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The Principles of Clinical Cytogenetics
by Martha B. Keagle Steven L. GersenIn this thoroughly revised and expanded third edition of the highly praised classic, The Principles of Clinical Cytogenetics, a panel of hands-on experts update their descriptions of the basic concepts and interpretations involved in chromosome analysis to include the many advances that have occurred in the field. Among the highlights are a full chapter devoted to advances in chromosome microarray, soon to become a standard of care in this field, as well as an update on chromosome nomenclature as reflected in ISCN 2009. Other features include an update on automation to reflect the current state of the art, an update on hematopoietic neoplasms to reflect the new WHO guidelines, and updates on all regulatory changes that have been implemented. Cutting edge and readily accessible, The Principles of Clinical Cytogenetics, Third Edition offers physicians who depend on the cytogenetics laboratory for the diagnosis of their patients, students in cytogenetics programs, graduate and medical students studying for board examinations, cytogenetics technologists, and cytogeneticists a clear understanding of what happens in the cytogenetics laboratory to facilitate accurate and timely diagnoses.
The Principles of Successful Awake Craniotomy: Perioperative Tips and Tricks
by Ahmad Pour-Rashidi Judith AarabiThis book covers all aspects of awake craniotomy, including preoperative management, intraoperative handling, and postoperative follow-ups. It will be discussed preoperative preparedness, essential neurocognitive assessments, and how to provide a patient for cooperative operation step by step. Intraoperative requirements and appropriate neuro-monitoring will be pointed out along with surgical nuances accompany by helpful photographs. Finally, the postoperative management, how we should control the patient in the short-term and long-term, and what investigations are necessary postoperatively will be explained. This book will assist neurosurgeons in negotiating the steep learning curve involved in gaining the skills needed to perform awake surgery of brain tumors, which offers significant advantages in terms of avoidance of preventable neurological deficits besides obtaining optimal outcome. Indeed, primary audiences of this work are neurosurgeons, neurologists, neuroscientists, and neuro-anesthesiologists, and it will contain neuropsychiatry, neurosciences, neurology, neurosurgery, anesthesiology, and neurophysiologic contents.
The Principles of Teaching: Based on Psychology (International Library Of Psychology Ser.)
by Edward L ThorndikeThis is Volume XXXII of thirty-two, in the Developmental Psychology series. Originally published in 1906, the aim of this book is to make the study of teaching scientific and practical—scientific in the sense of dealing with verifiable facts rather than attractive opinions, practical in the sense of giving knowledge and power that will make a difference in the actual work of teaching.
The Principles of Virtual Orthopedic Assessment
by Khaled M. Emara Nicolas S. PiuzziFilling a gap in literature, this concise and practical book presents the principles of virtual orthopedic assessment and shares insights into the use of technology for distance patient-physician communication. Offering expert know-how and best practices, it equips readers with essential information on how to best remotely manage the diagnosis, treatment and follow-up of patients.The book starts by defining telemedicine and presenting the basic requirements. The following chapters each focus on a specific joint or compartment, highlighting its peculiarities in terms of remote clinical assessment, and also discussing data security, patient confidentiality and consent as well as medico-legal issues. Moreover, the book features a dedicated chapter that analyzes specific issues related to remote assessment in children, older patients, noncompliant patients, and patients with pain. Covering all the basic and practical aspects of this emerging field, this book is a must-read for orthopedists and other professionals, such as general practitioners and physiotherapists, wanting to gain insights into remote orthopedic patient care.
The Privacy Papers: Managing Technology, Consumer, Employee and Legislative Actions (ISSN)
by Rebecca HeroldToday, more than ever, organizations have to cope with increased concerns regarding privacy issues. These concerns are not limited to consumer fears about how information collected by Web sites will be used or misused. They also involve broader issues, including data collected for direct response marketing, privacy of financial and health records,
The Private Life Of Islam: An Algerian Diary
by Dr Ian YoungIan Young spent a summer as a medical student in a provincial maternity unit in Algeria. This book is taken from the diary he began on arrival, when he found himself the privileged witness of the insides not just of Kabyl women, but also some much-trumpeted ideology. The immediate villains are a couple of expatriate Bulgarian gynaecologists. Dr Vasilev, at the closing stages of a career of fathomless incompetence, forms a bond of affection with the author and they spend many hours in the office over an old route map of Bulgaria, discussing mileages and motorcycles as Maternity drifts beneath them like an abandoned ship. Dr Kostov packs a powerful bedside punch and saves his humanitarian feelings for the health of the Deutschmark. The two form a macabre comic team as they take the reader through a series of medical nightmares. But their lot is scarcely more enviable than that of their female victims: the foreign doctors are the unhappy executors, working in blood, excrement and death, of the most respected attitudes in Algeria. The Private Life of Islam is a ruthlessly clear-sighted view of a particular place at a particular time. It is also a classic in the art of story-telling.'A real achievement, personal as well as literary.' David Pryce-Jones, The Times'A parable of the reality behind a vast amount of modern social and political fantasy, even in the most developed of countries.' David Holden, Sunday Times
The Private Life of the Genome: Genetic Information and the Right to Privacy
by Iain BrassingtonThis innovative and engaging book argues that because our genetic information is directly linked to the genetic information of others, it is impossible to assert a ‘right to privacy’ in the same way that we can in other areas of life. This position throws up questions around access to sensitive data. It suggests that we may have to abandon certain intuitions about who may access our genetic information; and it raises concerns about discrimination against people with certain genetic characteristics. But the author asserts that regulating access to genetic information requires a more nuanced perspective that does not rely on the familiar language of rights. The book proposes new ways in which we may think about who has access to what genetic information, and on what basis they do so. Conceptually challenging, the book will prove engaging reading for scholars and students interested in the area of bioethics and medical law, as well as policy makers working with these pressing issues.
The Probabilistic SIR Model: Project Management in Prevention and Support (essentials)
by Marcus HellwigWith all the insights experienced in the COVID process, one essential remains: "The virus remains a constant companion". In contrast to regularly occurring infection processes, a COVID infection takes a different course. This is characterized by a dynamic that deviates from conventional, well-known processes in that the originators change their identity and develop corresponding variants. Therefore, preventive infection management - supported by statistical-probabilistic analyzes with PSIR - is important for preventive management of resources and infrastructure for the "waves ahead of the wave".
The Probiotic Promise: Simple Steps to Heal Your Body from the Inside Out
by Michelle Schoffro CookDiscover the health secret you've been waiting for You've heard how beneficial probiotics are for gut health; new research reveals that they can do much more! Probiotics can also improve a host of other conditions, from allergies to arthritis, depression to obesity-they have even been shown to inhibit cancer and antibiotic-resistant superbugs. Now Dr. Michelle Schoffro Cook shares this groundbreaking research, demonstrating the link between gastrointestinal health and overall well-being. She offers concrete ways for you to use this extraordinary information, explaining how to use probiotics to address a range of medical issues. In this cutting-edge prescription for overall wellness, you'll discover: specific strains of probiotics and the more than 50 conditions they can help the benefits of incorporating probiotics into your day-to-day life how to select the best supplement for your health concerns tips for adding more probiotic-rich foods to your diet more than 30 delicious and nutritious probiotic-rich recipes
The Problem Knee
by Malcolm Macnicol Franky SteenbruggeA fully updated edition of the classic text on the knee, The Problem Knee, Third Edition is highly illustrated in colour and offers a fundamental approach to dealing with soft-tissue and skeletal disorders of the knee. The book focuses on younger patients, rather than degenerative conditions, covering both injuries and congenital abnormalites.The c
The Problem of Alzheimer's: How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It
by Jason KarlawishA definitive and compelling book on one of today's most prevalent illnesses.In 2020, an estimated 5.8 million Americans had Alzheimer’s, and more than half a million died because of the disease and its devastating complications. 16 million caregivers are responsible for paying as much as half of the $226 billion annual costs of their care. As more people live beyond their seventies and eighties, the number of patients will rise to an estimated 13.8 million by 2025. Part case studies, part meditation on the past, present and future of the disease, The Problem of Alzheimer's traces Alzheimer’s from its beginnings to its recognition as a crisis. While it is an unambiguous account of decades of missed opportunities and our health care systems’ failures to take action, it tells the story of the biomedical breakthroughs that may allow Alzheimer’s to finally be prevented and treated by medicine and also presents an argument for how we can live with dementia: the ways patients can reclaim their autonomy and redefine their sense of self, how families can support their loved ones, and the innovative reforms we can make as a society that would give caregivers and patients better quality of life. Rich in science, history, and characters, The Problem of Alzheimer's takes us inside laboratories, patients' homes, caregivers’ support groups, progressive care communities, and Jason Karlawish's own practice at the Penn Memory Center.
The Problem of Practice Variation in Newborn Medicine: Critical Insights for Evaluating and Improving Quality
by Joseph SchulmanNeonatal intensive care unit (NICU) teams in the US and around the world receive performance reports that locate their particular value for selected process and outcome measures within the range of values from all reporting NICUs. Understandably, many providers focus primarily, if not exclusively, on their particular value. When a value appears undesirable, providers often justify it in an apparent reflex response rather than critically analysing their data. Exceedingly few reflect on the width or implications of the range within which their performance lies. Standard medical education does not include these skills, yet unwarranted practice variation necessarily compromises a population’s overall quality of care. Researchers report wide variation in health care resource use with little connection to patient outcomes, challenging the belief that directing incrementally more resources at certain healthcare problems necessarily produces better results. This book provides requisite knowledge to enable readers without research expertise to understand the notion of unwarranted practice variation, how to recognize it, its ubiquity, and why it is generally undesirable – why narrowing is pervasiveness improves quality. The book begins by describing practice variation, its prevalence, and why it matters. Next, it examines alternative conceptualizations of NICU work. One view is task-oriented, while the other is aim-oriented. NICU teams rarely articulate their aims explicitly, so this book offers examples that guide thinking and action. Finally, this book asks, “Which rate is 'right'; what is the performance target?” The answer entails identifying the lowest resource use rate associated with desirable outcomes. This requires data describing efficient and predictably performing provision of current evidence-based care, along with relationships to a variety of outcomes. Provider conceptualization of healthcare quality also is often vague. The challenge lies in defining this notion operationally. This book does precisely that and gives readers tools to think critically about process, outcome, and quality measures, via some understanding of systems, risk-adjustment modelling, and discriminating signal from noise in process data.
The Problem-Based Learning Workbook: Medicine and Surgery
by Terry Wardle Tim FrenchGeneral practitioners need to know more and more about the complicated tests performed in hospitals. For most patients the GP is an accessible trusted and reliable source of information and advice. So when patients under hospital follow-up are confused about their treatment they often turn to their GP. In addition general practitioners have open access to an increasing array of hospital-based investigations and in the context of clinical governance they have a greater responsibility to understand and use them properly. This guide provides a compendium of all those hospital-based tests which the GP is likely to encounter organised according to specialty. It also includes the rather more specialised tests available only to the relevant consultant but which GPs might end up having to explain to perplexed patients. Each chapter is written by a specialist in the field and the book is edited by a general practitioner to be presented in a uniform digestible way. This essential resource enables GPs to order secondary care investigations confidently and rationally and to answer patients' queries with authority.
The Procedure (Dr. Earl Garnet #3)
by Peter Clement"Heartpounding suspense," hailed Entertainment Weekly of Peter Clement's first medical thriller, Lethal Practice. Now the former ER physician has done it again--combining his technical expertise with a page-burning plot to create a chillingly plausible novel of suspense. With authentic detail and a surgeon's precision, Clement captures the tense, electrifying atmosphere of a big city hospital turned into a flash point. For in Fatal Medicine, one threat is more dangerous than contagion: the threat of human beings deciding who should live and who should die. . . . Death is a daily, sometimes hourly, occurrence at St. Vincent's Hospital in Buffalo, New York. Now, in his pressure cooker career, Dr. Earl Garnet has broken the cardinal rule of modern medicine: he publicly blames a powerful HMO for practicing "no-fault murder" in the death of an eighteen-month-old baby. The HMO swiftly strikes back, igniting a debilitating boycott of the hospital. But after several accidents nearly cost patients their lives, the true bloodletting begins. A doctor is found sprawled out in the parking lot, his throat cut ear to ear. Blamed for instigating the chaos, Earl Garnet knows that he faces more than a deadly power play. The doctor may have uncovered a conspiracy reaching from the halls of one of the nation's most influential HMOs to a small, experimental clinic in Mexico, where yet another of his patients went for treatment and disappeared. To find answers, Garnet must wade deep into the murky, surreal workings of today's health care industry. Smart, tough, crackling with suspense, and vivid in its hospital setting, this visionary novel instantly places Peter Clement in the distinguished company of Michael Palmer and Robin Cook. Make no mistake: The Procedure is the work of a first-rate physician and an absolutely brilliant storyteller.
The Profession and Practice of Horticultural Therapy
by Rebecca L. Haller Christine L. Capra Karen L. KennedyThe Profession and Practice of Horticultural Therapy is a comprehensive guide to the theories that horticultural therapists use as a foundation for their practice and provides wide-ranging illustrative models of programming. This book aims to enhance understanding and provide insight into the profession for both new and experienced practitioners. It is directed to students in the field, along with health care and human service professionals, to successfully develop and manage horticultural therapy programming. The book is organized into four sections: an overview of the horticultural therapy profession, theories supporting horticultural therapy use, models for programs, and tools for the therapist. Areas of focus include: Overview of the profession, including the knowledge, skills, and abilities needed to practice Discussion of related people-plant endeavors and theories supporting horticultural therapy Issues within the profession of horticultural therapy, including employment models, professionalism and ethics, and credentials Characteristics and implementation of therapeutic, vocational, and wellness program models Accommodations and adaptive techniques to best serve the needs of all participants Strategies for assessment and documentation for horticultural therapy intervention Issues for managing programs including how horticultural therapy programs collaborate with other disciplines, determining program costs and budget, managing staff and growing spaces, and conducting program evaluations Horticultural therapy serves the needs of the whole individual when practitioners have a broad and deep comprehension of the theories, techniques, and strategies for effective program development and management. The Profession and Practice of Horticultural Therapy provides relevant and current information on the field with the intent to inspire best practices and creative, effective programs.
The Profession of Orientation and Mobility in the 1980s: The AFB Competency Study
by Mark M. Uslan Everett W. Hill Alec F. PeckThis book is a report of two national studies to compile descriptive statistical information about the demographic trends that will influence the future of the O&M profession--one conducted in 1983 and the other in 1985.
The Professional Guinea Pig: Big Pharma and the Risky World of Human Subjects
by Roberto AbadieThe Professional Guinea Pig documents the emergence of the professional research subject in Phase I clinical trials testing the safety of drugs in development. Until the mid-1970s Phase I trials were conducted on prisoners. After that practice was outlawed, the pharmaceutical industry needed a replacement population and began to aggressively recruit healthy, paid subjects, some of whom came to depend on the income, earning their living by continuously taking part in these trials. Drawing on ethnographic research among self-identified "professional guinea pigs" in Philadelphia, Roberto Abadie examines their experiences and views on the conduct of the trials and the risks they assume by participating. Some of the research subjects he met had taken part in more than eighty Phase I trials. While the professional guinea pigs tended to believe that most clinical trials pose only a moderate health risk, Abadie contends that the hazards presented by continuous participation, such as exposure to potentially dangerous drug interactions, are discounted or ignored by research subjects in need of money. The risks to professional guinea pigs are also disregarded by the pharmaceutical industry, which has become dependent on the routine participation of experienced research subjects. Arguing that financial incentives compromise the ethical imperative for informed consent to be freely given by clinical-trials subjects, Abadie confirms the need to reform policies regulating the participation of paid subjects in Phase I clinical trials.
The Prognosis of Metastatic Gastrointestinal Cancer
by Giuseppe A. Colloca Antonella VenturinoSurvival of patients with metastatic cancer has increased over the past two decades as a result of a progressive improvement of regional and systemic therapies. However, oncologists' estimates of patients' predicted overall survival in metastatic cancer are imprecise. The purpose of this book is to systematize the evidence regarding the prognostic factors of metastatic gastrointestinal tumors, separating the findings with the highest level of evidence among those available for each disease by selecting studies with the highest scientific evidence level.
The Program for Research in Military Nursing: Progress and Future Direction
by Committee on Military Nursing ResearchHigh-quality nursing care is essential to obtaining favorable patient outcomes, no less so in military than in civilian settings. Military nursing research focuses on enhancing health care delivery systems and processes to improve clinical outcomes, to advance the practice of military nursing in support of mission readiness and deployment, and to improve the health status and quality of life of military personnel and their beneficiaries.This volume reviews the military nursing research program of the TriService Nursing Research Program in terms of its management, funding, allocation of resources, and identification of program goals. The book also contains the results of that study and the committee's recommendations.
The Project Manager's Guide to Health Information Technology Implementation: The Project Manager's Guide To Health Information Technology Implementation (HIMSS Book Series)
by Susan M. HoustonThis book focuses on providing information on project management specific for software implementations within the healthcare industry. It can be used as a guide for beginners as well as a reference for current project managers who might be new to software implementations. Utilizing the Project Management Institute’s (PMI) methodology, the defined process groups and knowledge areas will be defined related to implementing custom and commercial off-the-shelf (COTS) software. The Software Development Life Cycle (SDLC) is a standard for developing custom software but can also be followed for implementing COTS applications as well. How will the system be set-up from an architecture and hardware standpoint? What environments will be needed and why? How are changes managed throughout the project and after? These questions and more will be reviewed. The differences between types of testing are defined as well as when each are utilized. Planning for the activation and measuring the success of the project and how well the strategic need has been met are key activities that are often not given the time and effort to plan as the other parts of the implementation project. This new edition updates the current content to better align with the newest version of the PMI’s Project Management Body of Knowledge (PMBOK), the latest technology and concepts. In addition, this new edition includes additional chapters on agile management, stakeholder management, and choosing the right methodology.
The Promise of Welfare Reform: Political Rhetoric and the Reality of Poverty in the Twenty-First Century
by Elizabeth SegalFind out how-and why-legislation has made economic rights more important than human rightsSince 1996, politicians and public officials in the United States have celebrated the "success" of welfare reform legislation despite little, if any, evidence to support their claims. The Promise of Welfare Reform: Political
The Promise: An Introduction to the History of Medicine
by Kourosh NazariFor centuries, one principle has stood above all others in the medical field: First, do no harm. But has our basic healthcare lost this vital philosophy in its pursuit of advancement and profit? Follow the journey of medicine from its earliest beginnings at the dawn of humanity to the incredible technological advances of the 21st century. By examining key figures and events, this book’s focus on the rationales of pioneering practitioners and the philosophies behind major discoveries sets it apart from current medical and historical literature for both providers and consumers of healthcare.In the age of unprecedented advancements, the evolution of medicine and its underlying philosophies has been cast aside for the pursuit of the next, best development. In the search to provide the best care, human history has had great triumphs but also great horrors. It is important in our healthcare pursuits, both as patient and practitioner, to remember that history and examine how today’s medicine fits within its historical progression.
The Prostate Cancer Dilemma
by Nelson N. Stone E. David CrawfordThis text provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in early prostate cancer. The book reviews new data about genetic markers, transperineal mapping biopsy and mpMRI, how to apply each of these technologies in patients with elevated PSA, when a prior prostate biopsy performed by the standard TRUS method is negative and in cases where low risk disease is already diagnosed, how to differentiate those men who might harbor more aggressive disease from those who do not. Over 75% of newly diagnosed prostate cancer meets the criteria for low risk disease which has created a dilemma for both patients and clinicians. Active surveillance programs have been initiated and are reviewed. How the new technologies impact surveillance programs is addressed. Clinical stage designation is updated and a new intra-prostatic staging system is discussed. Prostate biopsy techniques utilizing transrectal ultrasound, transperineal mapping, elastography and mpMRI are compared. Finally, utilization of this new technology in the application of focal therapy is reviewed. The Prostate Cancer Dilemma will serve as a very useful resource for physicians and researchers dealing with, and interested in this challenging malignancy. Chapters are written by experts in their fields and include the most up to date scientific and clinical information as well as links to procedural video content.
The Protocol
by April ChristoffersonJennifer has to prove that Dr. Fielding funded his biotech firm by dealing in illegally obtained human organs - including her husband's -- for transplant into the bodies of people who could pay almost any price to extend their lives. But that's not the worst of Sherwood Fielding's trangressions against nature, as Jennifer soon finds out.Working on the cutting edge of a lucrative field like genetics is risky - and Jennifer finds herself in a maelstrom of murder, industrial espionage, deceit and personal betrayal. Embroiled in a plot of unimaginable medical perversion, Jennifer must fight for the truth about the science being done at the firm. Especially as it leads her to the truth of how and why her husband died.At the Publisher's request, this title is being sold without Digital Rights Management Software (DRM) applied.