A history illustrating the complexity of medical decision making and risk. Still the leading cause of death worldwide, heart disease challenges researchers, clinicians, and patients alike. Each day, thousands of patients and their doctors make decisions about coronary angioplasty and bypass surgery. In Broken Hearts David S. Jones sheds light on the nature and quality of those decisions. He describes the debates over what causes heart attacks and the efforts to understand such unforeseen complications of cardiac surgery as depression, mental fog, and stroke. Why do doctors and patients overestimate the effectiveness and underestimate the dangers of medical interventions, especially when doing so may lead to the overuse of medical therapies? To answer this question, Jones explores the history of cardiology and cardiac surgery in the United States and probes the ambiguities and inconsistencies in medical decision making. Based on extensive reviews of medical literature and archives, this historical perspective on medical decision making and risk highlights personal, professional, and community outcomes.
Distinguished contributors explore the role of the health professional, the moral basis of health care, greater emphasis on the humanities in medical education, and some of the current challenges facing healers today.
This is the ideal resource for all those requiring an authoritative and up-to-date review of imaging appearances of diseases of the lung, pleura and mediastinum. Chest radiography and CT are integrated with other imaging techniques, including MRI and PET, where appropriate. The clinical and pathologic features of different diseases are provided in varying degrees of detail with more in depth coverage given to rarer and less well understood conditions. A single volume, comprehensive reference text on chest radiology.Provides in a single resource all of the information a generalist in diagnostic radiology needs to know. Concisely and clearly written by a team of 4 internationally recognized authors.Avoids the inconsistency, repetition, and unevenness of coverage that is inherent in multi-contributed books. Multimodality coverage integrated throughout every chapter.All of the applicable imaging modalities are covered in a clinically relevant, diagnostically helpful way. Approximately 3,000 high quality, good-sized images.Provides a complete visual guide that the practitioner can refer to for help in interpretation and diagnosis. Covers both common and uncommon disorders.Provides the user with a single comprehensive resource, no need to consult alternative resources. Access the full text online and download images via Expert Consult Access the latest version of the Fleischner Society's glossary of terms for thoracic imaging. Outlines, summary boxes, key points used throughout.Makes content more accessible by highlighting essential information. Brand new color images to illustrate Functional imaging techniques.Many of the new imaging techniques can provide functional as well as anatomic information. Introduction of a second color throughout in summary boxes in order to better highlight key information. There’s a wealth of key information in the summary boxes—will be highlighted more from the narrative text and will therefore be easier to access. Practical tips on identifying anatomic variants and artefacts in order to avoid diagnostic pitfalls.Many misdiagnoses are the result of basic errors in correlating the anatomic changes seen with imaging to their underlying pathologic processes. Latest techniques in CT, MRI and PET as they relate to thoracic diseases. The pace of development in imaging modalities and new applications/refined techniques in existing modalities continues to drive radiology forward as a specialty. Emphasis on cost-effective image/modality selection.Addresses the hugely important issue of cost-containment by emphasizing which imaging modality is helpful and which is not in any given clinical diagnosis. COPD and Diffuse Lung Disease, Small Airway disease chapters extensively up-dated. Access the full text online and download images via Expert Consult Access the latest version of the Fleischner Society's glossary of terms for thoracic imaging.
This pocket book succinctly describes 215 common, serious errors made by attendings, residents, fellows, CRNAs, and practicing anesthesiologists in the practice of anesthesia and offers practical, easy-to-remember tips for avoiding these errors. The book can easily be read immediately before the start of a rotation or used for quick reference. Each error is described in a quick-reading one-page entry that includes a brief clinical scenario, a short review of the relevant physiology and/or pharmacology, and tips on how to avoid or resolve the problem. Illustrations are included where appropriate. The book also includes important chapters on human factors, legal issues, CPT coding, and how to select a practice.
Comprehensive and complete, Shackelford’s Surgery of the Alimentary Tract delivers the definitive, clinically oriented, cutting-edge guidance you need to achieve optimal outcomes managing the entire spectrum of gastrointestinal disorders. Make effective use of the latest endoscopic, robotic, and minimally invasive procedures as well as medical therapies with unbeatable advice from a "who’s who" of international authorities! Find expert answers to any clinical question in gastrointestinal surgery, from the esophagus to the colon. See exactly what to look for and how to proceed from an abundance of beautifully detailed intraoperative and laparoscopic photographs.
The leading text in pediatric nursing, Wong's Nursing Care of Infants and Children takes a unique, easy-to-understand developmental approach to describe the care of children at each age and stage of development. Childhood diseases and disorders are organized by age groups and body systems, and described through the nursing process framework.This edition includes updates on topics such as the new CPR guidelines, immunizations, and pain assessment and management. Written by pediatric experts, Dr. Marilyn Hockenberry and David Wilson, each with nearly 30 years of hands-on experience, this bestseller provides an evidence-based, clinical perspective that shows how the quality of nursing care can impact quality patient outcomes. "A good neonatal and paediatric reference and textbook..." Reviewed by Jo Wilson on behalf of Nursing Times, March 2015 A developmental approach addresses the differences at each stage of the child's growth and enables you to individualize care at the appropriate level for each child. UNIQUE! Quality Patient Outcomes are discussed for major childhood diseases and disorders, showing how nursing care directly impacts patient outcomes. Nursing Care Plans provide models for planning patient care, with rationales explaining why specific nursing interventions have been chosen, and include nursing diagnoses, patient/family goals, nursing interventions/rationales, expected outcomes, and NIC and NOC guidelines. A focus on family-centered care emphasizes the role and influence of the family in health and illness with a separate chapter and Family-Centered Care boxes. Critical thinking exercises use case studies to help you test and develop your own analytical skills. Nursing Care Guidelines provide clear, step-by-step, detailed instructions on performing specific skills or procedures. Nursing Tips include helpful hints and practical, clinical information, and Nursing Alerts provide critical information that must be considered in providing care. An emphasis on wellness includes principles of health promotion and injury prevention for each age group. Drug Alerts highlight important drug-related information for safe, appropriate care. Pathophysiology Reviews explain complicated disease processes with illustrated summary boxes. Complementary & Alternative Therapy boxes include timely information on alternative medicine as a part of complete, comprehensive care. Atraumatic Care boxes contain techniques for care that minimize pain, discomfort, or stress, and provide guidance for performing procedures in a caring manner. Emergency Treatment boxes serve as a quick reference in critical situations.
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