気まぐれ屋

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Haphephobia, (Fear of Being Touched) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Haphephobia, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞I have witnessed many people in the Christian Church that I go to who have this fear of being touched or holding hands.＜br /＞ This also happened to some patients in my Clinic.＜/p＞ ＜p＞Haphephobia is an anxiety disorder featured by a fear of being touched.＜br /＞ Other names for haphephobia are:＜/p＞ ＜ol＞ ＜li＞Chiraptophobia,＜/li＞ ＜li＞Aphenphosmphobia, and＜/li＞ ＜li＞Thixophobia.＜br /＞ People with haphephobia are fearful of being touched.＜br /＞ With haphephobia, human touch can be overwhelming and even in some cases painful.＜br /＞ In some patients, the fear is specific to only one gender, while in other patients the fear is applied to all people.＜br /＞ When touched by strangers or without consent, many people feel uncomfortable.＜br /＞ If the fear is severe, it occurs even when touched by family or friends, and if it produces significant distress, it may be haphephobia.＜br /＞ This disorder is not the same as a hypersensitivity to touch, which is called allodynia.＜br /＞ A person with allodynia may also do not want to be touched, but they do so because it produces them to feel pain rather than fear.＜br /＞ Causes＜br /＞ Phobias can also occur in the family.＜br /＞ A person can discover a fear of being touched if they see a loved one showing fear or avoidance of being touched.＜br /＞ While haphephobia can occasionally happen on its own, it can also be linked to other disorders.＜br /＞ These are:＜/li＞ ＜li＞A fear of germs (mysophobia):＜br /＞ A person may avoid being touched due to a fear of contamination or poor hygiene＜/li＞ ＜li＞A fear of crowds (ochlophobia):＜br /＞ A person with ochlophobia can feel worried about being touched by strangers in crowds.＜/li＞ ＜li＞Obsessive-compulsive disorder (OCD):＜br /＞ A person with OCD may be worried about certain situations outside of their control, such as being touched by other people.＜/li＞ ＜li＞Post-traumatic stress disorder (PTSD):＜br /＞ A fear of being touched can come from a prior traumatic experience that involved being touched, such as witnessing or going through an assault or sexual abuse.＜br /＞ Symptoms＜br /＞ Fear of being touched is indicated to be a phobia when the fear occurs almost every time the person is touched, continues for over 6 months, and when it affects relationships or work life.＜br /＞ These symptoms may indicate haphephobia:＜br /＞ 1.Immediate fear or anxiety when touched, or when thinking about being touched＜br /＞ 2.Panic attacks, which can involve an increased heart rate, sweating, hot flushes, tingling, and chills＜br /＞ 3.Avoiding situations where a person may be touched＜br /＞ 4.Consciousness that the fear is not rational and disproportionate＜br /＞ 5.General anxiety, depression, and poor quality of life as a result of the phobia＜br /＞ Children may show these symptoms when touched:＜br /＞ 1.Crying＜br /＞ 2.Freezing in position＜br /＞ 3.Temper tantrums＜br /＞ 4.Clinging to their caregiver＜br /＞ Diagnosis＜br /＞ Haphephobia is diagnosed with the same criteria that the new edition of the Diagnostic and Statistical Manual of Mental Disorders publishes for diagnosing any specific phobia＜br /＞ Treatment＜br /＞ One of the biggest problems in overcoming a phobia is to avoid the situation that produces the fear.＜br /＞ The treatments focus to help a person deal with the anxiety linked to their fear and to overcome their fear slowly＜br /＞ Effective treatments for phobias are:＜br /＞ Psychotherapies＜br /＞ 1.Behavioral therapies＜br /＞ Cognitive behavioral therapy, such as dialectical behavioral therapy or hypnosis, can help people gain control over fears and phobias.＜br /＞ 2.Exposure therapy＜br /＞ In this form of treatment, the patient is slowly exposed to the feared touch over weeks or months＜br /＞ 3.Medicines＜br /＞ Medicines such as beta-blockers or antidepressants can help to relieve immediate anxiety＜br /＞ Coping mechanisms:＜br /＞ Breathing exercises and other relaxation techniques＜br /＞ Practicing mindfulness, Exercise, taking time to relax and getting enough sleep＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Haphephobia＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Phobias＜br /＞ Chapter 8 Fear＜br /＞ Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Hypochondriasis, (Illness Anxiety Disorder) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Hypochondriasis, Diagnosis and Treatment and Related Diseases＜br /＞ I'm a hypochondriac.＜br /＞ Yesterday it was brain damage from the vodka the night before.＜br /＞ Today, heart attack - my arm and chest started hurting at the same time.＜br /＞ ---Lisa Marie Presley＜/p＞ ＜p＞Hypochondriasis is a neurotic disorder with the excessive belief that real or imagined physical symptoms are signs of a serious illness in the body despite medical reassurance and other evidence to the contrary.＜br /＞ It is always linked with anxiety or depression about negative medical examinations.＜br /＞ Some people have extreme and improbable worries about their health.＜br /＞ They are very concerned about getting a disease or are convinced they have a disease, even after medical tests show they do not.＜br /＞ These people often misread minor health disorders or normal body functions as symptoms of a severe disease.＜br /＞ This disorder used to be called hypochondria.＜br /＞ Now it is called illness anxiety disorder based on classification by the DSM-V.＜br /＞ Causes:＜br /＞ The exact cause of illness anxiety disorder is not known.＜br /＞ Causes that might be involved in the development of the disorder are:＜br /＞ 1.A history of physical or sexual abuse＜br /＞ 2.A history of having a serious illness as a child＜br /＞ 3.A poor ability to express emotions＜br /＞ 4.A parent or close relative with the disorder; children might learn this behavior if a parent is overly concerned about disease and overreacts to even minor illnesses＜br /＞ 5.An inherited susceptibility for the disorder＜br /＞ There is no organic source for the patient's symptoms.＜br /＞ People with hypochondria are always worried about their physical health.＜br /＞ Symptoms＜br /＞ People with illness anxiety disorder are worried about having a physical illness.＜br /＞ The symptoms they present can range from general complaints, such as pain or tiredness to worries about normal body functions, such as breathing or stomach noises.＜br /＞ People with illness anxiety disorder are not faking or lying about their symptoms.＜br /＞ They truly believe they are sick.＜br /＞ Diagnosis:＜br /＞ Diagnosing illness anxiety disorder can be very difficult; because people with the disorder are convinced their symptoms and feelings of distress are explainable by a medical illness.＜br /＞ If the doctor finds no physical cause for the symptoms, he or she might refer the person to a psychiatrist or psychologist.＜br /＞ 1.There is a preoccupation about health＜br /＞ 2.There is improper worry about minor symptoms believed to be symptoms of serious illnesses like cancer, heart or venereal disease＜br /＞ 3.There is failure of reassurance by repeated negative examinations and investigations done based on the symptoms given.＜br /＞ 4.The patient may persist that some illness has been unnoticed＜br /＞ 5.Hypochondriacs are often affected often with diet and exercise fads＜br /＞ Treatment:＜br /＞ A main purpose of illness anxiety disorder treatment is to help patients live and function as normally as possible, even if they continue to have symptoms＜br /＞ Supportive care:＜br /＞ In most patients, the best course of action is for the person to stay in regular contact with a trusted doctor.＜br /＞ Psychotherapy:＜br /＞ Psychotherapy mostly cognitive therapy, can be useful in changing the thinking and behavior that add to the symptoms.＜br /＞ The treatment also can help the person find out better ways to deal with stress, and increase his or her social and work functioning.＜br /＞ Unfortunately, most people with illness anxiety disorder disagree that there are any mental or emotional problems, making them fairly resistant to psychotherapy.＜br /＞ A good supportive doctor-patient relationship is the best treatment.＜br /＞ Medicines:＜br /＞ Antidepressant or anti-anxiety drugs are occasionally used if a person with illness anxiety disorder also has a mood disorder or anxiety disorder＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Hypochondriasis＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Munchausen Syndrome＜br /＞ Chapter 8 Borderline Personality Disorder＜br /＞ Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Non-mechanical Wood Treatment in South Korea Market Sales【電子書籍】[ Editorial DataGroup Asia ]

＜p＞The Non-mechanical Wood Treatment South Korea eBook provides 14 years Historic and Forecast data on the market for each of the 21 Products and Markets covered. The Products and Markets covered (Non-mechanical wood treatment) are classified by the Major Products and then further defined and analysed by each subsidiary Product or Market Sector. In addition full Financial Data (188 items: Historic and Forecast Balance Sheet, Financial Margins and Ratios) Data is provided, as well as Industry Data (59 items) for South Korea.＜/p＞ ＜p＞NON-MECHANICAL WOOD TREATMENT＜/p＞ ＜ol＞ ＜li＞Non-mechanical wood treatment＜/li＞ ＜li＞Bleaching & staining of sawmill waste＜/li＞ ＜li＞Thermal modification of wood＜/li＞ ＜li＞Wood carbonising services＜/li＞ ＜li＞Wood disinfestation services＜/li＞ ＜li＞Wood dyeing services＜/li＞ ＜li＞Wood impregnation under pressure＜/li＞ ＜li＞Wood impregnation under vacuum＜/li＞ ＜li＞Wood impregnation with creosote/tar oil preservatives＜/li＞ ＜li＞Wood impregnation with light organic solvents＜/li＞ ＜li＞Wood impregnation with resins & waxes＜/li＞ ＜li＞Wood impregnation with water-borne preservatives＜/li＞ ＜li＞Wood impregnation, fire retardant treatment＜/li＞ ＜li＞Wood impregnation, protection against fungi＜/li＞ ＜li＞Wood impregnation, protection against insects＜/li＞ ＜li＞Wood impregnation, protection against marine organisms＜/li＞ ＜li＞Wood impregnation, protection against weathering＜/li＞ ＜li＞Wood priming services＜/li＞ ＜li＞Wood staining services＜/li＞ ＜li＞Wood vapour treatment＜/li＞ ＜li＞Non-mechanical wood treatment, NSK＜/li＞ ＜/ol＞ ＜p＞There are 188 Financial items covered, including:＜br /＞ Total Sales, Pre-tax Profit, Interest Paid, Non-trading Income, Operating Profit, Depreciation: Structures, Depreciation: P + E, Depreciation: Misc., Total Depreciation, Trading Profit, Intangible Assets, Intermediate Assets, Fixed Assets: Structures, Fixed Assets: P + E, Fixed Assets: Misc., Total Fixed Assets, Capital Expenditure: Structures, Capital Expenditure: P + E, Capital Expenditure: Vehicles, Capital Expenditure: Data Processing, Capital Expenditure: Misc., Total Capital Expenditure, Retirements: Structures, Retirements: P + E, Retirements: Misc., Total Retirements, Total Fixed Assets, Finished Product Stocks, Work in Progress as Stocks, Materials as Stocks, Total Stocks / Inventory, Debtors, Total Maintenance Costs, Services Purchased, Misc. Current Assets, Total Current Assets, Total Assets, Creditors, Short Term Loans, Misc. Current Liabilities, Total Current Liabilities, Net Assets / Capital Employed, Shareholders Funds, Long Term Loans, Misc. Long Term Liabilities, Workers, Hours Worked, Total Employees, Raw Materials Cost, Finished Materials Cost, Fuel Cost, Electricity Cost, Total Input Supplies / Materials + Energy Costs, Payroll Costs, Wages, Director Remunerations, Employee Benefits, Employee Commissions, Total Employees Remunerations, Sub Contractors, Rental & Leasing: Structures, Rental & Leasing: P + E, Total Rental & Leasing Costs, Maintenance: Structures, Maintenance: P + E, Communications Costs, Misc. Expenses, Sales Personnel Variable Costs, Sales Expenses + Costs, Sales Materials Costs, Total Sales Costs, Distribution Fixed + Variable Costs, Premises Fixed Costs, Premises Variable Costs, Physical Handling Fixed + Variable Costs, Physical Process Fixed + Variable Costs, Total Distribution Costs, Correspondence Costs, Media Advertising Costs, Advertising Materials Costs, POS & Display Costs, Events Costs, Total Advertising Costs, Product Handling Costs, Product Support Costs, Product Service Costs, Customer Problem Solving Costs, Total After-Sales Costs, Total Marketing Costs, New Technology Expenditure, New Production Technology Expenditure, Total Research + Development Expenditure, Total Operational & Process Costs, Debtors + Agreed Terms, Un-recoverable Debts.＜br /＞ /.. etc.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Volkmann Contracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Volkmann Contracture, Diagnosis and Treatment and Related Diseases＜br /＞ Volkmann contracture consists of a deformity of the hand, fingers, and wrist produced by injury to the muscles of the forearm.＜br /＞ It results in a claw like deformity of the hand, fingers, and wrist.＜br /＞ Volkmann ischemic contracture is more common in children.＜br /＞ A similar disorder can occur in the foot.＜br /＞ Volkmann portrayed a contracture of the muscles of the wrist and fingers which result from tight bandaging of the arm in the treatment of fractures about the elbow.＜br /＞ He believed that it was fundamentally due to ischemia of the muscles.＜br /＞ Generally, Volkmann contractures are infrequent, with an incidence of about 0.5%.＜br /＞ The disorder happens most often in children in the first 10 years of life, and follows injuries,mainly to the elbow, and especially those linked with pressure either internal or external.＜br /＞ Causes＜br /＞ Volkmann contracture happens when there is inadequate blood flow (ischemia) to the forearm.＜br /＞ This happens when there is increased pressure due to swelling, a disorder called compartment syndrome.＜br /＞ Injury to the arm (a crush injury or fracture) can cause swelling that presses on blood vessels and reduces blood flow to the arm.＜br /＞ A prolonged reduction in blood flow injures the nerves and muscles, causing them to become stiff and contracted.＜br /＞ When the muscle contracts, it pulls on the joint at the end of the muscle like if it were normally contracted.＜br /＞ But because it is rigid, the joint stays crooked and stuck.＜br /＞ This disorder is called a contracture.＜br /＞ In Volkmann contracture, the muscles of the forearm are seriously damaged.＜br /＞ This causes contracture deformities of the fingers, hand, and wrist.＜br /＞ There are 3 stages of severity in Volkmann contracture:＜br /＞ 1.Mild -- contracture of 2 or 3 fingers only, with no or limited loss of feeling＜br /＞ 2.Moderate -- all fingers are bent and the thumb is stuck in the palm; the wrist may be bent stuck＜br /＞ 3.Severe -- all muscles in the forearm that both flex and extend the wrist and fingers are involved＜br /＞ Symptoms＜br /＞ 1.Decreased sensation＜br /＞ 2.Paleness of the skin＜br /＞ 3.Muscle weakness and loss＜br /＞ 4.Deformity of the wrist, hand, fingers＜br /＞ Medical presentation:＜br /＞ 1.Pain,＜br /＞ 2.Pallor,＜br /＞ 3.Pulselessness＜br /＞ 4.Paresthesias＜br /＞ 5.Paralysis＜br /＞ The wrist is flexed＜br /＞ Fingers are extended at the metacarpo-phalangeal joints and flexed at the inter-phalangeal joints＜br /＞ Forearm is pronated and the elbow flexed＜br /＞ Diagnosis:＜br /＞ Appearance of Contracture and hand＜br /＞ X-ray of the arm for fracture＜br /＞ Tests of the muscles and nerves for their function＜br /＞ Treatment＜br /＞ The goal of treatment is to help people with Volkmann contracture recover some or full use of the arm and hand.＜br /＞ For mild contracture, muscle stretching exercises and splinting the affected fingers may be done.＜br /＞ Surgery may be required to make the tendons longer＜br /＞ For moderate contracture, the surgery is done to repair the muscles, tendons, and nerves.＜br /＞ The arm bones are shortened＜br /＞ For severe contracture, surgery is done to remove muscles, tendons, or nerves that are thickened, scarred, or dead.＜br /＞ These are replaced by muscles, tendons, or nerves transferred from other body areas＜br /＞ Acute stage:＜br /＞ All measures favoring circulation normally are of the greatest value:＜br /＞ 1.Elevation of the part,＜br /＞ 2.Removal of any splint or circulation bandage, and＜br /＞ 3.Application of mild external warmth＜br /＞ Emergency fasciotomy is needed to avoid progression to Volkmann contracture.＜br /＞ Patients with compartment pressures surpassing 30 mm Hg should be sent for emergency fasciotomy.＜br /＞ When needed, the arterial repair and fixation of the fracture should be done＜br /＞ Physical therapy and occupational therapy should be provided＜br /＞ Other treatment:＜br /＞ Muscle surgery＜br /＞ Nerve Exploration＜br /＞ Tendon transfer＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Volkmann Contracture＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Claw Hand＜br /＞ Chapter 8 Dupuytren Contracture＜br /＞ Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Compartment Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Compartment Syndrome, Diagnosis and Treatment and Related Diseases＜br /＞ Compartment syndrome is a serious medical disorder that causes higher pressure in a muscle compartment.＜br /＞ It can result in muscle and nerve damage and disorders with blood flow.＜br /＞ Compartment syndrome is produced by a higher pressure within a closed anatomical space, which involves the circulation and function of the tissues within that space.＜br /＞ This may lead to temporary or permanent injury to muscles and nerves.＜br /＞ Compartment syndrome can be acute or chronic:＜br /＞ Acute compartment syndrome is most often produced by trauma, which may be relatively minor.＜br /＞ Chronic compartment syndrome is normally produced by exercise and manifests with recurrent pain and disability, which stop when the cause is ceased but return when the activity is restarted.＜br /＞ Causes＜br /＞ Thick layers of tissue, called fascia, separate the groups of muscles in the arms and legs from each other.＜br /＞ Inside each sheet of fascia is a restricted space called a compartment.＜br /＞ The compartment affects the muscle tissue, nerves, and blood vessels.＜br /＞ Fascia encloses these structures, similar to the way in which insulation envelops wires.＜br /＞ Any swelling in a compartment will lead to higher pressure in that area.＜br /＞ This higher pressure compresses the muscles, blood vessels, and nerves.＜br /＞ If this pressure is increased too much, blood flow to the compartment will be obstructed.＜br /＞ This can cause permanent damage to the muscle and nerves.＜br /＞ If the pressure lasts long enough, the muscles may die and the arm or leg will not move.＜br /＞ Acute compartment syndrome may be caused by:＜/p＞ ＜ol＞ ＜li＞Trauma, such as a crush injury or surgery＜/li＞ ＜li＞Broken bone＜/li＞ ＜li＞Very bruised muscle＜/li＞ ＜li＞Severe sprain＜/li＞ ＜li＞A cast or bandage that is too tight＜/li＞ ＜li＞Fractures＜/li＞ ＜li＞Crush injury.＜br /＞ Symptoms＜/li＞ ＜li＞Decreased sensation, numbness, tingling, weakness of the affected area＜/li＞ ＜li＞Paleness of skin＜/li＞ ＜li＞Serious pain that does not go away after taking pain medicine＜/li＞ ＜li＞Swelling or inability to move the affected part＜br /＞ Acute compartment syndromes normally manifest within 48 hours of injury.＜br /＞ Diagnosis＜br /＞ Diagnosis is basically medical with identification of patients at danger and early signs.＜br /＞ Intra-compartmental pressure is measured by several methods, such as needle manometry, infusion methods, wick catheter, pressure transducers or side-ported needles＜br /＞ MRI scans help make the diagnosis of compartment syndrome in medically uncertain cases＜/li＞ ＜/ol＞ ＜p＞Treatment＜br /＞ The purpose of treatment is to avoid permanent injury.＜br /＞ For acute compartment syndrome, surgery is required immediately.＜br /＞ Any delay in surgery can result in permanent injury.＜br /＞ The surgery is called fasciotomy and requires cutting the fascia and muscle to alleviate pressure.＜br /＞ All possibly constricting dressings, casts and splints must be taken off.＜br /＞ Splitting a plaster is not adequate.＜br /＞ The compartment pressure should be gauged.＜/p＞ ＜p＞Open fasciotomy:＜br /＞ Indications for fasciotomy differ between different doctors such as:＜/p＞ ＜ol＞ ＜li＞An absolute compartment pressure greater than 30-40 mm Hg with a medical picture consistent with compartment syndrome;＜/li＞ ＜li＞Difference between diastolic pressure and compartment pressure less than 30 mm Hg or＜/li＞ ＜li＞Difference between mean arterial pressure and compartment pressure less than 40 mm Hg.＜br /＞ The skin and deep fascia must be opened out along the whole length of the compartment.＜br /＞ All four compartments may require to be opened in cases affecting the leg.＜br /＞ Following fasciotomy, the wound should be kept open.＜br /＞ Recovery may be helped by suturing, skin grafting or the wound left to recover by itself.＜br /＞ Debridement may be required for any muscle necrosis＜br /＞ The affected area must be elevated above heart level to reduce swelling＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Compartment Syndrome＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Paresthesia＜br /＞ Chapter 8 Carpal Tunnel Syndrome＜br /＞ Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Anaerobic Waste-Wastewater Treatment and Biogas Plants A Practical Handbook【電子書籍】[ Joseph Chukwuemeka Akunna ]

＜p＞The book guides specialists and non-specialists from around the world on how or whether anaerobic processes can be part of solutions for the management of municipal and industrial solid, semi-solid, and liquid residues. The simple self-learning presentation style is designed to encourage deep understanding of the process principles, plant types and system configurations, performance capabilities, operational and maintenance requirements, post-treatment needs, and management options for coproducts without complex biochemical terminologies and equations.＜/p＞ ＜p＞It describes key aerobic biological treatment processes used in conjunction with anaerobic biological treatment in feedstock pre-treatment and in post-treatment of by-products. Practical pre-treatment processes, techniques and operations are described alongside additional treatment techniques of biogas, digestates and treated effluents for various end use options. Effective applications in developing countries are also considered, enabling practitioners and plant operators to effectively apply technology in temperate and warm climatic conditions.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Constructed Wetlands for Industrial Wastewater Treatment【電子書籍】

＜p＞＜strong＞A groundbreaking book on the application of the economic and environmentally effective treatment of industrial wastewater＜/strong＞＜/p＞ ＜p＞＜em＞Constructed Wetlands for Industrial Wastewater Treatment＜/em＞ contains a review of the state-of-the-art applications of constructed wetland technology for industrial wastewater treatment. This green technology offers many economic, environmental, and societal advantages. The text examines the many unique uses and the effectiveness of constructed wetlands for the treatment of complex and heavily polluted wastewater from various industrial sources.＜/p＞ ＜p＞The editor ー a noted expert in the field ー and the international author team (93 authors from 22 countries) present vivid examples of the current state of constructed wetlands in the industrial sector. The text is filled with international case studies and research outcomes and covers a wide range of applications of these sustainable systems including facilities such as the oil and gas industry, agro-industries, paper mills, pharmaceutical industry, textile industry, winery, brewery, sludge treatment and much more. The book reviews the many system setups, examines the different removal and/or transformational processes of the various pollutants and explores the overall effectiveness of this burgeoning technology. This important resource:＜/p＞ ＜ul＞ ＜li＞Offers the first, groundbreaking text on constructed wetlands use for industrial wastewater treatment＜/li＞ ＜li＞Provides a single reference with summarized information and the state-of-the-art knowledge of the use of Constructed Wetlands in the industrial sector through case studies, research outcomes and review chapters＜/li＞ ＜li＞Covers a range of industrial applications such as hydrocarbons/oil and gas industry, food and beverage, wood and leather processing, agro-industries, pharmaceuticals and many others＜/li＞ ＜li＞Includes best practices drawn by a collection of international case studies＜/li＞ ＜li＞Presents the latest technological developments in the industry＜/li＞ ＜/ul＞ ＜p＞Written for civil and environmental engineers, sustainable wastewater/water managers in industry and government, ＜em＞Constructed Wetlands for Industrial Wastewater Treatment＜/em＞ is the first book to offer a comprehensive review of the set-up and effectiveness of constructed wetlands for a wide range of industrial applications to highlight the diverse economic and environmental benefits this technology brings to the industry.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】The Post-Lsd Syndrome Diagnosis and Treatment【電子書籍】[ Edwin I. Roth ]

＜p＞The author proposes the recognition of a condition, which he terms The Post-LSD Syndrome, in which patients who have had prior experience with LSD experience a triad of distressing and debilitating symptoms. This triad of unique symptoms consists of a sleep disturbance, anxiety, and forms of mental instability which are described in detail. These symptoms can occur after decades of even only one exposure to LSD. The author describes in detail a variety of case studies which illustrate the various forms of pathology which the condition can manifest. Typical cases which consist of a fairly clear and direct presentation of the basic triad of symptoms are described, as are atyplcal cases in which other symptoms may appear to predominate, such as depression and addictions. Situations in which other conditions may coexist with The LSD-Syndrome and in which they reenforce each other, such as PTSD, are also described. The book is written for the benefit of the general public as well as for professionals, in the hope of helping people obtain proper treatment.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Peace, Power, and a Sound Mind An Emerging Approach in the Treatment of Addictions【電子書籍】[ Rhonda S. McBride ]

＜p＞Peace, Power and A Sound Mind will offer the alcoholic or addict and those that love them and understanding of addiction and the tools to return to a life of health, happiness and peace of mind.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Treating Emotional Trauma with Chinese Medicine Integrated Diagnostic and Treatment Strategies【電子書籍】[ CT Holman ]

＜p＞Emotional trauma can upset the harmony of the body and reduce the body's ability to heal and regulate itself. Once the traumas are identified and treated, the body will function at an optimum level and will respond to treatments for other conditions present. This book integrates the multi-diagnostic and treatment methods existing in Chinese medicine, and contains diagnostics such as facial, pulse, tongue, and channel palpation diagnosis. Treatments include acupuncture, Chinese herbal formulas, qigong, shamanic drumming, and lifestyle and nutritional recommendations. Many types of emotional traumas and their manifestations are presented, including fear, anxiety, panic attacks, PTSD, depression, mood swings, insomnia and sensory organ impairment. How to prevent future emotional trauma will be discussed, and case studies are included to show the application of theory in practice.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Cell Death Signaling in Cancer Biology and Treatment【電子書籍】

＜p＞A key goal in the treatment of cancer is to achieve selective and efficient killing of tumor cells. The aim of ＜em＞Cell Death Signaling in Cancer Biology and Treatment＜/em＞ is to describe state-of-the-art approaches and future opportunities for achieving this goal by targeting mechanisms and pathways that regulate cancer cell death. In this book, molecular defects in cell death signaling that characterize cancer cells, including dysregulation of cell death due to overexpression/hyperactivation of oncoproteins, as well as the loss of tumor suppressor proteins will be described. The potential for targeting microRNAs will be discussed. Multiple chapters will describe preclinical and clinical approaches that are currently being used to target epigenetic modifications, DNA repair pathways, and protein chaperones, as a means of provoking tumor cell death. Finally, the development and application of novel agents and approaches for targeting specific components of cell death signaling pathways and machinery will be reviewed.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Molecular Imaging, Reconstruction and Analysis of Moving Body Organs, and Stroke Imaging and Treatment Fifth International Workshop, CMMI 2017, Second International Workshop, RAMBO 2017, and First International Workshop, SWITCH 2017, Hel【電子書籍】

＜p＞This book constitutes the refereed joint proceedings of the International Workshop on Computational Methods for Molecular Imaging, CMMI 2017, the International Workshop on Reconstruction and Analysis of Moving Body Organs, RAMBO 2017, and the International Stroke Workshop: Imaging and Treatment Challenges, SWITCH 2017, held in conjunction with the 20th International Conference on Medical Imaging and Computer-Assisted Intervention, MICCAI 2017, in Qu?bec City, QC, Canada, in September 2017.＜/p＞ ＜p＞The 5 full papers presented at FIFI 2017, the 9 full papers presented at RAMBO 2017, and the 4 full papers presented at SWITCH 2017 were carefully reviewed and selected. The CMMI papers cover various areas from image synthesis to data analysis and from clinical diagnosis to therapy individualization, using molecular imaging modalities PET, SPECT, PET/CT, SPECT/CT, and PET/MR. The RAMBO papers present research from both academia and industry, They are organized into the categories "registration and tracking" and "image reconstruction and information retrieval" while application areas include cardiac, pulmonal, abdominal, fetal, and renal imaging. The SWITCH papers focus on CT(A)-based quantitative imaging biomarkers for stroke.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】The Acth Axis: Pathogenesis, Diagnosis and Treatment【電子書籍】

＜p＞"In this outstanding volume, Dr. Gaillard has assembled a team of international experts who have written one of the most comprehensive treatises on this topic. Ranging from fundamental molecular developmental mechanisms of the corticotroph cell, to the treatment of Cushing's Disease, these chapters provide a cutting edge overview of the pathogenesis, diagnosis and treatment of disordered hypothalamic-pituitary-adrenal function. Especially noteworthy are the inclusion of chapters on appetite control and neuro-immunomodulation, reflecting the recent exciting advances in these fields.＜br /＞ The student of Cushing's Disease and the HPA axis will find elucidation of the latest basic scientific advances, coupled with patient friendly guidelines for clinical diagnosis and management of an extremely challenging neuroendocrine disorder. The repute of the authors, highest quality writing, lucid text and comprehensive coverage of the topics, all blend to result in an excellent text."＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Learning ACT for Group Treatment An Acceptance and Commitment Therapy Skills Training Manual for Therapists【電子書籍】[ Darrah Westrup, PhD ]

＜p＞For many clients, group therapy is a more practical treatment option than one-on-one therapy sessions. The financial cost of group therapy is substantially less than individual therapy, and research shows it can be just as effective. However, group therapy also presents unique challenges, and is often more difficult to administer. That’s why professionals need a solid plan of action when using group therapy to treat clients.＜/p＞ ＜p＞In recent years, acceptance and commitment therapy (ACT) has gained immense popularity. Based in values, mindfulness, and committed action, this therapeutic model has proven successful in treating a number of psychiatric disorders, including anxiety, depression, stress, addictions, eating disorders, trauma, and relationship problems. However, despite the popularity of this modality, there are very limited resources available when it comes to applying ACT in a group setting.＜/p＞ ＜p＞＜em＞Learning ACT for Group Treatment＜/em＞ is a comprehensive, powerful manual for clinicians, therapists, and counselors looking to implement ACT in group therapy with clients. A composite of stand-alone sessions, the book provides detailed explanations of each of the core ACT processes, printable worksheets, tips on group session formatting, and a wide range of activities that foster willingness, cooperation, and connection among participants.＜/p＞ ＜p＞In the book, professionals will see how the benefits of ACT can actually be enhanced in a group setting, particularly because there are more participants for ACT exercises. This leads to increased accountability among clients, and allows them to play both an active role and the role of the observer during treatment. The book also includes concrete tips for applying ACT to a number of treatment scenarios, including inpatient group therapy, partial hospitalization programs, outpatient programs, and community self-help groups.＜/p＞ ＜p＞With detailed exercises and group activities, this book has everything therapists need to start using ACT in group settings right away.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Addiction Treatment Homework Planner【電子書籍】[ David J. Berghuis ]

＜p＞＜strong＞Help clients suffering from chemical and nonchemical addictions develop the skills they need to work through problems.＜/strong＞＜/p＞ ＜p＞The ＜em＞Addiction Treatment Homework Planner, Fifth Edition＜/em＞ provides you with an array of ready-to-use, between-session assignments designed to fit virtually every therapeutic mode. This easy-to-use sourcebook features:＜/p＞ ＜ul＞ ＜li＞100 ready-to-copy exercises covering the most common issues encountered by clients suffering from chemical and nonchemical addictions, such as anxiety, impulsivity, childhood trauma, dependent traits, and occupational problems＜/li＞ ＜li＞A quick-reference formatーthe interactive assignments are grouped by behavioral problems including alcoholism, nicotine dependence, and sleep disturbance as well as those problems that do not involve psychoactive substances, such as problem gambling, eating disorders, and sexual addictions＜/li＞ ＜li＞Expert guidance on how and when to make the most efficient use of the exercises＜/li＞ ＜li＞Assignments that are cross-referenced to＜em＞The Addiction Treatment Planner, Fifth Edition＜/em＞ so you can quickly identify the right exercise for a given situation or problem＜/li＞ ＜li＞All exercises are available online for you to download and customize to suit you and your clients' unique styles and needs＜/li＞ ＜/ul＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Aphasia, (Difficulty Understanding) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Aphasia is a medical neurological disorder caused by injury to the parts of the brain that are accountable for language production or processing.＜br /＞ For most people, these regions are on the left side of the brain.＜br /＞ It may happen suddenly or progressively dependent on the form and site of brain tissue affected.＜br /＞ Aphasia normally happens suddenly, often after a stroke or head injury, but it may also form slowly, as the effect of a brain tumor or a progressive neurological disease.＜br /＞ The disorder reduces the expression and understanding of language as well as reading and writing.＜br /＞ Aphasia may co-exist with speech disorders, such as dysarthria or apraxia of speech, which also occur from brain injury.＜br /＞ Primary features of the disorder are:＜/p＞ ＜ol＞ ＜li＞Difficulty in articulating oneself when speaking,＜/li＞ ＜li＞Difficulty comprehending speech, and＜/li＞ ＜li＞Difficulty with reading and writing.＜br /＞ Aphasia is not a sickness but a symptom of brain injury.＜br /＞ Even though it is mainly seen in patients who have suffered a stroke, aphasia can also occur from a brain tumor, infection, inflammation, head injury or dementia that involve language-linked regions of the brain.＜br /＞ The form and seriousness of language dysfunction is dependent on the exact site and spread of the injured brain tissue.＜br /＞ Aphasia is a problem with communication.＜br /＞ Normally, aphasia can be categorized into four broad groups:＜/li＞ ＜li＞Expressive aphasia (also called Broca's aphasia) affects difficulty in passing on thoughts through speech or writing.＜br /＞ The person knows what she/he wants to say, but cannot find the words he needs.＜/li＞ ＜li＞Receptive aphasia (Wernicke's aphasia) affects difficulty comprehending spoken or written language.＜br /＞ The patient hears the voice or sees the print but cannot make sense of the words.＜/li＞ ＜li＞Global aphasia results from severe and extensive damage to the language areas of the brain.＜br /＞ People lose almost all language function, both comprehension and expression.＜br /＞ They cannot speak or understand speech, nor can they read or write.＜/li＞ ＜li＞Patients with anomic or amnesia aphasia, the least serious form of aphasia, have difficulty in using the correct names for special objects, people, places, or events.＜br /＞ There are many different types of aphasia; no two people have the same experience.＜br /＞ The doctor also normally tests the person’s capability to comprehend and produce language, such as following commands, answering questions, naming objects, and carrying on a conversation＜br /＞ Most patients will go through a magnetic resonance imaging (MRI) or computed tomography (CT) scan to find out the presence of a brain injury and to recognize its exact site.＜br /＞ Speech-language treatment is used to help patients reclaim their ability to communicate.＜br /＞ Aphasia treatment focuses to get better a person’s capability to communicate by assisting him or her to use residual language abilities, recover language abilities as much as possible, and learn other ways of communicating, such as gestures, pictures, or use of electronic devices.＜br /＞ Medical treatment of aphasia is regarded experimental; dopaminergic, cholinergic, and stimulant drugs have been tried, but no clear advantage has been proven in large trials＜br /＞ SSRI antidepressants have been revealed to assist the emotional and behavioral problems.＜br /＞ Some trials suggest advantage from transcranial magnetic stimulation in patients with aphasia.＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Aphasia＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Stroke＜br /＞ Chapter 8 Dyslexia＜br /＞ Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【楽天ブックスならいつでも送料無料】Giant Intracranial Aneurysms: A Case-Based Atlas of Imaging and Treatment GIANT INTRACRANIAL ANEURYSMS 2 [ Naci Kocer ]

GIANT INTRACRANIAL ANEURYSMS 2 Naci Kocer SPRINGER NATURE2016 Hardcover 2016 English ISBN：9783319417868 洋書 Computers & Science（コンピューター＆科学） Medical

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Pericarditis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Pericarditis is a cardiac disorder where the pericardiac sac surrounding the heart and roots of the great vessels coming from the heart is inflamed.＜br /＞ Pericarditis is caused by:＜br /＞ A. Infections＜/p＞ ＜ol＞ ＜li＞Bacterial- streptococcus＜/li＞ ＜li＞Viral - cytomegalovirus, enterovirus, influenza virus, hepatitis B virus, adenovirus, and herpes simplex virus＜/li＞ ＜li＞Mycotic＜/li＞ ＜li＞Tuberculosis＜br /＞ B. Non- infection:＜/li＞ ＜li＞Autoimmune diseases include:＜br /＞ a. Rheumatic fever＜br /＞ b. Rheumatoid arthritis＜br /＞ c. Systemic lupus erythrematosis＜br /＞ d. Drug induced＜/li＞ ＜li＞Neoplastic＜/li＞ ＜li＞Uremia＜/li＞ ＜li＞Myxedema＜/li＞ ＜li＞Trauma＜/li＞ ＜li＞Myocardial infarction＜/li＞ ＜li＞Myocarditis,＜/li＞ ＜li＞Dissecting aortic aneurysm,＜/li＞ ＜li＞Radiation＜br /＞ Symptoms:＜/li＞ ＜li＞Chest pain of sudden onset in the anterior chest＜/li＞ ＜li＞Pain is sharp and becomes worse with inspiration due to pleural inflammation.＜/li＞ ＜li＞Pain is relieved with sitting up and leaning forward and become worse on lying down＜/li＞ ＜li＞Pericardial rub is a typical sign of acute pericarditis.＜br /＞ This rub is best heard at the left sternal border as a squeaky or scratching sound using the diaphragm of the stethoscope.＜br /＞ The pericardial rub is due to the friction generated by the two inflamed layers of the pericardium.＜br /＞ Diagnosis is by:＜br /＞ Classic feature of chest pain and dyspnea with pericarditis＜br /＞ ECG can be diagnostic in acute pericarditis and evolves in 4 stages.＜br /＞ Stage 1 accompanies the onset of acute pain＜br /＞ Stage 2 occurs several days later with the return of the ST segment to baseline＜br /＞ Stage 3 ECG changes are T waves become inverted in stage 3 but without Q-wave formation＜br /＞ Stage 4 ECG changes are the ECG returns to the prepericarditis baseline weeks to months after the initial onset＜br /＞ The T-wave inversion may persist indefinitely in the chronic inflammation observed with tuberculosis, uremia, or neoplasm＜br /＞ However, only 50% of patients with pericarditis experience all 4 stages.＜br /＞ An important ECG finding is PR-segment depression, which has been reported in as many as 80% of viral pericarditis cases.＜br /＞ MRI is sensitive for detecting pericardial effusion and loculated pericardial effusion and thickening.＜br /＞ Pericardiocentesis is relatively safe when guided by echocardiography, especially with large free anterior effusion＜br /＞ Treatments may include medicines and, less often, procedures or surgery.＜br /＞ Medical treatment are:＜br /＞ Antibiotics＜br /＞ NSAIDs＜br /＞ Surgical procedures for pericarditis include pericardiectomy, pericardiocentesis, pericardial window placement, and pericardiotomy.＜br /＞ Pericardiectomy is the most effective surgical procedure for managing large effusions, because it has the lowest associated risk of recurrent effusions＜br /＞ TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Pericarditis＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Coronary Heart Disease＜br /＞ Chapter 8 Cardiomyopathy＜br /＞ Epilogue＜/li＞ ＜/ol＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Leaky Gut Syndrome, (Intestine Permeability) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Leaky Gut Syndrome (Intestine Permeability) is a medical disorder that happens when the wall of the GI (gastrointestinal) tract is damaged.＜br /＞ A healthy intestinal wall permits only nutrients to pass into the bloodstream.＜br /＞ When the intestinal wall is injured or impaired, larger molecules (such as incompletely digested fats, proteins and toxins) pass through, as well.＜br /＞ The intestinal wall barrier of a healthy intestinal mucosa is not a complete one to start with.＜br /＞ Small amounts of molecules of different sizes and features do pass through the intact epithelium by both active and passive methods.＜br /＞ Normally, the larger the molecule, the more unlikely it is to be permitted across.＜br /＞ When the intestinal lining becomes inflamed or injured, it becomes harder to keep foreign, large particles out.＜br /＞ The intestinal wall barrier becomes permeable or penetrable for large particles.＜br /＞ When the spaces between cells widen up, larger particles are permitted to be absorbed into the body.＜br /＞ Normally the body observes only tiny food antigens and restricted quantity of bacteria.＜br /＞ In LGS, the wall of the small intestine becomes inflamed and irritated allowing metabolic and microbial toxins normally remaining within the small intestines to pass into the colon to enter the blood stream.＜br /＞ In medical terms this is called increased intestinal permeability.＜br /＞ Leaky Gut is a primary provider for asthma, food allergies, chronic sinusitis, eczema, urticaria, migraine, irritable bowel, fungal disorders, fibromyalgia, and inflammatory joint disorders such as rheumatoid arthritis.＜br /＞ It also adds to PMS, uterine fibroid, breast fibroids, chronic fatigue syndrome and pediatric immune deficiencies.＜br /＞ The four main causes of leaky gut are:＜/p＞ ＜ol＞ ＜li＞Poor diet＜/li＞ ＜li＞Chronic stress＜/li＞ ＜li＞Toxin overload＜/li＞ ＜li＞Bacterial imbalance＜br /＞ Leaky Gut Symptoms are:＜/li＞ ＜li＞Bloating＜/li＞ ＜li＞Food sensitivities＜/li＞ ＜li＞Thyroid disorders＜/li＞ ＜li＞Fatigue＜/li＞ ＜li＞Joint pain＜br /＞ There is a four-step treatment process that :＜/li＞ ＜li＞Remove foods and factors that damage the gut＜/li＞ ＜li＞Replace with healing foods＜/li＞ ＜li＞Repair with specific supplements＜/li＞ ＜li＞Rebalance with probiotics＜br /＞ There are many supplements that hold up the digestive health, but the most advantageous leaky gut supplements are l-glutamine, probiotics, digestive enzymes, aloe vera juice, quercetin, NAG and licorice root.＜br /＞ Some doctors believe lifestyle alterations, such as decreasing stress and enhancing nutrition, may be the best methods to treat symptoms due to leaky gut syndrome.＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Leaky Gut Syndrome＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Leaky Gut and Related Diseases＜br /＞ Chapter 8 Digestion Process＜br /＞ Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Cranial Osteomyelitis Diagnosis and Treatment【電子書籍】[ Ali Akhaddar ]

＜p＞This book is the first reference book covering exclusively all aspects of this challenging disease. It is designed to serve as a succinct appropriate resource for neurosurgeons, otorhinolaryngologists, neuroradiologists, researchers and infectious disease specialists with an interest in cranial infection. ＜em＞Cranial Osteomyelitis＜/em＞ provides an in-depth review of knowledge of the management of skull osteomyelitis, with an emphasis on risk factors, causative pathogens, pathophysiology of dissemination, clinical presentations, neuroradiological findings and treatment modalities, medical and surgical. Sections on the prognosis and prevention of this illness are also included. The book will help the reader in choosing the most appropriate way to manage this challenging bone infection. In addition, it supplies clinicians and investigators with both basic and more sophisticated information and procedures relating to the complications associated with skull osteomyelitis. It also considers future areas of investigation and innovative therapeutic philosophies. The book is richly illustrated to provide readers with unparalleled access to a comprehensive collection of cranial osteomyelitis images (biological, clinical, neuroradiological, and surgical) taken directly from the author’s collection and experience in the field.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Brotherhood of Sleeping Car Porters C. L. Dellums and the Fight for Fair Treatment and Civil Rights【電子書籍】[ Robert L Allen ]

＜p＞The Brotherhood of Sleeping Car Porters created a sea of change in labour and race relations in the US. For the first time in US history, a black labour union played a central role in shaping labor and civil rights policy. Based on interviews and archival research, this new book tells the story of the union and its charismatic leader C.L. Dellums, starting from the BSCP's origins as the first national union of black workers in 1925. In 1937, the BSCP made history when it compelled one of the largest US corporations - the Pullman Company - to recognize and negotiate a contract with a black workers' union. C. L. Dellums was a leading civil rights activist as well as a labor leader. In 1948, he was chosen to be the first West Coast Regional Director of the NAACP. This book is an inspiring testament to both him and the unions transformative impact on US society.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Agranulocytosis, A Simple Guide to The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Agranulocytosis＜/p＞ ＜p＞Agranulocytosis is a dangerous condition which can occur from exposure to chemotherapy.＜/p＞ ＜p＞One of my patients with lung cancer had just died from severe infection following the loss of white blood cells following her chemotherapy.＜/p＞ ＜p＞What is Agranulocytosis?＜/p＞ ＜p＞Agranulocytosis is a medical disorder in which the bone marrow does not make enough of a certain form of mature white blood cells (neutrophils).＜/p＞ ＜p＞The bone marrow is the blood producing tissue inside bones.＜/p＞ ＜p＞Agranulocytosis is a reduction in circulating neutrophils in the blood which forms 4-5% of total body neutrophil stores＜/p＞ ＜p＞Most of the neutrophils are stored in the bone marrow, either as mitotically active (one third) or post-mitotic mature cells (two thirds)＜/p＞ ＜p＞Granulocytopenia is defined as a reduced number of blood granulocytes such as neutrophils, eosinophils, and basophils.＜/p＞ ＜p＞Agranulocytosis is frequently used synonymously with neutropenia and is therefore confined to the neutrophil lineage alone.＜/p＞ ＜p＞The danger of serious infection rises as the absolute neutrophil count (ANC) drops to the severely neutropenic range (＜ 500/μL).＜/p＞ ＜p＞The period and severity of neutropenia is directly linked with the total incidence of all infections and of those infections that can threaten life.＜/p＞ ＜p＞Causes＜/p＞ ＜p＞Agranulocytosis may be due to:＜/p＞ ＜ol＞ ＜li＞Autoimmune disorders＜/li＞ ＜li＞Bone marrow diseases, such as myelodysplasia or large granular lymphocyte (LGL) leukemia＜/li＞ ＜li＞Certain medicines used to treat diseases＜/li＞ ＜li＞Chemotherapy＜/li＞ ＜li＞Certain street addiction drugs＜/li＞ ＜li＞Poor nutrition＜/li＞ ＜li＞Preparation for bone marrow transplant＜/li＞ ＜li＞Genetic problems＜/li＞ ＜/ol＞ ＜p＞Agranulocytosis results in a person not having enough of a specific form of white blood cells, such as neutrophils or granulocytes.＜/p＞ ＜p＞A low neutrophil count may also happen when white blood cells are destroyed faster than they can be produced.＜/p＞ ＜p＞Symptoms＜/p＞ ＜p＞People with this disorder tend to have fevers and infections.＜/p＞ ＜p＞Frequent presenting symptoms of neutropenia are:＜/p＞ ＜ol＞ ＜li＞Low-grade fever＜/li＞ ＜li＞Sore mouth＜/li＞ ＜li＞Odynophagia＜/li＞ ＜li＞Gingival pain and swelling＜/li＞ ＜li＞Skin abscesses＜/li＞ ＜li＞Recurrent sinusitis and otitis＜/li＞ ＜li＞Symptoms of pneumonia (e.g., cough, dyspnea)＜/li＞ ＜li＞Perirectal pain and irritation＜/li＞ ＜/ol＞ ＜p＞Patients with agranulocytosis normally present with:＜/p＞ ＜ol＞ ＜li＞Sudden onset of malaise＜/li＞ ＜li＞Sudden onset of fever, possibly with chills and prostration＜/li＞ ＜li＞Stomatitis and periodontitis together with pain＜/li＞ ＜li＞Pharyngitis, with difficulty in swallowing＜/li＞ ＜/ol＞ ＜p＞Lung infections are normally bacterial or fungal pneumonias.＜/p＞ ＜p＞Physical signs on evaluation of a patient with agranulocytosis are:＜/p＞ ＜ol＞ ＜li＞Fever＜/li＞ ＜li＞Stomatitis＜/li＞ ＜li＞Periodontal infection＜/li＞ ＜li＞Cervical lymphadenopathy＜/li＞ ＜li＞Skin infection: The skin examination focuses on rashes, ulcers, or abscesses＜/li＞ ＜li＞Splenomegaly＜/li＞ ＜li＞Related petechial bleeding＜/li＞ ＜li＞Perirectal infection＜/li＞ ＜li＞Growth retardation in children＜/li＞ ＜/ol＞ ＜p＞In agranulocytosis, the following may be present:＜/p＞ ＜ol＞ ＜li＞ ＜p＞Fever (often 40°C or higher)＜/p＞ ＜/li＞ ＜li＞ ＜p＞Rapid pulse and respiration＜/p＞ ＜/li＞ ＜li＞ ＜p＞Hypotension and signs of septic shock if infection has been present＜/p＞ ＜/li＞ ＜li＞ ＜p＞Painful aphthous ulcers in the oral cavity＜/p＞ ＜/li＞ ＜li＞ ＜p＞Swollen and tender gums＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞Diagnosis＜/p＞ ＜p＞The diagnosis of agranulocytosis requires the exclusion of infectious and drug-induced causes of neutropenia through the following laboratory tests:＜/p＞ ＜ol＞ ＜li＞ ＜p＞Full blood count: Including a differential count in assessing patients of agranulocytosis＜/p＞ ＜/li＞ ＜li＞ ＜p＞Differential white blood cell count＜/p＞ ＜/li＞ ＜li＞ ＜p＞Peripheral smear review by a pathologist＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞The following studies apply to some patients with neutropenia:＜/p＞ ＜ol＞ ＜li＞ ＜p＞Antinuclear antibody＜/p＞ ＜/li＞ ＜li＞ ＜p＞Rheumatoid factor＜/p＞ ＜/li＞ ＜li＞ ＜p＞Serum immunoglobulin studies＜/p＞ ＜/li＞ ＜li＞ ＜p＞Liver function tests＜/p＞ ＜/li＞ ＜li＞ ＜p＞Peripheral blood flow cytometry＜/p＞ ＜/li＞ ＜li＞ ＜p＞T-cell gene rearrangement for T-cell clonality＜/p＞ ＜/li＞ ＜li＞ ＜p＞Paroxysmal nocturnal hemoglobinuria testing:＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞By high-sensitivity or fluorescent aerolysin (FLAER)?based flow cytometry＜/p＞ ＜ol start="8"＞ ＜li＞Antineutrophil antibodies:＜/li＞ ＜/ol＞ ＜p＞Tne marrow aspiration or a biopsy from the posterior iliac crest should be obtained.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Treatment of Male Infertility【電子書籍】

＜p＞Our insight into the mechanisms of the physiology of reproduction has experienced a swift and constant development these last few years. The advent of more sophisticated diagnostic methods and their relatively easy clinical application allow for the incorporation of that knowledge into the evaluation of the infertile couple. These facts, together with an obvious change in social psychology, have facilitated the development of different specialities dealing with the problems of infertility. It is now possible in medical centers all around the world to undertake a better disposition of the infertile husband to look for advice, to be studied, and treated. Confronted with this situation we are still unable to offer specific therapy in most cases; however, empirically based therapy abounds. Advances in therapy have not kept pace with our increased physio logical knowledge and improved diagnostic techniques. Patho physiological mechanisms and etiological factors in male infertility are largely unknown. This has significantly hampered both clinical evaluation and advances in treatment allowing for frequent non scientific therapeutic incursions into the armamentarium of the an drologist. Several factors have given birth to therapeutic "fashions", which are bound to survive as long as this state of lack of knowledge con tinues. For example, we may ask whether the treatment of varicocele constitutes a fashion? Though we accept the treatment of varicocele as the best available treatment of male infertility, we do not know its mechanism of action and so we cannot predict a therapeutic result.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】The Soul of Recovery Uncovering the Spiritual Dimension in the Treatment of Addictions【電子書籍】[ Christopher D. Ringwald ]

＜p＞Millions of alcoholics and addicts recover through spirituality. In ＜em＞The Soul of Recovery: Uncovering the Spiritual Dimension in the Treatment of Addictions＜/em＞, author and journalist Christopher D. Ringwald tells how and why they seek and achieve these transformations. Ranging as far back as the Washingtonian Total Abstinence Society in 1840, Ringwald illuminates the use of spirituality within a wide range of treatment options--from the famous Twelve Step-style programs to those tailored to the needs of addicted women, Native Americans, or homeless teens not ready to quit. Focusing on the results rather than the validity of beliefs espoused by these programs, he demonstrates how addicts recover through practices such as self-examination, meditation, prayer and reliance on a self-defined higher power. But the most compelling evidence of spirituality's importance comes from those directly involved in the process. Ringwald traveled across the country to visit dozens of programs and interview hundreds of addicts, alcoholics, counselors, family members, doctors and scientists. Many share moving stories of suffering, survival, and redemption. A homeless man, a surgeon, a college student, a working mother-each describes the descent into addiction and how spirituality offered a practical, personal means to recovery. Ringwald also examines the controversies surrounding faith-based treatment and the recovery movement, from the conflict between science and spirituality, to skepticism about the "new age" brand of spirituality these programs encourage, to constitutional issues over court-mandated participation in allegedly religious treatment programs. Combining in-depth research with powerful personal accounts, this fascinating exploration of spirituality will provide a fuller understanding of the nature of addiction and how people overcome it.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】A Patient's Guide To Myopia And Myopia Treatment【電子書籍】[ Dr Gerard Chuah ]

＜p＞Myopia, also known as nearsightedness is one of the most common refractive error o the eye. A recent study by the National Eye Institute shows that the prevalence of myopia grew from 25% of the United States Nation population (ages 12 to 54) in 1971-1972 to almost 50% in 1999 to 2004.＜/p＞ ＜p＞The book is a recommended guide or patient who wants to know more about Myopia and its treatment. This book is written by Dr Gerard Chuah, who is presently the Consultant Eye Surgeon and Medical Director of the Asian Diabetic and Retinal Disease Center located at Camden Medical Center.＜/p＞ ＜p＞Currently, Dr Gerard is also on the overseas register of the General Medical Council, United Kingdom and was a former clinical tutor with the National University of Singapore, a former visiting consultant to the Eye Institute, National Healthcare Group, visiting professor to the Qingdao Hai Ci Group of Hospitals, a visiting lecturer to the Shanghai Ren Ji Hospital group, former head of the Alexandra Hospital Eye Service and also former Head of Business Development of the Eye Institute, National Healthcare Group. On 2001-2005, he was also the Chairman of the National Kidney Foundation Children's Medical Fund.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Treatment-Resistant Depression【電子書籍】

＜p＞＜strong＞Treatment-resistant Depress＜/strong＞＜/p＞ ＜p＞Successful management of patients with treatment-resistant depression requires a thorough understanding of the biological basis for both the depression and its failure to respond to standard treatments. This book clearly and succinctly summarizes the latest scientific research and its applications in clinical practice.＜/p＞ ＜p＞A first step is a clear definition of what constitutes treatment-resistant depression so that clinical trials and other studies are using common criteria, enabling comparison and meta-analysis of their outcomes. The opening chapter reviews definitions and predictors of treatment-resistant depression originating from different fields and discusses their usefulness in clinical practice and clinical research. The next chapter proposes a new definition, adapting terminology from medicine.＜/p＞ ＜p＞Biological classification requires identification of genetic risk factors and gene variants have been identified as accounting for 50% of the variance in the clinical outcomes of antidepressant treatments. Chapter 3 describes several genes already associated with treatment-resistant depression and, while further work is needed to translate findings into clinical recommendations, suggests that genetic prediction of treatment resistance could become a widespread clinical reality within a few years.＜/p＞ ＜p＞Most patients with treatment-resistant depression will be treated pharmacologically, so three chapters review the latest evidence for pharmacological best practice in switching strategies for antidepressants, the role of antipsychotics and augmentation strategies to complement lithium.＜/p＞ ＜p＞There are two major alternatives to pharmacotherapy: neuromodulation and psychotherapy. The brain intervention chapter summarizes clinical research and experience with electroconvulsive therapy, transcranial magnetic stimulation, vagus nerve stimulation, deep brain stimulation and magnetic seizure therapy. The final chapter reviews the literature pertaining to the effectiveness of various forms of psychotherapy in patients who have not responded to antidepressant pharmacotherapy, explaining that patients who have not responded to one or two trials of antidepressant medication have a 30%-50% chance of responding to a focused psychotherapy. It proposes indications for psychotherapy in treatment-resistant depression and summarizes general therapeutic principles.＜/p＞ ＜p＞Essential reading for all psychiatrists managing patients with this distressing disorder.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】The Osteoporotic Syndrome Detection, Prevention, and Treatment【電子書籍】

＜p＞Metabolic bone degeneration (osteoporosis) affects millions of people--primarily postmenopausal women--and is directly responsible for debilitating hip, vertebral, and limb fractures in the elderly. Incorporating advances made within just the past five years, The Osteoporotic Syndrome: Detection, Prevention, and Treatment serves as an up-to-date, practical guide to the major clinical aspects of osteoporosis. The text is liberally illustrated with detailed figures. As a resource for the clinician dealing with metabolic bone degeneration, this book represents an excellent source of information on the diagnosis and day-to-day management of osteoporosis. - Topics covered include: - Therapy with Vitamin D metabolites, sodium fluoride, thiazides, and isoflavones - Biochemical markers of bone turnover - Calcium, Vitamin D, and bone metabolism - Estrogens and tissue selective estrogens for prevention and treatment of osteoporosis - The effects of osteoporosis on orthopaedic surgery - The therapy of glucocorticoid bone disease - Effects of aging on bone structure and metabolism - Management of osteoporotic patients in our health care delivery system - The genetics of osteoporosis - Bisphosphonate therapy for osteoporosis - Calcitonin - Bone mass measurement techniques in clinical practice - Osteoporosis and the bone biopsy＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Hypothermia, Frostbite, and Other Cold Injuries Prevention, Survival, Rescue, and Treatment【電子書籍】[ Gordon Giesbrecht Ph.D. ]

＜p＞* A vital resource for search and rescue professionals and physicians as well as outdoor enthusiasts＜br /＞ * Includes new chapters to cover cold injuries and strategies for survival that weren't in the previous edition＜/p＞ ＜p＞Hikers, skiers, climbers, hunters, fishermen, bicyclists, and lost children -- all are potentially at risk of hypothermia or other cold injuries including frostbite and trenchfoot. Cold water immersion is also a major cause of death in boating accidents. Yet as shown in anecdotes from the updated second edition of ＜em＞Hypothermia, Frostbite, and Other Cold Injuries＜/em＞, many people have died unnecessarily, succumbing to cold effects long before hypothermia sets in.＜/p＞ ＜p＞This compact, comprehensive book covers the causes and effects of hypothermia and other cold injuries, and tells how to prevent, recognize, and treat them. Included is coverage of how the body loses heat and the latest rewarming techniques such as thermal wraps. This edition has added chapters on cold water drowning and covers additional cold injuries from Raynaud's phenomenon to cold-induced asthma. You'll also find strategies for cold-weather survival, plus safe practices for working on the ice and ice water escape and rescue techniques.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】How to Cure and Get Arthritis Pain Relief Naturally and FAST acne no more, acne treatment, acne scar, acne cure, ... clear skin, sunshine hormone, skincare, #1【電子書籍】[ L.W. Wilson ]

＜p＞＜strong＞A Proven, Step-By-Step System To Rid Arthritis From Your Life FAST＜/strong＞＜/p＞ ＜p＞Today only, get this bestseller for less than a cup of coffee! Read on your PC, Mac, smart phone, tablet or other device.＜/p＞ ＜p＞Hello Friend,＜/p＞ ＜p＞My name is L.W. Wilson and I'm about to reveal to you my proven, step-by-step system that will help you to control your arthritis, master every kind of arthritis, and eliminate it from your life FOREVER.＜/p＞ ＜p＞I know that's a bold statement, but I can confidently say that because I've personally transformed my entire life with the information I'm sharing with you in this book. "How to Cure and Get Arthritis Pain Relief Naturally and FAST" shares the story of how I changed every area of my life, along with the specific strategies and methods that will change your life also.＜/p＞ ＜p＞＜strong＞These Strategies And Principles Changed My Life＜/strong＞＜/p＞ ＜p＞This book is full of fresh, original and powerful concepts that are backed by YEARS of my own personal psychological research and my own real world experience, along with the experiences of THOUSANDS of men and women who have transformed their lives and achieved amazing success in stopping arthritis in it's tracks by using these strategies and principles. In short, what you will learn in this book WORKS.＜/p＞ ＜p＞You’re about to discover how to.use natural tips and techniques to treat and cure anxiety today. Following the tips, tricks, techniques, and methods in this book I am sure you will be able to overcome arthritis in no time!＜/p＞ ＜p＞Here's just a few of the results I've experienced because of the strategies in this book:＜/p＞ ＜p＞I went from being in pain EVERY day and massively in debt to eliminating the pain and not spending my hard earned money on prescription drugs.＜/p＞ ＜p＞I'm able to play with my son again! I've traveled around the world and went on vacations pain FREE!＜/p＞ ＜p＞I went from being a miserable weakling to transforming my body and being able to lift weights and ride my bike again!＜/p＞ ＜p＞I went from depressed, introverted and alone to becoming confident and outgoing, attracting an incredible relationship.＜/p＞ ＜p＞And much, much more!＜/p＞ ＜p＞Here Is A Preview Of What You'll Learn When You Download "How to Cure and Get Arthritis Pain Relief Naturally and FAST" Today＜/p＞ ＜p＞What is Arthritis? What causes Arthritis and why it does to the body＜br /＞ Types of Arthritis. There are many different types of Arthritis. That affects different age groups.＜br /＞ Treatments. The treatments can differ between the types of arthritis＜br /＞ Nutrients that can help with Osteoarthritis (OA)＜br /＞ Nutrients that can help with Rheumatoid arthritis (RA)＜br /＞ 6 Common foods that will make arthritis extremely worse. If you suffer from arthritis you need to avoid these foods at all costs＜br /＞ A proven step-by-step treatment to plan, manage and make progress in eliminating arthritis TODAY.＜br /＞ Signs and Symptoms＜br /＞ Much, much more!＜/p＞ ＜p＞＜strong＞Take action today and download this book today!＜/strong＞＜/p＞ ＜p＞To order "How to Cure and Get Arthritis Pain Relief Naturally and FAST", click the BUY button and download your copy right now!＜br /＞ Download "How to Cure and Get Arthritis Pain Relief Naturally and FAST" right now...＜/p＞ ＜p＞Tags: Arthritis pain relief, Arthritis Pain, Arthritis Cure, Arthritis Reversed, Arthritis diet, Arthritis exercises, Arthritis Today, arm pain, leg pain, hand pain, foot pain, pain, chronic pain, arthritis aids, arthritis cream, arthritis compression gloves, arthritis tools, Cure Osteoarthritis, The Anti-Inflammation Diet, Arthritis Breakthrough, Yoga for Arthritis, Heal Inflammation, eliminate pain, eliminate arthritis＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Group Treatment【電子書籍】[ Olivia Ruin ]

＜p＞Stacy has been invited by the gorgeous Dr. Kara Burnett to an exclusive all-female themed play party at a former patient's mansion. Upon arrival, Dr. Burnett has the women sorted into two roles - the dommes are sexy nurses and the submissives are patients. The theme for the day is "Operating Room," and they have all of the necessary tools at hand to ensure that their patients are well taken care of!＜/p＞ ＜p＞＜strong＞Warning:＜/strong＞＜/p＞ ＜p＞This erotic short story is packed with explicit scenes of intense lesbian sex between many different women and involving different toys and bondage elements. Only for those 18+!＜/p＞ ＜p＞＜strong＞Niches:＜/strong＞＜/p＞ ＜p＞First-Time Lesbian, Group Sex, BDSM, Bondage, Toys, Strap On, Oral＜/p＞ ＜p＞＜strong＞Excerpt:＜/strong＞＜/p＞ ＜p＞The remainder of her drink funneled down her throat, and it was time for Stacy to go out and meet the other ladies.＜/p＞ ＜p＞To her relief, most of the women didn’t turn to look when she left the bathroom, and she was able to pour herself a new drink and sneak across the room to sit beside Kara on the couch that the doctor had vacated earlier. Kara gave her a flirty wink and nod of approval as she walked up, trying to wind her way through the furniture in such a way to flash as few of the ladies as possible.＜/p＞ ＜p＞The doctor stood up and held her hands out, and the women quieted as a hush spread out through the room. “Ladies, welcome to our little party. We only have one new member with us today, so I would like you all to meet Stacy!”＜/p＞ ＜p＞A chorus of “Hello Stacy” poured out as though they were at an Alcoholics Anonymous meeting. Stacy straightened under the gazes of so many women and hoped that she met their standards. ＜em＞They are all so beautiful… It is so flattering that Kara thought I was worthy of joining this group!＜/em＞＜/p＞ ＜p＞Kara continued her speech. “As you know, today’s theme is ‘operating room,’ and I have recruited some of you to be my nurses for the evening. We are going to start off with the patients on the operating tables and at our mercy, although as usual wherever things go from there is fine so long as everyone has a fantastic time. The safe word for today is giraffe, so everyone memorize that just in case you find yourself pushed past the point you are comfortable with.”＜/p＞ ＜p＞That signaled the beginning of the fun part of the day.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。