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
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray When the data is analysed, it shows that the younger people (30-44 years) in the population are dying. These deaths are due mainly to infectious diseases and parasitic disease such as tuberculosis, intestinal infections, HIV and malaria. Diseases of the respiratory as well as cardiovascular system feature predominantly among the young. The emergence of neoplastic conditions cannot be overlooked as all have profound impact on public health spending. Diabetes melllitus caused 67% of the deaths associated with endocrine, nutritional and metabolic disorders. A total of 10242 perinatal deaths occured during the study period and was associated with 363 maternal deaths.Congenital pneumonia was the common cause of perinatal deaths whereas oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium were the leading underlying causes of maternal deaths. ····· 10361595
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Malaria is a parasitic protozoan infection transmitted by the bite of Anophelene mosquito. It has four species of parasites: Plasmodium falciparum, Plasmodium vivax, Plasmodium malariae and Plasmodium ovale. Malaria has been a threat to humankind for centuries and continues to carry Significant social and economic burden in endemic countries. This book examined the establishment of malaria policy and control in Timor-Lest, a country which gained its independence on 20 May 2002. Utilising a mixed methods approach, this study explores and examines a number of features of malaria policy and control. This included examining malaria control re-establishment after its brief collapse in 1999, the implementation of the Global Fund to fight AIDS, TB and Malaria (the Global Fund) grant, the delivery of malaria interventions during political instability in 2006, and the formulation and implementation of malaria treatment policy in Timor-Leste over the past 10 years. It is hoped that this thesis will contribute to building the Timorese health system. This book is intended for academicians, researchers, health managers, public health community, clinicians, public health and medical students. ····· 10361591
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Iron deficiency is considered as frequently observed single dietary nutrient deficiency through out the world, predominantly during pregnancy .According to WHO almost half of the pregnancies in developing countries are affected with iron deficiency and ultimately leads to iron deficiency anaemia. This figure increases up to 80% for South Asian countries. In Pakistan iron deficiency anaemia is still a major nutritional and public health problem.In pregnancy not only iron but also other minerals, vitamins and essential nutrients are required in increased quantity. Clinically a rapid rise in body iron is the main target in the treatment of iron deficiency anaemia.Most common practice is oral iron supplementation along with diet improvement.Pregnancy is a state of oxidative stress.Iron supplements can result in increased oxidative stress.The aim of this study was to evaluate the anti oxidative status in terms of SOD & GSH-Px level in anemic pregnant women, alteration in enzyme activity after treatment and hematological changes with different regimens of oral iron. ····· 10361552
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The book dails with Mycobacterium tuberculosis clinical presentations and laboratory diagnosis. Laboratory diagnosis includes but not limited to microscopic examination, cultural techniques both traditional and updated. Moreover it deals with antimycobacterial susceptibility tests and drug resistence,Value of molecular diagnosis is also discussed in details. Recent approach for immunological method for diagnosis of Mycobacterium tuberculosis is also discussed with various antigens used un this spectrum. ····· 10361533
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Disease models such as the oncomouse and the Alzheimer s mouse have been hugely influential in the body of support for transgenic animals as they exhibit the most important of potential human benefits: aiding our understanding and treating life threatening illness. The use of animals for testing treatments is necessary because of the ethical gulf which prevents us from performing initial tests on humans. Biopharming represent another means of improving the human condition by producing human proteins in their milk, blood or eggs. The resultant protein can then be purified and used to treat medical needs. we focused on the ethics of making and using transgenic animals as per CCAC, with pros and cons for each category. Is says also that the given three Rs should be followed as possible. The most obvious benefit to humans is from continued research using disease models, but when people claim that animal suffering, playing God, and destroying the animal s integrity are unethical in the use of transgenic. ····· 10361380
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Cancer, known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. Cancer is a major public health problem worldwide. In 2007 cancer was the third leading cause of deaths in Iraq after cardiovascular diseases and accidents and the seventh leading cause of morbidity. A total of 166729 new cancer cases were registered by the Iraqi Ministry of Health during the period from 1991 to 2007. Little is known about the pattern of cancer in Iraq. The need for comprehensive knowledge about cancer forms in Iraq is mandatory to plan and establish control programs for the common cancer which may be amenable to prevention, early detection and cure. This book is providing the most comprehensive information about the pattern of cancer in Iraq. These statistics could be primary resource not only for epidemiological research on cancer determinants but also for planning and evaluating health services for the prevention, early detection diagnosis and treatment of these diseases. ····· 10361356
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Deaths due to fall from height, form an important area of study due to diversity of the injuries sustained, complexity of the patterns involved and various phenomenon s associated there with. The medico-legal autopsy aims at deciding whether the death was attributed purely to the height or other factors. It also helps in ruling out the various contributing factors like drugs, alcohol and co-existing natural disease. The study of pattern of external and internal injury may together indicate the primary site of impact and height from which the fall has occurred. The determination of actual or probable anatomical site of primary impact may be useful in reconstruction of the events. Presence of multiple blunt force injuries makes it hard to differentiate between fall induced injuries and those that have been inflicted before the fall. Thus a careful study of total injury pattern is of vital importance in every case. In the difficult scenario of assessing the manner of death, meticulous autopsy in combination with visit to the scene of occurrence that includes observation of ground nature and presence of any intervening object will be of extreme help. ····· 10361353
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray As everybody knows cancer is a global problem and its prevalence will increase dramatically over the next decade, especially in the developing world. In many developing countries, cancer treatments such as radiation are only available at a few sites nationally and often in just one city. In order to successfully implement an appropriate quality assurance program for treatment planning, adequate resources must be allocated. This limits the need of quality control program and treatment dose accuracy. Hence access, quality and efficiency of radiotherapy service in developing countries must be understood to advance effective cancer control programs. Researches based on these can provide insight in these areas. ····· 10361325
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Integrating reproductive health services, particularly family planning with HIV/AIDS services such as voluntary counseling and testing (VCT) is vital in preventing unintended pregnancy, reducing number of AIDS orphans, preventing vertical transmission of HIV from mother to child and sexually transmitted diseases including HIV/AIDS. As there is information gap on family planning (FP) demand of VCT clients, it is difficult to determine the extent of demand and provision of FP service need of VCT clients. Thus it is essential to determine the extent of demand and provision of FP service in VCT settings as well as the possible opportunities and dispute of integrating FP service with VCT. ····· 10361292
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The history of goitre is probably old than humankind himself. Goitre has been presented in different parts of the world. Iodine deficiency not only causes goitre, the obvious sign of inadequate iodine intake, but may also result in irreversible brain damage in the infant, and retarded the psychomotor development in the child. Iodine deficiency continues to be a significant public health problem in many areas of the world. In Sudan it has been recognized as a public health problem since the 1950`s. A nation-wide surveys on iodine deficiency were launched and various approaches in the quest for a solution to the problem were applied. Still, the number of thyroid disorders continues to grow each year. With this growth, there should be a concern to underlying the state of endemicity and to outline the most suitable methods by means of which goitre can be controlled. This book sheds lights and reiterates thyroid disorders in Sudan in the basis of nuclear medicine technology. The statistical findings should be especially useful to professionals in endemicity and nuclear medicine as well. ····· 10361269
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Confirmed HIV positive patients who presented at the University College Hospital within the period of October 2008 to September 2009, were examined for KS. The pattern of presentation was described and the diagnosis of AIDS-KS confirmed histologically. To document the possible association of risk factors, a control group of HIV positive patients without KS, age and sex matched was recruited. Their clinical, immunological and virological characteristics were compared. The presence of HHV-8 infection was detected immunohistochemically using the HHV8 LANA1 (orf 73, clone13B10) antibody. Thirteen patients with AIDS-KS were recruited during the study period. The prevalence of AIDS-KS in Ibadan is 0.5% and the male: female ratio was 1.2:1. There was no statistical difference between the case and control groups number of lifetime sexual partners (P=0.61), history of STD (p=0.39), CD4 count (p=0.70) and HIV-1 viral load (p=0.20). All the patients presented with multiple sites of involvement. All the AIDS-KS tissue sections indicated a positive stain for the HHV-8 antigen (p=0.001) while the non-KS tissue sections were negative. ····· 10361263
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Our stem cell transplantation mouse model following busulfan-cyclophosphamide (Bu-Cy) conditioning is a reliable model for studying several factors that are involved in the development of graft versus host disease after chemotherapy. It is also a useful model for evaluating different agents in the treatment of GVHD. All studies in this thesis utilized this model.Naïve T cells undergo early allo-activation by host/donor APCs in the secondary lymphoid organs to produce effector/memory T cells that initiate tissue damage in GVHD.Decreased spleen cellularity and diminished glycogen content in the liver were observed after conditioning regimen. No morphological changes were observed in kidney in either HSCT setting.Histopathological changes such as vasculitis, inflammation and apoptotic cell forms in liver, spleen, pancreas, lungs and heart were observed in allogeneic transplanted mice, however, only hypocellular spleen and extramedullar hematopoiesis were detected in syngeneic transplanted animals.Short term consequences of Bu-Cy treatment divergently affect large and small arteries of the cardiovascular system. ····· 10361255
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Organs motion in Radiotherapy induce an error in the dose received by the tumor. Therefore, this book has been published to evaluate the organs motion during external beam radiotherapy. It deals with the detection, measurement and analysis of the periodic physiological organs motion during external beam radiotherapy. During a fractionated course of radiotherapy, variations in patient position and in the alignment of beams will occur both intra- and inter-fractionally, and a margin for set-up error must be incorporated into the CTV-PTV margin. Errors maybe systematic or random. Systematic errors may result from incorrect data transfer from planning to dose delivery, or inaccurate placing of devices such as compensators, shields, etc. Such systematic errors can be corrected. On the other hand, random errors in set-up maybe operator dependent, or result from changes in patient anatomy from day to day, which are impossible to correct. ····· 10361232
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Endometrial aspiration was carried out as an outpatient procedure in 100 cases presenting with various gynecological problems with Karman s cannula followed by dilatation and curettage for histopathologic correlation Age group of the patients in the present study ranged from 20-60yrs with mean age of 45yrs. The commonest mode of presentation was menorrhagia. The adequacy of the samples for cytology was 92%. Aspiration cytology findings were compared with histopathology sections. Among 100 cases studied, proliferative phase were 50 cases, secretory phase- 25 cases, endometrial hyperplasia -7 cases, endometritis-3 cases, of which 1 case was tubercular endometritis, 2 cases of proliferative and secretory pattern and 2 cases of malignancies. The diagnostic accuracy of endometrial aspirates was 100% for malignancies, endometritis and atypical hyperplasias and 92% for secretory phase, 88% for proliferative phase and 60% for simple hyperplasia. In the present study the over all diagnostic accuracy of adequate samples was 87.7%. Aspiration cytology was more reliable in diagnosing malignant lesions than benign lesions of endometrium. ····· 10361219
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Fracture Shaft Humerus is a frequently seen problem in orthopedic practice. In the recent past high energy trauma and industrialisation have compounded the problem. Due to high velocity injuries suffered by the patient the complexity of fracture pattern also has increased. The available literature gives a variety of options to treat this fracture ranging from conservative methods to various implant devices. Present work focusses on analysing the problem that we face today and also to evaluate the results obtained by different treatment methods in fracture shaft humerus. ····· 10361205
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Gliomas encompass a wide variety of particularly devastating tumors, for which efficient therapies are not available. Their etiology remains mostly undetermined: so far, only exposure to high dose therapeutic radiation has been firmly established as a risk factor, but other plausible causes include genetic syndromes, familial aggregation, and genetic polymorphisms. The clinical performance status and patient age at diagnosis are definite features associated with outcome, but recent evidences suggest that tumor s molecular traits are also major determinants of prognosis. This book aims to review and discuss how molecular determinants may affect glioma risk and patient outcome, with a very special emphasis in glioblastoma multiforme, the most common and malignant glioma subtype. To do so, Part I presents a general introduction that summarizes the classification, epidemiology, and treatment of gliomas, while devoting particular attention to potential etiological factors and molecular alterations of these tumors. Part II presents original research studies emphasizing the relevance of particular biomarkers of glioma, particularly at the levels of glioma risk and patient prognosis. ····· 10361183
für 50.31€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Assisted reproductive technologies (ARTs) include any procedure in which oocytes and spermatozoa, or embryos are manipulated in vitro for the purpose of establishing a pregnancy. Intrauterine insemination, in which laboratory-prepared sperm are inserted into the uterine cavity through a cervical catheter, is indicated in mild-moderate male factor infertility along with a number of other diagnoses. In vitro fertilization (IVF) is an ART in which sperm and oocytes are retrieved and combined outside of the body where fertilization occurs, the embryos are then transferred to the uterus. Initially developed for tubal factor infertility, IVF is now indicated in a broad range of situations and is very successful. Multiple techniques are used to enable and improve ARTs including: intracytoplasmic sperm injection, gamete intrafallopian transfer, tubal embryo transfer, embryo cryopreservation, assisted hatching, and preimplantation genetic diagnosis. Hopefully this book will enhance your knowledge of ARTs along with their appropriate indications and use, and that you will be able to apply this information to your professional practice. ····· 10361173
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This particular cohort of non responders did not have pre-treatment HCV genotyping carried out, as Genotype 3 is the most common genotype in Pakistan and the facility is not accessible to all. A crossectional study was carried out to determine HCV genotypes in patients with either non response or relapse after six months of combined treatment with Interferon and Ribavirin. The major HCV-genotypes detected in patients with non-response were 1a in 16 (41%) patients, 3a in 15(38.5%) The pool of non-responder patients comprises mostly of patients with genotype 1 and 3. The patients with Genotype 1 were given suboptimal treatment of six months. HCV genotyping is of utmost importance in determining the rationale for predicting treatment efficacy and virologic monitoring in these non-responders. ····· 10361154
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray IBD is a lifelong disease with periods of active disease alternating with periods of remission. IBD is thought to result from the interaction between genetic and environmental factors that influence the normal intestinal commensal flora to trigger an inappropriate mucosal immune response. Colonoscopy remains the gold stander for diagnosis of IBD. Wireless capsule endoscope and balloon enteroscopy show many advances in diagnosis of IBD. CT and MRI help to detect extent of disease and assess complications. Serological and fecal markers alone can not establish diagnosis of IBD but they have only a prognostic value. 5-ASA agents are the mainstay in the treatment of both CD and UC. Steroids continue to be the first choice to treat active disease. 6-mercaptopurine and azathioprine are steroid-sparing immunomodulators effective in the maintenance of remission of both CD and UC while methotrexate may be used in both induction and maintenance of CD. Infliximab and adalimumab are anti-TNF agents approved for the treatment of CD and UC. Other new emerging therapies include antibiotics, prebiotics, probiotics, leucocyte apheresis, Interferon-alpha and helminth. ····· 10361136
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Every year, approximately 536,000 maternal deaths occur in the world due to pregnancy related complications of which over 95% occur in sub-Saharan Africa and Asia. One explanation for poor health outcomes among women in these countries including Ethiopia is the low utilization of ANC & delivery care services by a large proportion of women. So, the study was aimed to assess factors influencing utilization of antenatal and delivery care services in Burji special woreda, SNNPR, Ethiopia. A community-based cross sectional study was conducted in the woreda from March 1-30, 2011. The study included 1 urban and 8 rural kebeles with a total sample size of 773 respondents and 40 discussants for four FGDs. The study revealed that the proportion of women who received ANC was 55.6%. Only 16.4% mothers delivered at health institution and only 15 % of total delivery was attended by skilled birth attendants. Residence, monthly income and maternal education were major determinants of ANC service utilization and residence, maternal education and ANC attendance were determinants for delivery care service utilization after adjusting for other variables. ····· 1036186
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray In this study, reference values for routine liver function tests and hematological parameters are established, which are frequently done to detect and monitor liver injury and assess hematological status of subjects. It is to be noted that the established reference values will greatly help monitor patients who would receive antiretroviral therapy (ART. The adverse events following ART include liver damage. It will also provide background information for the clinical trials that might be conducted in the country, including those planned in the immediate future at the Armauer Hansen Research Institute (AHRI). ····· 1036157· 1 · ::::: · 67 ·· 68 ·· 69 ·· 70 ·· 71 ·· 72 ·· 73 · ::::: · 74 ·
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