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Modernes Krankenhausmanagement: Konzepte Und Lösungen
by Clemens Guth Benjamin I. Behar Rainer SalfeldDieses Buch zeigt Wege auf, wie jedes Krankenhaus die vermeintliche Quadratur des Kreises lösen kann: zum einen noch bessere medizinische und pflegerische Leistungen zu erbringen, zum andern nachhaltig die Gewinnschwelle zu erreichen. Auch wenn deutsche Krankenhäuser im internationalen Vergleich erstaunlich gut dastehen, so muss sich der gesamte Sektor weiterhin enormen Herausforderungen stellen: Rund die Hälfte der Häuser schreibt rote Zahlen, Wirtschaftlichkeit und finanzielle Basis werden von Jahr zu Jahr schwächer. Die Ideen, Konzepte und Vorschläge der Autoren, um diesen Entwicklungen gegenzusteuern, geben den neuesten Stand der nationalen und internationalen Reformdiskussion wieder. Zugrunde liegen eigene Erfahrungen in der Führung von Krankenhäusern, in Forschung und Lehre sowie in der Beratung von Krankenhäusern und Krankenhausgruppen im In- und Ausland. Für die vorliegende 4. Auflage wurden das Kapitel zu dem Leistungsgeschehen auf den Stationen komplett überarbeitet und ein Kapitel zur Wirtschaftlichkeit und dem Controlling des klinischen Betriebs ergänzt.
Modernes Krankenhausmanagement: Konzepte und Lösungen
by Benjamin I. Behar Rainer Salfeld Kerstin Eisenbeiß Frank LöscherDieses Buch zeigt Wege auf, wie jedes Krankenhaus die vermeintliche Quadratur des Kreises lösen kann: Zum einen noch bessere medizinische und pflegerische Leistungen zu erbringen und zum anderen nachhaltig die Gewinnschwelle zu erreichen. Dies in einem Umfeld, in dem die Bundesländer versuchen, sich zunehmend aus der Investitionsfinanzierung zurückzuziehen, während gleichzeitig die Krankenkassen und -versicherer wieder verstärkt auf Kostensenkungen im Krankenhausbetrieb drängen.Auch wenn sich deutsche Krankenhäuser im internationalen Vergleich erstaunlich gut behaupten, so stellt „Weitermachen wie bisher“ schon längst keine angemessene Antwort auf die vielfältigen Herausforderungen mehr dar. Wer im überaus anspruchsvollen gesundheitspolitischen Umfeld überleben will, muss vielmehr bereit sein, neue Initiativen zu entwickeln und mit dem nötigen langen Atem auch konsequent umzusetzen. Die hier vorgestellten Ideen, Konzepte und Vorschläge geben den neuesten Stand der nationalen und internationalen Reformdiskussion wieder. Zugrunde liegen eigene Erfahrungen der Autoren in der Führung von Krankenhäusern, in Forschung und Lehre sowie in der Beratung von Krankenhäusern und Krankenhausgruppen im In- und Ausland.Die 5. Auflage wurde um zwei neue Kapitel zu den Themen Bekämpfung künftiger Pandemiewellen und Digitalisierung im Gesundheitswesen ergänzt.
Modernising Cancer Services
by Mark BakerThis concise but comprehensive text provides those new to palliative care with an overview of the many aspects of their work. It is based on lecture notes which have been used by clinical students and nurses at Oxford and elsewhere, and is now available for a wider readership.
Modernity and Cultural Decline: A Biobehavioral Perspective
by Colin Feltham Matthew Alexandar Sarraf Michael Anthony Woodley of MenieThis book argues that despite the many real advantages that industrial modernity has yielded—including large gains in wealth, longevity, and (possibly) happiness—it has occurred together with the appearance of a variety of serious problems. Chief among these are probable losses in subjective existential purpose and increases in psychopathology. A highly original theory of the ultimate basis of these trends is advanced, which unites prior work in psychometrics and evolutionary science. This theory builds on the social epistasis amplification model to argue that genetic and epigenetic changes in modernizing and modernized populations, stemming from shifts in selective pressures related to industrialization, have lowered human fitness and wellness.
Modernity in Health and Disease Diagnosis: The Account from STEM Women (Sustainable Development Goals Series)
by Eucharia Oluchi NwaichiThis book gathers contributions highlighting the role of women in science, with a focus on health and disease.Women have contributed in no small way to the wealth of knowledge and discoveries in various aspects of health.The 21st century has been dubbed the "Knowledge Economy" due to a substantial increase in the accessibility of information, leading individuals to become more knowledgeable and well-rounded.Given the fact that irrespective of the field of study, knowledge eventually decays, more women in the 21st century have been at the forefront extending the frontiers of knowledge in the field of STEMM (Science Technology Engineering Mathematics Medicine) - engaging in rigorous research and making significant contributions in the field. Letting their voices heard through their well-researched published studies is a significant way of encouraging other upcoming women scientist and bringing advances in disease diagnosis to achieve SDG3.The contributions in this book aim to increase visibility of women in the field of science and to serve as a source of inspiration to everyone.
Modernity, Medicine and Health
by Graham Scambler Paul HiggsThis book establishes the voice of medical sociology in key debates in the social sciences. Concerning modernity, postmodernity, structuralism and poststructuralism issues covered include: * disease and medicine in postmodern times * gender, health and the feminist debate on the postmodern * ageing, the lifecourse and the sociology of health and ageing * medicine and complementary medicine * death in postmodernity.
Modernizing Medicare: Harnessing the Power of Consumer Choice and Market Competition
by Robert Emmet Moffit and Marie FishpawTop policy experts offer Medicare reform solutions for the millions of seniors whose health care depends on America's fastest growing federal entitlement.In Modernizing Medicare, editors Robert Emmet Moffit and Marie Fishpaw bring together a rare combination of leading scholars and policy practitioners to outline a vision for Medicare reform and provide solutions for the millions of seniors whose health care depends on it. Contributors include a former Medicare trustee, a former Medicare administrator, and a former director of the Congressional Budget Office. Detailing Medicare's biggest problems, this team of top policy experts offer solutions based on personal freedom of choice, transparency of price and performance, and market competition among health plans and providers that will secure patients more affordable, more accountable, and higher quality medical care. They also address Medicare's reform needs and analyze the promising performance of the Medicare Advantage program. The authors outline Medicare's major financial problems and the best solutions for Medicare patients and taxpayers alike. While Medicare's accelerating spending is generating higher deficits and debt, standard cost-control strategies—such as payment reductions and price controls—jeopardize patients' access to high-quality care. Contributors: Joseph R. Antos, PhD; Doug Badger; Charles P. Blahous, PhD; Walton F. Francis; John C. Goodman, PhD; Edmund F. Haislmaier; Douglas Holtz-Eakin, PhD; Brian J. Miller, MD, MBA, MPH; Robert Emmet Moffit, PhD; Mark V. Pauly, PhD; Christopher M. Pope, PhD; Gail R. Wilensky, PhD.
Modified Cyclodextrins for Chiral Separation
by Dongping Sun Siu-Choon Ng Weihua TangModified Cyclodextrins for Chiral Separation offers a review of the latest advances in developing modified cyclodextrins as chiral selectors for various chromatographic and electromigration techniques. Over the years, many descriptions of chiral separation have appeared in academic journals and books, but most of them have been devoted to either the development of analytical methods and protocols or the summary of different chiral selectors, including cyclodextrins for chiral separation applications. This is in marked contrast to this volume which focuses on the research endeavors concerning the development of cyclodextrin derivatives specifically as either chiral mobile phases for capillary electrophoresis, or chiral stationary phases for various chromatographic techniques including gas chromatography, or high-performance liquid chromatography and supercritical fluid chromatography. The ongoing thread in this book is the synthesis of structurally-defined cyclodextrin derivatives and their applications in enantiomer separation by means of different analytical techniques. Modified Cyclodextrins for Chiral Separation is intended for those who are interested in expanding their knowledge of cyclodextrin chemistry and chiral separation, and in what cyclodextrin modification can be made to suit the needs of chiral selectors for different analytical techniques. It primarily focuses on the state-of-the-art cyclodextrin chemistry which is the basis for all chiral selectors used in these chiral separation techniques. Weihua Tang, PhD, is a professor at the Key Laboratory of Soft Chemistry and Functional Materials, Ministry of Education, Nanjing University of Science and Technology, China. Siu-Choon Ng, PhD, is a professor at the Division of Chemical and Biomedical Engineering, School of Chemical and Biomedical Engineering, Nanyang Technological University, Singapore. Dongping Sun, PhD, is a professor at the Key Laboratory of Soft Chemistry and Functional Materials, Ministry of Education, Nanjing University of Science and Technology, China.
Modified Inferior Turbinoplasty
by Paolo GottarelliHumans can resist 40 days without eating and 4 days without drinking, but only 4 minutes without breathing: this tells us much about its fundamental importance. Breathed air is slowed down, filtered, warmed and humidified by the nose; many mechanisms are involved in this act, which prevent bronchial tubes and pulmonary alveolus from receiving an excessive and sudden air load. It is well known, on the other hand, that breathing through the mouth causes a lot of problems: inflammatory diseases of the upper airways, sleep apnea syndrome, but also, in some cases, bronchial, pulmonary and even cardiac disorders, that are more easily affecting patients not able to breathe correctly through the nose. For this reason, restoring an efficient nasal function is a very important - and in some cases crucial - issue. This book describes in details an innovative surgical technique called modified inferior turbinoplasty, which offers an excellent solution to the problems associated with the lower turbinate hypertrophy. A turbinate (or nasal concha) is a long, narrow, curled bone shelf that protrudes into the breathing passage of the nose. Most surgical interventions treat only the soft parts of hypertrophic turbinates using laser therapy, radiofrequency treatment, and electrocoagulation, but these procedures often lead to relapse. With this technique, in contrast, all anatomic parts of the turbinate are treated, including bone tissue: the surgeon reduces the inferior nasal concha and the internal nasal tissue, and the mucosa is then remodeled with sutures. The modified inferior turbinoplasty allows the complete avoidance of swabs in the nose, which is fundamental for patients well-being and grant them a quicker recovery. The book will be very useful for othorinolaryngologists, plastic surgeons, endoscopic and maxillofacial surgeons.
Modified Posterior Approach to the Hip Joint
by K. Mohan IyerThis book provides a detailed description of the anatomy as well as surgical aspects of posterior approach to the hip joint. This approach has been highlighted in several key texts in orthopaedics over the years with this book offering the reader a comprehensive overview in a single resource.Modified Posterior Approach to the Hip Joint, 2nd Edition provides a well-structured overview of the original surgical findings undertaken by the Author, which are still followed ardently today. Clinicians seeking a clear and illustrated guide to the posterior approach to hip surgery will find this book to be an indispensable resource in everyday clinical practice.
Modified-Release Drug Delivery Technology: Volume 1 (Drugs and the Pharmaceutical Sciences)
by Michael J. Rathbone Michael S. Roberts Jonathan HadgraftThis two volume Second Edition describes the anatomical, physiological, pharmaceutical, and technological aspects of delivery routes, found in areas like:Oral Ocular Dermal and transdermal VaginalColonic Oral mucosal Nasal PulmonaryProviding insight and critical assessment of the many available and emerging modified release drug delivery systems fo
Modifizierte Muskelfunktionsprüfung bei Multipler Sklerose: modifiziert – selektiv – standardisiert
by Regula Steinlin EgliDas Praxisbuch beschreibt die Grundlagen und Durchführung der selektiven Muskelfunktionsprüfung von Patient*innen mit Multipler Sklerose, die eine spezifische Spastikkontrolle voraussetzt. Evidenzbasierte Methoden zur Bewertung der Muskelkraft jeder einzelnen Muskelgruppe werden detailliert beschrieben und mit Fotos veranschaulicht. Somit kann die selektive Muskelkraftprüfung in der Physiotherapie und Ergotherapie eingesetzt werden, ohne unerwünschte Einwirkung der Spastik. Aus dem Inhalt: Modifizierte Muskelkrafttestung aller Muskelgruppen der unteren und oberen Extremität sowie dem Rumpf, detaillierte Beschreibung der Ausgangsstellungen und Durchführungen, Kontrollkriterien und Bewertungskriterien, Evidenzbasierte standardisierte Testungen. Plus: Videos via More Media App ergänzen die Fotos ideal. Klar strukturiert und praxisnah hilft dieses Buch, das Management von Muskeltests bei Patient*innen mit Spastik und Paresen zu optimieren und die Auswertung evidenzbasiert zu interpretieren.
Modulation of Oxidative Stress in Heart Disease
by Naranjan S. Dhalla Nirmal K. Ganguly Sajal Chakraborti Madhu DikshitThis book highlights the multifaceted roles of Reactive Oxygen Species (ROS) in modulating normal cellular and molecular mechanisms during the development of different types of heart disease. Each chapter in the book deals with the role that altered redox homeostasis plays in the pathophysiology of heart disease. In addition, the book explains how reactive oxidant species interact with their targets and provides novel strategies for attenuating oxidative stress-induced types of heart disease.The book not only covers ROS-induced response in heart disease at the cellular level, but also demonstrates that an imbalance of redox states has its roots in our genes, and explains the ways gene expression is regulated. In turn, it reviews potential sources of ROS, their pathological effects on the heart, and potential sites for therapeutic interventions.
Modulation of Presynaptic Calcium Channels
by Gary Stephens Sumiko MochidaThis book will bring together leading international experts to discuss recent advances in basic scientific knowledge regarding the regulation of presynaptic Ca2+ channels. Importantly, Ca2+ channels represent one of the most widely modulated proteins in the body, being the target of a range of effector pathways and drugs; this range will be fully represented here. A number of therapeutic drugs target the Ca2+ channel complex, including the anti-epileptic gabapentinoid and analgesic ziconotide drugs and the pharmaceutical industry is searching for Ca2+ channel blocking drugs, particularly in the pain, epilepsy, ataxia and migraine areas. Such potential future therapies will be discussed here. Scientific disciplines will focus on electrophysiological studies, but will extend to neuroscience, genetics and biochemical areas. The work described will represent advances at the cutting edge of current neuroscience research and is timely and highly appropriate for the Springer book series.
Modulation of Protein Stability in Cancer Therapy
by Eric Rubin Kathleen SakamotoThe book that Sakamoto proposes along with Eric Ruben will be a comprehensive monograph on the role of protein modulation in cancer therapeutics; it will focus on targeting molecules that regulate protein stability in a variety of tumors.
Moffet's Board Review for Pediatric Infectious Disease
by Thomas G. BoycePublisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Until now, review and preparation for the pediatric infectious diseases board exam could be costly, time-consuming, and generic in its approach. Moffet’s Board Review for Pediatric Infectious Diseases offers pediatric residents, fellows, and practitioners a new, effective method of study that’s both affordable and self-paced. This first-of-its-kind review tool prepares you for the board exam and for the challenges you’ll encounter in taking care of children with infections.
Moffet's Pediatric Infectious Diseases: A Problem-Oriented Approach
by Randall Fisher Thomas G. Boyce Armando G. CorreaStaying true to the unique, problem-oriented approach of Dr. Hugh Moffet’s previous editions, the fifth edition of Moffet’s Pediatric Infectious Diseases walks the reader step by step through diagnosis and management using a signs and symptoms approach. This patient-oriented structure leads to a logical development of a differential diagnosis and evaluation and treatment plan, offering clear steps to confirm the diagnosis and provide appropriate therapy.
Mohs Micrographic Surgery
by Keyvan NouriThis book is written for dermatologists, otolaryngologists, facial plastic surgeons and any physician who want to provide state of the art treatment for skin cancer patients. Considering the high incidence of non-melanoma skin cancers such as Basal Cell Carcinoma and Squamous Cell Carcinoma (accounting for over one million cases per year in the United States) and since Mohs Micrographic Surgery has become the treatment of choice for these skin cancers, the popularity of this technique has been increasing dramatically, worldwide.
Mohs Surgery And Histopathology: Beyond The Fundamentals
by Ken Gross Howard K. SteinmanMohs surgery is a highly effective treatment for certain cutaneous and oral pharyngeal cancers. The procedure allows for the precise and complete removal of cancers while preserving significant amounts of normal tissue. Through the presentation and orientation of the specimens' complete surgical margin on pathology slides, the location of tumor foci and other relevant findings can be correlated with their locations on the surgical wound. The ability to create perfect slides for histological examination lies at the core of effective Mohs surgery. These procedures have a 99 percent cure rate for certain cancers when implemented correctly. This book describes the methods the dermatologist, pathologist, or technician can use to optimize the Mohs technique and produce the highest-quality slides and highest cure rates possible.
Mohs and Cutaneous Surgery: Maximizing Aesthetic Outcomes
by Alexander BerlinAchieving the best aesthetic results in Mohs and other cutaneous surgery requires proper patient selection, careful surgical technique, and meticulous postoperative care. Yet despite the best efforts of both surgeon and patient, complications may develop, sometimes resulting in suboptimal or objectionable scarring.Mohs and Cutaneous Surgery: Maximi
Molar Incisor Hypomineralization: A Clinical Guide to Diagnosis and Treatment
by Katrin BekesThis book is a wide-ranging reference on current clinical and scientific knowledge regarding the various aspects of molar incisor hypomineralization (MIH). Background information is first presented on the structural properties of hypomineralized enamel, the prevalence of MIH, and potential etiological factors. Subsequent chapters focus on key considerations in clinical practice. Diagnostic criteria, classifications, and treatment strategies are discussed and detailed attention is devoted to potential associations between MIH and caries, the occurrence of hypomineralized primary teeth, and the knowledge and experience of dentists concerning MIH. In the last part of the book, the different treatment options are systematically presented and reviewed, covering pain control, prophylaxis and desensitization, fissure sealing, direct and indirect restorations, and extraction therapy. The cost-effectiveness of the available procedures is also considered. The book is written by acknowledged international experts in the field and will be an ideal source of up-to-date information and guidance for both dental professionals and postgraduate students.
Molecular & Cell Biology of the Liver
by Albert V. LeBoutonMolecular and Cell Biology of the Liver features the latest research findings regarding liver structure and function. A unique feature of the book is the brief science reviews that are included in each chapter which provide essential background information to allow readers to better grasp the subject matter within a chapter. The book covers liver biology from the molecular level to groups of liver cells and explains how groups of hepatocytes interact in similar microenvironments. Other important cell types found in the liver are also examined. Illustrations ranging from electron micrographs to fully rendered drawings act as visual aids to help readers understand complex structural-functional interactions. Molecular and Cell Biology of the Liver will benefit hepatologists, gastroenterologists, cell biologists, anatomists, toxicologists, and other researchers interested in liver structure and function.
Molecular & Diagnostic Imaging in Prostate Cancer: Clinical Applications And Treatment Strategies (Advances in Experimental Medicine and Biology #1096)
by Heide SchattenThe second of two companion books which address the biology and clinical aspects of prostate cancer. This volume, Prostate Cancer: Molecular & Diagnostic Imaging and Treatment Stategies, discusses both classic and the most recent imaging approaches for detection, early diagnosis and treatment of prostate cancer. The companion title, Cell & Molecular Biology of Prostate Cancer, covers classic and modern cell and molecular biology as well as genetics, epigenetics, mitochondrial dysfunctions and apoptosis, cancer stem cells, angiogenesis, progression to metastasis, and treatment strategies including clinical trials related to prostate cancer. Taken together, these volumes form one comprehensive and invaluable contribution to the literature.
Molecular Analysis of Cancer
by Jacqueline Boultwood Carrie FidlerLeading researchers describe in step-by-step detail their best state-of-the art molecular techniques for elucidating the biochemical processes associated with human cancer. Among the techniques presented for identifying chromosomal rearrangements are fluorescent in situ hybridization (FISH), spectral karyotyping (SKY), comparative genomic hybridization (CGH), microsatellite analysis, PCR and RT-PCR, and DNA fingerprinting. Additional methods include SSCP, DGGE, the nonisotopic RNase cleavage assay, and the protein truncation assay and DNA sequencing for identifying mutations.
Molecular Applications in Cytology
by Fernando C. SchmittThis book is intended for practicing pathologists and cytopathologists, as well as for pathology trainees and cytotechnicians. It starts with a detailed description of the extremely important pre-analytical phase for molecular testing followed by a presentation of the key tests and their application in different organs, e.g. the lung or thyroid. Step-by-step instructions for the different assays, reporting and clinical integration of the test results are discussed. The authors help the reader to benefit from their experiences by providing a valuable tool for the implementation of these techniques in daily practice.Though the use of molecular techniques is well established in surgical biopsies, to date they are not widely used in connection with cytological material. However, in some fields like lung cancer or aspirates from the pancreas and biliary tract the only available material for diagnosis is the cytological preparation a fact that has created a need for the standardization of molecular techniques on cytology.