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商品 | 説明 | 価格 |

Location Intelligence - Simple Steps to Win, Insights and Opportunities for Maxing Out Success【電子書籍】[ Gerard Blokdijk ]
楽天Kobo電子書籍ストア
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<p>Starting out with Location Intelligence means being unsure about what to do, how to start and how to get the most out of it; preparing for success, and avoiding failure.</p> <p>There is enormous satisfaction in seeing the change succeed, overcoming the obstacles in the way to reap the rewards and benefits that using Location Intelligence brings.</p> <p>Don't embark on the change unprepared or it will be doomed to fail. But it's my guess that since you're reading this, the forces of change have already been set in motion, and there is no going back.</p> <p>What you need is the resources, knowledge, and confidence required to overcome uncertainty and face Location Intelligence changes.</p> <p>The job can be accomplished by having a roadmap and experiences from previous Location Intelligence changes.</p> <p>This is where this book is your guide and roadmap. You will be able to relate to the experiences laid out in its resources covering all aspects of any Location Intelligence initiative.</p> <p>Use it, and its INCLUDED Working Documents for Leaders, to get a strong foundation. It will provide aid, advice, blueprints, road maps en templates when you need it most. The book reflects the reality that the fastest way to learn about Location Intelligence is from experiences, knowing about the ins and outs of employment and career developments, trends and popularity, relevant knowledge and patents AND the INCLUDED downloadable resources on Location Intelligence Blueprints, Templates and Presentations: Working Documents for Leaders.</p> <p>Whatever makes you decide to take on the change: growing business initiatives or career development plans, you are ready for a Location Intelligence Change. The book and accompanying toolkit is your gateway and will fully support your commitment in moving forward and energize yourself and others.</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。
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4,255円
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洋書 CREATESPACE paperback Book, Location Based Marketing For Restaurants: Simple, Low Cost, Easy To Use Tactics To Get Customers In The Door
Glomarket
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*** 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
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4,459円
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Knee Dislocation, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]
楽天Kobo電子書籍ストア
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<p>This book describes Knee Dislocation, Diagnosis and Treatment and Related Diseases<br /> A knee dislocation occurs more specifically when the bones of the leg (the tibia and fibula) are shifted in relation to the bone in the thigh (femur).<br /> The bones of the knee are kept together by strong bands of tissue called ligaments.<br /> Each ligament is accountable for stabilizing the knee in a certain position.<br /> For a knee dislocation to happen, these ligaments must tear.<br /> A partial dislocation is called a subluxation.<br /> In some injuries, the kneecap (patella) and its ligaments are also dislocated.<br /> Improper or delayed treatment of a knee dislocation may cause the loss of the leg.<br /> If the patient dislocates the knee, it means that the bones that come together at that joint have been forced out of place with great force.<br /> It is an emergency and it is very painful.<br /> Dislocated knees are rare, but they are serious.<br /> A knee dislocation is unlike a patellar dislocation in which only the kneecap is detached from its groove at the end of the femur.<br /> Causes<br /> Knee dislocations are often the effect of a high-impact injury such as an automobile accident, severe or hard fall, and sports injuries.<br /> Symptoms<br /> There is a history of trauma and deformity of the knee.<br /> There is knee pain and instability of the knee joint.<br /> When the patient dislocates the knee, the patient may hear a popping sound.<br /> These symptoms also are frequent:</p> <ol> <li>Pain: It hurts a lot. The knee is in so much pain that the patient cannot move it.</li> <li>Swelling: It is swollen and severely bruised.</li> <li>Deformity: Parts of the knee look like they have been knocked out of place.<br /> The most frequent symptoms of knee dislocation are the visible swelling and deformity of the knee joint<br /> Appearance<br /> a. No obvious deformity<br /> 50% of knee dislocations spontaneously reduce before arrival to ED<br /> Knee dislocations may present with subtle signs of trauma (swelling, effusion, abrasions, ecchymosis)<br /> b. Obvious deformity<br /> The doctor should reduce immediately, especially if absent pulses are present.<br /> "Dimple sign"- is the buttonholing of medial femoral condyle through the medial capsule.<br /> This is an indicative of an irreducible posterolateral knee dislocation.<br /> It is a contraindication to closed reduction due to risks of skin necrosis.<br /> The lower extremity will often appear shortened and misaligned, and any movement of the joint will produce extreme pain.<br /> Vascular examination<br /> The priority is to exclude vascular injury on knee exam both before and after reduction<br /> The doctor should palpate the dorsalis pedis and posterior tibial pulses on injured and contralateral side.</li> <li>If pulses are present and normal:<br /> It does not indicate the absence of arterial injury.<br /> The Ankle-Brachial Index (ABI) is measured on all patients with suspected KD<br /> The test compares the blood pressure at the ankle with the blood pressure at the arm.<br /> a. If ABI >0.9<br /> The doctor does serial examination (100% Negative Predictive Value)<br /> b. If ABI</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。
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324円
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A Simple Guide to Ankle Dislocation, Diagnosis, Treatment and Related Conditions【電子書籍】[ Kenneth Kee ]
楽天Kobo電子書籍ストア
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<p>This book describes Ankle Dislocation, Diagnosis and Treatment and Related Diseases</p> <p>Recently an old lady fell while crossing the road.<br /> She was unable to get up and walk.<br /> The ankle had been twisted and a bone was protruding at the back of the ankle.<br /> This was a posterior ankle dislocation.</p> <p>An ankle dislocation happens when the ankle bone (talus) is knocked out of its normal position under the lower leg bones (tibia and fibula) by an unusually strong or violent force.</p> <p>Dependent on the direction that the bones move, the surrounding bones, ligaments, tendons, or cartilage may be injured.</p> <p>Ankle dislocations are very often linked with fractures.</p> <p>An isolated dislocated ankle is a rare injury.</p> <p>Normally, there is a linked fracture of the bones that make up the ankle.</p> <p>The ankle normally dislocates as a result of a fall, motor vehicle crash, or sporting injury producing damage to ligaments and bones.</p> <p>Besides the bony injury, there can be injury to blood vessels, nerves, and skin.</p> <p>There are 2 main sets of ligaments attaching the talus to the tibia and fibula.</p> <p>The deltoid ligament attaches the tibia to the talus on the inside of the ankle.</p> <p>On the outside of the ankle, the talofibular ligaments attach the fibula to the talus.</p> <p>A strong force can injure the ankle ligaments.</p> <p>To fracture or dislocate an ankle, the forces must be impressive.</p> <p>Poor muscle strength may contribute to the ankle dislocations.</p> <p>The peroneal muscles, traveling along the outside of the lower leg and cross the ankle, are accountable for bringing the foot up and out to the side.</p> <p>Athletes who lack proper peroneal muscle strength may have trouble keeping their feet and legs in an appropriate position when an unexpected twist happens.</p> <p>This can dislocate the talus or pop it into a position where it does not rest between and below the tibia and the fibula.</p> <p>An ankle dislocation is an emergency medical situation that can possibly injure any or all of the structures in the ankle.</p> <p>The blood supply or nerve connections to the ankle also may be injured.</p> <p>The skin and soft tissue around the ankle may be lacerated or cut by fractured bone.</p> <p>If there is suspicion of an ankle dislocation, the person should go to a hospital’s emergency room as soon as possible.</p> <p>Ankle dislocations are a relatively frequent type of dislocation encountered in the emergency department.</p> <p>They are present in 2 forms:<br /> A true dislocation without fracture<br /> A fracture-dislocation, happening in the vast majority</p> <p>Ankle dislocations do not happen on impulse but are a result of a trauma.</p> <p>The most frequent type of ankle dislocation is the posterior dislocation, where the talus moves backward in relation to the tibia.</p> <p>Anterior dislocations, where the talus is pushed forward, happen when the foot is fixed or dorsi-flexed (where the toes are pointed upward).</p> <p>Lateral dislocations happen when the ankle is twisted, either inverted or everted, but there are always fractures linked with either the medial or lateral malleolus or both.</p> <p>Superior dislocation depicts where the talus is jammed upward, into the space between the tibia and fibula, as a result of an axial loading injury and is termed a pilon injury.</p> <p>Dislocations can be painful, with obvious deformity of the ankle joint</p> <p>Diagnosis require X-rays and often a MRI.</p> <p>The emergency treatment is to reduce the dislocation as soon as possible and then splint the ankle to prevent further injury.</p> <p>Orthopedic consultation is normally required since surgery may be required.</p> <p>TABLE OF CONTENT<br /> Introduction<br /> Chapter 1 Ankle Dislocation<br /> Chapter 2 Causes<br /> Chapter 3 Symptoms<br /> Chapter 4 Diagnosis<br /> Chapter 5 Treatment<br /> Chapter 6 Prognosis<br /> Chapter 7 Ankle Sprains<br /> Chapter 8 Ankle Disorders<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。
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361円
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Anterior Shoulder Dislocation, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]
楽天Kobo電子書籍ストア
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<p>This book describes Anterior Shoulder Dislocation, Diagnosis and Treatment and Related Diseases<br /> Anterior Shoulder Dislocation</p> <p>Shoulder Dislocation is a displacement within the shoulder joint<br /> Injury and accidents can cause it away and at home<br /> Some are due to the bone muscles overstretching<br /> Others are due to the ligaments in the joint tearing</p> <p>Males are affected more than female<br /> Overexertion leads to many dislocations in males<br /> There may severe pain and difficulty in activities<br /> Some if untreated it may result in deformities</p> <p>It is important the joint reduction is expedited<br /> The blood supply to the joint may be compromised<br /> Open dislocations may be treated by operation<br /> Close dislocations required skills in reduction</p> <p>X-rays will the confirm the severity<br /> Severe dislocation may require surgery<br /> Shoulder injuries can also be surgically stabilized<br /> Followed by physiotherapy and exercise</p> <p>-An original poem by Kenneth Kee</p> <p>During one of the house call at night while working as a locum doctor for a group practice, I was able to reduce the dislocation of a Caucasian who had dislocated his shoulder while diving into the swimming pool.<br /> I had read up about the procedure of reducing the dislocation of the shoulder before going for the house call.<br /> Luckily the patient himself had recurrent dislocation before and so he knew how to help me reduce his dislocation.<br /> I used a gentle steady straight traction on the arm with counter action on the shoulder pressing my foot in the armpit.<br /> I then extended the Shoulder under traction to loosen the muscles<br /> I next flexed the Shoulder slowly forward to reduce the dislocation and keep it immobilized at 90 degree of flexion in a sling for 1 to 2 weeks to allow for ligaments and capsular healing.<br /> The next day he was to present himself to the clinic for an X ray to make sure the bone was securely in the socket.<br /> The X-ray showed that the shoulder dislocation was successfully reduced without complication.</p> <p>Anterior Dislocation of Shoulder is a frequent injury of the Shoulder.<br /> It is the most frequent dislocation in the human body.<br /> It is normally anterior in direction and results from a fall on the externally rotated abducted arm.<br /> This forces the humerus out of the glenoid cavity of the shoulder blade into its anterior position.<br /> Posterior dislocation is less frequent and may results from a force directed against the internally rotated arm.<br /> Anterior dislocation is almost invariably traumatic.<br /> It normally happens when people fall with a combination of abduction, extension and a posteriorly directed force on the arm<br /> Symptoms:</p> <ol> <li>Pain and deformity of the Shoulder</li> <li>Acromial protrusion of the Shoulder joint</li> <li>Absence of the normal fullness of the humeral head beneath the deltoid and acromial process<br /> The doctor should assess radial nerve function: test for thumb, wrist and elbow weakness on extension and reduced sensation on the dorsum of the hand.<br /> The rotator cuff is often damaged and should be examined after reduction.<br /> Typically the other arm is holding on to the affected arm<br /> With anterior dislocations the arm is held externally rotated, the shoulder is full and internal rotation is painful.<br /> Typical signs are:<br /> Apprehension Test<br /> Relocation sign<br /> Sulcus sign<br /> The X-ray shows the humeral head lying under the coracoid process on the AP view<br /> MRI test is useful for visualization of labral tear<br /> Treatment<br /> Muscle spasm tends to happen soon after dislocation and makes reduction more difficult<br /> The doctor will push the ball of the upper arm bone (humerus) back into the joint socket in a closed reduction<br /> Surgical repair increased shoulder stability and function.<br /> Rehabilitation will begin with gentle muscle toning exercises</li> </ol> <p>TABLE OF CONTENT<br /> Introduction<br /> Chapter 1 Anterior Shoulder Dislocation<br /> Chapter 2 Causes<br /> Chapter 3 Symptoms<br /> Chapter 4 Diagnosis<br /> Chapter 5 Treatment<br /> Chapter 6 Prognosis<br /> Chapter 7 Frozen Shoulder<br /> Chapter 8 Rotator Cuff Injuries<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。
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323円
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Fractures and Dislocations, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment【電子書籍】[ Kenneth Kee ]
楽天Kobo電子書籍ストア
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<p>This book Fractures and Dislocations, Diagnosis and Treatment and Improvised Treatment</p> <p>Fractures are broken bones<br /> Caused by injury and accidents away and at home<br /> Some are due to brittle bones at birth<br /> Or osteoporosis from aging and menopause</p> <p>Males are affected more than female<br /> Menopause contribute to many fractures<br /> There may severe pain and difficulty in activities<br /> Some if untreated it may result in deformities</p> <p>Lack of calcium can contribute to fracture alone<br /> Taking more milk and fish help to strengthen the bones<br /> Open fractures may be treated by operation<br /> Close fractures required skills in reduction</p> <p>X-rays will the confirm the severity<br /> Open fractures may require surgery<br /> Greenstick fracture may just require bandaging<br /> Try to avoid strenuous activities and jogging</p> <p>A fracture is a break normally in a bone.<br /> Fractures often happen because of car accidents, falls or sports injuries.<br /> Other causes are low bone density and osteoporosis which cause weakening of the bones.<br /> Overuse can cause stress fractures, which are very small cracks in the bone.<br /> Fractures of the bone are classified in two categories:</p> <ol> <li>The simple fracture is when the bone is broken in one place.</li> <li>The compound fracture in which the skin is pierced and the flesh and bone are exposed to infection.<br /> If the broken bone punctures the skin, it is called an open or compound fracture.<br /> Types of Fractures</li> <li>A complete fracture is when the bone has broken into two pieces.</li> <li>A greenstick fracture is when the bone cracks on one side only not all the way through.</li> <li>A single fracture is when the bone is broken in one place.</li> <li>A comminuted fracture is when the bone is broken into more than two pieces or crushed.</li> <li>A bowing fracture which only happens in kids, is when the bone bends but does not break.</li> <li>An open fracture is when the bone is sticking through the skin.<br /> A bone may be completely fractured or partially fractured in any number of ways (crosswise, lengthwise, in multiple pieces).</li> </ol> <p>Improvised Fracture Care<br /> Diagnosis of fractures</p> <ol> <li>Palpable discontinuity in bone<br /> Palpation of bone is an excellent indicator of bony discontinuity, particularly in the patella, long bones, ribs, and diastasis of the symphysis pubis</li> <li>Deformity<br /> The diagnosis of fracture or dislocation is suspected if there is deformity.<br /> Deformities tend more likely to be present if the patient manifests before there is significant edema or several days later after edema has disappeared, and if the fracture is away from the joints, is angular, is not a partial (e.g., stress, torus) fracture, and is not a compression fracture.</li> <li>Crepitus<br /> Crepitus is a grating sound produced by contact of the broken surfaces with each other and if present is highly indicative of a fracture.</li> <li>Shortening of a limb<br /> This is a credible sign of a long-bone fracture.<br /> Physical diagnosis comprises:</li> <li>Observation,</li> <li>Measurement, and</li> <li>Palpation.<br /> Using these 3 methods, the doctor can diagnose many acute orthopedic disorders without imaging.<br /> Shoulder Dislocation<br /> Diagnosing a shoulder dislocation without a radiograph is fairly simple:<br /> The doctor should feel for the “hole” when the finger falls into the now-empty joint at the glenoid.<br /> If there is any doubt, the doctor should feel the contralateral side of the shoulder.<br /> Other signs are:</li> <li>A flattening of the shoulder,</li> <li>Projection of the elbow with the impossibility of bringing it to the side of the body and, most important,</li> <li>The presence of the head of the bone in an abnormal position, below the coracoid process.<br /> An external skeletal fixator can be easily improvised using wood.</li> </ol> <p>TABLE OF CONTENT<br /> Introduction<br /> Chapter 1 Fractures and Dislocations<br /> Chapter 2 Hip Neck Fractures<br /> Chapter 3 Forearm Fractures<br /> Chapter 4 Colles Fracture<br /> Chapter 5 Scaphoid Fracture<br /> Chapter 6 Shoulder Dislocation<br /> Chapter 7 Kneecap Dislocation<br /> Chapter 8 Improvised Fracture Care<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。
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316円
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This Side Up Simple Guide To Your Successful Relocation【電子書籍】[ Lauren Herring ]
楽天Kobo電子書籍ストア
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<p>Moving is one of the most stressful experiences you will go through in lifeーyet, for many, it ushers in a new life full of opportunities for change and growth. Whether you’re relocating for the first time or the fifth, this is your expert guide to managing the process, enjoying the journey, and landing right-side up! From the CEO of America’s #1-rated relocation company comes this heartfelt, honest, no-nonsense moving guidebook. The advice and ideas here come directly from IMPACT Group’s coaches, who have helped hundreds of thousands of people move successfully since 1988. From moving checklists, to job hunting advice; from how to talk to your kids, to how to mark your packing boxesーit’s all here. Don’t move without this book!</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。
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804円
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