Die Kenntnis der medizinischen Fachsprache gehört zu den Grundfähigkeiten jedes Studierenden der Human-, Tier- und Zahnmedizin. Das Skript `Medizinische Terminologie - ein Kompaktkurs` ist den besonderen Bedürfnissen von Medizinstudierenden, die sich das erste Mal mit Medizinischer Terminologie auseinandersetzen, angepasst. Es soll den Unterricht begleiten und die intensive Arbeit im Kursus Medizinische Terminologie durch Übungen strukturieren. In sechs Lektionen werden Ihnen die wichtigsten Grundregeln und Begriffe der Medizinischen Terminologie anschaulich vermittelt. Zahlreiche Merkhilfen und Beispiele erleichtern Ihnen dabei das Lernen des `Grundwortschatzes` der Fachsprache. ····· 10361158946
····· lezzter Preis 13.50€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Ein Kalif in München Die Freuden der Verkleidung am Faschingsdienstag Autor: Hellmut Mehnert In 12 Episoden schildert Prof. Mehnert seine Erlebnisse als moderner Harun al Raschid im 20. Jahrhundert. Jeweils perfekt verkleidet nimmt er am Faschingsdienstag seine ahnungslosen Opfer aus der Diabetes-Szene aufs Korn: mal als Gammler, als Wirtin oder gar als zuckerkranker Maharadscha. ····· 10361197081
····· lezzter Preis 14.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Brücke zwischen klassischer Histologie und ärztlicher PraxisHilfe beim Verständnis der Histopathologie inkl. CD-ROM mit 100 Krankheitsbildern, Erläuterungen und farbigen Abbildungen zum Hineinzoomen ····· 10361158641
····· lezzter Preis 14.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Prüfungsrelevantes Wissen nach der neuen AO Hinweise und klinische Bezüge zum besseren Verständnis Farbleitsystem und ausführliches Stichwortverzeichnis zur schnellen Orientierung Umfangreiche schematische Abbildungen verdeutlichen Zusammenhänge ····· 10361158679
····· lezzter Preis 14.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Entstanden auf Wunsch der Besucher eines `Chemie-für-Mediziner-Tutoriums` an der Universität zu Köln, bietet dieses Kurzlehrbuch auf einfache und verständliche Art und Weise den für das Bestehen der Chemie-für-Mediziner-Prüfung tatsächlich relevanten Stoff. Dies auf Anfänger-Niveau und Schritt für Schritt verständlich erläutert. Themen: Atome und Periodensystem Chemische Bindung Chemische Summen- und Strukturformeln Chemie der Elemente Stöchiometrie Thermodynamik, Kinetik, chemisches Gleichgewicht Säuren und Basen Elektrolyte Redox Komplexe Überblick der Organischen Chemie Kohlenwasserstoffe Alkohole Aldehyde und Ketone Carbonsäuren Amine Stereochemie ····· 10361158928
····· lezzter Preis 14.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Dieses vorlesungsbegleitende Lehr- und Übungsbuch ermöglicht eine systematische Examens- und Klausurvorbereitung für das Fach Immunologie. Es orientiert sich an den geforderten Kompetenzen im Fach Immunologie des klinischen Teils des Medizinstudiums, wobei auch Studenten anderer biowissenschaftlicher Studiengänge (Biologie, Biotechnologie, Ernährungswissenschaften etc.) profitieren können, um einen Überblick über den komplexen Fachbereich zu erhalten. Das vorliegende Buch thematisiert die Bereiche angeborene Immunität, adaptive Immunität, Allergien und Autoimmunerkrankungen. Zu jedem Kapitel ermöglichen prüfungsrelevante Kontrollfragen eine Vertiefung. ····· 10361158972
····· lezzter Preis 18.80€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Zu diesem Lehrbuch ist vom selben Verfasser ein ergänzendes Übungsbuch mit über 400 Aufgaben erschienen. ····· ····· ····· ····· ····· ····· ····· ····· ····· ····· ····· ····· 1036156083
····· lezzter Preis 19.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Übersichtlich und präzise werden von den 4 Autoren die deszensus-chirurgisch relevante Anatomie und Biomechanik des Beckenbodens vorgestellt und die damit zusammenhängenden möglichen Inkontinenzformen. Auf die konservativen Behandlungsmöglichkeiten wird ebenso hingewiesen wie dem prä-, peri- und postoperativen Management Raum gegeben wird. Anhand von instruktiven Skizzen und hervorragenden Farbbildern werden die Strategien der interdisziplinären Operationstechniken und Interponatchirurgie beschrieben und demonstriert. Das Buch zeigt beispielhaft eine Therapieoption bei kombinierter Beckenbodeninsuffizienz und leistet einen Beitrag zu einer interdisziplinären Perineologie. ····· 10361203185
····· lezzter Preis 24.80€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Physikpaket: Physik für Mediziner und Pharmazeuten. Lehrbuch und Übungsbuch zusammen als Paket zum reduzierten Preis. ····· ····· ····· ····· ····· ····· ····· ····· ····· ····· 1036156085
····· lezzter Preis 26.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Gekonnt und souverän in Englisch publizieren, vortragen und präsentieren: rund 500 Fachbegriffe und mehr als 1400 authentische Beispielsätze aus Medizin, Chemie, Biologie und Physik. Das Praxisbuch für Autoren aus Medizin und Naturwissenschaften Über 500 wichtige Begriffe für wissenschaftliche Publikationen und Vorträge in Englisch und mehr als 1.400 authentische Beispielsätze Mit ausformulierten englischen Textbausteinen Situationsbezogene Redewendungen für wissenschaftliche Vorträge Kapitelgliederung analog zur Struktur eines wissenschaftlichen Artikels für schnelles, kontextbezogenes Nachschlagen Anhang mit Musterbriefen für Manuskripteinsendungen, deutsch-englischem Glossar und themenbezogenem Vergleich zwischen britischem und amerikanischem Englisch ····· 1036157466
für 26.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Para el desarrollo de este trabajo se conceptualiza a la queja médica como la decisión de una o más personas de manifestar ante las instancias competentes en México (Administrativas: Áreas de Atención al Derechohabiente de las Instituciones de Salud y Seguridad Social, Comisiones Nacionales de Arbitraje Médico y de los Derechos Humanos, Órganos Internos de Control. Judiciales: Instituciones encargadas de Procuración de Justicia), sus inconformidades como usuarios de los servicios de salud por presuntas irregularidades en la prestación de los mismos por parte de los profesionales, técnicos o auxiliares que laboran en las instituciones de salud y seguridad social. La calidad de la atención sanitaria se aborda desde sus dos componentes complementarios: calidad percibida y calidad técnica: Desde la óptica de la calidad percibida, el usuario de los servicios sanitarios se enfrenta a una situación que no satisface su expectativa por la atención recibida e incluso su insatisfacción lo lleva a la conclusión de que como resultado de la mala atención se produce un daño físico, que en el caso extremo llega a la pérdida de la vida del paciente. ····· 103612955
····· lezzter Preis 26.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray La luz puede ser empleada para el tratamiento de tumores superficiales o de acceso por vía endoscópica por medio de la Terapia Fotodinámica. La acción fotodinámica consiste en el daño celular provocado por un fotosensibilizador (FS) en presencia de luz visible y de oxígeno, generándose especies reactivas que causan la destrucción del tumor. Existen diversos tipos de FSs. Los más utilizados son los derivados de las porfirinas, las benzoporfirinas y las clorinas. En este trabajo se estudió el efecto de la Terapia Fotodinámica in vivo sobre la regresión tumoral del adenocarcinoma mamario LM2 implantado subcutáneamente en ratones, empleando diversos FSs y un láser de de 635 nm. En todos los casos se observó una regresión del tumor y en algunos casos, una remisión completa. La microscopía reveló que la penetración de la luz fue de 0,5 cm. Se vieron signos de necrosis epidérmica, vascular y tumoral generalizada. No se observó que el daño vascular preceda al daño tumoral. Se concluye que este tratamiento fotodinámico es adecuado para el tratamiento de tumores superficiales, y que el componente de daño vascular es de igual importancia que el daño tumoral directo en este proceso. ····· 1036122706
····· lezzter Preis 26.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray La radiestesia vista como método, no sólo como diagnóstico sino también terapéutico a través de la realización de la propia lectura de chakras, convierte al terapeuta en alguien cercano, confiable y competente para llevar a cabo las más profundas decisiones, en comunión con el consultado. La propuesta del autor radica, en fomentar el uso de la intuición, privilegio heredado y olvidado en la práctica terapéutica, cual desechable instrumento de trabajo. La observación tan apreciada en el diagnóstico clínico, es muchas veces surcada por un conocimiento que prescinde de la lógica. Este conocimiento salva vidas y uno de sus mediadores es la radiestesia. Con más de una década de investigación vierte aquí su útil experiencia como médico y terapeuta y la ofrece como opción a brindar todo el interesado en la calidad de vida de sus congéneres. ····· 1036123793
für 26.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray La jubilación, es una realidad social de la época contemporánea. La especificidad del momento del ciclo vital donde habitualmente se ubica la jubilación, la enlaza en la problemática de la vejez, a pesar de que son dos fenómenos distintos, para la mayor parte de las personas jubilarse define legal y comercialmente la entrada al mundo de los ancianos. El alejamiento de la vida profesional y la adopción del rol del jubilado es una situación típica básica de la persona de edad avanzada. Durante todos estos años, tanto en los países desarrollados como en los subdesarrollados, la jubilación ha suscitado debates muy encarnizados, no solo por su repercusión individual sino también por sus consecuencias sociales. La proximidad de la edad de la jubilación debe provocar en el individuo diferentes reacciones que no siempre han sido reconocidas, lo que en algunos casos pueden desencadenar en crisis que es posible prevenir, a través de un programa elaborado para ello. En estos casos pueden estar incidiendo diferentes factores asociados a este proceso, de ahí que se haga necesario esclarecer los mismos. ····· 10361136423
für 27.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Auguste Forel (1848 1931) wird auch als Vater der Schweizer Psychiatrie bezeichnet. Der Hypnotimus, auch Suggestionstherapie genannt, gilt als eines der Herzensthemen Forels. Gegen den Widerstand der traditionellen Ärzteschaft verhalf Forel dem Hypnotismus zum Durchbruch in der Schulmedizin. In dem hier vorliegenden Werk führt Forel in die Grundzüge des Hypnotismus ein und erklärt dessen Handhabung und Bedeutung.Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1889. ····· 10361139325
····· lezzter Preis 29.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Lehrbuch ermöglicht den Studierenden der Medizin, der Humanbiologie und anderer verwandter Fächer den Zugang zur mikroskopischen Struktur des menschlichen Organismus. Die für das Verständnis der Lebensvorgänge wichtigen zellulären und geweblichen Strukturen werden im Zusammenhang ihrer Funktion dargeboten. In der Gewebelehre und Organologie werden diejenigen Tatsachen in den Vordergrund gestellt, die in der Medizin praktische Bedeutung haben oder für die Gesamtschau unentbehrlich sind. Besonders geachtet wird auf die Einbeziehung neuer Forschungsergebnisse, vor allem in den Gebieten der Zellbiologie und des Abwehrsystems, sowie auf den Bezug zu den funktionellen und klinischen Fächern wie Medizin. Zahlreiche Abbildungen unterstützen den Text ebenso wie Schemata. ····· 1036149298
····· lezzter Preis 29.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Allgemeiner Teil: Grundlagen der Anamnese und körperlichen Untersuchung Ausführliche und systematische Wissensvermittlung als Basis für den Unterricht am Krankenbett - praxisorientiertes und systematisches Vorgehen für Studierende und Lehrende
Spezieller Teil: Anamnese und körperliche Untersuchung der einzelnen Organsysteme Umfangreiches Wissen zu jedem Organsystem (z. B. kardiovaskuläre Anamnese und Untersuchung) mit wichtigen klinischen Leitsymptomen und differentialdiagnostischen Überlegungen, zahlreichen Abbildungen und Tabellen
Arzt-Patient-Beziehung Wichtige ärztliche Grundkompetenzen wie Kommunikation oder breaking bad news werden bereits zu Beginn der medizinischen Ausbildung als fester Ausbildungsinhalt verankert
Praxisbezug durch klinische Fallbeispiele Umfangreiche Sammlung von typischen Anamnese- und Untersuchungsbefunden von Beispielpatienten aus den klinischen Teilbereichen (z. B. Innere Medizin, Chirurgie, Neurologie) - hilfreiche Anleitung für Famulatur und Praktika, gezielte Vorbereitung für Prüfungen am Krankenbett
Herausnehmbare Kitteltaschenkarte als Begleiter für Studium und Beruf, auch zum Herunterladen. ····· 10361158956
····· lezzter Preis 29.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Rechnen hat jeder in der Schule gelernt. Doch Erfahrungen aus dem Pflegealltag und der Unterrichtspraxis zeigen, dass der Kenntnisstand höchst unterschiedlich ist. Oft bedarf es einer gründlichen und zeitaufwendigen Auffrischung. Mit diesem Buch werden die `Grundrechenarten` (von der Addition über Dreisatz und Prozentrechnung bis hin zum Lösen von Gleichungen) anhand von kurzen und knappen Erklärungen gezielt aufgefrischt. Im zweiten Teil finden sich die unter-schiedlichsten Aufgaben aus dem Bereich `Fachrechnen für Pflegeberufe`. Lösungs-wege werden beispielhaft aufgezeigt, Übungsaufgaben geben die Möglichkeit zum Selbststudium. Der dritte Teil `Lohn- und Gehaltsberechnung` ist knapp gehalten und soll bei der Tarifvielfalt nur die Grundelemente zusammen fassen, sodass jeder neugierig wird, sich mit den für ihn geltenden Bestimmungen genauer auseinander zu setzen. Für Lehrende kann dieses Werk auch zur Unterrichtsvorbereitung dienen und als Ergänzung zum Fach Mathematik. ····· 10361198654
für 30.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Wilhelm Ebstein (1836 1912) war ein deutscher Arzt und Wissenschaftler und galt zu seinem Lebzeiten als einer der bedeutendsten Spezialisten auf dem Gebiet der Stoffwechselkrankheiten. Das hier vorliegende Buch versammelt Briefe Ebsteins an einen Freund. In ihnen behandelt Ebstein Themen wie die Pathogenese der Diabetis oder der Gicht, schreibt über Forschungserkenntnisse und Fehlannahmen.Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1902. ····· 10361139324
····· lezzter Preis 31.20€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Das Werk, verfasst von Studierenden der neuen Studienordnung Medizin, soll eine prägnante Zusammenfassung des Stoffes sowie eine übersichtliche Gliederung der prüfungsrelevanten Vorlesungsinhalten und dazugehörigen Unterlagen bieten. Zahlreiche Tabellen, Grafiken und Informationsboxen erleichtern das Lernen. Folgende Themen werden besprochen: - Anatomie, Histologie und Physiologie des Herz-Kreislauf-Systems - Entwicklung des Herz-Kreislauf-Systems - Fehlbildungen, Pathologie - Blut, Blutbildung, Blutchemie - Pharmakologie und Pharmakotherapie - Bildgebende Verfahren, EKG, Klinische Kardiologie - Klinische Angiologie - Klinische Hämatologie - Herz- und Gefäßchirurgie - Psychokardiologie ····· 1036150200
für 32.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Über Gemütsbewegungen ist eine spannende und lesenswerte Abhandlung des dänischen Psychologen Carl Georg Lange, in der er der von ihm aufgestellten Theorie folgt, dass Emotionen immer physiologischen Ursprungs seien. Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1887. ····· 10361139033
für 32.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Erstmalig ist Ernst Eidams Werk 1871 als Lehrwerk für Ärzte und Studierende erschienen. Eidam beschreibt darin den damaligen Forschungsstand auf dem Gebiet der Mykologie und setzt ihn in Verbindung zur Lehre von den Infektionskrankheiten. Mehr als ein gutes Jahrhundert später ist Eidams Werk als ein wichtiger Beitrag zur Geschichte der Medizin einzuordnen. Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1871. ····· 10361139236
····· lezzter Preis 34.95€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Nichts ist praktischer als eine gute Theorie! Für die Gesundheitswissenschaften ist dies die Theorie der Körper-Seele-Einheit, welche auf dem epochalen biopsychosozialen Modell aufsetzt. Sie nutzt die Allgemeine Systemtheorie und überwindet den alten Leib-Seele-Dualismus. Sie klärt die Beziehung zwischen Materie und Geist und hilft uns, die Einheit von `Körper` und `Seele` zu verstehen: Gesundheit ist die Fähigkeit des menschlichen Organismus, krankmachende Faktoren ausreichend wirksam bekämpfen zu können. Sie muss daher in jedem Moment des Lebens `hergestellt` werden. Krankheit entsteht, wenn der menschliche Organismus diese Fähigkeit nicht ausreichend zur Verfügung stellen kann und seine Funktionstüchtigkeit in relevantem Ausmaß einbüßt. Alles Seelische - jeder Gedanke, jedes Gefühl und jeder Handlungsimpuls - ist immer zugleich auch ein physiologischer Prozess. Damit wird auch ein fast 3.000 Jahre bestehender Kreis zur abendländischen Heilkunst - im Sinne von Asklepios - geschlossen, wonach gelten sollte: Heile mit allen gebotenen Mitteln, mit `Wort` (psychologischen Wirkfaktoren), `Arznei` (Medikamenten bzw. chemischen Wirkfaktoren) und `Messer` (technischen bzw. chirurgischen Interventionen). - Dieses Denk- und Handlungsmodell eröffnet allen Gesundheitswissenschaften und insbesondere der Humanmedizin eine wissenschaftlich begründete ganzheitliche Arbeitsweise in Forschung und Anwendung, Diagnostik und Therapie. Die Theorie der Körper-Seele-Einheit wird so zur Leitidee für eine wissenschaftliche Medizin unseres Jahrhunderts. ····· 10361184752
für 35.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray L objectiu principal d aquesta tesi és analitzar les desigualtats socials i econòmiques lligades a la salut maternoinfantil a Bolívia, segons les dues darreres estadístiques oficials: Cens Nacional de Població i Habitatge INE-2001, i l Enquesta Nacional de Demografia i Salut ENDSA-2003. La situació socioeconòmica dispar en els municipis de Bolívia, està estretament associada a la Taxa de Mortalitat Infantil. L educació, l absència de sanejament bàsic i la precarietat d habitabilitat, són factors claus que tripliquen el risc de mort. Respecte a l accés i utilització dels serveis de salut maternoinfantil, poc més de la meitat de les dones ateses es realitzen quatre controls prenatals i part institucional, sent les sense estudis entre 36 i 49 anys, d ètnia Aimara i dels Departaments de La Paz i Potosí qui menys ho realitzen. ····· 103612486
für 35.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray En las políticas de salud diseñadas para América Latina durante las últimas décadas la Atención Primaria de Salud ha ocupado un lugar central, dando protagonismo a la participación comunitaria como estrategia de implementación. Dicha estrategia se ha basado en ideas y conceptos definidos de forma vaga y confusa, generando así una gran polisemia conceptual y permitiendo que bajo el nombre de participación comunitaria se realicen acríticamente las acciones más heterogéneas en los contextos más diversos. Este libro realiza un abordaje histórico de los diferentes sentidos que han adquirido las ideas de comunidad y participación comunitaria en la formulación de políticas de salud para América Latina desde la declaración de Alma-Ata en 1978. A través de una revisión crítica de los principales debates y controversias, este análisis contribuye a la comprensión de las políticas de salud dirigidas a la comunidad como producto histórico-social. Su importancia y vigencia están dadas por la vuelta a los postulados de Atención Primaria de Salud en el siglo XXI, constituyéndose en aporte fundamental de esclarecimiento, imprescindible para actuar sobre la realidad de la región. ····· 103612733
····· lezzter Preis 35.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray El término programación define al proceso por el que condiciones adversas durante las etapas tempranas de la vida, incrementan la susceptibilidad a padecer enfermedades en la edad adulta. Estudios epidemiológicos relacionan el bajo peso al nacimiento con el posterior desarrollo de síndrome metabólico. Con base en la epidemiología y en modelos experimentales, se propone que gran parte de las enfermedades del adulto se originan en los estadios más tempranos de la vida. El presente estudio estuvo encaminado a identificar los efectos de la restricción nutricional materna durante el embarazo y la lactancia en el desarrollo sexual y en la función ovárica de las hijas en un modelo experimental. Los resultados aquí mostrados sugieren que la restricción nutricional materna durante el desarrollo temprano de las hijas programa alteraciones funcionales a diferentes niveles del eje hipotálamo-hipófisis-ovario, disminuye de manera prematura la capacidad reproductiva y acorta la esperanza de vida. ····· 1036122801
für 35.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray La capacidad que tienen las células madre de multiplicarse, renovarse, diferenciarse y producir potentes factores de crecimiento tanto in vivo como in vitro ha revolucionado la biología molecular y celular generando un creciente interés investigativo. Las células gliales de Schwann, del sistema nervioso periférico, forman las envolturas de los axones mielinizados y cumplen importantes funciones, entre ellas, favorecer la regeneración de los nervios que recubren, son esenciales para la recuperación neuronal cuando el nervio periférico es lesionado, puesto que producen los factores tróficos necesarios para que este proceso se lleve a cabo. Su proliferación y crecimiento depende de factores químicos (ej. Neuregulina), algunos producidos por las neuronas. Obtener, cultivar y cocultivar estos dos tipos de células, es un reto en el campo de la medicina regenerativa que abriría la posibilidad de encontrar una solución biológica para múltiples patologías que cursan con daño y degeneración del tejido nervioso. Este trabajo fue realizado como tesis doctoral para la Universidad de Valladolid con la acertada tutoría del doctor Manuel Gayoso Rodríguez. ····· 1036190736
für 35.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Las autoridades sanitarias muestran frecuentemente su preocupación sobre el excesivo gasto sanitario que existe en el sistema sanitario y como éste, aumenta de forma desproporcionada en la población mayor. La evaluación económica se ha promulgado como una herramienta de ayuda en los procesos de toma de decisiones en la asignación de recursos y en la adopción de tecnologías sanitarias. Supone una herramienta de ayuda en los procesos de toma de decisiones en la asignación de recursos sanitarios y su rentabilización. Andalucía ha sido pionera en la creación de las Unidades Móviles de Rehabilitación y Fisioterapia. Estos servicios llevan la intervención terapéutica al domicilio del paciente para evitar así problemas originados por el desplazamiento al centro sanitario tanto para el paciente como para sus cuidadores informales (familiares, amigos). Desde una perspectiva social que incluye tanto los costes formales como informales, este libro presenta un análisis del coste-efectividad de la rehabilitación domiciliaria en comparación con la aplicada en los centros hospitalarios. ····· 1036190865
für 35.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray El presente trabajo está enfocado al desarrollo de la preparación metodológica de los docentes de la Filial universitaria de Salud del municipio de Yaguajay. Se orienta en función de la dirección del proceso docente educativo y se desarrolla con el objetivo de garantizar el cumplimiento de las exigencias y necesidades de la formación de profesionales en las carreras de la Salud. Como la universidad cubana tiene un carácter científico, humanista, debe garantizar la formación integral del egresado y prepararlo para su desempeño exitoso en la sociedad. De igual modo el modelo de formación del profesional cubano es de amplio perfil, permitiendo resolver con independencia y creatividad, los problemas más generales que se presentan en su profesión. Por lo que la superación ininterrumpida de estos docentes con el propósito de elevar la calidad del proceso de enseñanza aprendizaje es una exigencia de la educación contemporánea y la preparación integral de éstos es muy necesaria ya que a partir de la misma podrán realizar nexos, vínculos de interrelación y de cooperación entre las disciplinas que imparten debido a objetivos comunes. ····· 10361136583
für 35.91€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The most cherish thing in life is having much less seeing beautiful and healthy children. Unfortunately our world, especially in developing countries, have children who have deprived health status due to different reasons. Moreover the extent magnifies further and leads them to death. Understanding the root cause is pragmatic solution for betterment of their life. This book point out those determinants in a specific geography. ····· 10361146298
für 36.80€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die hier vorliegende Abhandlung von Johannes Müller ist mehr als nur eine schlichte physiologische Untersuchung. Vielmehr verfolgt der Autor seine ganz eigene Herangehensweise an die Thematik der Gesichtserscheinungen, in der er deutlich macht, dass die physiologische Untersuchung in ihren letzten Resultaten immer eine psychische sein muss. Aus diesem Grund sind die von ihm erläuterten und untersuchten Phänomene immer Ergebnisse einer Wechselwirkung des geistigen und sinnlichen Lebens sowie der Wirkung des Gedankens auf den Sinn.Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1826. ····· 10361139032
für 36.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Mit Die Erscheinung der Dinge in der Wahrnehmung hat Carl Friedrich Heman ein großes Thema seiner Zeit aufgegriffen. Wie sehen wir, was wir sehen, und welche Organe sind daran beteiligt Und wieviel Einfluss hat unsere Psyche Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1881. ····· 10361139078
für 38.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Der vorliegende Band basiert auf einer Reihe von Vorträgen, die der Physiologe Adolf Fick seinerzeit in Würzburg gehalten hat. In ihnen nähert er sich der Lehre von den Eigenschaften der Muskelsubstanz monographisch. Sein besonderes Augenmerk gilt hierbei der Frage, in welcher Weise der Muskel mechanische Arbeit leistet und welche thermischen Erscheinungen mit dieser Arbeitsleistung verknüpft sind. Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1882. ····· 10361139008
für 39.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Heuschnupfen eine ungeliebte Diagnose, aber heutzutage keine ungewöhnliche. Philipp Phoebus nun nimmt den Leser mit zu den Anfängen der Erforschung dessen, was heute als eine der am häufigsten vorkommenden Volkskrankheiten gilt. Auch für Nicht-Mediziner ist es spannend zu lesen, wie Phoebus Symptome beschreibt und Untersuchungsergebnisse zusammenträgt. Darüber hinaus wird deutlich: trotz größerer Verbreitung heutzutage ist Heuschnupfen nicht allein Krankheit des 21. Jahrhunderts! Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1862. ····· 10361139273
für 40.41€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The failure of malaria eradication in Ghana coupled with the prevailing environmental and economic conditions in the Ga East Municipality put majority of the inhabitants at high risk of malaria infection. This book presents the spatial prevalence of malaria and the coping strategies adopted to prevent and treat malaria in the Ga East Municipality. It was observed that the disease has consistently been the most predominant cause of morbidity and places a challenge on the health delivery system in the municipality. The book also shows that an interplay of environmental, economic and anthropogenic factors leads to differentials in vulnerability to malaria infections. Malaria also directly and indirectly affects the potential of an individual to undertake his or her daily economic activities, the ability to participate in community and religious gatherings. Malaria has the tendency of reducing household income and creates emotional and psychological distress. This book therefore identifies the weaknesses associated with the unavailability of basic services in urban fringes and how they affect health conditions. It is therefore recommended for experts who aim at solving health problems. ····· 1036120071
für 42.90€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Hygiene des Geistes hat daher die Aufgabe, sowohl den Verstand, die geistige Arbeitskraft, nach Möglichkeit zu entwickeln, als den Charakter und die davon abhängige Widerstandskraft gegen die Schwierigkeiten des Lebens zu stärken, das Gemüt zu festigen, ohne ihm seine Zartheit zu nehmen, wovon ganz wesentlich die Freude am Leben und der Lebensgenuß abhängen. Damit ist auch im wesentlichen eine Verhütung der Nervosität gegeben, dieser großen Plage des Lebens. Der Titel Hygiene der geistigen Arbeit mag verwirren, doch ist er von dem Mediziner Otto Dornblüth bewusst gewählt. Er möchte hiermit deutlich machen, dass eine Gesundheitspflege des Körpers allein nicht ausreicht, sondern dass der Mensch auch etwas für einen gesunden Geist tun muss, in dem er ihn sauber hält, das heisst frei von störenden Einflüssen. Es gilt, für die Wahrnehmung gewisser Gemütszustände zu sensibilisieren und sie beherrschen zu lernen, um auf diese Weise zu höherer Leistungsfähigkeit, aber auch zu größerer Zufriedenheit zu gelangen. Sorgfältig bearbeiteter Nachdruck der Originalausgabe von 1908. ····· 10361139005
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Many pregnant women have challenges of meeting their daily dietary needs, let alone iron dietary needs. Anemia is a major public health problem in sub-Saharan Africa where prevalence is as high as 75%. Anemia, even when mild, is associated with reduced work productivity taking into account that African women perform a lot house chores sometimes up to time of delivery . Anemia in pregnancy has serious health consequences both to the mother and the fetus. It may cause maternal death, and for the fetus it may result in intrauterine growth retardation, still birth and low birth weight. It is therefore our responsibility as public health professionals to identify vegetarian foods that are rich in iron. This is necessitated by the fact that most African foods are cereal based. Cereals are sources of non-heme iron which is not readily absorbed without the use of absorption enhancers. We would be doing a great service to save lives of mothers and infants if we educate mothers on the way to get maximum dietary iron from cereal based foods. Heme iron sources, which are readily absorbed, are expensive and in most cases out of reach of rural mothers. Lets keep the spirit burning to save lives. ····· 10361128
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The socially defined gender roles of men and women gauge the power balance between the two sexes. In developing countries most communities afford inferior positions to women. In effect women are either under collective decision-making with their partners or completely rely on the male partner s decision on issues that affect their reproductive live. Hence identifying the major barriers of married women s decision-making power on contraceptive use and exploring the effect of women s socio-economic and decision-making status on couple s contraceptive behavior has significance for planning contextually appropriate family planning interventions. Community based comparative cross-sectional study design with both quantitative and Qualitative data collection technique has been employed from March to April 2010 in Tercha town and the surrounding communities of Dawro zone, SNNPR. The respondents are married women s with in child bearing age group who were identified by using prior census and sampled accordingly. ····· 10361215
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray En años recientes se ha establecido que la capacidad de sentir frío en la piel se debe en primera instancia a la presencia en las terminales nerviosas del canal iónico TRPM8, proteína que es también sensible al mentol. En las vísceras, diversos estudios han reportado la presencia de terminales nerviosas sensibles al frío, de las cuales sin embargo se conoce muy poco. El presente trabajo tiene como objetivo estudiar las características de las neuronas sensoriales sensibles al frío en el nervio vago. En cultivos de neuronas del ganglio nodoso, se midió la respuesta de estas neuronas al frío y a diversos fármacos, usando las técnicas de imagen de calcio y patch clamp. Las conclusiones a las cuales se llega son inesperadas: hay una alta proporción de neuronas sensibles al frío en el nervio vago, y el mecanismo molecular de dicha sensibilidad es el canal iónico TRPA1, en claro contraste con lo que sucede en la piel. Se discuten las posibles implicaciones fisiológicas y clínicas que este descubrimiento pueda tener. ····· 103612404
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Discovery of multiple modalities of Magnetic Resonance Imaging (MRI) has led to challenges regarding how to best utilize and interpret combined information for research and clinical purposes. For example, a MRI study of the brain may involve structural, spectroscopy, perfusion, and functional MRI in different sessions, providing anatomical, metabolic, physiological and functional information. Such data often needs to be analyzed and visualized separately as topological information in each dataset tends to be independent of the other. In this project, we explore a global approach that involves visualization and inter/intra-modality registration support for various MRI modalities and supplement it with a library of optimized tools for 3D image processing, performing multi-step complex DTI computation, gray-white matter classification, cortical thickness calculation, noise removal and perfusion ratio calculation. By quantitative comparisons of reproducibility of results at various processing steps, we measure the variability of the implemented algorithms and also attempt to solve issues like memory management, low robustness and scalability and high processing times. ····· 103613233
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Studies have shown that HIV/AIDS remains a major public health challenge worldwide and the adoption of preventive health behaviour holds the key to its control. Little is known, however, about the typology of preventive health behaviour adopted by undergraduates of the University of Ibadan against the disease condition. This study, therefore determined the pattern and types of HIV preventive health behaviour among undergraduates of the University. The study was cross-sectional in design. A two-stage sampling procedure was used to randomly select 400 students from the Faculties of Pharmacy, the Social Sciences, Arts and Dentistry out of the thirteen Faculties in the university. A validated questionnaire which assessed the students preventive health behaviour and the antecedent factors was used for data collection. The prevalence of the adoption of each of the types of HIV preventive health behaviour among the participants was low in spite of their general high level of knowledge of the disease. Health education strategies such as peer education, social marketing and advocacy are needed to promote the adoption of preventive health behaviour among young persons. ····· 1036118070
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Neurological diseases are a global burden, with huge consequences both in mortality and morbidity. Research efforts towards the search for neuroprotective substances in hopes to curtailing the consequences of these diseases are continuous. Most neurodegenrative diseases are usually a consequence of excess production of oxygen radicals from oxidative stress. The oxygen radicals are mopped up by antioxidants produced endogenously or from nutritional supplements. Flavonoids are rich sources of antioxidants. Thus have the ability to scavenge free radicals, making them harmless. There are abundant plants known to be rich in antioxidants. Kolaviron is the biflavonoid complex and most abundant constituent of one of such plants, Garcinia kola. Due to the antioxidant properties of kolaviron it will have the potential to protect neurons from toxic damage, and that is the focus of this work. Also this work hopes to encourage more researches amongst bio-medical scientists in search for more neuroprotective plant sources as these may make a key contribution to controlling and curtailing neurological diseases. ····· 1036118174
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Almost all doctors including clinicians need to have an idea about the principles of management. Most doctors have the responsibility for using of resources leading teams or are involved in the supervision of colleagues. In addition most doctors work in managed systems. Doctors are both managers and are managed. Doctors use resources and play a role in setting priorities, developing policies and making other management decisions. In addition many doctors are working as mangers and executives themselves. Management is defined as getting things done well through and with people, creating an environment in which people can perform as individuals and yet co-operate towards achieving group goals, and removing obstacles to such performance. This book is about a useful set of principles for doctors who manage and non-mangers doctors also. ····· 1036118369
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Living clocks orchestrate our daily life. Sleep-wake, feed-hunger and joy-depression cycles are regulated by the living clocks. The master clock sits in the brain while subordinate clocks are located in other organs of the body. The living clocks neither can be rewind nor can be reset however it stops at the time of death. Better understanding of interactions between these with the body means healthy, worry less and disease-free life.Author has dealt this subject-an important area in medicine and health care, in simple, lucid and interacting way so that everyone can understand. The facts described in the book are practically impossible to be overlooked especially for those who lead a modern life style. The present book is useful to the people who understand the body in relation to time and space. Though mainly written for common men, pharmacologists, drug designers, medical and healthcare workers will also find this book very useful. ····· 1036118401
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In the era of modern medicine when rising concern has been observed on non-communicable diseases pneumonia,acute respiratory infection and measles are still remaining as leading causes of death of under five children and infants comprising three million of death toll each year globally and with disproportionate number of children of them belong to developing countries like India.In this literature an approach has been made to en-light the status of immunization specially on coverage rate and causes of low immunization.Observation and inference ascertain in this study was quiet dissimilar to prior works in the similar field.Most interesting observation was that immunization coverage was higher in rural area in compare to urban area.A step wise systematic approach was made to find out the cause of this dissimilar observation.It was hypothesized that birth order, presence of immunization card has got statistically significant relation with child immunization. I hope this book will be of help for those who engaged in community survey and social work especially in the field of community and preventive medicine and young researcher and academician of this field. ····· 1036118689
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book has three chapters which includes the introduction, causes and treatment of gall bladder stone in patients of cholelithiasis. This also includes the brief summary of review of literature of the disease of cholelithiasis (formation of gall bladder stones).Review on various methods of diagnosis and treatments of this disease such as laproscopic cholecystectomy is summarized with details in this handbook. Dedicated to all mighty & my loving parents,Late Mr. Ram Kumar Sharma and Mrs. Sushila Sharma. ····· 1036118930
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Chronological developments of public health in 19th and 21st centuries are discussed in this book, starting from Edwin Chadwick s sanitary movement and the social and Economic Drivers behind them,John snow s work and various legislative Acts. In 19th century the main focus was on Physical Infrastruture especially to provide adequate sanitation ,housing and clean water.Public Health then was mainly concerned with the prevention of Infectious and contagious threats to Human health and concerned with poor and special needs group. What has emerged as the New public Health is the approach which tries to bring together the environmental change and personal perspective measures with suitable interventions. The contemporary health problems is seen as social rather than individual and what is needed to address these problems is Healthy Public Policy. In the New public Health the environment is Social,psychological and physical as well. The desire for New Public Health movement to tackle the Health problems of 21st century found its expresionin WHO s Global strategy of Health for All by the year 2000(HFA2000). ····· 1036119560
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Non-communicable diseases like coronary heart diseases are leading cause of morbidity and deaths in world. However, social determinants are distant determinants of health in terms of causation of diseases. This book is trying to explain how Social determinants are linked with the chronic diseases like myocardial infarction. Social determinants are not sufficient for causation of diseases. However, there is still a need to realize that these determinants are integral part of web of causation of diseases especially non-communicable diseases. This book aims to explore possible relationship between social determinants like socioeconomic status, smoking, stress and social support with coronary heart diseases in Mumbai, India. This study was carried out using quantitative case-control study design. The determinants like stress and smoking were important factors for acute myocardial infarction. This study helps in re-establishing direct as well as indirect relationship between social determinants like Socioeconomic status, smoking behaviour, social support and stress with the myocardial infarction. ····· 1036119956
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray To assess the level of intestinal parasite and malaria infection, a total of 806 consenting individuals were randomly selected from Tach Gayint District. The prevalence of malaria, intestinal protozoa and helminth infections and co-infections in the area were determined. The study was conducted in two seasons, November/December, 2008 (after the big rains) and April/May, 2009 (after the small rains). Blood film determination, direct wet mount and concentration techniques were respectively used for diagnosis of malaria and intestinal parasites. The overall prevalence of intestinal parasites was the same in the two seasons, 67.28% (November/December) and 67.20% (April/May), indicating lack of variation in intestinal parasite burden during the two dry periods of the year. However, the prevalence of hookworm, S. mansoni and A. lumbricoides were significantly higher in the age groups below 14 years (P 0.05). The prevalence of T. trichiura in school children was much higher (21.08%) than in the adult population (3.33%) (P 0.001) and the cumulative prevalence of H. nana in school children (7.98%) was also significantly (P = 0.003) higher than in the adult population (3.30%). ····· 1036120005
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This is a first extensive work of its kind in the field of personal hygiene/Preventive Medicine/Community Medicine which will be very useful to graduates, post graduates, researchers and any one intend to work in this field. This book is designed as an introduction as well as explanation of basic components of personal hygiene and their impact on health and in genesis of different systems disorders. The notions and terminologies are very clear and concise. Even readers without any prior background/knowledge of Personal Hygiene/Preventive Medicine would be hopefully benefited and would get a strong foundation. ····· 1036120919
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There is a wide availability of HIV/AIDS care services in Uganda, including counseling, testing, and treatment. These services are provided by both the public and the private sectors. In 2008, the country had approximately 121,218 people with HIV/AIDS receiving antiretroviral therapy, and the target for the year 2011/12 was to increase this figure. This involves ambitious expansion. Nonetheless, there are few assessments of how the process of scale-up of HIV/AIDS care affects quality, efficiency and cost effectiveness. Quality of care has an important bearing on client satisfaction, a key aspect of health care delivery. Client satisfaction can determine if a client seeks medical advice and care and adheres to prescribed treatment. Dissatisfaction can have terrible consequences, like patients not following treatment regimens. Little information is available on satisfaction among clients who receive HIV/AIDS care in Uganda, comparing public and private health facilities. It was necessary to find out the situation in each, and the perceived quality of care. This study measured client satisfaction in Kabale district where HIV/AIDS prevalence is about 10%. ····· 1036120930
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Values of peak expiratory flow rate (PEF), ECG and Hematological variables in 250 females at their reproductive ages, made up of 123 pregnant subjects and 127 non-pregnant control group, living and/or working in kura local government area and its environs were obtained. Pearson s correlation coefficient between PEF and ages as well as ECG, Hematological and other anthropometric measurements were calculated in both groups.Multiple regression analyses were made to obtain the best prediction formula using the measured variables in pregnant and non-pregnant groups. Furthermore, graphs were plotted to show the variation of PEF with age in the subjects and controls with specific weights. Data for plotting the graphs were generated using the prediction formula generated from this study and other prediction formula generated from previous studies among Nigerians, whose best prediction formula incorporated age and height. The graphs illustrated the limitations of applying formula derived from a different race, tribe and/or generation to an entire different people with dissimilar characteristics. This lends credence to the need to make use of recently generated formula for local use. ····· 1036124908
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The increasing trend of work absenteeism and early exit from work life may be as a result of ill health or disability, due to strain and pain at work. This calls for a need to describe perceived strain and pain, and how they relate with perceived work ability, especially on a normal work day. This is essential because jobs need to be designed within the constraints of ergonomic principles so as to meet workers` abilities, perception and limitations. ····· 1036124943
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hospital organizational performance has been largely defined by administrative data comprised of tangible financial records. Though important, the hospital environment of care is arguably represented by multiple inter-professional and intangible factors that influence patient outcomes that are not cost-driven but service-oriented. In the absence of uniform standards that address common problems across diverse health care facilities such as the association of medical equipment with adverse events, hospital administrators must view alternative methods to measure effectiveness, efficiency, and equity. One method is to examine the inter-professional impact of the Biomedical Engineering Technician (BMET) occupation in the hospital Clinical Engineering Department on the level of hospital quality in the environment of care. The proposition is premised on the knowledge that 1) the BMET duties are associated with medical equipment status, and 2) the availability of properly functioning, clean, and timely access to medical equipment that is central to healthcare. A major recommendation is the implementation of coordinated care across clinical and non-clinical health occupations. ····· 1036125364
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Pentazocine, which is known to act as an agonist at kappa opioid receptors and a weak antagonist or a partial agonist at mu receptors has shown significant anticonvulsant activity in MES test and abolition of this anticonvulsant activity by high dose but not by low dose of Naloxone. The present study was designed to compare the anticonvulsant effect of Pentazocine with standard Sodium Valproate in albino rats. An attempt was also made to determine the possible opioid receptor mechanism involved. ····· 1036125505
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This comparative study on factors affecting young people in utilizing HIV/AIDS services used data obtained from Africa Youth Alliance (AYA) project of UNFPA. This study investigated HIV service utilization, variations in HIV service utilization, reasons for non-use of HIV/AIDS services (condom use, counseling & testing) and attitude towards use of condoms. The results indicate that condom use among was low (24%). The reasons for this low were trust from their partners, refusal by sexual partners to use condoms and lack of condoms. The attitude towards condoms had changed and many adolescents looked at people who use condoms to be protective (60%) and 43% had used condoms for HIV prevention. Education level was influential in affecting condom use. The counseling service utilization is still very low due to inconvenient locations and cost. The HIV testing service was still low because young people considered themselves to HIV negative (no need to be tested), fear of test results and also not being sexually active. All in all, age, education level, occupation and residence were very influential in affecting HIV testing and condom use as shown by logistic regression models ····· 1036125650
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray These days we find so many medical books written by so many reputed Authors both Nationally and Internationally but this book is based on Inborn Errors Of Metabolism, or Metabolic Disorders in the new born where the author tries to exemplify most of the metabolic disorders in a lucid manner, so that it could be read and easily digested by everyone. This book is specially designed for readers who wish to refine their knowledge in inborn errors in a shortest possible time keeping special consideration to medical students and those who are preparing for the Post Graduate Entrance. This book would be definitely helpful for all the medical students who wishes to recapitulate their knowledge and refine their ideas on the Metabolic Disorders. The book would generate thought processes and could be covered in shortest time before exams. ····· 1036125680
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This dissertation is based on an analysis of Participatory Reflection and Action activity transcripts of six male and six female groups of a rural community. The objective was to explore various perspectives, views and motives held by the community related to inequities and their impact on health outcomes. The analysis found a range of different perspectives on inequities and their impact on health outcomes. Mainly participants perceived inequities in terms of differentials in health outcomes and unequal experiences related to health, which arise from uneven and inequitable distribution of resources and social interaction that has at its base an element of unfairness. The major forms of inequities were socioeconomic, based on place of residence and gender. The unfair and unnecessary inequities have huge impact on access to, affordability and lower utilisation of health care services that resulted in differences in morbidity and mortality between poor and rich, man and woman and urban and rural residents. This is a scoping study because this allows a better understanding about the community conception of inequity and its different aspects. ····· 1036186945
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Voluntary Counselling and Testing in Prevention of Mother to Child Transmission of HIV has been integrated into Antenatal services in Ghana since 2003. There has been very low uptake in its implementation but the percentage of pregnant women agreeing to the test after counselling is encouraging. A strategy is needed to expand the uptake of counselling to prevent babies from acquiring HIV from their infected mothers.Kumasi South Hospital in Ashanti region of Ghana is one of the implementing sites, which is also affected by the low uptake of VCT of HIV among pregnant women. Among the major factors identified is poor staff motivation of HIV counsellors or the midwives who are offering these services as additional duties to the Antenatal services they provide. This review study aims at improving staff motivation in order to improve uptake of Voluntary Counseling and Testing in Prevetion of Mother to Child Transmission of HIV at Kumasi South Hospital and other VCT implementation sites in Ghana. ····· 1036187226
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray South Africa has a well documented history of male labour migration. Thus, living in a family with at least one parent away (particularly the father) for a long period of time is a common phenomena of childhood for many children in that country. Since the effect of migration on health and mortality may be mixed, it is important to explore this relationship closely. Studies of this kind present the opportunity to identify intervention programs appropriate in different populations in our attempt to reach the WHO Millennium Development Goal on infant and child mortality. Therefore, the goal of this paper was to assess whether or not father s migration improved child mortality using secondary data from Agincourt Health and Demographic Surveillance Site in South Africa collected in 2002. Using logistic regression the authors compared child mortality between children born in a family where the father had left the family to work in another place with those whose fathers were non-migrants controlling for other demographic and socio-economic variables. ····· 1036187265
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study aimed at studying the outcome of dietary habits on body composition and blood profile of adolescent girls in Puducherry. It involved multiple methodological approaches like survey, nutritional assessment, body composition analysis and biochemical analysis. Sample size was 1170 adolescent girls between 19-21 years. A self administered questionnaire was used for eliciting details on their life style practices. Prescribed standard tools were used for assessing the body composition. The result showed that most of them had the average fat percentage metabolic age and resting metabolism were lower than the standard cut off points. Every two out of five individuals were found to be undernourished. About 5 percent of the respondents exhibited abnormal body composition parameters such as metabolic age, visceral fat, resting metabolism and fat percentage. Most of the anaemic individuals were vegetarians (65%) whereas most of the ova-vegetarians (42%) presented with normal haemoglobin content. The overall results of the study emphasizes the fact that the good quality diet accompanied with physical exercise is essential for eradicating malnutrition from the community. ····· 1036187822
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Availability of services and cost of care affect health seeking behaviors and access to health care. Better understanding of health care service utilization is important for formulation of realistic policies and will be critical in order to deliver health programs which can be accessed by the whole population. This study is to explore LMC Sri Lankans experiences with respect to health care utilization and identify treatment seeking behaviors. Five health seeking behavior patterns emerged self care , use of allopathic treatments for moderate acute illnesses , mixed use of public-private services to manage chronic conditions , hospitalization for severe acute conditions and looking after elderly at home and provision of palliative care from home . A main finding was that there was a high level of trust and satisfaction towards the public hospitals despite service provision failures. Public health care was not always free as patients required to purchase services and/or supplies. Patients often used a mixture of public and private services. The women in the family act as gatekeepers and primary caregivers, playing a major role in influencing health seeking behaviors. ····· 1036188345
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This Book is presenting the Evaluation of the humoral immune response against survivin in patients with lung, Serum samples from 33 small cell lung cancer (SCLC) and 117 non-small cell lung cancer (NSCLC) patients upon diagnosis, and from 100 controls, were tested by ELISA for anti-survivin antibodies. We conclude that survivin does not induce considerable humoral responses in lung cancer. Potentially, however, strong anti-survivin antibody responses can be elicited during the follow-up of the patients, whose clinical significance remains to be elucidated. These findings, together with our previous data concerning survivin expression and the related cytolytic T cell responses in lung cancer, signify a high tolerogenic potential of this tumor-associated antigen. ····· 1036189160
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Maternal mortality remains a major challenge to health systems worldwide1. It is estimated that more than 536, 000 women die every year in the world due to complications related to pregnancy or childbirth half of them live in Sub-Saharan Africa (SSA). Pregnancy related complication is among the leading causes of death and disability for women age 15-49 in the developing countries . Ethiopia has one of the highest maternal mortality ratios in Africa and the world, estimated at 673 per 100,000 live births and high neonatal mortality rate of 38/1000 live births , which is, remain among the highest in the world6. Maternal mortality in Ethiopia is likely linked both to extremely low utilization of ANC, skilled birth attendants and facility delivery and to even lower use of emergency obstetric care. The 2005 Demographic and Health Survey found that only 25% of all Ethiopian mothers living in rural areas received any antenatal care from a health professional in their last pregnancy, 3% delivered in a health facility, and 0.3% delivered by Caesarean section . During evaluability assessment, in Agaro according to expert interview and document review, most mothers suffer from complication. ····· 1036191284
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Anthropometry provides scientific methods and techniques for taking various measurements and observation on the living being and the skeleton.Stature is one of the numerous data for identification.The stature prediction occupies relatively a central position in the identification necessitated by the medicolegal experts or medical jurisprudence and also in the anthropological research.This study was taken up with the aim of finding out whether there is any correlation between stature & finger length,and also to find out which finger is best to estimate the stature of an individual, in males and females individually. Till date, most of the workers on stature estimation have used the length of long bones such as femur, tibia, humerus, radius, etc. A meagre data is available on previous works done for calculation of height from finger length. Hence an attempt is made to fill this lacuna. In the present study it was found that there is a significant correlation between stature and finger length. Ring finger is best to estimate stature in both males and females. ····· 1036191420
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The scope of forensic medicine has increased manifold with industrialisation, urbanisation, rural development and increasing population. Consequently, there is a steady increase in crime rate such as assault, murder, and not to forget accidents, natural calamities and mass disasters like shipwreck, air crash.One of the most important task of a forensic expert when called upon is to fix the partial identity in terms of age and sex of an unfortunate victim, that too with the help of only a single bone or at times its fragmentary remains.Various bones such as skull, pelvis and femur have been studied in order to identify age and sex of the deceased. The age and sex determination of sternum has been studied by various experts in India and abroad. In India, work has been mainly carried out in Punjab, Uttar Pradesh, other North Indian regions and North Karnataka(India). ····· 1036191498
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Nigeria, with an estimated 150 million people belonging to some 250 ethnic groups and separated by an ever widening gulf between Christians and Muslims,is one of world`s most volatile nations. This is an attempt at a critical analysis of the precursors and determinants of genocidal conflicts in a country where ethnic and religious motivated massacres claim more lives than many infectious and non-communicable diseases. The book draws a parallel between Nigeria and similar African nations that have witnessed genocidal killings and highlights the precursors and trigger factors that led to genocide in those countries as well as the peculiarities of Nigeria as presently structured that makes her a candidate for such incidences. It tries to estimate the impact a major genocide will have on Nigeria from the humanitarian and health system perspective. The potential role of public health professionals and how they can use the knowledge and concepts of epidemiology to predict and prevent genocide or mitigate its public health impact are highlighted. This book will be of interest to public health physicians, students of conflict epidemiology/management, sociology, politics and public policy. ····· 1036191568
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Neurofeedback is a type of biofeedback that uses electroencephalography to provide a signal that can be used by a person to receive feedback about brain activity. This book is based on the study of Neurofeedback Training (NFT) on archery players which provides information to various readers especially who specialized in Neurofeedback. Also the methodology we used in this work for feedback protocol design and psycho-physiological measures would guide researchers/ athletic trainers to enhance athletes sports performance. ····· 1036198507
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Established cancer cell lines have and continue to contribute tremendously for many discoveries and are some of the important tools for studies involving drug and biomarker discovery. Cell culture techniques has seen a multifold change with advancements in the technology the biocompatible material available as culture supports and with enhancing understanding of cell physiology and culture behaviors. Culturing cells as monolayers in the 2D system are extremely important for various applications, likewise, the 3D systems of cell cultures have thrown valuable insights which were not possible with the 2D systems. Culturing cells in a 3D model is considered to bring in a closer in vivo effect to the cells and cells in such a system sure show marked changes compared to their 3D counterparts. Several matrices and supports are available for culturing cells in 3D. Agarose hydrogels offer us a useful combination of economy and ease of applications. We present here the uses of agarose hydrogels to obtain 3D aggregates of 3 different human cancer cell lines as three chapters and one chapter dedicated to the model applications of such a system. ····· 1036198765
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Undersign, Aurelian Udristioiu, as author of work Hematological and Metabolically Aspects from Laboratory Medicine , affirm that this research of laboratory medicine not presents any conflict of interest. The work has not been published in other Journal and is not under consideration for publication elsewhere. The work contains scientific results and an original concept. Author Contributions: All authors confirmed they have contributed. ····· 1036198780
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In Ethiopian by 2008 there were estimated 36,000 HIV positive pregnant women but only 18% were receiving ARVs. A process evaluation was conducted to the Prevention of Mother-to-Child Transmission (PMTCT) program in a selected health facility (Agaro Health Centre) on the South West of Ethiopia. A case study with both quantitative and qualitative methods was used. It was found that generally the PMTCT program implementation was complying with the Ethiopian national guidelines there was sufficient number of trained human resource, counseling sessions, ARVs and safe delivery practices. About 60% of respondents showed to be satisfied by the time spent to see the provider and total time spent for services provision. Additionally 96% of respondents said that they received their HIV test results within one hour. However there were shortcomings such as stock out of test kits and reagents, laboratory materials and opportunistic infection drugs. Also clients complained about the delays found in the card room. There was a need to ensure privacy of counseling rooms, availability of materials, supplies, training, and counselors should record provided services for monitoring and evaluation. ····· 1036199884
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Understanding and monitoring the prevalence of human immunodeficiency virus (HIV) infection among premarital clients and discordant rate among premarital couples and applying specific interventions targeted at this group could bring dual benefit as it prevents both heterosexual and vertical transmission of the disease. 8.2% of premarital VCT clients included in the current study were sero positive for HIV. 6.5% of premarital VCT couples were found to be sero discordant, while concordant negative and concordant positive accounted for 92.0% and 1.4% respectively. Both HIV sero positivity and discordance were relatively higher among those who previously separated/divorced and widowed partners. So, don t you think that exerting special efforts to make premarital couples aware of their own and their partners sero status before engagement is imperative to their future healthy life and the future of the nations ····· 10361100120
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray AIDS is the leading killer among the sexually active section of the population in Sub-Saharan Africa. Ethiopia is also one of the countries with high prevalence of HIV/AIDS. Lack of awareness and misconceptions contributed to high risk behavior that lead to the spread of HIV/AIDS. While young people are among the most vulnerable groups to HIV infection, they are also the most promising agents of behavior change. If behavior change is to be effective, it should involve the youth itself in the generation of appropriate messages. Four hundred and twenty two voluntary youth were selected systematically from the list of 40 youth groups working in HIV/AIDS prevention, care and support in the 10 sub-cities of Addis Ababa. A structured and pre-tested self administered questionnaire was used for data collection. The result showed that 76.0% of the voluntary youth in HIV/AIDS prevention care and support were active in peer/public education 45.3% of them were involved in condom distribution and 45.0% were involved in home based care and support. The majority of the respondents (84.8%) indicated that NGOs were supporting their activities, 34.6% said that governmental organizations were supp ····· 10361100194
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The result of this study shows that the last twelve month prevalence of khat chewing, shisha smokes, cigarette smoking, alcohol drinking and use other drugs were 10.4%, 5.5%, 7.8%, 37.8% and 3.0% respectively. The cumulative prevalence of substance use for last twelve month (use of one type of substance at least once) was 41.56%. The results also shows that perceived parental monitoring (AOR= 0.63 95% CI 0.47, 0.84) and perceived parental injunctive norm (AOR= 0.34 95% CI 0.14, 0.84) were strong anti-substance use factors. Perceived parental permissiveness (AOR= 1.33 95% CI 1.01, 1.75) and family use of substance (AOR= 2.11 95% CI 1.55, 2.89) also showed positive association with substance use. Therefore, providing advice, counseling, support, and modeling of behavior and monitoring of children`s activities and relationships is effective in reducing students attitude towards substance use. ····· 10361101828
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray According to WHO, 82% of blind people are over the age of 50 years and about 90% of the world s visually impaired people live in developing countries. Efforts to prevent visual impairment, in line with the WHO s has started to enter the political and public limelight across the world. In 2004, World Health Organization discussed the growing incidence of age related cataract and pointed out that visual health and its preservation should get special attention and recent publication shave depicted new a demographic pattern of visual impairment and identified possible interventions to combat this sight threatening condition.Back in 1990, the World Health Organization (WHO), the International Agency for Prevention of Blindness (IAPB), NGOs, professional associations, eye care institution & corporations) jointly launched a global initiative for the elimination of avoidable blindness by the year 2020. The goal of vision 2020 is to find out and eliminate the main causes of avoidable blindness and to prevent 100 million people from becoming blind ····· 10361101998
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Among the infections, Urinary Tract Infection (UTI) is one of the major infections caused, and its being the second most common type of infection in the body.Several uropathogens are drug-resistant, and this limits therapeutic options.Therefore, alternative methods of treatment are sought after. Plants are the oldest source of pharmacologically active compounds, and have provided humankind with various medically useful compounds for centuries. Today it is estimated that more than two thirds of the world s population relies on plant derived drugs Thus phytochemical screening of plant species, especially of ethnopharmaceutical use, will provide valuable baseline information in the search for new pharmaceuticals. Hence screening of antimicrobial plants for new agents poses an enormous challenge and is important especially with the emergence of drug resistant disease strains. It has only been in the past two decades or so that interest in higher plant antimicrobial agents has been reawakened world wide, and the literature in this area is becoming substantial.Hence this work was undertaken. ····· 10361102688
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Sixteen factors were assessed to determine client s satisfaction and among those factors the study tries to asses which of its have significant association with client s satisfaction. Taking the mean of summary score of satisfaction as cut point, 237(73.0%) of the respondents were found to have satisfaction above mean of satisfaction score and 86(27.0%) respondent were below mean of satisfaction score. Client s educational status, waiting time to get the service, convenience of opening hour had significant association. Being secondary school student (AOR=4.27, 95% CI: 1.18, 15.43), being the opening hour is convenient for the client (AOR=19.25, 95% CI: 8.65, 42.83) and not knowing the opening hour (AOR=9.8, 95% CI: 1.62, 59.37) were had positive significant association with client satisfaction. But having waiting time half to one hour (AOR=0.18, 95% CI: 0.05, 0.62) was negatively associated with client satisfaction. ····· 10361114473
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Community volunteers have long been known to provide essential health services to people. This remarkable contribution has been applauded by World Health Organization in what has come to be known as Task Shifting, a practice of shifting tasks from nurses and doctors to volunteers. Critical shortage of nurses and doctors, coupled with the scourge of HIV/AIDS has led to developing countries to come up with strategies to continue providing health services to the people. Zambia, like in any country in Sub-Saharan Africa is affected by this critical shortage of health care workers, particularly in rural areas. This book brings to the fore acceptability of these volunteers by the recipients of health care - the community members themselves. It takes HIV/AIDS as centre stage, but also recognizes the role that volunteers can play in development through health. ····· 10361118453
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The actual pictures of community nurses work in Makassar, South Sulawesi, Indonesia. Although this project was done in 2003 however the condition still exists until now and even though the project was done in only one region in Indonesia, similar situation apply to almost all regions in Indonesia. Limited skills and knowledge were the main problem for the community nurses in performing their work well. That was due to low educational background for majority of the nurses who were working in the community setting in Makassar, Indonesia. ····· 10361131855
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Malaria is a major public health challenge in developing countries. Throughout the tropical and sub-tropical regions of the world the disease causes more than 300 million acute illnesses and at least a million deaths annually. Due to the heavy burden that it exerts on pregnant women and their infants, various policies have been implemented to control the disease in pregnant women. One such strategy is the use of intermittent preventive treatment (IPT) services with Sulfadoxine-pyrimethamine (SP). This investigation shows that even though antenatal clinic (ANC) attendance is high among women, only 47.2% (CI 3.1 50.8) of women who took SP as IPT had three doses. Women who lack formal education are more likely not to have complete IPT (OR 1.5 95% CI 1.23 1.69). ANC staff in rural areas have been trained on IPT but there were occasional shortages of the drug in some health facilities. The study should help illuminate how specific variables significantly interact to influence the uptake of IPT services in rural settings. It should therefore be useful to health educators in particular and anyone else involve in public health. ····· 10361132978
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The interactions between agriculture and health are two-way: agriculture affects health, and health affects agriculture. The process of agricultural production and the outputs it generates can contribute to both good and poor health, among producers as well as the wider population. Agriculture is fundamental for good health through the production of the world s food, fiber and materials for shelter, and in some systems, medicinal plants. Among rural communities it contributes to livelihoods and food security, and provides income which can be spent on health care and prevention. Agriculture is the primary source of livelihood for the majority of the India s rural population who in turn are most vulnerable to ill-health due to occupational risks. Knowledge of farmers about agrochemical use and safe animal keeping is a key to understanding how to take sensible precautions against health exposure. Thus a clear understanding of farmers knowledge about safety issues is central to inform policy makers to develop environmental and health cost reduction strategy. ····· 10361134111
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray AIDS has rapidly become the most feared diseases of our times. The fatality of the disease combined with the rapid spread in the last few decades has made it a global concern. With the advent of highly active antiretroviral therapy, the prognosis and the outlook towards the disease has changed and it has become a chronic manageable disease from a disease which once meant a death sentence. Adherence to the treatment is of paramount importance with HAART as the outcome of non adherence is drastic. This study is thus an effort to unravel the determinants which affect adherence in a population on HAART in a hospital based setting in central India. It would help better understand, what needs to be done further, in order to attain the goal of cent per cent adherence and what is it, that plagues the target today. The book would be found useful by anybody dealing with HIV positive patients including clinicians, nurses, medical and nursing students, counselors and researchers working on the subject. ····· 10361134186
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Plasmacytoid dendritic cells are members of the innate immune system and are particularly important in anti-viral immunity since they are the most potent producers of type I interferons. This book describes the phenotype of knockout mice for Ly49Q, a cell surface receptor expressed on pDCs. In vivo, knockout mice with PGK-Neomycin insertion control early murine cytomegalovirus infection better, but no difference could be detected in mice with recombined LoxP sites. Thus, we observed a differential immune response dependent on the gene knockout strategy. In mice with PGK-Neomycin insertion, we found enhanced hematopoiesis of some populations of the myeloid lineage and lower activation of pDCs following treatment with particular Toll-like receptor ligands, which translates into diminished T cell stimulatory capacity. This suggests a role for Ly49Q in regulating hematopoiesis and pDC activation potential. ····· 10361135568
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Health institutional delivery (Birth by skilled health professional) plays great role in reducing maternal and child mortality rate. This book explores determinants of institutional delivery among mothers following antenatal care by assessing their perception using Health Belief Model. Practical guideline is given on how to assess determinants of institutional delivery among antenatal care followers - The case of Ethiopian Mothers. ····· 10361135961
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The major finding of the study shows that sexual initiation which typically occurs at an early age for both sexes. However, females are more likely to start sex before reaching the exact age 15 and 18. It is also found that the mean age at sexual debut was 17.2 for male and16.5 for female. Although most youths have used condoms, its consistent use was remained low. Considerable proportion of the youth in the area exhibited high risk sexual behavior including multiple sexual partnership, early sexual activity and inconsistent or non use of condoms that predisposed them to Sexually Transmitted Diseases including HIV infection. This implies that HIV/AIDS prevention and other reproductive health programmes need to target youths when they are very young, particularly for females in the study area. ····· 10361147052
····· lezzter Preis 49.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Motor vehicle fatalities in 2005 represented the number one cause of death for U.S. adolescents aged 16 to 24. Examining the existing literature on adolescent health and fatality data found in a population of 12 million young drivers highlights some disturbing trends. The results of these efforts reveal a significant relationship between adolescent fatalities and relative authority of state laws governing how young drivers progress from restricted to unrestricted license status. The need for individual states to adopt an ideal graduated drivers licensing program based on best practices is confirmed. ····· 10361135425
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Left ventricular hypertrophy (LVH) has been identified as an independent risk factor in coronary artery disease, sudden death, stroke and heart failure. The prevalence of LVH in patients with essential hypertension has been found to be 40% on average. Therefore, prevention and/or regression of LVH is a major therapeutic goal whether achieved by pharmacologic, mechanical, surgical or genetic means. This monograph discusses the role of 1 adrenoceptors and their subtypes in the renal vasculature and kidney and its interaction with Renin Angiotensin System. Studeis were done in Sprague Dawley rats and it was found that at the renal resistance vessels, a multiple subtype shift of 1 adrenoceptor subtypes occurs which generated a complex feedback on the renal AT1 receptors. 1D adrenoceptor subtype gains functional importance in LVH with a minimal altered role of 1A and 1B adrenoceptors.Hence renal 1D adrenoceptors can be a potential therapeutic target for better treatment outcomes of LVH. Parts of the studies discussed in this monograph were made possible through a short term research grant provided by Universiti Sains Malaysia 304/PFARMASI/6311060 which is greatly acknowledged. ····· 10361308
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Globally, more than 600,000 women die annually from pregnancy related causes with more than half of the deaths occurring in Africa. More than 80% of these deaths occur either at home or during transportation time to the hospital. The World Health Organization underlines that most maternal deaths occur due to delays to access appropriate obstetric care. Lack of readily available, accessible, reliable, affordable and organized means of transportation for rural expectant women seeking obstetric care has been recognized as one of the risk factors contributing to these deaths. A number of studies have documented that means of transportation available for expectant women especially in resource poor settings are- uncomfortable, slow, unreliable, unaffordable and dehumanizing- thus, striping women respect and dignity. Provision of readily available, reliable, affordable and sustainable means of transportation to poor expectant women especially rural areas in Africa is key if developing countries wish to reduce home deliveries that have been recognized as a risk factor contributing to high maternal mortalities. ····· 10361792
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Stress-restress evokes a complex neurobiological response in the hippocampus involving neuro-excitatory and neurotoxic pathways, as well as neuroinhibitory and neuroprotective responses to chronic stress.One of these changes involves a long-lasting increase in hippocampal iNOS activity that is accompanied by a reactive downregulation of hippocampal NMDA receptors and dysregulation of inhibitory GABA pathways. These perturbations may have importance in explaining the increasing evidence for stress-related hippocampal degenerative pathology and cognitive deficits seen in patients with PTSD. Nitric oxide thus plays a major role in the pathophysiology of PTSD, thus presenting an area of major therapeutic opportunity for this mental illness. ····· 10361898
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Communicable and non-communicable diseases account for most deaths in developing countries. Control of diseases is therefore one of the priorities for reducing high mortality seen in these countries. The book is written to assist those people who deal with communities in improving their health status and reducing disease transmission. Students of public health will find this book useful especially in modules that deal with disease control. It is written in very simple language and should be understood by all manner of professions and not necessarily those who have knowledge in health. The author has taught students of community health using the same notes and most of the students found the notes very useful. it is hoped that this book will enable students understand and apply basic principles in the control of communicable and non-communicable diseases within their communities. ····· 103613228
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Government health facilities have always been grossly under-utilized. Among other issues of quality and responsiveness, the overall focus on disease prevention and health promotion has been negligible. Private sector though fills the gaps but can neither become the forefront provider for the entire population, nor it can ensure equity. To develop rational policies and feasible plans for efficient, acceptable, cost-effective, affordable and accessible health services, the drivers of health seeking behaviour need to be understood. Traditionally,the health policy planning process has been impaired due to a lack of information relating to the utilization of public, private and informal health care in Pakistan, especially among the rural remote population sub groups. Moreover, the determinants of health service utilization such as socio-demographic, economic physical accessibility, financial accessibility, mother s autonomy and health service factors are seldom taken into account. This monograph provides a framework to the policy makers and the system managers to make the strategic health plans in the light of complex set of factors which are vital for the user of health services. ····· 1036118876
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Salutogenesis is relatively new concept and less explored area in the field of Health Promotion. The theory explained why some people remained healthy despite being exposed to psychological or pathological risk factors in terms of Sense of Coherence (SOC) & General Resistance Resources. Students from Manipur, a state in the North East India migrate to other part of India for higher studies. This book showed the results of comparison of SOC & Health Promoting Behaviors between two different ethnic groups of students-Manipuri (Mongoloids) vs North Indian (Caucasian). It also showed the correlation between SOC and Health Promoting Lifestyle Profile. The results showed specific health needs of migrant Manipuri students. The difference in health promoting activities warranted specific strategic planning. Overall, the book highlighted the urgent need for inculcating health promotion activities among younger generation. This book will be useful for Medical and Non-Medical research scholars, Policy makers, Educationists, and of course students who are interested in research on health promotion and salutogenesis. ····· 1036120543
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A myocardial infarction is characterized by a massive loss of cardiomyocytes and reduces the function of the heart tremendously. Several pharmacological drugs, e.g. digoxin, diuretics, and surgical therapies, e.g. coronary artery bypass graft (CABG) and ventricular restoration procedures were developed over the years. These therapies and treatments moderately improved the quality of life and increased life expectancy, but are no cure for heart failure. A promising approach for the near future to repair the injured heart is transplantation of stem cells. In this book, different stem cell types are thoroughly analysed for their cardiomyogenic differentiation capacities and therefore their clinical potential to compensate for the massive loss of cardiomyocytes. ····· 1036187024
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Decentralization ultimately involves the execution of most health care activities at lower levels of the health system. However, when poorly implemented, decentralization can create confusion about roles and responsibilities. This study attempted to assess the perception and practice of decentralized decision-making authority of health managers at different levels of the health system of Jimma Zone, Oromia Regional State of Southwest Ethiopia. According to the regional guideline, ensuring achievement of regional health service targets is the responsibility of the RHB. This was clear to 98% (n=99) of the health managers included in this study. However, almost equivalent proportion of the respondents (96%) agreed that the FMOH should be responsible for this. Such confusions were observed in almost every functional area. The in-depth interviews demonstrated that legislative guidelines were not available in most district health offices and facilities. Moreover, because of the prevailing scarcity of human, financial and other resources at zonal and district levels, it is difficult to expedite health sector decentralization in Jimma Zone. ····· 1036187047
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray From the small beginning they made in China`s eight lakh villages, China built an elaborate health system in the next two decades. The health system model built by China served as a shining lighthouse for developing countries, though it has its dark spots that I will describe in the concluding part. After 1978, the CMS collapsed and the work-points collective system gave way to user-fees. These widely welcome reforms had knocked off some of the good things from the health system, -- Its universal accessibility and equity. However, it added a burden of paying user-fees for the services. This has been difficult for the poor of China.. Even at the beginning of a `millenium`, India has no worthwhile system of healthcare in its half million villages. I have written this small travelogue for simply jolting the Indian health policy community out of its slumber and point out the lost perspective. ····· 1036187090
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This work is an original research work carried out in the rural area of Jagatsinghpur district of Orissa(India). VHND program incorporates services for pregnant women, lactating mothers, children under 5 years of age along with adolescent girls. Ante-natal and post-natal services, growth monitoring of children under five years, etc. are the various types of services given to the beneficiaries. Health education according to a health calendar is also provided. Distribution of deworming and iron tablets as prophylaxis for anemia prevention is also provided to the adolescent girls. This work has made an attempt to evaluate the functioning of VHND in a rural district of Orissa, India. Many of the important issues have come up during the evaluation and recommendations for the same have been incorporated in the dissertation. ····· 1036187702
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Diabetic retinopathy (DR) is a complex pathophysiological event and a major cause of blindness in diabetic patients. The pathways that have been proposed to explain the pathogenesis of DR include many events all starting from hyperglycemia. Among the most important pathways are: increased oxidative stress, inflammation, activation of ocular RAS and retinal neuronal cell death. Based on this background, the present study was designed to evaluate and compare the possible retinoprotective effects of insulin to other studied drugs either alone or in combination including: atorvastatin as an antihyperlipedemic, losartan as an ARB, EGb761 as an antioxidant on the following parameters: HBA1c %, serum MDA concentration, retinal histopathological changes and retinal VEGF and ICAM-1 after induction of DR by STZ in rats. The most significant retinoprotective effect recorded among the drug treated groups was for the insulin group followed by the other treated goups in the following order: losartan plus atorvastatin group, losartan plus EGb761 group, losartan group, atorvastatin group and finally EGb761 group. ····· 1036192173
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Adolescent and youth offer great hope for reduction of health needs in future health interventions on this age group focus on influencing and molding attitudes and behaviors. Attending to causes of future morbidity aiming at reaching maximum preventable risk due to smoking, drug use, diet, physical activities and health interventions reduce situations and factors leading to psychiatric morbidity. Introduce adolescent counseling programs at university level with an aim to prevention of stressful situations and also to equip them to cope with threats. Educate adolescent on balanced nutrition and life style modifications by way of campaigns.Promote health seeking behavior by accessing right facility at right time without delays in realizing problems or consulting physicians or hospitalizations. Right care needs to be sought at right time for bringing right solutions. Substance use to be restricted through various forms of culturally relevant measures. A vigil may be developed of misuses with an aim to counseling. ····· 10361133227
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Type 1 Diabetes Mellitus (T1DM) is an autoimmune disease affecting millions of people worldwide that destroys pancreatic beta cells, influencing glucose homeostasis. In T1DM, glucoregulation and carbohydrate oxidation may be altered in different ambient temperatures however, current literature has yet to explore these mechanisms. This publication examines the effects of 30 minutes of exercise at 65% VO2max in 5ºC, 20ºC and 35ºC in individuals with T1DM. No significant differences were observed for blood glucose across the 3 conditions (p = 0.442), but significance was found for core temperature, heat storage, and sweat rate (p 0.01). Blood glucose was also shown to vary greatly between individuals among conditions. The mechanisms behind the differences in blood glucose may be due to the lack of significant glucagon production among conditions. These findings suggest that T1DM individuals may exercise submaximally for 30 minutes in different ambient temperatures without significant differences in glucoregulation. ····· 10361133968
für 55.71€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Malnutrition, a most common nutritional deficiency worked worldwide with more interest in under five children and to some extend in elderly. But do we really care the nutritional status of adolescents which is the most rapid growing state, only next to infancy. In the underdeveloped and developing countries, estimates from various national and international studies shows upto half the girls in their adolescence are malnourished, and half of those are on the verge to deliver a child, at risk of under nutrition. Various national programs and voluntary health organizations are working in the field of improvement of nutritional status of adolescent girls for more than half a century, yet the problem is a great public health hazard. Attempt has been made in this study to identify the problem status along with the correlates of nutritional status through community based cross sectional study and identification of factors perceived by the adolescents themselves for prevention of non attainment of proper nutrition and failing all the attempts targeted towards the issue. ····· 1036120466
····· lezzter Preis 58.41€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Esta investigación surge del problema que presentan los pacientes diabéticos, a la hora de elegir su alimentación, en especial los postres que ellos tanto desean. De allí surge la necesidad de elaborar postres dietéticos destinados a esta población, utilizando como ingrediente principal el `Yacón`, un alimento funcional que presenta efectos beneficiosos para la salud humana. Sus raíces contienen fructooligosacáridos (FOS), lo cual disminuye los valores de glucosa, niveles de colesterol y triglicéridos sanguíneos, y debido a su bajo aporte calórico puede ser utilizado en personas con diabetes, sobrepeso, obesidad y dislipemias Este libro pretende brindar la importancia de la revalorización de este cultivo que se produce en la provincia de Salta y su utilización en la elaboración de postres dietéticos, evaluando su calidad sensorial y aceptabilidad, como una alternativa saludable para personas diabéticas un problema importante de Salud Pública en nuestro país. Además este libro presenta las diferentes recetas estandarizadas para que la población pueda acceder a ellas y poder diversificar su alimentación. Esperemos que el mismo sea de su agrado y utilidad. ····· 1036122407
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The trends of Acute Myocardial Infarct (AMI) subjects with hyperlipidemia has changed.The current study is based on stratification of risk factors in Normolipidemic AMI subjects, where the author approaches to elucidate the various risk factors and compounding variables associated with AMI in subjects who were absolutely Normolipidemic but suffered a set back.It has been observed that it is not only the lipids but there are several others analytical variables which can lead to AMI.The take away home message from this study highlights on measurements of other risk variables which are associated with the silent killer. It has become mandatory to analyze these risk variables in appropriate time so that the heavy cost beard by the subjects in Intensive Coronary Care Unit(ICCU) is minimized and can be healthy if these variables are also considered as a routine biochemical examination and measured in right time. The Author believes the current trends of AMI always associated with hyperlipidemia would change and subjects must be aware of other risk variables if they consider themselves risk free by being Normolipidemic. ····· 1036120213
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Classical HLA class I (class Ia) downregulation may be the cause of immune escape mechanism by the cancer cells and is well documented in different cancers. Recently it is shown that in leukemia there is a locus specific HLA class Ia downregulation both at the antigenic and transcriptional level. As, so far, no mutation is recorded in HLA genes so the reason may lies at the expression of different transcription factors (TRFs) that regulate its expression. Reports suggest that there is an alteration of the constitutive region binding TRFs of the HLA promoter in leukemia. Though there is upregulation of some inducible region binding TRFs, but they are unable to transcribe the HLA class Ia genes. This indicates the accessory role of the inducible binding TRFs. Absence of non-classical HLA class I (class Ib) in leukemic cells may give us the molecular rationale for the success of NK cell mediated immunotherapy. Interestingly, neutrophils (PMNs) of normal volunteers in contact with leukemic cells showed HLA class II expression and oxidative damage towards the leukemic cells. So, PMNs can be utilized for the management of infections under the condition and for leukemia immunotherapy. ····· 1036120312
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray It was a population based cross sectional study done with the objective of Knowledge, Attitude and Practices (KAP) Related to Pre-Conception & Pre-Natal Diagnostic Techniques (PC & PNDT) Act Among the Antenatal Women in Bikaner district. A population of antenal women 1000 preference of male child an indicator of gender discrimination was seen, It correlated with female age, literacy, their socioeconomic status,parity. After a detailed the present study showed a clear picture of factors affecting the knowledge and attitude towards the PC & PNDT Act. The existence of son preference at an alarmingly high rate in our society is the root cause of imbalanced sex ratio. Moreover, the inclination to female feticide is reported by the subjects in spite of them being aware of the consequences of imbalance in sex ratio. Socio demographic factors like age, literacy, socioeconomic status, parity sex of the previous child and pressure by family or husband affect the knowledge, attitude and practices towards the PC & PNDT Act and woman s preference for her next child. These days higher social classes are more vulnerable for misuse of PC & PNDT Act, doing sex selection and female feticide. ····· 1036120828
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Malaria transmission studies in the Rufiji River basin have shown that the area is holoendemic. However, there is still paucity in our knowledge on the biology and ecology of the malaria vectors in the lower Rufiji River basin (Rufiji district). Although Anopheles gambiae and An. funestus are known to be the major vectors of malaria in the upper Rufiji basin (Kilombero district), the specific vectors in the lower Rufiji basin are not known for certain. This may compromise the choice of interventions based on vector control. It is, therefore, imperative to understand the diversity and ecology of the vector species and hence the intensity and potential risk of malaria transmission in lower Rufiji Basin, such information is vital for the designing of appropriate control strategies. The information provided by this book is likely to form the basis for improvement of the interventions relevant to lower Rufiji basin and could also be of value in the evaluating changes in malaria transmission and incidence over time in the lower Rufiji basin. ····· 1036121297
····· lezzter Preis 61.20€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The clavicle is variable in shape and exhibits dramatic variations in both curvature and cross-sectional geometry.The variations should be taken into account while performing clinical procedures. The present work on normal and variant morphology of 600 clavicles in North Indians provides a base- line data for all morphometric parameters in sexes, which may be useful for mathematical modeling and biomechanical studies of human clavicles.This is of definite significance as clavicular morphology is known to be influenced by cultural , environmental and racial factors. The study quantifies physical parameters for the clavicle and endeavours to give a special emphasis to the influence of sex factor on morphology of clavicle so as to establish the dimorphic criterion and its significance in both males and females. ····· 1036125841
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book examines cellular mechanisms by which palmitate availability induces insulin resistance in skeletal muscle and whether AICAR and/or leptin treatment ameliorate insulin resistance, and the mechanisms involved. In this book we have shown that isolated soleus muscles are a metabolically stable and responsive model to examine substrate (glucose and fatty acids) metabolism. In addition, it was also shown in this book that there is a close association between the impairment of fatty acid oxidation rate and the induction of insulin resistance, as well as between the recovery of fatty acid oxidation and the rescue of insulin resistance. This book will be of particular interest to researchers and students in metabolism, biochemistry, endocrinology and physioilogy. ····· 1036189229
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Consumption of the larva of Anaphe venata as a source of protein in human diet has been linked with seasonal ataxia in humans. Previous animal studies indicated that extract of the larva induced significant behavoral anomalies in rodents. However, there seems to be dearth of studies on the neuropharmacological basis of the observed behavior. This book presents an outcome of a research establishing the neuropharmacological phenomenon involved in the observed behavioral syndrome in rats. The outcome of the study showed that the extract-induced behaviors in the rats were mediated via mainly Cholinergic, dopaminergic, GABAergic and opioid neural axis. It is suggested that treatment targeted at these systems may be useful in the management of seasonal ataxia in humans. ····· 1036192032
für 69.21€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray World Over, HIV and AIDS continue to wreck havoc over mankind. Advances in Information Communication Technology offer great potential for management of the pandemic. This book offers insights into ICT factors that influence use of this Technology for the benefit of both patients and Health Care professionals. The Author has made a great attempt to fill existing literature gaps in the field of study. The book is a must read for Health care Professionals and students of Health Service Management and Informatics especially in this era of E-Health. Dr. Andre Yitambe (Ph.D), Chairman, Health Management and Informatics Department, Kenyatta University. ····· 1036120977
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray V dannoy monografii predstavleny organizatsionno-metodologicheskie rekomendatsii po realizatsii munitsipal`noy politiki v oblasti okhrany i ukrepleniya zdorov`ya naseleniya. V ney obobshchen imeyushchiysya mezhdunarodnyy, rossiyskiy i opyt g.Stavropolya v realizatsii proektov i programm v sfere zdravookhraneniya, proveden analiz vozmozhnostey i prepyatstviy na puti ikh realizatsii, opisany mekhanizmy otsenki effektivnosti predprinimaemykh mer v sfere obshchestvennogo zdorov`ya, a takzhe predstavlen spisok literatury po probleme. Monografiya rekomendovana predstavitelyam ispolnitel`noy i zakonodatel`noy vlasti, litsam, prinimayushchim upravlencheskie resheniya v oblasti zdravookhraneniya, obrazovaniya, sotsial`noy zashchity, zhilishchno-kommunal`noy sfery, ekologicheskogo blagopoluchiya, gradostroitel`stva, arkhitektury, a takzhe predstavitelyam sotsial`no orientirovannykh nekommercheskikh organizatsiy i SMI. ····· 103615094
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Free from the traditional social restrictions and taboos of their communities of origin, and taking advantage of the anonymity of cities, migrants generally adopt more liberal sexual behaviours at their places of destination. They are also more subject to external influences, which may drive them to adopt new practices such as drug use. Because of this increased vulnerability, they may become transmitters of STI/HIV to their families and communities back home. In fact, in Tamil Nadu, migration is the main link between HIV high-risk groups and the population at large. Although all elements point to the importance of a coordinated prevention policy for migrants on HIV, research on the subject has been minimal and inter-state cooperation has been restricted to a few isolated activities, falling short of a comprehensive policy on the subject. It is hoped that the present research will contribute to filling this gap. This research adopted a cross-sectional methodology, including a thorough literature review, and detailed questionnaires for 1009 slum dwellers. Additional qualitative data was collected, through 20 focus group discussions. ····· 1036119421
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Understanding the relationships between clinical and non-clinical caregivers in the hospital environment of care is vital to determining best practices that improve patient outcomes. The purpose of this study is to understand the relationships among biomedical engineering technicians (BMETs) and clinical caregivers in order to promote hospital quality through the reduction of hospital acquired infections associated with medical equipment. The BMET health support occupation is under-represented in research despite evidence that validates their indirect impact on patient outcomes through their medical equipment duties. Results from the Biomedical Engineering Interdepartmental survey determined the effects of structural complexity and process adequacy in Clinical Engineering using structural equation analysis under the theoretical framework of Donabedian s Structure-Process-Outcome model. Statistical analysis leads to recommendations that hospital environments that create a coordinated organizational culture of interdepartmental device management through communication, collaboration, teamwork, and knowledge management can promote quality and therefore, reduce adverse events. ····· 1036120076
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray One of the key responses to the HIV/AIDS crisis has been the provision of School- based HIV/AIDS education, to try and improve teenagers` ability to make wise and sensible decisions regarding their behaviours. The interventions have been premised on links between education and behaviour, the underlying assumption being that teaching young people how to protect themselves from HIV can lead to a reduction in risk behaviour and hence a reduction in HIV incidence (UNAIDS, 1997). An important part of this process has been the development of an education sector policy on HIV and AIDS, aimed at implementing and effecting, among others, the policy goal of Prevention. This study, with the use of a systems theory as a theoretical framework, examines the policy, provision and practice of HIV/AIDS education in secondary schools in Kenya with the view to informing policy and providing options for re-designing and scaling up (if necessary) the HIV/AIDS program. ····· 1036120529
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Child mortality is one of the most important measures of a country`s development. Child mortality remains very high for most countries more so in developing countries from causes that can be easily prevented by simple means at community level. These measures coupled with availability of essential drugs contribute drastically to the reduction of childhood deaths. This book reviews some of these measures and is especially useful for students pursuing training in public and community health. The author has used these notes in training students pursuing training in public health with very good results and it is hoped that other students would greatly benefit from them. ····· 1036120859
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Introduction: In recent years, the dominance of cardiovascular diseases as a major contributor to total mortality globally was observed. Standardized death certification rates for cerebrovascular disease in Bulgaria in the age group 0-64 were about six times higher than in England in 1994. Methods: This study is based on a sample of 3100 people aged 25 - 74. Subjects were invited to their local polyclinics where anthropometrical indices and blood pressure were measured, a blood sample drawn and questionnaire administered. Results: Means and proportions for ages 35 64 standardised to the world standard population, were for males and females respectively: Systolic blood pressure 132 mmHg and 129 mmHg, Diastolic blood pressure 86 mmHg and 85 mmHg, Total serum cholesterol 5.0 mmol/l and 5.0 mmol/l, Body Mass Index 26.2 kg/m2 and 25.8 kg/m2, regular smokers - 36% and 29%. Conclusions: The risk factor findings offer little explanation for reported mortality trends. Repeated surveillance studies will be needed and for these, greater attention will need to be given to achieving and maintaining quality in data collection. ····· 1036121198
····· lezzter Preis 71.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Lecture Notes Pharmacology is for ready reference to the subject Pharmacology. This book has some distinctive advantages: Written in Simple language Point wise description Tabulations for easy memory Flow charts for easy understanding Diagrammatic representation for better understanding Easy to grasp information This book will definitely help the medical students for having a look into the diverse subject of pharmacology ····· 1036125391
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study explores factors that influenced the policy process for the health sector reforms undertaken by the government. This is a qualitative research, which employs a case study approach. Four cases were selected and, based on a framework for analyzing the policy process, data was collected using interviews, FGDs and document reviews. With the help of a computer-assisted data processing system, the qualitative data was analyzed and findings are presented as four single-case studies. The cross-case analysis generated discussion and a multiple-case study was developed that helped in identifying factors influencing the policy process for the Punjab health sector reforms. The study revealed six factors: (1) absence of clearly defined principles and purposes (2) insufficient involvement of stakeholders (3) lack of a holistic view of context (4) shortcomings of the policy machine (5) need for a proper implementation structure and (6) administrative fatigue of donors. ····· 10361133427
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book focuses on the measurement of factors that influence the quality of service systems, healthcare services in particular.Evaluation of quality in a healthcare organization is a multi-level effort. Developing a measuring instrument is an important step in assessing an organisation s service quality. Many of the earlier studies neglected significant impacts of issues because of the existence of governmental institutions. Models from past studies are confined in their capability and applicability to analyse service process to private healthcare institutions. Even though the various literatures provide the insight into evaluation and performance of a healthcare organization, an integrated quality model has not been addressed into. It is critical to measure healthcare service quality because of increased competition and become more market-oriented. In this scenario, this book endeavours to explore the research issues of service quality and its measurement with a specific reference to the healthcare sector in a developing economy.This research work assumes greater significance especially in the global context to adopt comprehensive approach in healthcare services. ····· 10361133810
····· lezzter Preis 79.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book describes the therapeutic potentials of hesperidin against experimental mammary carcinoma and in human breast cancer cell line. Breast cancer is the most common cancer in women. Great efforts have been made in the treatment of breast cancer. Hesperidin is a natural bioflavonoid isolated from citrus fruits such as orange and lemon. The present study shows that hesperidin, a plant derived flavonoid, induced apoptosis in MCF-7 cells. The objective of the study was to evaluate the players of apoptotic cascade, tumor suppressor protein expressions in the presence of hesperidin in human breast cancer cells. Several proteins involved in this process were probed using appropriate antibodies, the intracellular redox levels and the viability of cells were analyzed in control and hesperidin treated cells. The mechanism of hesperidin mediated apoptosis was determined. Anticancer property of hesperidin in an animal model of breast carcinogenesis was also explored. Hesperidin exhibits excellent therapeutic activity. The implication of this inter-disciplinary approach will be useful in cancer detection, diagnosis, treatment with drugs, and for follow-up during chemotherapy. ····· 1036125633
für 88.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Numerosos estudios demuestran que el impacto de los extremos térmicos sobre la salud es importante, y puede ser mayor en un futuro escenario de cambio climático. Existe una variación geográfica y temporal de los efectos de la temperatura sobre la mortalidad, y el estudio de los factores que determinan la relación entre las temperaturas extremas en una zona concreta debe ser la base de unos planes de prevención frente a extremos térmicos realmente eficaces en cada zona concreta. El objetivo de este trabajo es caracterizar y cuantificar los efectos de los extremos térmicos sobre la mortalidad por todas las causas excepto accidentes en Castilla-La Mancha. Para conseguirlo se hace un estudio exhaustivo de cada una de las variables elegidas, se divide la región en zonas homogéneas en función de la temperatura, y se establece una temperatura umbral para definir ola de calor y de frío a partir del análisis de la relación mortalidad-temperatura. Finalmente, tras el estudio cualitativo de los extremos térmicos y la definición de nuevas variables, se realizan modelos ARIMA con variables exógenas para cuantificar la influencia de cada una de las variables estudiadas sobre la mortalidad. ····· 103612611
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