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！】Eating Disorders and Expressed Emotion Integrating Treatment, Intervention, and a Positive Family Environment【電子書籍】

＜p＞The first to synthesize the exponentially growing research on expressed emotion (EE) and eating disorders and apply it to treatment, interventions, and other scenarios, this unique text provides unprecedented guidance to students, clinicians, and researchers in the field of eating disorders.＜/p＞ ＜p＞This book explores the components of relatives’ attitudes and behaviors toward an ill family member and discusses a modifiable treatment target that could improve outcomes for patients through interventions, treatment plans, and future directions in research. Chapters bring together contributions from eminent scientists and clinicians in the fields of families, eating disorders, and treatment to contribute to the clinical and scholarly understanding of expressed emotion and eating disorders.＜/p＞ ＜p＞Mental health professionals studying and treating eating disorders will find this text to be a valuable reference guide and will be inspired to further explore this rich and promising area of study.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】The Recovery Revolution The Battle Over Addiction Treatment in the United States【電子書籍】[ Claire Clark ]

＜p＞In the 1960s, as illegal drug use grew from a fringe issue to a pervasive public concern, a new industry arose to treat the addiction epidemic. Over the next five decades, the industry's leaders promised to rehabilitate the casualties of the drug culture even as incarceration rates for drug-related offenses climbed. In this history of addiction treatment, Claire D. Clark traces the political shift from the radical communitarianism of the 1960s to the conservatism of the Reagan era, uncovering the forgotten origins of today's recovery movement.＜/p＞ ＜p＞Based on extensive interviews with drug-rehabilitation professionals and archival research, ＜em＞The Recovery Revolution＜/em＞ locates the history of treatment activists' influence on the development of American drug policy. Synanon, a controversial drug-treatment program launched in California in 1958, emphasized a community-based approach to rehabilitation. Its associates helped develop the therapeutic community (TC) model, which encouraged peer confrontation as a path to recovery. As TC treatment pioneers made mutual aid profitable, the model attracted powerful supporters and spread rapidly throughout the country. The TC approach was supported as part of the Nixon administration's "law-and-order" policies, favored in the Reagan administration's antidrug campaigns, and remained relevant amid the turbulent drug policies of the late twentieth and early twenty-first centuries. While many contemporary critics characterize American drug policy as simply the expression of moralizing conservatism or a mask for racial oppression, Clark recounts the complicated legacy of the "ex-addict" activists who turned drug treatment into both a product and a political symbol that promoted the impossible dream of a drug-free America.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

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

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

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

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Notes on Diseases of the Horse: Cause, Symptoms and Treatment【電子書籍】[ Charles James Korinek ]

＜p＞This instrument is employed for taking the internal temperature of the body, which is most conveniently done by placing the instrument for about three minutes in the animal’s rectum. Owing to the almost general adoption of this method, the expression “internal temperature” is used as a rule to signify “rectal temperature”; although the respective temperatures of different parts of the body vary to a slight extent. The practice of placing the thermometer in the mouth, as is the custom in human medicine, is not suitable to animals, owing to the danger of the patient breaking the glass instrument with the teeth. The indications afforded by the clinical thermometer are valuable guides as to the state of the animal’s health at the time, or what it will shortly be. Thus, in a horse at rest under ordinary conditions, if there be a rise of three or four degrees without the animal evincing any other sign of illness, we may be assured that disease in some form will, after a day or two, manifest itself in him. During illness, a temperature of, say, 106° F. or more points to a condition of great danger. The clinical thermometer is especially useful in indicating the state of an animal during infective diseases and diseases of the organs of breathing. A fall in temperature, when it has been abnormally high, will generally point to a favorable termination of the disease; although in some cases it is the precursor of rapidly approaching death.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Nanoparticle Drug Delivery Systems for Cancer Treatment【電子書籍】

＜p＞In recent years, nanoparticlesーbionanomaterials with specific physicochemical propertiesーhave gained a great deal of scientific interest owing to their unique structure. Nanoparticle-based drugs are now widely regarded as a safer, more precise, and more effective mode of cancer therapy, considering their ability to enhance drug bioavailability, improve site-specific drug delivery, and protect nontarget tissues from toxic therapeutic drugs.＜/p＞ ＜p＞This book compiles and details cutting-edge research in nanomedicine from an interdisciplinary team of international cancer researchers who are currently revolutionizing drug delivery techniques through the development of nanomedicines and nanotheranostics. Edited by Hala Gali-Muhtasib and Racha Chouaib, two prominent cancer researchers, this book will appeal to anyone involved in nanotechnology, cancer therapy, or drug delivery research.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

＜p＞This book provides a comprehensive overview of secondary hypertension for clinicians, including cardiologists as well as primary training physicians and general practitioners.＜/p＞ ＜p＞A large number of patients suffer from high blood pressure, and it was previously thought that secondary hypertension accounted for 10% of all cases. However, according to new studies, the proportion of secondary hypertension is much higher than this. While hypertensive patients are usually treated in the cardiovascular department, secondary hypertension involves diseases in various fields, such as renal, endocrinological, immunological and urological diseases. This book allows readers to gain a thorough understanding of the screening, diagnosis and treatment of secondary hypertension.＜/p＞ ＜p＞It first discusses screening strategies for secondary hypertension, including clinical manifestations, general tests and special tests. It then addresses specific aspects of hypertension related to other diseases, like renal parenchymal diseases; transplantation; congenital diseases; endocrine, neurogenic and psychosocial disorders; vascular conditions; sleep apnoea syndrome, connective tissue disease and metabolic-associated hypertension. Lastly, it covers secondary hypertension related to rare heredity conditions.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

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

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

＜p＞This book describes Respiratory Acidosis, Diagnosis and Treatment and Related Diseases＜br /＞ Respiratory acidosis is a disorder that happens when the lungs cannot eliminate all of the carbon dioxide the body produces.＜br /＞ This induces body fluids, particularly the blood, to become too acidic.＜br /＞ Excess CO2 induces the pH of blood and other bodily fluids to reduce, making them too acidic.＜br /＞ Normally, the body is able to balance the ions that regulate acidity.＜br /＞ This balance is gauged on a pH scale from 0 to 14.＜br /＞ Acidosis happens when the pH of the blood drops below 7.35 (normal blood pH is between 7.35 and 7.45).＜br /＞ Types of respiratory acidosis＜/p＞ ＜ol＞ ＜li＞Acute respiratory acidosis happens rapidly.＜br /＞ It is a medical emergency.＜br /＞ Left untreated, symptoms will become progressively worse.＜br /＞ It can be threatening to life.＜/li＞ ＜li＞Chronic respiratory acidosis forms over time.＜br /＞ It does not produce symptoms.＜br /＞ Instead, the body modifies itself to the higher acidity.＜br /＞ The kidneys form more bicarbonate to help keep the balance.＜br /＞ Chronic respiratory acidosis may not produce symptoms＜br /＞ Respiratory acidosis is normally caused by an underlying disease or disorder.＜br /＞ Some frequent causes of the acute form are:＜/li＞ ＜li＞Lung disorders (COPD, emphysema, asthma, pneumonia)＜/li＞ ＜li＞Disorders that affect the rate of breathing＜/li＞ ＜li＞Muscle weakness that influences breathing or taking a deep breath＜/li＞ ＜li＞Obstructed airways (hoking or other causes)＜/li＞ ＜li＞Sedative overdose＜br /＞ Some frequent causes of the chronic form are:＜/li＞ ＜li＞Asthma＜/li＞ ＜li＞Chronic obstructive pulmonary disease＜/li＞ ＜li＞Acute pulmonary edema＜/li＞ ＜li＞Severe obesity (disrupt expansion of the lungs)＜/li＞ ＜li＞Neuromuscular disorders (multiple sclerosis or muscular dystrophy)＜/li＞ ＜li＞Scoliosis＜br /＞ Symptoms＜br /＞ Early signs of acute respiratory acidosis are:＜/li＞ ＜li＞Headache＜/li＞ ＜li＞Anxiety＜/li＞ ＜li＞Blurred vision＜/li＞ ＜li＞Restlessness＜/li＞ ＜li＞Confusion＜br /＞ Without treatment, other symptoms may happen such as:＜/li＞ ＜li＞Sleepiness or fatigue＜/li＞ ＜li＞Lethargy＜/li＞ ＜li＞Delirium or confusion＜/li＞ ＜li＞Shortness of breath＜/li＞ ＜li＞Coma＜br /＞ The chronic form of respiratory acidosis does not normally cause any noticeable symptoms.＜br /＞ Diagnosis＜br /＞ The purpose of diagnostic tests for respiratory acidosis is:＜/li＞ ＜li＞To examine for any pH imbalance,＜/li＞ ＜li＞To determine the severity of the imbalance, and＜/li＞ ＜li＞To determine the disorder causing the imbalance.＜br /＞ Several tools can assist doctors in diagnosing respiratory acidosis.＜/li＞ ＜li＞Blood gas measurement＜br /＞ Blood gas is a series of tests used to evaluate oxygen and CO2 in the blood.＜/li＞ ＜li＞Electrolytes＜/li＞ ＜li＞Lung function tests＜/li＞ ＜li＞Chest X-ray and CT scan of the chest＜br /＞ Treatment is directed at the underlying disease, and may be:＜/li＞ ＜li＞Bronchodilator medicines and corticosteroids to reverse some types of airway obstruction＜/li＞ ＜li＞Noninvasive positive-pressure ventilation (sometimes called CPAP or BiPAP) or a breathing machine, if required＜/li＞ ＜li＞Oxygen if the blood oxygen level is little＜/li＞ ＜li＞Treatment to stop smoking＜br /＞ Acute form＜br /＞ Treating acute acidosis normally indicates managing the underlying cause.＜br /＞ The airway may need to be cleared as soon as possible.＜br /＞ Artificial ventilation may also be required.＜br /＞ Chronic form＜br /＞ If the patient has the chronic form of this disease, the treatment will focus on managing any underlying disorders.＜br /＞ The purpose is to improve airway function.＜br /＞ Some treatments are:＜/li＞ ＜li＞Antibiotics (to treat infection)＜/li＞ ＜li＞Diuretics (to reduce excess fluid affecting the heart and lungs)＜/li＞ ＜li＞Bronchodilators (to expand the airways)＜/li＞ ＜li＞Corticosteroids (to reduce inflammation)＜/li＞ ＜li＞Mechanical ventilation (in severe cases)＜br /＞ Extra-corporeal carbon dioxide removal (ECCO2 R) is a newer method for removing carbon dioxide through venovenous bypass without involving oxygenation.＜br /＞ ECCO2 R is being assessed for respiratory acidosis treatment＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Respiratory Acidosis＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Respiratory Failure＜br /＞ Chapter 8 Hypoventilation Syndromes＜br /＞ Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

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

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Hypertension and Heart Failure Epidemiology, Mechanisms and Treatment【電子書籍】

＜p＞This book explains how hypertension affects 20-50% of the adult population in developed countries. Heart failure is the result of the hypertension's effects on the heart and it represents a growing public health problem.＜br /＞ In this context the international scientific community is continuously struggling to develop better strategies in screening, diagnosing and treating hypertension and its deleterious effects. Thus, this field is continuously changing, with new important information being added constantly.＜br /＞ This volume will offer both insights into the intimate mechanisms of transition from hypertension to heart failure and clinical practice advice on the prevention and treatment of heart failure in hypertensive population. The mechanisms which explain the progression from hypertension to heart failure will be also covered exhaustively by offering two chapters referring to the diagnosis of heart failure in hypertensive population and one regarding echocardiography which is the most frequently used imaging method in clinical practice. The reader will be also provided with information on cardiovascular magnetic resonance which has the unique advantage of differentiating hypertensive heart failure from other pathologies associated with increased myocardial thickness.＜br /＞ This book is a useful tool for clinicians but also to the research community interested in heart failure andconsequences of hypertension on heart who want to be up-to-date with the new developments in the field.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】A Clinical Guide to the Treatment of the Human Stress Response【電子書籍】[ George S. Everly, Jr. ]

＜p＞This comprehensive update of the now classic text applies the most current findings across disciplines to the treatment of pathogenic human stress arousal. New and revised chapters bring together the art and science of intervention, based in up-to-date neuroscience, starting with an innovative model tracing the stress-to-disease continuum throughout the systems of the human body. The authors detail the spectrum of physiological and psychological treatments for the stress response, including cognitive therapy, neuromuscular relaxation, breathing exercises, nutritional interventions, and pharmacotherapy. They also assess the strengths and limitations of widely-used measures of the stress response and consider the value of personality factors, cultural considerations, and resilience in stress mediation.＜/p＞ ＜p＞Included in the coverage:＜/p＞ ＜ul＞ ＜li＞ ＜p＞The anatomy and physiology of the human stress response.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Advances in neuroscience: implications for stress.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Crisis intervention and psychological first aid.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Neurophysiological rationale for the use of the relaxation response.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Physical exercise and the human stress response.＜/p＞ ＜/li＞ ＜li＞ ＜p＞The pharmacological management of stress reactions.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Disaster Mental Health Planning.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Cultural Awareness and Stress.＜/p＞ ＜/li＞ ＜/ul＞ ＜p＞The Fourth Edition of ＜em＞A Clinical Guide to the Treatment of Human Stress Response＜/em＞ offers readers a dual perspective, exceedingly useful in examining the origins of the stress response, and in preventing and treating the response itself. This rich integrative volume will join its predecessors in popularity among practitioners and students across disciplines and specialties.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

＜p＞This book describes Pancreatic Islet Cell, Functions, Diseases, Diagnosis and Treatment and Related Diseases＜br /＞ The pancreas is an endocrine system and a glandular organ in the digestive system of humans.＜/p＞ ＜p＞It is both:＜/p＞ ＜ol＞ ＜li＞ ＜p＞An endocrine gland in the Islets of Langerhans producing several important hormones such as insulin, glucagon, somatostatin and pancreatic polypeptide.＜/p＞ ＜/li＞ ＜li＞ ＜p＞A digestive organ, secreting pancreatic juice containing digestive enzymes that assist the absorption of nutrients and the digestion in the small intestine＜br /＞ A healthy human pancreas contains about three million of the islet cells but their total weight is only 1 to 1.5 grams (0.03 to 0.05 ounces) or about 1% of the weight of the pancreas.＜br /＞ The majority of the pancreas is composed of acinar cells (99% of pancreas)＜br /＞ The pancreas is a solid gland measuring 20-25cm in length, 4-6cm in width and 3-4cm in depth.＜br /＞ It is firmly attached in the back of the abdominal cavity behind the stomach＜br /＞ The pancreas is a mixture of two glands, the exocrine pancreas and the endocrine pancreas.＜/p＞ ＜/li＞ ＜li＞ ＜p＞The exocrine pancreas releases substances into the intestine.＜/p＞ ＜/li＞ ＜li＞ ＜p＞The endocrine pancreas releases substances into the bloodstream.＜br /＞ The two glands function together during meals:＜/p＞ ＜/li＞ ＜li＞ ＜p＞To help digest the food (the exocrine pancreas).＜/p＞ ＜/li＞ ＜li＞ ＜p＞To inform the rest of the body that food is being digested and absorbed and on their way to other cells of the body (the endocrine pancreas).＜br /＞ Pancreatic Islets Cells＜br /＞ There are about 3 million islets spread in the form of density paths throughout the pancreas of a healthy adult human, each of which measures an average of about 0.1 mm (109 μm) in diameter＜br /＞ Each is detached from the adjoining pancreatic tissue by a thin fibrous connective tissue capsule which is constant with the fibrous connective tissue that is connected with the rest of the pancreas＜br /＞ The pancreatic islets make up 1-2% of the pancreas volume and receive 10?15% of its blood flow.＜br /＞ The endocrine pancreas has five types of cells:＜br /＞ 1.Alpha cells secrete glucagon (increase glucose in blood),＜br /＞ 2.Beta cells secrete insulin (decrease glucose in blood),＜br /＞ 3.Delta cells secrete somatostatin (regulates/stops alpha and beta cells), and＜br /＞ 4.PP cells or gamma cells (secrete pancreatic polypeptide).＜br /＞ 5.Epsilon cells produce ghrelin (＜/p＞ ＜/li＞ ＜/ol＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

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

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Clinical Manual for Assessment and Treatment of Suicidal Patients【電子書籍】[ John A. Chiles, MD ]

＜p＞Since the first edition of Clinical Manual for Assessment and Treatment of Suicidal Patients was published in 2005, advances have been made that increase our understanding of suicidal and self-destructive behavior. Although clinicians cannot unerringly predict which patients will die by suicide, they can focus more successfully on early identification of suicidal behavior and effective intervention, and this new edition of the clinical manual thoroughly explores not only assessment of suicidality but what comes after an at-risk patient has been identified. The authors argue that treating specific psychiatric disorders is not enough to prevent suicide, and they offer clinicians the necessary information and strategies to bridge that gap. The authors' main premise is that suicide is a dangerous and short-term problem-solving behavior designed to regulate or eliminate intense emotional pain -- a quick fix where a long-term effective solution is needed -- and this understanding is the underpinning of the assessment and treatment strategies the authors recommend.＜/p＞ ＜p＞The content of this new edition has been thoroughly reviewed and revised, and substantive changes have been made to specific chapters to ensure that the book represents the most current thinking and research, while retaining the strengths of the previous edition. The chapter on assessment has been revised to put the fundamental components of effective treatment in a clinical, case-oriented context and includes an easy-to-use assessment protocol that allows clinicians to determine where individual patients stand on seven dimensions (cognitive rigidity, problem-solving deficits, heightened mental pain, emotionally avoidant coping style, interpersonal deficits, self-control deficits, and environmental stress and social support deficits). The many issues involved in the use of psychotropic medications in suicidal patients are addressed in a new chapter, which includes information on the relevant classes of drugs (such as antidepressants and antianxiety agents) and the issues that may arise with their use, including side effects, degree of lethality, and tendency to aggravate suicidality on introduction and withdrawal of the medication. The chapter on special populations has been expanded to include adolescents, elders, and patients with co-occurring substance abuse or psychosis. Because of additional vulnerabilities, treating these groups may call for the use of added or special techniques to ensure the best therapeutic outcomes. Primary care physicians are the first point of contact for many patients, and they may require additional preparation in order to assess and respond to those experiencing suicidal thoughts. The chapter "Suicidal Patients in Primary Care" explores strategies for screening, recognizing, and assessing risk; treating the initial crisis; and developing a crisis management plan. "Tips for Success" appear at intervals, and "The Essentials" are included at the end of each chapter, highlighting the most important concepts. In addition, there are scores of helpful charts and exercises.＜/p＞ ＜p＞Practical, accessible, and reader-friendly, the Clinical Manual for Assessment and Treatment of Suicidal Patients is not an academic book but rather is one designed to become an indispensable part of clinicians' working libraries.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】The Fair and Equitable Treatment (FET) Standard in International Investment Arbitration Developing Countries in Context【電子書籍】[ Rumana Islam ]

＜p＞This book presents comprehensive information on a range of issues in connection with the Fair and Equitable Treatment (FET) standard, with a particular focus on arbitral awards against host developing countries, thereby contributing to the available literature in this area of international investment law. It examines in detail the interpretation of the FET standard of key arbitral awards affecting host developing countries, demonstrating the full range of interpretation approaches adopted by the current investment tribunals. At the same time, the book offers valuable practical guidance for counsels/scholars representing host developing countries in investment arbitration, where balancing the competing interests of the foreign investors and the host developing countries in investment disputes poses a complex challenge.＜/p＞ ＜p＞The book puts forward the pressing need for a re-conceptualized interpretation of the FET standard in tune with the developmental issues and challenges faced by host developing countries, recognizing these countries’ particular perspectives as an important and relevant aspect of investment disputes (often ignored by the current investment tribunals), while continuing to ensure reasonable protections for foreign investors and therefore serving the needs of the system as whole. The findings presented here will greatly benefit host developing countries engaged in investment arbitration. In addition, the book offers an insightful guide for all researchers whose work involves investment law and investment arbitration issues.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

＜p＞This book describes the Ganglion, Diagnosis, Treatment and Related Conditions＜br /＞ A ganglion is a medical disorder consisting of a cyst found next to tendon sheath or joint.＜/p＞ ＜p＞A ganglion is a small lump that has a thick gel-like material inside it.＜/p＞ ＜p＞It looks and feels like a smooth swelling under the skin.＜/p＞ ＜p＞A ganglion is normally attached to a joint or tendon, and the fluid inside is like a thicker form of the fluid which 'lubricates' the tendon sheaths and joint (synovial fluid).＜/p＞ ＜p＞The most frequent site for a ganglion to be found is on the back of the wrist.＜/p＞ ＜p＞It can also happen on the other side of the wrist, on the hand, and on the top of the foot.＜/p＞ ＜p＞Other sites of the body are involved less frequently.＜/p＞ ＜p＞It may happen at any part of the body but is most frequent on the dorsum of the hand or foot.＜/p＞ ＜p＞What is the cause of Ganglion?＜/p＞ ＜p＞It is not fully understood how it is formed.＜/p＞ ＜p＞The etiology of the ganglion is not known but the ganglion has within its cyst a mucinous fluid which is similar but thicker than the fluid inside a tendon sheath.＜/p＞ ＜p＞It has a stalk that can be attached to a tendon sheath or joint.＜/p＞ ＜p＞The present proposal for the cause of a Ganglion is that an effective check valve forms allowing fluid out of the joint, but not back in＜/p＞ ＜p＞Ganglion cysts are observed in children but frequently go off by themselves in this age group in 2 to 3 years.＜/p＞ ＜p＞A ganglion is a fluid-filled lump which can happen near joints or tendons.＜/p＞ ＜p＞It is not a cancer.＜/p＞ ＜p＞It is normally harmless but can be unsightly.＜/p＞ ＜p＞What are the symptoms of Ganglion?＜/p＞ ＜p＞The main symptom is one of swelling.＜/p＞ ＜p＞Ganglions (sometimes called ganglia) typically are very round and smooth.＜/p＞ ＜p＞They can vary from being very small (pea-sized) to being larger (plum-sized).＜/p＞ ＜p＞Larger ganglions can sometimes be ugly looking.＜/p＞ ＜p＞They may sometimes be painful, especially if they lie next to a nerve.＜/p＞ ＜p＞They never spread to other parts of the body.＜/p＞ ＜ol＞ ＜li＞ ＜p＞The onset is normally related to a history of trauma.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Local pain and swelling is present＜/p＞ ＜/li＞ ＜li＞ ＜p＞Feeling of weakness may be felt＜/p＞ ＜/li＞ ＜li＞ ＜p＞Swelling normally becomes bigger in size in relation to activity of patient.＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞Physical examination＜/p＞ ＜ol＞ ＜li＞ ＜p＞Hard swelling on the dorsum of hand or foot is often described as a small bone-like lump＜/p＞ ＜/li＞ ＜li＞ ＜p＞The ganglion is movable freely＜/p＞ ＜/li＞ ＜li＞ ＜p＞The ganglion is most obvious when the hand or foot is flexed.＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞Usually no tests are needed, and the doctor can diagnose if the lump is a ganglion just by feeling and examining the swelling.＜/p＞ ＜p＞If a ganglion does not cause symptoms it is best just to leave it alone.＜/p＞ ＜p＞Many people prefer to be rid of them, especially if they are producing discomfort or pain.＜/p＞ ＜p＞Many people know of the traditional treatment.＜/p＞ ＜p＞It is to smash them with a heavy book (traditionally the family bible - Gideon disease).＜/p＞ ＜p＞This will break the cyst under the skin.＜/p＞ ＜p＞The gel-like liquid is then taken into the tissue and then the bloodstream.＜/p＞ ＜ol＞ ＜li＞Aspiration of the Ganglion under local anesthesia.＜/li＞ ＜/ol＞ ＜p＞In some cases it is possible to aspirate (suck out) the fluid with a needle and syringe.＜/p＞ ＜p＞If the gel-like fluid is thickened and hard to suck this may not work.＜/p＞ ＜ol start="2"＞ ＜li＞ ＜p＞Punctuate the ganglion with a large sterile needle in many areas＜/p＞ ＜/li＞ ＜li＞ ＜p＞Inject it with a steroid medicine＜/p＞ ＜/li＞ ＜li＞ ＜p＞After the above procedures, compression dressing is applied for 48 to 72 hours.＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞Surgery:＜/p＞ ＜p＞If required, a ganglion can be removed by a small operation.＜/p＞ ＜p＞Surgery is resorted only if the other methods do not work or if symptoms continue.＜/p＞ ＜p＞Surgical excision of the ganglion is typically the most successful treatment.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Ganglion＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 External Carpi Ulnar Tendonitis＜br /＞ Chapter 8 Trigger Finger＜br /＞ Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

＜p＞This book describes Barrett’s Esophagus, Diagnosis and Treatment and Related Diseases＜br /＞ Barrett’s Esophagus (BE) is a disorder in which the esophagus lining is injured by stomach acid.＜br /＞ Barrett’s Esophagus is described as an esophagus in which any segment of the normal distal squamous epithelial lining has been substituted by metaplastic columnar epithelium.＜br /＞ This is clearly seen endoscopically (＞1 cm) above the gastro-esophageal junction and validated histopathologically from esophageal biopsies＜br /＞ People with BE have a higher risk for cancer in the area affected. Cancer is not frequent.＜br /＞ It is often subdivided into short-segment (less than 3 cm) or long-segment (more than 3 cm)＜br /＞ Causes＜br /＞ Barrett's esophagus occurs from chronic gastro-esophageal reflux.＜br /＞ The metaplastic columnar epithelium is at danger of rising stages of dysplasia resulting in invasive adenocarcinoma of the esophagus＜br /＞ The risk rises with longer period of time and raised frequency of gastro-esophageal symptoms.＜br /＞ Hiatus hernia is a danger factor and the size of the hernia is linked with the length of Barrett's esophagus＜br /＞ Some studies suggest a higher incidence of obesity, smoking and alcohol intake.＜br /＞ Risk factors for transformation to adenocarcinoma are:＜br /＞ 1.Male gender,＜br /＞ 2.Increasing age,＜br /＞ 3.Extended segment (＞8 cm) disease,＜br /＞ 4.Intestinal metaplasia,＜br /＞ 5.Duration of reflux history,＜br /＞ 6.Early age of onset of GERD,＜br /＞ 7.Duodeno-gastro-esophageal reflux,＜br /＞ 8.Mucosal damage (ulceration and stricture) and＜br /＞ 9.Family history＜br /＞ Symptoms＜br /＞ BE itself does not produce symptoms.＜br /＞ The acid reflux that produces Barrett’s Esophagus often results in symptoms of heartburn.＜br /＞ Diagnosis＜br /＞ The patient may require an endoscopy if GERD symptoms are severe or come back after treatment.＜br /＞ During the endoscopy, the doctor may obtain tissue samples from different parts of the food pipe to help diagnose the disorder.＜br /＞ They also help look for tissue alterations that could result in cancer.＜br /＞ The diagnosis of Barrett’s Esophagus needs biopsy verification of specialized intestinal metaplasia (SIM) in the esophagus＜br /＞ When high-grade dysplasia or cancer is discovered on surveillance endoscopy, endoscopic ultrasonography (EUS) is advised to evaluate for surgical removal.＜br /＞ Treatment＜br /＞ Treatment of GERD＜br /＞ The treatment should reduce acid reflux symptoms, and may keep BE from becoming worse.＜br /＞ The treatment may require lifestyle alterations and medicines such as:＜br /＞ 1.Antacids after meals and at bedtime＜br /＞ 2.Histamine H2 receptor blockers＜br /＞ 3.Proton pump inhibitors＜br /＞ 4.Avoiding alcohol and tobacco use＜br /＞ Lifestyle changes, medicines, and anti-reflux surgery may reduce symptoms of GERD.＜br /＞ Treatment of Barrett’s Esophagus＜br /＞ The doctor may advise surgery or other interventions to treat BE＜br /＞ Some of these procedures can eliminate the damaging tissue in the esophagus:＜br /＞ Photodynamic therapy (PDT) utilizes a special laser device, known as an esophageal balloon, together with a photosensitizer drug called Photofrin.＜br /＞ Other interventions utilize different types of high energy to damage the precancerous tissue.＜br /＞ Surgery to remove the abnormal lining＜br /＞ Esophageal cancers occurring in Barrett's esophagus determined by surveillance are often in the early stage and give an excellent prognosis.＜br /＞ When surveillance is regarded suitable, it should be done every 2-5 years, depending on the length of the involved segment and the presence of intestinal metaplasia.＜br /＞ The treatment of low-grade dysplasia is not obvious＜br /＞ It is advised that, after two pathologists have verified the diagnosis, surveillance endoscopy be done every six months.＜br /＞ High-grade dysplasia is linked with focusing on the presence of invasive adenocarcinoma in 30-40% of patients.＜br /＞ Esophagectomy is often done in severe dysplasia＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Barrett’s Esophagus＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Dysphagia＜br /＞ Chapter 8 Gastroesophageal Reflux Disease＜br /＞ Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Chemistry of Water Treatment【電子書籍】[ Samuel D. Faust ]

＜p＞This second edition demonstrates how chemistry influences the design of water treatment plants and how it should influence the design. Historically, water treatment plants have been designed from hydraulic considerations with little regard to chemical aspects. The many chemical reactions used for removal of pollutants from water simply cannot be forced to occur within current designs. This book re-examines this traditional approach in light of today's water quality and treatment. Will current water treatment processes be sufficient to meet future demands or will new processes have to be devised? Chemistry of Water Treatment assesses the chemical and physical efficacies of current processes to meet the demands of the Safe Drinking water Act, providing expert information to persons responsible for the production of potable water into the next century.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Enhancing the Storm Water Treatment Performance of Constructed Wetlands and Bioretention Basins【電子書籍】[ Isri R. Mangangka ]

＜p＞This book identifies the key hydrologic and hydraulic factors which influence the performance of stormwater quality treatment systems such as constructed wetlands and bioretention basins. Mathematical relationships derived using conceptual models underpinned by fundamental hydraulic theory are presented to predict treatment performance. The key highlights of the book will include the identification of the linkages between influential hydrologic and hydraulic factors for constructed wetlands and bioretention basins to support more accurate prediction of treatment performance and effective design of these types of stormwater treatment systems. Furthermore, this book will showcase an innovative approach for using conceptual models to analyze stormwater treatment system performance.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【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！】Behavioral Neuroscience of Attention Deficit Hyperactivity Disorder and Its Treatment【電子書籍】

＜p＞In this volume there is a strong emphasis on translational science, with preclinical approaches suggesting new directions for development of new treatments. Individual chapters describe how neuroimaging, neuroendocrine, genetic and behavioral studies use powerful research tools that are offering a completely new understanding of the factors that increase vulnerability to ADHD. The clinical impact of co-morbid problems, especially obesity and substance misuse, are highlighted and explain what such problems can tell us about the etiology of ADHD, more generally. Reviews of the pharmacology of established drug treatments for ADHD justify an exciting novel theory for their therapeutic actions and address questions about the effects of their long?term use.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Brain Arteriovenous Malformations Pathogenesis, Epidemiology, Diagnosis, Treatment and Outcome【電子書籍】

＜p＞This book reviews the natural course of arteriovenous malformation (AVM) disease and the active treatment modalities. These are compared with surgical and neuropsychological results achieved at the Military University Hospital, Prague, Czech Republic. Based on these comparisons, treatment recommendation for AVM is articulated. Furthermore, the long-term efficacy of different treatment is discussed.＜/p＞ ＜p＞This book is written by an international group of European authors, and is aimed at neurovascular surgeons and neurosurgical residents.＜/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！】Fanconi Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Fanconi syndrome is a medical disorder of the tubes of the kidney in which some substances normally re-absorbed into the bloodstream by the kidneys are excreted into the urine instead.＜br /＞ Fanconi syndrome indicates the generalized poor function of the kidney’s proximal tubules, not the other nephron segments＜br /＞ Fanconi syndrome results in:＜/p＞ ＜ol＞ ＜li＞Aminoaciduria,＜/li＞ ＜li＞Glycosuria,＜/li＞ ＜li＞Phosphaturia,＜/li＞ ＜li＞Renal tubular acidosis (RTA) type 2 (proximal),＜/li＞ ＜li＞Hypophosphatemic rickets (children) or osteomalacia (adults),＜/li＞ ＜li＞Renal glycosuria＜br /＞ It may be inherited or acquired:＜br /＞ Inherited＜/li＞ ＜li＞Primary idiopathic:＜br /＞ a. Sporadic or familial (autosomal dominant - chromosome 15).＜br /＞ This occurs in the absence of any identifiable reason, and most cases are sporadic.＜br /＞ Some cases are genetic, but the mode of inheritance appears to be variable (autosomal-dominant, autosomal-recessive, X-linked).＜/li＞ ＜li＞Secondary:＜br /＞ a. Cystinosis, tyrosinaemia,＜br /＞ b. Wilson's disease,＜br /＞ c. Lowe's syndrome (oculo-cerebro-renal syndrome: bilateral congenital cataracts, glaucoma, general hypotonia, hyporeflexia, severe learning disability and Fanconi syndrome),＜br /＞ d. Galactosemia,＜br /＞ e. Fructose intolerance,＜br /＞ f. Glycogen storage disorders and＜br /＞ g. Mitochondrial cytopathies.＜br /＞ Acquired＜/li＞ ＜li＞Intrinsic renal disease:＜br /＞ a. Acute tubular necrosis,＜br /＞ b. Interstitial nephritis,＜br /＞ c. Hypokalemic nephropathy,＜br /＞ d. Myeloma,＜br /＞ e. Amyloidosis,＜br /＞ f. Sjogren's syndrome,＜br /＞ g. Rejected transplant.＜/li＞ ＜li＞Hyperparathyroidism.＜/li＞ ＜li＞Drugs - e.g., cisplatin, ifosfamide, sodium valproate, tenofovir, aminoglycoside antibiotics and deferasirox＜/li＞ ＜li＞Toxins:＜br /＞ a. Glue sniffing,＜br /＞ b. Heavy metals,＜br /＞ c. Bee stings＜br /＞ Causes＜/li＞ ＜/ol＞ ＜p＞Fanconi syndrome can be caused by faulty genes or it may occur later in life due to kidney damage.＜br /＞ Fanconi syndrome is caused by many predominantly rare causes.＜br /＞ The most frequent causes of Fanconi syndrome in children are genetic defects that entail the body's capability to break down some substances such as:＜/p＞ ＜ol＞ ＜li＞ ＜p＞Cystine (cystinosis)＜/p＞ ＜/li＞ ＜li＞ ＜p＞Fructose (fructose intolerance)＜/p＞ ＜/li＞ ＜li＞ ＜p＞Galactose (galactosemia)＜/p＞ ＜/li＞ ＜li＞ ＜p＞Glycogen (glycogen storage disease)＜br /＞ Other causes in children are:＜/p＞ ＜/li＞ ＜li＞ ＜p＞Exposure to heavy metals such as lead, mercury, or cadmium＜/p＞ ＜/li＞ ＜li＞ ＜p＞Lowe syndrome,＜/p＞ ＜/li＞ ＜li＞ ＜p＞Wilson disease＜br /＞ In adults, Fanconi syndrome can be caused by a range of things that damage the kidneys, such as:＜/p＞ ＜/li＞ ＜li＞ ＜p＞Certain medicines, such as azathioprine, cidofovir, gentamicin, and tetracycline＜/p＞ ＜/li＞ ＜li＞ ＜p＞Kidney transplant＜/p＞ ＜/li＞ ＜li＞ ＜p＞Light chain deposition disease＜/p＞ ＜/li＞ ＜li＞ ＜p＞Multiple myeloma＜/p＞ ＜/li＞ ＜li＞ ＜p＞Primary amyloidosis＜br /＞ Symptoms＜/p＞ ＜/li＞ ＜li＞ ＜p＞Polyuria, polydipsia, dehydration＜/p＞ ＜/li＞ ＜li＞ ＜p＞Bone deformities＜br /＞ Diagnosis＜br /＞ The diagnosis is based on too much loss of substances in the urine (e.g., amino acids, glucose, phosphate, bicarbonate) in the absence of high plasma concentrations＜br /＞ Further tests are needed to identify the cause.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Proteinuria: normally, only in small amounts.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Hypo-kalemia, hypo-phosphatemia and hyper-chloremic metabolic acidosis＜br /＞ Further tests and a physical examination may show signs of:＜/p＞ ＜/li＞ ＜li＞ ＜p＞Dehydration due to excess urination＜/p＞ ＜/li＞ ＜li＞ ＜p＞Growth failure＜/p＞ ＜/li＞ ＜li＞ ＜p＞Osteomalacia＜/p＞ ＜/li＞ ＜li＞ ＜p＞Rickets＜/p＞ ＜/li＞ ＜li＞ ＜p＞Type 2 renal tubular acidosis＜br /＞ Treatment＜br /＞ Treatment mainly comprises of the replacement of substances lost in the urine and specific treatment for the underlying cause.＜br /＞ Treatments of the underlying cause are:＜/p＞ ＜/li＞ ＜li＞ ＜p＞Alkali and potassium for RTA (renal tubular acidosis), phosphate and calcitriol for phosphate wasting.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Dehydration due to polyuria＜/p＞ ＜/li＞ ＜li＞ ＜p＞Metabolic acidosis due to the loss of bicarbonate＜/p＞ ＜/li＞ ＜li＞ ＜p＞Thiazide diuretic: may be essential to prevent volume expansion＜/p＞ ＜/li＞ ＜li＞ ＜p＞Correction of metabolic acidosis＜/p＞ ＜/li＞ ＜li＞ ＜p＞Phosphate and vitamin D supplementation＜br /＞ Renal losses of glucose, amino acids, and uric acid are not normally symptomatic and do not need replacement.＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Fanconi Syndrome＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Glomerulonephritis＜br /＞ Chapter 8 Renal Failure＜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！】Intercostal Neuralgia, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Intercostal Neuralgia is a medical symptom which is caused by the compression of nerve in thoracic or the abdominal area (i.e., the ribcage).＜br /＞ This neuralgia is not a common disease where there is pain along the intercostal nerves.＜br /＞ These nerves run between the ribs and any form of injury to one of the nerves or any impairment of the function of nerve causes intercostal neuralgia.＜br /＞ There may be many causes for compression of this nerve like:＜/p＞ ＜ol＞ ＜li＞A ruptured abdominal tissue,＜/li＞ ＜li＞Abdominal distention,＜/li＞ ＜li＞Scar tissue formation around nerve,＜/li＞ ＜li＞Abdominal muscle overuse,＜/li＞ ＜li＞Irregular curvature of vertebrae＜/li＞ ＜li＞Surgical wounds between the ribs in and around the chest region can also be one of the causes in which this nerve can be injured.＜br /＞ These nerves can get damaged or inflamed due to different diseases or conditions leading to intercostal neuralgia.＜br /＞ The most frequent causes for intercostal neuralgia are:＜/li＞ ＜li＞Pregnancy, where the abdominal cavity enlarges and presses upwards against the chest ribs and muscles＜/li＞ ＜li＞Tumor, on the rib, inside the chest cavity or muscles can affect the nerves in the chest＜/li＞ ＜li＞Chest or rib injury, the nerves are compressed as a result of the chest injury＜/li＞ ＜li＞Injury to chest or organs in the chest cavity, have the effect of injuring the nerves in the chest＜/li＞ ＜li＞Infections such as shingles usually a single nerve and its branches that run along the intercostal groove or the skin above the nerve＜br /＞ Intercostal neuralgia is typically preventable and can be treated easily＜br /＞ The main symptom of intercostal neuralgia is pain in the intercostal (between ribs) area.＜br /＞ This pain can be bilateral, stabbing, sharp, tearing, or aching in nature.＜br /＞ The pain is present in and around the chest area on either side and may spread from the back towards the front of chest in a band-like fashion.＜br /＞ Pain is felt evenly sometimes along the length of ribs.＜br /＞ There is pain sometimes with breathing, laughing, or sneezing.＜br /＞ Intercostal neuralgia can also resolve by itself but normally requires treatment.＜/li＞ ＜li＞In patients where intercostal pain is frequently recurring, the particular part of the nerve causing pain requires to be destroyed.＜/li＞ ＜li＞NSAIDs assist in calming down pain and reducing inflammation.＜/li＞ ＜li＞Medications like neuropathic pain medications and capsaicin cream assist in relief of pain.＜/li＞ ＜li＞A TENS (Transcutaneous Electrical Nerve Stimulation) pain relieving unit also assists to relieve pain.＜/li＞ ＜li＞Epidural injections and sleeve injection of nerve root are also given.＜/li＞ ＜li＞Pulse Radiofrequency treatment is also used sometimes.＜/li＞ ＜li＞Intercostal nerve blocks with corticosteroid or local anesthetic may be given around the involved intercostal nerve.＜/li＞ ＜li＞Antidepressant medications assist in calming down nerve pain.＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Intercostal Neuralgia＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Trigeminal Neuralgia＜br /＞ Chapter 8 Shingles＜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！】Wirkfaktoren der psychoanalytischen Behandlung Causes for the Patient's Change in Analytic Treatment【電子書籍】[ Erich Fromm ]

＜p＞Was wirkt eigentlich bei einer Psychotherapie? Diese Frage ist mittlerweile empirisch gut erforscht. Umso interessanter ist, was Erich Fromm auf Grund seiner eigenen therapeutischen Erfahrung vor mehr als 50 Jahren als Wirkfaktoren ausgemacht hat. Neben konstitutionellen Wirkfaktoren nennt er unter anderem den Leidensdruck, das Vorhandensein einer Vision von dem, 'was jemand mit seinem Leben will', die Ernsthaftigkeit des Ver?nderungswunsches und die aktive Teilnahme des Patienten; nicht zuletzt aber ist auch die Pers?nlichkeit der Psychoanalytikerin und des Psychoanalytikers ein wichtiger Wirkfaktor. Der aus einem Vortrag von 1964 hervorgegangene Beitrag ist noch aus einem anderen Grund wichtig: Fromm unterscheidet in ihm zwischen einer gutartigen und einer b?sartigen Neurose und zeigt deutlich die Grenzen der psychoanalytischen Behandlung auf. Vor allem enth?lt er - fast ein Unikum bei Fromm - ein erhellendes Fallbeispiel.＜/p＞ ＜p＞Erich Fromm, Psychoanalytiker, Sozialpsychologe und Autor zahlreicher aufsehenerregender Werke, wurde 1900 in Frankfurt am Main geboren. Der promovierte Soziologe und praktizierende Psychoanalytiker widmete sich zeitlebens der Frage, was Menschen ?hnlich denken, f?hlen und handeln l?sst. Er verband soziologisches und psychologisches Denken. Anfang der Drei?iger Jahre war er mit seinen Theorien zum autorit?ren Charakter der wichtigste Ideengeber der sogenannten 'Frankfurter Schule' um Max Horkheimer. 1934 emigrierte Fromm in die USA. Dort hatte er verschiedene Professuren inne und wurde 1941 mit seinem Buch 'Die Furcht vor der Freiheit' weltbekannt. Von 1950 bis 1973 lebte und lehrte er in Mexiko, von wo aus er nicht nur das Buch 'Die Kunst des Liebens' schrieb, sondern auch das Buch 'Wege aus einer kranken Gesellschaft'. Immer st?rker nahm der humanistische Denker Fromm auf die Politik der Vereinigten Staaten Einfluss und engagierte sich in der Friedensbewegung. Die letzten sieben Jahre seines Lebens verbrachte er in Locarno in der Schweiz. Dort entstand das Buch 'Haben oder Sein'. In ihm res?mierte Fromm seine Erkenntnisse ?ber die seelischen Grundlagen einer neuen Gesellschaft. Am 18. M?rz 1980 ist Fromm in Locarno gestorben.＜/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！】Combination Treatment in Autoimmune Diseases【電子書籍】

＜p＞W. B. Harrison, B. A. C. Dijkmans During the last decade intervention has been instituted for all kinds of disease- even in a premorbid state, as early as possible, to control the activity of the disease, to avoid further damage and to maintain quality of life. Apart from the principle 'Treat now, not later", emphasis is laid on aggressive initial therapy. These adagia have influenced in recent times all fields of medicine, from oncology to infectious diseases and also - the topic of the present edition - the "autoimmune diseases". As an example of the latter, rheumatoid arthritis (RA) demonstrates how the attitude of physicians has been changed. From an expectant point of view in the eighties (primum nil nocere) the attitude has been changed, as we approached and entered the new millennium, to initial ag gressive therapy especially in patients with a poor prognosis. Despite the advance of instituting monotherapy with a single optimised disease-modifying anti-rheumatic drug (DMARD) - with methotrexate as prototype agent in RA - adequate disease re mission is not often achieved, and adverse events may well prevent the use of higher dosages of the single agent in question. Therefore, the next step was to combine two or more DMARDs. The choice of combining DMARDs can be purely practical and based upon the anti-rheumatics most used in daily practice, for instance methotrexate and sulphasalazine. The choice of combining drugs can be influenced by different toxicity patterns to avoid cumulative toxicity.＜/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 Diseases of Dogs - Their Causes, Symptoms and Treatment【電子書籍】[ Hugh Dalziel ]

＜p＞Originally published in the mid 1800s. This is the revised and enlarged edition of 1897. It also contains Instructions in cases of Injury and Poisoning and brief directions for maintaining a dog in good health. The author was a well known personality in the dog world and wrote many other breed and veterinary books. Many of the earliest dog books, particularly those dating back to the 1900s and before, are now extremely scarce and increasingly expensive. Home Farm Books are republishing many of these classic works in affordable, high quality, modern editions, using the original text and artwork.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】Secondary Hypertension Clinical Presentation, Diagnosis, and Treatment【電子書籍】

＜p＞Secondary forms of hypertension are not uncommon in clinical prac tice, but they are often overlooked or forgotten by clinicians in many fields of medicine. Dr. George Mansoor' s volume on Secondary Hyper tension is an important contribution to the field of clinical hypertension and vascular diseases, since it brings up to date the numerous diagnostic and therapeutic advances in the evaluation for secondary types of hyper tension. In the past, textbooks usually stated that an etiology could be determined in less than 5% of patients presenting with newly diagnosed hypertension. We now know this is far too low a proportion (e.g., pri mary hyperaldosteronism alone may account for hypertension in 5% of patients presenting with chronic elevations in blood pressure). Secondary Hypertension has been thoughtfully organized into chap ters evaluating screening and diagnosis, as well as medical and/or sur gical intervention of the well-known etiologies of secondary hypertension in adults and children. Additional coverage is given to such exogenous or lesser appreciated causes of secondary hypertension as obstructive sleep apnea and drugs. These sections make this book novel because in the past little attention has been paid to the effects of noncar diac drugs that interfere with antihypertensive therapy or to exogenous substances that might induce refractory hypertension.＜/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！】New Findings on Aclarubicin in the Treatment of Acute Myeloid Leukemia【電子書籍】

＜p＞Since the introduction of new anthracycline derivatives and anthrachi none analogues a few years ago, aclacinomycin A (Aclarubicin) has become an established agent for the treatment of hematologic malig nancies. A special symposium was therefore held during the congress of the German Society of Hermatology and Oncology in Hannover in October 1989 to provide an up-to-date overv.iew. Leading experts from the United States, Sweden, and Germany reported on the results being obtained with aclacinomycin A, alone or combined with other agents, in patients with acute leukemias and myelodysplastic syndromes. This book is based on their contributions. As regards single-agent treatment, aclacinomycin A in myelodys plastic syndromes is dealt with, as well as its application in older patients with acute myeloid leukemia. Four contributions are devoted to the use of aclacinomycin A in combination with conventional or intermediate dose cytosine arabinoside or etoposide in patients with relapsed or refractory acute myeloid leukemia. The results reported indicate that aclacinomycin A has substantial activity in the treatment of hematologic malignancies. In summary, this book provides a valuable update on the current status of aclacinomycin A as used by experts in the treatment of he matologic malignancies.＜/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！】Lip Cancer Treatment and Reconstruction【電子書籍】

＜p＞This textbook is intended as a comprehensive reference that will provide easy-to-follow and well-organized guidance on the management of lip cancer, from diagnosis to treatment and reconstruction. After discussion of anatomy and premalignant conditions, detailed attention is paid to squamous cell carcinoma of the lip. Surgical management is explained, and the roles of radiation therapy and chemotherapy, discussed. Reconstruction techniques following ablative surgery are then described in depth, with reference to defect size and complexity. In addition, the potential complications of treatment and reconstruction are presented, with advice on their management. The closing chapter considers other malignant lesions of the lip. The informative text is complemented by high-quality illustrations and clinical and radiographic material. The contributors all have extensive experience and in-depth knowledge of the topics they address.＜/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。