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466179件取得済み(全100ページ)
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 | ＜p＞This book describes Urine Incontinence in the Elderly, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.＜/p＞ ＜p＞Urine incontinence (UI) is the loss of bladder control leading to the involuntary leakage of urine, and significantly impacting quality of life.＜/p＞ ＜p＞It is common in older adults (older than 65 years) but should not be dismissed as an inevitable part of aging.＜/p＞ ＜p＞Urinary incontinence in older adults is not just a minor inconvenience.＜/p＞ ＜p＞It significantly impacts physical health, mental well being, and quality of life.＜/p＞ ＜p＞Treating UI promptly is important to prevent complications and improve overall outcomes.＜/p＞ ＜ol＞ ＜li＞Prevent Physical Complications＜/li＞ ＜/ol＞ ＜p＞a. Skin Breakdown and Infections: Constant moisture from urine leakage increases the risk of dermatitis, pressure ulcers, and urinary tract infections (UTIs).＜br /＞ b. Fall Risk: Rushing to the bathroom, especially at night, raises the likelihood of falls and fractures (e.g., hip fractures).＜br /＞ c. Renal Damage: Chronic urinary retention (overflow incontinence) can lead to kidney dysfunction.＜/p＞ ＜ol start="2"＞ ＜li＞Improve Mental Health and Dignity＜/li＞ ＜/ol＞ ＜p＞a. Depression and Anxiety: Embarrassment and social stigma often lead to isolation, depression, and reduced self esteem.＜br /＞ b. Loss of Independence: Fear of accidents may cause older adults to avoid outings, hobbies, or social interactions.＜/p＞ ＜ol start="3"＞ ＜li＞Enhance Quality of Life＜/li＞ ＜/ol＞ ＜p＞a. Restore Confidence: Effective treatment allows individuals to engage in daily activities without fear of leakage.＜br /＞ b. Better Sleep: Reducing night time urination (nocturia) improves sleep quality and energy levels.＜/p＞ ＜ol start="4"＞ ＜li＞Reduce Caregiver Burden＜/li＞ ＜/ol＞ ＜p＞a. Hygiene Management: Untreated UI increases caregiver workload (e.g., frequent clothing/bedding changes).＜br /＞ b. Emotional Stress: Caregivers may experience frustration or burnout when managing recurrent accidents.＜/p＞ ＜ol start="5"＞ ＜li＞Treat Underlying Medical Conditions＜/li＞ ＜/ol＞ ＜p＞UI can signal treatable issues, such as:＜br /＞ a. Urnary Tract Infections (UTIs): Common in older adults and often reversible.＜br /＞ b. Prostate Enlargement (BPH): A leading cause of overflow incontinence in men.＜br /＞ c. Neurological Disorders: Stroke, Parkinson's, or diabetic neuropathy may require targeted care.＜/p＞ ＜ol start="6"＞ ＜li＞Avoid Unnecessary Institutionalization＜/li＞ ＜/ol＞ ＜p＞Severe, untreated UI is a key reason families consider nursing home placement.＜br /＞ Managing symptoms helps older adults remain independent at home longer.＜/p＞ ＜ol start="7"＞ ＜li＞Cost Effect Care＜/li＞ ＜/ol＞ ＜p＞Early intervention reduces long term costs associated with:＜br /＞ a. Hospitalizations for UTIs or falls.＜br /＞ b Incontinence supplies (pads, catheters).＜br /＞ c. Skin ulcer treatments.＜/p＞ ＜p＞Prognosis varies by type, severity, and adherence to treatment:＜/p＞ ＜ol＞ ＜li＞Stress Incontinence:＜br /＞ Prognosis: Excellent with early intervention.＜br /＞ Outcomes:＜br /＞ 70?80% improvement with consistent pelvic floor exercises.＜/li＞ ＜/ol＞ ＜blockquote＞ ＜p＞90% success rate with surgical sling procedures.＜/p＞ ＜/blockquote＞ ＜ol start="2"＞ ＜li＞ ＜p＞Urge Incontinence (Overactive Bladder):＜br /＞ Prognosis: Manageable but may require longterm therapy.＜br /＞ Outcomes:＜br /＞ 50?75% symptom reduction with medications (e.g., anticholinergics, mirabegron).＜br /＞ Botox injections provide relief for 6?12 months in refractory cases.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Overflow Incontinence:＜br /＞ Prognosis: Depends on addressing the cause (e.g., prostate enlargement, neuropathy).＜br /＞ Outcomes:＜br /＞ Prostate surgery (e.g., TURP) resolves symptoms in 85% of men.＜br /＞ Intermittent catheterization effectively manages chronic retention.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Functional Incontinence:＜br /＞ Prognosis: Tied to improving mobility/cognition.＜br /＞ Outcomes:＜br /＞ Caregiver-assisted toileting and home modifications reduce episodes.＜/p＞ ＜/li＞ ＜li＞ ＜p＞Mixed Incontinence:＜br /＞ Prognosis: Challenging but manageable with combined therapies.＜br /＞ Outcomes: 50?60% improvement with multi-modal approaches (e.g., Kegels + medications).＜/p＞ ＜/li＞ ＜/ol＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。 500円 税込 送料込 カードOK 楽天Kobo電子書籍ストア ![A Simple Guide to Urine Incontinence in the Elderly, Diagnosis, Treatment and Related Conditions【電子書籍】[ Kenneth Kee ]](http://www.raku360.com/images/syosai_botton.gif) | |
 | ＜p＞Sir Isaac Newton, one of the greatest scientists and mathematicians of all time, introduced the notion of a vector to define the existence of gravitational forces, the motion of the planets around the sun, and the motion of the moon around the earth. Vector calculus is a fundamental scientific tool... 17,566円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | 213. 洋書 Paperback, Biomembranes: Molecular Structure and Function (Springer Advanced Texts in Chemistry) *** 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... 25,586円 税込 送料別 カードOK Glomarket | |
 | ＜p＞Chiari malformation is a condition that affects the brain and spinal cord, causing a range of symptoms that can significantly impact the quality of life. Named after the Austrian pathologist Hans Chiari, who first described the condition in the nineteenth century, Chiari malformation involves the herniation of brain tissue through the foramen magnum, the opening at the base of the skull.＜/p＞ ＜p＞The purpose of this book is to provide a comprehensive guide to understanding Chiari malformation. Whether you are newly diagnosed, a caregiver, or someone looking to deepen your knowledge, this book aims to be a valuable resource. We will cover the medical aspects of the condition, explore various treatment options, and share personal stories from individuals who live with Chiari malformation every day.＜/p＞ ＜p＞In the following chapters, you will learn about the symptoms and diagnostic procedures used to identify Chiari malformation, the causes and risk factors associated with the condition, and the various treatment options available. We will also delve into the everyday realities of living with Chiari malformation, providing practical advice and coping strategies. Additionally, we will highlight the latest research and advances in the field, as well as resources and support networks that can provide further assistance.＜/p＞ ＜p＞This book is not just a collection of facts and figures; it is also a compilation of voices from the Chiari community. Through personal testimonials and stories, we hope to offer a sense of solidarity and encouragement to those navigating this journey.＜/p＞ ＜p＞Thank you for choosing this book as a resource. We hope it provides you with the information, support, and inspiration you need.＜/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。 1,429円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞Bin ich einfach schlecht gelaunt ? oder steckt mehr dahinter? Wie gehe ich mit Stress, ?ngsten oder Selbstzweifeln um? Und wie finde ich neue Motivation, wenn mir selbst das Aufstehen schwerf?llt?＜/p＞ ＜p＞Werkzeuge f?r die Seele bietet Antworten auf diese Fragen ? klar, fundiert und praxisnah. Basierend... 916円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞＜strong＞Gesundheit und Wohlbefinden durch Schr?pfen und Cupping (Praktische Tipps und effektive Techniken f?r Anti-Aging, Entgiftung, Faszienlockerung, Immunst?rkung, Muskelentspannung und Schmerzlinderung)＜/strong＞＜/p＞ ＜p＞Tauche mit mir ein in die Welt des Buches "Gesundheit und Wohlbefinden durch Sch... 763円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞This practical and generously illustrated text presents the current concepts regarding the management of the mangled extremity, including microsurgery, vascular surgery, free tissue, nerve, hand, and replantation surgery. Since the advent of microsurgical reconstruction, significant progress has be... 17,016円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞Tenable Engineering for a Sustainable Future: Integrating SDGs and Natural Resource Utilization offers a comprehensive exploration of sustainable resource management. It delves into how natural resources can be utilized to help achieve the United Nations Sustainable Development Goals (SDGs). This b... 17,447円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞This book explores the various ways in which different communities and peoples in Oceania respond to and engage with recent environmental challenges and concurrent socio-political reconfigurations. Based on empirical research, the book discusses topics such as belonging, emotional attachment to lan... 14,585円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞＜strong＞An exploration of Cuba’s emerging digital culture and Cubans’ creation of grassroots networks, digital black markets, and online spaces for public debate＜/strong＞＜/p＞ ＜p＞Until just a few years ago, Cuba was one of the least-connected countries in the world. But as digital technology has become ... 4,308円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
| *** 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... 55,118円 税込 送料別 カードOK Glomarket | |
 | ＜p＞＜strong＞Bridging the clinical electrophysiological investigation with the neurological consultation＜/strong＞＜/p＞ ＜p＞Acutely ill patients present with symptoms that don’t immediately yield a diagnosis. Electrophysiological testing can support diagnosis but only if the appropriate tests are ordered. They must be properly interpreted in conjunction with the actual symptoms. ＜em＞Clinical Electrophysiology＜/em＞ presents a wide range of symptoms with specific electrophysiological results. The handbook shows how the complete picture leads to better diagnostic, prognostic or therapeutic conclusions.＜/p＞ ＜p＞The book is organized by the presenting neurological problem in a clinical setting. For each case the authors provide a possible electrophysiological result. This is interpreted and tied to the patient’s symptoms to yield a clinical solution. The handbook avoids theoretical discussion to provide a direct practical guide that:＜/p＞ ＜ul＞ ＜li＞Begins with the patient’s symptoms＜/li＞ ＜li＞Uses a range of electrophysiological modalities＜/li＞ ＜li＞Shows different test results for similar symptoms＜/li＞ ＜li＞Relates clinical observation to electrophysiological testing＜/li＞ ＜/ul＞ ＜p＞A final casebook section presents readers with rarer clinical challenges for self-testing.＜/p＞ ＜p＞Providing practical, to-the-point guidance on electrophysiological investigations, ＜em＞Clinical Electrophysiology＜/em＞ will guide all neurologists attending acutely ill patients.＜/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。 9,602円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞Los ejercicios de este libro tienen un enfoque de tutorial paso a paso y en los que al mismo tiempo se van presentando mejores practicas de desarrollo. El libro esta estructurado de forma que puede ser leido de inicio a fin o leer solamente partes del mismo.Este libro va dirigido a desarrolladores ... 5,433円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞**Shortlisted for the 2020 Royal Society Insight Investment Science Book Prize＜/p＞ ＜p＞Named a Best Book of 2020 by ＜em＞The Guardian * The Telegraph * The Times＜/em＞＜/p＞ ＜p＞"One of America's most courageous young journalists" and the author of the #1 ＜em＞New York Times＜/em＞ bestselling memoir ＜em＞Brain on Fire＜/em＞ i... 1,750円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | 225. 【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！】 Stationary Stochastic Models An Introduction【電子書籍】[ Riccardo Gatto ] ＜p＞This volume provides a unified mathematical introduction to stationary time series models and to continuous time stationary stochastic processes. The analysis of these stationary models is carried out in time domain and in frequency domain. It begins with a practical discussion on stationarity, by ... 15,732円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞Discovering Evolution Equations with Applications: Volume 1-Deterministic Equations provides an engaging, accessible account of core theoretical results of evolution equations in a way that gradually builds intuition and culminates in exploring active research. It gives nonspecialists, even those w... 18,676円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞The 1992 creation of the National HIV/AIDS Program was a fundamental step for Argentina to reach the second lowest burden of HIV/AIDS in South America. From 2000 to 2010, Argentina further reduced the already low HIV/AIDS incidence of 15.9 per 100,000 by 25 percent and reduced the burden by 21 perc... 4,674円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞Volume 41 includes an in-depth review of the most important, high-speed switches made with heterojunction technology. This volume is aimed at the graduate student or working researcher who needs a broad overview andan introduction to current literature. - The first complete review of InP-based HFET... 30,200円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | 229. 【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！】 Handbook of Clinical Ophthalmology for Eyecare Professionals【電子書籍】 ＜p＞The Basic Bookshelf for Eyecare Professionals is a series that provides fundamental and advanced material with a clinical approach to clinicians and students. A special effort was made to include information needed for the certification exams in ophthalmic and optometric assisting, low vision, surg... 15,983円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞Benvenuti nel libro "Terapia della Talassemia". Si tratta di una guida completa che esplora diversi approcci terapeutici, fornendo un viaggio unico e olistico per affrontare le sfide associate alla talassemia. Questo libro ? stato meticolosamente realizzato con lo scopo di offrire una comprensione ... 305円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞Covers tumor microenvironment, their challenges, and opportunities in colorectal cancer research＜/p＞画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。... 10,468円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞This book describes Slipping Rib Syndrome, Diagnosis and Treatment and Related Disorders＜/p＞ ＜p＞Slipping rib syndrome happens when the costal cartilage securing ribs 8, 9 and 10, breaks, and allows the rib to sublux (partially dislocate), becoming hypermobile, and moving abnormally to cause pain in their chest or upper abdomen.＜/p＞ ＜p＞The disorder is slightly more frequent in women than men.＜/p＞ ＜p＞It has been documented in people as young as 12 years and as old as mid-80s but it mostly involves middle-aged people.＜/p＞ ＜p＞Overall, the syndrome is regarded as rare.＜/p＞ ＜p＞The precise cause of slipping rib syndrome is not well understood.＜/p＞ ＜p＞Slipping rib syndrome might happen after a trauma, injury, or surgery, but cases have been reported without any notable injuries.＜/p＞ ＜p＞Other causes are:＜br /＞ Congenital anomaly of the chest wall＜br /＞ The destruction of the fibrous articulation of the rib or their cartilage portion＜br /＞ Hyper-mobility of the costal cartilages of the false ribs＜/p＞ ＜p＞It is believed to be a result of hyper-mobility of the rib cartilage (costochondral) or ligaments, especially ribs 8, 9, and 10.＜/p＞ ＜p＞These three ribs are not attached to the sternum, but rather attached to each other by loose fibrous tissue.＜/p＞ ＜p＞They are occasionally called false ribs.＜/p＞ ＜p＞Due to this, they are most vulnerable to trauma, injury, or hyper-mobility.＜/p＞ ＜p＞This slippage or movement stimulates the nerves and may strain certain muscles in the area, causing inflammation and pain.＜/p＞ ＜p＞Ribs become slipping ribs due to hyper-mobility (too much motion) of the ribs at their attachment sites.＜/p＞ ＜p＞The underlying issue is believed to be due to injured or stretched ligaments that attach the ribs to both the spine and sternum.＜/p＞ ＜p＞This is often produced by seat belt injuries in car accidents, and collisions in contact sports.＜/p＞ ＜p＞It is very frequent for athletes involved in contact sports to get a slipped rib.＜/p＞ ＜p＞Traumatic injury produces stretching and occasionally tearing of the ligament attachments of the rib, creating instability of the rib.＜/p＞ ＜p＞Slipping ribs can produce many different types of pain.＜br /＞ Intermittent sharp stabbing pain in the upper abdomen or back, accompanied by a dull, achy sensation＜br /＞ Intermittent sharp stabbing pain in the upper back, mid-back, or even lower back＜br /＞ Slipping, popping, or clicking sensations in the lower ribs＜br /＞ Difficulty in breathing＜br /＞ Numbness in the arm or numbness around the chest or abdomen＜br /＞ Worsening of symptoms when bending, lifting, coughing, sneezing, deep breathing, stretching, or turning in bed＜/p＞ ＜p＞The diagnosis is made by a simple medical test-hooking maneuver, during which the doctor's fingers are placed under the affected rib margin and pulled forward.＜/p＞ ＜p＞If this duplicates the pain, clicking or a moving sensation the test is positive＜/p＞ ＜p＞A sonography, or ultrasound diagnostic imaging, can provide a fairly accurate depiction of where the ribs are presently placed.＜/p＞ ＜p＞Dynamic ultrasound of the ribs can be conducted with valsalva, coughing, twisting, crunch and push maneuvers to diagnose SRS.＜/p＞ ＜p＞Conservative Treatment involves:＜br /＞ Rest.＜br /＞ Avoiding strenuous activities.＜br /＞ Applying heat or ice to the affected area.＜br /＞ Oral medicines like NSAIDS.＜br /＞ Topical analgesics.＜br /＞ Physical Therapy - stretching and rotation exercises＜br /＞ Nerve blocks.＜/p＞ ＜p＞Non-conservative Treatment＜/p＞ ＜p＞If the disorder persists or produces severe pain, surgery may be advised.＜/p＞ ＜p＞The procedure or Partial rib resection has been an effective treatment for slipping rib syndrome.＜/p＞ ＜p＞Vertical rib plating with bio-absorbable plates reduced the rate of recurrence with early treatment.＜/p＞ ＜p＞TABLE OF CONTENT＜br /＞ Introduction＜br /＞ Chapter 1 Slipping Rib Syndrome＜br /＞ Chapter 2 Causes＜br /＞ Chapter 3 Symptoms＜br /＞ Chapter 4 Diagnosis＜br /＞ Chapter 5 Treatment＜br /＞ Chapter 6 Prognosis＜br /＞ Chapter...＜/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。 500円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞＜strong＞Una importante contribuci?n a la ciencia astron?mica. Un viaje que comienza con la composici?n qu?mica＜/strong＞＜/p＞ ＜p＞＜strong＞de nuestra galaxia y que, a trav?s de la misi?n espacial GAIA, nos muestra la forma en que ha evolucionado＜/strong＞＜/p＞ ＜p＞＜strong＞el universo.＜/strong＞＜/p＞ ＜p＞La astronom?a ha... 950円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | 234. 【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！】 Uso da cannabis no controle da dor【電子書籍】[ Pharmacology University ] ＜p＞A dor ? um dos principais motivos de consulta em centros de sa?de no mundo todo, ? um sintoma desagrad?vel que se desenvolve a partir de uma resposta neurol?gica a um est?mulo f?sico ou qu?mico; que representa um dano real ou potencial aos tecidos e pode limitar v?rios aspectos da vida de quem os s... 1,681円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞This book explains the immunology of organ-specific malignancies and discusses novel immunotherapy strategies for their treatment. Since the first, very successful edition of the book was published in 2015, a number of entirely new chapters have been included. The range of cancers considered has ac... 18,840円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞＜em＞Community Responses to Disasters in the Pacific Rim＜/em＞ presents different aspects of place-making in displacement in the Pacific Rim region. It focuses focus on how people respond and readjust to changes and captures the long-term community development outcomes and the critical moments that fac... 10,430円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞Julius von Sachs (1832-1897) was a German botanist from Breslau, Prussian Silesia. In Sachs 'History of Botany' he has made it his chief object to discover the first dawning of scientific ideas and to follow them as they developed into comprehensive theories, for in this lies the true history of a ... 1,122円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞The two volume set LNCS 15257 + 15258 constitutes the proceedings of the 27th International Conference on Information Security, ISC 2024, held in Arlington, VA, USA, during October 23?25, 2024.＜/p＞ ＜p＞The 33 full papers presented in these proceedings were carefully reviewed and selected from 111 submis... 9,116円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞Only a man knows how he wants to be treated and what makes him happy. Men think differently than women and this causes communication issues. After being in several relationships you begin to mature and understand what you like. I felt that there should be some type of guide to let women know how to... 750円 税込 送料込 カードOK 楽天Kobo電子書籍ストア | |
 | ＜p＞＜strong＞The star of HGTV’s ＜em＞Flip or Flop＜/em＞ Christina Anstead partners with celebrity nutritionist Cara Clark to help women remodel their livesーin mind, body and spirit.＜/strong＞＜/p＞ ＜p＞Christina Anstead, star of HGTV’s ＜em＞Flip or Flop＜/em＞ and ＜em＞Christina on the Coast＜/em＞, is known for her boundless ene... 3,032円 税込 送料込 カードOK 楽天Kobo電子書籍ストア |
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