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Parte A. Generalidades sobre la presente tabla de alimentos y nutricion. Parte B. Tablas del valor nutritivo y de la composicion de los alimentos. Leche y derivados. Queso. Huevo de gallina. Grasas, aceites y margarinas. Carne y productos carnicos. Caza y aves. Pescados y derivados. Crustaceos y moluscos. Cereales (trigo sarraceno) y derivados. Hortalizas y derivados. Fruta. Frutos secos. Miel, azucar y dulces. Bebidas. Tablas comparativas Varios.
We have learned a great deal in recent years about keeping death at bay through medical technology. We are less well informed, however, about how to face death and how to understand or articulate the emotional and spiritual needs of the dying. This profound and eloquent book brings together medical experts and distinguished authorities in the humanities to reflect on medical, cultural, and religious responses to death. The book helps both medical personnel and patients to view death less as an adversary and more as a defining part of life. In the first half of the book, physicians and the founder of Connecticut Hospice discuss the current clinical setting for dying, with attempts to find the balance between alleviating suffering and providing life support, the problem of finding a peaceful death, and the differences the AIDS epidemic has made in our attitudes toward dying. In the second half of the book, theologians, historians of religion, anthropologists, literary scholars, and pastors describe Christian, Judaic, Islamic, Hindu, and Chinese perceptions of death and rituals of mourning. An epilogue considers the resonances between medicine and the humanities, as well as the essential differences in their approaches to death. Prepared under the auspices of The Program for Humanities in Medicine, Yale University School of Med
Una verdadera mina de cualidades curativas que actuan al nivel de los tejidos. En este libro se describen exhaustivamente sus propiedades con un lenguaje sencillo, accesible a todos los publicos.
A short account of the history of medicine leads on to Jamaican medical care in the eighteenth and nineteenth centuries. In the twentieth century the demand for local autonomy increased steadily. When the University College of the West Indies opened, the local practitioners welcomed it enthusiastically. This account ends as the University became autonomous in 1962.
A rare look at medical care behind the western theater's transient battle lines Confederate Hospitals on the Move tells the story of one innovative Confederate doctor and his successful administration of the mobile military hospitals that served behind the Army of Tennessee's transient battle lines. In 1864, at the peak of his career, Samuel Hollingsworth Stout managed more than sixty medical facilities scattered from Montgomery, Alabama to Augusta, Georgia. Glenn R. Schroeder-Lein reveals how this doctor-turned-talented-administrator established and oversaw some of the most adaptable, efficient, and well-administered hospitals in the Confederacy. Through Stout's eyes Schroeder-Lein describes the selection of hospital sites, the care and feeding of patients, the provisioning of the hospitals, and the personnel who cared for the sick and wounded. She also discusses the movement of the hospitals and how the facilities were affected by overcrowding, supply shortages, and the scarcity of transportation. Using the 1,500 pounds of hospital records that Stout saved during his tenure as medical director of the Army of Tennessee, Schroeder-Lein demonstrates that Stout was a rarity both in his competence as an administrator and in his penchant for saving wartime documents. She traces Stout's prewar years, his ascension to directorship of the hospitals, his success in administering the facilities, and his failure to find a niche for his talents in a civilian setting after the war's end. The first study of a Confederate army hospital system from the vantage point of a medical director, Confederate Hospitals on the Move offers new information on the difficulties facing Confederate hospitals on the Western front as opposed to the more stable, protected hospitals in the East. In addition, the book supplements previous research on the care of the wounded and on medical practices during the Civil War period.
PDR(R) is the reference source used by physicians and pharmacists
every day. "From the Paperback edition."
In the 1978 Love Canal toxic waste crisis, concerned citizens "did a far better job of evaluating the health of the community than did the professionals of the New York Health Department," asserts Marvin Legator. In Chemical Alert A Community Action Handbook, he and coeditor Sabrina Strawn offer a step-by-step guide that can be used by any lay person or citizens' group to determine whether a health risk exists in their area. Writing for the general reader with no scientific expertise, environmental, medical, and legal professionals instruct communities on the organizational and investigative techniques that will produce a valid, scientific case study. With these tools, citizens living near petrochemical plants or waste disposal areas--or who may have simply noticed a high incidence of certain health problems in their community--can determine for themselves whether a problem really exists and seek remediation. Given the reality that government agencies often lack the resources--or the will--to detect health hazards before they affect a community, an informed citizenry should be its own best environmental watchdog.
Diese vollständig aktualisierte und überarbeitete Ausgabe des Standardwerks der veterinärmedizinischen Augenheilkunde präsentiert die neuesten Diagnose- und Therapieverfahren. Das Fachbuch deckt die Grundlagenwissenschaften und klinische Behandlungsmethoden ab, spiegelt den aktuellen Stand der Forschung wider und beschäftigt sich mit der Augenheilkunde sämtlicher Tierarten, darunter Hunde, Katzen, Pferde, Großtiere und Exoten. Augenerkrankungen bei Katzen, Pferden und Vögeln werden noch ausführlicher und anhand von nahezu zweitausend Farbfotos erläutert. Dieses Fachbuch ist ein Muss für Veterinärmediziner in der Behandlung von Augenkrankheiten. - Die 6. Auflage von Veterinary Ophthalmology präsentiert alle Aspekte, die für die Diagnose, Behandlung und das Management von Augenkrankheiten relevant sind. Zu dieser Auflage gehören auch eine begleitende Website mit Videoclips und Abbildungen aus der Printausgabe im PowerPoint-Format, weiterhin das wohl umfassendste Literaturverzeichnis zu dem Fachgebiet. - Neue Auflage des Standardwerks der Augenheilkunde für Veterinärmediziner. - Bietet noch mehr Inhalte zu Augenerkrankungen bei Katzen, Pferden und Vögeln. - Mit mehr als 2000 Farbfotos, die die Inhalte verdeutlichen. - Die Autoren sind international renommierte Experten des Fachgebiets. - Begleitende Website mit Videoclips und Bildermaterial im PowerPoint-Format zum Herunterladen. Die 6. Auflage von Veterinary Ophthalmology darf in der Handbibliothek von Fachtierärzten mit Spezialisierung auf Augenheilkunde und Veterinärmedizinern, die Augenerkrankungen behandeln, nicht fehlen.
Color Atlas of Veterinary Ophthalmology, Second Edition provides a compendium of the clinical appearance of ophthalmic diseases likely to be encountered in small, large, or exotic animal practice. * Offers a pictorial reference to the clinical appearance of diseases and conditions of the animal eye * Presents multiple presentations of most ophthalmic diseases to show the varying ways the condition might appear * Provides more than 1,000 high-quality color clinical photographs showing ocular disorders * Includes new introductory chapters on ocular anatomy, the ophthalmic exam, and clinical findings in place of the clinical signs chapter * Covers clinical history, the clinical signs and findings associated with the disease, the rule-outs or differential diagnoses, the recommended treatment, and the prognosis for each disorder
What is a Doctor? will answer that question but also its close companion, 'what is a patient?' What are the ramifications of the steady shift away from patient-centred care, where long-standing and motivated GPs develop 360-degree knowledge of their patients, and often entire families? Who really benefits from the 'polypharmacy' approach of piling on medication after medication for the increasing number of people with multiple morbidities? Using stories and case studies from across his career, Phil Whitaker will offer a damning portrait of political interference even when based on good intentions - and what might yet be done.
Each year, tens of millions of individuals in the U.S. suffer from neurological and psychiatric disorders including neurodegenerative diseases such as Alzheimer's Disease and Parkinson's Disease, and psychiatric disorders such as autism spectrum disorder, depression and schizophrenia. Treatments for these diseases are often completely lacking or only partially effective, due in large part to the difficulty of conducting brain research and the complexity of the brain itself. Researchers in recent years have developed new models to better represent and study the human brain. The three models considered in this report, all of which generate and use pluripotent stem cells from healthy individuals and patients, are human neural organoids, human neural transplants, and human-animal neural chimeras. The Emerging Field of Human Neural Organoids, Transplants, and Chimeras: Science, Ethics, and Governance reviews the status of research, considers its benefits and risks, discusses associated ethical issues, and considers governance mechanisms for this type of research. Table of Contents Front Matter Summary 1 Introduction 2 The Science of Human Neural Organoids, Transplants, and Chimeras 3 Ethical Concerns 4 Oversight and Governance 5 Public Engagement 6 Findings of the Committee References Appendix A: Biographies of Committee and Staff Members Appendix B: Committee Meeting Agendas
Medical students often feel they understand the theory behind the clinical aspect of medicine but seldom have enough chance to put what they learn into practice. In addition, clinical examinations pose a challenge to students who may be technically and theoretically excellent, but who have poor examination technique. It is quite common for students to lack understanding of how they will be marked, how much emphasis to place upon certain actions or how much detail is expected of them. 'OSCE CASES WITH MARK SCHEMES' is intended to fill this gap. It provides OSCE mark schemes to reflect the real OSCE experience, by encouraging self assessment when practicing the clinical scenarios. The book includes chapters on communication skills, medical ethics, explanation stations, paediatrics and obstetrics and gynaecology subjects which are sometimes neglected elsewhere. All four authors have taken part in medical student teaching and OSCE examinations. They understand what will earn marks in the actual exam. All the OSCE scenarios are from stations previously examined in the UK's top medical schools. This book prepares the student for what the actual finals exam will be like. CONTENTS: SECTION ONE, COMMUNICATION STATIONS - Presenting Complaints - Psychiatry History Taking - Pediatrics History Taking - Obstetrics History Taking - Gynaecology History Taking - Medical Ethics - Difficult Communication Scenarios - Pharmacology - Consenting - Explanation of Management and Results SECTION TWO, PERFORMANCE STATIONS - Examination Skills - Practical Skills - Data Interpretation - Closing Remarks
Advances in Medicine and Biology. Volume 163 begins by discussing lipidomics, a newly emerging field of biomedical research that uses a mass spectrometry-based tool for the quantitative and qualitative analysis of complex lipids in the biological system. Following this, the authors analyze basic aspects of the cellular processes involved in olfactory signal transduction, focusing on the neurogenic processes of neuronal stem cells from the olfactory neuroepithelium. Recent information from several experimental studies is presented highlighting the application of CCl4 as an inducer of pathophysiological changes in key organs of the body. The preparation, advantages and multi-functionality of nano emulsions is reviewed in the context of their potential applications in targeted drug delivery. The existing preclinical and clinical studies carried out with sacubitril-valsartan (and other drugs with similar pharmacological mechanisms) in heart failure and hypertensive patients are described. The authors go on to explore monoclonal antibodies targeting multiple myeloma, a plasma cell neoplasia accounting for 10% of hemopoietic neoplasias. The closing study examines the various approaches for mitral valve surgery, comparing and contrasting the benefits and drawbacks of each.
Volume 140 opens by discussing vascular endothelial growth factor, an attractive target for antiangiogenic therapy for glioblastoma. Although bevacizumab, a humanized anti-vascular endothelial growth factor antibody, improves the progression-free survival of patients with glioblastoma, prolonged overall survival has been attained only in few patients with a proneural type of glioblastoma. As such, bevacizumab is increasingly used to treat newly diagnosed and recurrent glioblastoma. Bevacizumab selectively inhibits glioblastoma growth by targeting membrane-bound vascular endothelial growth factor, inhibiting angiogenesis and thus halting tumor growth. Vascular endothelial growth factor plays a major role in wound healing, with upregulation starting on day three and levels remaining high up to 24 weeks after wound creation. The authors discuss how, to avoid postoperative wound complications following neurosurgical procedures, perioperative management is indispensable. As perioperative preparation, shaving or minimal hair removal should be avoided to prevent minor trauma to the scalp and surgical-site infection. Excess electrocautery coagulation and metal skin clips are efficacious during skin incision for preventing blood loss, but might cause skin edge necrosis and alopecia. Next, the authors briefly summarize the actions of melatonin in a broad range of effects with a significant regulatory influence over many of the protection processes against Fe overload effects. Melatonin is a ubiquitous compound present in bacteria and eukaryotes, which in vertebrates, is released at night from the pineal gland to induce sleep. Quantitative foundations of continuous non-invasive prenatal screening are explored in the following chapter. The mosaicism interval and the interval-based estimate of the degree ofmosaicism are introduced, and the uncertainty of the estimation of the degree of mosaicismcan be quantified by the width of the mosaicism interval. Continuing, the authors emphasize the implication of SRY-related box factors in male sex determination and differentiation, leading to fertility. The production of spermatozoa in adulthood requires a coordination in the regulation of gene expression by a multitude of SRY-related box transcription factors within the testis. The authors perform an overview of the mechanisms of action of SRY-related box transcription factors throughout male development contributing to fertility. The objective of the penultimate study is to evaluate, in vitro, the coagulating, cytotoxic, oxidizing and antioxidant effects caused by the Bothrops jararacussu and B. moojeni crude venoms. The crude venoms protein profiles are characterized, and the biological effects are evaluated and compared between the species. Among the activities triggered by Crotalus durissus terrificus snake venom, coagulation is both intriguing and contradictory since the venom contains in its composition both coagulant and anticoagulant precursor proteins. The concluding work describes the in vitro effects of crude venom and purified proteins from Crotalus durissus terrificus snake venom as they affect coagulation factors of the extrinsic, intrinsic, and common clotting pathways in citrated human plasma.
The eyes are highly diversified photosensitive structures. In all vertebrates, eyes resemble in molecular composition and are predominantly composed of extracellular matrix (ECM). Advances in Medicine and Biology. Volume 134 explores the dual role of ECM in ocular homeostasis and diseases and discusses how this duality can be used to treat such diseases. The view on ECM biology offered by this work is translational and adress concepts of basic science and clinical-surgical issues.Following this, the authors aim to provide information about the mechanisms of oxidative stress-mediated apoptosis, to provide updates for previous studies update and some of the current paradigms discussed and to provide a basis for future studies. This review highlights the elementary value of apoptosis, including its effect on tissue homeostasis and cellular stress.The aim of the subsequent study was to investigate microcirculation peculiarities of the covering tissues of the limbs and body in patients with orthopedic pathology and in track-and-field athletes having reached high sport mastership.Spontaneous cerebrospinal fluid (CSF) leaks are a clinical entity in which CSF rhinorrhea occurs in the absence of any inciting event. Spontaneous CSF leaks are associated with elevated intracranial pressure (ICP) or underlying idiopathic intracranial hypertension (IIH). The authors report on a cohort of patients who have undergone nasal endoscopic repair for spontaneous CSF leaks.Wound healing is a widespread feature of multicellular organisms. Evidence illustrates that apoptosis has very important roles in the various phases of the wound healing process. As such, the authors maintain the importance of keeping up-to-date with studies on apoptosis and its associated mechanisms highlighted in the wound healing process, providing a systematic analysis of recent molecular research in wound healing applications.Despite enormous improvements in supportive and standard care, septic shock and liver failure remain major causes of morbidity and mortality in critically ill patients. Plasma separation via centrifugation is a common method for therapeutic plasma exchange in patients with liver failure and septic shock. The authors suggest that the use of a centrifugal approach rather than regular plasma filtration enables the transfer of larger particles into the resulting plasma fraction. The possible advantages of using centrifugation in comparison to hemofiltration in blood cleaning techniques are currently hypothetical.The most commonly used staging classification of the classical form of Kaposis sarcoma was presented by Brambilla et al. in 2003. The authors distinguished four stages of the disease based on the morphology of the cutaneous lesions, location of the skin changes, presence of complications and internal organ involvement. The clinical presentation, diagnosis and management of classical Kaposis sarcoma will be discussed in the closing chapter. |
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