accept liability in the event of negative consequences incurred as a result of information presented in this book. We do not claim that this information is necessarily accurate by the rigid, scientific standard applied for medical proof and therefore make no warranty, expressed or implied, with respect to the material herein contained. This book should be of great interest to the students and practitioners in any of the health science, to the manufecturers of botanical products and to the lay public. ····· 10361114154
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Occult hepatitis B is a recently recognized disease entity and is defined as the presence of HBV DNA in the serum and/or the liver tissue in absence of HBsAg. Occurrence of this HBV occult infection in chronic HCV patients is associated with a variety of disease entities including flares of liver enzymes, advanced hepatic fibrosis towards cirrhosis, reduced response rates to standard interferon and increased risk of hepatocellular carcinoma. Our study showed that occult hepatitis B occurs in 3.9% of chronic HCV patients under pegylated interferon/ribavirin combination therapy. Furthermore, this occult infection is not a statistically significant cause of therapeutic failure in chronic HCV patients. ····· 10361114218
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Phytotherapy is the study of the use of extracts from natural origin as medicines or health-promoting agents. Traditional phytotherapy is often used as synonym for herbalism and regarded as `alternative medicine` by much of Western medicine. Modern phytotherapy when critically conducted, can be considered the scientific study on the effects and clinical use of herbal medicines.Medicinal plants have always been considered a healthy source of life for all people.Therapeutical properties of medical plants are very useful in healing various diseases and the advantage of these medicinal plants is being 100% natural. Nowadays people are being bombarded with thousand of unhealthy products, the level of sensibility in front of diseases is very high and that`s why the use of medicinal plants can represent the best solution. ····· 10361114264
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book describes a series of experiments which investigated validity and reliability of ultrasound measurements of the ulnar nerve at the elbow. The final experiment tested measurements derived from the first three experiments, for their ability to discriminate between individuals without symptoms of ulnar nerve entrapment and individuals with symptoms of Ulnar nerve entrapment. The book also contains a critical review of the literature. ····· 10361114307
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book aims to identify and measure cognitive and social abilities in people with dementia and also in people with additional learning disabilities. Definitions of dementia are discussed in detail, outlining the neuropathology, neuropsychology and clinical signs of Alzheimer`s disease, and the neuropsychology of multi-infarct dementia. Discussion is made of the difficulties of a differential diagnosis and also the difficulties in assessing learning disability and dementia. A critique of instruments used in the clinical studies includes details of their reliability, validity, and standard error and norms of each tool. Empirical studies are presented together with the design and development of a neuropsychological test battery for the clinical assessment of people with dementia and learning disability. A link between cognitive performance and social abilities is presented for people with Down`s syndrome and dementia that highlights failure in the Central Executive System and Articulatory Loop System, important in normal memory. Emphasis is made on the need to improve and widen access in service provision for these valued people. ····· 10361114681
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hemisection spinal cord injury (SCI) in preclinical models results in pathological and functional features that mimic the human condition. Chronic pain secondary to neuronal injury is actively and continuously modulated at multiple locations along the sensory neuraxis. Here, we describe how pain-processing neurons of the spinal cord process and communicate nociceptive information in terms of precisely calibrated firing patterns. We then discuss how several cell types, with a focus on 5-HTergic neurons, cause system-wide interference in nociceptive processing through novel signaling schema, thus contributing to sensory network plasticity and chronic pain. ····· 10361115482
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The dimorphic opportunistic pathogen,Candida albicans is normally a commensal organism in humans, but in immunocompromised individual,as in AIDS,organ transplant,diabetes,cancer patients,it results in systemic or invasive mycoses.Continuous exposure to antifungals has led to the emergence of drug resistance by a phenomenon termed as Multidrug Resistance (MDR).Much progress has been accomplished towards identification and understanding of drug resistance mechansisms that could make better antifungal agents. However,the need for understanding novel molecular mechanisms for MDR is indisputable in these clinically challenging infections by C.albicans. Although the importance of iron during C.albicans infection is known, mechanisms correlating about the influence of iron availability on MDR in this fungus are not reported yet. Since, MDR is a multifactorial phenomenon, iron mediated novel MDR mechanisms described in this book for pathogenic fungi clearly hold promise to be new potential drug regulatory mechanism so that it may facilitate the development of better antifungal strategies and thereby efficiently control the human infectious diseases. ····· 10361115576
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Medical microbiology is a branch within the field of microbiology which focuses on microorganisms of medical interest. how they cause infections in humans, how they spread, what they do to the human body, and how they can be eradicated. People in this field may work in research labs studying microorganisms, or they may work in diagnostic labs, performing tests to identify disease-causing organisms in patients and making treatment recommendations. This branch of microbiology is amongst the most widely studied and followed branches due to its great importance to medicine. Along with providing a deep knowledge and understanding of the nature of pathogens this line of study has also been applied in several immunological innovations in the field of medical science. Through the development of vaccines against invading organisms, deadly and debilitating diseases such as small pox, polio, and tuberculosis have been either eradicated or are more treatable because of the efforts of scientists and researchers in the field of medical microbiology. Bacteria, fungi, protozoans, and viruses can all cause disease in humans. ····· 10361115765
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Preterm labour is the leading cause of perinatal morbidity and mortality in current obstetric practice and there is currently no satisfactory therapeutic intervention available for this problem. Although much research has been undertaken, the factors involved in regulation of uterine contractility, in addition to events leading to the initiation of human labour, are only partly understood. Myometrial contractility is influenced by a variety of physiological mechanisms including: intracellular signalling, calcium, cell membrane receptors and hormones. The studies presented here investigate the molecular and pharmacological mechanisms of uterine contractility including genes involved in calcium sensitisation, the prostaglandins and pharmacological inhibitors specific to both. ····· 10361115857
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Oxidative Stress and Diabetic Complications In diabetes mellitus,persistence of hyperglycemia was reported to cause increased production of oxidative parameters as well as defects in antioxidant defence system.Both factors possibly related to the pathogenesis of diabetic complications.Appropriate evaluation of oxidative stress(lipid peroxidation,protein oxidation and antioxidant status)will be beneficial in the regular evaluation of type I DM pediatric patients together with the routine laboratory assessment. ····· 10361118006
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Little is known about the relationship between maternal role development and maternal distress following childbirth. Initial work on maternal role development was undertaken over three decades ago. Since then the profile of childbearing women has changed. Health professionals need to accommodate these changes when dealing with women who are going through the transition to motherhood. Many factors influence the mother`s role development, particularly maternal distress. This distress may manifest itself as worry, anxiety or depression, but has not been well described in the literature. Feelings of distress may have a negative affect on a woman`s adaptation to motherhood. This study aimed to examine maternal role development and the influence of maternal distress after childbirth. ····· 10361118457
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray X-PERT, the acronym for eXpert Patient Education versus Routine Treatment, is a diabetes self-management programme. This thesis explores a different approach to patient education. It begins with an overview of the epidemiology of Type 2 diabetes and exploration of health behaviour models. A systematic review of group-based, self-management diabetes education programmes is then presented. The tutor s manual for the expert patient programme X-PERT is outlined. The design of the clinical trial was to invite the intervention group to attend the X-PERT Programme but to make individual appointments for the control group. The X-PERT trial tests the hypothesis that delivery of a professional-led, diabetes self-management programme based on empowerment and activation would: develop the skills and confidence for diabetes self-management improve clinical, lifestyle and psychosocial outcomes meet the International Diabetes Federation standards for diabetes education. The results support the hypothesis with statistically significant findings. X-PERT is an effective approach that should be offered to all people with diabetes as an integral part of their diabetes treatment. ····· 10361118527
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The self-management strategies that interstitial cystitis (IC) sufferers use to promote physical, social and emotional well-being are poorly understood. Their lives can be fractured because symptoms, such as urinary frequency and urgency and unrelenting pelvic pain, do not necessarily respond well to currently offered allopathic medical treatments. IC is a chronic disease of hard to predict exacerbations and remissions.Fundamentally, IC s most debilitating symptom is chronic pain. Sufferers repeatedly contact practitioners in the hope of determining the cause of the pain. At present, practitioners can only offer stopgap measures for IC symptoms because of an inability to identify its cause or resolve its symptoms. With few precise signs and symptoms, practitioners can sometimes question the validity of the sufferers complaints, leading to inadequate diagnosis and treatment. Furthermore, the degree of stress sufferers experience, the impact of IC on their sexual function and relationships with their partners and the long-term impact of IC on their lives remains undetermined. ····· 10361118806
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In present work an attempt has been made to improve to the therapeutic efficacy, systemic absorption of drug and patient compliance by developing extended release matrix tablet formulations of diltiazem HCl (DIL) and verapamil HCL (VER). DIL and VER matrix tablet formulations were prepared by direct compression by using various combination of HPMC K15M CR and Eudragit RSPO polymer. A full factorial design was applied to systematically optimize drug release profile. For optimization study and data analysis software OPTI STAT was developed. The optimized formulations shows regression value for Higuchi kinetics indicated the diffusion dependence for drug release. Stability trials up to three months displayed excellent reproducibility. In vivo studies were carried out on the optimized batches and CF using new developed HPLC and LC-MS/MS methods A good correlation between the dissolution profiles and bioavailability indicated a linear relationship between in vitro in vivo data. ····· 10361119077
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray For even the most successful series of textbook editions, there comes a time for an ending and a new beginning. This book is just such a new beginning. This text aims to communicate the clinical art and wisdom of psychiatry, tied firmly to the science of clinical disciplines. This text aims to be both scholarly and practical. It covers the most important topics in the format that is complete and efficient for the mental health professional in training or the clinician seeking an update. It differs from the other books in that it concentrates exclusively on aspects that students should know and understand, rather than including a lot of reference material. This has enabled us to keep its length down. Another feature has been to include many new illustrations to aid in grasping the diagnosis and management. Many patients use herbal or other alternative medicines and there is a new addition on this important topic. ····· 10361119140
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book has been written to provide reference information regarding the Influence that environmental stressors have on academic performance of school-age children worldwide. These stressors specifically relate to environmental, Psychological, Experiential, Socio-economic and Behavioural factors. In addition, these stressors are also closely inter-linked with cognitive processes, cognitive functions, neuro-developmental dysfunctions, xenobiotics (toxins), communicable and non-communicable (life style)diseases. Thus, an apparent, quiet conspiracy exists among the above factors, processes, functions, toxins and diseases to undermine the academic potential of the school-age child. ····· 10361131811
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The Jordanian staff nurse s role, in the absence of an active professional body and a code of conduct and scope of practice mandated at national level, is largely guided by a Westernised nursing education system which may not necessarily be relevant to the nation s developmental stage, its health care needs, nor its culture. This study aimed to explore the role of Jordanian medical-surgical staff nurses as perceived by patients, doctors and nurses across three health care sectors in order to provide evidence of role legitimacy. A survey design with a quota sample was utilised (n=963 72% response rate). Main findings are discussed with reference to other significant findings pertaining to the context of nursing care in Jordan including organisation of care delivery, views on nurse competence, autonomy and family participation in care. The study leads to the development of a conceptual model of the legitimate role of the medical-surgical staff nurse within the health care setting. ····· 10361132445
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book has been written to provide quality Health Information on the Epidemiologic Approach that is often successfully used by Disease control Experts in International Occupational Health for the control of Occupational and Industrial Diseases. These ailments and infections afflict millions of people in all geographical corners and climates of the earth. The health information provided may be of special benefit to high school teachers, parents, university intellectuals, Airline and maritime Shipping Line owners and their and allied Public Health Professionals. Moreover, it may serve as an excellent companion to physicians, veterinarians, biologists, psychologists, cognitive psychologists, occupational therapists, psychiatrists, engineers, foresters,politicians, geologists, nurses, archaeologists and radiologists, among others. In addition, this educative material may be worthy reading and food for thoughts for emergency air pilots and crews, shipping captains, tourists, national defense personnel (military, naval and air force logistics experts) on field combat preparedness, miners, wild game rangers and land surveyors, explorers and National Health policy-makers worldwide. ····· 10361133752
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Mercuric chloride exhibits dose dependent toxicity. Mercuric chloride induced reduction in body weight and liver weight accounts for free radical formation. Increase in aspartate aminotransferase, alanine aminotransferase and alkaline phosphatase is an out come of damaged structural integrity of the liver, leakage of enzyme from cytosol of liver and damage of cell membrane of hepatocytes. Enhanced activity of glutathione-s-transferase, glutathione peroxidase and glutathione reductase under stress of mercuric chloride have been considered to be due to increased generation of reactive oxygen species and lipid peroxidation, oxidative stress and damaging effects of free radicals respectively. Panax ginseng reveals protective action against mercuric chloride intoxication through its antioxidant property which normalizes the raised levels of biotransformating enzymes and other biochemical parameters both in serum and liver. Histopathological architecture under mercuric chloride stress has been observed to be normalized after Panax ginseng treatment. Pretreatment of Panax ginseng has an edge over post treatment following mercuric chloride intoxication. Remedial aspect of Panax ginseng. ····· 10361135688
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book has been written to provide clinical knowledge and quality information on International Occupational Health relating to Geo-helminthiases. These infections cause chronic ill-health and patho-physiological changes in the body that affect the lives of millions of occupational and industrial workers worldwide. These infections are caused by geo-helminths collectively known as (Soil-Transmitted Helminths) they are intestinal round worms, recognized as a growing International Public Health menace by a Committee of Experts on Helminthiases of the World Health Organization in Geneva, Switzerland, in 1964. Since 1960s, wide-scale control programmes have been designed and mounted in many countries around the world, especially within the tropics and sub-tropics, but the results have been extremely disappointing and far from satisfactory. It is for these reasons that this text has been produced to provide insight on the current, WHO-recommended Control and Preventive Measures . ····· 10361146447
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Infertility is a health problem faced by women of childbearing age, but its effects on women s well-being have been the subject of little research attention. Even less is known about what may mediate those effects. Studies from other countries suggest that in a society that values fertility, women experience infertility as a stigmatising condition, which may contribute to their perceived level of infertility-related stress. This work investigated the extent women in Southern Ghana seeking infertility treatment perceived themselves as stigmatised, the relationship between perceived stigma and infertility-related stress, and whether other sources of social status mediated this relationship. The majority (64%) of women in this sample felt stigmatised. There was a strong positive relationship between perceived stigma and infertility-related stress. The observed relationship was mediated by the level of women s education, existing child/children, the number of years spent in infertility treatment and the type of marriage. In relation to coping strategies, women preferred to keep information about their infertility to themselves due to the stigma associated with the condition. ····· 10361146657
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray We were truly honored when asked to consider publish Clinical Pediatric Dr.neeraj jain and dr. vibha mangal has educated and enlightened pediatricians, family practitioners, medical students, residents, nurses and other allied pediatric care providers for decades. It is our hope that this tradition will continue, and we have made every effort to maintain the practicality, relevance and usability of the text. The therapeutic armamentarium for pediatrics disease has broadened, with further elucidation of mechanisms of disease . We are indebted to several individuals, without whom this work would not have been possible. To the staff at Lambart, most notably D mangu, who worked tirelessly to meet the many demands of two finicky academicians. To our patients, who continue to educate us on a daily basis and place their trust in us to provide them care. And to our families, whose understanding, sacrifice, support and unconditional love made this entire endeavor possible. ····· 10361146865
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Purpose of the study was to develop, implement and evaluate a peer-based mental health programme. Fifteen adolescent orphaned by AIDS, living in an urban area in South Africa aged 14-18 year participated in the study. The study triangulated four qualitative methods namely, photography and photo-elicitation, reflective diaries, focus groups and the event history calendar. Colaizzi s method of data analysis was used. The study was based on Erik Erikson stage of adolescence psychoeducation process and peer-based approach. The lived experiences were generated from the situational analysis and used as basis for the development of the programme. The peer-based mental health support programme is effective in meeting the needs of orphaned adolescents. ····· 10361147405
····· lezzter Preis 74.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Paul Ehrlich (1854-1915) war einer der vielseitigsten deutschen Medizinforscher. Im Jahre 1908 erhielt er den Nobelpreis (zusammen mit Ilja Iljitsch Metschnikow) für seine bahnbrechenden immunologischen Arbeiten. Ehrlich war aber auch Wegbereiter der Hämatologie und natürlich der Chemotherapie mit dem ersten, klinisch wirksamen Antibiotikum `Salvarsan`. 1891 war er mit Robert Koch an das neugegründete Institut für Infektionskrankheiten in Berlin berufen worden. Wenige Jahre später wurde das Institut nach Frankfurt am Main verlegt und zum Königlichen Institut für experimentelle Therapie erweitert. Neben seiner Honorarprofessur in Göttingen war Ehrlich Direktor des neu gegründeten Georg-Speyer-Hauses in Frankfurt und wurde1914 Ordinarius an der neuen Frankfurter Universität. ····· 10361159260
····· lezzter Preis 75.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Gebündeltes Wissen für die psychiatrische Praxis!Sie wollen eine schnelle und fundierte Einführung in psychiatrische Diagnosen und Berufsfelder Die Reihe BASISWISSEN: verschafft den gezielten, komplexen Überblick über den Umgang mit bestimmten Patientengruppen und die besonderen Herausforderungen des Arbeitsalltags.Mit dem kleinen BASISWISSEN: Paket erhalten Sie die folgenden fünf ausgewählten Titel und sparen 15,00 EUR im Vergleich zum Einzel-Ladenpreis: Umgang mit wahnkranken Menschen Umgang mit alkoholabhängigen Patienten Umgang mit depressiven Patienten Psychisch kranke Eltern und ihre Kinder Patientengruppen erfolgreich leiten Jetzt für nur 69,75 EUR statt 84,75 EUR bestellen! ····· 10361202203
für 79.00€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray We are happy to introduce this book to all of you . The book contains cytomorphological details of lesions of thyroid with recently updated 2008 Bethesda Guidelines for thyroid FNAC which is helpful for pathologists for reporting thyroid cytology cases as well as for clinicians to decide further line of management of the patients . The book as well covers technical aspects of performing thyroid FNAC .I hope this book will be beneficial to all practicing pathologists as well as learners in pathology field, the post graduates. ····· 10361115465
für 79.00€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book is about oral cancer (oral squamous cell carcinoma). This disease is one of the top five killers in Pakistan. It is also a major killer in the neighbouring countries. The incidence rate of oral cavity cancer in Karachi is estimated to be among the highest in the world. Well known risk factors for oral cancer are smoking and alcohol while alternative chewing habits are implicated in sub continent. As many individuals are exposed to these risk factors, only a small proportion develops oral cancer. This suggests that other factors may also play a role in oral carcinogenesis. Recently, Human Papillomavirus (HPV) infection and p53 gene mutation has been shown to play a role in the development of oral cancer. This work is a collection of information gathered through personal research experiences and interaction with oral surgeons and pathologist, over a period of ten years. This book covers all the essential topics such as epidemiology, etiology, pathology, clinical presentation, diagnosis, and management of patients suffering from oral cancer. It is hoped that this work would be of some use to researchers, students as well as oral surgeons engaged in dealing with oral cancer. ····· 10361118338
für 88.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray El carácter progresivo de una enfermedad neuromuscular (ENM) produce una disminución de la capacidad para la movilidad. La silla de ruedas es un producto de apoyo (PA) fundamental para que los afectados mantengan su independencia en los desplazamientos. Su uso está condicionado por factores contextuales, las actividades y la participación. El impacto psicosocial derivado del empleo de la silla determina, finalmente, su integración en la vida del usuario. La evaluación del impacto como medida de resultados es importante para optimizar los procesos de provisión y prescripción de PA. Mediante una metodología descriptiva y transversal, se evaluó esta variable dependiente con el instrumento Psychosocial Impact of Assistive Devices Scale (PIADS) en 60 participantes con ENM, usuarios de silla. Los resultados señalan que, en general, el impacto psicosocial es positivo, siendo la silla eléctrica, la independencia en la movilidad y el correcto emparejamiento sus principales determinantes. Se propone un modelo conceptual del impacto positivo de la silla de ruedas en personas con ENM y la consideración de esta medida en los procesos clínicos de prescripción para mejorar su calidad de vida. ····· 10361136551
····· lezzter Preis 89.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der britische Tropenarzt Ronald Ross (1857-1932) erhielt im Jahr 1902 den Nobelpreis für Medizin und Physiologie für seine Forschungen über die Tropenkrankheit Malaria. Ross begann sein Medizinstudium im Jahre 1875 in London und trat anschließend dem `Indian Medical Service` bei. Im Jahre 1897 entdeckte er den Einzeller Plasmodium - den Malaria-Erreger - zwei Jahre später konnte er auf einer Expedition in Westafrika Moskitos als Überträger der Fieberkrankheit identifizieren. Ross entwickelte Präventionsmöglichkeiten zum Schutz vor Malaria, außerdem ein mathematisches Modell zur Epidemiologie der Infektionskrankheit. Ronals Ross war zuletzt Generaldirektor des `Ross Institute and Hospital of Tropical Diseases and Hygiene` in London, als er im Jahr 1932 nach langer Krankheit verstarb. `Untersuchungen über die Malaria` zählt zu seinen Hauptwerken. ····· 10361159256
····· lezzter Preis 89.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der bedeutende russische Neurologe, Neurophysiologe und Psychiater Wladimir Michailowitsch Bechterew (1857-1927) beschäftigte sich mit dem Aufbau des Gehirns und mit konditionierten Reflexen. Er war der führende Vertreter der Reflexologie - einer Theorie, die Reflexketten als Ursache für komplexe Bewegungsabläufe ansah. Bechterew studierte in Sankt Petersburg und wurde Professor für Psychiatrie. Die Jahre 1884/85 verbrachte er in Deutschland, wo er ein ärztliches Praktikum bei Prof. Paul Flechsig absolvierte. 1908 übernahm er den Posten des Direktors des Instituts für Psychoneurologie an der Medizinischen Akademie Sankt Petersburg. Heutzutage ist Bechterew hauptsächlich wegen der `Bechterewschen Krankheit` (Morbus Bechterew, Spondylitis ankylosans) bekannt, die durch seine vielbeachtete Beschreibung auch im deutschsprachigen Raum bald Verbreitung fand. ····· 10361159295
····· lezzter Preis 98.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der bekannte Arzt Karl Friedrich Burdach (1776 1847) studierte Medizin in Leipzig, habilitierte sich eben dort und erhielt 1811 einen Lehrstuhl für Anatomie, Physiologie und Gerichtsmedizin an der Universität von Dorpat. Im Jahre 1814 wechselte er an die Albertus-Universität nach Königsberg, wo er bis 1826 auch Direktor einer von ihm begründeten anatomischen Anstalt war. Burdach gilt als der erste, der für die Gesamtheit aller Einzelwissenschaften von den Lebenserscheinungen des Menschen (Morphologie, Physiologie, Psychologie) den Begriff `Biologie` verwendete. ····· 10361159261
····· lezzter Preis 98.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Rudolf Heidenhain (1834-1897) zählte zu den bedeutendsten Physiologen des 19. Jahrhunderts. Er unternahm u.a. Forschungen zum Stoffwechsel des Menschen, zu den chemischen Ursachen für Blutdruckveränderungen, zu den Bildungsvorgänge der Lymphe und zu den physiologischen Wirkungen des Chinins. Mit seinen Experimenten zur Hypnose in den 1880er Jahren war Heidenhain ein Vorläufer Pawlows.Nach seinem Studium der Naturwissenschaften und Medizin in Königsberg, Halle und Berlin wurde Heidenhain Assistent bei dem Physiologen Emil du Bois-Reymond. Im Jahre 1859 wurde er Professor für Physiologie an der Universität Breslau. ····· 10361159282
····· lezzter Preis 110.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A roadmap for the safe and effective use of therapeutic agents: The management of patients with renal impairment is a challenge. Such patients frequently have multiple system involvement and require appropriate therapy, but renal impairment affects drug metabolism and makes drug interactions likely. The author, Dr. Günter Seyffart, has had a lifelong interest in this subject and has contributed in very important ways to our current understanding of how drugs can be more safely used in patients with kidney disease. In this directory about 1500 drugs are covered with very specific recommendations (contraindications dosage modifications, and potential nephrotoxicity) concerning use in patients with kidney disease. Such a comprehensive guide, written by an experienced clinical nephrologist, is an invaluable tool for the physician seeking to minimize the risks and optimize the benefits of therapeutic agents in patients with kidney disease of varying severity (as approximated by estimates of the prevailing level of GFR). The systematic approach taken provides not only clarity of exposition but also greatly enhances the practical utility of the Directory. This Directory will help to avoid catastrophes and modulate the risk of adverse events due to drug use in patients with kidney disease. Prevention is an often used byword in medicine - this monograph brings prevention to the bedside. ····· 10361195923
····· lezzter Preis 130.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Trainingsprogramm will von Borderline betroffene Menschen dazu befähigen, mit ihren Therapeuten, Familien und Freunden klar über ihre Erkrankung und die notwendigen Schritte zur Bewältigung von Borderline zu sprechen. Außerdem lernen die Teilnehmerinnen und Teilnehmer Fertigkeiten für einen angemesseneren Umgang mit ihren Emotionen und zur Steuerung ihres Verhaltens. Das Programm gliedert sich in drei Stufen: 1. Die Krankheit erkennen und annehmen: Insbesondere soll erkannt werden, welche Gefühle und Verhaltensweisen mit der Krankheit in Verbindung stehen. 2. Fertigkeitentraining zum Umgang mit Emotionen: Erlernt werden fünf Basisfertigkeiten zur Bewältigung der kognitiven und emotionalen Auswirkungen der Erkrankung. 3. Verhaltenstraining: Erlernen von Verhaltensfertigkeiten, die u.a. eine bessere Kooperation mit dem sozialen Umfeld ermöglichen. Stepps bezieht Familienangehörige und Freunde ein. Gemeinsam bilden sie das `Helferteam`, das die von der Borderline-Persönlichkeitsstörung Betroffenen dabei unterstützt, die neu erworbenen Fertigkeiten anzuwenden. Das Trainerhandbuch enthält die Moderatoren-Leitlinien für die 20 Wochensitzungen sowie die ausgearbeiteten Wochenstunden plus Downloadmaterialien. Für Borderline-Betroffene, die an dem Training teilnehmen, gibt es das Unterrichtsmaterial als Loseblattsammlung in einem Ordner. ····· 10361202125
····· lezzter Preis 149.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Bildatlas PRP - Platelet Rich Plasma Die Behandlung mit Platelet Rich Plasma, das seinen festen Platz im Therapieportfolio der Orthopädie hat, wurde in den letzten Jahren zunehmend auch in der ästhetischen Dermatologie populär - zunächst unter dem spektakulären Begriff `Vampirlifting`. Dabei handelt es sich um die gezielte Aufbereitung von Blutbestandteilen, nämlich der plättchenreichen Fraktion (PRP) des patienteneigenen Blutplasmas, das reappliziert wird. Sensationelle Vorher-Nachher-Bilder von Behandlungserfolgen, zunächst aus Hollywood von Prominenten, beförderten weltweit Erwartungen und das Interesse an diesem Verfahren. Inzwischen gibt es eine Vielzahl von Studien, die die Wirkung von PRP in der Ästhetik belegen. Das Verfahren ist technisch relativ einfach, aber in sich komplex. Es lag daher nahe, eine praxisbezogene Publikation herauszubringen, die die Anwendung und Wirkung von PRP in der dermatologisch-ästhetisch Medizin umfassend beschreibt und dokumentiert. In diesem Bildatlas werden alle relevanten Aspekte der PRP-Applikation beschrieben. Neben den Grundlagen, Möglichkeiten und Grenzen werden gängige Systeme zur Gewinnung von PPR praxisnah dargestellt. Im Fokus steht die systematische Behandlung von Gesicht, Dekolleté und Händen. Eindrucksvolle fotografische Falldokumentationen über den Verlauf mehrerer Monate zeigen die Möglichkeiten, aber auch die Limitationen dieses Verfahrens. Weiterhin finden sich in diesem Buch Muster für eine umfassende Patientenaufklärung sowie Abrechnungs- und Dokumentationshilfen.Ziel der Autoren dieses Buches ist es, den potenziellen Anwender mit allen nötigen Informationen auszustatten, sodass er sich in der Lage sieht, PRP-Behandlungen in der ästhetischen Medizin durchzuführen. ····· 10361182194
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