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  1. Book ; Online ; E-Book: Basic & applied concepts of blood banking and transfusion practices

    Howard, Paul

    2021  

    Author's details Paul Howard
    Keywords Blood/Transfusion
    Subject code 615.39
    Language English
    Size 1 online resource (434 pages) :, illustrations
    Edition 5th edition.
    Publisher Elsevier
    Publishing place Philadelphia, Pennsylvania
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 0-323-69740-2 ; 0-323-69739-9 ; 978-0-323-69740-8 ; 978-0-323-69739-2
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

    Full text online

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  2. Book: Genetics and precision medicine

    Levy, Howard P.

    (Medical clinics of North America ; volume 103, number 6 (November 2019))

    2019  

    Author's details editor Howard P. Levy
    Series title Medical clinics of North America ; volume 103, number 6 (November 2019)
    Collection
    Language English
    Size xviii Seiten, Seite 957-1092, Illustrationen, Diagramme
    Publisher Elsevier
    Publishing place Philadelphia, Pennsylvania
    Publishing country United States
    Document type Book
    HBZ-ID HT020422125
    ISBN 978-0-323-69625-8 ; 0-323-69625-2
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    Ua VI Zs 158 -103,6- verfügbar in Königswinter Königswinter

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  3. Book: Health care in the United States

    Greenwald, Howard P.

    organization, management, and policy

    2022  

    Author's details Howard P. Greenwald
    Keywords Medical care ; Health services administration
    Subject code 362.10973
    Language English
    Size xvii, 301 Seiten, Illustrationen, Diagramme, 28 cm
    Edition Second edition
    Publisher Wiley, Jossey Bass
    Publishing place Hoboken, NJ
    Publishing country United States
    Document type Book
    Old title Vorangegangen ist
    HBZ-ID HT021457633
    ISBN 9781119812210 ; 9781119812227 ; 9781119812579 ; 9781119812234 ; 1119812216 ; 1119812224 ; 1119812577 ; 1119812232
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2022 A 1031 available for loan (reading room) Lesesaal EG

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  4. Article: Man in Weightlessness.

    Howard, P

    Journal of the Royal College of Physicians of London

    2019  Volume 3, Issue 4, Page(s) 323–328

    Language English
    Publishing date 2019-01-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 3005-3
    ISSN 0035-8819
    ISSN 0035-8819
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 308: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Massachusetts Veterinary Association.

    Rogers, Howard P

    The Journal of comparative medicine and veterinary archives

    2022  Volume 16, Issue 12, Page(s) 849–850

    Language English
    Publishing date 2022-10-24
    Publishing country United States
    Document type Journal Article
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Massachusetts Veterinary Association.

    Rogers, Howard P

    The Journal of comparative medicine and veterinary archives

    2022  Volume 17, Issue 5, Page(s) 421–422

    Language English
    Publishing date 2022-10-24
    Publishing country United States
    Document type Journal Article
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Massachusetts Veterinary Medical Association.

    Rogers, Howard P

    The Journal of comparative medicine and veterinary archives

    2022  Volume 17, Issue 7, Page(s) 571

    Language English
    Publishing date 2022-10-24
    Publishing country United States
    Document type Journal Article
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Inter-library loan at ZB MED

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  8. Article: Massachusetts.

    Rogers, Howard P

    The Journal of comparative medicine and veterinary archives

    2022  Volume 17, Issue 4, Page(s) 333

    Language English
    Publishing date 2022-10-24
    Publishing country United States
    Document type Journal Article
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Efficacy and safety of subcutaneous clonidine for refractory symptoms in palliative medicine: a retrospective study.

    Howard, Paul / Curtin, John

    BMJ supportive & palliative care

    2024  Volume 13, Issue e3, Page(s) e820–e824

    Abstract: Objectives: To investigate the efficacy and safety of subcutaneous clonidine for refractory symptoms in the palliative setting.: Methods: A retrospective chart review of the use of subcutaneous clonidine in a single palliative care centre. We ... ...

    Abstract Objectives: To investigate the efficacy and safety of subcutaneous clonidine for refractory symptoms in the palliative setting.
    Methods: A retrospective chart review of the use of subcutaneous clonidine in a single palliative care centre. We reviewed the use of clonidine since it was introduced in our locality 2½ years ago. All clinical notes, medication administration records and infusion monitoring documentation were examined to ascertain therapeutic aim, efficacy and tolerability.
    Results: Subcutaneous clonidine was administered to 113 patients. Recipients were generally frail (median Karnofsky Score 20%) and in the last weeks of life (median survival 6 days). The the most common indications were opioid poorly responsive pain (59), agitation refractory to antipsychotics and/or benzodiazepines (18) or both (35). Symptoms appeared to improve in the majority (85/113, 75%). Some (36, 32%) required no further medication changes once clonidine was commenced. Clonidine appeared well tolerated although blood pressure was not monitored in the majority, in line with our practice to discontinue such observations in those who are nursed in bed and receiving symptom-focused care.
    Conclusions: Subcutaneous administration of clonidine appears to be a promising alternative option for refractory symptoms in the last weeks of life. We suggest some possible next steps for further research.
    MeSH term(s) Humans ; Clonidine/adverse effects ; Retrospective Studies ; Palliative Medicine ; Palliative Care ; Pain/drug therapy
    Chemical Substances Clonidine (MN3L5RMN02)
    Language English
    Publishing date 2024-01-08
    Publishing country England
    Document type Review ; Journal Article
    ISSN 2045-4368
    ISSN (online) 2045-4368
    DOI 10.1136/spcare-2022-003651
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Beta-blockers for tenacious saliva: a case report.

    Woodman, Myles J / Howard, Paul

    BMJ supportive & palliative care

    2024  Volume 13, Issue e3, Page(s) e936–e938

    Abstract: This case report describes the care of a 75-year-old gentleman with metastatic head and neck cancer who was highly symptomatic with intractable tenacious oropharyngeal secretions. The patient reported subjective benefit from oral atenolol. A literature ... ...

    Abstract This case report describes the care of a 75-year-old gentleman with metastatic head and neck cancer who was highly symptomatic with intractable tenacious oropharyngeal secretions. The patient reported subjective benefit from oral atenolol. A literature review was undertaken and identified no previous studies on the use of β-blockers for secretions in malignant disease, although some anecdotal evidence for their use in motor neuron disease. The proposed underlying mechanism is that β1-blockade reduced the protein content of salivary secretions, hence reducing its viscosity. Further studies of both the role of β-adrenoreceptors in the control of secretion viscosity and the potential role of β-blockers in alleviating symptomatic tenacious secretions are warranted.
    MeSH term(s) Male ; Humans ; Aged ; Saliva/metabolism ; Adrenergic beta-Antagonists/therapeutic use ; Atenolol/metabolism
    Chemical Substances Adrenergic beta-Antagonists ; Atenolol (50VV3VW0TI)
    Language English
    Publishing date 2024-01-08
    Publishing country England
    Document type Review ; Case Reports ; Journal Article
    ISSN 2045-4368
    ISSN (online) 2045-4368
    DOI 10.1136/bmjspcare-2022-003615
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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