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！】A Simple Guide to Hypovolemia, Diagnosis, Treatment and Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Hypovolemia, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞Hypovolemia is an important disorder which can cause hypotension and hypovolemic shock.＜/p＞ ＜p＞I thought I had written a book about this important condition before.＜/p＞ ＜p＞Apparently I was wrong so I am writing about this condition now.＜/p＞ ＜p＞Hypovolemia indicates a state of low extra-cellular fluid volume in the body, normally due to combined sodium and water loss.＜/p＞ ＜p＞‘Hypo-’ indicates ‘less’.＜/p＞ ＜p＞‘Vol-’ indicates volume while ‘emia-’ indicates blood＜/p＞ ＜p＞Hypovolemia is a reduced volume of blood in the body.＜/p＞ ＜p＞When the hypovolemia is not treated, insufficient blood reaches the vital organs.＜/p＞ ＜p＞These organs may stop functioning and hypovolemic shock happens.＜/p＞ ＜p＞When the body is sufficiently hydrated and there is enough relative fluid volume to fill the circulatory space present, the body systems normally function properly.＜/p＞ ＜p＞When the circulatory space is larger relative to the fluid available, this state is termed hypovolemia.＜/p＞ ＜p＞The lack of volume has an effect on the ability of the body to perfuse the tissues with blood, oxygen, and nutrients.＜/p＞ ＜p＞Inadequate blood perfusion to the organs is termed hypovolemic shock.＜/p＞ ＜p＞It may develop from blood loss or loss of body fluids such as water and salt.＜/p＞ ＜p＞The blood that flows in the arteries, veins and capillaries is liquid.＜/p＞ ＜p＞If the cellular parts of blood (Rbc, Wbc and platelets) are removed, what remains is termed plasma, the straw-colored liquid part of blood.＜/p＞ ＜p＞It is the largest part of blood, making up 55%, comprising 92% water, 7% proteins and 1% mineral salts, sugars, fats, hormones and vitamins.＜/p＞ ＜p＞Hypovolemia is the loss of this plasma.＜/p＞ ＜p＞If the hypovolemia is due to loss of plasma from the blood vessels to outside of the body, it is termed as absolute hypovolemia.＜/p＞ ＜p＞If it is due to causes other than the fluid loss, it is termed relative hypovolemia.＜/p＞ ＜p＞Hypovolemic shock is a medical emergency state where excessive fluid and blood loss happens and induces the heart to pump the blood essential to the body.＜/p＞ ＜p＞This shock can even induce body organs to stop working.＜/p＞ ＜p＞Hypovolemia is the loss of bodily fluid or blood from:＜br /＞ Injury: external cut, burn or wound＜br /＞ Illness: persistent vomiting and diarrhea.＜br /＞ Internal bleeding: blood loss within the body＜br /＞ Dehydration or malnutrition: lack of water and salt intake.＜br /＞ Excessive sweating: Strenuous activities cause sweating for a long time＜/p＞ ＜p＞Frequent symptoms of hypovolemia are:＜br /＞ Fatigue＜br /＞ Dizziness＜br /＞ Thirst＜br /＞ Pale clammy skin＜br /＞ Weakness＜br /＞ Leg cramps＜br /＞ Dry mucous membranes＜br /＞ Rapid breathing＜br /＞ Rapid heart rate＜br /＞ Low blood pressure＜br /＞ Loss of skin elasticity＜br /＞ Reduced urine output＜/p＞ ＜p＞Hypovolemia needs prompt treatment to avoid permanent organ injury and death.＜/p＞ ＜p＞Intravenous fluid resuscitation is the most often treatment for patients in the acute setting.＜/p＞ ＜p＞The purpose of treatment for hypovolemia is to raise the quantity of fluid volume in the body through fluid resuscitation.＜/p＞ ＜p＞Depending on what type of fluid the body needs, the fluid replacement could involve:＜br /＞ Blood transfusion: Blood from a donor replaces lost blood in the body＜br /＞ Crystalloid solution: Tiny molecules of dissolved saline, dextrose or a combination of sodium, chloride, potassium, calcium and lactate＜br /＞ Colloids: Large molecules of protein＜/p＞ ＜p＞Besides fluid replacement, the doctor will treat the cause of the hypovolemia which may be:＜br /＞ Treating an infection or illness＜br /＞ Healing a wound＜br /＞ Providing missing nutrients such as sodium or electrolytes＜br /＞ The prognosis is good if treated early＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Hypovolemia＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Capillary Leak Syndrome＜br /＞ Chapter 8 Shock＜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！】Pediatric Surgery Diagnosis and Treatment【電子書籍】

＜p＞The heavily revised second edition of this essential textbook describes how to utilize a range of surgical techniques applicable to pediatrics. Chapters contain flowcharts to facilitate rapid assessment and decision-making. In addition, learning objectives and review questions are contained within each chapter to reinforce the key points covered. Topics covered include routinely encountered adolescent problems and neoplasms in children.＜/p＞ ＜p＞＜em＞Pediatric Surgery: Diagnosis and Treatment＜/em＞ concisely describes how to apply a range of diagnostic and treatment techniques that are applicable to the pediatric patient in a variety of surgical scenarios for a range of diseases. Furthermore, it is an ideal resource for trainees and active practitioners taking board examinations.＜/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 Practical Guide to Transcranial Magnetic Stimulation Neurophysiology and Treatment Studies【電子書籍】[ Robert Chen ]

＜p＞Transcranial magnetic stimulation (TMS) is a widely used non-invasive brain stimulation technique. It represents an exciting new frontier in neuroscience research and can be used to examine neural processes, providing insights into pathophysiology and treating a variety of neuropsychiatric illnesses. ＜em＞A Practical Guide to Transcranial Magnetic Stimulation Neurophysiology and Treatment Studies＜/em＞ presents an overview of the use of TMS as both an investigational tool and as treatment for neurological and psychiatric disorders. The chapters include an overview of the history and basic principles of TMS and repetitive TMS (rTMS), the different types of TMS coils, different stimulation approaches, the use of neuronavigation, and safety considerations. The utility of single and paired TMS techniques to measure cortical inhibition, facilitation, connectivity and reactivity in motor and non-motor brain areas, the different methods of using TMS to induce brain plasticity, and use of TMS in cognitive studies are explored. It also covers TMS and rTMS combined with electroencephalography (EEG) in neurophysiological studies. The authors provide a summary of the clinical applications of TMS in neurological and psychiatric disorders including depression, schizophrenia, stroke, Parkinson disease, and pain. This up-to-date volume provides a compendious review of the use of TMS and rTMS that will help guide the utility of this methodology in both clinical and research settings. This practical guide will be a useful resource for those new to the field, as well as experienced users, for both research and clinical settings.＜/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！】Homeopathy For Children A Parent's Guide to the Treatment of Common Childhood Illnesses【電子書籍】[ Gabrielle Pinto ]

＜p＞Homoeopathic remedies for all types of ailments and illnesses contracted by children, ideal for helping parents decide which medecine to use.＜/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 Renfrew Unified Treatment for Eating Disorders and Comorbidity An Adaptation of the Unified Protocol, Therapist Guide【電子書籍】[ Heather Thompson-Brenner ]

＜p＞The majority of individuals who suffer from severe eating disorders also experience symptoms of anxiety, depression, post-traumatic reactions, and/or obsessive-compulsive disorders. Unfortunately, most empirically supported treatments for eating disorders fail to adequately account for such comorbidities. ＜em＞The Renfrew Unified Treatment for Eating Disorders and Comorbidity＜/em＞ was developed to help practitioners serve individuals who struggle with any type of eating disorder as well as intense emotions like anxiety, sadness, anger, and guilt. ＜em＞This Therapist Guide＜/em＞ provides guidance on a unified set of interventions that can address both eating issues and co-occurring emotional disorders using the same set of tools. The guide includes direction for use in both individual and group settings, as well as case studies describing the experiences of patients with a diverse set of symptoms, demographics, and backgrounds. Components of the treatment are intended to help identify and explain how eating and emotional issues interact, to address automatic and core thoughts, to change patterns of behavior, and to develop new flexibility and capacity in areas of life that have been affected. The guide also includes instruction on how to provide unified exposure therapy for co-occurring problems. ＜em＞The Renfrew Unified Treatment for Eating Disorders and Comorbidity＜/em＞ is based largely on common principles found in existing empirically supported psychological treatments, and has been tested in extensive research summarized in this book.＜/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 Simple Guide to Cholecystitis, Diagnosis, Treatment and Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Cholecystitis, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞Cholecystitis is a medical disorder produced by acute or chronic inflammation of the gallbladder.＜/p＞ ＜p＞Acute cholecystitis is an acute inflammation of the gallbladder that causes severe abdominal pain.＜/p＞ ＜p＞Acute cholecystitis happens when bile becomes trapped in the gallbladder.＜/p＞ ＜p＞Accumulation of trapped bile produces inflammation and pressure in the gallbladder.＜/p＞ ＜p＞This can result in infection and a hole (perforation) in the gallbladder.＜/p＞ ＜p＞In 95% of cases, acute cholecystitis is induced by gallstones in the gallbladder.＜/p＞ ＜p＞Other causes are severe illness and (rarely) tumors of the gallbladder.＜/p＞ ＜p＞Chronic cholecystitis induces inflammation and swelling of the gallbladder that persists over time.＜/p＞ ＜p＞Calculous cholecystitis is the most frequent and normally less serious type of acute cholecystitis.＜/p＞ ＜p＞It is responsible for around 95% of all cases.＜/p＞ ＜p＞Calculous cholecystitis occurs when the main opening to the gallbladder, called the cystic duct, becomes blocked by a gallstone or by a substance known as biliary sludge.＜/p＞ ＜p＞Biliary sludge is a combination of bile (produced by the liver that digests fats) and small crystals of cholesterol and salt.＜/p＞ ＜p＞The blockage in the cystic duct leads from a build-up of bile in the gallbladder, raising the pressure inside it and causing it to become inflamed.＜/p＞ ＜p＞In 20% cases, the inflamed gallbladder may also become infected by bacteria.＜/p＞ ＜p＞Acalculous cholecystitis is a less frequent but normally more serious form of acute cholecystitis.＜/p＞ ＜p＞It normally forms as a complication of a serious illness, infection or injury that damages the gallbladder.＜/p＞ ＜p＞Acalculous cholecystitis is often linked with problems such as accidental injury to the gallbladder during major surgery, blood poisoning (sepsis), serious damages or burns, severe malnutrition or AIDS.＜/p＞ ＜p＞Acute Cholecystitis is normally produced by these:＜/p＞ ＜ol＞ ＜li＞Blockage of the cystic duct by a gallstone -most common cause 95%＜/li＞ ＜li＞Bacterial infection after obstruction in 50% of cases＜/li＞ ＜li＞Bacterial or viral infection after gastroenteritis-germs from the intestines going up the cystic duct into gallbladder.＜/li＞ ＜/ol＞ ＜p＞Chronic cholecystitis is normally caused by repeated attacks of acute cholecystitis.＜/p＞ ＜p＞These attacks produce the walls of the gallbladder to thicken.＜br /＞ The gallbladder starts to shrink.＜br /＞ After a period of time, the gallbladder is less capable of concentrating, storing, and releasing bile.＜/p＞ ＜p＞The major symptom is pain in the upper right quadrant or upper middle portion of the abdomen.＜/p＞ ＜ol＞ ＜li＞Slow start of abdominal pain starting from the epigastrium, spreading to the right sub costal area, may be palpated in the back at the sub-scapular region that normally persists at least 30 minutes.＜br /＞ The pain linked with acute cholecystitis is normally persistent, and does not go away within a few hours.＜/li＞ ＜li＞Nausea and vomiting＜/li＞ ＜li＞Loss of appetite＜/li＞ ＜/ol＞ ＜p＞Diagnosis can normally be made by:＜/p＞ ＜ol＞ ＜li＞Physical examination with a positive Murphy's sign.＜br /＞ The affected upper right part of the abdomen is normally extremely tender, and breathing deeply can make the pain worse.＜/li＞ ＜li＞Plain X-rays can show the presence of gallstones in 10-15% patients＜/li＞ ＜li＞Oral cholecystogram is 95% accurate＜/li＞ ＜li＞Ultrasound is highly reliable in showing up the presence of gallstones＜/li＞ ＜/ol＞ ＜p＞Even though cholecystitis may clear with medical treatment, surgery to remove the gallbladder (Cholecystectomy) is normally needed when gallstones are present.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Cholecystitis＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Acalculous Cholecystitis＜br /＞ Chapter 8 Cholangitis＜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。

【通常24時間以内出荷】【中古】 Anger Management: The Complete Treatment Guidebook for Practitioners/IMPACT PUB (CA)/Howard Kassinove / Howard Kassinove, Tafrate, Raymond Chip, Ph.D. / Impact Pub [ペーパーバック]【宅配便出荷】

著者：Howard Kassinove, Tafrate, Raymond Chip, Ph.D.出版社：Impact Pubサイズ：ペーパーバックISBN-10：1886230455ISBN-13：9781886230453■通常24時間以内に出荷可能です。※繁忙期やセール等、ご注文数が多い日につきましては 発送まで72時間かかる場合があります。あらかじめご了承ください。■宅配便(送料398円)にて出荷致します。合計3980円以上は送料無料。■ただいま、オリジナルカレンダーをプレゼントしております。■送料無料の「もったいない本舗本店」もご利用ください。メール便送料無料です。■お急ぎの方は「もったいない本舗 お急ぎ便店」をご利用ください。最短翌日配送、手数料298円から■中古品ではございますが、良好なコンディションです。決済はクレジットカード等、各種決済方法がご利用可能です。■万が一品質に不備が有った場合は、返金対応。■クリーニング済み。■商品画像に「帯」が付いているものがありますが、中古品のため、実際の商品には付いていない場合がございます。■商品状態の表記につきまして・非常に良い： 使用されてはいますが、 非常にきれいな状態です。 書き込みや線引きはありません。・良い： 比較的綺麗な状態の商品です。 ページやカバーに欠品はありません。 文章を読むのに支障はありません。・可： 文章が問題なく読める状態の商品です。 マーカーやペンで書込があることがあります。 商品の痛みがある場合があります。

【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！】Gua Sha: A Complete Self-treatment Guide【電子書籍】[ Clive Witham ]

＜p＞While its techniques have been used in the Far East for some time, Gua sha is still very much a mystery for most people in the West. It consists of simple, non-invasive techniques, effective not only in maintaining your health but in preventing and helping to combat common ailments and illnesses. In this book, with the help of numerous colour illustrations, clear explanations are set out showing you how to use Gua sha within a holistic vision of health and well-being, including key points and channels in Oriental medicine, and also ways to treat yourself for a range of familiar health complaints and ultimately to optimize your health and inner balance.＜/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 Treatment of the War Dead in Archaic Athens An Ancestral Custom【電子書籍】[ Dr Cezary Kucewicz ]

＜p＞Exploring the representations of the war dead in early Greek mythology, particularly the Homeric poems and the Epic Cycle, alongside iconographic images on black-figure pottery and the evidence of funerary monuments adorning the graves of early Athenian elites, this book provides much-needed insight into the customs associated with the war dead in Archaic Athens. It is demonstrated that this period had remarkably little in common with the much-celebrated institutions of the Classical era, standing in fact much closer to the hierarchical ideals enshrined in the epics of Homer and early mythology.＜/p＞ ＜p＞While the public burial of the war dead in Classical Athens has traditionally been a subject of much scholarly interest, and the origins of the procedures described by Thucydides as ＜em＞patrios nomos＜/em＞ are still a matter of some debate, far less attention has been devoted to the Athenian war dead of the preceding era. This book aims to redress the imbalance in modern scholarship and put the spotlight on the Athenian war dead of the Archaic period.＜/p＞ ＜p＞In addition, the book deepens our understanding of the processes which led to the establishment of first public burials and the Classical customs of ＜em＞patrios nomos＜/em＞, shedding significant light on the military, cultural and social history of Archaic Athens. Challenging previous assumptions and bringing new material to the table, the book proposes a number of new ways to investigate a period where many 'ancestral customs' were thought to have their roots.＜/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！】REM Sleep Behavior Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes REM Sleep Behavior Disorder, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞REM sleep is a phase of the sleep cycle that begins 90 minutes after falling asleep during a normal cycle.＜/p＞ ＜p＞Dreams happen in REM sleep.＜/p＞ ＜p＞During the REM phase of sleep, the muscles in the body normally go into a state of temporary paralysis.＜/p＞ ＜p＞In a person with RBD, this paralysis is not complete or even totally absent, so the person performs out their dreams, occasionally in dramatic or violent ways.＜/p＞ ＜p＞The lack of temporary muscle paralysis produces sleepers with RBD to become physically excited, vigorously moves their limbs, leaves the bed, and takes part in other actions linked to being awake.＜/p＞ ＜p＞In some instances, people with RBD might damage themselves or partners sharing their bed.＜/p＞ ＜p＞Rapid eye movement (REM) sleep behavior disorder (RBD) is a disorder in which the patient performs out the dreams while the patient sleeps.＜/p＞ ＜p＞These dreams are often very dramatic and can require a wide variety of movements.＜/p＞ ＜p＞REM sleep behavior disorder requires unusual actions or behaviors during the rapid eye movement sleep phase.＜/p＞ ＜p＞The disorder is a type of sleep disorder termed a parasomnia.＜/p＞ ＜p＞Parasomnias are sleep disorders in which strange or dangerous incidents happen that disrupt sleep.＜/p＞ ＜p＞While it can happen at any age, men over the age of 50 years most often have Rapid eye movement (REM) sleep behavior disorder (RBD).＜/p＞ ＜p＞Dissimilar to sleepwalking or night terrors, the patient can remember the dreams upon waking.＜/p＞ ＜p＞The start of REM sleep behavior disorder is often slow and it can become worse with time.＜/p＞ ＜p＞REM sleep behavior disorder may be linked with other neurological disorders, such as Lewy body dementia (dementia with Lewy bodies), Parkinson's disease or multiple system atrophy.＜/p＞ ＜p＞The risk of violent movement is higher if the person is having an intensive or terrifying dream.＜/p＞ ＜p＞If the person wakes up, they may recall their dream but have no idea that they took part in any movement.＜/p＞ ＜p＞An incident can happen with each REM phase, making around 4 per night.＜/p＞ ＜p＞They may only happen once a week or even once a month in infrequent cases.＜/p＞ ＜p＞The incidents are likely to happen towards the morning hours when REM sleep is more frequent.＜/p＞ ＜p＞Most patients with REM behavior disorder will ultimately present with neurodegenerative diseases like parkinsonism, dementia with Lewy body, or multi-system atrophy.＜/p＞ ＜p＞There are also secondary reasons of RBD linked with narcolepsy or use of antidepressant medicines.＜/p＞ ＜p＞A patient may be cautioned about the future formation of these neurological disorders.＜/p＞ ＜p＞RBD happens in less than 1% of the population.＜/p＞ ＜p＞It was once thought that this disorder mostly involved men, but new data indicates that it happens in both men and women with similar frequency.＜/p＞ ＜p＞It often happens with other sleep problems or disorders which may need additional treatment.＜/p＞ ＜p＞If diagnosed, the patient should be evaluated by the doctor.＜/p＞ ＜p＞REM sleep behavior disorder may suggest a neurodegenerative disease or may be produced by some medicines.＜/p＞ ＜p＞In RBD, the muscles are not transiently paralyzed like they should be.＜/p＞ ＜p＞This permits the body to respond to the dreams.＜/p＞ ＜p＞The patient may start with small actions, such as talking or twitching, and progress to larger movements, such as jumping or kicking.＜/p＞ ＜p＞Symptoms of REM sleep behavior disorder may be movements and noises.＜/p＞ ＜p＞Nocturnal sleep study (Polysomnogram) is the best way to diagnose REM sleep behavior disorder＜/p＞ ＜p＞The treatment involves preventive measures such as padding the bed hile sleeping to prevent injury to the patient and the bed partner.＜/p＞ ＜p＞In severe instances, the patient may be given melatonin or clonazepam.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 REM Sleep Behavior Disorder＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Sleep Walking＜br /＞ Chapter 8 Night Terrors＜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！】Eating Disorders and Expressed Emotion Integrating Treatment, Intervention, and a Positive Family Environment【電子書籍】

＜p＞The first to synthesize the exponentially growing research on expressed emotion (EE) and eating disorders and apply it to treatment, interventions, and other scenarios, this unique text provides unprecedented guidance to students, clinicians, and researchers in the field of eating disorders.＜/p＞ ＜p＞This book explores the components of relatives’ attitudes and behaviors toward an ill family member and discusses a modifiable treatment target that could improve outcomes for patients through interventions, treatment plans, and future directions in research. Chapters bring together contributions from eminent scientists and clinicians in the fields of families, eating disorders, and treatment to contribute to the clinical and scholarly understanding of expressed emotion and eating disorders.＜/p＞ ＜p＞Mental health professionals studying and treating eating disorders will find this text to be a valuable reference guide and will be inspired to further explore this rich and promising area of study.＜/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 Recovery Revolution The Battle Over Addiction Treatment in the United States【電子書籍】[ Claire Clark ]

＜p＞In the 1960s, as illegal drug use grew from a fringe issue to a pervasive public concern, a new industry arose to treat the addiction epidemic. Over the next five decades, the industry's leaders promised to rehabilitate the casualties of the drug culture even as incarceration rates for drug-related offenses climbed. In this history of addiction treatment, Claire D. Clark traces the political shift from the radical communitarianism of the 1960s to the conservatism of the Reagan era, uncovering the forgotten origins of today's recovery movement.＜/p＞ ＜p＞Based on extensive interviews with drug-rehabilitation professionals and archival research, ＜em＞The Recovery Revolution＜/em＞ locates the history of treatment activists' influence on the development of American drug policy. Synanon, a controversial drug-treatment program launched in California in 1958, emphasized a community-based approach to rehabilitation. Its associates helped develop the therapeutic community (TC) model, which encouraged peer confrontation as a path to recovery. As TC treatment pioneers made mutual aid profitable, the model attracted powerful supporters and spread rapidly throughout the country. The TC approach was supported as part of the Nixon administration's "law-and-order" policies, favored in the Reagan administration's antidrug campaigns, and remained relevant amid the turbulent drug policies of the late twentieth and early twenty-first centuries. While many contemporary critics characterize American drug policy as simply the expression of moralizing conservatism or a mask for racial oppression, Clark recounts the complicated legacy of the "ex-addict" activists who turned drug treatment into both a product and a political symbol that promoted the impossible dream of a drug-free America.＜/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。

【通常24時間以内出荷】【中古】 Psychopathology and Psychotherapy: From Dsm-IV Diagnosis to Treatment/ACCELERATED DEVELOPMENT/Len Ed. Sperry / Len Sperry, Jon Carlson / Routledge [ハードカバー]【宅配便出荷】

著者：Len Sperry, Jon Carlson出版社：Routledgeサイズ：ハードカバーISBN-10：1560324929ISBN-13：9781560324928■通常24時間以内に出荷可能です。※繁忙期やセール等、ご注文数が多い日につきましては 発送まで72時間かかる場合があります。あらかじめご了承ください。■宅配便(送料398円)にて出荷致します。合計3980円以上は送料無料。■ただいま、オリジナルカレンダーをプレゼントしております。■送料無料の「もったいない本舗本店」もご利用ください。メール便送料無料です。■お急ぎの方は「もったいない本舗 お急ぎ便店」をご利用ください。最短翌日配送、手数料298円から■中古品ではございますが、良好なコンディションです。決済はクレジットカード等、各種決済方法がご利用可能です。■万が一品質に不備が有った場合は、返金対応。■クリーニング済み。■商品画像に「帯」が付いているものがありますが、中古品のため、実際の商品には付いていない場合がございます。■商品状態の表記につきまして・非常に良い： 使用されてはいますが、 非常にきれいな状態です。 書き込みや線引きはありません。・良い： 比較的綺麗な状態の商品です。 ページやカバーに欠品はありません。 文章を読むのに支障はありません。・可： 文章が問題なく読める状態の商品です。 マーカーやペンで書込があることがあります。 商品の痛みがある場合があります。

【楽天ブックスならいつでも送料無料】Trauma, Ptsd, Grief & Loss: The 10 Core Competencies for Evidence-Based Treatment TRAUMA PTSD GRIEF & LOSS [ J. Eric Gentry ]

TRAUMA PTSD GRIEF & LOSS J. Eric Gentry Patrick Powell Mike Dubi PESI PUB & MEDIA2017 Paperback English ISBN：9781683730392 洋書 Social Science（社会科学） Psychology

【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！】Notes on Diseases of the Horse: Cause, Symptoms and Treatment【電子書籍】[ Charles James Korinek ]

＜p＞This instrument is employed for taking the internal temperature of the body, which is most conveniently done by placing the instrument for about three minutes in the animal’s rectum. Owing to the almost general adoption of this method, the expression “internal temperature” is used as a rule to signify “rectal temperature”; although the respective temperatures of different parts of the body vary to a slight extent. The practice of placing the thermometer in the mouth, as is the custom in human medicine, is not suitable to animals, owing to the danger of the patient breaking the glass instrument with the teeth. The indications afforded by the clinical thermometer are valuable guides as to the state of the animal’s health at the time, or what it will shortly be. Thus, in a horse at rest under ordinary conditions, if there be a rise of three or four degrees without the animal evincing any other sign of illness, we may be assured that disease in some form will, after a day or two, manifest itself in him. During illness, a temperature of, say, 106° F. or more points to a condition of great danger. The clinical thermometer is especially useful in indicating the state of an animal during infective diseases and diseases of the organs of breathing. A fall in temperature, when it has been abnormally high, will generally point to a favorable termination of the disease; although in some cases it is the precursor of rapidly approaching death.＜/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！】Nanoparticle Drug Delivery Systems for Cancer Treatment【電子書籍】

＜p＞In recent years, nanoparticlesーbionanomaterials with specific physicochemical propertiesーhave gained a great deal of scientific interest owing to their unique structure. Nanoparticle-based drugs are now widely regarded as a safer, more precise, and more effective mode of cancer therapy, considering their ability to enhance drug bioavailability, improve site-specific drug delivery, and protect nontarget tissues from toxic therapeutic drugs.＜/p＞ ＜p＞This book compiles and details cutting-edge research in nanomedicine from an interdisciplinary team of international cancer researchers who are currently revolutionizing drug delivery techniques through the development of nanomedicines and nanotheranostics. Edited by Hala Gali-Muhtasib and Racha Chouaib, two prominent cancer researchers, this book will appeal to anyone involved in nanotechnology, cancer therapy, or drug delivery research.＜/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！】Secondary Hypertension Screening, Diagnosis and Treatment【電子書籍】

＜p＞This book provides a comprehensive overview of secondary hypertension for clinicians, including cardiologists as well as primary training physicians and general practitioners.＜/p＞ ＜p＞A large number of patients suffer from high blood pressure, and it was previously thought that secondary hypertension accounted for 10% of all cases. However, according to new studies, the proportion of secondary hypertension is much higher than this. While hypertensive patients are usually treated in the cardiovascular department, secondary hypertension involves diseases in various fields, such as renal, endocrinological, immunological and urological diseases. This book allows readers to gain a thorough understanding of the screening, diagnosis and treatment of secondary hypertension.＜/p＞ ＜p＞It first discusses screening strategies for secondary hypertension, including clinical manifestations, general tests and special tests. It then addresses specific aspects of hypertension related to other diseases, like renal parenchymal diseases; transplantation; congenital diseases; endocrine, neurogenic and psychosocial disorders; vascular conditions; sleep apnoea syndrome, connective tissue disease and metabolic-associated hypertension. Lastly, it covers secondary hypertension related to rare heredity 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！】Whiplash Associated Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Whiplash Associated Disorders, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞A whiplash is a frequent medical disorder that happens during a motor car accident due to the sudden jerking of the neck after a high impact collision.＜/p＞ ＜p＞Whiplash Associated Disorders (WAD) is a variety of injuries to the soft tissues of the neck from a sudden jerking or "whipping" of the head linked with extension of the neck.＜/p＞ ＜p＞This type of movement strains the muscles and ligaments of the neck beyond their normal range of motion.＜/p＞ ＜p＞When a vehicle halts suddenly in a crash or is hit from behind, the seat belt will stop the person's body from being thrown forward.＜/p＞ ＜p＞But the head may still snap forward, then backward, producing a whiplash injury.＜/p＞ ＜p＞Cervical acceleration-deceleration (CAD) depicts the mechanism of the injury while the term whiplash associated disorders (WAD) depicts the injury sequel and symptoms.＜/p＞ ＜p＞The term "whiplash" injury was first used to define acceleration-deceleration injuries happening to the cervical spine or neck region.＜/p＞ ＜p＞This term was altered to an all-encompassing term called whiplash-associated disorders (WAD) that have been refined to depict any compilation of neck-related symptoms after a motor vehicle accident (MVA).＜/p＞ ＜p＞The difficulty that seems in depicting these injuries is due to the fact that there is, by definition, no structural pathology diagnosed after a comprehensive diagnostic workup.＜/p＞ ＜p＞WADs are a diagnosis of exclusion.＜/p＞ ＜p＞The injury may be:＜/p＞ ＜ol＞ ＜li＞Acute with full recovery or＜/li＞ ＜li＞Chronic with residual long term pain, disability, and medical resource utilization＜/li＞ ＜/ol＞ ＜p＞Causes＜/p＞ ＜ol＞ ＜li＞Car accidents,＜/li＞ ＜li＞Roller coasters and other amusement park rides,＜/li＞ ＜li＞Sports injuries or being punched or shaken.＜br /＞ A sudden blow to the head or neck during contact sports such as boxing or rugby＜/li＞ ＜li＞A slip or fall where the head is suddenly and violently jolted backwards＜/li＞ ＜li＞Being struck on the head by a heavy or solid object＜/li＞ ＜li＞Whiplash is one of the hallmarks of shaken baby syndrome.＜/li＞ ＜/ol＞ ＜p＞The suspected underlying mechanisms of pathophysiology had blamed multi-factorial elements such as vertebral distraction to the facet joint capsule region of the cervical spine causing pain.＜/p＞ ＜p＞Other plausible explanations can be any combination of minor injuries to:＜/p＞ ＜ol＞ ＜li＞The facet joint,＜/li＞ ＜li＞Spinal ligaments,＜/li＞ ＜li＞Dorsal root ganglia/nerve roots,＜/li＞ ＜li＞Intervertebral discs, cartilage, and＜/li＞ ＜li＞Paraspinal muscle spasms＜/li＞ ＜/ol＞ ＜p＞Contusions of the intra-articular meniscus hemarthrosis may produce symptoms consistent with WADs.＜/p＞ ＜p＞The injury happens in three stages with a rapid loss of lordosis.＜/p＞ ＜p＞Both the upper and lower spines have flexion in stage one.＜/p＞ ＜p＞In stage two the spine takes on an S-shape while it starts to extend and ultimately straighten to make the neck lordotic again.＜/p＞ ＜p＞The final phase shows the complete spine in extension with an intense sheering force that produces compression of the facet joint capsules.＜/p＞ ＜p＞The whiplash injury forms the S-shaped curvature of the cervical spine which induced hyperextension on the lower end of the spine and flexion of the upper levels, which surpasses the physiologic limits of spinal mobility.＜/p＞ ＜p＞The Quebec task force suggested a classification to depict the severity of the whiplash injury.＜/p＞ ＜ol＞ ＜li＞ ＜p＞In Grade 1 the patient has complaints of neck pain, stiffness, or tenderness with no positive findings on physical exam.＜/p＞ ＜/li＞ ＜li＞ ＜p＞In Grade 2 the patient shows musculoskeletal signs such as decreased range of motion and point tenderness.＜/p＞ ＜/li＞ ＜li＞ ＜p＞In Grade 3 the patient also reveals neurological signs that may involve sensory deficits, decreased deep tendon reflexes, muscle weakness.＜/p＞ ＜/li＞ ＜li＞ ＜p＞In Grade 4 the patient reveals a fracture.＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Whiplash Associated Disorders＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Neck Injury＜br /＞ Chapter 8 Cervical Radiculopathy＜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！】Respiratory Acidosis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Respiratory Acidosis, Diagnosis and Treatment and Related Diseases＜br /＞ Respiratory acidosis is a disorder that happens when the lungs cannot eliminate all of the carbon dioxide the body produces.＜br /＞ This induces body fluids, particularly the blood, to become too acidic.＜br /＞ Excess CO2 induces the pH of blood and other bodily fluids to reduce, making them too acidic.＜br /＞ Normally, the body is able to balance the ions that regulate acidity.＜br /＞ This balance is gauged on a pH scale from 0 to 14.＜br /＞ Acidosis happens when the pH of the blood drops below 7.35 (normal blood pH is between 7.35 and 7.45).＜br /＞ Types of respiratory acidosis＜/p＞ ＜ol＞ ＜li＞Acute respiratory acidosis happens rapidly.＜br /＞ It is a medical emergency.＜br /＞ Left untreated, symptoms will become progressively worse.＜br /＞ It can be threatening to life.＜/li＞ ＜li＞Chronic respiratory acidosis forms over time.＜br /＞ It does not produce symptoms.＜br /＞ Instead, the body modifies itself to the higher acidity.＜br /＞ The kidneys form more bicarbonate to help keep the balance.＜br /＞ Chronic respiratory acidosis may not produce symptoms＜br /＞ Respiratory acidosis is normally caused by an underlying disease or disorder.＜br /＞ Some frequent causes of the acute form are:＜/li＞ ＜li＞Lung disorders (COPD, emphysema, asthma, pneumonia)＜/li＞ ＜li＞Disorders that affect the rate of breathing＜/li＞ ＜li＞Muscle weakness that influences breathing or taking a deep breath＜/li＞ ＜li＞Obstructed airways (hoking or other causes)＜/li＞ ＜li＞Sedative overdose＜br /＞ Some frequent causes of the chronic form are:＜/li＞ ＜li＞Asthma＜/li＞ ＜li＞Chronic obstructive pulmonary disease＜/li＞ ＜li＞Acute pulmonary edema＜/li＞ ＜li＞Severe obesity (disrupt expansion of the lungs)＜/li＞ ＜li＞Neuromuscular disorders (multiple sclerosis or muscular dystrophy)＜/li＞ ＜li＞Scoliosis＜br /＞ Symptoms＜br /＞ Early signs of acute respiratory acidosis are:＜/li＞ ＜li＞Headache＜/li＞ ＜li＞Anxiety＜/li＞ ＜li＞Blurred vision＜/li＞ ＜li＞Restlessness＜/li＞ ＜li＞Confusion＜br /＞ Without treatment, other symptoms may happen such as:＜/li＞ ＜li＞Sleepiness or fatigue＜/li＞ ＜li＞Lethargy＜/li＞ ＜li＞Delirium or confusion＜/li＞ ＜li＞Shortness of breath＜/li＞ ＜li＞Coma＜br /＞ The chronic form of respiratory acidosis does not normally cause any noticeable symptoms.＜br /＞ Diagnosis＜br /＞ The purpose of diagnostic tests for respiratory acidosis is:＜/li＞ ＜li＞To examine for any pH imbalance,＜/li＞ ＜li＞To determine the severity of the imbalance, and＜/li＞ ＜li＞To determine the disorder causing the imbalance.＜br /＞ Several tools can assist doctors in diagnosing respiratory acidosis.＜/li＞ ＜li＞Blood gas measurement＜br /＞ Blood gas is a series of tests used to evaluate oxygen and CO2 in the blood.＜/li＞ ＜li＞Electrolytes＜/li＞ ＜li＞Lung function tests＜/li＞ ＜li＞Chest X-ray and CT scan of the chest＜br /＞ Treatment is directed at the underlying disease, and may be:＜/li＞ ＜li＞Bronchodilator medicines and corticosteroids to reverse some types of airway obstruction＜/li＞ ＜li＞Noninvasive positive-pressure ventilation (sometimes called CPAP or BiPAP) or a breathing machine, if required＜/li＞ ＜li＞Oxygen if the blood oxygen level is little＜/li＞ ＜li＞Treatment to stop smoking＜br /＞ Acute form＜br /＞ Treating acute acidosis normally indicates managing the underlying cause.＜br /＞ The airway may need to be cleared as soon as possible.＜br /＞ Artificial ventilation may also be required.＜br /＞ Chronic form＜br /＞ If the patient has the chronic form of this disease, the treatment will focus on managing any underlying disorders.＜br /＞ The purpose is to improve airway function.＜br /＞ Some treatments are:＜/li＞ ＜li＞Antibiotics (to treat infection)＜/li＞ ＜li＞Diuretics (to reduce excess fluid affecting the heart and lungs)＜/li＞ ＜li＞Bronchodilators (to expand the airways)＜/li＞ ＜li＞Corticosteroids (to reduce inflammation)＜/li＞ ＜li＞Mechanical ventilation (in severe cases)＜br /＞ Extra-corporeal carbon dioxide removal (ECCO2 R) is a newer method for removing carbon dioxide through venovenous bypass without involving oxygenation.＜br /＞ ECCO2 R is being assessed for respiratory acidosis treatment＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Respiratory Acidosis＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Respiratory Failure＜br /＞ Chapter 8 Hypoventilation Syndromes＜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！】Polymyositis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Polymyositis, Diagnosis and Treatment and Related Diseases＜br /＞ Polymyositis is a rare inflammatory disease of the muscles.＜br /＞ It causes muscle weakness, swelling, tenderness, and tissue injury.＜br /＞ It is component of a bigger group of diseases called myositis.＜br /＞ It can involve many muscles in the body, such as those of:＜br /＞ 1.The musculoskeletal system,＜br /＞ 2.The respiratory system and＜br /＞ 3.The ENT sphere.＜br /＞ Causes＜br /＞ The precise cause is not known but it may be linked to an autoimmune reaction or infection.＜br /＞ It appears that there are genetic tendencies to this disease.＜br /＞ In genetically predisposed patients, the start of polymyositis would be affected by certain environmental factors.＜br /＞ A chronic immune reaction is believed to be accountable for the muscle inflammation typical of polymyositis.＜br /＞ Polymyositis can involve people at any age.＜br /＞ It is most frequent in adults between ages 50 and 60, and in older children.＜br /＞ It affects women two times as often as men.＜br /＞ Symptoms＜br /＞ Polymyositis is a generalized disorder.＜br /＞ This indicates it involves the whole body.＜br /＞ Muscle weakness and tenderness can be features of polymyositis.＜br /＞ A rash is a sign of a similar disorder, dermatomyositis＜br /＞ Frequent symptoms are:＜br /＞ 1.Muscle weakness in the shoulders and hips.＜br /＞ The patient may find it hard to raise the arms over the head, get up from a sitting position or climb stairs.＜br /＞ 2.Difficulty swallowing.＜br /＞ 3.Shortness of breath＜br /＞ When it involves the muscles of the musculoskeletal system, polymyositis is normally indicated by:＜br /＞ 1.A weakness that occurs in the proximal muscles of the arms, shoulders and thighs;＜br /＞ 2.Muscle pain, also called myalgia.＜br /＞ This weakness and muscle pain complicates the quality of daily life.＜br /＞ When it involves the respiratory system, polymyositis can present with several symptoms:＜br /＞ 1.Cough＜br /＞ 2.Fever;＜br /＞ 3.Difficulty breathing, also called dyspnea.＜br /＞ When it happens in the ENT sphere, polymyositis particularly involves the pharyngeal muscles.＜br /＞ 1.Swallowing disorders;＜br /＞ 2.Nasal regurgitation;＜br /＞ 3.Cough while eating;＜br /＞ 4.Hoarseness of the voice;＜br /＞ 5.Nasal voice＜br /＞ Diagnosis＜br /＞ Tests may be:＜br /＞ 1.Autoimmune antibodies and inflammation tests＜br /＞ 2.CPK＜br /＞ 3.Serum aldolase＜br /＞ 4.Electromyography＜br /＞ 5.MRI of affected muscles＜br /＞ 6.Muscle biopsy＜br /＞ 7.Myoglobin in the urine＜br /＞ People with this disorder also must be monitored carefully for signs of cancer.＜br /＞ Treatment＜br /＞ Treatment of polymyositis is normally based on medicines and physiotherapy.＜br /＞ The drug treatment of polymyositis is dependent on immunomodulators.＜br /＞ As first treatment corticosteroid medicines is given.＜br /＞ It is successful in 60 to 70% of cases.＜br /＞ The dose of medicine is slowly reduced off as muscle strength increases.＜br /＞ This requires about 4 to 6 weeks.＜br /＞ The patient will maintain on a low dose of a corticosteroid medicine after that.＜br /＞ Medicines to suppress the immune system may be given as substitutes for the corticosteroids.＜br /＞ These drugs may involve azathioprine, methotrexate or mycophenolate.＜br /＞ For disease that stays active in spite of corticosteroids, intravenous gamma globulin has been given with mixed results.＜br /＞ Biologic drugs also may be given.＜br /＞ Rituximab seems to be the most effective and promising.＜br /＞ It is important to rule out other disorders in people who do not respond to treatment.＜br /＞ A repeat muscle biopsy may be considered necessary to make this diagnosis.＜br /＞ If the condition is associated with a tumor, it may improve if the tumor is removed.＜br /＞ The treatment of polymyositis also involves physiotherapy through re-education and rehabilitation sessions.＜br /＞ Complications may be:＜br /＞ 1.Calcium deposits in the affected muscles, particularly in children with the disease＜br /＞ 2.Cancer＜br /＞ 3.Heart disease,＜br /＞ 4.Lung disease, or＜br /＞ 5.Abdominal complications＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Polymyositis＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Dermatomyositis＜br /＞ Chapter 8 Dysphagia＜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！】Hypertension and Heart Failure Epidemiology, Mechanisms and Treatment【電子書籍】

＜p＞This book explains how hypertension affects 20-50% of the adult population in developed countries. Heart failure is the result of the hypertension's effects on the heart and it represents a growing public health problem.＜br /＞ In this context the international scientific community is continuously struggling to develop better strategies in screening, diagnosing and treating hypertension and its deleterious effects. Thus, this field is continuously changing, with new important information being added constantly.＜br /＞ This volume will offer both insights into the intimate mechanisms of transition from hypertension to heart failure and clinical practice advice on the prevention and treatment of heart failure in hypertensive population. The mechanisms which explain the progression from hypertension to heart failure will be also covered exhaustively by offering two chapters referring to the diagnosis of heart failure in hypertensive population and one regarding echocardiography which is the most frequently used imaging method in clinical practice. The reader will be also provided with information on cardiovascular magnetic resonance which has the unique advantage of differentiating hypertensive heart failure from other pathologies associated with increased myocardial thickness.＜br /＞ This book is a useful tool for clinicians but also to the research community interested in heart failure andconsequences of hypertension on heart who want to be up-to-date with the new developments 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！】A Clinical Guide to the Treatment of the Human Stress Response【電子書籍】[ George S. Everly, Jr. ]

＜p＞This comprehensive update of the now classic text applies the most current findings across disciplines to the treatment of pathogenic human stress arousal. New and revised chapters bring together the art and science of intervention, based in up-to-date neuroscience, starting with an innovative model tracing the stress-to-disease continuum throughout the systems of the human body. The authors detail the spectrum of physiological and psychological treatments for the stress response, including cognitive therapy, neuromuscular relaxation, breathing exercises, nutritional interventions, and pharmacotherapy. They also assess the strengths and limitations of widely-used measures of the stress response and consider the value of personality factors, cultural considerations, and resilience in stress mediation.＜/p＞ ＜p＞Included in the coverage:＜/p＞ ＜ul＞ ＜li＞ ＜p＞The anatomy and physiology of the human stress response.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Advances in neuroscience: implications for stress.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Crisis intervention and psychological first aid.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Neurophysiological rationale for the use of the relaxation response.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Physical exercise and the human stress response.＜/p＞ ＜/li＞ ＜li＞ ＜p＞The pharmacological management of stress reactions.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Disaster Mental Health Planning.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Cultural Awareness and Stress.＜/p＞ ＜/li＞ ＜/ul＞ ＜p＞The Fourth Edition of ＜em＞A Clinical Guide to the Treatment of Human Stress Response＜/em＞ offers readers a dual perspective, exceedingly useful in examining the origins of the stress response, and in preventing and treating the response itself. This rich integrative volume will join its predecessors in popularity among practitioners and students across disciplines and specialties.＜/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！】Pancreatic Islets, Functions, Diseases, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Pancreatic Islet Cell, Functions, Diseases, Diagnosis and Treatment and Related Diseases＜br /＞ The pancreas is an endocrine system and a glandular organ in the digestive system of humans.＜/p＞ ＜p＞It is both:＜/p＞ ＜ol＞ ＜li＞ ＜p＞An endocrine gland in the Islets of Langerhans producing several important hormones such as insulin, glucagon, somatostatin and pancreatic polypeptide.＜/p＞ ＜/li＞ ＜li＞ ＜p＞A digestive organ, secreting pancreatic juice containing digestive enzymes that assist the absorption of nutrients and the digestion in the small intestine＜br /＞ A healthy human pancreas contains about three million of the islet cells but their total weight is only 1 to 1.5 grams (0.03 to 0.05 ounces) or about 1% of the weight of the pancreas.＜br /＞ The majority of the pancreas is composed of acinar cells (99% of pancreas)＜br /＞ The pancreas is a solid gland measuring 20-25cm in length, 4-6cm in width and 3-4cm in depth.＜br /＞ It is firmly attached in the back of the abdominal cavity behind the stomach＜br /＞ The pancreas is a mixture of two glands, the exocrine pancreas and the endocrine pancreas.＜/p＞ ＜/li＞ ＜li＞ ＜p＞The exocrine pancreas releases substances into the intestine.＜/p＞ ＜/li＞ ＜li＞ ＜p＞The endocrine pancreas releases substances into the bloodstream.＜br /＞ The two glands function together during meals:＜/p＞ ＜/li＞ ＜li＞ ＜p＞To help digest the food (the exocrine pancreas).＜/p＞ ＜/li＞ ＜li＞ ＜p＞To inform the rest of the body that food is being digested and absorbed and on their way to other cells of the body (the endocrine pancreas).＜br /＞ Pancreatic Islets Cells＜br /＞ There are about 3 million islets spread in the form of density paths throughout the pancreas of a healthy adult human, each of which measures an average of about 0.1 mm (109 μm) in diameter＜br /＞ Each is detached from the adjoining pancreatic tissue by a thin fibrous connective tissue capsule which is constant with the fibrous connective tissue that is connected with the rest of the pancreas＜br /＞ The pancreatic islets make up 1-2% of the pancreas volume and receive 10?15% of its blood flow.＜br /＞ The endocrine pancreas has five types of cells:＜br /＞ 1.Alpha cells secrete glucagon (increase glucose in blood),＜br /＞ 2.Beta cells secrete insulin (decrease glucose in blood),＜br /＞ 3.Delta cells secrete somatostatin (regulates/stops alpha and beta cells), and＜br /＞ 4.PP cells or gamma cells (secrete pancreatic polypeptide).＜br /＞ 5.Epsilon cells produce ghrelin (＜/p＞ ＜/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！】Ovum, Functions, Diseases, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Ovum, Functions, Diseases, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞My name is Lazy Lucy the unfertilized ovum cell.＜br /＞ I was named Lazy Lucy by my friends who think that I like to laze around.＜br /＞ It is true that I like to laze around.＜br /＞ I am surrounded by the follicular fluid in the follicle and the 5 million granulosa cells.＜br /＞ I like to float in my follicle enjoying the nutrients from my so called lake,＜br /＞ Suddenly I was released into the abdominal cavity where the fimbriae of the oviduct pick me up to float in the fallopian tube.＜br /＞ My ovum is released into the abdominal cavity near the opening of one of the oviducts or Fallopian tubes.＜br /＞ Tiny hairs in the oviduct set up currents that draw me in.＜br /＞ There I was pushed along by tiny hairs together towards the uterus.＜br /＞ I was enjoying myself in the floating journey＜br /＞ Suddenly a pack of sperms suddenly floats towards me.＜br /＞ I was under attack by a group of sperm cells.＜br /＞ They tried to push their heads into my cell membrane.＜br /＞ Somehow one of them manages to get through.＜br /＞ He was a particularly cute sperm with a very cheeky face.＜br /＞ I fell in love with him immediately.＜br /＞ Our chromosomes merge and we started dividing to form a baby.＜br /＞ We managed to implant our embryo in the uterus without problem.＜br /＞ We were quite lucky to get a good location in the womb to implant our baby.＜/p＞ ＜p＞The ovum is the largest cell in the human body being visible to the naked eye, at 0.12 mm in length＜br /＞ Ova are produced in the ovaries but these are not fertilized eggs and will never complete meiosis until they are first fertilized by a sperm.＜br /＞ Inside the ovary a follicle consists of one ovum cell surrounded by special cells called granulose cells to nourish and protect it.＜br /＞ A human female normally has about 40,000 follicles with potential ova all formed before birth.＜br /＞ Only about 400 of these ova will actually ever be released during her reproductive years.＜br /＞ Normally, in humans after the onset of puberty, due to the stimulation of follicular-stimulating-hormone (FSH) one ovum per cycle matures and is released from its ovary.＜br /＞ The left ovary will release an ovum cell on one month and the next month the right ovary will release another ovum.＜/p＞ ＜p＞Ovulation is the release of a mature ovum due to the stimulation of luteinizing hormone (LH), which then stimulates the remaining follicle cells to turn into a corpus luteum.＜br /＞ The corpus luteum then secretes progesterone to prepare the uterus for possible implantation.＜br /＞ If an egg is not fertilized by a sperm and does not become a fetus, the corpus luteum breaks up and when it stops producing progesterone, the lining of the uterus breaks down and is shed as menses.＜br /＞ Each ovum cell is released into the abdominal cavity near the opening of one of the oviducts or Fallopian tubes.＜br /＞ Cilia in the oviduct set up currents that draw the ovum in.＜br /＞ If sperm are present in the oviduct , the ovum will be fertilized near the far end of the Fallopian tube and will finish meiosis.＜br /＞ The embryo will begin to divide and grow as it moves to the uterus＜br /＞ The trip down the Fallopian tube takes about a week as the cilia in the tube propel the fertilized egg down to the uterus.＜br /＞ The fertilized egg is called an embryo.＜br /＞ At this point the woman has no idea whether an unfertilized egg or a new baby is traveling down that tube.＜br /＞ During this time, progesterone produced by the corpus luteum has been invigorating the endometrium (the lining of the uterus) to thicken in preparation for possible implantation.＜br /＞ When a growing embryo ultimately reaches the uterus, it will implant in this nutritious environment and start to secrete its own hormones to maintain the endometrium.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Ovum, Functions, Diseases＜br /＞ Chapter 2 Conception＜br /＞ Chapter 3 Female Orgasm＜br /＞ Chapter 4 Infertility＜br /＞ Chapter 5 Treatment of Female Infertility＜br /＞ Chapter 6 Polycystic Ovarian Syndrome＜br /＞ Chapter 7 Miscarriage＜br /＞ Chapter 8 Life and Death of an Ovum＜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！】Clinical Manual for Assessment and Treatment of Suicidal Patients【電子書籍】[ John A. Chiles, MD ]

＜p＞Since the first edition of Clinical Manual for Assessment and Treatment of Suicidal Patients was published in 2005, advances have been made that increase our understanding of suicidal and self-destructive behavior. Although clinicians cannot unerringly predict which patients will die by suicide, they can focus more successfully on early identification of suicidal behavior and effective intervention, and this new edition of the clinical manual thoroughly explores not only assessment of suicidality but what comes after an at-risk patient has been identified. The authors argue that treating specific psychiatric disorders is not enough to prevent suicide, and they offer clinicians the necessary information and strategies to bridge that gap. The authors' main premise is that suicide is a dangerous and short-term problem-solving behavior designed to regulate or eliminate intense emotional pain -- a quick fix where a long-term effective solution is needed -- and this understanding is the underpinning of the assessment and treatment strategies the authors recommend.＜/p＞ ＜p＞The content of this new edition has been thoroughly reviewed and revised, and substantive changes have been made to specific chapters to ensure that the book represents the most current thinking and research, while retaining the strengths of the previous edition. The chapter on assessment has been revised to put the fundamental components of effective treatment in a clinical, case-oriented context and includes an easy-to-use assessment protocol that allows clinicians to determine where individual patients stand on seven dimensions (cognitive rigidity, problem-solving deficits, heightened mental pain, emotionally avoidant coping style, interpersonal deficits, self-control deficits, and environmental stress and social support deficits). The many issues involved in the use of psychotropic medications in suicidal patients are addressed in a new chapter, which includes information on the relevant classes of drugs (such as antidepressants and antianxiety agents) and the issues that may arise with their use, including side effects, degree of lethality, and tendency to aggravate suicidality on introduction and withdrawal of the medication. The chapter on special populations has been expanded to include adolescents, elders, and patients with co-occurring substance abuse or psychosis. Because of additional vulnerabilities, treating these groups may call for the use of added or special techniques to ensure the best therapeutic outcomes. Primary care physicians are the first point of contact for many patients, and they may require additional preparation in order to assess and respond to those experiencing suicidal thoughts. The chapter "Suicidal Patients in Primary Care" explores strategies for screening, recognizing, and assessing risk; treating the initial crisis; and developing a crisis management plan. "Tips for Success" appear at intervals, and "The Essentials" are included at the end of each chapter, highlighting the most important concepts. In addition, there are scores of helpful charts and exercises.＜/p＞ ＜p＞Practical, accessible, and reader-friendly, the Clinical Manual for Assessment and Treatment of Suicidal Patients is not an academic book but rather is one designed to become an indispensable part of clinicians' working libraries.＜/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 Fair and Equitable Treatment (FET) Standard in International Investment Arbitration Developing Countries in Context【電子書籍】[ Rumana Islam ]

＜p＞This book presents comprehensive information on a range of issues in connection with the Fair and Equitable Treatment (FET) standard, with a particular focus on arbitral awards against host developing countries, thereby contributing to the available literature in this area of international investment law. It examines in detail the interpretation of the FET standard of key arbitral awards affecting host developing countries, demonstrating the full range of interpretation approaches adopted by the current investment tribunals. At the same time, the book offers valuable practical guidance for counsels/scholars representing host developing countries in investment arbitration, where balancing the competing interests of the foreign investors and the host developing countries in investment disputes poses a complex challenge.＜/p＞ ＜p＞The book puts forward the pressing need for a re-conceptualized interpretation of the FET standard in tune with the developmental issues and challenges faced by host developing countries, recognizing these countries’ particular perspectives as an important and relevant aspect of investment disputes (often ignored by the current investment tribunals), while continuing to ensure reasonable protections for foreign investors and therefore serving the needs of the system as whole. The findings presented here will greatly benefit host developing countries engaged in investment arbitration. In addition, the book offers an insightful guide for all researchers whose work involves investment law and investment arbitration issues.＜/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！】Ganglion, (Gideon disease) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes the Ganglion, Diagnosis, Treatment and Related Conditions＜br /＞ A ganglion is a medical disorder consisting of a cyst found next to tendon sheath or joint.＜/p＞ ＜p＞A ganglion is a small lump that has a thick gel-like material inside it.＜/p＞ ＜p＞It looks and feels like a smooth swelling under the skin.＜/p＞ ＜p＞A ganglion is normally attached to a joint or tendon, and the fluid inside is like a thicker form of the fluid which 'lubricates' the tendon sheaths and joint (synovial fluid).＜/p＞ ＜p＞The most frequent site for a ganglion to be found is on the back of the wrist.＜/p＞ ＜p＞It can also happen on the other side of the wrist, on the hand, and on the top of the foot.＜/p＞ ＜p＞Other sites of the body are involved less frequently.＜/p＞ ＜p＞It may happen at any part of the body but is most frequent on the dorsum of the hand or foot.＜/p＞ ＜p＞What is the cause of Ganglion?＜/p＞ ＜p＞It is not fully understood how it is formed.＜/p＞ ＜p＞The etiology of the ganglion is not known but the ganglion has within its cyst a mucinous fluid which is similar but thicker than the fluid inside a tendon sheath.＜/p＞ ＜p＞It has a stalk that can be attached to a tendon sheath or joint.＜/p＞ ＜p＞The present proposal for the cause of a Ganglion is that an effective check valve forms allowing fluid out of the joint, but not back in＜/p＞ ＜p＞Ganglion cysts are observed in children but frequently go off by themselves in this age group in 2 to 3 years.＜/p＞ ＜p＞A ganglion is a fluid-filled lump which can happen near joints or tendons.＜/p＞ ＜p＞It is not a cancer.＜/p＞ ＜p＞It is normally harmless but can be unsightly.＜/p＞ ＜p＞What are the symptoms of Ganglion?＜/p＞ ＜p＞The main symptom is one of swelling.＜/p＞ ＜p＞Ganglions (sometimes called ganglia) typically are very round and smooth.＜/p＞ ＜p＞They can vary from being very small (pea-sized) to being larger (plum-sized).＜/p＞ ＜p＞Larger ganglions can sometimes be ugly looking.＜/p＞ ＜p＞They may sometimes be painful, especially if they lie next to a nerve.＜/p＞ ＜p＞They never spread to other parts of the body.＜/p＞ ＜ol＞ ＜li＞ ＜p＞The onset is normally related to a history of trauma.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Local pain and swelling is present＜/p＞ ＜/li＞ ＜li＞ ＜p＞Feeling of weakness may be felt＜/p＞ ＜/li＞ ＜li＞ ＜p＞Swelling normally becomes bigger in size in relation to activity of patient.＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞Physical examination＜/p＞ ＜ol＞ ＜li＞ ＜p＞Hard swelling on the dorsum of hand or foot is often described as a small bone-like lump＜/p＞ ＜/li＞ ＜li＞ ＜p＞The ganglion is movable freely＜/p＞ ＜/li＞ ＜li＞ ＜p＞The ganglion is most obvious when the hand or foot is flexed.＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞Usually no tests are needed, and the doctor can diagnose if the lump is a ganglion just by feeling and examining the swelling.＜/p＞ ＜p＞If a ganglion does not cause symptoms it is best just to leave it alone.＜/p＞ ＜p＞Many people prefer to be rid of them, especially if they are producing discomfort or pain.＜/p＞ ＜p＞Many people know of the traditional treatment.＜/p＞ ＜p＞It is to smash them with a heavy book (traditionally the family bible - Gideon disease).＜/p＞ ＜p＞This will break the cyst under the skin.＜/p＞ ＜p＞The gel-like liquid is then taken into the tissue and then the bloodstream.＜/p＞ ＜ol＞ ＜li＞Aspiration of the Ganglion under local anesthesia.＜/li＞ ＜/ol＞ ＜p＞In some cases it is possible to aspirate (suck out) the fluid with a needle and syringe.＜/p＞ ＜p＞If the gel-like fluid is thickened and hard to suck this may not work.＜/p＞ ＜ol start="2"＞ ＜li＞ ＜p＞Punctuate the ganglion with a large sterile needle in many areas＜/p＞ ＜/li＞ ＜li＞ ＜p＞Inject it with a steroid medicine＜/p＞ ＜/li＞ ＜li＞ ＜p＞After the above procedures, compression dressing is applied for 48 to 72 hours.＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞Surgery:＜/p＞ ＜p＞If required, a ganglion can be removed by a small operation.＜/p＞ ＜p＞Surgery is resorted only if the other methods do not work or if symptoms continue.＜/p＞ ＜p＞Surgical excision of the ganglion is typically the most successful treatment.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Ganglion＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 External Carpi Ulnar Tendonitis＜br /＞ Chapter 8 Trigger Finger＜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！】Barrett’s Esophagus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Barrett’s Esophagus, Diagnosis and Treatment and Related Diseases＜br /＞ Barrett’s Esophagus (BE) is a disorder in which the esophagus lining is injured by stomach acid.＜br /＞ Barrett’s Esophagus is described as an esophagus in which any segment of the normal distal squamous epithelial lining has been substituted by metaplastic columnar epithelium.＜br /＞ This is clearly seen endoscopically (＞1 cm) above the gastro-esophageal junction and validated histopathologically from esophageal biopsies＜br /＞ People with BE have a higher risk for cancer in the area affected. Cancer is not frequent.＜br /＞ It is often subdivided into short-segment (less than 3 cm) or long-segment (more than 3 cm)＜br /＞ Causes＜br /＞ Barrett's esophagus occurs from chronic gastro-esophageal reflux.＜br /＞ The metaplastic columnar epithelium is at danger of rising stages of dysplasia resulting in invasive adenocarcinoma of the esophagus＜br /＞ The risk rises with longer period of time and raised frequency of gastro-esophageal symptoms.＜br /＞ Hiatus hernia is a danger factor and the size of the hernia is linked with the length of Barrett's esophagus＜br /＞ Some studies suggest a higher incidence of obesity, smoking and alcohol intake.＜br /＞ Risk factors for transformation to adenocarcinoma are:＜br /＞ 1.Male gender,＜br /＞ 2.Increasing age,＜br /＞ 3.Extended segment (＞8 cm) disease,＜br /＞ 4.Intestinal metaplasia,＜br /＞ 5.Duration of reflux history,＜br /＞ 6.Early age of onset of GERD,＜br /＞ 7.Duodeno-gastro-esophageal reflux,＜br /＞ 8.Mucosal damage (ulceration and stricture) and＜br /＞ 9.Family history＜br /＞ Symptoms＜br /＞ BE itself does not produce symptoms.＜br /＞ The acid reflux that produces Barrett’s Esophagus often results in symptoms of heartburn.＜br /＞ Diagnosis＜br /＞ The patient may require an endoscopy if GERD symptoms are severe or come back after treatment.＜br /＞ During the endoscopy, the doctor may obtain tissue samples from different parts of the food pipe to help diagnose the disorder.＜br /＞ They also help look for tissue alterations that could result in cancer.＜br /＞ The diagnosis of Barrett’s Esophagus needs biopsy verification of specialized intestinal metaplasia (SIM) in the esophagus＜br /＞ When high-grade dysplasia or cancer is discovered on surveillance endoscopy, endoscopic ultrasonography (EUS) is advised to evaluate for surgical removal.＜br /＞ Treatment＜br /＞ Treatment of GERD＜br /＞ The treatment should reduce acid reflux symptoms, and may keep BE from becoming worse.＜br /＞ The treatment may require lifestyle alterations and medicines such as:＜br /＞ 1.Antacids after meals and at bedtime＜br /＞ 2.Histamine H2 receptor blockers＜br /＞ 3.Proton pump inhibitors＜br /＞ 4.Avoiding alcohol and tobacco use＜br /＞ Lifestyle changes, medicines, and anti-reflux surgery may reduce symptoms of GERD.＜br /＞ Treatment of Barrett’s Esophagus＜br /＞ The doctor may advise surgery or other interventions to treat BE＜br /＞ Some of these procedures can eliminate the damaging tissue in the esophagus:＜br /＞ Photodynamic therapy (PDT) utilizes a special laser device, known as an esophageal balloon, together with a photosensitizer drug called Photofrin.＜br /＞ Other interventions utilize different types of high energy to damage the precancerous tissue.＜br /＞ Surgery to remove the abnormal lining＜br /＞ Esophageal cancers occurring in Barrett's esophagus determined by surveillance are often in the early stage and give an excellent prognosis.＜br /＞ When surveillance is regarded suitable, it should be done every 2-5 years, depending on the length of the involved segment and the presence of intestinal metaplasia.＜br /＞ The treatment of low-grade dysplasia is not obvious＜br /＞ It is advised that, after two pathologists have verified the diagnosis, surveillance endoscopy be done every six months.＜br /＞ High-grade dysplasia is linked with focusing on the presence of invasive adenocarcinoma in 30-40% of patients.＜br /＞ Esophagectomy is often done in severe dysplasia＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Barrett’s Esophagus＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Dysphagia＜br /＞ Chapter 8 Gastroesophageal Reflux Disease＜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！】Chemistry of Water Treatment【電子書籍】[ Samuel D. Faust ]

＜p＞This second edition demonstrates how chemistry influences the design of water treatment plants and how it should influence the design. Historically, water treatment plants have been designed from hydraulic considerations with little regard to chemical aspects. The many chemical reactions used for removal of pollutants from water simply cannot be forced to occur within current designs. This book re-examines this traditional approach in light of today's water quality and treatment. Will current water treatment processes be sufficient to meet future demands or will new processes have to be devised? Chemistry of Water Treatment assesses the chemical and physical efficacies of current processes to meet the demands of the Safe Drinking water Act, providing expert information to persons responsible for the production of potable water into the next century.＜/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！】Enhancing the Storm Water Treatment Performance of Constructed Wetlands and Bioretention Basins【電子書籍】[ Isri R. Mangangka ]

＜p＞This book identifies the key hydrologic and hydraulic factors which influence the performance of stormwater quality treatment systems such as constructed wetlands and bioretention basins. Mathematical relationships derived using conceptual models underpinned by fundamental hydraulic theory are presented to predict treatment performance. The key highlights of the book will include the identification of the linkages between influential hydrologic and hydraulic factors for constructed wetlands and bioretention basins to support more accurate prediction of treatment performance and effective design of these types of stormwater treatment systems. Furthermore, this book will showcase an innovative approach for using conceptual models to analyze stormwater treatment system performance.＜/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。