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 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 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
····· 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 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 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 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 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
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 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 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 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 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 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 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 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
····· 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 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
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 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 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 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 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· 1 ·· 2 ·· 3 ·· 4 ·· 5 ·· 6 ·
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