気まぐれ屋

洋書 Academic Press Paperback, Treatment of Eating Disorders: Bridging the Research-practice Gap

*** We ship internationally, so do not use a package forwarding service. We cannot ship to a package forwarding company address because of the Japanese customs regulation. If it is shipped and customs office does not let the package go, we do not make a refund. 【注意事項】 *** 特に注意してください。 *** ・個人ではない法人・団体名義での購入はできません。この場合税関で滅却されてもお客様負担になりますので御了承願います。 ・お名前にカタカナが入っている場合法人である可能性が高いため当店システムから自動保留します。カタカナで記載が必要な場合はカタカナ変わりローマ字で記載してください。 ・お名前またはご住所が法人・団体名義（XX株式会社等）、商店名などを含めている場合、または電話番号が個人のものではない場合、税関から法人名義でみなされますのでご注意ください。 ・転送サービス会社への発送もできません。この場合税関で滅却されてもお客様負担になりますので御了承願います。 *** ・注文後品切れや価格変動でキャンセルされる場合がございますので予めご了承願います。 ・当店でご購入された商品は、原則として、「個人輸入」としての取り扱いになり、すべてニュージャージからお客様のもとへ直送されます。 ・ご注文後、30営業日以内(通常2~3週間)に配送手続きをいたします。配送作業完了後、2週間程度でのお届けとなります。 ・まれに商品入荷状況や国際情勢、運送、通関事情により、お届けが2ヶ月までかかる場合がありますのでお急ぎの場合は注文をお控えください。 ・個人輸入される商品は、すべてご注文者自身の「個人使用・個人消費」が前提となりますので、ご注文された商品を第三者へ譲渡・転売することは法律で禁止されております。 ・関税・消費税が課税される場合があります。詳細はこちらをご確認下さい。PC販売説明文

洋書 Oxford University Press Paperback, Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents: Therapist Guide (Programs That Work)

*** We ship internationally, so do not use a package forwarding service. We cannot ship to a package forwarding company address because of the Japanese customs regulation. If it is shipped and customs office does not let the package go, we do not make a refund. 【注意事項】 *** 特に注意してください。 *** ・個人ではない法人・団体名義での購入はできません。この場合税関で滅却されてもお客様負担になりますので御了承願います。 ・お名前にカタカナが入っている場合法人である可能性が高いため当店システムから自動保留します。カタカナで記載が必要な場合はカタカナ変わりローマ字で記載してください。 ・お名前またはご住所が法人・団体名義（XX株式会社等）、商店名などを含めている場合、または電話番号が個人のものではない場合、税関から法人名義でみなされますのでご注意ください。 ・転送サービス会社への発送もできません。この場合税関で滅却されてもお客様負担になりますので御了承願います。 *** ・注文後品切れや価格変動でキャンセルされる場合がございますので予めご了承願います。 ・当店でご購入された商品は、原則として、「個人輸入」としての取り扱いになり、すべてニュージャージからお客様のもとへ直送されます。 ・ご注文後、30営業日以内(通常2~3週間)に配送手続きをいたします。配送作業完了後、2週間程度でのお届けとなります。 ・まれに商品入荷状況や国際情勢、運送、通関事情により、お届けが2ヶ月までかかる場合がありますのでお急ぎの場合は注文をお控えください。 ・個人輸入される商品は、すべてご注文者自身の「個人使用・個人消費」が前提となりますので、ご注文された商品を第三者へ譲渡・転売することは法律で禁止されております。 ・関税・消費税が課税される場合があります。詳細はこちらをご確認下さい。PC販売説明文

【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！】Innovative Treatment Strategies for Clinical Electrophysiology【電子書籍】

＜p＞This book highlights the advancements in different fields of clinical electrophysiology and gives the reader a good background of the established practices. To tackle such a wide topic, the book focuses on two main aspects: ablation and pacing, discussing the novel energy sources and approaches to rhythm restoration and control; devices and signal processing, highlighting the new available technologies and numerical approaches aiding practice and home medicine. It also presents the reader with selected strategies that could be a paradigm shifts for the field: in situ cell reprogramming, exploiting the newly founded achievements in epigenetic modification of somatic cells; artificial intelligence; cardiac digital twinning, which aims to collect the information from imaging, mechanics and electrophysiology and condense it into a patient-specific model for personalized 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。

【楽天ブックスならいつでも送料無料】Constructed Wetlands for Wastewater Treatment in Hot and Arid Climates CONSTRUCTED WETLANDS FOR WASTE （Wetlands: Ecology, Conservation and Management） [ Alexandros Stefanakis ]

CONSTRUCTED WETLANDS FOR WASTE Wetlands: Ecology, Conservation and Management Alexandros Stefanakis SPRINGER NATURE2022 Hardcover 2022 English ISBN：9783031035999 洋書 Computers & Science（コンピューター＆科学） Science

【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！】3D Printing Technology for Water Treatment Applications【電子書籍】

＜p＞3D Printing Technology for Water Treatment Applications provides a state-of-the-art presentation on the application of 3D printing technology in water treatment. The book discusses numerous processes and their scope for improvement through the use of 3D-printing technology, including pollutant separation from water and an overview of the advantages and disadvantages of different 3D printed technology over current technologies. In addition, the future outlook for device development using 3D printing water purification is explored. Finally, sustainability issues relating to 3D printing-based water purification processes are discussed, describing specific technologies such as 3D printed membranes. This book will serve as a vital resource for scientists, engineers and environmental professionals working in water treatment technologies. - Takes an in-depth look at state-of-the-art water treatment methods - Includes discussion of the application of 3D printed devices in areas such as water treatment, resource recovery and toxic ion removal - Looks at current developments in the integration of adsorption technology with 3D printing technology＜/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。

【メール便送料無料、通常24時間以内出荷】【中古】 Behavioral Neurobiology of Depression and Its Treatment 2013/SPRINGER NATURE/Philip J. Cowen / Philip J. Cowen, Trevor Sharp, Jennifer Y . F. Lau / Springer [ハードカバー]【メール便送料無料】

著者：Philip J. Cowen, Trevor Sharp, Jennifer Y . F. Lau出版社：Springerサイズ：ハードカバーISBN-10：3642354246ISBN-13：9783642354243■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 出荷まで48時間かかる場合があります。あらかじめご了承ください。 ■1冊から送料無料です。■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、代引き等、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。 商品の傷みがある場合があります。基本的に付録・付属品等付いていない状態です。

【楽天ブックスならいつでも送料無料】Obesity: Causes, Mechanisms, Prevention, and Treatment OBESITY [ Elliott M. Blass ]

OBESITY Elliott M. Blass SINAUER ASSOC2008 Paperback English ISBN：9780878930371 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！】Gua Sha Scraping Massage Techniques A Natural Way of Prevention and Treatment through Traditional Chinese Medicine【電子書籍】[ Zhongchao Wu ]

＜p＞＜strong＞Learn the ancient techniques and health benefits of Gua Sha massage with this complete illustrated guide.＜/strong＞＜/p＞ ＜p＞Gua Sha is a traditional Chinese therapy for expelling toxin and preventing diseases. A simple scraping plate coupled with oil, when applied to the body repeatedly, can reach the effect of smoothing Qi and blood flow, stimulating main and collateral channels, expelling toxins and alleviating pain.＜/p＞ ＜p＞This book explores the natural way of prevention and treatment through traditional Chinese medicine and explains the complete theories and practice for the treatment of over 100 ailments.＜/p＞ ＜p＞Through Gua Sha Scraping Massage Techniques you will discover: ?The principles of Gua Sha ?Tools, ways, and techniques of Gua Sha ?How to judge your own health status, prevent and tackle common ailments and achieve healthy complexion and physique through Gua Sha ?How to prevent and cure various diseases through Gua Sha, such as chronic diseases, bone-joint diseases, male and female diseases, more ?Apart from Gua Sha, other tips for diet, massage and daily habits that combat illness and help build up your health.＜/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 Model for Gene Therapy Gene Replacement in the Treatment of Sickle Cell Anemia and Thalassemia【電子書籍】[ Ward Merkeley M.D. ]

＜p＞This research paper was written in 1978 by Ward Merkeley, M.D. when he was a first year medical student attending the University Of Utah School of Medicine. It is one of the first original papers suggesting and exploring the theoretical potentials and practical limitations of Gene Therapy. The paper discusses in technical detail the means of isolating and inserting a normal hemogloblin gene into the erythoid stem cells of people with Sickle Cell Anemia and B Thalassemia. The difficulties and limitation of Gene Therapy are discussed in detail, as well as, some ethical considerations.＜/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 Agroindustrial Biomass Residues A Sustainable Approach【電子書籍】[ S?lvio Vaz Jr. ]

＜p＞This book provides an indispensable reference guide to the sustainable control and treatment of biomass residues from a wide variety of agroindustrial sources, e.g. sugarcane, livestock, pulp & paper, food wastes, among others.＜/p＞ ＜p＞Pursuing a structured and clear approach, the book opens with a general introduction to biomass, sustainability and environmental chemistry aspects, and on how the use of biomass as a renewable material ties into the UN’s Sustainable Development Goals. The book subsequently presents analytical methods applied to different biomass types and their residues and reviews monitoring and treatment strategies in order to avoid pollution of the same. The book closes by describing the value chains, bioeconomy and circular economy for globally relevant agroindustrial biomass.＜/p＞ ＜p＞The book is intended for researchers in academia and industry alike and shows how, in addition to sustainability criteria and life cycle assessments, integrating environmental chemistry aspects can contribute to a holistic approach, and unlock the economic potential of biomass in the age of circular economy and sustainable development.＜/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！】Farmer’s Lungs, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Farmer’s Lungs, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞Farmer's Lung is a disease produced by an allergy to the mold in certain farm crops.＜/p＞ ＜p＞Farmers tend most prone to get it since it is normally produced by inhaling dust from hay, grass, and corn used for animal feed, grain, tobacco or some pesticides.＜/p＞ ＜p＞Not everyone obtains farmer's lung after breathing in these substances.＜/p＞ ＜p＞It only happens if the patient has an allergic response.＜/p＞ ＜p＞Farmer's lung is an allergy produced by the dust from moldy hay, straw and grain.＜/p＞ ＜p＞In early stages of the disease, it can appear like nothing more serious than a nagging winter cold.＜/p＞ ＜p＞If overlooked, the allergic reaction can produce permanent lung damage.＜/p＞ ＜p＞The patient may be forced to renounce farming and in some cases may experience permanent disability or even death.＜/p＞ ＜p＞Early diagnosis is important if lasting injury is to be avoided.＜/p＞ ＜p＞Since farmer's lung is featured by cold or flu-like symptoms, the early detection is difficult.＜/p＞ ＜p＞Many patients will not have any difficulty to consult a doctor due to continuous symptoms.＜/p＞ ＜p＞When they do, the exposure to moldy crop material is seldom reported to the doctor.＜/p＞ ＜p＞This can be catastrophic since each exposure raises the injury.＜/p＞ ＜p＞Farmers who do not consult doctors could burden their families with their illnesses.＜/p＞ ＜p＞It is also termed extrinsic allergic alveolitis, hypersensitivity alveolitis or hypersensitivity pneumonitis.＜/p＞ ＜p＞With farmer's lung disease, the inflammation happens in the lungs.＜/p＞ ＜p＞Molds are the main cause of Farmer’s Lungs.＜/p＞ ＜p＞When farm crops are kept without adequate drying, they start to heat up.＜/p＞ ＜p＞Many kinds of mold develop in such environments.＜/p＞ ＜p＞When a farmer comes in contact with such material (when a large bundle of hay is taken apart) the mold is discharged as part of a very fine dust.＜/p＞ ＜p＞A farmer who is working indoors may breathe in a large quantity of this dust in a very short time.＜/p＞ ＜p＞Since the dust is so fine, it goes past defense systems in the nose and throat.＜/p＞ ＜p＞When the dust arrives at the inner parts of the lungs (termed the alveoli), the lungs' internal defense system gets control.＜/p＞ ＜p＞In most patients, the dust is eliminated without injury to the lungs.＜/p＞ ＜p＞An allergic reaction to the dust develops in a few patients.＜/p＞ ＜p＞The patient’s body believes that the mold is more serious than is actually the case, and starts to attack the dust materials.＜/p＞ ＜p＞The first exposure in sensitive patients only produces the allergy.＜/p＞ ＜p＞Every subsequent exposure to the dust activates an allergic response.＜/p＞ ＜p＞The body's immune system starts to attack the mold, causing symptoms which may be similar to anything from a cold to pneumonia.＜/p＞ ＜p＞Scar tissue (fibrosis) develops inside the lungs.＜/p＞ ＜p＞While cold-like symptoms may resolve, the fibrosis can be permanent.＜/p＞ ＜p＞Lung injury may be too insignificant to observe in the early stages of farmer's lung.＜/p＞ ＜p＞Each subsequent exposure will raise the amount of lung tissue damage.＜/p＞ ＜p＞A patient will soon start to observe that they are short of breath.＜/p＞ ＜p＞At first, this lung injury causes laborious work to be more difficult.＜/p＞ ＜p＞Even routine works become too difficult after the frequent and repeated exposure.＜/p＞ ＜p＞Ultimately, the patient may find it an effort to even stand up from a chair.＜/p＞ ＜p＞It is frequent for farmers to get this disorder from moldy hay and other crops.＜/p＞ ＜p＞The patient also can get it from dust in substances like:＜/p＞ ＜ol＞ ＜li＞Animal dander＜/li＞ ＜li＞Bacteria＜/li＞ ＜li＞Bark＜/li＞ ＜li＞Bird droppings＜/li＞ ＜li＞Dried rat urine＜/li＞ ＜li＞Feathers＜/li＞ ＜li＞Fungi＜/li＞ ＜li＞Husks＜/li＞ ＜li＞Insects＜/li＞ ＜li＞Wood＜/li＞ ＜/ol＞ ＜p＞These allergens have to be very tiny around 5 millionths meter (5 microns) to involve the patient.＜/p＞ ＜p＞Dairy farmers are the most frequent patients.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Farmer’s Lungs＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Fungal Pneumonia＜br /＞ Chapter 8 Legionellosis＜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！】Delusion Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Delusion Disorder, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞Delusion disorder is a psychotic disorder, where a person has trouble identifying reality.＜/p＞ ＜p＞Delusion disorder indicates a disorder in which a person exhibits one or more delusions for one month or longer.＜/p＞ ＜p＞Delusion disorder is different from schizophrenia and cannot be diagnosed if a person meets the criteria for schizophrenia.＜/p＞ ＜p＞If a person has delusional disorder, his functioning is normally not impaired and his behavior is not evidently odd, with the exception of the delusion.＜/p＞ ＜p＞A delusion is a false conviction that is based on a wrong interpretation of reality.＜/p＞ ＜p＞Delusions, like all psychotic symptoms, can happen as an element of different psychiatric disorders.＜/p＞ ＜p＞The term delusional disorder is given when delusions are the most important symptom.＜/p＞ ＜p＞A person with this illness keeps a false belief firmly, despite clear presence or proof to the contrary.＜/p＞ ＜p＞Delusions may include circumstances that could happen in reality even though they are not likely (e.g., the family next door planning to kill you).＜/p＞ ＜p＞They may be indicated as "bizarre" (e.g., feeling regulated by an outside force or having thoughts inserted into the head).＜/p＞ ＜p＞A religious or cultural belief that is received by other members of the community is not a delusion.＜/p＞ ＜p＞Delusions are fixed beliefs that do not change even if a person has been given conflicting evidence.＜/p＞ ＜p＞Delusions are indicated "bizarre" if they are clearly not plausible and people within the same culture cannot comprehend them.＜/p＞ ＜p＞A type of a bizarre delusion is when a person believes that his or her organs have been replaced with someone else's without leaving any wounds or scars.＜/p＞ ＜p＞A type of a non-bizarre delusion is the belief that a person is under police supervision, despite a lack of evidence, being followed, poisoned, infected, loved at a distance, or deceived by one’s spouse or lover＜br /＞ Delusions may seem credible at face value, and patients may seem normal as long as an outsider does not intrude upon their delusional themes.＜/p＞ ＜p＞Also, these delusions are not caused by a medical disorder or substance abuse.＜/p＞ ＜p＞There are several forms of delusions: persecutory, erotic, grandiose, jealous or somatic (that is, delusions about the body).＜/p＞ ＜p＞People with delusional disorder normally do not have hallucinations or a major disorder with mood.＜/p＞ ＜p＞Dissimilar to people with schizophrenia, they are not likely to have major problems with day-to-day functioning.＜/p＞ ＜p＞As with many other psychotic disorders, the precise cause of delusional disorder is not known.＜/p＞ ＜p＞While the cause is not known, some studies indicate that people form delusions as a way to deal with extreme stress or deal with a history of trauma.＜/p＞ ＜p＞Delusional disorder is relatively infrequent, has a later age of start as compared to schizophrenia and does not show gender preponderance.＜/p＞ ＜p＞The patients are also comparatively stable.＜/p＞ ＜p＞Many biological disorders like substance use, medical disorders, and neurological disorders can produce delusions.＜/p＞ ＜p＞Delusional disorder affects the limbic system and basal ganglia in those with intact cortical functioning.＜/p＞ ＜p＞Hypersensitive persons and ego defense mechanisms like reaction production, projection and denial are some psychodynamic theories for delusional disorder.＜/p＞ ＜p＞Social isolation, envy, distrust, suspicion, and low self-esteem are some of the risk factors which when becoming non-tolerable cause a person seeking an explanation to thus form a delusion as a solution.＜/p＞ ＜p＞The treatment involves psychotherapy by forming trust and building a therapeutic alliance and antipsychotic medicines.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Delusion Disorder＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Schizophrenia＜br /＞ Chapter 8 Hypochondriasis＜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！】Neck Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Neck Disorders, Diagnosis and Treatment and Improvised Treatment＜br /＞ The cervical spine in the neck is made up of seven bones called vertebrae, which are separated by discs filled with a cushioning gel-like substance.＜br /＞ The cervical discs both stabilize the neck and allow it to turn smoothly from side to side and bend forward to back＜br /＞ Discs allow the body to move in the way that the person wants.＜br /＞ They also provide cushion for the body, acting as a shock absorber.＜br /＞ Over time, these natural shock absorbers become worn and can start to degenerate.＜br /＞ Decades of bending, lifting, turning, and twisting can really take their toll on the neck.＜br /＞ Considering all that repetitive stress, it's no surprise that about two-thirds of people will experience neck pain at some point in their lives.＜br /＞ Cervical disc disease goes beyond just a pain in the neck, though.＜br /＞ A degenerative process can cause radiating pain, as well as numbness and weakness in the shoulders, arm, and hand.＜br /＞ That discomfort and loss of mobility can have a major impact on the career, family, and quality of life.＜br /＞ The space between the vertebrae narrows and nerve roots become pinched.＜br /＞ As degenerative disc disease progresses, the neck becomes less flexible, and the person may feel neck pain and stiffness, especially towards the end of the day.＜br /＞ When the disc breaks open or bulges out, putting pressure on the spinal cord or nerve roots, it is known as a herniated disc or "slipped disc."＜br /＞ While cervical disc disease is generally a slow process, a herniated disc sometimes can occur quickly after an injury or trauma to the neck.＜br /＞ The most common and obvious symptoms of cervical degenerative disc disease are neck pain and a stiff neck.＜br /＞ When one of these conditions presses on one or more of the many nerves running through the spinal cord, the person also can develop pain, numbness, or weakness radiating down the shoulder, arm, and hand.＜br /＞ Neck pain＜br /＞ For many people, neck pain is a temporary condition that disappears with time.＜br /＞ Others need medical diagnosis and treatment to relieve their symptoms.＜br /＞ Neck pain may result from abnormalities in the soft tissuesーthe muscles, ligaments, and nervesーas well as in bones and disks of the spine＜br /＞ Cervical Disk Degeneration (Spondylosis)＜/p＞ ＜p＞In cervical disk degeneration (which typically occurs in people age 40 years and older), the normal gelatin-like center of the disk degenerates and the space between the vertebrae narrows.＜br /＞ As the disk space narrows, added stress is applied to the joints of the spine causing further wear and degenerative disease.＜br /＞ Injury＜br /＞ Since the neck is so flexible and because it supports the head, it is extremely vulnerable to injury.＜br /＞ Motor vehicle or diving accidents, contact sports, and falls may result in neck injury＜br /＞ The person will likely have a neurological exam to test the strength, reflexes, and the sensation in the arm and hand, if they are affected.＜br /＞ Imaging tests such as X-rays, magnetic resonance imaging (MRI), and computed tomography (CT) scans can help the doctor visualize the spinal cord to pinpoint the source of the neck pain.＜br /＞ Immediate medical care should also be sought when an injury causes pain in the neck that radiates down the arms and legs.＜br /＞ The first line in treatment for cervical disc disease is over-the-counter pain medications＜br /＞ The doctor might prescribe steroids or narcotic painkillers if over-the-counter medications are not working.＜br /＞ Physical therapy is another treatment option for cervical disc disease＜br /＞ The main surgery for degenerative disc disease is called a diskectomy＜br /＞ Diskectomy may also be followed by cervical fusion＜br /＞ Once symptoms improve, the person should prevent the next occurrence.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Neck Disorders＜br /＞ Chapter 2 Neck Pain＜br /＞ Chapter 3 Cervical Spondylosis＜br /＞ Chapter 4 Neck injury＜br /＞ Chapter 5 Whiplash＜br /＞ Chapter 6 Cervical Radiculopathy＜br /＞ Chapter 7 Torticollis＜br /＞ Chapter 8 Improvised Neck Care＜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！】Vomiting of Blood, (Hematemesis) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Vomiting of Blood, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞When a person vomits blood in front of you, it can be very frightening sight to see and worse still if after the vomiting of blood he or she collapses in front of you.＜br /＞ This symptom is regarded as a medical emergency.＜/p＞ ＜p＞Vomiting of Blood (Hematemesis) is medically depicted as bleeding within the upper gastrointestinal tract that consists of the mouth, throat, gullet (esophagus), stomach or the first part of the small intestine (duodenum).＜br /＞ The bleeding can be in the form of blood in the vomit (hematemesis) or in the form of black colored stools (melena).＜br /＞ This symptom is normally due to a disorder within the upper gastrointestinal tract.＜br /＞ Vomiting blood is throwing up the contents of the upper GI tract that contains blood.＜br /＞ Vomited blood may look like either a bright red or dark red color.＜br /＞ The vomited material may be mixed with food or it may be pure blood only.＜br /＞ It may be hard to differentiate between vomiting blood and coughing up blood (from the lung) or a nosebleed.＜br /＞ In the patient who may be bleeding profusely and need immediate treatment, directed questions are appropriate such as:＜/p＞ ＜ol＞ ＜li＞If blood or clots were present in the vomitus,＜/li＞ ＜li＞If the vomitus looked brown like coffee grounds indicating the probable presence of blood.＜br /＞ A bloody appearance is readily identified as hematemesis but the coffee-ground manifestation will not be identified without direct questioning.＜br /＞ Sometimes hemoptysis or vomiting of swallowed blood from epistaxis (nose bleeds) can be confused with hematemesis.＜br /＞ Hemoptysis is linked with coughing and is bright, foamy red in color.＜br /＞ The patient with profuse epistaxis is normally aware that a nosebleed has occurred.＜br /＞ In many patients the bleeding will stop quite rapidly but in some patients it can become severe and threatening to life.＜br /＞ All vomiting of blood (hematemesis) should be regarded as a medical emergency and should be sent to the hospital as soon as possible because of the danger of severe loss of blood and hypo-volemic shock (shock from low blood volume).＜br /＞ There is an estimated risk of death in 11% of patients.＜br /＞ Causes＜br /＞ There are different forms of bleeding:＜/li＞ ＜li＞Dark blood＜br /＞ This is often called as a 'coffee ground' color.＜br /＞ This indicates that the bleed has been comparatively slow.＜br /＞ The blood has been in contact with stomach acid long enough for the acid to turn the blood a dark brown color.＜br /＞ The bleeding in this circumstance may not been heavy.＜br /＞ It may become heavy at a later time.＜/li＞ ＜li＞Bright red blood＜br /＞ A large amount of bright red blood indicates a rapid and large bleed that may be direct from the stomach, upper small intestine, gullet or even mouth.＜br /＞ There is a range of different causes＜/li＞ ＜li＞Bleeding ulcer in the stomach, duodenum, or esophagus＜/li＞ ＜li＞Blood clotting disorders＜/li＞ ＜li＞Defects in the blood vessels of the GI tract＜/li＞ ＜li＞Swallowing blood (e.g., after a nosebleed)＜/li＞ ＜li＞Tumors of the mouth, throat, stomach or esophagus＜/li＞ ＜li＞Bleeding from the gullet (esophagus)＜br /＞ Esophageal varices＜br /＞ Varices are widened, swollen blood vessels in the lining of the esophagus.＜br /＞ They are due to the complications of liver cirrhosis.＜br /＞ Scarred liver tissue obstructs blood flow through the liver and causes the veins to swell and bleed in the gullet＜br /＞ 7.Mallory-Weiss syndrome is bleeding caused by a tear in the lining of the esophagus or stomach＜/li＞ ＜li＞Bleeding peptic ulcer is the most frequent cause of blood vomiting＜br /＞ Diagnosis:＜br /＞ Esophagogastroduodenoscopy (EGD) can do an internal examination of the esophagus, stomach and duodenum＜br /＞ Treatment＜br /＞ Hematemesis suggests an upper gastrointestinal bleeding and emergency treatment:＜br /＞ Blood transfusions＜br /＞ EGD with laser to stop bleeding from the stomach＜br /＞ Medicines＜br /＞ Surgery＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Vomiting of Blood＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Epistaxis＜br /＞ Chapter 8 Peptic Ulcer＜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！】Breast Cancer Thriving Through Treatment to Recovery【電子書籍】[ Lisa A. Price, ND ]

＜p＞Written by a naturopathic physician specializing in complementary cancer care, ＜em＞Breast Cancer: Thriving Through Treatment to Recovery＜/em＞ provides solutions for maintaining health and improving quality of life during conventional cancer treatment. With diet, exercise, and mental health plans tailored to treatment protocol and cancer type, this valuable guide offers safe and effective tools and practices to support patients through every phase and protocol. Organized into six easy chapters, the book summarizes the effects of chemotherapy, surgery, radiation, and hormone therapy; catalogs potential side effects; and includes recipes, exercise programs, and mental health therapy suggestions based on symptoms and predictable side effect risks to build strength, promote healing, and improve outcomes.＜/p＞ ＜p＞This essential resource will help breast cancer patients reduce short- and long-term effects during and after treatment and includes:＜/p＞ ＜ul＞ ＜li＞Scientifically proven practices to support physical and emotional health using nutrition, exercise, and mind-body therapies＜/li＞ ＜li＞Concise explanation of how specific cancer therapies work and their effects on the immune system＜/li＞ ＜li＞Exercises to build strength with an array of low- to high-impact cardiovascular and weight-bearing exercises＜/li＞ ＜li＞Quick and delicious recipes designed to include daily protein, fiber, and carbohydrate needs for patients in recovery＜/li＞ ＜li＞Psychological health and well-being promoted therapies that address patient concerns＜/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！】Biological Treatment of Microbial Corrosion Opportunities and Challenges【電子書籍】[ Reza Javaherdashti ]

＜p＞Biological Treatment of Microbial Corrosion: Opportunities and Challenges explores the latest biological approaches to microbial corrosion and its inhibition. The book provides comprehensive information on the current knowledge of microbes involved in corrosion and their mechanisms of action on corrosion induction and inhibition. This information is helpful for a wide range of audiences, from university researchers, to industry specialists. The book discusses foundational information about corrosion and microbiologically influenced corrosion and its importance. Other chapters provide an in-depth review of corrosion causing microorganisms, their properties and their mechanism of involvement in MIC. Updated findings on the biological treatment of corrosion are addressed, as are future opportunities and challenges that could lead to prosperous, sustainable and secure industrial application of these techniques. - Provides a detailed overview of the fundamental concepts of corrosion - Discusses MIC, including its characteristics, properties and modelling - Previews the opportunities and challenges faced by the utilization of biological treatments for corrosion＜/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 Vagina Monologues, Functions, Diseases, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes The Vagina, Functions, Diseases, Diagnosis and Treatment and Related Diseases＜br /＞ Medical Vaginal Monologues＜br /＞ The word "vagina" derives from its Latin root meaning "sheath for a sword," which also indicate the sword in question is the penis of the man.＜br /＞ It has also been named as Lady flower in the 18th and 19th century and also given many other names pussy, cunt, fanny in modern time.＜br /＞ Deflowering of the virgin is a word used in the earlier centuries for the rupture of the hymen by a man.＜br /＞ The hymen is a thin membrane of tissue that encloses and narrows the vaginal opening.＜br /＞ It normally occurs in virgins.＜br /＞ It may be torn or broken by sexual activity or by exercise.＜br /＞ Quite a lot of girls’ hymens are broken through the use of a tampon or during active sports such as horse back, riding or cycling.＜br /＞ Masturbation too can tear the hymen.＜br /＞ It is not possible to tell whether a woman has had sexual intercourse just by observing her hymen.＜br /＞ The hymen breaks for many different reasons such as tampon use, exercise and sexual activity.＜br /＞ The vagina is a flexible, muscular canal with a soft, elastic lining that supplies lubrication and sensation.＜br /＞ The vagina connects the uterus to the outside world.＜br /＞ The vulva and labia represent the entrance and the cervix of the uterus projects into the vagina, forming the interior end.＜br /＞ The vagina accepts the penis during sexual intercourse and also acts as a canal for menstrual flow from the uterus.＜br /＞ The vagina is the birth canal for all natural birth deliveries＜br /＞ Queefs (a complex language?):＜br /＞ Queefs are the vagina’s way of communicating with others of its kind though modern science has been unable to decipher the complex language it uses.＜br /＞ Many still judge they are simply pussy farts or gas that are released by the vagina.＜br /＞ Vaginal farts (some call them queefs or varts) occur in almost all women at one time or another, particularly during sex or other forms of exercise.＜br /＞ So do not be uncomfortable if the vagina releases out a toot.＜br /＞ Sexual Intercourse:＜br /＞ Only about 30% of women feel orgasms from sexual intercourse alone.＜br /＞ Vaginal moisture is the effect on the vagina walls drooling in expectation of being penetrated by a tasty penis.＜br /＞ The average vagina is about one centimeter shorter than the average penis is long.＜br /＞ The average vagina is 3-4 inches long but do not worry if the man has a long penis.＜br /＞ The vagina can expand by 200% when sexually stimulated, kind of like a balloon.＜br /＞ Recall that the vagina was made to give birth to babies, so it is extremely elastic.＜br /＞ If there is pain when having sex on with someone large, the woman should try using dilators to help stretch the vagina.＜br /＞ Based on studies, it takes women between 15-30 minutes to return to a pre-arousal state after sex.＜br /＞ On the other hand men take no time to recover at all.＜br /＞ The vagina opens up and widens during sex but restores to its normal tightness after＜br /＞ Studies have shown that women who are confident down there are likely to have better orgasms.＜br /＞ The more knowledge is obtained, the better the woman will sense and the more orgasm she will have.＜br /＞ The woman having sex will be healthier and have more pleasurable sexy time.＜br /＞ Some oddities about vagina＜br /＞ Vagina dentata, the vagina with teeth, is not a myth.＜br /＞ Some vaginas have dermoid cysts which can contain within them - teeth.＜br /＞ But do not worry, men.＜br /＞ These teeth do not bite.＜br /＞ It is likely to have two vaginas.＜br /＞ In fact it is likely to have two cervixes and two uteruses too.＜br /＞ That is double the pleasure!＜br /＞ It is called uterine didelphys＜br /＞ It is a birth defect caused when the Mullerian ducts do not join normally while developing as a fetus.＜br /＞ Some women are born with their hymens shut (imperforate hymen).＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 The Vagina＜br /＞ Chapter 2 Anatomy and Functions＜br /＞ Chapter 3 Diseases＜br /＞ Chapter 4 Vulvovaginitis＜br /＞ Chapter 5 Vaginal Atrophy＜br /＞ Chapter 6 Vagina Cancer＜br /＞ Chapter 7 Rectovaginal Fistula＜br /＞ Chapter 8 Vesicovaginal Fistula＜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】Case Conceptualization and Treatment Planning: Integrating Theory With Clinical Practice CASE CONCEPTUALIZATION & TREAT [ Pearl Susan Berman ]

CASE CONCEPTUALIZATION & TREAT Pearl Susan Berman SAGE PUBN2018 Paperback English ISBN：9781506331386 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！】Side Effects of Medical Cancer Therapy Prevention and Treatment【電子書籍】

＜p＞This is the second edition of a well-received book that reflects the state of the art in cancer medical therapies and their side-effects, including immunotherapy and chemotherapeutic drugs. All chapters have been fully updated to include all the latest progress in drug discovery such as targeted therapies for each cancer type. From issues such as preservation of fertility to antiemetic therapy the book provides a very comprehensive overview of the field. The book includes a new chapter on immuno-oncology drugs.＜/p＞ ＜p＞Organised by organ system, it lists the toxicity, side-effects and measures of prevention pertaining to each type of drug used in cancer therapy. The most dangerous side-effects are priority so as to alert the reader to their importance.＜/p＞ ＜p＞Designed for quick reference in the clinical setting this book is primarily aimed at established medical oncologists but will also appeal to junior doctors, trainees, pharmacistsand nurses.＜/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！】Becker’s Nevus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Becker’s Nevus, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞Last week a medical student came to see me for the removal of stitches for a punch biopsy done by his skin specialist in his university in Adelaide, Australia.＜br /＞ He has scattered hyper-pigmented rash through his back and front of chest for the past 4 months.＜br /＞ In spite of treatment the rash had not improved so the skin specialist decided to do a punch biopsy for histological examination under the microscope.＜br /＞ He was informed that the rashes were a form of Becker’s nevus which normally has overgrowth of hair but because he was an asian and devoid of hair on the chest and back, there was no overgrowth of hair on his body.＜br /＞ Treatment is normally by the use of laser to remove the disfiguring rashes.＜/p＞ ＜p＞Becker’s Nevus is regarded as a pigmented hamartoma of skin (benign, focal malformation); a hamartoma is a developmental anomaly occurring in childhood.＜br /＞ The term, Becker’s nevus, is actually wrongly named because it is is not a true nevo-melanocytic lesion.＜br /＞ Becker’s Nevus produces:＜/p＞ ＜ol＞ ＜li＞Abnormal skin discoloration,＜/li＞ ＜li＞Abnormal hair growth, and＜/li＞ ＜li＞Thickening of skin (verrucous skin surface)＜br /＞ It is a rare disorder that mostly affects males.＜br /＞ Becker’s Nevus occurs during one’s childhood or adolescent stage and the skin lesions are mostly seen on the shoulders and back＜br /＞ Becker’s Nevus may manifest significant complications, such as acne or cosmetic disorders.＜br /＞ Sometimes, melanoma (a type of skin cancer) is known to form from this skin lesion＜br /＞ Becker’s Nevus is known to happen periodically and the cause is largely not known＜br /＞ This disorder is not congenital (not evident at birth).＜br /＞ All racial and ethnic groups are at risk and there is no specific preference observed＜br /＞ Both males and females are involved, though the frequency of Becker’s Nevus is much higher in males compared to females.＜br /＞ The male-to-female ratio derived from documented cases is about 6:1.＜br /＞ Cause＜br /＞ The cause of Becker’s Nevus formation is not known＜br /＞ Genetic mutations (or genetic defects) have been suspected by doctors in some patients, but these have not been well-featured＜br /＞ It is a hamartoma of ectodermal and mesodermal offshoots that is believed to be hormonally reactive given the augmented smooth muscle and peri-pubertal growth.＜br /＞ Androgen receptor assays have shown marked rises in the number of androgen receptors in lesional skin when compared with contra-lateral non-lesional skin.＜br /＞ The increased presence supporting increased sensitivity to androgens is the findings of:＜/li＞ ＜li＞Hypertrichosis,＜/li＞ ＜li＞Acanthosis,＜/li＞ ＜li＞Dermal thickening,＜/li＞ ＜li＞Sebaceous hypertrophy and＜/li＞ ＜li＞Co-localized acne.＜br /＞ Symptoms:＜/li＞ ＜li＞It is a benign disorder that happens as a growth abnormality＜/li＞ ＜li＞Abnormally hyper pigmented skin is present.＜/li＞ ＜li＞There is also the presence of a thickened skin and unusual hair overgrowth at the site＜/li＞ ＜li＞The skin lesion may be painless and non-itchy＜/li＞ ＜li＞Becker’s Nevus can happen anywhere on the body.＜br /＞ Diagnosis＜br /＞ A Becker’s Nevus is diagnosed through these tools:＜/li＞ ＜li＞Complete medical history with a proper physical examination＜/li＞ ＜li＞Dermoscopy: A dermoscope is a diagnostic tool where a dermatologist examines the skin using a special magnified lens＜/li＞ ＜li＞Wood’s lamp examination＜/li＞ ＜li＞Skin biopsy:＜br /＞ Treatment＜/li＞ ＜li＞The doctor may select to regularly observe the benign tumor; a “wait and watch” approach may be followed.＜br /＞ No treatment is normally required＜/li＞ ＜li＞If required, a surgical excision (or laser therapy) and complete removal of the lesion＜/li＞ ＜li＞If there is Becker’s Nevus linked acne, then treatment therapy for acne may be indicated＜/li＞ ＜li＞Laser therapy may also be indicated for hyper-pigmentation and hyper-trichosis＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Becker’s Nevus＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Cafe-au-liat Spots＜br /＞ Chapter 8 Melasma＜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！】Zollinger-Ellison Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Zollinger-Ellison Syndrome, Diagnosis and Treatment and Related Diseases＜br /＞ Zollinger-Ellison syndrome (ZES) is an endocrine disorder featured by gastrin-secreting tumors, which produce multiple, refractory and repeat peptic ulcers in the distal duodenum and proximal jejunum.＜br /＞ There are two main types:＜/p＞ ＜ol＞ ＜li＞Sporadic (isolated).＜/li＞ ＜li＞ZES linked disorders with parathyroid and pituitary tumors as part of the genetic disorder multiple endocrine neoplasia type 1 (MEN1).＜br /＞ The tumor (gastrinoma) is normally in:＜/li＞ ＜li＞The duodenum (60-65%) or＜/li＞ ＜li＞The pancreas (30%).＜br /＞ Rarely, gastrinomas happen in other abdominal sites (e.g., the stomach, liver, bile duct, ovary) and also extra-abdominal sites (e.g., the heart, lung - small cell lung cancer).＜br /＞ Causes＜br /＞ Zollinger-Ellison syndrome is produced by tumors.＜br /＞ These tumors are most often present in the head of the pancreas and the upper small intestine.＜br /＞ The tumors are termed gastrinomas＜br /＞ Besides secreting high levels of gastrin, these tumors may secrete other hormones such as:＜/li＞ ＜li＞Adrenocorticotrophic hormone (ACTH),＜/li＞ ＜li＞Vasoactive intestinal polypeptide (VIP).＜br /＞ They can also form a range of peptides, such as:＜/li＞ ＜li＞Insulin,＜/li＞ ＜li＞Pancreatic polypeptide,＜/li＞ ＜li＞Glucagons,＜/li＞ ＜li＞Chromogranin A,＜/li＞ ＜li＞Neuron-specific enolase, and＜/li＞ ＜li＞The alpha and beta subunits of human chorionic gonadotrophin (hCG).＜br /＞ High levels of gastrin produce formation of too much stomach acid.＜br /＞ Symptoms＜/li＞ ＜li＞Abdominal pain＜/li＞ ＜li＞Diarrhea＜/li＞ ＜li＞Vomiting blood＜br /＞ Signs are ulcers in the stomach and small intestine.＜br /＞ Diagnosis:＜br /＞ It is very frequent for ZES to be treated early as a simple peptic ulcer.＜br /＞ The combination with pain with diarrhea may indicate the diagnosis.＜br /＞ Hyper-gastrinemia is described as fasting serum gastrin concentration ＞100 pg/ml and is seen often in medical disorders other than ZES such as:＜/li＞ ＜li＞Proton pump inhibitor (PPI) or H2-receptor antagonist therapy,＜/li＞ ＜li＞Post-vagotomy,＜/li＞ ＜li＞Renal failure and＜/li＞ ＜li＞Chronic atrophic gastritis.＜br /＞ If ZES is confirmed, it is important to determine MEN1, and calcium, parathyroid hormone and prolactin levels should be evaluated.＜br /＞ If the diagnosis is indicated, then more specific tests are needed - there is one algorithm from Liverpool:＜br /＞ Assessment of fasting gastrin level - levels ＞1000 pg/ml with acidic gastric juice (pH200 pg/ml 15 minutes after the dose is administered.＜br /＞ Treatment＜br /＞ Medicines called proton pump inhibitors (omeprazole, lansoprazole, and others) are given to decrease acid production by the stomach.＜br /＞ This reduction of acid helps the ulcers in the stomach and small intestine to heal.＜br /＞ In patients with liver metastases, surgery should be done followed by chemotherapy.＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Zollinger-Ellison Syndrome＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Barrett Esophagus＜br /＞ Chapter 8 Gastro-esophageal 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！】Pre-eclampsia, (Pregnancy with Hypertension And Proteinuria) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Pre-eclampsia, Diagnosis and Treatment and Related Diseases＜br /＞ Recently we had a few cases of pregnant mothers with pre-eclampsia losing their fetuses.＜br /＞ It is heart breaking especially if the mother is having her first pregnancy and the fetus is fairly advanced.＜br /＞ It is therefore important for a pregnant mother to know about pre-eclampsia.＜/p＞ ＜p＞Pre-eclampsia is when a pregnant woman forms high blood pressure and protein in the urine after the 20th week of pregnancy.＜br /＞ Pre-eclampsia is described as pregnancy-induced hypertension together with proteinuria (＞0.3 g in 24 hours) with or without edema.＜br /＞ Almost any organ system may be affected.＜br /＞ Pre-eclampsia is a fairly frequent disorder that may become life-threatening for the mother and the fetus.＜br /＞ It is featured by maternal hypertension, proteinuria, edema, fetal intrauterine growth limitation and premature birth.＜br /＞ Severe pre-eclampsia is defined as diastolic blood pressure (BP) of at least 110 mm Hg or systolic BP of at least 160 mm Hg, and symptoms, and biochemical and hematological damage.＜br /＞ In severe pre-eclampsia, the fetus and newborn may have neurological injury caused by hypoxia.＜br /＞ Prompt detection of pre-eclampsia and signs of medical damage, such as any decrease in platelet count, needs urgent referral to hospital to prevent the serious medical effects of these disorders.＜br /＞ Eclampsia is described as the episode of one or more convulsions superimposed on pre-eclampsia.＜br /＞ Causes＜br /＞ The precise cause of pre-eclampsia is not known.＜br /＞ It is featured by suboptimal utero-placental perfusion linked with a maternal inflammatory response and poor maternal vascular endothelial function.＜br /＞ This in turn results in vascular hyper-permeability, thrombophilia and hypertension, which may balance the reduced flow in the uterine arteries.＜br /＞ A protective part of heme oxygenase 1 and its metabolite carbon monoxide may be affected.＜br /＞ The placenta has a pivotal part in the formation of pre-eclampsia.＜br /＞ It happens in about 3% to 7% of all pregnancies from:＜br /＞ 1.Autoimmune disorders＜br /＞ 2.Blood vessel problems＜br /＞ 3.The diet＜br /＞ 4.The genes＜br /＞ Symptoms＜br /＞ Often, women who have pre-eclampsia do not feel ill.＜br /＞ Pre-eclampsia is defined by systolic BP ＞140 mm Hg or diastolic BP ＞90 mm Hg in the second half of pregnancy, with ?1+ proteinuria on reagent stick testing:＜br /＞ Diagnosis:＜br /＞ 1.High blood pressure, often higher than 140/90 mm/Hg＜br /＞ 2.Swelling in the hands and face＜br /＞ 3.Weight gain＜br /＞ 4.Protein in the urine (proteinuria)＜br /＞ 5.Higher-than-normal liver enzymes＜br /＞ 6.Platelet count that is low＜br /＞ 7.Ultrasound assessment of fetal growth and the volume of amniotic fluid＜br /＞ Treatment:＜br /＞ The only way to cure pre-eclampsia is to deliver the baby.＜br /＞ 1.Bed rest, and lying on the left side＜br /＞ 2.Drinking plenty of water＜br /＞ 3.Eating less salt＜br /＞ Hospital:＜br /＞ 1.Close monitoring of the mother and baby＜br /＞ 2.Medicines to control blood pressure and seizures＜br /＞ 3.Steroid injections for pregnancies under 34 weeks＜br /＞ The baby must be delivered if there are signs of severe pre-eclampsia:＜br /＞ 1.Tests that show the baby is not growing well or is not getting enough blood and oxygen＜br /＞ 2.The bottom number of the blood pressure is over 110 mmHg＜br /＞ 3.Abnormal liver function＜br /＞ 4.Seizures or alterations in mental function (eclampsia)＜br /＞ 5.Fluid buildup in the mother's lungs＜br /＞ 6.HELLP syndrome＜br /＞ 7.Low platelet count＜br /＞ 8.Low urine output＜br /＞ High blood pressure:＜br /＞ 1.Labetalol＜br /＞ 2.Nefidipine＜br /＞ 3.Hydralazine＜br /＞ Seizures:＜br /＞ Magnesium sulfate to control seizures＜br /＞ Fluid balance:＜br /＞ Fluid restriction＜br /＞ Delivery:＜br /＞ The decision to deliver should be made once the woman is stable＜br /＞ If the fetus is less than 34 weeks, steroids are given＜br /＞ Vaginal delivery is suggested after 37 weeks but caesarean section tends more likely＜br /＞ Postpartum review of BP and mother and baby is needed.＜br /＞ TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Pre-eclampsia＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Proteinuria＜br /＞ Chapter 8 Hypertension＜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！】Psychoanalytic Psychotherapy After Child Abuse The Treatment of Adults and Children Who Have Experienced Sexual Abuse, Violence, and Neglect in Childhood【電子書籍】

＜p＞This book presents a coherent and readable narrative review of current views on the effects and role of psychoanalytic psychotherapy in the treatment of children and adults who have experienced childhood abuse and neglect. Recent decades have seen an explosion of research into the extent of child abuse and into the effects of early relational trauma on the developing minds and brains of children. The lasting effects on survivors are increasingly recognized and can be addressed psychotherapeutically. ＜em＞Psychoanalytic Psychotherapy After Child Abuse＜/em＞ is unique in two ways. Firstly, in bringing together for the first time the considerable scientific evidence of effectiveness and the vast body of accumulated clinical experience using psychoanalytical approaches in the treatment of people who have experienced childhood abuse. Secondly, in being the product of the widest collaboration of individuals and organizations concerned about the effects of child abuse, and experts on child abuse and psychotherapy. These include experts by experience, survivor groups, activists, academics, and clinicians: paediatricians, physicians, child and adult psychiatrists, psychoanalysts, psychologists, and psychoanalytic psychotherapists.＜/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！】Acanthamoeba Keratitis Diagnosis and Treatment【電子書籍】[ Xuguang Sun ]

＜p＞This book provides the concise descriptions of the basic and clinical knowledge about Acanthamoeba keratitis, including characteristics of pathogen, risk factors, clinical manifestations, diagnosis and treatment with abundant figure illustrations and typical cases to ophthalmological practitioners and researchers.＜/p＞ ＜p＞Acanthamoeba pathogen is widely distributed in the nature. However, Acanthamoeba keratitis is generally considered as a type of sight-threatening keratitis that is difficult to treat. At early stage Acanthamoeba keratitis usually shows atypical clinical manifestations, that are often misdiagnosed as viral or bacterial keratitis. Moreover, there are not approved topical anti-amoebicdrugs available up to now. We hope ophthalmological practitioners can obtain a co＜/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 Anxiety & Panic with Bach Flower Remedies God's Own Medicine【電子書籍】[ Estella Ritter ]

＜p＞Anxiety being the main mental health concern for women, and second only to substance abuse in men, The Treatment of Anxiety & Panic with Bach Flower Remedies offers both a practical and comprehensive guide to everyone struggling with panic attacks, anxiety attacks, social fears, generalized anxiety, or obsessive compulsive behaviors. Representing a fluid, self-directed process to emotional healing the goal of the technique is to present a very contemporary, user-friendly, and immediate response to emotional distress. Working by specifically targeting every type of negative state of mind reveals an amazing, subtle energy approach that is neither created in the language of pop culture, nor new age therapy. By explaining step-by-step how to use one of the most effective healing tools nature has provided to us, this book in a non-clinical voice, addresses the debilitating impact of anxiety, and shows how to effectively overcome anxiety driven symptoms in order to achieve a lasting recovery. Rather than just covering up and continuing to suppress emotional difficulties with drugs, this book supplies the tools needed to manage anxiety, and after that to resolve emotional problems The information can be used to develop ones own self-help program, or, as an adjunct to other healing modalities, the technique will reliably deliver clarity and a lifetime of emotional assistance.＜/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！】Breasts An Owner’s Manual: Every Woman’s Guide to Reducing Cancer Risk, Making Treatment Choices and Optimising Outcomes【電子書籍】[ Kristi Funk, M.D. ]

＜p＞A revolutionary and definitive new approach to preventing breast cancer, from Board-certified world authority on breast health Dr. Kristi Funk, co-founder of the renowned Pink Lotus Breast Centre, and surgeon to Angelina Jolie and Sheryl Crow.＜/p＞ ＜p＞Breasts: An Owner’s Manual is a straight-talking, myth and misconception-busting, strategy-filled guide to breast health. Sharing the latest on lifestyle choices that impact your risk factor including food, supplements, hormones and exercise, Dr. Funk demonstrates that you are so much more in control of whether or not you get breast cancer than you could ever dare to think.＜/p＞ ＜p＞In fact, unless you carry a genetic mutation associated with breast cancer, the choices you make in your-day-to-day life trumps genetics and family history when it comes to breast cancer risk, every time.＜/p＞ ＜p＞Including a unique long-term risk reduction plan for every woman based on her needs, as well as the latest on diagnosis and treatment for women living with and surviving breast cancer, and with a heartfelt Foreword from longtime patient Sheryl Crow, this is a book with a life-saving message for the 1 in 8 women, at the time of writing, who are set to be diagnosed in their lifetime.＜/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！】Magnetic Techniques for the Treatment of Materials【電子書籍】[ Jan Svoboda ]

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！】Tooth Discoloration, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Teeth discoloration is seen as teeth that have stained yellow or darker and presents as a blemish on the facial appearance of a person.＜br /＞ It can affect self esteem.＜br /＞ Causes:＜br /＞ Discoloration can be caused by:＜br /＞ A. External factors stain the outer layer of the tooth and include＜/p＞ ＜ol＞ ＜li＞Smoking,＜/li＞ ＜li＞Beverages such as coffee, wine, cola＜/li＞ ＜li＞Foods such as apples and potatoes.＜br /＞ B. Internal factors affect the inner structure of the tooth (the dentin) causing it to darken or become yellowish through:＜/li＞ ＜li＞Excessive exposure to fluoride during early childhood＜/li＞ ＜li＞Tetracycline antibiotics use during the second half of pregnancy and children 8 years old or younger.＜/li＞ ＜li＞Tooth injury in a child with damage to the developing permanent tooth.＜/li＞ ＜li＞Systemic illness during tooth formation such as hemolytic disease of the newborn＜/li＞ ＜li＞Ageing discoloration - the dentin turns yellow naturally with aging making the teeth look discolored.＜/li＞ ＜li＞Infection (dental caries) results in grayish discoloration.＜/li＞ ＜li＞Dentinogenesis imperfecta＜br /＞ Rare condition in which children are born with gray, amber or purple discolorations in the teeth＜/li＞ ＜li＞Amelogenesis imperfecta＜br /＞ Genetic condition in which enamel formed during tooth development is abnormal and causes discoloration of teeth.＜br /＞ Symptoms are:＜/li＞ ＜li＞Stains on the enamel such as yellow or brown spots.＜/li＞ ＜li＞Yellow stains on the teeth from dentin showing through the worn away enamel.＜br /＞ Diagnosis＜br /＞ A dental examination can diagnose tooth discoloration and some causes (e.g., gingivitis).＜br /＞ Treatment＜br /＞ Treatment depends on the cause of the discoloration and may include.＜/li＞ ＜li＞Tooth hygiene -proper tooth brushing and flossing techniques＜/li＞ ＜li＞Avoid foods and beverages that can cause stains＜/li＞ ＜li＞Micro-abrasion of the stains on the outer surface of teeth＜/li＞ ＜li＞Bonding -tooth can be covered with a color-matched composite bonding material＜/li＞ ＜li＞Veneers are color-matched thin ceramic shells that cover the outer surfaces of the teeth.＜/li＞ ＜li＞Applying a bleaching agent to the enamel of the teeth.＜br /＞ a. Vital bleaching over-the-counter whitening agents or in-office whitening procedures＜br /＞ b. Non-vital bleaching＜/li＞ ＜li＞Intrinsic stains that are caused by damage to a nerve or blood vessel in a tooth sometimes can be prevented such as removing the inner part of the tooth (the pulp) followed by non-vital bleaching.＜br /＞ Tooth Whitening Methods:＜br /＞ Vital bleaching＜br /＞ Bleaching of vital teeth is suggested mainly for patients with generalized yellow, orange, or light brown extrinsic discoloration (such as chlorhexidine staining), even though it may be useful in reducing mild cases of tetracycline-induced intrinsic discoloration and fluorosis.＜br /＞ Presently, the bleaching chemicals most often used are carbamide and hydrogen peroxide.＜br /＞ When applied in higher concentrations, the chemicals produce more considerable bleaching than they do without these measures＜br /＞ Non-vital bleaching＜br /＞ Non-vital bleaching is suggested for the treatment of teeth with discoloration due to pulpal degeneration.＜br /＞ This method requires placing a mixture of 30% hydrogen peroxide and sodium perborate into the pulp chamber for as long as 1 week.＜br /＞ For non-vital bleaching, a tooth with an un-restored crown is ideal.＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Tooth Discoloration＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Diagnosis＜br /＞ Chapter 4 Treatment＜br /＞ Chapter 5 Best Tooth Whitening Methods＜br /＞ Chapter 6 Home Tooth Whitening＜br /＞ Chapter 7 Dental Decay＜br /＞ Chapter 8 Gingivitis＜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！】Assertive Community Treatment Evidence-based Practice or Managed Recovery【電子書籍】[ Sandra Johnson ]

＜p＞The twenty-first century has witnessed an explosion in studies on comparative health studies, but mental health remains virtually ignored. Unlike the well researched topic of health policy, there is a gap in the marketplace covering mental health policy and health care policymaking. This book fills that gap; it is a comparative analysis of the implementation of Assertive Community Treatment (ACT), an evidence-based practice employed in two states that promises to empower the well-being of individuals suffering from mental illness.＜/p＞ ＜p＞＜em＞Assertive Community Treatment＜/em＞ specifically examines the tension separating the notion of client recovery and evidence-based programs. Johnson challenges the assumption that practitioners should rely on evidence-based practices to close the gap between scientific knowledge and practice. She argues that in an era of managed care, this encourages state mental health administrators to adopt policies that are overly focused on outcomes. Programs that can measurethe outcomes of care provided, and evidence-based practices, have become central aspects of the quality care agenda.＜/p＞ ＜p＞This study traces the role of policy entrepreneurs throughout the Assertive Community Treatment policymaking process. By differentiating mental health in general, qualitative research increases the chances of observing similarities and differences in outcomes. Johnson explains why the ACT model was adopted and implemented. She concludes that there is a clear monopoly by medical researchers and scientists within Assertive Community Treatment research, and as a result, too much emphasis is placed on the roles of policy entrepreneurs as the main innovators in the agenda and policy formulation stages. Johnson presents a strong argument for more innovation in the implementation stage.＜/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！】Motion Sickness, (Travel Sickness) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Recently I have some patients who went on a tour of Malaysia coming back with very bad symptoms of motion sickness such as giddiness and vomiting.＜br /＞ Any patient who has ever been sick to the stomach on a rocking boat or a bumpy airplane ride will know the discomfort of motion sickness.＜br /＞ It does not produce long-term problems but it can make the life miserable, especially if the patient travels a lot.＜br /＞ Women, older adults and children from 5 to 12 years old have motion sickness more than others.＜br /＞ It is not frequent in children younger than 2 years.＜br /＞ Motion sickness is occasionally called airsickness, seasickness, or carsickness.＜br /＞ Motion sickness is a frequent problem in people traveling by car, train, airplanes, and particularly boats.＜br /＞ Anyone can get it, but it is more frequent in children, pregnant women, and people taking certain medicines.＜br /＞ Motion sickness can begin suddenly, with a queasy feeling and cold sweats.＜br /＞ It can then result in dizziness and nausea and vomiting.＜br /＞ The brain senses movement by getting signals from the inner ears, eyes, muscles, and joints.＜br /＞ When it gets signals that do not match, the patient can get motion sickness.＜br /＞ When the patient is reading on the phone while riding a bus, the eyes are focused on something that is not moving, but the inner ear senses motion.＜br /＞ The inner ear balance mechanisms sense different signals to those that the eyes are seeing which then transmits to the brain mixed, confusing messages.＜br /＞ This then produces the symptom of feeling sick (nausea).＜br /＞ Other symptoms the patient may have are sweating, drooling saliva, headaches, feeling cold and going pale.＜br /＞ Motion sickness can also be stimulated by anxiety or strong smells, such as food or petrol.＜br /＞ Occasionally trying to read a book or a map can trigger motion sickness.＜br /＞ In both children and adults, playing computer games can occasionally induce motion sickness.＜br /＞ It is not known why some people develop motion sickness more than others.＜br /＞ Symptoms can occur in cars, trains, planes and boats and on fairground rides, etc.＜br /＞ Symptoms normally go when the journey is over; however, not always.＜br /＞ In some people they persist a few hours, or even days, after the journey ends.＜br /＞ The site that the patient sits can make a difference.＜br /＞ These locations are best for preventing motion sickness:＜/p＞ ＜ol＞ ＜li＞The front seat of a car,＜/li＞ ＜li＞Forward cars of a train,＜/li＞ ＜li＞Upper deck on a boat or＜/li＞ ＜li＞Wing seats in a plane＜br /＞ Looking out into the distance rather than trying to read or look at something in the vehicle can also help.＜br /＞ Motion sickness can cause:＜/li＞ ＜li＞A general feeling that the patient is ill.＜/li＞ ＜li＞Nausea.＜/li＞ ＜li＞Vomiting.＜/li＞ ＜li＞Headache.＜/li＞ ＜li＞Sweating.＜br /＞ Symptoms will normally disappear soon after the motion ceases.＜br /＞ Where there is a motion stimulus the diagnosis comes easily.＜br /＞ In abnormal cases, central nervous causes of vertigo may need to be ruled out.＜br /＞ A pregnancy test is likely to be the most useful additional lab study to exclude hyper-emesis gravidum.＜br /＞ Treatment:＜br /＞ There are several medicines present which can decrease or deter the symptoms of motion sickness.＜br /＞ They work by interrupting with the nerve signals sent.＜br /＞ Although they are best taken before the journey, they still may help even if the patient takes them after symptoms have begun.＜/li＞ ＜li＞Scopolamine, which comes as a patch the patient put behind the ear.＜/li＞ ＜li＞Medicines called antiemetics, which reduce nausea such as ondansetron (Zofran) and prochlorperazine (Compazine).＜/li＞ ＜li＞Certain antihistamines, such as dimenhydrinate (Dramamine) and meclizine (Antivert, Bonine).＜br /＞ Other methods:＜/li＞ ＜li＞Eat a few dry soda crackers.＜/li＞ ＜li＞Sip on clear, fizzy drinks such as ginger ale.＜/li＞ ＜li＞Get some fresh air.＜/li＞ ＜li＞Lie down or at least keep the head still＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Motion Sickness＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Dizziness＜br /＞ Chapter 8 Vertigo＜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。