für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Acquired Immune Deficiency Syndrome or Acquired Immunodeficiency Syndrome (AIDS) has commandeered media headlines, instigated public awareness, and garnered funding in more profound ways than any other disease in history. Present book has six chapters including the bibliography. In the first chapter, the description about survey site is discussed and in chapter two, I had tried to discuss the structure and function of HIV and also try to elaborate the current status of AIDS in INDIA. Various myths are found among general public, it was found during the survey. There is also much social awareness about AIDS and a number of non-governmental organizations are taking keen interest in educating people and helping them. Realizing the importance of this health hazard an investigations about its awareness among students was undertaken. ····· 10361102804
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Arthritis is a very common disease affecting the joints, skin and various internal organs. Arthritis is not an old person`s disease , nearly 3 out of every 5 people with arthritis are younger than 65. It affects about 42 million people, women make up more than two-thirds of all arthritis cases but anyone is vulnerable to the disease, even children. There are many proven Eastern/Unani medicines for rheumatoid arthritis and osteoarthritis. It is important that alternative or complementary strategy for the treatment with Unani medicine is another option to be followed. Many Unani medicine therapies for arthritis are heavily advertised and make attractive claims.This book will provide its reader a better understanding about all aspects of arthritis especially its management under the principals of Eastern/Unani medicines. ····· 10361102691
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray AIDS has been known to have a wide variety of systemic manifestations but the associated psychiatric problems go undetected by the treating physicians. Out of the 100 patients assessed, 36% patients had neurological manifestations, with 47 neurological events. Meningitis was most common (19 patients) followed by mass lesions in 6. Psychiatric symptoms were seen in 78%. Depression was most common (45 patients) , followed by anxiety in 25 and adjustment disorder in 6. These AIDS related mental disturbances could be attributed to the psychological reactions to systemic illnesses, effects of psychosocial stressors associated with the disease or opportunistic infections of the central nervous system. ····· 10361102677
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There are at least 300 million cases of malaria each year, resulting in more than a million deaths. Cerebral malaria is the most severe complication of malaria especially in young African children. Besides drug resistance, another challenge in the fight against malaria is the protective treatment of the host combined to the conventional antimalarial treatment. This opportunity came with the consideration of cerebral malaria residual case fatality rate of about 20%, despite a timely adequate antimalarial treatment. This work describes the available experimental model of cerebral malaria, the place of neuroprotective therapies in this disease and the efficacy of two neuroprotective drugs, recombinant erythropoietin and statins, during experimental cerebral malaria. Last, a proof- of-concept study documented the relevance of neuroprotection during human cerebral malaria in endemic area. This work should give new insights in medical practices. It should be especially useful to clinicians involved in critical care, infectious diseases, or neurological diseases. ····· 10361102650
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray It is important to note that one fifth of the world`s population comprises of adolescents and 87 percent of them live in developing countries and half of them are poor. The adolescents of today are said to be the largest ever generation in human history .Hence, adolescents as a group merit special attention not only in view of sheer numbers but also of vulnerable age.While on one hand there are problems of over - consumption leading to obesity and its resultant complications, on the other hand problems of under consumption are leading to dietary inadequacies and micro and macro nutrient deficiency disorders. These dietary imbalances coupled with other hiatuses of the technology such as greater affluence, rapid urbanization, unhealthy lifestyle patterns, reduction in the daily physical activity, work related stress, increased alcoholic and tobacco consumption have led to the development of diet related chronic degenerative disorders. Grain amaranth (Amaranthus caudatus L.) an underutilized plant has recently gained attention as a supplementary food crop with a potential for the future. ····· 10361102637
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Glaucoma in childhood is vision threatening disease. The initial management mainly involves surgery, and both goniotomy and trabeculotomy have been shown to have high rates of success for primary congenital glaucoma. Even in the best hands, some 15-20% initial procedures fail. For most secondary glaucomas and primary pediatric glaucomas refractory to angle surgery, medical therapy is frequently unsuccessful. In these cases, surgeons are confronted with a choice of what procedure to do next. Classification, symptoms, and diagnostics of childhood glaucoma are mentioned in first descriptive part of book. Authors describe the initial surgical methods in the treatment of primary congenital glaucoma, options of medical therapy and the alternatives surgical options in refractory cases. Authors present glaucoma drainage implants in more details. The experimental study evaluates the clinical course, effectiveness and safety of Molteno and Baerveldt implants in a large group of primary and secondary pediatric glaucomas refractory to conventional surgery, with a long-term follow up. The book is intended for the professionals in ophthalmology. ····· 10361102596
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Digeneans are among the most common and abundant parasitic worms, second only to nematodes. They are parasites of all classes of vertebrates and many of them have great public health and veterinary significance. Human infections with digeneans are still persistently endemic in many parts of the world. In addition, some species are considered nowadays as emerging or re-emerging parasites. This book gives an up to date comprehensive overview of digeneans of medical importance and those rarely reported as human pathogens. I have tried to set down what is known about this group of parasites in a way that conveys the excitement of the science. ····· 10361102569
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The present work by Salman highlights the role of the renal sympathetic nerves in the regulation of kidney functions and determines how the normal regulatory systems are disturbed during the pathology of renal failure and diabetes. Using animal models of these diseases, the mediated reductions in renal hemodynamic and excretory functions were characterized and evaluated prior to and directly after the induction of acute renal denervation. Data from this research provided experimental evidence that augmented renal sympathetic nerve activity is an early consequence of some pathological states affecting the kidney and that the contributory role of the renal sympathetic nervous system towards the observed derangements in renal indices is of major importance and requires further attention. Therefore, it is suggested that a reduction in the renal sympathetic basal tone is likely to forbid or at least reduce the occurrence of future renal complications. ····· 10361102560
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study aimed to investigate the impact that the diagnosis of cancer has on the relationship of couples where one of the partners have been diagnosed with cancer. In order to achieve this, the study explored the elements in the cancer process that were most difficult for couples to cope with and what supported them most in coping. There are already many stressors in couples` lives without the added stress of cancer. When cancer is diagnosed in one of the partners, the couple is exposed to extraordinary challenges that they had never encountered before. It changes the appearance and the quality of the relationship. Their lives are disrupted by changes in all aspects. It was observed that the relationships of the couples were not adequately attended to during the cancer process. The study therefore attempted to assist couples and their medical teams to better understand some of the particular factors that could impinge on the relationship between patient and partner. Couple participants were purposively selected. The study used qualitative methods to elicit thoughts and attitudes of couples experiencing the cancer process. ····· 10361102525
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Intramedullary nail had been used for the treatment of long bone fractures since World War II. Gerhard Küntscher is credited with the first use of this device in 1939. Intramedullary fixation is valuable and appropriate for the majority of femoral shaft fractures, particularly for the mid-diaphyseal fractures. With the invention of newer nail designs and attention to surgical technique, nailing can be extended to both proximal and distal extraarticular fractures. ····· 10361102497
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Hyperuricemia is indicative of a high level of uric acid in the blood (7mg/dl for men, 6mg/dl for women).The hyperuricemia may indicate an increased risk of gout.It is estimated that approximately 15 of every 1,000 males between 35 and 45 years of age have hyperuricemia. Hyperuricemia afflicts an estimated 840 out of 100,000 people. Hyperuricemia can also result in uric acid nephrolithiasis and possible nephropathy if uric acid accumulates in the renal interstitium and tubules.This book comprises of a clinical study conducted for the management of Hyperuricemia in Hamdard University Karachi,Pakistan.Hence it will provide its reader a better understanding of risk factors,causes,clinical features,diagnosis and treatment of Hyperuricemia and its relevant complications with allopathic as well as with modern herbal medicines. ····· 10361102473
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Defects in the duodenal wall caused by trauma, giant perforation and duodenal fistula are technically difficult to repair and associated with high morbidity and mortality. Usually the defect can be closed primarily but in above mentioned conditions large defects are difficult to repair. Majority of duodenal perforations are closed best by omental patch. At such times, one has to use other techniques of managing the problem. In such cases various technically demanding operations have been proposed. Apart from more challenging surgical procedures, the pedicled flap of rectus abdominis muscle along with peritoneum (RAMP) for repair of duodenal defect may be an alternative in the treatment of high-risk patients. This flap is easy to construct and can cover large defect in the duodenal wall without any serious complications. Flap contains adequate blood supply, which help in healing of duodenal wall defect with excellent results. With these considerations in mind we investigated the results of RAMP flap for repair of large duodenal wall defect. This book is useful for trainee as well as practicing surgeons. ····· 10361102453
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The HIV epidemic contributed to increase of tuberculosis (TB) in Tanzania. There is little information on the disease caused by M. bovis and nontuberculosis mycobacteria (NTMs) in Tanzania. This study aimed at generating epidemiological information on M. bovis and NTMs disease, to provide information for disease control tool. The study involves subjects from hospital and community settings in rural and semi-rural districts. We enrolled 468 adenitis patients and 426 randomly selected subjects for the community study. The laboratory tests included: culture on 468 biopsy specimens and biochemical identification, histology on 213 specimens, and HIV test on 154 sera. M. bovis caused one out of ten cases of culture positive TB adenitis. NTMs were more common than M. TB (50% and 40% of the cases, respectively). Details for risk factors histology and challenges for diagnosis of TB in the livestock-keeping communities are described. One health initiatives are highly recommended for research and control of this disease. More information on pulmonary disease caused by M. bovis and NTMs, and resistance pattern to anti-TB drugs is required. ····· 10361102383
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Invasive fungal infections (IFIs) demand a tremendous levy in terms of human life and healthcare costs, despite the fact that fungal diseases are still under-diagnosed and under reported. Several factors such as patient characteristics, antifungal prophylaxis and others appear to have contributed to a change in the spectrum of invasive fungal pathogens (i.e. Candida species, Non-Candida species, Aspergillus species and Non-Aspergillus species). Therefore, it is important to recognize and minimize the major risk factors associated with infection, and expanding the antifungal drug research for new antifungal agents to treat life-threatening invasive infections. This book would highlight past and current research on fungal pathogens and antifungal therapies, and also novel targets for antifungal agents for future development in medical practice to prevent invasive fungal infections. The book will describe novel antifungal agents, its targets, and various development phases and potential benefits of combination therapy. ····· 10361102374
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The prognosis of patients with acute myocardial infarction (AMI) or heart attack has shown a steady improvement over the last three decades. Nevertheless, it remains a major public health problem both in developed and developing countries including Malaysia. This book provided important prognostic data and information for patients with acute myocardial infarction in a local setting. The content of this book includes overview of AMI globally and locally, comprehensive methods on retrospective record review design for survival study, detail results of Kaplan Meier Product-limit Estimate and Cox Proportional Hazard Regression Model survival analysis and discussion. It will benefit the researchers who interested in coronary heart disease epidemiology, prevention and control. In addition, it will definitely provides a good guide to researchers or post graduate students who conduct survival study and analysis. ····· 10361102371
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Microcephaly (congenital-postnatal, primary- secondary, isolated-multiple) is a heterogeneous congenital abnormality from clinical, pathogenetical and etiological aspects. We re- evaluated 82 patients with microcephaly. Patients were classified pathogenetically into primary and secondary and morphologically into isolated and multiple congenital abnormalities associated with microcepahly. This study demonstrated the clinical, neurologic, anthropometric features,recurrence risk and prenatal diagnosis for the different subgroups of microcephaly. Further, It presented the association of epilepsy,the EEG changes and control to anti-epileptic drugs with the different groups of microcephaly. We believe that the use of such classification will help in understanding, dealing with this heterogeneous disorder, application of the molecular testing and genetic counseling. In addition, this population-based study showed that the high parity, the low socio-economic status, the strong intrauterine growth retardation and the high fever related influenza increased significantly the risk of microcephaly. ····· 10361102361
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray It is assumed that autistic children suffer from gastrointestinal disorders more often than their peers. Children with ASD are diagnosed with platelet hyperserotoninemia more often than other children. Some gastroenterological disorders manifest themselves in parallel with dysfunctional serotoninergic neurotransmission in the gastrointestinal tract. The aim of this study was to compare the frequency of gastrointestinal problems in autistic children and in the control group and to establish the expression of 5-HT2A serotonin receptor mRNA in autistic children. Based on the performed research the following conclusions were drawn: autistic children report gastrointestinal disorders significantly more often than their peers. The disorders are confirmed through histopathological examination. Gastrological awareness should be maintained in autistic children. The considerably higher level of platelet 5-HT2A receptor mRNA indicates a molecular background of serotonin disorders. ····· 10361102270
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Zoonotic cutaneous leishmaniasis is a public health problem in many rural parts of 17 out of 30 provinces of Iran. In the present study P. papatasi salivary gland antigens (SGAs) and evaluation of the immune response generated against the SGAs in R. opimus and its role in correlation with L. major infection were investigated. Salivary gland lysate profile of wild caught and lab bred (F1) P. papatasi and also of different geographical populations did not show prominent differences. Positive Ab response of great gerbils against SGA is correlated with Leishmania infection and the season. Leishmania major, L. gerbilli and L. turanica circulate in the population of R. opimus in central part of Iran. Leishmania major infection usually accompanied by L. turanica in naturally infected gerbils. Study on the anti SGA in gerbil population can be considered in epidemiological studies of the disease. ····· 10361102267
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray CD4 enumeration in the peripheral blood is an essential tool for the laboratory monitoring of HIV- infected patients. The objectives were to study the CD4+T-cell counts in patients on HAART,to study the relationship between the TLC and CD4 counts and to study the CD4 changes in different ART regimens.100 HIV positive patients were started on ART from August 20th 2006 to 19th August 2007 at ART centre, K.R. Hospital, MMC&RI, Mysore. Baseline CD4 counts, CBC and biochemical investigations were conducted before ART initiation.Theyweresubsequently followed up every 3 months till the end of the study period. A control group of 50 was included and CD4 counts were determined. Data analysis was done using SPSS software for windows evaluation version 14. The mean baseline CD4 counts were 110 cells/cu.mm. There was a median increase of 184.5 cells/cu.mm after 6 months of follow-up. A highly significant correlation was observed between TLC and CD4 counts both before and 6 months after ART. All the ART regimens showed a significant increase in CD4 counts after 6 months of HAART, irrespective of the regimen used. Thus, ART was beneficial in a majority of the patients. ····· 10361102251
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There is a hypothesis that a subgroup of patients with reversal of systolic dysfunction following hemodialysis have fluid overload. However, the underlying pathology has not been understood in those patients without significant fluid overload. Inflammatory markers have been found to be raised in chronic kidney disease, which prompts the theory for an underlying inflammatory pathology as a cause of reversible cardiac dysfunction in this group of patients. We studied 52 patients with chronic kidney disease. There were 29 patients with systolic dysfunction. Twenty three patients with preserved systolic function, had diastolic dysfunction. Of the 29 patients with systolic dysfunction, 10 patients had significant improvement in NYHA functional class, left ventricular dimensions, left ventricular ejection fraction . None of the patients had significant changes in dry weight. These patients had the highest baseline serum levels of troponin I which decreased significantly with recovery of cardiac function along with the c reactive protein levels. Those patients with C reactive protein greater than median change had significant improvements in LVIDs and EF. ····· 10361102077
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Trauma is one of the commonest causes for emergency room attendance and inability to protect the cervical spine in unconscious patient during primary assessment will cause significant morbidity and mortality in cervical spine injured patient. Mismanagement should be prevented at the first presentation. The emergency department residents frequently interpret plain radiograph without the presence of radiologist.The author would like to highlight that the emergency medicine trainees` ability to interpret the cervical spine radiograph in trauma is as accurate as radiologist. As a result hopefully it will give a strong impact towards improving Emergency Medicine services in future. Emergency physician has great responsibility to provide training and to teach their junior doctors working in their department. ····· 10361102066
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book examined the effects of HIV/AIDS awareness on the sexual behavior of students in tertiary institutions in Nigeria. The students were randomly selected from one university in Nigeria the University of Ilorin, Kwara State. The book shows a high awareness of HIV/AIDS. However, despite the awareness of the consequences of HIV infection,risky sexual behavior is high with high number of reported Participants engaging in sexual activity. In addition, the book shows that a relationship exists between age of respondents` first sexual intercourse as well as between the place of residence and sexual experience. ····· 10361101997
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The study focuses on how care and support around HIV/AIDS is perceived by volunteer community workers in Kwangcolosi, Kwazulu Natal. Using the social capital framework, the dissertation seeks to understand and illuminate the existing care and support efforts from the community from the perspective of volunteer caregivers. It emanates from the realization that government efforts in the area of care and support for those infected and affected by HIV/AIDS in most rural or peri-urban areas are usually insufficient. Community or family members usually have to step in to fill this gap but their efforts are seldom documented, let alone recognized. These community initiatives have been defined in the wider concept of social capital. The study sought to explore the perceptions of volunteer community workers on care and support provided to people living with HIV/AIDS (PLWHAs). The social capital framework and specifically the levels of bonding and bridging and the elements of trust, norms, reciprocity and social networks that act as resources for collective action was used to inform the understanding of these collective community efforts.. ····· 10361101923
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Merozoite surface protein MSP2 is avaccine candidate antigen of Plasmodium falciparum that is polymorphic in natural populations. In this study we aimed to investigate whether malaria infection in associated with anti-malaria specific IgG, using recombinant proteins derived from the two major allelic types of MSP2 and ABO blood group. The conclusion is the Higher anti-malarial IgG1, IgG3, IgG2 and lower levels of IgG4 were associated with reduced risk of malaria infection. IgG2 is activator of the classical complement pathway, Fc RIIa H131 is essential for handling IgG2 immune complexes. These data suggest that an MSP2 based vaccine should be designed to induce high level antibody responses against the different MSP2 types present globally in P. falciparum populations and that MSP2 could be combined with other P. falciparum antigens to form a multi-component malaria vaccine. ····· 10361101853· 1 · ::::: · 11 ·· 12 ·· 13 ·· 14 ·· 15 ·· 16 ·· 17 · ::::: · 23 ·
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