für 26.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray El presente trabajo se realizó en la Fundación Hospital de la Misericordia, una entidad exclusivamente pediátrica, fundada en el año 1897, clasificada de acuerdo al Marco Legal Colombiano en salud como institución de tercer nivel de complejidad, hospital de referencia a nivel nacional. Acorde a las políticas nacionales del sistema obligatorio de garantía de la calidad, la fundación Hospital de la Misericordia creó e implementó un programa de auditoría en salud que cuenta con mecanismos de recolección de información, análisis, evaluación de procesos y aplicación de acciones de mejoramiento continuo para la prestación de un mejor servicio. ····· 103611277
für 35.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray La cirrosis hepática aparece en la etapa final de distintas enfermedades crónicas que afectan al hígado, se calcula que a nivel mundial causa la muerte de casi 150 000 personas cada año. En este trabajo se describen las principales causas de cirrosis en pacientes evaluados para trasplante hepático, se realiza su caracterización clínica, se determinan las variables demográficas, clínicas y analíticas asociadas con la supervivencia a los 6 y 12 meses de la primera evaluación y se determina la capacidad discriminatoria entre el Child-Pugh y el MELD como modelos pronósticos de supervivencia. La información que se brinda es de gran utilidad para ampliar los conocimientos sobre los factores que afectan la supervivencia en la cirrosis hepática. ····· 103611262
für 26.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray La hiperhidrosis palmar es una patología frecuente tanto en hombres como en mujeres, que puede alterar psicológicamente y socialmente a los pacientes, influyendo en su seguridad, autoestima y relaciones personales. Por este motivo es que la Dra. Katherine Barría ha trabajado constantemente en alternativas terapéuticas para este problema. La iontoforesis es un tratamiento seguro, no invasivo, de bajo costo y muy bien tolerado en adultos y en niños. Se puede usar en forma única o como complemento a otras terapias. Además, es fundamental contar con un examen que nos permita objetivar y cuantificar el grado de hiperhidrosis, esto permite también a los pacientes tener un estímulo positivo de cómo van mejorando frente a su patología. ····· 103611244
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This research focuses on gene therapy as well as immunotherapy to target the breast cancer stem cells in breast cancer treatment. Breast cancer stem cells were isolated and proliferated from malignant breast tumors. About gene therapy, we used knockdown gene therapy to suppress the CD44 expression. CD44 holds an important role in stemness maintenance of breast cancer stem cells. CD44 down regulation makes breast cancer stem cells sensitize to anti-tumor drug (doxorubicin). So that combinatorial therapy of CD44 down-regulation and doxorubicin strongly suppressed the tumor growth in NOD/SCID mice. In another way, we used dendritic cell therapy to target breast cancer stem cells. Dendritic cells were loaded with breast cancer stem cells derived antigens. The results also showed that dendritic cell vaccination inhibits the cancer development in mice models. ····· 103611219
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Pulmonary artery pressure is a key parameter in the evaluation of cardiac haemodynamics. Knowledge of its estimation/assessment as well as classification, causes and treatment of pulmonary hypertension is important for both physicians,echocardiographers and cardiac surgeons. There is not much information on this subject from non- caucasian subjects and authors. This book is therefore a useful companion for cardiology professionals in training and in practice. ····· 103611149
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Age-related macular degeneration (AMD) is the leading cause of blindness among persons over age 50 in the industrial world. We hypothesized that abnormal trophic factor production may compromise retinal survival, and fetal retinal pigment epithelial (RPE) cells may be better for transplantation purposes than adult RPE cells. Trophic factor levels in conditioned media (CM) were quantified by multiplex ELISA. Degree of retinal preservation was assessed biochemically. Isobaric tag for relative and absolute quantification (iTRAQ) was used to identify retina-preserving molecules. Confocal microscopy assessed retinal morphology. Media isolated from AMD vs. control donor eyes were equally effective at promoting retinal preservation. Adult RPE cells may not be as useful for cell transplantation treatment of AMD retina as fetal RPE cells. iTRAQ identified insulin-growth factor binding protein-3, TGF-beta, hepatoma-derived growth factor, and others as potential retina-preserving proteins. Fetal RPE-CM preserved retinal morphology. Subretinal transplantation of fetal RPE cells may be more effective than intraocular injections of trophic factors at maintaining long-term retinal viability. ····· 103611143
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Children of today are the youth of tomorrow. HIV affects this very precious generation and bear grave consequences to our future, our nation, the continent and the world at large. It will adversely impact the health statistics, economic growth and above all the morale of nations.HIV and TB form a lethal combination each speeding the others progress. Those who are HIV positive and infected with TB are more likely to become sick with TB than those infected with TB and are HIV negative. The present study has been undertaken to know the feasibility of HIV screening in children having tuberculous meningitis / disseminated tuberculosis attending the pediatric department of JN Medical College, Aligarh Muslim University, Aligarh, India. ····· 103611102
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In 1996, the marketing of several new antiretroviral drugs initiated the era of highly active antiretroviral treatment. Although the combination of antiretroviral drugs has considerably reduced the morbidity and mortality associated to HIV infection, HIV therapy presents several issues such as toxicity, drug-drug interactions and suboptimal drug response. We evaluated the use of Therapeutic Drug Monitoring (TDM) for protease inhibitors (PIs) and efavirenz (EFV) as a complementary tool for the clinical follow up of HIV infected individuals. We showed that PIs and EFV have a large inter-patient but a low intrapatient variability in drug levels which make them good candidates for TDM. Reference percentile curves were established for PIs and EFV from concentrations measured in patients with optimal virus suppression to help clinicians interpret a patient s drug level. The dosage of PIs and EFV proved to be useful in the following clinical situations: suspicion of non adherence, suspicion of toxicity, modifications of physiological parameters, evaluation of drug interactions and virological failure. ····· 103611068
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Neuromuscular disease causes abnormal gait. Sometimes due to complexity of gait, it is hard for a neurologist to diagnose the neuromuscular disorder while the precise analysis of biomechanical parameters of gait leads to better neuromuscular diagnoses and efficient design of orthesis. One of the common types of abnormal gait is steppage gait. Recognizing the kinematics and kinetics parameters of this kind of abnormal gait leads to better diagnoses and design of orthesis device. ····· 103611057
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This study underscores the fact that the integrated child development services had succeeded over the years in reducing the severe forms of malnutrition like marasmus and kwashiorkor, but diarrhea and ARI were still common and still the girl child is still being neglected. The Indian constitution grants women equal rights with men, but strong patriarchal traditions persist, with women`s lives shaped by customs that are centuries old. A daughter is viewed as a liability, and she is conditioned to believe that she is inferior and subordinate to men. Sons are idolized and celebrated. In childhood a female is a subject to her father, in youth to her husband, when the husband is dead, to her sons, a woman is never independent. A primary way that parents discriminate against their girl children is through neglect during illness. when sick, little girls are not taken to the doctor as frequently as are their brothers. This preferential treatment would continue unless a dramatic change occurs in our present social set up. ····· 10361980
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Tobacco is killer in any form or disguise.COPD and ischemic heart disease (IHD)/coronary artery disease (CAD) may co-exist as they share tobacco abuse as a common risk factor.Hookah (water pipe) smoking, a traditional form of tobacco smoking practiced long ago is now in bloom as a new disguise of tobacco in the form of flavored shisha smoking which is nowadays in vogue across the globe.There are differences in tobacco processing, burning rate and temperature, and the use of additives for burning tobacco.Reports by the WHO and the American cancer society have shown that, in a one-hour hookah session, users consume about 100 to 200 times the smoke and about 70 times the nicotine as they do in one cigarette.We have evaluated different types of tobacco smokers who had proven IHD and performed spirometry which is gold standard for the diagnosis of COPD and concluded a high frequency of obscure COPD in this population. It was also seen that water pipe smokers were as prone to have COPD as that of cigarette smokers in contradistinction to the general perception of safety of water pipe smoking among consumers.COPD treatment in IHD patients has the potential to bring positive impacts. ····· 10361969
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Exposure to ionizing radiation through medical testing is generally safe, but there are risks that radiographers need to be aware of. The thyroid gland is a potential target organ for radiation-related damage, as it receives a considerable radiation dose from scattered radiation. There is a general consensus in the fact that there is a high prevalence of thyroid cancer and thyroid nodule formation in workers who were occupationally exposed to radiation as radiographers. This book sheds lights on the predictable effects of long term, low radiation dose exposure to the thyroid. The statistical findings should be especially useful to radiology staff as well as student radiographers undergoing training in radiology departments. ····· 10361957
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The protein encoded by the ras genes occupies a central position in the signaling pathways used by cells to respond to growth factors. What apparently happens in cancerous tumors is that as a result of mutations in genes, ras proteins are constantly turned on so that they constantly promote cell division, even in the absence of stimulation by growth factors. But before either the normal or mutated ras proteins can do anything they have to undergo a series of modifications that enable them to settle in their final home, a spot on the cell membrane from which they relay growth signals to the cell interior. Perhaps by interfering with the modifications of the mutated ras protein, it might be possible to keep the protein from attaching to the membrane and thus it might be possible to keep the growth turned off and thereby prevent uncontrolled cell division. It is believed that drugs designed on this principle might prove more powerful than conventional chemotherapeutic drugs, which attack all rapidly dividing cells, whether they are cancerous or not. ····· 10361931
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This book creates public awareness on the health consequences of exposure to infections with Flat Worms commonly known as (Flukes & Tape worms). Indeed, an attempt has been made to provide a comprehensive, reference Health Information book on the patho-physiological and clinical effects of Flat Worm Infections on the Occupational and Industrial Health of Workers driving the economies of all Nations worldwide. Besides, special emphasis has been given to Schistosomiases and Echinococcosis. Further, due to chronicity of these infections, patients often require complex, multiple surgical operations and Blood Transfusions. Thus, for these reasons, this book may especially benefit hundreds of millions of Agricultural populations resident in Russia, Far-East Asian Countries, Africa, Japan, Philippine and Pacific Islands, Indian Sub-continent, Middle East, Caribbean Islands, Central and South America, USA, Canada, Australia and New Zealand, where some Flat Worm Infections are Endemic. ····· 10361838
für 29.61€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Osteoartroz-samoe chastoe zabolevanie sustavov, rasprostranyennost` kotorogo uvelichivaetsya s vozrastom. Pri tselenapravlennom obsledovanii uzhe v podrostkovom vozraste mozhno vyyavit` dannuyu patologiyu. Rannyaya diagnostika, profilaktika i lechenie mogut zamedlit` progressirovanie bolezni. S uvelicheniem vozrasta i dlitel`nosti zabolevaniya patsientov otmechayutsya bolee vyrazhennye klinicheskie, rentgenologicheskie i ul`trazvukovye izmeneniya v sustavakh, snizhaetsya priverzhennost` k lecheniyu. Nedostatochnaya effektivnost` provodimoy terapii osteoartroza u bol`nykh pozhilogo vozrasta. s odnoy storony, mozhet byt` svyazana s bolee vyrazhennymi klinicheskimi proyavleniyami, bol`shey prodolzhitel`nost`yu zabolevaniya, nalichiem soputstvuyushchey patologii, s drugoy storony, nedostatochnoy priverzhennost`yu k lecheniyu, obuslovlennoy razlichnymi faktorami, v tom chisle, takimi kak vysokiy uroven` lichnostnoy trevogi i maskirovannaya depressiya. Nedostatochnyy kontakt s vrachom takzhe mozhet snizhat` priverzhennost` patsienta k lecheniyu i effektivnost` provodimoy terapii v tselom. ····· 10361787
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The settlements of the Yanadi are considerably spread from each other. With in the settlements, the huts are widely dispersed in small clusters. These conditions facilitate isolation pathologies. The Yanadis traditionally depended on a number of forest based food items. Presently many of these food plants are not easily available. Rice and millets are now being increased. This change in the diet has resulted in nutritional deficiency which is evident among the people. Nutritional disorders such as kwashiorkor, angular stomatitis, pale conjunctivae, and flabby tongue, dull and dry hair or wrinkled hair, are commonly seen among the children and adults. In spite of these changes, it is noteworthy that the Yanadi show considerable interest in the collection and consumption of forest based food items. The Yanadi settlements are clean in comparison to many peasant agricultural villages in the neighboring plain areas. Flow of sewage water, sewage pits, garbage heaps is not conspicuous, though they are not totally absent. In the recent past, dung heaps is coming up in the settlements on account of live-stock rearing. Some households keep bovine animals-cows and oxen and rarely buffaloes. ····· 10361781
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A study to compare the attenuation of cardiovascular response to Laryngoscopy and intubation was done with intravenous bolus dose of 200 mg of Esmolol hydrochloride and Lignocaine hydrochloride 2mg per kg body weight IV bolous. 50 patients were studied who underwent general and gynaecologicval surgeries, Belonging to ASA Grade - I and MP Grade I of both sexes between age group of 20 - 50 years. The patients were divided into 2 groups of 25 each Group - I consists of 25 patients, where Lignocaine hydrochloride 2 mg per kg N was used for attenuation of cardiovascular response to Laryngoscopy and intubation. Group-II consists of 25 patients, where Esmolol hydrochloride 200 mg IV bolus was used as study drug. Pre medication was by intramuscular injection of glycopyrrolate 0.2 mg and ejection midazolam 2 mg W. 45 minutes prior to induction of anaesthesia. Data was compared between the two groups of patients. After recording heart rate and systolic arterial pressure, induction of anaesthesia was achieved by intravenous Thiopentone sodium 2.5% solution given in a dose of 5 mg per kg body weight followed by study drugs. Tracheal intubation was facilitated with N sexamethonium 2 mg per kg ····· 10361715
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This text is intended to accompany lectures, workshops and seminars on basic Neuroanatomy. It will be particularly helpful for those who are interested in basic neuroanatomy but do not know how to begin. Medical students, trainee clinical psychologists and students of the health professions will benefit from an understanding of the basics of the structure of the brain as well as of its functions. The brain is incredibly complex yet by sub-dividing it and naming its parts, it becomes easier to comprehend. Mastering the basics, allows the reader to make a remarkable journey into this fascinating subject area. ····· 10361704
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The act of giving blood is a complex decision that likely is driven by many factors. As individuals move from receptiveness through commitment to habit maintenance, they become less influenced by extrinsic factors and are affected more by intrinsic considerations. Being a blood donor becomes an important aspect of identity. Most donors were recruited by other donors. Their continued involvement as blood donors was primarily linked to altruistic and empathic reasons. Increased self-esteem from being a blood donor was a more important motivation to donors. Lack of self-esteem will be the barriers towards blood donation. Many fears associated with the blood donation process such as needles, sight of blood and contracting acquired immunodeficiency syndrome (AIDS) inhibit donors from giving blood. Fear to put on weight after donations are the other most common reason we encounter in our setting. ····· 10361693
für 64.71€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Novel drug delivery systems (NDDS) have recently gained importance for delivering a variety of therapeutic agents for both local and systemic administration. Delivery of drugs directly to targeted sites of action provides several advantages over non-specific delivery of drugs. Oral colon targeted drug delivery system is one of that NDDS which directly deliver a drug in to the colon for local treatment of a variety of colonic diseases as well as systemic absorption of proteins and peptides. The Metronidazole is the drug of choice in the treatment of the diseases like Amoebiasis, Giardiasis, Trichomonosis and Bacterial Vaginosis. The aim of the present research was to design, development and optimization of swellable rupturable system taking account of local action of the Metronidazole drug in the lower gastrointestinal tract to kill the bacteria in the disease conditions like Amoebiasis, Giardiasis and Trichomonosis. ····· 10361674
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Systemic manifestations of COPD such as exercise capacity limitation, muscle wasting, fatigue and depression have been shown to contribute substantially to COPD morbidity and mortality. The author examined this topic in his PhD clinical research programme at the University Hospital of South Manchester, University of Manchester under supervision of Prof Jorgen Vestbo. Dr Al-shair presented his work at British and American Thoracic Societies and in three consecutive years at the European Respiratory Society (2008-2010) where he received conference awards and published 3 major manuscripts in peer reviewed journals, as Prof Ashley Woodcock described in the preface of this book. Muscle wasting was prevalent in COPD and depression was associated with poor functional performance in COPD. The book describes the Manchester COPD Fatigue Scale a robust scale that provides a simple, reliable and valid measure of total and dimensional fatigue in COPD. This work is first to indicate a possible association between TNF- and two major co-morbidities in COPD i.e., depression and fatigue. TNF- was mildly associated with poor functional performance and impairment in alveolar gases exchange. ····· 10361651
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Objective: To compare the efficacy and tolerability of fluvoxamine and venlafaxine in patients with obsessive-compulsive disorder. Materials and Methods: Forty newly diagnosed patients of OCD (DSM-IV-TR criteria) were randomized to receive either Fluvoxamine (F) or Venlafaxine (V). The dose of fluvoxamine was titrated upwards from 50 to 300 mg/day and of venlafaxine from 75 to 375mg/day to achieve optimal clinical effects. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was used as an index of efficacy ( 0.05). Eleven patients obtained a score of 2 or 1 in F-group versus four in V-group. ADR profile was similar in both groups except for loss of libido which was significantly higher in F-group and headache in V-group. Conclusion: Though venlafaxine has a dual action but fluvoxamine with more selective action on the serotoninergic system shows better better symptomatic relief in OCD ····· 10361650
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Ghanaian women, like many other women from the developing countries, have a low participation rate in breast cancer screening services. As a result, the disease is commonly diagnosed at late stages leading to a poor outcome with high mortality rates. The study showed a high level of knowledge deficit about the disease, which was evident from the poor appreciation of the risk factors and signs of the disease and high level of misconceptions and misinformation. Attitudes towards the disease were those of fear, superstitions, fatalism and stigma, which impact negatively on the outcome of the disease in Ghana. To improve breast cancer care in Ghana, the study makes two broad recommendations which include vigorous breast awareness and educational programmes, to teach and encourage Ghanaian women to adopt breast self-examination practices and to encourage health professionals to use every opportunity to examine their female patients as part of the overall clinical assessments. The second recommendation is the provision adequate facilities for diagnosis and treatment of breast cancer to patients at an affordable cost. ····· 10361610
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Most people suffer with a mouth ulcer every now and then. They`re extremely common and usually painful, appearing as little craters in the lining of the mouth. Mouth plays a significant role in moment-to-moment living. And even a minor oral problem can cause significant eating, drinking or communicating health consequences. Imagine, if mouth is constantly taking in potentially mouth harming substances by way of the air you breath, the food that s munched down on, those teeth picking fingers or bacterial and virus infection causing material allowed to pass through lips. However, not all oral infections, pain or sores originate externally. Some diseases and disorders can be the genesis for trouble. Mouth problems are a universal experience. In this regards, finally we find that the AMX-07 (Amlexanox 5%) is effective in reducing aphthous ulcer, pain and lesional size. ····· 10361604· 1 · ::::: · 67 ·· 68 ·· 69 ·· 70 ·· 71 ·· 72 ·· 73 · ::::: · 74 ·
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