気まぐれ屋

洋書 Page Street Publishing Paperback, Save the Bees with Natural Backyard Hives: The Easy and Treatment-Free Way to Attract and Keep Healthy Bees

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

洋書 Paperback, Varicose Veins: Their Nature, Consequences, And Treatment, Palliative And Curative (1864)

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

洋書 Springer Paperback, Metastasis of Colorectal Cancer (Cancer Metastasis - Biology and Treatment, 14)

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

【メール便送料無料、通常24時間以内出荷】【中古】 Live StrongInspirational Stories from Cancer Survivors-from Diagnosis to Treatment and Beyond The Lance Armstrong Foundation / The Lance Armstrong Foundation / Broadway [ハードカバー]【メール便送料無料】

著者：The Lance Armstrong Foundation出版社：Broadwayサイズ：ハードカバーISBN-10：0767921380ISBN-13：9780767921381■通常24時間以内に出荷可能です。※繁忙期やセール等、ご注文数が多い日につきましては 出荷まで48時間かかる場合があります。あらかじめご了承ください。 ■1冊から送料無料です。■中古品ではございますが、良好なコンディションです。決済は、クレジットカード、代引き等、各種決済方法がご利用可能です。■万が一品質に不備が有った場合は、返金対応。■クリーニング済み。■商品状態の表記につきまして・非常に良い： 使用されてはいますが、 非常にきれいな状態です。 書き込みや線引きはありません。・良い： 比較的綺麗な状態の商品です。 ページやカバーに欠品はありません。 文章を読むのに支障はありません。・可： 文章が問題なく読める状態の商品です。 マーカーやペンで書込があることがあります。 商品の傷みがある場合があります。基本的に付録・付属品等付いていない状態です。

【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！】Encyclopaedia of Animal Diseases Diagnosis and Treatment (Principles And Methods Of Sampling In Animal Diseases Surveys)【電子書籍】[ Neil Turner ]

＜p＞Bacterial diseases are infectious in nature, i.e. they can be transmitted from one host to another. Outbreaks of infectious diseases are often compared with forest fires. Once a fire has spread through an area, it does not return until new trees have grown up. Outbreaks develop when a large population of susceptible animals is present. lf immunized animals are present in the herd, then outbreaks cannot occur until a sufficient number of young, non-resistant animals have been bred or non-immune animals from outside are introduced in the herd. The development of a bacterial disease is a complex process involving many factors. Many a time, control activities reflect compromises among alternatives. To proceed intelligently, one must identify components of the bacterial dissemination which are primarily responsible for a particular disease. Control measures should be directed towards that part of the cycle which is most susceptible to control the weakest links in the chain of disease process. The restriction of movement of animals suffering from, or exposed to, infection is one of the oldest tools known to preventive medicine. The principle of quarantine of domesticated animals was applied as early as roman times. The early detection of a disease in a population of animals- a herd of cattle, for example-is particularly useful in controlling certain chronic infectious diseases, such as mastitis, brucellosis and tuberculosis. Laboratory tests like agglutination test in pullorum disease, the tuberculin skin test for tuberculosis and chemical tests performed on milk to diagnose bovine mastitis are used for the detection of diseases in an animal population. Laboratory tests to confirm the existence of diseased animals in a population, followed by slaughter of the affected animals, have been of great value in controlling infectious and genetic diseases. Bovine tuberculosis has been eliminated from Denmark, Finland and Netherland and reduced to a low level in various other countries like Great Britain, Japan, United States and Canada by this method. The present book has been carefully compiled and edited to meet the long felt needs of increasingly number of students and researchers who have to deal with the different aspects of animal diseases. it is intended that the book will prove to be a valuable reference on veterinary 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。

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

＜p＞This book describes Lewy Body Dementia, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞Lewy body dementia (LBD) is a disease linked with abnormal deposits of a protein termed alpha-synuclein in the brain.＜/p＞ ＜p＞These deposits, termed Lewy bodies, affect chemicals in the brain whose alterations, in turn, can cause problems with thinking, movement, behavior, and mood.＜/p＞ ＜p＞Lewy bodies are small, circular deposits of alpha-synuclein proteins that collect in brain cells and are often discovered in Parkinson's patients.＜/p＞ ＜p＞Lewy-Body Dementia (LBD) is normally discovered in those with no family history of the disorder.＜/p＞ ＜p＞It is not known precisely how Lewy bodies affect brain function and cause dementia.＜/p＞ ＜p＞Doctors believe that the bodies disrupt the functioning of dopamine and acetylcholine, messenger chemicals accountable for regulating memory, mood, learning, and cognition.＜/p＞ ＜p＞Most manifest with a movement disorder part and the diagnosis obtained in life often depends on the interval between the diagnosis of dementia and the start of movement disorder symptoms.＜/p＞ ＜p＞If a medical diagnosis of Parkinson disease is accompanied by dementia a minimum of 1 year later, then a diagnosis of Parkinson disease dementia (PDD) is made.＜/p＞ ＜p＞If the start of dementia happen before or is concurrent with the start of Parkinson disease, then the medical diagnosis of dementia with Lewy bodies (not to be confused with LBD) is made.＜/p＞ ＜p＞By the time the postmortem diagnosis of LBD can be verified, years would have passed since the initial medical diagnosis, making Parkinson disease dementia and LBD difficult to differentiate.＜/p＞ ＜p＞Most LBDs are sporadic and are often linked with higher age and the male sex.＜/p＞ ＜p＞Lewy Body Dementia (LBD) comprises 2 medical entities:＜/p＞ ＜ol＞ ＜li＞Dementia with Lewy bodies (DLB) and＜/li＞ ＜li＞Parkinson disease dementia (PDD).＜/li＞ ＜/ol＞ ＜p＞It is a progressive degenerative brain disorder featured by dementia, psychosis, and symptoms of Parkinson disease.＜/p＞ ＜p＞DLB and Parkinson disease dementia have typical neuropathology alterations, such as deposit of alpha-synuclein in Lewy bodies and neurites, and loss of tegmental dopamine cell populations and basal forebrain cholinergic populations.＜/p＞ ＜p＞It is the third most frequent form of dementia after Alzheimer disease and Vascular dementia.＜/p＞ ＜p＞It features the deposition of Lewy bodies in the brain that are intra-neuronal cytoplasmic inclusion bodies having aggregates of alpha-synuclein and ubiquitin.＜/p＞ ＜p＞Diagnosing LBD can be difficult.＜/p＞ ＜p＞Early LBD symptoms are often confused with similar symptoms present in other brain diseases or in psychiatric disorders.＜/p＞ ＜p＞It is a progressive disorder, indicating that the symptoms start slowly and worsen over time.＜/p＞ ＜p＞The disease persists an average of 5 to 8 years from the time of diagnosis to death, but can vary from 2 to 20 years for some people.＜/p＞ ＜p＞In the early stages of LBD, symptoms can be negligible, and people can function fairly normally.＜/p＞ ＜p＞The most frequent symptoms are changes in cognition, movement, sleep, and behavior.＜/p＞ ＜p＞As the disease progresses, people with LBD require more help due to deterioration in thinking and movement abilities.＜/p＞ ＜p＞In the later stages of the disease, they often are dependent totally on others for assistance and care.＜/p＞ ＜p＞Some LBD symptoms may react to treatment for a period of time.＜/p＞ ＜p＞Several medicines and other treatments are accessible to treat LBD symptoms.＜/p＞ ＜p＞Presently, there is no cure for the disease.＜/p＞ ＜p＞Research is improving the understanding of this difficult disorder, and advances in science may one day result in better diagnosis, improved care, and new treatments.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Lewy Body Dementia＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Pick Disease＜br /＞ Chapter 8 Dementia＜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！】Textbook of Clinical Nutrition and Functional Medicine, vol. 1 Essential Knowledge for Safe Action and Effective Treatment【電子書籍】[ Alex Vasquez ]

＜p＞"Textbook of Clinical Nutrition and Functional Medicine, Volume 1: Essential Knowledge for Safe Action and Effective Treatment" (2016) updates and extends the previous Inflammation Mastery / Functional Inflammology, Volume 1 (2014); this 2-volume work is also published in the single volume of "Inflammation Mastery 4th Edition" (2016). This work is the culmination of several thousand research publications combined with Dr Vasquez’s many years of clinical experience and teaching graduate-level students and doctorate-level clinicians worldwide. With radiographs, photos, acronyms, illustrations, flowcharts, and detailed-yet-simplifying explanations, Dr Vasquez makes it easier than ever for clinicians to grasp important concepts in integrative care and functional medicine and then to translate the basic science research and molecular biology into treatment plans that can be explained and used in “the real world” of clinical practice with patients. The associated video tutorials and recorded live conference presentations further help students and clinicians “get it” via Dr Vasquez’s effective teaching style which embraces complexity while always emphasizing clinical applicability and psychosocial context. The Inflammation Mastery & Functional Inflammology series of books and videos translates important concepts and nutritional/biomedical science into easy and practical clinical applications for the prevention and treatment of disorders of sustained inflammation, which Dr Vasquez describes as “patterns of metabolic disturbance and inflammatory dysfunction” existing in three sequential and overlapping categories: 1) metabolic inflammation, 2) allergic inflammation, 3) autoimmune inflammation. This book includes access to video presentations which introduce the origin and components of the Functional Inflammology Protocol and FINDSEX? acronym. Post-publication updates to this information and important social and clinical contextualization are made available in videos and online repositories (access provided in the book), and the e-newsletter available from ICHNFM.ORG. This textbook also provides access, via reprints or hyperlinks, to Dr Vasquez’s published articlesーan example of which is his recent paradigm-shifting editorial published in the journal Alternative Therapies in Health and Medicine (2014 January). The updated section on pain management allows students and clinicians to understand and apply manual, pharmacologic, nutritional and botanical medicine treatments for musculoskeletal pain, thereby providing better relief for patients and avoiding the hazards of NSAIDs, coxibs, steroids, opioids, immunosuppressants and biologics.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

＜p＞This book describes Pain Management, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞Pain and suffering is part of human life.＜/p＞ ＜p＞As much as people try to avoid pain, the reality is that there can be no gain without pain.＜/p＞ ＜p＞Pain is a symptom which appears as an unpleasant sensation in the human body in different degrees of severity as a result of injury, disease, or emotional disorder.＜/p＞ ＜p＞Definition of pain＜/p＞ ＜ol＞ ＜li＞Pain is a sensation which starts in the nervous system and hurts the body.＜/li＞ ＜li＞It may be sharp or dull.＜/li＞ ＜li＞Pain may be intermittent, or it may be constant.＜/li＞ ＜li＞Pain may be felt in one area of the body, such as the back, abdomen or chest or all over such as body aches from a viral infection.＜/li＞ ＜/ol＞ ＜p＞Function of Pain＜/p＞ ＜p＞Pain is the body’s sensation which tells the body where there is a problem, injury or disease.＜/p＞ ＜p＞Without pain, a person may not even know that he has been injured or burned.＜/p＞ ＜p＞A person might be seriously burnt or injured if there is no pain.＜/p＞ ＜p＞Once the disorder is treated, the pain normally disappears.＜/p＞ ＜p＞In some cases, pain goes on for weeks, months or even years.＜/p＞ ＜p＞This is called chronic pain.＜/p＞ ＜p＞Chronic pain is normally due to a prolonged cause such as cancer or arthritis.＜/p＞ ＜p＞Occasionally the cause is not known.＜/p＞ ＜p＞Degree of Pain＜/p＞ ＜p＞A. Acute pain tends resolve in a short period of time but has sharp, aching sensation linked with it.＜/p＞ ＜p＞The degree of pain depends on the severity:＜/p＞ ＜ol＞ ＜li＞ ＜p＞Unimaginable or unspeakable Pain:＜br /＞ Birth or Labor Pain has been depicted as the highest degree of pain＜/p＞ ＜/li＞ ＜li＞ ＜p＞Excruciating or Unbearable Pain:＜br /＞ Kidney stone or gall stone blockage pain has been depicted as the number two in the degree of pain＜/p＞ ＜/li＞ ＜li＞ ＜p＞Utterly Horrible Pain:＜br /＞ Crushed hand or limb as a result of accident give rise to severe degree of pain＜/p＞ ＜/li＞ ＜li＞ ＜p＞Very Intense Pain:＜br /＞ Nerve pain such as sciatica or neuralgia has also depicted as severe pain＜/p＞ ＜/li＞ ＜li＞ ＜p＞Intense Pain:＜br /＞ Severe migraine headache or the intense pain of a burst brain aneurysm＜/p＞ ＜/li＞ ＜li＞ ＜p＞Very Distressing Pain:＜br /＞ Very Bad Back Pain＜/p＞ ＜/li＞ ＜li＞ ＜p＞Distressing Pain:＜br /＞ Average Toothache＜/p＞ ＜/li＞ ＜li＞ ＜p＞Severe Pain:＜br /＞ Accidental cut or a blow on the nose＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞B. Chronic pain is normally dull, throbbing ache that could persist more than 6 months.＜/p＞ ＜p＞For someone who suffered from chronic pain, chronic pain can influence their everyday life without their realizing it.＜/p＞ ＜p＞Chronic pain is also linked to＜br /＞ Depression＜br /＞ Anxiety＜br /＞ Sleeping disorders.＜/p＞ ＜p＞This may even reduce chronic pain sufferers’ ability to stay normal.＜/p＞ ＜p＞Chronic pain could affect mobility and flexibility.＜/p＞ ＜p＞Pain can induce alterations in the physical and emotional health, such as depression and sleep disorders.＜/p＞ ＜p＞Pain management may assist the patient to rest, heal, and return to the daily activities.＜/p＞ ＜p＞Pain management involves medicines and treatments to treat pain from a surgery, injury, or illness.＜/p＞ ＜p＞Non-opioids:＜br /＞ Acetaminophen＜br /＞ NSAIDS＜br /＞ Weak opioids:＜br /＞ Codeine＜br /＞ Tramadol＜br /＞ Strong Opioids:＜br /＞ Fentanyl＜br /＞ Morphine＜/p＞ ＜p＞Non-pharmacological treatments:＜br /＞ Acupuncture＜br /＞ Biofeedback＜br /＞ Braces and supports＜br /＞ Chiropractic therapy＜br /＞ Cognitive-behavioral therapy＜br /＞ Electromuscular stimulation＜br /＞ Guided imagery＜br /＞ Hot/cold packs＜br /＞ Hypnosis＜br /＞ Massage＜br /＞ Mindfulness＜br /＞ Physical and occupational therapy＜br /＞ Psychosocial therapy＜br /＞ Radiofrequency ablation＜br /＞ Relaxation＜br /＞ Spinal cord stimulation＜br /＞ Surgery＜br /＞ Transcutaneous electrical nerve stimulation (TENS)＜br /＞ Ultrasound＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Pain Management＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Pain management Specialist＜br /＞ Chapter 8 Trigeminal Neuralgia＜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！】Emerging Treatment Technologies for Waste Management【電子書籍】

＜p＞This book is focused on the current status of industrial pollution, its source, characteristics, and management through various advanced treatment technologies. The book covers the recycle, reuse and recovery of waste for the production of value-added products. The book explores industrial wastewater pollution and its treatment through various advanced technologies and also the source and characteristics of solid waste and its management for environmental safety. It discusses new methods and technologies to combat the waste-related pollution and focuses on the use of recycled products. This book is of value to upcoming students, researchers, scientists, industry persons and professionals in the field of environmental science and engineering, microbiology, biotechnology, toxicology, further it is useful for global and local authorities and policy makers responsible for the management of liquid and solid wastes.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

＜p＞This book describes Mallory Weiss Syndrome, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞Mallory-Weiss syndrome (MWS) is one of the frequent causes of acute upper gastrointestinal (GI) bleeding, featured by the presence of longitudinal superficial mucosal lacerations (Mallory-Weiss tears).＜/p＞ ＜p＞Serious and prolonged vomiting can cause tears in the lining of the esophagus.＜/p＞ ＜p＞Doctors Mallory and Weiss in 1929 accurately depicted this disorder as lower esophageal lacerations happening to patients with repetitive forceful retching and vomiting after excessive alcohol intake.＜/p＞ ＜p＞The esophagus is the tube that joins the throat to the stomach.＜/p＞ ＜p＞Mallory-Weiss syndrome (MWS) is a disorder marked by a tear in the mucous membrane, or inner lining, where the esophagus meets the stomach.＜/p＞ ＜p＞Most tears recover within 7 to 10 days without treatment, but Mallory-Weiss tears can produce considerable bleeding.＜/p＞ ＜p＞Depending on the severity of the tear, surgery may be essential to correct the injury.＜/p＞ ＜p＞These tears happen primarily at the gastroesophageal junction and may extend proximally to involve the lower or even mid esophagus and at times extend distally to involve the proximal portion of the stomach.＜/p＞ ＜p＞The diagnosis of MWS is normally confirmed with endoscopy.＜/p＞ ＜p＞The average esophageal MWS tear is about 2-4 cm in length＜/p＞ ＜p＞Most patients have only one tear of the mucosa near the GE junction.＜/p＞ ＜p＞The tear is just below the GE junction on the lesser curvature of the stomach.＜/p＞ ＜p＞The most frequent cause of MWS is severe or prolonged vomiting.＜/p＞ ＜p＞While this type of vomiting can happen with stomach illness, it also often happens due to chronic alcohol abuse or bulimia.＜/p＞ ＜p＞Heavy alcohol consumption is regarded as one of the most significant predisposing factors since about 50% to 70% of the patients diagnosed with Mallory-Weiss syndrome have a history of alcoholism.＜/p＞ ＜p＞The severity of the upper GI bleeding with Mallory-Weiss syndrome is also documented to be higher with the concurrent presence of portal hypertension and esophageal varices.＜/p＞ ＜p＞The relationship between a hiatal hernia and Mallory-Weiss syndrome is still debatable.＜/p＞ ＜p＞A hiatal hernia was present in a large number of cases with Mallory-Weiss syndrome while a case-control study found no difference in the incidence of a hiatal hernia between patients with Mallory-Weiss syndrome and the control group.＜/p＞ ＜p＞Other risk factors are:＜/p＞ ＜ol＞ ＜li＞Bulimia nervosa,＜/li＞ ＜li＞Hyperemesis gravidarum and＜/li＞ ＜li＞Gastroesophageal reflux disease (GERD).＜/li＞ ＜/ol＞ ＜p＞In a large number of patients (around 25% of cases), none of these risk factors were identified.＜/p＞ ＜p＞The disorder is triggered by repeated acts of a sudden rise of the intra-abdominal pressure such as retching, vomiting, straining, coughing, cardiopulmonary resuscitation or blunt abdominal traumas.＜/p＞ ＜p＞Iatrogenic Mallory-Weiss syndrome is normally infrequent.＜/p＞ ＜p＞Mallory-Weiss syndrome does not always cause symptoms in mild cases.＜/p＞ ＜p＞This is more frequent in mild instances when tears of the esophagus produce only a small quantity of bleeding and resolve quickly without treatment.＜/p＞ ＜p＞In 85% of cases, the presenting symptom is hematemesis.＜/p＞ ＜p＞The quantity of blood is inconsistent varying from blood-streaked mucus to massive bright red bleeding.＜/p＞ ＜p＞In case of serious bleeding, other symptoms such as melena, dizziness, or syncope can be present.＜/p＞ ＜p＞Upper GI endoscopy is the gold standard for specifically diagnosing Mallory Weiss tears, and treating simple active esophageal bleeding.＜/p＞ ＜p＞Other treatments are:＜/p＞ ＜ol＞ ＜li＞Multipolar electrocoagulation (MPEC),＜/li＞ ＜li＞Injection of a sclerosant agent,＜/li＞ ＜li＞Argon plasma coagulation (APC), or＜/li＞ ＜li＞Endoscopic band ligation.＜/li＞ ＜li＞Epinephrine local injection＜/li＞ ＜/ol＞ ＜p＞Surgery is seldom required.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Mallory Weiss Syndrome＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Gastrointestinal Bleeding＜br /＞ Chapter 8 Esophagitis＜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！】PHARMACOLOGICAL & NON-PHARMACOLOGICAL TREATMENT SMART CARD【電子書籍】[ Gunasekaran Thirumurugan ]

＜p＞Pharmacological & Non-Pharmacological treatment: Smart Card, provides standard information for treating diseases/disorders. Author provided only high standard information as it is extracted from WHO GUIDELINES, NATIONAL FORMULARY, STANDARD DRUG REFERENCES AND PHARMACOPOEIAS. For example, author recommended "ORLISTAT" is the only drug of choice for the treatment of OBESITY AND OVERWEIGHT instead of the CNS agent "sibutramine" which has a side effects compared with orlistat. THIS BOOK IS AN USEFUL REFERENCE AND MEMORY SMART CARD FOR MEDICAL, PARAMEDICAL STUDENTS AND PATIENTS OR ANY ONE WHO SEEK PRECISE MEDICAL INFORMATION FOR THE TREATMENT.＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

＜p＞This book describes Astigmatism, Diagnosis and Treatment and Related Diseases＜/p＞ ＜p＞Why is Astigmatism so important?＜br /＞ It is to me because I develop astigmatism after my cataract operation.＜br /＞ It affects my night vision to the extent that I have wear eye glasses when driving at night.＜/p＞ ＜p＞Astigmatism is a disorder in which the cornea of the eye is curved differently leading to blurred and distorted vision at all distances.＜/p＞ ＜p＞The eyeball is flattened normally from above downwards or occasionally sideways or along an oblique axis.＜/p＞ ＜p＞It is different from near or far sightedness.＜/p＞ ＜p＞It is therefore important to recognize Astigmatism and seek the correct treatment for it.＜/p＞ ＜p＞Astigmatism is a frequent form of refractive error that produces blurred vision＜/p＞ ＜p＞It appears when the cornea (the clear front cover of the eye) is irregularly shaped (more oval than round) or occasionally due to the curvature of the lens inside the eye.＜/p＞ ＜p＞Astigmatism is induced by an irregularly shaped cornea or lens that stops light from focusing properly to a single point on the retina, the light-sensitive surface at the back of the eye.＜/p＞ ＜p＞In this instance, the vision becomes out of focus at any distance.＜/p＞ ＜p＞Also, the curvature of the lens inside the eye can alter, resulting in a rise or reduction of the degree in astigmatism.＜/p＞ ＜p＞This change often happens in adulthood and can happen before the development of naturally happening cataracts.＜/p＞ ＜p＞Astigmatism often happens with other vision disorders like myopia (nearsightedness) and hyperopia (farsightedness).＜/p＞ ＜p＞Together these vision disorders are regarded as refractive error disorders since they influence how the eyes bend or "refract" light.＜/p＞ ＜p＞Astigmatism is normally an inherited disorder where the curvature of the cornea of the eye is different from a normal person.＜/p＞ ＜p＞Due to the curvature the eye is seeing the objects in front of it at a different angle.＜/p＞ ＜p＞The light is entering the eye at a different angle which cast shadows and induces blurred vision.＜/p＞ ＜p＞Other causes of Astigmatism are from:＜/p＞ ＜ol＞ ＜li＞Eye surgery or＜/li＞ ＜li＞Sport injuries＜/li＞ ＜/ol＞ ＜p＞Astigmatism appears when the light is bent differently depending on where it reaches the cornea and passes through the eyeball.＜/p＞ ＜p＞It can happen due to a relatively rare disorder called keratoconus in which the cornea becomes progressively thinner and cone-shaped＜/p＞ ＜p＞The astigmatism can decrease or increase over time.＜/p＞ ＜p＞Astigmatism can involve both children and adults.＜/p＞ ＜p＞Some patients with slight astigmatism will not observe much change in their vision.＜/p＞ ＜p＞It is essential to have eye examinations at regular intervals in order to detect any astigmatism early on for children.＜/p＞ ＜p＞The most important symptom is blurred vision at any distance, unlike near or far sightedness.＜/p＞ ＜p＞Other symptoms are:＜/p＞ ＜ol＞ ＜li＞Blurred and distorted vision of near and distant objects＜/li＞ ＜li＞Blurring of vertical, horizontal and diagonal lines＜/li＞ ＜li＞Eye strain and fatigue＜/li＞ ＜li＞Sensitivity to light＜/li＞ ＜li＞Tired and dry eyes＜/li＞ ＜li＞Headaches＜/li＞ ＜li＞Squinting＜/li＞ ＜li＞Difficulty seeing and driving at night＜/li＞ ＜/ol＞ ＜p＞An eye examination is accompanied by vision tests and computerized testing of the curvature of eye, nearsightness, farsightness and any other abnormality of eye vision.＜/p＞ ＜p＞A keratometer measures the curvature of the cornea.＜/p＞ ＜p＞The treatment of astigmatism can be done with eyeglasses, contact lenses, or surgery.＜/p＞ ＜p＞The person’s lifestyle affects the way the astigmatism is treated.＜/p＞ ＜p＞Orthokeratology requires the fitting of a series of rigid contact lenses to reshape the cornea.＜/p＞ ＜p＞Refractive Surgery aims to alter the shape of the cornea permanently.＜/p＞ ＜p＞Astigmatism can also be treated by reshaping the cornea through LASIK (laser in situ keratomileusis) or PRK (photorefractive keratectomy).＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Astigmatism＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Farsightedness＜br /＞ Chapter 8 Nearsightedness＜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！】Fibromyalgia A Guide to the Symptoms, Management, and Treatment of Fibromyalgia and Chronic Fatigue【電子書籍】[ Jessica Rose ]

＜p＞＜strong＞FIBROMYALGIA＜/strong＞＜/p＞ ＜p＞?Whether you have fibromyalgia or are just looking to understand better what fibromyalgia is, this book will be able to help. The more you know about fibromyalgia, the easier it will be for you to help yourself or a loved one deal with this challenging condition.＜/p＞ ＜p＞Inside this book, we will discuss what fibromyalgia is, how it is diagnosed, the symptoms that accompany it, and how it is treated. This book will not just give you the broad strokes of what the condition is, but concisely, it will delve into some of the facets of fibromyalgia that you might not know about. It will provide you with information on the signs and symptoms that you need to know when you are first learning about this condition. It will guide you through the diagnostic process, which will show you how to know if you might have fibromyalgia and how to raise your concerns with your doctor.＜/p＞ ＜p＞Moreover, this book will explain to you the different treatment options, both regular and alternative. Finally, it will give you some handy self-help tips for managing fibromyalgia day to day.＜/p＞ ＜h2＞Here Is A Preview Of What You'll Learn About Inside...＜/h2＞ ＜ul＞ ＜li＞What Is Fibromyalgia＜/li＞ ＜li＞What Causes Fibromyalgia＜/li＞ ＜li＞Signs And Symptoms＜/li＞ ＜li＞How Fibromyalgia Is Diagnosed＜/li＞ ＜li＞How Fibromyalgia Is Treated＜/li＞ ＜li＞Alternative Therapies For Treating Fibromyalgia＜/li＞ ＜li＞Self-Help Strategies For Fibromyalgia Management＜/li＞ ＜li＞Much, Much More!＜/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！】Abdominal Distension, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Abdominal Distension, Diagnosis and Treatment and Related Diseases such as Flatulence and Belching＜/p＞ ＜p＞An abdomen may be distended by many things such as fat, flatus, feces, fetus and fluid but it invariably causes a lot of tightness in the abdomen and discomfort.＜/p＞ ＜p＞The term "abdominal distension" is meant for an actual rise in abdominal girth while the term "abdominal bloating" should be used to depict the feeling of the distension by the patient.＜/p＞ ＜p＞It is important to understand that the 2 phenomena may not be exactly the same.＜/p＞ ＜p＞It is natural to have intestinal gas, and to pass gas by the rectum (flatus) is very frequent.＜/p＞ ＜p＞Flatulence happens in the average person about 20 times a day.＜/p＞ ＜p＞The volume within the normal range (in studies that have looked at this) is anywhere from 200 cc to 2000 cc of rectal flatus.＜/p＞ ＜p＞Farts travel an average of 10 feet (3 meters) per second, or nearly 7 miles per hour＜/p＞ ＜p＞Belching, also called burping (medically referred to as eructation), is the action of expelling gas from the stomach out through the mouth.＜/p＞ ＜p＞The normal cause of belching is a distended (inflated) stomach produced by swallowed air.＜/p＞ ＜p＞The distension of the stomach produces abdominal discomfort, and the belching expels the air and alleviates the discomfort.＜/p＞ ＜p＞Abdominal distension can be generalized, or may be localized to a distinct mass or enlargement of an organ.＜/p＞ ＜p＞Abdominal distension may occasionally happen in apparently healthy people, but are much more frequent in patients with functional gastrointestinal disorders.＜/p＞ ＜p＞Abdominal bloating happens when the abdomen feels full and tight due to filling with air or gas.＜/p＞ ＜p＞When the patient is distended, the patient feels as if he or she has eaten a big meal and there is no room in the abdomen.＜/p＞ ＜p＞The abdomen may be uncomfortable or painful.＜/p＞ ＜p＞The abdomen may really appear bigger.＜/p＞ ＜p＞It can induce the clothes to fit tighter.＜/p＞ ＜p＞Most people depict bloating as feeling full, tight, or swollen in the abdomen.＜/p＞ ＜p＞The abdomen may also be swollen (distended), hard, and painful.＜/p＞ ＜p＞Abdominal distension is a frequent and objective sickness which can involve patients of all ages＜/p＞ ＜p＞The main causes of generalized abdominal distension are:＜/p＞ ＜ol＞ ＜li＞Fat (obesity)＜/li＞ ＜li＞Feces (constipation)＜/li＞ ＜li＞Fetus (pregnancy)＜/li＞ ＜li＞Flatus (gastrointestinal)＜/li＞ ＜li＞Fluid (ascites)＜/li＞ ＜/ol＞ ＜p＞The most frequent causes are:＜/p＞ ＜ol＞ ＜li＞Obesity＜/li＞ ＜li＞Pregnancy＜/li＞ ＜li＞Irritable bowel syndrome＜/li＞ ＜li＞Constipation＜/li＞ ＜li＞Fibroids＜/li＞ ＜li＞Enlarged bladder＜/li＞ ＜/ol＞ ＜p＞Abdominal distension is often accompanied by:＜/p＞ ＜ol＞ ＜li＞Pain＜/li＞ ＜li＞Excessive gas (flatulence)＜/li＞ ＜li＞Frequent burping or belching＜/li＞ ＜li＞Abdominal rumbling or gurgles＜/li＞ ＜/ol＞ ＜p＞Abdominal distension can disrupt the ability to work and take part in social or recreational activities.＜/p＞ ＜p＞People who have abdominal distension use more sick days, visit the doctor more frequently, and take more medicines than other people.＜/p＞ ＜p＞Investigations＜/p＞ ＜ol＞ ＜li＞ ＜p＞FBC: raised white cell count in infection or malignancy, anemia with abnormal vaginal bleeding as a result of malignancy.＜/p＞ ＜/li＞ ＜li＞ ＜p＞U&Es: renal dysfunction; hypokalemia or uremia may cause non-mechanical bowel obstruction.＜/p＞ ＜/li＞ ＜li＞ ＜p＞LFTs: liver failure, cholestatic hyperbilirubinemia with carcinoma of pancreas, hypoalbuminemia linked with ascites＜/p＞ ＜/li＞ ＜li＞ ＜p＞Urinalysis: may show hematuria in tumors of kidney or bladder＜/p＞ ＜/li＞ ＜li＞ ＜p＞Pregnancy test＜/p＞ ＜/li＞ ＜li＞ ＜p＞Abdominal X-ray, barium enema: constipation, large bowel pathology, bowel obstruction＜/p＞ ＜/li＞ ＜li＞ ＜p＞Abdominal ultrasound＜/p＞ ＜/li＞ ＜li＞ ＜p＞Sigmoidoscopy, colonoscopy＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞The treatment of abdominal distension is dependent on the diagnosis of the underlying cause.＜/p＞ ＜p＞The best way to alleviate and even avoid symptoms of abdominal bloating and gas, is a healthy diet and regular exercise.＜/p＞ ＜p＞Rifaximin can reduce gas production＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Abdominal Distension＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Flatulence＜br /＞ Chapter 8 Belching＜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！】Compressive Neuropathies of the Upper Extremity A Comprehensive Guide to Treatment【電子書籍】

＜p＞Presenting step-by-step procedures written by experts in the field, this comprehensive clinical guide discusses the diagnosis (electrodiagnostic and ultrasound) and management of compressive neuropathies of the upper extremity. Compressive (or compression) neuropathy, also known as entrapment neuropathy or trapped nerve, is a common condition of the upper extremity in which the nerves of the arm ? median, ulnar and radial being the most common ? are compressed, causing pain and discomfort as well as possible pathological and anatomical changes. Carpal and cubital tunnel syndrome are the most well-known and treated, with nerve release and decompression surgeries being the usual treatment, though the variety of neuropathies and management strategies goes beyond these conditions.＜/p＞ ＜p＞Chapters included describe in detail the latest, cutting-edge management strategies for the various manifestations of compressive neuropathy of the hand and wrist ? carpal tunnel syndrome, cubital tunnel syndrome, ulnar nerve syndrome, radial tunnel syndrome, pronator teres syndrome, Wartenberg’s syndrome, thoracic outlet syndrome and suprascapular neuropathy ? as well as revision carpal and cubital tunnel surgical treatment options. Plentiful intraoperative photos and detailed illustrations, along with clinical case material and pearls and pitfalls, make this the ideal resource for orthopedic, hand and plastic surgeons aiming for the most optimal outcomes.＜/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！】Best Acne Treatment for Teens: An Unconventional System Which Will Cure Your Acne Fast & Naturally【電子書籍】[ Trevor Thomas ]

＜p＞＜em＞＜strong＞Discover How to Finally Get Rid of Your Acne For Good!＜/strong＞＜/em＞＜/p＞ ＜p＞? What if I told you that your acne could be a ＜em＞＜strong＞thing of the past＜/strong＞＜/em＞?＜/p＞ ＜p＞? That you ＜em＞＜strong＞no longer＜/strong＞＜/em＞ had to feel embarrassed about your skin?＜/p＞ ＜p＞? And that there's a lot you ＜em＞＜strong＞haven't been told＜/strong＞＜/em＞ about the true cause of your acne?＜/p＞ ＜p＞In this ground breaking book, author Trevor Thomas breaks the lid on the acne industry and shares the secrets dermatologists won't tell you. He outlines the problems with conventional acne treatments, and why they don't work for the majority of acne sufferers. Trevor shares his remarkable journey which took him from struggling with severe cystic acne, to a completely clear, acne free face. He goes over case studies and scientific research which pinpoint the true causes of acne and then uses this information to show you to how to clear your own skin.＜/p＞ ＜p＞Follow Trevor down the path which ultimately led him to discover the revolutionary secrets that can clear the skin of anyone who suffers from acne. You don't have to deal with acne any longer. Your face can finally be clear!＜/p＞ ＜p＞＜strong＞Learn These Secrets As Soon As You Get The Book:＜/strong＞＜/p＞ ＜p＞? Learn about a place in the world where acne doesn't exist and why.＜/p＞ ＜p＞? The one thing you're consuming right now that is causing you to have acne.＜/p＞ ＜p＞? Drink this and your acne will go away naturally.＜/p＞ ＜p＞? This product was found to get rid of acne for 98% of acne sufferers who used it.＜/p＞ ＜p＞? Studies confirmed this supplement to be as effective as antibiotics for getting rid of acne.＜/p＞ ＜p＞? Researchers have found acne sufferers do not have enough of this vitamin in their body.＜/p＞ ＜p＞? The complete system that will get rid of your acne once and for all!＜/p＞ ＜p＞? And so much more!＜/p＞ ＜p＞＜em＞You can't risk not knowing this information! Take control of your skin and ＜strong＞become acne free today!＜/strong＞＜/em＞＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

【電子書籍なら、スマホ・パソコンの無料アプリで今すぐ読める！】The Treatment of Dissociative Identity Disorder A Relational Approach【電子書籍】[ Elizabeth F. Howell ]

＜p＞Building on the comprehensive theoretical model of dissociation elegantly developed in ＜em＞The Dissociative Mind＜/em＞, Elizabeth Howell makes another invaluable contribution to the clinical understanding of dissociative states with ＜em＞Understanding and Treating Dissociative Identity Disorder.＜/em＞ Howell, working within the realm of relational psychoanalysis, explicates a multifaceted approach to the treatment of this fascinating yet often misunderstood condition, which involves the partitioning of the personality into part-selves that remain unaware of one another, usually the result of severely traumatic experiences.＜/p＞ ＜p＞Howell begins with an explication of dissociation theory and research that includes the dynamic unconscious, trauma theory, attachment, and neuroscience. She then discusses the identification and diagnosis of Dissociative Identity Disorder (DID) before moving on to outline a phase-oriented treatment plan, which includes facilitating a multileveled co-constructed therapeutic relationship, emphasizing the multiplicity of transferences, countertransferences, and kinds of potential enactments. She then expands the treatment possibilities to include dreamwork, before moving on to discuss the risks involved in the treatment of DID and how to mitigate them. All concepts and technical approaches are permeated with rich clinical examples.＜/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！】Thyroid Gland And Diseases, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Thyroid and Diseases, Diagnosis and Treatment and Related Disease＜br /＞ The thyroid is the gland in the center of the neck＜br /＞ When a person is tired and fat, it is usually thyroid hormones she lack＜br /＞ She will feel cold and has a large protuberant tongue＜br /＞ There will slow movements and thoughts out front＜/p＞ ＜p＞There may also be enlargement of the thyroid gland＜br /＞ There will dry coarse skin and unusual weight gain＜br /＞ The most common cause is due to autoimmune disease＜br /＞ It us more common in women who are of middle age＜/p＞ ＜p＞Diagnosis is by the detection of low thyroxine and antithyroid antibodies＜br /＞ Treatment is with thyroid replacement therapy.＜br /＞ Treatment is usually with synthetic thyroxine＜br /＞ To be taken orally for life. No need for iodine.＜/p＞ ＜p＞-An original poem by Kenneth Kee＜/p＞ ＜p＞The thyroid has an important part in regulating the body's metabolism and calcium balance.＜br /＞ Abnormal rise in thyroid hormone is termed thyrotoxicosis or hyperthyroidism and reduced thyroid function is termed myxoedema or hypothyroidism.＜br /＞ An overactive (hyperthyroidism) or underactive (hypothyroidism) thyroid can cause more allergies, skin disorders, fatigue, nervousness, gastrointestinal disorders, sleeping too much or too little, gaining or losing weight, swelling, and different types of pain.＜br /＞ Knowledge about the thyroid, and the symptoms that happen when something goes wrong with this small gland, can help to defend or regain good health.＜br /＞ It is a concern that is frequent, can involve the overall health, and is very important.＜br /＞ Women are at the highest risk of forming thyroid disorders (seven times more often than men).＜br /＞ A woman faces as high as 20% chance of developing thyroid disorders during her lifetime, a risk that rises with age, and for those with a family history of thyroid disorders.＜/p＞ ＜p＞Thyroid Diseases occur when there is:＜br /＞ 1.Excessive thyroid hormones or Hyperthyroidism＜br /＞ 2.Reduced production of thyroid hormones or Hypothyroidism＜br /＞ 3.Autoimmune disease of the thyroid gland where the body cells react abnormally to the thyroid cells causing a disorder called Hashimoto’s Disease＜br /＞ 4.Benign tumors or cyst of the thyroid gland because of over growth of the thyroid gland tissues.＜br /＞ They are called thyroid nodules or cysts＜br /＞ 5.Thyroid Cancer ? a malignant growth of the thyroid gland because of abnormal thyroid cells mutating in the thyroid gland＜br /＞ There are six often recognized symptoms of hypothyroidism.＜br /＞ The subjective indications for primary and secondary thyroid hypo-function can be:＜br /＞ 1.Morning headaches that wear off as the day progresses,＜br /＞ 2.Resting muscle cramps,＜br /＞ 3.Frequent infection,＜br /＞ 4.Slow healing,＜br /＞ 5.Chronic digestive problems, and＜br /＞ 6.Excessive sleep requirements.＜br /＞ If the thyroid is producing too much, this condition is known as hyperthyroidism.＜br /＞ If the thyroid is producing too little, this condition is known as hypothyroidism.＜br /＞ When someone has hyperthyroidism which means their thyroid is working overtime and producing hormones a little too much, a lot can go wrong with the body.＜br /＞ When someone has hyperthyroidism, he or she can have a range of symptoms, most of them rather unpleasant.＜br /＞ Hyperthyroidism can cause:＜br /＞ 1.Sudden weight loss and increased appetite,＜br /＞ 2.Rapid heartbeat (tachycardia),＜br /＞ 3.Irregular heartbeat (arrhythmia)＜br /＞ 4.A pounding heart (palpitations).＜br /＞ 5.Develop a goiter;＜br /＞ 6.Be sweatier than normal;＜br /＞ 7.Feel nervous, anxious and irritable;＜br /＞ 8.Have tremors in the hands;＜br /＞ 9.Be sensitive to heat;＜br /＞ 10.Experience continual fatigue and muscle weakness;＜br /＞ Prevention of Thyroid Disorders＜br /＞ 1.Rest＜br /＞ 2.Avoid stress＜br /＞ 3.Avoid exercising when tired＜br /＞ 4.Keep healthy by eating a well-balanced diet＜br /＞ 5.Eat adequate iodine＜br /＞ 6.Exercise every day＜br /＞ 7.Warm up and stretch＜br /＞ 9.Avoid Fluoride＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Thyroid Diseases＜br /＞ Chapter 2 Goiter＜br /＞ Chapter 3 Thyroid Cancer＜br /＞ Chapter 4 Thyroid Nodules＜br /＞ Chapter 5 Thyroid Eye Disease＜br /＞ Chapter 6 Hyperthyroidism＜br /＞ Chapter 7 Thyroglossal Duct Cyst＜br /＞ Chapter 8 Hashimoto Thyroiditis＜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！】Current Diagnosis & Treatment Obstetrics & Gynecology, 12th Edition【電子書籍】[ Alan H. DeCherney ]

＜p＞＜strong＞An up-to-date clinically focused text written to answer even the most difficult obstetrics and gynecology question＜/strong＞＜/p＞ ＜p＞A Doody’s Core Title for 2021!＜/p＞ ＜ul＞ ＜li＞The single-source OB/GYN resource acclaimed for its currency, comprehensiveness, and strong focus on the practical aspects of clinical diagnosis and patient management＜/li＞ ＜li＞Expanded and extensively updated to reflect the latest research and advances ? including the concepts of precision medicine＜/li＞ ＜li＞Of value to medical students, residents, and practicing physicians who will find this an outstanding guide to the management of common and uncommon conditions＜/li＞ ＜li＞Ready-to-apply coverage of more than 1,000 diseases and disorders＜/li＞ ＜li＞Strikes the perfect balance between brevity and clinical necessity, delivering exactly the amount of information needed for quick diagnosis, effective treatment, and improved outcomes＜/li＞ ＜li＞Strong emphasis on disease prevention and evidence-based medicine＜/li＞ ＜li＞Hundreds anatomic drawings, image studies, diagrams, charts, and graphs＜/li＞ ＜li＞NEW CHAPTER on Benign Disorders of the Uterine Corpus; Cardiac Disorders in Pregnancy and Pulmonary Disorders in Pregnancy are now two separate chapters for more detailed, focused coverage of these important topics＜/li＞ ＜li＞Quick-access design facilities use at the point of care＜/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！】Toxic Epidermal Necrolysis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞This book describes Toxic Epidermal Necrolysis, Diagnosis and Treatment and Related Diseases＜br /＞ Toxic epidermal necrolysis (TEN) is a very rare, sudden onset, often life-threatening reactions to medicines that occur in the skin and the linings of mouth, gastrointestinal tract, genitalia and eyes.＜br /＞ The affected patient has a fever and there may be enlargement of the lymph nodes and inflammation in the liver and other organ systems.＜br /＞ Widespread full-thickness epidermal necrosis forms, causing erythema, and sloughing of the skin and mucosa, affecting internal and external surfaces＜br /＞ The skin has an appearance similar to a burn.＜br /＞ It normally involves the trunk, face and one or more mucous membranes.＜br /＞ Steven Johnson Syndrome (SJS) and TEN are related disorders which can be distinguished by the degree of skin involvement.＜br /＞ Less of the epidermis peels off in SJS, while TEN may be defined as affecting ＞30% of the total body surface area＜br /＞ SJS is a less serious presentation affecting mainly the lips, eyes and genital mucosa.＜br /＞ People with 10-30% skin loss are categorized as “overlap”.＜br /＞ TEN is more often observed in people who have a specific genetic make-up (genotype) that leads to slow metabolizing of certain classes of drugs, or those who have HIV or are immune suppressed.＜/p＞ ＜p＞There is the belief that an immune complex-mediated hypersensitivity reaction happens because of the presence of toxic drug metabolites which collect in the skin.＜br /＞ This reaction leads to the damage of keratinocytes.＜br /＞ Specifically, cytotoxic T lymphocytes produce keratinocyte damage and subsequent necrosis, mediated by granzyme B.＜br /＞ Cytotoxic molecules such as FasL and granulysin have been indicated as causing the widespread keratinocyte apoptosis.＜br /＞ More than 200 medicines have been linked with TEN, mostly:＜br /＞ 1.Sulfonamides.＜br /＞ 2.Ampicillin.＜br /＞ 3.Quinolones＜br /＞ 4.Cefalosporins.＜br /＞ 5.Anticonvulsants - phenobarbital, phenytoin, carbamazepine, lamotrigine and valproate.＜br /＞ 6.Allopurinol.＜br /＞ Symptoms:＜br /＞ There is a prodromal stage normally persisting 2-3 days with fever, symptoms the same as upper respiratory tract infection, conjunctivitis, pharyngitis, pruritus, malaise, arthralgia and myalgia.＜br /＞ Mucous membrane affliction happens early in 90% of cases and often goes before other symptoms＜br /＞ The conjunctivae, buccal, nasal, pharyngeal, tracheobronchial, perineal, vaginal, urethral and anal mucosae may all be affected.＜br /＞ Skin lesions first occur in the pre-sternal region and the face, palms, and soles of the feet.＜br /＞ A gentle touch or rub can slough the skin off and it is very painful (Nikolsky's sign)＜br /＞ Diagnosis:＜br /＞ There is no specific laboratory test required to diagnose TEN.＜br /＞ Rapid histological examination such as direct immunofluorescence analysis of a lesion skin biopsy is first in the diagnostic work-up of TEN, as it helps to exclude diseases similar to TEN＜br /＞ Treatment＜br /＞ The first step is to stop the medicine causing TEN.＜br /＞ Following this, the treatment for TEN and SJS is mostly supportive care until the top layer of skin regenerates.＜br /＞ Affected individuals are often sent to a burns or intensive care unit and treated as if they have suffered from very severe burns.＜br /＞ 1.Fluid and electrolyte replacement＜br /＞ 2.Infection control with antibiotics＜br /＞ 3.Pain relief＜br /＞ 4.Skin care such as the use of topical antiseptics and regular wound dressings＜br /＞ 5.Special wound nursing care＜br /＞ 6.Eye, mouth and lung care＜br /＞ 7.Urinary catheterization＜br /＞ 8.Oral hygiene＜br /＞ Some cases have benefited from the use of immunoglobulins, immunosuppressive agents, systemic steroids or other biologic agents.＜br /＞ Debridement of necrotic areas of skin may be needed.＜br /＞ The exposed dermis needs protecting with skin grafting to prevent fluid and protein loss and infection.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Toxic Epidermal Necrolysis＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Exfoliative Dermatitis＜br /＞ Chapter 8 Steven Johnson Syndrome＜br /＞ Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

＜p＞Cough in children may occur from causes anywhere along the airway, from the nose to the alveoli.＜br /＞ Cough is a non-specific reaction to irritation anywhere from the pharynx to the lungs.＜br /＞ Childhood coughing is a frequent disorder that can cause anxiety in parents.＜br /＞ There are significant differences from adult cough in terms of possible causes and treatment guidelines.＜br /＞ Chronic cough in children is described as a cough that last longer than eight weeks.＜br /＞ This time period is used because most acute infective causes of cough will recover in 3-4 weeks, and the eight-week definition identifies those who may require more investigations.＜br /＞ Occasionally post infective cough may persist longer (3-8 weeks) as in the case of pertussis or post viral cough.＜br /＞ Young children may get repeat occurrences of viral respiratory tract infection up to 6-8 times per year and this may be mistaken for chronic cough.＜br /＞ These guidelines notice that the time period between acute and chronic cough (3-8 weeks) is sometimes called 'sub-acute cough' or 'prolonged acute cough' (e.g., a slowly resolving post-viral cough).＜br /＞ The three most frequent causes of chronic cough in adults (asthma, postnasal drip syndrome and gastro-esophageal reflux) are not always the most frequent in children＜br /＞ 1.Most children with asthma have inflamed or swollen airways, which often cause repeat occurrences of episodes of cough, wheezing and shortness of breath＜br /＞ 2.Postnasal drip produced by rhinitis or a sinus infection (sinusitis) can induce chronic cough.＜br /＞ Normally other symptoms such as nasal blockage and congestion or sneezing are present, but occasionally the only symptom observed is the cough.＜br /＞ 3. In some children, the reason of chronic cough is stomach fluid moving back up the throat or reflux.＜br /＞ Some children may form a hoarse voice and choking as symptoms as a result od acid irritating the throat＜br /＞ 4. Following a viral respiratory infection, healthy children can have a cough lasting for weeks.＜br /＞ 5. Foreign bodies, such as toys and food, can be incidentally inhaled at any age, but most often happens at ages two to four years producing a prolonged cough.＜br /＞ Symptoms＜/p＞ ＜ol＞ ＜li＞Family history of lung disease.＜/li＞ ＜li＞Neonatal onset of cough.＜/li＞ ＜li＞Sudden onset of cough.＜/li＞ ＜li＞Hemoptysis (true hemoptysis - not, for example, nosebleeds or cheek biting).＜/li＞ ＜li＞Cough with feeding, dysphagia (swallowing difficulty), severe vomiting.＜/li＞ ＜li＞Chronic wet cough with sputum production.＜/li＞ ＜li＞Cough started and persisted after a choking episode＜/li＞ ＜li＞Cough that occurs during or immediately after feeding＜br /＞ Signs＜/li＞ ＜li＞Signs of chronic lung disease - e.g., clubbing.＜/li＞ ＜li＞Failure to thrive.＜/li＞ ＜li＞Abnormal voice or crying, inspiratory stridor.＜/li＞ ＜li＞Focal chest abnormality＜br /＞ Initial investigations:＜/li＞ ＜li＞Chest XRay＜/li＞ ＜li＞Spirometry＜br /＞ Further investigations:＜/li＞ ＜li＞Sputum sample＜/li＞ ＜li＞Allergy testing＜br /＞ Treatment＜/li＞ ＜li＞In a well child with no 'red flags', the doctor should avoid invasive investigations and to reduce the expectations and anxieties of parents.＜/li＞ ＜li＞Persistent cough induces repeated treatments and parental anxiety.＜/li＞ ＜li＞Environmental causes should be removed if possible - e.g., tobacco smoke.＜br /＞ Anti-tussive drugs are not normally advised＜br /＞ A cough protects the child's body by eliminating mucus, irritating substances and infections from his or her respiratory tract＜br /＞ If the child has a cough that persists more than two to three weeks, the parent should schedule a visit with the doctor.＜br /＞ Coughing that persists more than 8 weeks is indicated chronic.＜br /＞ An allergist is often the best specialist to find out the cause＜br /＞ Plenty of fluids should be consumed＜br /＞ Decongestants help to clear a runny nose and alleviate postnasal drip＜br /＞ Inhaling Steam can help to dissolve phlegm and clear the nose.＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Chronic Cough in Children＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Adult Chronic Cough＜br /＞ Chapter 8 Congestive Heart 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！】Surgical Treatment of Atrial Fibrillation A Comprehensive Guide to Performing the Cox Maze IV Procedure【電子書籍】[ Christian Zemlin ]

＜p＞Surgical Treatment of Atrial Fibrillation: A Comprehensive Guide to Performing the Cox-Maze IV Procedure is the first all-inclusive description of this rapidly growing surgery, setting the standard in the field. The Cox-Maze IV procedure is a complex surgery, and its success depends critically on correct execution. With FDA approval, the first RF ablation device for treatment of the Cox-Maze IV procedure has become more important than ever to combine scientific information for the procedure with its connection to human application. This comprehensive text provides step-by-step instructions from an experienced Cox-Maze IV surgeon and is written in the style of a mentor advising his mentee in the operating room. It contains over a dozen lessons described in detail, with illustrations, photographs and a discussion of possible complications and appropriate ways to deal with them. Additionally, the book describes sequencing for the surgeries that are typically performed concomitant with the Cox-Maze IV procedure, determining the optimal way to combine surgeries. Cardiac surgeons, fellows in cardiac surgery, medical students inclined toward cardiac surgery and cardiology researchers will find this book to be of great importance to their work. - Offers access to video clips that show the steps of the Maze procedure, the techniques involved and the pitfalls that need to be avoided - Includes coverage of post-procedure management of patients, including assessment, patient follow-up, typical complications and participation in outcome databases - Provides a detailed discussion of the different energy sources used for the procedure - Presents guidelines for sequencing and/or combining concomitant surgeries＜/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！】Hammer Toes, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Hammer toe is a medical deformity of the toe in which the end of the toe is bent downward.＜br /＞ Hammer toes (hallux abductovalgus) are frequent painful deformities in the three middle toes where they appear to always be bent.＜br /＞ There are two types of hammer toes:＜/p＞ ＜ol＞ ＜li＞ ＜p＞Flexible hammer toes＜br /＞ If the toe can flex at the joint, it is a flexible hammer toe.＜br /＞ That is good, because this is an earlier, less-severe form of the disorder.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Rigid hammer toes＜br /＞ If the tendons in the toe are rigid, they may press the joint out of alignment.＜br /＞ At this phase, the toe can not be moved.＜br /＞ This normally means surgery is required to correct the problem.＜br /＞ The most common cause of hammer toe is wearing short, narrow shoes that are too tight.＜br /＞ The toe is pushed into a bent position＜br /＞ Hammer toe tends more to occur in:＜/p＞ ＜/li＞ ＜li＞ ＜p＞Women who wear shoes that do not fit properly or have high heels＜/p＞ ＜/li＞ ＜li＞ ＜p＞Children who keep wearing shoes they have out-grown＜/p＞ ＜/li＞ ＜li＞ ＜p＞The disorder may be present at birth＜/p＞ ＜/li＞ ＜li＞ ＜p＞Foot injuries＜br /＞ There are three main causes:＜/p＞ ＜/li＞ ＜li＞ ＜p＞Genes＜/p＞ ＜/li＞ ＜li＞ ＜p＞Arthritis rheumatoid especially＜/p＞ ＜/li＞ ＜li＞ ＜p＞Injury to toe＜br /＞ Symptoms＜/p＞ ＜/li＞ ＜li＞ ＜p＞The middle joint of the toe is bent.＜/p＞ ＜/li＞ ＜li＞ ＜p＞The end part of the toe bends down into a claw-like deformity.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Initially, the patient may be able to move and straighten the toe.＜br /＞ Over a period of time, the patient will not be able to move the toe.＜/p＞ ＜/li＞ ＜li＞ ＜p＞A corn often forms on the top of the toe.＜/p＞ ＜/li＞ ＜li＞ ＜p＞A callus develops on the sole of the foot.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Walking or wearing shoes can be painful.＜br /＞ A physical examination of the foot indicates that the patient has hammer toe＜br /＞ Normally an X-ray is part of this examination to evaluate the extent of the disorder.＜br /＞ It may show the extent of the deformity more clearly＜br /＞ There are several treatment methods＜/p＞ ＜/li＞ ＜li＞ ＜p＞Properly fitting shoes should be worn, not necessarily expensive shoes.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Padding any prominent areas around the bony point of the toe may help to relieve pain.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Medicine that reduces inflammation can ease the pain and swelling.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Sometimes a doctor will use cortisone injections to help alleviate the acute pain.＜/p＞ ＜/li＞ ＜li＞ ＜p＞A podiatrist may also custom-make an insert for the patient to wear inside the shoe.＜br /＞ For severe hammer toe, the patient will require a surgery to straighten the joint.＜br /＞ The surgery often requires cutting or moving tendons and ligaments.＜br /＞ Sometimes, the bones on each side of the joint need to be fused or joined together.＜/p＞ ＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Hammer Toes＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Hallux Valgus＜br /＞ Chapter 8 Overlapping Small Toe＜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！】HyperUricemia (Gout), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Hyperuricemia (Gout) is a medical disorder caused by the excessive uric acid in the blood.＜br /＞ Gouty arthritis is an arthritis which resulted from deposits of needle like crystals in the joint spaces.＜br /＞ The prickling effect of these needles induces sudden episodes of pain, tenderness, redness, warmth and swelling of the joints.＜br /＞ It is the most common form of arthritis in men over the age of 40.＜br /＞ Women are normally protected from gout until after menopause.＜br /＞ Uric acid is normally harmless and is produced in the body.＜br /＞ Most uric acid is passed out with the urine and some from the intestines with the feces (stools).＜br /＞ In people with gout the amount of uric acid in the blood goes up.＜br /＞ From time to time the level may become too high and tiny grit-like crystals of uric acid may form.＜br /＞ The crystals prick the tissues in the joint to cause inflammation, swelling and pain - a gout attack.＜br /＞ Acute gout is a painful condition that often affects only one joint.＜br /＞ Chronic gout is the repeated episodes of inflammation and pain.＜br /＞ More than one joint may be involved＜br /＞ Deposits can also form in the kidney and urinary tract as urate stones or crystals.＜br /＞ Urate crystals (tophi) are also deposited in the skin, mostly frequently at the joints and earlobe.＜br /＞ Gout is usually diagnosed if the patient has the typical gout symptoms and a raised blood level of uric acid.＜br /＞ Not everyone with high uric acid levels in the blood has gout.＜br /＞ Blood uric acid is raised above 7 mg/dL (high).＜br /＞ Typical features of gouty arthritis with warm red swollen and painful joint especially in locations such the big toe, ankle or knee＜br /＞ a. Synovial fluid analysis (shows uric acid crystals)＜br /＞ If there is doubt as to the source of the pain and swelling, the doctor may aspirate some fluid out of a swollen joint.＜br /＞ Crystals of uric acid (urate) can be seen in the fluid to confirm the diagnosis of gout.＜br /＞ Treatment of the acute gouty arthritis is:＜/p＞ ＜ol＞ ＜li＞Rest the joint＜/li＞ ＜li＞Drinks lots of water (e.g. 3 glasses of water) immediately during an acute attack.＜/li＞ ＜li＞If the patient is able to, raise the affected limb (normally a leg) to help decrease the swelling.＜br /＞ The easiest way to raise the leg is to recline on a sofa with the leg up on a cushion.＜br /＞ If the big toe is affected, raise it above the heart level to help the blood flow.＜/li＞ ＜li＞An ice pack placed against the inflamed joint may reduce the pain until the gout treatment medicines (below) start to act:＜br /＞ The guidelines advise colchicines and NSAIDs as the first-line option for acute gout.＜br /＞ NSAIDs are the first-line treatment＜br /＞ Colchicine helps reduce pain, swelling, and inflammation.＜br /＞ Probenecid lowers the uric acid through gradual excretion of uric acid in the urine.＜br /＞ Canakinumab is a recombinant monoclonal antibody active as a restrictor of pro-inflammatory cytokine IL-1 if colchicines and NSAIDs do not work.＜br /＞ Steroid tablets or injections can also decrease the inflammation and pain.＜br /＞ The central role recently identified for pro-inflammatory cytokine IL-1 has led to the production of inhibitors such as anakinra, canakinumab and rilonacept.＜br /＞ It is very important to drink at least 8 glasses of water daily to help flush out the uric acid.＜br /＞ Prevention can be with the use of Allopurinolol, probenecid and Febuxostat.＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Hyper Uricemia＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter 7 Osteoarthritis＜br /＞ Chapter 8 Rheumatoid Arthritis＜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！】Encephalitis, A Simple Guide To The Condition, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Encephalitis is a serious medical disease which causes inflammation and infection of the brain.＜br /＞ The causes of Encephalitis may be divided into:＜/p＞ ＜ol＞ ＜li＞Viral infections are the most common＜br /＞ (Herpes simplex, virus, mumps, West Nile Encephalitis, Japanese Encephalitis, St Louis Encephalitis).＜br /＞ Of these viruses, herpes simplex virus is the most serious and can cause fatality.＜/li＞ ＜li＞Bacterial infections such as meningococcal (Neisseria meningitidis) and pneumococcus (Streptococcus pneumoniae) can be serious and fatal in some cases.＜br /＞ Meningococcal Encephalitis can cause outbreaks (spread easily).＜/li＞ ＜li＞Fungi,＜br /＞ Cryptococcus neoformans is the most common cause of fungal Encephalitis＜/li＞ ＜li＞Parasitic＜br /＞ Examples are Toxoplasmosis, malaria, amoeba, Lyme disease＜br /＞ The symptoms which often define Encephalitis are:＜/li＞ ＜li＞Severe headache＜/li＞ ＜li＞Fever＜/li＞ ＜li＞Confusion＜/li＞ ＜li＞Drowsiness＜/li＞ ＜li＞Fatigue＜/li＞ ＜li＞Seizures＜/li＞ ＜li＞Convulsions＜/li＞ ＜li＞Hallucinations＜/li＞ ＜li＞Memory problems＜/li＞ ＜li＞Tremors＜/li＞ ＜li＞Weakness of the hands and legs＜/li＞ ＜li＞Incontinence of urinary and bowel movement＜br /＞ Diagnosis of Encephalitis is based on:＜/li＞ ＜li＞Typical symptoms of fever, headache, confusion.＜/li＞ ＜li＞Physical examination shows confusion, drowsiness and signs of neck rigidity＜/li＞ ＜li＞Blood tests (full blood count, ESR and blood culture)＜/li＞ ＜li＞Cerebrospinal fluid analysis (CSF) via lumbar puncture is examined for increased white blood cells and protein content, normal glucose level.＜br /＞ Red blood cells may be present if there is bleeding. Sometimes the CSF may show the presence of micro-organisms.＜br /＞ This test should not be done if there is suspected cerebral mass lesion or raised intracranial pressure (head injury, localizing neurological signs, or signs of raised ICP).＜/li＞ ＜li＞CT or MRI of the brain and spine with MRI preferred over CT because it can detect more easily areas of cerebral edema, tumors, ischemia and meningeal inflammation.＜br /＞ Treatment of Encephalitis is by:＜/li＞ ＜li＞Hospitalization should be immediate as Encephalitis is a life threatening condition.＜/li＞ ＜li＞Antibiotics such as cephalosporin, ampicillin, chloramphenicol, intravenous vancomycin to be started even before doing lumbar puncture.＜br /＞ Acyclovir may be given for herpes virus infection＜br /＞ High dosages of antifungals may be given for Fungal Encephalitis for a prolonged period of time＜/li＞ ＜li＞Corticosteroids is useful to reduce swelling and inflammation in the brain＜/li＞ ＜li＞Sedatives may be needed for irritability and restlessness＜/li＞ ＜li＞High-flow oxygen＜/li＞ ＜li＞Intravenous fluids＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Encephalitis＜br /＞ Chapter 2 More Facts of Encephalitis＜br /＞ Chapter 3 Treatment of Encephalitis＜br /＞ Chapter 4 Meningitis＜br /＞ Chapter 5 Yellow fever＜br /＞ Chapter 6 Cryptococcosis＜br /＞ Chapter 7 Epilepsy＜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！】Sulfur Deficiency, A Simple Guide To The Condition, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Sulfur is the third most abundant mineral in the body after calcium and phosphorous.＜br /＞ It's an important mineral element that you get almost wholly through dietary proteins such as meat and fish and legumes.＜br /＞ Sulfur is a mineral in the body that is needed for:＜/p＞ ＜ol＞ ＜li＞Enzyme activity,＜/li＞ ＜li＞Hormone balance,＜/li＞ ＜li＞Function of the immune system.＜/li＞ ＜li＞It is an important component of collagen and connective tissues that assists the body in preventing inflammation and facilitating connective tissue repair.＜/li＞ ＜li＞It is very useful for healing skin and digestive problems.＜br /＞ In removing fluids and toxins, sulfur affects the cell membrane.＜br /＞ Sulfur is present in all cells and forms sulfate compounds with sodium, potassium, magnesium, and selenium.＜br /＞ Organic sulfur in addition to eliminating heavy metals regenerates, repairs and rebuilds all the cells in the body.＜br /＞ Important dietary sources of sulfur and sulfur containing compounds may be classified as essential mineral (e.g. elemental sulfur), essential amino acid (methionine) and semi-essential amino acid (e.g. cysteine).＜br /＞ Methionine cannot be synthesized by humans and cysteine synthesis requires a steady supply of sulfur present in protein amino acids present in meat and fish.＜br /＞ Sulfur deficiency causes age-related problems such as skin disease, joint pains, poor digestion.＜br /＞ Treatment is by sulfur supplements such as Dimethyl sulfoxide and Methylsulfonylmethane or in sulfur rich foods such as eggs, meat, poultry, fish, garlic, brussels sprouts.＜br /＞ TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Sulfur Deficiency＜br /＞ Chapter 2 Interesting Facts about Sulfur Deficiency＜br /＞ Chapter 3 Treatment of Sulfur Deficiency＜br /＞ Chapter 4 Psoriasis＜br /＞ Chapter 5 Alzheimer Disease＜br /＞ Chapter 6 Diabetes Mellitus＜br /＞ Chapter 7 Metabolic Syndrome＜br /＞ Chapter 8 High Cholesterol＜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！】Addison’s Disease, A Simple Guide To The Condition, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]

＜p＞Addison Disease is a disease that is caused by the deficiency of circulating glucocorticosteroids and mineral corticoids (aldosterone) hormones as a result of disease of the adrenal glands.＜br /＞ The causes of Addison Disease are:＜/p＞ ＜ol＞ ＜li＞Auto-immune disease (Type 1 PGA ? Poly-glandular Autoimmune Syndrome) of the adrenals with destruction of the adrenal parenchyma＜/li＞ ＜li＞Tuberculosis of the adrenal glands＜/li＞ ＜li＞Adrenal tumors that may be benign or malignant＜/li＞ ＜li＞Rare causes are hemorrhage, infarction, and infiltrative diseases＜br /＞ The increased pigmentation especially in areas not exposed to the sun (such as buccal mucosa and palmar creases) and loss of weight can suggest the diagnosis of Addison Disease＜br /＞ This is due to excess pituitary production of ACTH which has melanocytes producing properties.＜br /＞ There is also sparse growth of axillary and pubic hairs.＜br /＞ Electrolytes especially sodium is low, potassium and urea nitrogen is high＜br /＞ ACTH stimulation test with impaired corticoid response is required to confirm diagnosis＜br /＞ Plasma cortisol is low (＜ 3mcg/dL) and do not rise with ACTH stimulation＜br /＞ Addison crisis is treated by intravenous normal saline and hydrocortisone 100mg every eight hours＜br /＞ Treatment must be done before laboratory confirmation of diagnosis because of the danger of coma＜br /＞ Chronic Addison disease requires replacement of glucocorticosteroids:＜br /＞ Hydrocortisone 30mg daily (two thirds in the morning, one third in the evening)＜br /＞ Cortisone acetate 37.5 mg daily or＜br /＞ Fludrocortisones 0.05 to 0.2 mg daily＜br /＞ DHEA 50mg orally in the morning＜br /＞ Adequate salt intake is important for normal fluid and electrolyte balance.＜br /＞ Addison crisis patients have excellent recovery with appropriate treatment＜br /＞ Chronic Addison disease patients also recovered well with replacement therapy.＜br /＞ Care is needed when there is trauma, infection and surgery＜/li＞ ＜/ol＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Addison Disease＜br /＞ Chapter 2 Interesting Facts about Adrenal Fatigue＜br /＞ Chapter 3 Treatment of Adrenal Fatigue＜br /＞ Chapter 4 Adrenal Fatigue＜br /＞ Chapter 5 Adrenal Tumors＜br /＞ Chapter 6 Adrenal Crisis＜br /＞ Chapter 7 Cushing Syndrome＜br /＞ Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。

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

＜p＞Transverse myelitis is a neurological disorder caused by inflammation across both sides of one level or segment of the spinal cord.＜br /＞ Attacks of inflammation can damage or destroy myelin, the fatty insulating substance that covers nerve cell fibers.＜br /＞ This damage causes nervous system scars that interrupt communications between the nerves in the spinal cord and the rest of the body.＜br /＞ Most patients will have only one episode of transverse myelitis; a small percentage may have a recurrence.＜br /＞ The segment of the spinal cord at which the damage occurs determines which parts of the body are affected.＜br /＞ a. Nerves in the cervical (neck) region control signals to the neck, arms, hands, and muscles of breathing (the diaphragm).＜br /＞ b. Nerves in the thoracic (upper back) region relay signals to the torso and some parts of the arms.＜br /＞ c. Nerves at the lumbar (mid-back) level control signals to the hips and legs.＜br /＞ d. Finally, sacral nerves located within the lowest segment of the spinal cord relay signals to the groin, toes and some parts of the legs.＜br /＞ Damage at one segment will affect function at that segment and segments below it.＜br /＞ In patients with transverse myelitis, demyelination usually occurs at the thoracic level, causing problems with leg movement and bowel and bladder control, which require signals from the lower segments of the spinal cord.＜br /＞ Transverse myelitis often develops following viral and bacterial infections and are related to autoimmune diseases such as SLE and Sjogren’s syndrome.＜br /＞ Transverse myelitis represents the first symptom of an underlying demyelinating disease of the central nervous system such as multiple sclerosis (MS) or neuromyelitis optica (NMO).＜br /＞ Symptoms of transverse myelitis include a loss of spinal cord function over several hours to several weeks.＜br /＞ What usually begins as a sudden onset of lower back pain, muscle weakness, or abnormal sensations in the toes and feet can rapidly progress to more severe symptoms, including paralysis, urinary retention, and loss of bowel control.＜br /＞ Although some patients recover from transverse myelitis with minor or no residual problems, others suffer permanent impairments that affect their ability to perform ordinary tasks of daily living.＜br /＞ The spinal cord MRI will almost always confirm the presence of a lesion within the spinal cord, whereas the brain MRI may provide clues to other underlying causes especially MS.＜br /＞ No effective cure currently exists for people with transverse myelitis.＜br /＞ Treatments are designed to reduce spinal cord inflammation and manage and alleviate symptoms.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Transverse Myelitis＜br /＞ Chapter 2 More Facts about Transverse Myelitis＜br /＞ Chapter 3 Treatment of Transverse Myelitis＜br /＞ Chapter 4 Sarcoidosis＜br /＞ Chapter 5 SLE＜br /＞ Chapter 6 Multiple Sclerosis＜br /＞ Chapter 7 Sjoren 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！】Diseases of Horses - The Respiratory Organs and the Alimentary Canal - With Information on Diagnosis and Treatment【電子書籍】[ A. H. Baker ]

＜p＞This book contains classic material dating back to the 1900s and before. The content has been carefully selected for its interest and relevance to a modern audience. Each publication has been professionally curated and includes all details on the original source material. This particular instalment, "Diseases of Horses - The Respiratory Organs and the Alimentary Canal" contains information on their prevention, diagnosis and treatment. It is intended to illustrate aspects of equine health and serves as a guide for anyone wishing to obtain a general knowledge of the subject and understand the field in its historical context. We are republishing 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！】The Treatment of Epilepsy【電子書籍】

＜p＞＜strong＞Highly Commended at the British Medical Association Book Awards 2016＜/strong＞＜/p＞ ＜p＞＜em＞The Treatment of Epilepsy＜/em＞, fourth edition, is a comprehensive reference and clinical guide to the pharmacological, medical and surgical options available in the treatment of epilepsy.＜/p＞ ＜ul＞ ＜li＞The text is compiled by a group of internationally renowned editors and contributors and is now in full color and extensively illustrated＜/li＞ ＜li＞The first two sections cover the background to, and principles of, treatment in different clinical situations＜/li＞ ＜li＞Section three comprises a series of systematic reviews of contemporary drug therapy, devoting one chapter to each anti-epileptic drug and covering all clinically-relevant aspects＜/li＞ ＜li＞Section four focuses on the surgical options, devoting individual chapters to each of the modalities of presurgical assessment and to each surgical operation or approach＜/li＞ ＜li＞This 4th edition is extensively revised incorporating the many recent developments in therapy, and comprises 81 chapters from world experts from 18 countries＜/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。