für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book is prepared after an extensive review of latest published research articles and books about non- alcoholic fatty liver disease (NAFLD)and alcoholic liver disease (ALD) which are the most common liver disorders in the world. It has updated and analyzed latest advances in epidemiology, clinical aspects, pathogenesis, mechanisms, immune responses, therapies and future strategies to combat the development and progression of above liver diseases. ····· 10361119729
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Our liver is one of the main visceral organs handling and controlling all of metabolic pathways to make healthy our life. Over capacities of the liver to do the job generate the disease. A fatty liver disease is a primary disease that is initiated by excess accumulation of lipids in the liver generating steatohepatitis and even cirrhosis. This book described in detail a biochemical mechanism of the disease. The development of the disease involves an important role of the orotic acid intermediate metabolites from the pyrimidine nucleotide biosynthetic pathway. The development of the disease is inhibited by the shochu kasu. A beneficial function of the shochu kasu is to alleviate the disease. All those mechanistic developments and inhibitions of the disease found in this book are described in detail at molecular level. Overall, this book provides a useful discussion on the fatty liver disease from the initiation of the disease until its mechanistic inhibition. This book provides useful information for food product designers, industrial scientists, and every one who intensive study on liver function as well as the graduate students. ····· 10361119547
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Red eye refers to hyperemia of the superficially visible vessels of the conjunctiva, episclera, or sclera. Hyperemia or engorgement of the conjunctival blood vessels, can be caused by disorders of these structures or of adjoining structures. A physician frequently encounters patients who complain of a red eye, often causing by simple disorder, but occasionally the cause is vision-threatening condition, which requires the immediate attention of a physician, whose specialized skills, knowledge, and examining instruments are needed in order to make correct therapeutic decisions. The author believes it is time to provide the practicing ophthalmologist, the emergency room physician, the family practitioner, the internist, resident and medical student with an easy-to read, comprehensive handbook of the red eye management. In an effort to make the book of maximal knowledgeable value as a ready reference each chapter is subdivided into the classical pathological rubric of symptoms-signs-etiology-differential diagnosis-treatment-follow-up. We have used an outline format to include all essential data for making a diagnosis and properly managing the RED EYE. ····· 10361119525
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The technologies are ready and quite mature today. The contents of this book enables the reader to have good understanding of the news therapeutic approches regarding the treatment of cancer. This book welcomes the scientific world to look into the alternative treatment option of cancer. This book presents the background literature, how other experts addressed the issue and a simple solution to the problem. ····· 10361119392
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Since the dawn of civilization, snakes have inspired a mystic feeling of good and evil in human mind. It has appeared in various mythologies, either as demon or as a god.In Greek mythology it represented Goddess Hygeia and was worshipped along with Asclepius, the God of Health. The tradition is carried over to the modern time and the snake has found a place in the symbol of medical profession throughout the world. In India, snakes are found everywhere from 12,000 feet altitude of the Himalayas down to Cape Comorin, but different areas have different species preponderance. There are more than 250 species of land snakes in India, of which only four have been popularly known to be dangerously poisonous to man Cobra, common krait, Russell viper and Saw Scalled Viper. The high mortality in India is due to climatic factors, rural predominance of population and their agricultural dependence. The knowledge of type of snake preponderant over any area,identification of the snake species and the clinical syndrome produced by its venom has tremendous clinical significance. ····· 10361119257
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Influenza A (H1N1) is a new human infection that causing a pandemic in year 2009. In Malaysia, the total number of death was 79 in April 2010. The Minister of Health Malaysia had announced that there were possibilities that the virus could generate a deadlier second wave and might lead to a national health emergency. This book illustrates methods used to validate the knowledge, attitude and practice of influenza A (H1N1) questionnaires (KAPH1N1Q). Cronbach`s alpha and exploratory factor analysis were used to assess the reliability and construct validity of the questionnaires. The KAPH1N1Q had satisfactory reliability and validity to assess the knowledge, attitude and practice on influenza A (H1N1). ····· 10361119209
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Preeclampsia is a hypertensive disorder of pregnancy. It affects the health of both mother and fetus, and increases a woman s later cardiovascular risk.Normally during pregnancy, the immune system changes and women become more susceptible to infectious agents. Two infectious agents in particular, C. pneumonia and CMV, are thought to trigger early onset preeclampsia and have been linked to the development of cardiovascular disease later in life. However, it is still unclear what role they play in the onset and development of preeclampsia.Dr. Xie is investigating the mechanisms between infection, innate immune response and the development of preeclampsia. In the present work, she studied how pregnant women are affected by these two infectious agents and how immune system responds to the infection, including examination of TLR signaling and immune genetic variations that may increase disease susceptibility. Results from her work will assist to identify novel therapeutic targets for unfavorable pregnancy outcome management and later cardiovascular disease prevention, leading to improved health care for both mother and fetus. ····· 10361119152
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray For even the most successful series of textbook editions, there comes a time for an ending and a new beginning. This book is just such a new beginning. This text aims to communicate the clinical art and wisdom of psychiatry, tied firmly to the science of clinical disciplines. This text aims to be both scholarly and practical. It covers the most important topics in the format that is complete and efficient for the mental health professional in training or the clinician seeking an update. It differs from the other books in that it concentrates exclusively on aspects that students should know and understand, rather than including a lot of reference material. This has enabled us to keep its length down. Another feature has been to include many new illustrations to aid in grasping the diagnosis and management. Many patients use herbal or other alternative medicines and there is a new addition on this important topic. ····· 10361119140
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In present work an attempt has been made to improve to the therapeutic efficacy, systemic absorption of drug and patient compliance by developing extended release matrix tablet formulations of diltiazem HCl (DIL) and verapamil HCL (VER). DIL and VER matrix tablet formulations were prepared by direct compression by using various combination of HPMC K15M CR and Eudragit RSPO polymer. A full factorial design was applied to systematically optimize drug release profile. For optimization study and data analysis software OPTI STAT was developed. The optimized formulations shows regression value for Higuchi kinetics indicated the diffusion dependence for drug release. Stability trials up to three months displayed excellent reproducibility. In vivo studies were carried out on the optimized batches and CF using new developed HPLC and LC-MS/MS methods A good correlation between the dissolution profiles and bioavailability indicated a linear relationship between in vitro in vivo data. ····· 10361119077
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study will have an within-subject design and will propose the question: `Is there a perceived difference between pulsed ultrasound, 1 MHz, 1.0W/cm2, pulsed mode 1:4, fifteen minutes per session and sham ultrasound at the carpal tunnel in healthy adults ` The answer to this question has implications for both the clinical reasoning of therapist in selecting ultrasound as the treatment and in analyzing the evidence regarding the treatment effectiveness of ultrasound in various studies. ····· 10361118854
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The self-management strategies that interstitial cystitis (IC) sufferers use to promote physical, social and emotional well-being are poorly understood. Their lives can be fractured because symptoms, such as urinary frequency and urgency and unrelenting pelvic pain, do not necessarily respond well to currently offered allopathic medical treatments. IC is a chronic disease of hard to predict exacerbations and remissions.Fundamentally, IC s most debilitating symptom is chronic pain. Sufferers repeatedly contact practitioners in the hope of determining the cause of the pain. At present, practitioners can only offer stopgap measures for IC symptoms because of an inability to identify its cause or resolve its symptoms. With few precise signs and symptoms, practitioners can sometimes question the validity of the sufferers complaints, leading to inadequate diagnosis and treatment. Furthermore, the degree of stress sufferers experience, the impact of IC on their sexual function and relationships with their partners and the long-term impact of IC on their lives remains undetermined. ····· 10361118806
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray During coronary artery angiography, catheter is used to inject a contrast dye into the coronary arteries. Due to the anatomical variation of the aorta and the coronary arteries in different humans, one common catheter cannot be used for all patients. The cardiologists test different catheters for a patient and select the best catheter according to the patient`s anatomy. The focus of this work is to overcome these problems by proposing a computer-aided catheter selection procedure. This thesis work is best for coronary arteries with high take off. It involves segmentation of the aorta and coronary arteries, finding the centerline and computing some geometric parameters. Then after comparing these calculated parameters it suggests a catheter that is the closest to the patient s arteries geometry. This solution avoids testing of many catheters. The cardiologist already gets a recommendation about the optimal catheter for the patient. ····· 10361118800
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In 1972 Dolores Krieger and Dora Kunz developed Therapeutic Touch as a healing modality for use by health professionals. Proponents of the intervention claim that its efficacy is well supported by a substantive amount of rigorously controlled and methodologically sound research. The evidence for the effectiveness of Therapeutic Touch was examined using a prototype research design for integrative review and meta-analysis. A total of forty-one studies were examined, of which 15 (37%) were included in an integrative review, and seven (17%) in a meta-analysis. The effect sizes of the studies combined to return a large positive treatment effect. The fail-safe n of 29.79 associated with the result was inadequate, and consequently the findings of the meta-analysis will be easily overturned by the results of future studies. The findings of the review did not provide support for the claims of the proponents of the intervention. The limited amount of research and the quality of that research is insufficient to establish the efficacy of the practice. ····· 10361118683
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray X-PERT, the acronym for eXpert Patient Education versus Routine Treatment, is a diabetes self-management programme. This thesis explores a different approach to patient education. It begins with an overview of the epidemiology of Type 2 diabetes and exploration of health behaviour models. A systematic review of group-based, self-management diabetes education programmes is then presented. The tutor s manual for the expert patient programme X-PERT is outlined. The design of the clinical trial was to invite the intervention group to attend the X-PERT Programme but to make individual appointments for the control group. The X-PERT trial tests the hypothesis that delivery of a professional-led, diabetes self-management programme based on empowerment and activation would: develop the skills and confidence for diabetes self-management improve clinical, lifestyle and psychosocial outcomes meet the International Diabetes Federation standards for diabetes education. The results support the hypothesis with statistically significant findings. X-PERT is an effective approach that should be offered to all people with diabetes as an integral part of their diabetes treatment. ····· 10361118527
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Little is known about the relationship between maternal role development and maternal distress following childbirth. Initial work on maternal role development was undertaken over three decades ago. Since then the profile of childbearing women has changed. Health professionals need to accommodate these changes when dealing with women who are going through the transition to motherhood. Many factors influence the mother`s role development, particularly maternal distress. This distress may manifest itself as worry, anxiety or depression, but has not been well described in the literature. Feelings of distress may have a negative affect on a woman`s adaptation to motherhood. This study aimed to examine maternal role development and the influence of maternal distress after childbirth. ····· 10361118457
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Endometriosis is a common gynecologic disorder characterized by the presence of endometrial tissue outside the uterine cavity. It is often a perplexing medical condition for both the physician and the patient. The pathogenesis of endometriosis and its association with infertility remain controversial and poorly understood. The diagnosis of endometriosis may be suggested by careful history and pelvic examination however, laparoscopy is considered the gold standard investigation for definitive diagnosis. Laparoscopic evaluation of endometriotic lesions and their histopathologic confirmation provide a more comprehensive diagnostic approach in patients with infertility. ····· 10361118399
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Although breastfeeding is a key child survival strategy, breastfeeding practices in South African health institutions can generally be categorised as being poor. This cross-sectional study aimed to document practices around breastfeeding support and compliance with the Baby-Friendly Hospital Initiative s 10 steps to successful breastfeeding . Suboptimal practices were identified in both baby-friendly accredited and non-accredited facilities, but more so in the latter. None of the facilities passed all 10 steps. Steps that required advice and support from nursing staff - namely step 5 (showing mothers how to breastfeed), step 8 (encouraging breastfeeding on demand), and step 10 (breastfeeding support after discharge from the facility) were particularly poorly done in the majority of facilities. Baby-friendly certified institutions were significantly better than non-accredited facilities for steps 2 (training), 4 (initiating breastfeeding within 1 hour), and 7 (rooming-in). Baby-Friendly Hospitals could not maintain their accredited status on this assessment. However, some good practices appeared to be more sustainable over time. ····· 10361118385
für 79.00€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book is about oral cancer (oral squamous cell carcinoma). This disease is one of the top five killers in Pakistan. It is also a major killer in the neighbouring countries. The incidence rate of oral cavity cancer in Karachi is estimated to be among the highest in the world. Well known risk factors for oral cancer are smoking and alcohol while alternative chewing habits are implicated in sub continent. As many individuals are exposed to these risk factors, only a small proportion develops oral cancer. This suggests that other factors may also play a role in oral carcinogenesis. Recently, Human Papillomavirus (HPV) infection and p53 gene mutation has been shown to play a role in the development of oral cancer. This work is a collection of information gathered through personal research experiences and interaction with oral surgeons and pathologist, over a period of ten years. This book covers all the essential topics such as epidemiology, etiology, pathology, clinical presentation, diagnosis, and management of patients suffering from oral cancer. It is hoped that this work would be of some use to researchers, students as well as oral surgeons engaged in dealing with oral cancer. ····· 10361118338
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The study was carried out at Kokilaben Dhirubhai Ambani Hospital, Mumbai. This study aims to evaluate the two well-performing prognostic model helps to make meaningful comparisons as which is more apt for the organization along with assessing the quality of care through severity scoring system in Intensive Care unit. This will help hospital in assessing hospital s current performance with its past such systems also provide objective data on which physicians may ground a spectrum of decisions regarding patient.The objective of this work is to find objective data which can help physician ground a spectrum of decisions regarding either escalation or withdrawal of therapy in critically ill patients. With a decision criteria of 10 %, sensitivity - that is, the proportion of deaths predicted by the model - was better for SAPS II (9%) than for APACHE II (20 %) however, the false-positive rate was high for both (APACHE II 66.32 %, SAPS II 58.68 %) the overall correct classification was better for SAPS II (57.54 %) than for APACHE II (53.56 %). This study demonstrated that both models failed to predict mortality accurately - that is, overall calibration was poor. ····· 10361118149
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Almost 80% of the UK public believe that antidepressants are addictive. Among the experts, there is a polarised debate of opposing views. Unfortunately, the argument is hindered by a lack of primary research and a virtual absence of research specifically investigating the prevalence of SSRI dependence according to ICD-10 criteria. Alleged SSRI dependence has become an internet hot topic` and the subject of much media attention. This pilot study aimed to fill in some of the gaps in the literature on this issue. ····· 10361118079
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Oxidative Stress and Diabetic Complications In diabetes mellitus,persistence of hyperglycemia was reported to cause increased production of oxidative parameters as well as defects in antioxidant defence system.Both factors possibly related to the pathogenesis of diabetic complications.Appropriate evaluation of oxidative stress(lipid peroxidation,protein oxidation and antioxidant status)will be beneficial in the regular evaluation of type I DM pediatric patients together with the routine laboratory assessment. ····· 10361118006
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray V nastoqschee wremq prioritetnym naprawleniem neotlozhnoj kardiologii qwlqetsq izuchenie wozmozhnyh prediktorow neblagopriqtnogo prognoza zabolewaniq u pacientow s ostrym koronarnym sindromom (OKS). Osobyj interes predstawlqet wyqwlenie faktorow, wliqüschih na razwitie neblagopriqtnyh koronarnyh sobytij w techenie otdalennogo perioda posle rewaskulqrizacii miokarda posredstwom prowedeniq chreskozhnogo koronarnogo wmeshatel`stwa. Rannqq äffektiwnaq inwaziwnaq taktika lecheniq powysila wyzhiwaemost` bol`nyh OKS s älewaciej ST, odnako poqwilas` problema trombozow i restenozow stenta. V rabote proweden analiz komplexa klinicheskih, laboratornyh i angiograficheskih prediktorow, sposobnyh powysit` kachestwo stratifikacii riska koronarnyh oslozhnenij posle chreskozhnogo koronarnogo wmeshatel`stwa kak w rannem gospital`nom, tak i w otdalennom periode zabolewaniq. Izuchenie dinamiki faktorow nespecificheskogo wospaleniq i ändotelial`noj disfunkcii pozwolqet wzglqnut` na process razwitiq oslozhnenij posle interwencionnogo lecheniq s pozicii patogeniticheskih aspektow OKS. Kniga orientirowana na specialistow w oblasti neotlozhnoj i interwencionnoj kardiologii, wrachej obschej praktiki, terapewtow. ····· 10361117653
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray ¿Los trastornos mentales producen síntomas en el cuerpo ¿los problemas físicos afectan a la salud mental Gran cantidad de síntomas físicos o corporales aparecen frecuentemente en trastornos psiquiátricos revelando la estrecha interacción existente entre el cuerpo y la mente. Las personas con trastornos de la conducta alimentaria necesitan una atención multidimensional para responder a los diferentes aspectos que engloban dichos trastornos. La insatisfacción corporal, la percepción distorsionada del propio cuerpo, la incapacidad para identificar sensibilidades internas (ej. hambre y saciedad), el rechazo hacia regiones corporales específicas (muslos, caderas y estómago) y el estado general de inefectividad física y baja autoestima son características comunes que presentan los pacientes con anorexia nerviosa. Enfrentarse al propio cuerpo y al contacto corporal con otras personas suele vivirse como algo negativo. La Fisioterapia en salud mental ofrece una metodología de tratamiento que ha mostrado efectividad y es actualmente aplicada en los centros sanitarios de muchos países europeos (Suecia, Noruega, Dinamarca, Bélgica, etc.). ····· 10361116725
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Breast cancer is the commonest cancer in women. There was an increasing trend of breast cancer incidence and mortality in Malaysia because of the increasing life-expectancy, unhealthy diet and life-styles and increasing prevalence of reproductive risk factors. This study was aimed to identify the profile and risk factors of breast cancer. A matched case-control study was carried out at hospitals in Kelantan. We interview 147 cases and 147 controls. The mean (SD) age of breast cancer patients was 46.3 (9.3) years. The most common histological type was infiltrative ductal carcinoma (73%). The presentation at stage III and VI was 60%. The profile of breast cancers in this study such as age and stage distributions was different from other western studies. Factors contributing towards increased risk of breast cancer were nulliparity, having one or two children, family history of breast cancer and ever taken oral contraceptives. This study reconfirmed that similar risk factors identified in western population were responsible for the occurrence of breast cancer in Kelantan. It also supported the theory that breast cancer occurrence was related to oestrogen exposure and familial factors. ····· 10361116238· 1 · ::::: · 6 ·· 7 ·· 8 ·· 9 ·· 10 ·· 11 ·· 12 · ::::: · 23 ·
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