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！】Foot Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Foot Disorders, Diagnosis and Treatment and Improvised Treatment＜/p＞ ＜p＞The human foot is a strong and complicated mechanical structure with 26 bones, 33 joints (20 of which are actively articulated), and more than one hundred muscles, tendons, and ligaments.＜br /＞ The joints of the foot comprise:＜/p＞ ＜ol＞ ＜li＞The ankle and sub-talar joint and＜/li＞ ＜li＞The inter-phalangeal articulations of the foot.＜br /＞ The human foot comprises multiple bones and soft tissues which hold up the weight of the human.＜br /＞ Specifically, the toes help the human while walking, supplying balance, weight-bearing, and thrust during gait.＜/li＞ ＜/ol＞ ＜p＞Due to their position and function, feet are exposed to a range of possible infections and injuries, such as bunions, plantar fasciitis, and stress fractures.＜/p＞ ＜p＞Also, there are several genetic disorders that can affect the shape and function of the feet, including a club foot or flat feet.＜br /＞ This induces humans more vulnerable to medical disorders that are caused by poor leg and foot alignments.＜br /＞ Also, the wearing of shoes, sneakers and boots can hinder proper alignment and movement within the ankle and foot.＜br /＞ High-heeled footwear is shown to throw off the natural weight balance＜br /＞ This can also affect the lower back.＜br /＞ For the sake of posture, flat soles with no heels are advised.＜/p＞ ＜p＞Walking is a true pendulum-like gait.＜br /＞ The body’s center of gravity moves up and down over a stiff, supporting leg causing an exchange of kinetic and possible energy (like an inverted pendulum).＜br /＞ The mechanics of the foot and ankle are integral to the pendulum effect, supplying a stable but moveable base of support for the body to ‘vault’ over through a system of 3 rockers or pivots working in the sagittal plane.＜br /＞ The leg is also functioning like a pendulum during ‘swing phase’ as it moves back and forth from the hip Joint.＜br /＞ Any limitation in the sagittal plane due to compromised foot or ankle function will cause compensations to happen in the frontal and transverse planes (toeing out, bow legs, over pronation).＜br /＞ The most frequent sagittal blocks are in the ‘ankle rocker’, due to reduced functional range in the ankle joint, and in the ‘forefoot rocker’, due to hallux valgus/hallux rigidus.＜br /＞ The 3 rockers create the classic heel-toe action that typically features walking in humans.＜br /＞ The main feature required in a ‘walking shoe’ is:＜/p＞ ＜ol＞ ＜li＞An anatomical toe box; wide, flat and foot-shaped to restore and maintain the ‘forefoot rocker’ and the stabilizing function of the toes.＜/li＞ ＜li＞Sole thickness, cushioning, heel height etc. depend on the terrain, climate, BMI and age of the walker.＜br /＞ The biomechanics of human locomotion can be explained by the physics of pendulums and springs.＜/li＞ ＜/ol＞ ＜p＞Humans have basically 4 locomotive methods available: walking, jogging, running, sprinting.＜br /＞ These locomotive methods become progressively less pendulum like and more spring like as speed and gravitational loading increase and contact time decreases.＜br /＞ Each locomotive method has energetic and biomechanical consequences i.e. metabolic cost and risk of injury.＜br /＞ Skillful human movement is characterized by adopting the locomotive strategy for a given speed and terrain that make the most of economy while reducing injury risk.＜/p＞ ＜p＞Movement strategy selection is influenced by several factors such as habit, conditioning and accurate sensory feedback about the external environment.＜/p＞ ＜p＞Frequent orthopedic-related disorders are:＜br /＞ Foot＜/p＞ ＜ol＞ ＜li＞Bunions (Hallux Valgus)＜/li＞ ＜li＞Plantar Fasciitis＜/li＞ ＜li＞Foot deformities e.g., Clubfoot, Flat foot, Foot drop＜/li＞ ＜li＞Foot Fractures/dislocations＜/li＞ ＜li＞Hammer toe＜/li＞ ＜li＞Heel pain＜/li＞ ＜li＞Heel spurs＜/li＞ ＜li＞Joint pain and arthritis＜/li＞ ＜li＞Tendon or ligament injury＜br /＞ TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Foot Disorders＜br /＞ Chapter 2 Plantar Fasciitis＜br /＞ Chapter 3 Hallux Valgus＜br /＞ Chapter 4 Gouty Arthritis of toe＜br /＞ Chapter 5 Foot Drop＜br /＞ Chapter 6 Hammer Toes＜br /＞ Chapter 7 Club Foot＜br /＞ Chapter 8 Flat Foot＜br /＞ Chapter 9 Morton Neuroma＜br /＞ Chapter 10 Improvised Foot Care＜br /＞ Epilogue＜/li＞ ＜/ol＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Transforming Performance Anxiety Treatment Using Cognitive Hypnotherapy and EMDR【電子書籍】[ Elizabeth Brooker ]

＜p＞＜em＞Transforming Performance Anxiety Treatment: Using Cognitive Hypnotherapy and EMDR＜/em＞ offers a much needed and different approach to this issue, using two psychodynamic therapies which work to bring about rapid and long-lasting change.＜/p＞ ＜p＞Using nine reflexive case studies, the author examines two little used interventions, cognitive hypnotherapy (CH) and eye movement desensitisation and reprocessing (EMDR). The basic theories of cognitive anxiety and the emotions that underpin this condition are explored. The principles and protocols of CH and EMDR are explained, and how these psychodynamic therapies are adapted to effect permanent change.＜/p＞ ＜p＞The first book to examine these treatments for this condition, ＜em＞Transforming Performance Anxiety Treatment＜/em＞ will be of interest for practitioners and therapists in training, as well as educators, professionals, and therapists working within competitive sports.＜/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！】Special Kids for Special Treatment? Or how special do you need to be to find yourself in a special school?【電子書籍】[ Helen Phtiaka ]

＜p＞First published in 1997. This book compares and contrasts the experiences of deviant pupils in a mainstream school with that of those in a special unit for pupils with behavioural problems. The author’s aims are to (i) evaluate the differences between the behaviour of deviant boys and girls within the mainstream education system with those without; and (ii) justify the criteria for transferring deviant pupils to special units.＜/p＞ ＜p＞Her research shows that there is no uniformity in the deviant behaviour of pupils in either situation. In fact, there are more similarities in the behaviour of pupils across the dividing line than pupils in the same institution. Such findings raise questions about the apparent arbitrary nature if some transferral decisions and, in the longer term, the whole logic of separate schooling for pupils who are considered by some to be a problem.＜/p＞ ＜p＞At a time when market forces and competition have distracted the schools’ attention away from the needs of the individual pupil, this book stresses the need for changes at all levels which will make school relevant to the lives of all pupils.＜/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！】Hip Neck Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Hip Neck Fracture, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞Hip Neck Fracture is becoming more frequent nowadays especially with old age.＜br /＞ Recently I had an elderly relative (man) who tripped on his walking stick (there was a stone below the stick which rolled away) and fell resulting in a hip neck fracture.＜br /＞ He underwent a total hip replacement and is now walking well.＜/p＞ ＜p＞Fracture of the neck of the femur is a very important injury for many causes.＜br /＞ It is frequent and the incidence is growing.＜br /＞ The main causes of fractured neck of femur require an understanding of falls and osteoporosis.＜br /＞ Patients with this injury often have many co-morbidities and the fracture has a large mortality rate.＜br /＞ Treatment of this injury is often used as a model for management of acute problems in the elderly.＜/p＞ ＜p＞Causes＜br /＞ A hip neck fracture means a fracture of the proximal femur (proximal to 5 cm below the lesser trochanter ).＜br /＞ Hip neck fractures are the most frequent reason for admission to an orthopedic trauma ward＜br /＞ Intra-capsular fractures involve the femoral neck between the edge of the femoral head and insertion of the capsule of the hip joint.＜br /＞ 1.Around half of all hip fractures are intra-capsular.＜br /＞ 2.Intra-capsular fractures may disrupt the blood supply to the femoral head, leading to avascular necrosis (AVN).＜br /＞ Extra-capsular trochanteric fractures (Distal to the insertion of the capsule, involving or between the trochanters)＜br /＞ They are inter-trochanteric or peri-trochanteric and reverse oblique fractures and isolated trochanteric avulsion fractures.＜br /＞ Isolated trochanteric avulsion fractures can occur from sudden violent force avulsing the insertion of gluteus medius from the greater trochanter, or iliopsoas from the lesser trochanter.＜br /＞ Mechanism of the femur neck fracture is due to:＜br /＞ 1.The high energy in young patients＜br /＞ 2.The low energy falls in older patients＜br /＞ The risk factors for a fractured neck of femur can be:＜/p＞ ＜ol＞ ＜li＞Risk factors for falls and＜/li＞ ＜li＞Risk factors for osteoporosis (some things e.g. alcohol, immobility may be risk factors for both).＜/li＞ ＜/ol＞ ＜p＞Symptoms＜br /＞ An elderly patient with pain in the hip following a fall must be assumed to have a fractured neck of femur until proved otherwise.＜br /＞ Impacted and stress fractures＜br /＞ There is slight pain in the groin or pain referred along the medial side of the thigh and knee＜br /＞ Displaced fractures＜br /＞ The leg is in external rotation and abduction, with shortening＜/p＞ ＜p＞Diagnosis of the cause of the fall＜br /＞ It is also important to diagnose the cause of the fall as there may be a treatable cause e.g. postural hypotension, cardiac arrhythmia.＜br /＞ Diagnosis of the type of fracture＜br /＞ It is important to diagnose the type of fracture as this influences treatment.＜br /＞ Any elderly person who has hip pain or pain in the legs, even without a history of a fall, should also have an X-ray of the hip.＜/p＞ ＜p＞Treatment＜br /＞ ED＜br /＞ 1.General workup CXR, intravenous access with intravenous infusion if indicated.＜br /＞ 2.Analgesia should be sufficient for the patient and should permit the movements needed for investigations and for rehabilitation.＜/p＞ ＜p＞Intra-capsular fractures＜br /＞ 1.Surgery should be done within one day of admission.＜br /＞ 2.Undisplaced fractures require internal fixation with screws＜br /＞ 3.Displaced intra-capsular fractures should be treated by replacement of the femoral head with an arthroplasty, if the person is fit for the procedure＜/p＞ ＜p＞Extra-capsular fractures＜/p＞ ＜ol＞ ＜li＞Extra-capsular hip fractures are treated surgically unless there are medical contra-indications.＜/li＞ ＜li＞They are usually treated by internal fixation but hip arthroplasty may be used (internal fixation may fail, especially for unstable fractures)＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Hip Neck Fracture＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Hip Osteonecrosis＜br /＞ Chapter 8 Fracture＜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！】Diabetes Work Book for Children Children with diabetes: a treatment and training program【電子書籍】[ K. Lange ]

＜p＞Diabetes in children: a treatment and training program Diagnosis diabetes! You just heard about it. But what does that mean for you and for your parents? Ian (10 years old) has diabetes since a few years. He is talking about his everyday life, his favorite sports, his friends, and his experiences with the disease. In five chapters Ian explains: ? What is diabetes actually? ? Food and drinks for children with diabetes ? How to treat myself well with insulin? ? What do I need to do to keep my blood glucose from going too high or too low? ? How do I notice that my blood glucose is too high or too low? Ian is telling you, what is important to know about diabetes and to have a good life like any other child: go to school, having parties, sports, and do everything, what else you love to do. He also has many practical tips for you, and you can train with him, how to get along well with diabetes. In the sixth chapter Ian introduces his twelve-year old friend Laura. Together with her parents she is just learning how she can calculate her insulin dose by herself. Each chapter ends with a small knowledge check ? so you can see how much you've learned about diabetes. An extra brochure for your parents includes suggestions and assistance for a relaxed family life with diabetes.＜/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 Cure of Imperfect Sight by Treatment Without Glasses【電子書籍】[ William Horatio Bates ]

＜p＞William Horatio Bates (1860-1931) first published his treatise, The Cure of Imperfect Sight by Treatment Without Glasses, also known as Perfect Sight Without Glasses, in 1920.＜/p＞ ＜p＞In 1943, Dr. Bates's wife Emily Bates had an abridged version of the book published under the title Better Eyesight Without Glasses. That book, omitted many experimental details, most scholarly references, and all photographs.＜/p＞ ＜p＞This Original book edition contains a Special Report on the wordwide known Method of Vision Training (Power Vision System) with physiological explanations and suggestions on how to prevent and reverse nearsightedness in a natural way. Based on the last 50 years of clinical study in the field, not available at Bates early 1900.＜/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！】Short-term Psychoanalytic Psychotherapy for Adolescents with Depression A Treatment Manual【電子書籍】[ Simon Cregeen ]

＜p＞Short-term Psychoanalytic Psychotherapy (STPP) is a manualised, time-limited model of psychoanalytic psychotherapy comprising twenty-eight weekly sessions for the adolescent patient and seven sessions for parents or carers, designed so that it can be delivered within a public mental health system, such as Child and Adolescent Mental Health Services in the UK. It has its origins in psychoanalytic theoretical principles, clinical experience, and empirical research suggesting that psychoanalytic treatment of this duration can be effective for a range of disorders, including depression, in children and young people. The manual explicitly focuses on the treatment of moderate to severe depression, both by detailing the psychoanalytic understanding of depression in young people and through careful consideration of clinical work with this group. It is the first treatment manual to describe psychoanalytic psychotherapy for adolescents with depression.＜/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！】When Your Child Won’T Eat or Eats Too Much A Parents’ Guide for the Prevention and Treatment of Feeding Problems in Young Children【電子書籍】[ Irene Chatoor ]

＜p＞Approximately 25 percent of otherwise normally developing young children experience feeding difficulties. These may not only be disruptive to the childs physical and emotional development, they also may affect the whole family. In ＜em＞When Your Child Wont Eat or Eats Too Much＜/em＞, author Dr. Irene Chatoor teaches parents how to navigate the challenges of early feeding development and help their children establish healthy eating habits.＜/p＞ ＜p＞Based on clinical experiences and research studies, Chatoor helps you understand your childs specific feeding problemswhether your child has difficulty feeling hunger, has difficulty determining fullness, refuses to eat certain foods, or is just plain scared to eat. ＜em＞When Your Child Wont Eat or Eats Too Much＜/em＞ presents specific suggestions and practical tips on how to understand and manage each of these feeding problems while promoting a healthy eating environment for the whole family. It also describes how feeding difficulties can be prevented and how discipline can be established without resorting to coercive measures.＜/p＞ ＜p＞Chatoor, a pediatric psychiatrist who has made fundamental contributions in her field, helps parents better understand and deal with the challenges of early feeding development and the special feeding issues of their children.＜/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！】Intertrigo, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Intertrigo is a very frequent medical inflammatory disorder affecting areas of skin that are frequently in contact such as the groin, under the breasts, armpits, and skin folds.＜br /＞ These areas of skin that are in contact with each other are known as the intertriginous zones.＜br /＞ In obese individuals, skin folds may happen in various areas and so can be afflicted by intertrigo.＜br /＞ The seborrheic glands (oil glands) in the skin produces excessive sebum(oil) particularly in regions which is likely to rub against each other such as armpits, groins, skin under the breasts, and navel.＜/p＞ ＜p＞Because of the friction of the skin and secretion of sebum, a red moist type of rash occurs.＜/p＞ ＜p＞Intertrigo is a moist red seborrheic skin rash involving body clefts such as armpits and groins.＜br /＞ Simple intertrigo is an irritant dermatitis produced by the combination of frictional rubbing, raised temperature, and moisture.＜br /＞ Intertrigo can be affected by various micro-organisms, such as yeasts, dermatophytic fungi, bacteria, as well as allergic and irritant reactions to various medications and chemicals.＜br /＞ Intertrigo is inflammation of the skin with oil glands (sebaceous glands).＜br /＞ It is likely to happen in warm, moist areas of the body where 2 skin surfaces rub against each other.＜br /＞ Such areas are called skin folds.＜br /＞ Intertrigo affects the epidermis of the skin.＜br /＞ It is produced by moisture, bacteria, or fungus in the folds of the skin.＜br /＞ The involved areas of skin are normally pink to brown.＜br /＞ If the skin is very moist, it may start to break down.＜br /＞ In serious cases, there may be a bad odor.＜br /＞ The disorder is most frequent in people who are obese.＜br /＞ It may also happen in people who have to stay in bed or wear medical devices such as artificial limbs, splints, and braces.＜br /＞ The medical devices may keep the moisture against the skin.＜br /＞ Intertrigo is frequent in warm, moist climates.＜br /＞ Intertrigo is a skin disorder produced by the macerating effects of heat, moisture and friction.＜br /＞ It is most frequently observed in the groin, axillae or in infra-mammary folds＜br /＞ There are also some exotic dermatologic diseases that are prone to occur in the intertriginous zones＜/p＞ ＜p＞The environmental factors have a major part in exacerbations of intertrigo.＜/p＞ ＜ol＞ ＜li＞They are higher levels in temperature and humidity found most frequently during the summer months.＜/li＞ ＜li＞Exercises such as running or riding bicycle, which involve repetitive movements, produce frictional forces which may damage the skin.＜/li＞ ＜li＞The large folds of skin that result from obesity also increase the likelihood of intertrigo.＜/li＞ ＜li＞Past history of seborrhoeic dermatitis＜/li＞ ＜li＞Infection with Candida albicans＜/li＞ ＜li＞Diabetes mellitus＜/li＞ ＜li＞Poor hygiene＜br /＞ Intertrigo is an inflammatory skin condition that can be produced and aggravated by many causes.＜/li＞ ＜li＞These are moisture, heat, lack of air circulation and friction between skin folds.＜/li＞ ＜li＞Sweat, urine, and feces can also worsen the skin problem.＜br /＞ The patient is more likely to get these skin infections in skin folds because skin folds are places that are warm and tend to stay moist.＜/li＞ ＜/ol＞ ＜p＞Symptoms of intertrigo are itching and burning in the intertriginous zones.＜br /＞ Sometime, prolonged intertrigo may produce a musty smell.＜br /＞ With intertrigo, these affected skin areas become inflamed and appear red and sometimes scaly.＜br /＞ Typically intertigo manifests as mild erythema which can be observed initially as red plaques on each side of the involved skin fold (in a mirror image fashion).＜br /＞ The patient will complain of itching, stinging and burning＜br /＞ The most frequent areas involved are larger skin-fold areas such as beneath the breasts, genital area, armpits, and abdomen.＜br /＞ Diagnosis:＜br /＞ Skin appearance＜br /＞ Skin scraping＜br /＞ Treatment:＜br /＞ Antibiotic or antifungal cream＜br /＞ Drying agent＜br /＞ Low-dose steroid cream＜br /＞ Creams that protect the skin＜br /＞ Talcum＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Intertrigo＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Pimples＜br /＞ Chapter 8 Impetigo＜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！】Treatment of Inflammatory Bowel Disease with Biologics【電子書籍】

＜p＞This book is a concise yet comprehensive overview of the use of biologics for the treatment of Crohn’s disease and ulcerative colitis. The volume details how best to utilize these medications in order to optimize their efficacy and safety, as well as how to understand, recognize, and treat complications that may arise from using biologics to treat IBD. The text also focuses on new data, novel biologics, and biosimilars of this rapidly expanding field.＜/p＞ ＜p＞Written by experts in the field, ＜em＞Treatment of Inflammatory Bowel Disease with Biologics＜/em＞ is a valuable resource for gastroenterologists, allied health professionals, fellows, and trainees who treat patients with inflammatory bowel disease.＜/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！】Exercise for Cardiovascular Disease Prevention and Treatment From Molecular to Clinical, Part 2【電子書籍】

＜p＞The book provides an intensive overview on exercise for cardiovascular disease prevention and treatment, from basic research to clinical practice. The volume firstly summarizes the acute and chronic response to exercise. Secondly, evidence for exercise as medicine for the heart based on clinical studies and basic research is summarized. Thirdly, molecular mechanisms mediating the beneficial effects of exercise including IGF-1-PI3K-AKT signalling, NO signalling, C/EBPB-Cited4 signalling, Non-coding RNAs, epigenetic regulators, mitochondria adaption and exosomes are presented. Finally, exercise dosing, prescription and future prospects are provided. This book will provide valuable reference for researchers in cell biology, physiology, as well as physician, physical therapist in cardiology, sport medicine, etc.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

＜p＞Frostbite is the condition of injury to the skin and underlying tissues caused by extreme cold.＜br /＞ Frostbite is the most frequent freezing injury.＜br /＞ Frostbite is an injury that is induced by exposure of parts of the body to temperatures below freezing point.＜br /＞ The cold produces freezing of the skin and underlying tissues.＜br /＞ The fingers, toes and feet are most often involved but other extremities, such as the nose, ears and cheeks, can also form frostbite.＜br /＞ Causes＜br /＞ Frostbite happens when the skin and body tissues are exposed to cold temperature for a long period of time.＜br /＞ The patient tends more likely to develop frostbite if he or she:＜/p＞ ＜ol＞ ＜li＞Takes medicines called beta-blockers＜/li＞ ＜li＞Has poor blood supply to the legs＜/li＞ ＜li＞Smoke＜/li＞ ＜li＞Has diabetes＜/li＞ ＜li＞Has Raynaud syndrome＜br /＞ Normally the blood transports oxygen to all parts of the body so that the body tissues are maintained healthy.＜br /＞ During a protective response when the body has exposure to extreme cold, the blood vessels narrow (constrict) so that blood (and oxygen) are transferred away from the extremities to the vital organs to keep the body alive.＜br /＞ After a while, this inadequate blood supply and oxygen to the skin can begin to produce injury to the cells.＜br /＞ In the parts of the body involved by frostbite, the ice crystals form and cells and blood vessels become injured.＜br /＞ Blood clots can also develop in small blood vessels which will decrease the possibility of blood and oxygen getting to the affected tissues.＜br /＞ The probability of frostbite is raised when the patient has longer exposure to the cold temperatures.＜br /＞ Risk factors＜br /＞ Frostbite is not frequent.＜br /＞ Frostbite most often involves these groups of people:＜/li＞ ＜li＞Soldiers.＜/li＞ ＜li＞People who work outdoors in the cold.＜/li＞ ＜li＞Homeless people.＜/li＞ ＜li＞Winter outdoor sports people such as skiers and climbers.＜/li＞ ＜li＞Alcohol may make the drunk less obvious to the cold and hence develop frostbite＜br /＞ The different degrees of frostbite＜/li＞ ＜li＞First-degree frostbite just involves the epidermis.＜/li＞ ＜li＞Second-degree frostbite may involve the epidermis and part of the dermis.＜/li＞ ＜li＞Third-degree frostbite involves the epidermis, the dermis and the fatty tissue beneath the dermis.＜/li＞ ＜li＞Fourth-degree frostbite occupies the entire thickness of the skin, the tissues that are below the skin, and also the deeper tissues such as muscles, tendons and bone.＜br /＞ Symptoms of frostbite may be:＜/li＞ ＜li＞Pins and needles feeling, followed by numbness＜/li＞ ＜li＞Hard, pale, and cold skin that has been exposed to the cold for too long＜/li＞ ＜li＞Aching, throbbing or lack of feeling in the affected area＜/li＞ ＜li＞Red and extremely painful skin and muscle as the area thaws＜br /＞ Very severe frostbite may cause:＜/li＞ ＜li＞Blisters＜/li＞ ＜li＞Gangrene (blackened, dead tissue)＜/li＞ ＜li＞Damage to tendons, muscles, nerves, and bone＜br /＞ Diagnosis:＜br /＞ Frostbite is normally diagnosed by the normal features in someone who has been exposed to extreme, cold weather.＜br /＞ Scintigraphy and Bone Scans are occasionally used to evaluate the degree of frostbite and to determine how much tissue is injured＜br /＞ Treatment＜br /＞ The basic first aid for frostbite injuries is:＜/li＞ ＜li＞Shelter the person from the cold and move him or her to a warmer place.＜/li＞ ＜li＞Change wet clothing for dry clothing.＜/li＞ ＜li＞Keep the involved area air dry and wrapped＜/li＞ ＜li＞Try to make sure that the person is re-hydrated.＜br /＞ Give warm water to drink＜br /＞ Rapid re-warming can be done using heated water which should be kept at 37-39°C for 30 minutes＜br /＞ Re-warming can be very painful, hence anti-inflammatory painkillers are also given＜br /＞ Some 'clot-busting' medicines (thrombolytics) may be given in cases of deep frostbite to attempt to improve the blood supply to the involved area.＜br /＞ Surgery is required to remove dead tissue -debridement of injured tissue and amputation of dead fingers or toes＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Frostbite＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Cold Injury＜br /＞ Chapter 8 Hypothermia＜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！】Treatment of Chronic Pain Conditions A Comprehensive Handbook【電子書籍】

＜p＞There is an unmet need in both acute and chronic care settings for a comprehensive, clinically focused, fast reference on pain management. Written by high-profile, internationally recognized experts in field, ＜em＞Pain Treatment for Acute and Chronic Conditions: A Comprehensive Handbook＜/em＞ is one of the first manuals of its kind to provide balanced and comprehensive coverage of pain medicine modalities. The book is structured into sixteen sections with each chapter providing key points for quick reference, followed by a more detailed overview of the topic at hand with extensive tables and figures to illustrate. Beautifully laid out and extensively furnished with both research and experience, this book is a necessary resource in the field of pain medicine.＜/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】Acute Leukemia: An Illustrated Guide to Diagnosis and Treatment ACUTE LEUKEMIA [ Ashkan Emadi ]

ACUTE LEUKEMIA Ashkan Emadi Judith E. Karp DEMOS HEALTH2017 Hardcover English ISBN：9781620701003 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！】Williams Syndrome, (Happy Elf Syndrome) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Williams syndrome is an infrequent disorder that can result in physical and mental development.＜br /＞ It is inherited (passed down in families).＜br /＞ Most people with Williams Syndrome are as friendly, happy and pure as the fairies found in the books of myths and tales.＜br /＞ The word "elfin" may have used to describe the facial features of people with Williams syndrome.＜br /＞ People believed that persons with the syndrome, who have extremely charming and kind personalities, had extraordinary, even magical, powers.＜br /＞ They look like the elves with their mischievous upturned noses, pointed chins and flashy smiles.＜br /＞ For these persons with distinct elf-like facial features, the goodness of heart and the vulnerability of trust are symptoms of a genetic disorder (Williams Syndrome) that affects an estimated 1 in 7,500 to 10,000 people.＜br /＞ In spite of their intellectual difficulties, they are chatty, witty and tremendously friendly and they tend to hug everyone they meet.＜br /＞ The syndrome is characterized by distinct facies, connective tissue anomalies, intellectual disability, a specific cognitive profile, unique personality features, cardiovascular disease, growth abnormalities and endocrine abnormalities＜br /＞ Williams syndrome is caused by micro-deletion (not having a copy) of several genes.＜br /＞ Parents may not have any family history of the disorder.＜br /＞ People with Williams syndrome have a 50% chance of passing the disorder on to each of their children.＜br /＞ It often happens randomly.＜br /＞ One of the 28 missing genes is the gene that produces elastin, a protein that permits blood vessels and other tissues in the body to stretch.＜br /＞ It is probable that missing a copy of this gene leads to the narrowing of blood vessels, stretchy skin, and flexible joints observed in this disorder.＜br /＞ Medical presentations of infantile hyper-calcemia are present from birth through to adulthood＜br /＞ The WS phenotype is variable that no single medical feature is needed to establish the diagnosis.＜br /＞ It should be suspected in patients with these findings:＜/p＞ ＜ol＞ ＜li＞Cardiovascular disease (elastin arteriopathy):＜br /＞ a. Supra-valvular aortic stenosis (SVAS) is the most frequent and medically significant disorder occurring in 75% of patients.＜br /＞ b. Peripheral pulmonic stenosis (PPS) is frequent in infancy even though any artery can be affected.＜/li＞ ＜li＞Distinct facies:＜br /＞ a. Broad forehead, bi-temporal narrowing, periorbital fullness.＜br /＞ b. Star-like iris pattern, strabismus.＜br /＞ c. Short nose with broad nasal tip.＜br /＞ d. Long philtrum, wide mouth with thick vermilion of upper and lower lips.＜/li＞ ＜li＞Connective tissue anomalies:＜br /＞ The diagnosis of Williams syndrome starts with recognition of physical symptoms and markers, which is followed by a confirmatory genetic test.＜/li＞ ＜/ol＞ ＜p＞The physical signs that often implicate a suspected case of Williams syndrome are distension around the eyes, a long philtrum (groove on upper lip), and a star-like pattern in the iris.＜br /＞ The FISH test tests chromosome 7 and probes for the presence of two copies of the elastin gene.＜br /＞ Tests for Williams syndrome are:＜/p＞ ＜ol＞ ＜li＞Blood pressure check＜/li＞ ＜li＞Blood test for a missing piece of chromosome 7 (FISH test)＜/li＞ ＜li＞Echocardiography combined with Doppler ultrasound＜/li＞ ＜li＞Kidney ultrasound＜br /＞ Physical therapy is useful to treat patients with joint stiffness＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Williams Syndrome＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Laughter＜br /＞ Chapter 8 Happiness＜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！】Talar Osteochondral Defects Diagnosis, Planning, Treatment, and Rehabilitation【電子書籍】

＜p＞This book addresses hot topics relating to talar osteochondritis dissecans: improvements in the accuracy of diagnosis, sound preoperative planning, optimal treatment and procedure-specific rehabilitation protocols. The technical difficulties in each of these areas are identified and evidence-based guidelines are presented. With regard to diagnosis, several chapters discuss the roles of arthroscopy, standard radiography, computed tomography, magnetic resonance imaging and combined imaging modalities (PET/CT and SPECT/CT). The chapters on treatment cover various surgical options and provide an overview of the direct postoperative treatment; in addition, rehabilitation protocols are described for all the treatment procedures. The authors are leading experts in the field of foot and ankle surgery who have aimed to provide the reader with an up-to-date handbook ideal for use in clinical practice. Their reviews and opinions are based firmly on the best currently available evidence.＜/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 Orthopedics Symptoms, Differential Diagnosis, Supplementary Assessment and Treatment【電子書籍】[ Jan Douwes Visser ]

＜p＞This book presents the most common site-specific pediatric orthopedic problems seen in clinical practice. Detailed discussions of disorders of the chest wall, neck, back, pelvic, upper- and lower limb, leg length discrepancy, abnormal gate, congenital deficiencies, bone and joint infections are included in this comprehensive resource. Operative treatments are discussed throughout the book with the key focus on managing the patient and the use of the conservative approach. As such, the main benefit of this book is as a diagnostic tool to assess children with orthopedic disease.＜/p＞ ＜p＞Designed to lead the reader from the initial physical examination through to making the most likely diagnosis, there is advice on what additional studies are meaningful, when there is an indication for referral and what advice can be provided for the patient. The value of the book is increased by hundreds of color images, thus making it easily accessible for pediatric orthopedic surgeons, pediatrician＜/p＞ ＜p＞s, pediatric physiotherapists, podiatrists, pediatricians, rehabilitation specialists and primary care physicians with an interest in the subject.＜/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！】Biological Wastewater Treatment Processes Mass and Heat Balances【電子書籍】[ Davide Dionisi ]

＜p＞The focus of the book is on how to use mass and heat balances to simulate and design biological wastewater treatment processes. All the main processes for biological wastewater treatment are covered viz. activated sludge processes for carbon and nitrogen removal, anaerobic digestion, sequencing batch reactors, and attached growth processes.＜/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！】Dysphagia, A Simple Guide To The Condition, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Dysphagia is defined as difficulty in swallowing.＜br /＞ It is usually associated either with pharyngeal or esophageal disease＜br /＞ There is a spectrum of possible etiologies from self-limiting illness e.g. tonsillitis to carcinoma.＜br /＞ It may occur with odynophagia - painful swallowing.＜br /＞ It occurs in 1-2/100,000, most commonly seen in mid-adult life and is caused by impaired neural control of the distal esophagus.＜br /＞ Several conditions can cause dysphagia.＜br /＞ In children it is often due to:＜/p＞ ＜ol＞ ＜li＞Physical malformations,＜/li＞ ＜li＞Conditions such as cerebral palsy or muscular dystrophy＜/li＞ ＜li＞Gastroesophageal reflux disease (GERD).＜br /＞ Dysphagia in adults may be due to tumors (benign or cancerous), conditions that cause the esophagus to narrow, neuromuscular conditions, stroke, or GERD.＜br /＞ It can also be caused when the muscle in the esophagus does not relax enough to let food pass into the stomach.＜br /＞ Other risk factors include smoking, excessive alcohol use, certain medications and teeth or dentures in poor condition.＜br /＞ A. Obstructive causes:＜/li＞ ＜li＞Gastro-oesophageal reflux ± stricture.＜/li＞ ＜li＞Other esophagitis (e.g. infection).＜/li＞ ＜li＞Esophageal cancer.＜/li＞ ＜li＞Gastric cancer.＜/li＞ ＜li＞Pharyngeal cancer.＜/li＞ ＜li＞Post-cricoid web (Paterson Brown-Kelly syndrome).＜/li＞ ＜li＞Esophageal rings.＜/li＞ ＜li＞Foreign body (acute).＜br /＞ B. Neurological Causes＜/li＞ ＜li＞Cerebrovascular event or brain injury.＜/li＞ ＜li＞Achalasia.＜/li＞ ＜li＞Diffuse esophageal spasm.＜/li＞ ＜li＞Syringomyelia or bulbar palsy.＜/li＞ ＜li＞Myasthenia gravis.＜/li＞ ＜li＞Multiple sclerosis.＜/li＞ ＜li＞Motor neurone disease.＜/li＞ ＜li＞Myopathy (dermatomyositis, myotonic dystrophy).＜/li＞ ＜li＞Parkinson's disease and other degenerative disorders.＜/li＞ ＜li＞Chagas' disease.＜br /＞ Steady worsening of dysphagia over a few weeks in an older patient suggests malignancy.＜br /＞ Men with new onset of alarm symptoms (loss of weight with worsening dysphagia) have an increased likelihood of a diagnosis of cancer, especially in those aged over 65＜br /＞ A positive predictive value of 9.0% has been found in this age group.＜br /＞ The most common lesions within the esophagus are inflammatory strictures from reflux or tumors.＜br /＞ In esophageal manometry, a tube is inserted into the stomach to measure pressure differences in various regions.＜br /＞ X-rays of the neck, chest, or abdomen may be taken.＜br /＞ Barium swallow and endoscopy with biopsy should be performed.＜br /＞ In a barium x-ray, moving picture or video x-rays are taken of the esophagus as you swallow barium, which is visible on an x-ray.＜br /＞ MRI scanning may also be required before any surgery is considered, e.g. if there is esophageal carcinoma.＜br /＞ Videofluoroscopy is the radiological investigation of choice when 'difficulty swallowing' rather than 'food sticking' is the presenting symptom and aspiration is suspected.＜br /＞ Esophageal motility studies (require swallowing a catheter containing a pressure transducer) are useful when esophageal spasm is suspected.＜br /＞ The patient may need to chew well or liquidize food.＜br /＞ Definitive treatment depends on cause - usually endoscopic dilation (either using bougies or inflatable balloon).＜br /＞ In esophageal carcinoma, palliative relief of dysphagia can be achieved with repeated dilatation, stent replacement, laser photocoagulation and injection of sclerosants.＜br /＞ Surgical myotomy and endoscopic injection of the sphincter with botulinum toxin is occasionally used＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Dysphagia＜br /＞ Chapter 2 Interesting Facts of Dysphagia＜br /＞ Chapter 3 Treatment of Dysphagia＜br /＞ Chapter 4 Stroke＜br /＞ Chapter 5 Parkinson's Disease＜br /＞ Chapter 6 GERD＜br /＞ Chapter 7 Tonsillitis＜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！】The Health of Ducks on the Farm - A Collection of Articles on Diseases and Their Treatment【電子書籍】[ Various ]

＜p＞This antiquarian text provides a carefully selected collection of articles on diseases common to ducks, including information on their diagnosis, treatment, prevention, and more. Written in clear, concise language and containing examples of autopsy findings, helpful tips, and wealth of other practicable information on the ailments of ducks, this collection will be of much interest to the poultry keeper, as well as being of value to the veterinarian or collector of antiquarian literature of this ilk. The articles contained herein include: 'Domestic Geese and Ducks - Paul Ives', 'Ducks and Duck Breeding - Charles Roscoe', and 'Natural and Artificial Duck Culture - James Rankin'. Many antiquarian texts such as this are becoming increasingly expensive and hard to come by, and it is with this in mind that we are proudly republishing this volume, now complete with a new introduction on poultry farming.＜/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！】Practical Pediatric Dermatology Controversies in Diagnosis and Treatment【電子書籍】

＜p＞This book presents a selection of controversial issues of practical importance in pediatric dermatology with the aim of enabling the reader to adopt a well-balanced and evidence-based approach to the management of dermatological disorders encountered during childhood. It is not, therefore, structured according to a basic disease classification; rather it addresses a series of dilemmas in the diagnosis and treatment of a wide range of conditions, including inflammatory disorders, tumors, immune and autoimmune disorders. In addition to areas of debate in the management of individual conditions, controversies in the use of particular types of treatment, for example retinoids, cyclosporin, acyclovir, and laser therapy, are considered and relevant psychological aspects are discussed. Practical Pediatric Dermatology will assist pediatricians and dermatologists in decision making during daily clinical practice.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Governing the Heroin Trade From Treaties to Treatment【電子書籍】[ Melissa Bull ]

＜p＞Examining the historical, economic and political context for the current prohibition of particular drugs, this study investigates the problem of drug control and provides a systematic analysis of the development of the international system of regulation. It identifies the political rationalities that provided the basis of that system and positions these moral justifications for exercising power in relation to the practical programmes that put them into practice. The work not only catalogues the techniques and strategies employed in the process of governing illicit drugs, it also notes the failures, unintended consequences and other difficulties associated with getting such programmes to work. It will be of key interest to students and scholars of crime and criminology, law and society, medico-legal studies and health studies.＜/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 Bipolar Book History, Neurobiology, and Treatment【電子書籍】

＜p＞As a major mainstay of clinical focus and research today, bipolar disorder affects millions of individuals across the globe with its extreme and erratic shifts of mood, thinking and behavior. Edited by a team of experts in the field, ＜em＞The Bipolar Book: History, Neurobiology, and Treatment＜/em＞ is a testament and guide to diagnosing and treating this exceedingly complex, highly prevalent disease. Featuring 45 chapters from an expert team of contributors from around the world, ＜em＞The Bipolar Book＜/em＞ delves deep into the origins of the disorder and how it informs clinical practice today by focusing on such topics as bipolar disorder occurring in special populations, stigmatization of the disease, the role genetics play, postmortem studies, psychotherapy, treatments and more. Designed to be the definitive reference volume for clinicians, students and researchers, Ayseg?l Yildiz, Pedro Ruiz and Charles Nemeroff present ＜em＞The Bipolar Book＜/em＞ as a "must have" for those caregivers who routinely deal with this devastating disease.＜/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！】Acute Myelogenous Leukemia in Childhood Implications of Therapy Studies for Future Risk-Adapted Treatment Strategies【電子書籍】

＜p＞The results of treatment for childhood acute myelogenous leukemia (AML) have improved considerably during the last ten years. This progress was demonstrated by the two consecutive multicenter studies, AML-BFM-78 and -83, in which almost identical extended multi drug regimes of che motherapy were administered for eight weeks and followed up by two years maintenance. The main difference in the second study was the addition of an eight-day intensive in duction course. Due to this new element, the relapse rate was reduced significantly. Another result of the BFM-83 study was the definition of two risk groups on the basis of standardized treatment, which has lead to a risk-adapted treatment strategy in the third ongoing trial, AML-BFM- 87. This improvement was only possible thanks to the coop eration of pediatricians, physicians, radiotherapists, statisti cians, and especially the staff at the hospitals and reference laboratories. Thus, we would like to thank everyone who has been involved in these studies and hope that they will be further encouraged to improve treatment strategies for AML in children. The coordination, enforcement, and analyses of the stud ies would not have been possible without the financial sup port of the Federal Ministry for Research and Technology of the FRG. We are grateful for the generous contributions supporting this book from Lederle and Farmitalia. Munster, April 1990 Ursula Creutzig Jorg Ritter Gunther Schellong Contents 1 Introduction . . . . .. . . . . . . . . . . . . . . .. . . . 1 .＜/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！】Polycystic Kidneys, A Simple Guide To The Condition, Treatment And Related Diseases【電子書籍】[ Kenneth Kee ]

＜p＞Polycystic kidney disease is a progressive genetic condition＜br /＞ Polycystic kidney can lead to kidney dysfunction＜br /＞ It is usually autosomal dominant with large cysts development＜br /＞ These large cysts may require some form of treatment＜/p＞ ＜p＞The kidneys are bilaterally enlarged and have multiple cysts＜br /＞ Polycystic kidneys are associated with cysts in the liver and testes＜br /＞ Aortic and brain aneurysms are also present in this disease＜br /＞ Pain in the abdomen, flank or back is due to the kidney cysts.＜/p＞ ＜p＞It is the most frequent genetic cause of renal failure＜br /＞ The kidney cysts are always associated with high blood pressure＜br /＞ Urinary infection can spread from the urinary tract to the kidney＜br /＞ Urinary tract infections must be treated with antibiotics early＜/p＞ ＜p＞Damage to the kidney will end in loss of kidney function＜br /＞ There will be associated liver failure and hypertension＜br /＞ Treatment is by control of salt, blood pressure and dialysis＜br /＞ To remove waste products of metabolism and electrolysis＜/p＞ ＜p＞-An original poem by Kenneth Kee＜/p＞ ＜p＞Interesting Tips about the Polycystic Kidneys＜/p＞ ＜p＞A Healthy Lifestyle＜/p＞ ＜ol＞ ＜li＞ ＜p＞Take a well Balanced Diet＜/p＞ ＜/li＞ ＜li＞ ＜p＞Genetic counseling may help families at risk for polycystic kidney disease.＜br /＞ Although a cure for Polycystic kidney disease is not possible, treatment can ease the symptoms and prolong life.＜br /＞ a. Back Pain: Mild pain killers such as paracetamol can relieve pain.＜br /＞ b. Urinary tract infections: Urinary tract infections can be treated with antibiotics.＜br /＞ c. Once the infection enter the cyst, treatment is difficult because many antibiotics cannot enter the walls of the cysts.＜br /＞ d. High blood pressure:＜br /＞ All hypertensions due to polycystic kidney disease can be controlled with:＜br /＞ i. Anti hypertensive medications and＜br /＞ ii. Lifestyle changes such as＜br /＞ Exercise,＜br /＞ De-stressing,＜br /＞ Low salt and fats＜br /＞ e. Renal disease:＜br /＞ Eventually in all cases the kidney function will fail and chronic real failure will develop.＜br /＞ Treatment will then be by dialysis or kidney transplant.＜br /＞ f. Surgery:＜br /＞ Surgery is rarely needed except to remove large cysts. Even then the kidney disease is progressive and will still end in chronic renal failure.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Keep bones and body strong＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞Bone marrow produces our blood＜/p＞ ＜p＞Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.＜/p＞ ＜p＞Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.＜/p＞ ＜p＞Eat food rich in Vitamins B and C such as green vegetables and fruits＜/p＞ ＜p＞Zinc and other minerals are important to the body＜/p＞ ＜ol start="4"＞ ＜li＞Get enough rest and Sleep＜/li＞ ＜/ol＞ ＜p＞Avoid stress and tension＜/p＞ ＜ol start="5"＞ ＜li＞Exercise and stay active.＜/li＞ ＜/ol＞ ＜p＞It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2? hours a week.＜/p＞ ＜p＞One way to do this is to be active 30 minutes a day at least 5 days a week.＜/p＞ ＜p＞Begin slowly especially if a person has not been active.＜/p＞ ＜ol start="6"＞ ＜li＞Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.＜/li＞ ＜/ol＞ ＜p＞Alcohol use also increases the chance of falling and breaking a bone.＜/p＞ ＜p＞Alcohol can affect the neurons and brain cells.＜/p＞ ＜ol start="7"＞ ＜li＞Stop or do not begin smoking.＜/li＞ ＜/ol＞ ＜p＞It also interferes with blood supply and healing.＜/p＞ ＜p＞Cigarettes contain more than forty types of hazardous and possibly cancer causing chemicals which can harm the smokers and those around them＜/p＞ ＜p＞Chapter 1＜/p＞ ＜p＞Polycystic Kidneys＜/p＞ ＜p＞Polycystic kidneys are rare.＜br /＞ I have only come across 2 cases of polycystic kidneys in my clinic.＜br /＞ Both of them were found through X-rays of the abdominal for other conditions such as suspected gallstones or kidney stones.＜br /＞ The X-rays usually showed small cysts in the kidneys＜/p＞ ＜p＞What is Polycystic Kidney?＜/p＞ ＜p＞Polycystic kidney disease is a progressive genetic condition of the kidneys in which multiple cysts (polycystic) are present in both kidneys.＜/p＞ ＜p＞The disease can produce cysts in the liver, pancreas, and rarely, the heart and brain.＜/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！】Cognitive-Behavioral Case Formulation and Treatment Design A Problem-Solving Approach【電子書籍】[ Arthur M. Nezu, PhD, ABPP ]

＜p＞This user-friendly guide will help the clinician develop Cognitive-Behavioral treatment plans for 11 common psychological disorders (e.g., major depressive disorder, generalized anxiety, borderline personality disorder, anger problems). Based on a problem-solving model and empirical literature, the authors focus on two major clinical tasks involved in this process: case formulation and treatment design. They delineate short-term goals, long-term goals, treatment targets, and potential interventions.＜/p＞ ＜p＞Appendices include "quick guides to CBT treatment planning" for the 11 disorders and selected major CBT clinical intervention strategies noted throughout the 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！】Promoting Self-Change from Problem Substance Use Practical Implications for Policy, Prevention and Treatment【電子書籍】[ D. Hodgings ]

＜p＞For many years, what has been known about recovery from addictive behaviors has come solely from treatment studies. Only recently has the study of recoveries in the absence of formal treatment or self-help groups provided an alternative source of information.＜br /＞ This book on the process of self-change from addictive behaviors is the first of its kind, as it presents more than research findings. Rather, it presents the process of self-change from several different perspectives - environmental, cross-cultural, prevention and interventions at both societal and individual level. It provides strategies for how health care practitioners and government policy makers alike can aid and foster self-change. Directions for future research priorities are also presented.＜/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！】Prostatic Obstruction Pathogenesis and Treatment【電子書籍】

＜p＞The human prostate gland is of undoubted importance in reproductive physiology and is one of the commonest causes of clinical urological problems in the male patient. Despite the wealth of published lit erature relating to the prostate gland surprisingly little is understood about its neural innervation, the influence of pharmacological factors and its precise physiological functions. Indeed, benign disorders of the prostate gland including benign prostatic hyperplasia, bladder neck dyssynergia and inflammatory disorders of the prostate (prostatitis, prostatodynia) although well recognised clinically, are as yet poorly characterised and understood. It was not until the late 1960s that the subject of urodynamics, which for the first time allowed scientific assessment of the function of the lower urinary tract, was introduced. The first section of this book considers recent advances in our understanding of the innervation of the bladder and prostate gland and the changes in bladder function which accompany prostate medi ated bladder outflow obstruction. The clinical consequence of benign prostatic hyperplasia in many patients is bladder outflow obstruction and although the traditional treatment of these conditions is by the use of ablative surgery, in recent years a number of new modalities have been investigated and are reviewed in the second section of the 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！】CURRENT Diagnosis & Treatment of Sexually Transmitted Diseases【電子書籍】[ Jeffrey D. Klausner ]

＜p＞＜strong＞Get problem-oriented and disease-specific guidance in treating STDs-in one quick-access source＜/strong＞＜/p＞ ＜p＞Featuring the trusted, practical format of the CURRENT series, this authoritative, quick-access guide delivers a top-to-bottom overview of STDs commonly encountered in clinical practice. The book begins with an insightful introduction to the field that emphasizes the patient-doctor relationship, and then explores clinical problems with STDs in terms of diagnostic, management, and treatment considerations.＜/p＞ ＜p＞Features＜/p＞ ＜ul＞ ＜li＞A-to-Z, up-to-the-minute coverage of common STDs-filled with crucial point-of-care guidelines＜/li＞ ＜li＞A focus on prevention interventions, including counseling, in recognition of the need to change high-risk sexual behaviors＜/li＞ ＜li＞Practical diagnostic algorithms that summarize key protocols and facilitate patient management＜/li＞ ＜li＞Detailed, easy-to-locate treatment tables that list specific drugs (generic and trade names), doses, and schedules＜/li＞ ＜li＞A thought-provoking final chapter that includes a brief discussion of the latest STD research, plus unresolved questions and future concerns＜/li＞ ＜li＞Useful appendices that include diagnostic protocols, treatment tables, and websites for further information＜/li＞ ＜/ul＞ ＜p＞＜strong＞Authoritative, on-the-spot information you can quickly apply to your practice - without sifting through pages of data＜/strong＞＜/p＞ ＜ul＞ ＜li＞An essential clinical companion for internists, family physicians, pediatricians, nurse practitioners, obstetricians-gynecologists, HIV care specialists, and other healthcare professionals who see patients with STDs＜/li＞ ＜li＞Turn to any chapter on specific STDs, and you'll find expert perspectives on biology, epidemiology, clinical manifestations, diagnosis, treatment, prevention, and issues related to special populations＜/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！】Person-Centered Diagnosis and Treatment in Mental Health A Model for Empowering Clients【電子書籍】[ Peter Ladd ]

＜p＞Clients with mental health conditions are often diagnosed and treated using a strictly medical model of diagnosis, with little input from the client themselves. This reference manual takes a person-centered, holistic approach to diagnosis and treatment, seeing the client as the unrecognized expert on their condition and encouraging their collaboration. This qualitative approach aims to find meaning in the experiences of the client, exploring the reasons behind their feelings and behaviour and taking the whole person into account. Designed to complement DSM assessments, the manual covers several different conditions including ADHD, depression, bulimia, and OCD, as well as mental health 'patterns' such as abuse, bullying, violence and loss. In each case, the client is involved in the diagnosis and treatment plan. The book features extended case studies, sample questions and treatment plans throughout. This will be an essential reference book for all those involved in mental health diagnosis and treatment, including psychologists, psychiatrists, mental health counselors, clinical social workers, school counselors and therapists.＜/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。