The New Medical Conversation succinctly and effectively brings together a range of relevant perspectives. It outlines the tensions and opportunities that exist for physicians who seek to discuss risk matters effectively with their patients. It explores the current contexts of patient safety, individual rights to treatments or information, the legal requirements of informed consent, the ethical perspectives and the constraints on patients and professionals in seeking to achieve greater shared understanding about treatments and care choices. Mazur explores the way physicians can effectively discuss relevant information with their patients, using appropriate 'information messages, ' being aware of the pitfalls of framing manipulations, and seeking to enhance both global and specific areas of understanding. In so doing Dr. Mazur is showing how we can meet the requirements of modern consumerist health care and yet also maintain the essential and supportive qualities of physicians conversing with their patients.' --Adrian Edwards, University of Wales College of Medicine, Llanedeyrn Health Center
This volume contains the proceedings of a seminar on Algebraic $K$-theory and Algebraic Number Theory, held at the East-West Center in Honolulu in January 1987. The seminar, which hosted nearly 40 experts from the U.S. and Japan, was motivated by the wide range of connections between the two topics, as exemplified in the work of Merkurjev, Suslin, Beilinson, Bloch, Ramakrishnan, Kato, Saito, Lichtenbaum, Thomason, and Ihara. As is evident from the diversity of topics represented in these proceedings, the seminar provided an opportunity for mathematicians from both areas to initiate further interactions between these two areas.
The only radiation therapy text written by radiation therapists, Principles and Practice of Radiation Therapy, 4th Edition helps you understand cancer management and improve clinical techniques for delivering doses of radiation. A problem-based approach makes it easy to apply principles to treatment planning and delivery. New to this edition are updates on current equipment, procedures, and treatment planning. Written by radiation therapy experts Charles Washington and Dennis Leaver, this comprehensive text will be useful throughout your radiation therapy courses and beyond. Comprehensive coverage of radiation therapy includes a clear introduction and overview plus complete information on physics, simulation, and treatment planning. Spotlights and shaded boxes identify the most important concepts. End-of-chapter questions provide a useful review. Chapter objectives, key terms, outlines, and summaries make it easier to prioritize, understand, and retain key information. Key terms are bolded and defined at first mention in the text, and included in the glossary for easy reference. UPDATED chemotherapy section, expansion of What Causes Cancer, and inclusions of additional cancer biology terms and principles provide the essential information needed for clinical success. UPDATED coverage of post-image manipulation techniques includes new material on Cone beam utilization, MR imaging, image guided therapy, and kV imaging. NEW section on radiation safety and misadministration of treatment beams addresses the most up-to-date practice requirements. Content updates also include new ASRT Practice Standards and AHA Patient Care Partnership Standards, keeping you current with practice requirements. UPDATED full-color insert is expanded to 32 pages, and displays images from newer modalities.
This is a new edition of the first comprehensive text to show how the advances in molecular and cellular biology and in the basic neurosciences have brought the revolution in molecular medicine to the field of psychiatry. The book begins with a review of basic neuroscience and methods for studying neurobiology in human patients then proceeds to discussions of all major psychiatric syndromes with respect to knowledge of their etiology, pathophysiology, and treatment. Emphasis is placed on synthesizing information across numerous levels of analysis, including molecular biology and genetics, cellular physiology, neuroanatomy, neuropharmacology, and behavior, and in translating information from the basic laboratory to the clinical laboratory and finally to clinical treatment. Editors Dennis Charney and Eric Nestle, along with their six section editors and over 150 contributors, have revised and updated all 80 chapters from the previous edition and have added new chapters on topics relating to, for example, genetics, experimental therapeutics, and late-life mood disorders. Both a textbook and a reference book, Neurobiology of Mental Illness is intended for psychiatrists, neuroscientists, and upper level students.
Lean healthcare is not about being better, but rather becoming the best at getting better. Today's challenge in the healthcare environment is your ability to improve at a greater rate than surrounding competitors. This book focuses on the model, strategy, and lessons learned in implementing lean thinking in a practical way. Using real-world case studies, the book provides approaches and tools to facilitate rapid improvements, along with a bonus section on pandemic preparedness. By following this accessible, user-friendly guide, you can achieve meaningful results right away. Dr. Dennis R. Delisle currently serves as the Executive Director for The Ohio State University Wexner Medical Center's flagship University Hospital. Through the Thomas Jefferson University College of Population Health, Dennis founded and oversees the Master of Science degree program in Operational Excellence, one of the first of its kind in the nation. He is the author of two books about streamlining and transforming healthcare.
In this book you will find the following: A structured approach to executing lean improvements Relevant real-world case studies Examples of tools and templates along with downloadable files Hints, tips, and lessons learned Chapter challenges aimed at giving the reader assignments to apply key concepts and tools in the work setting The primary audience for this book is individuals responsible for improvement in healthcare settings, such as lean practitioners, Six Sigma belts, quality improvement specialists, and project managers. Additional health professionals will benefit from the practical application and guidance. Positions include frontline managers and supervisors, improvement teams, professors teaching quality improvement and/or operations management, healthcare professionals responsible for performance improvement, and students in all related health professions (clinical and administrative). The book promotes practical application. Readers are equipped with the skills to implement lean concepts and tools within their work setting. Additionally, the book provides insight and strategies for avoiding failure and developing buy-in.
This book is a festschrift in honor of Professor Anthony Gaglione's sixtieth birthday. This volume presents an excellent mix of research and expository articles on various aspects of infinite group theory. The papers give a broad overview of present research in infinite group theory in general, and combinatorial group theory and non-Abelian group-based cryptography in particular. They also pinpoint the interactions between combinatorial group theory and mathematical logic, especially model theory.
The book also discusses recommended dosage, safety profiles, side effects, contraindications, drug interactions, safety recommendations during pregnancy and lactation, and other special precautions that users should - and may not - be aware of."--BOOK JACKET.
Now in a revised and expanded second edition, this concise, straightforward and clearly written text presents the latest information on the evaluation and management of common issues and conditions in pediatric endocrinology. Endocrinologists, pediatricians, family physicians, residents, fellows and medical students will all benefit from the discussion of endocrine physiology and its application to common clinical practice. As in the original edition, the text presents the major signs and symptoms in the diagnosis and management of pediatric endocrine disorders, often allowing the practitioner to avoid an unnecessary consultation and preparing a provider for informed communication with parents of a child with an endocrine condition. The concepts covered in the text are designed to address the first 10 headings in the content outline of the Sub-board of Pediatric Endocrinology of The American Board of Pediatrics: disorders of the hypothalamic-pituitary axis, growth, calcium metabolism and bone, the thyroid gland, puberty, and the adrenal gland, among others. Concluding each chapter is a Suggested Reading section, directing the reader to outstanding larger and more detailed texts, manuscripts and websites that offer increased detail. Practical and user-friendly, Pediatric Endocrinology, Second Edition is not simply a checklist of everything that could be done but leads the reader toward a more specific goal of what should be done.
A Doody's Core Title 2012 Thoroughly updated and expanded, the new edition of the classic comprehensive reference on pediatric rehabilitation brings together specialists from the various wings of the pediatric rehabilitation community. This market-leading text covers everything from basic examination and psychological assessment to electrodiagnosis, therapeutic exercise, orthotics and assistive devices, and in-depth clinical management of the full range of childhood disabilities and injuries. Features include: Expanded new edition of Dr. Gabriella Molnars pioneering pediatric rehabilitation text Comprehensive coverage of all areas, with up-to-date information on therapy, exercise physiology, CAM, cancer, obesity, and joint replacement Clinical emphasis throughout Multi-specialty expert authorship
Proceedings of the U.S.--Italy Joint Seminar Held June 18-24, 1989 at Santa Margherita Ligure, Italy, with Support from the National Science Foundation and Consiglio Nazionale Delle Ricerche
Proceedings of the U.S.--Italy Joint Seminar Held June 18-24, 1989 at Santa Margherita Ligure, Italy, with Support from the National Science Foundation and Consiglio Nazionale Delle Ricerche
In the mid-1960's, several Italian mathematicians began to study the connections between classical arguments in commutative algebra and algebraic geometry, and the contemporaneous development of algebraic K-theory in the US. These connections were exemplified by the work of Andreotti-Bombieri, Salmon, and Traverso on seminormality, and by Bass-Murthy on the Picard groups of polynomial rings. Interactions proceeded far beyond this initial point to encompass Chow groups of singular varieties, complete intersections, and applications of K-theory to arithmetic and real geometry. This volume contains the proceedings from a US-Italy Joint Summer Seminar, which focused on this circle of ideas. The conference, held in June 1989 in Santa Margherita Ligure, Italy, was supported jointly by the Consiglio Nazionale delle Ricerche and the National Science Foundation. The book contains contributions from some of the leading experts in this area.
With a focus on case studies of R&D programs in a variety of disease areas, the book highlights fundamental productivity issues the pharmaceutical industry has been facing and explores potential ways of improving research effectiveness and efficiency. Takes a comprehensive and holistic approach to the problems and potential solutions to drug compound attrition Tackles a problem that adds billions of dollars to drug development programs and health care costs Guides discovery and development scientists through R&D stages, teaching requirements and reasons why drugs can fail Discusses potential ways forward utilizing new approaches and opportunities to reduce attrition
This comprehensive surgical text has been updated and expanded and includes the important techniques essential to the effective management of ovarian cancer, with particular emphasis on providing a practical "step-by-step" approach to the techniques described. This new edition now includes; new operative photographs, robotics, the new instruments a
The first consolidated textbook explaining the mechanism of clinical signs commonly seen in medicine. Mechanisms of Clinical Signs is the first consolidated text of its kind; designed to help medical students and junior doctors understand the pathophysiological mechanisms behind clinical signs. Unlike existing clinical examination textbooks which are predominantly organised by disease systems and states, Mechanisms of Clinical Signs is arranged by body system; bridging the gap between identifying clinical signs and understanding the causes behind them. Presented in a useful handbook style, Mechanisms of Clinical Signs discusses the evidence base and clinical value of each clinical sign to assist with interpretation. Examples are plentiful and include such signs as distinctive tremors in a Parkinson's disease patient and red hands on a patient with liver disease. As well as being an easy-to-follow reference for clinical signs seen on the ward, Mechanisms of Clinical Signs is an excellent study aid - particularly useful for those preparing for 'Viva' or 'OSCE' practical stations. The ability to accurately identify and interpret clinical signs of disease upon examination is a vital first step in correct diagnosis and treatment. Mechanisms of Clinical Signs is therefore an essential textbook for medical students and new practitioners. Online StudentConsult resources accompany Mechanisms of Clinical Signs upon purchase.
This book examines the emergent meddling phenomenon with insightful and provocative descriptions about why meddling is so appealing and how meddling is packaged and marketed. It is a testimony to a life filled with accomplishment, loyalty, friendship, laughter, and love.
Pathophysiology – what is the cause? Clinical significance – what does it mean? Diagnosis and treatment – what is the predictive value? These are questions that all clinicians should continue to ask themselves from the very beginning of medical training and throughout a lifetime of practice. Organised by body system, Mechanisms of Clinical Signs 3e describes the underlying pathway, differential diagnoses and value of the clinical signs seen during physical examination. - Alphabetical listing of clinical signs - Index by sign and conditions for easy reference - Additional flow diagrams - Clinical Pearls highlighting important clinical signs - Summary of the evidence - Access to chapter-based MCQs Access StudentConsult for: - Clinical videos and audio of key signs - Case-based MCQs - An Enhanced eBook. The enhanced eBook allows the end user to access all of the text, figures, and references from the book on a variety of devices.
This book offers teaching/training professionals an evidence-based pedagogic guide to teaching effectively, efficiently and creatively – also known as Creative Teaching Competence. Firstly it summarizes the extensive research on human psychological functioning relating to learning and how this can be fully utilized in the design and facilitation of quality learning experiences that maximize attainment and engagement opportunities. Secondly, it demonstrates what creativity actually ‘looks like’ in terms of specific teaching practices, modeling the underpinning processes (syntax) of creative learning design. It then establishes Metacognitive Capability as the superordinate twenty-first century competency; in that this unique human attribute can significantly enhance the cognitive and motivational strategies essential for facilitating self-directed learning and wellbeing. The book helps teaching/training professionals to thoughtfully apply evidence-based knowledge and strategies to today’s challenges, such as developing self-directed learners, enhancing intrinsic motivation, utilizing technology for learning and teaching, developing curricula for twenty-first century competencies and optimally framing and developing the heightened teacher expertise required today.
This authored book presents basic immunological tenets and mechanisms at the cellular and molecular level while employing the toxicology focus on hazard identification, appropriate assays, dose response, and risk assesment by mathematical models and safety factors. It will be a useful reference to toxicologists because it will incorporate new guidelines that the EPA is bringing out later this year for all chemicals regulated under the Federal Insecticide, Fungicide, and Rodenticide Act and the Toxic Substances Control Act. Regulatory sections in each chapter focus on data from both the US Food and Drug Administration, as well as data applicable to western European Nations.
For more than 30 years, Practical Management of Pain has offered expert guidance to both clinicians and trainees, covering every aspect of acute and chronic pain medicine for adult and pediatric patients. The fully revised 6th Edition brings you fully up to date with new developments in patient evaluation, diagnosis of pain syndromes, rationales for management, treatment modalities, and much more. Edited by a team of renowned pain clinicians led by Dr. Honorio Benzon, this authoritative reference is a comprehensive, practical resource for pain diagnosis and treatment using a variety of pharmacologic and physical modalities. - Presents a wealth of information in a clearly written, easily accessible manner, enabling you to effectively assess and draw up an optimal treatment plan for patients with acute or chronic pain. - Takes a practical, multidisciplinary approach, making key concepts and techniques easier to apply to everyday practice. - Shares the knowledge and expertise of global contributors on all facets of pain management, from general principles to specific management techniques. - Discusses the latest, best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents such as topical analgesics. - Covers recent global developments regarding opioid induced hyperalgesia, neuromodulation and pain management, and identification of specific targets for molecular based pain. - Includes current information on the use of cannabinoids in pain management and related regulatory, professional, and legal considerations. - Includes the latest guidelines on facet injections and safety of contrast agents. - Provides new, evidence-based critical analysis on treatment modality outcomes and the latest information on chronic pain as a result of surgical interventions. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
This unique account of Russia's encounter with Catholicism from the medieval period to the present provides fascinating insights into Catholic-Russian relations. Dennis Dunn analyzes religious politics in the former USSR and in Russia, particularly in areas where relations between the state-backed Orthodox establishment and the Catholic Church have renewed debates about civil rights, religious freedom and Russian national identity under Vladimir Putin's regime. Discussing issues such as the role of Pope John Paul II in helping to bring down the Iron Curtain, Dunn argues provocatively that Catholic-Russian relations are a microcosm of Western-Russian relations and sheds new light on the historical strain between Russia and the West. Showing how Russia's adoption of a secular ideology - a vain attempt to surpass the West - alienated the Russian government not only from the Catholic Church but also from its own Orthodox foundation, this book discusses how Russia sealed its fate while precipitating the Cold War with the West. Students and general readers interested in Russian history, Western-Russian relations, Catholicism, and comparative religion more broadly, will find this an invaluable and accessible account of an important and understudied subject.
A rigorous mathematical problem-solving framework for analyzing the Earth’s energy resources GeoEnergy encompasses the range of energy technologies and sources that interact with the geological subsurface. Fossil fuel availability studies have historically lacked concise modeling, tending instead toward heuristics and overly-complex processes. Mathematical GeoEnergy: Oil Discovery, Depletion and Renewal details leading-edge research based on a mathematically-oriented approach to geoenergy analysis. Volume highlights include: Applies a formal mathematical framework to oil discovery, depletion, and analysis Employs first-order applied physics modeling, decreasing computational resource requirements Illustrates model interpolation and extrapolation to fill out missing or indeterminate data Covers both stochastic and deterministic mathematical processes for historical analysis and prediction Emphasizes the importance of up-to-date data, accessed through the companion website Demonstrates the advantages of mathematical modeling over conventional heuristic and empirical approaches Accurately analyzes the past and predicts the future of geoenergy depletion and renewal using models derived from observed production data Intuitive mathematical models and readily available algorithms make Mathematical GeoEnergy: Oil Discovery, Depletion and Renewal an insightful and invaluable resource for scientists and engineers using robust statistical and analytical tools applicable to oil discovery, reservoir sizing, dispersion, production models, reserve growth, and more.
This book is a comparative study of organized crime groups from five different parts of the world: Europe; North America; Central America/South America/Caribbean basin; Africa; and Asia/Western Pacific. Each part contains two case studies and a shorter essay, a vignette. From Europe the case studies focus on the Italian mafias and the Russian mafia; the vignette, on the Albanian mafia. From North America the case studies highlight the US Mafia and the Mexican drug cartels; the vignette, organized crime in Canada. From Central America/South America/Caribbean basin the case studies concentrate on the Colombian drug cartels and gangs of the Caribbean; the vignette, on organized crime in Cuba. From Africa the case studies examine resource wars and Somali piracy; the vignette, relations among international drugs trafficking, organized crime, and terrorism in North and West Africa. And from Asia/Western Pacific the case studies spotlight the Chinese Triads and Japanese Yakuza; the vignette, relations among international drugs trafficking, organized crime, and terrorism in Afghanistan. Written in non-specialist language, An Economic History of Organized Crime provides an original overview of a crucial problem of our times: the growing scourge of global organized crime. This book can be read with profit by the general public, but it also has value for academic specialists and professionals in law enforcement.
A comprehensive overview of the field of applied politics, encompassing political consulting, campaigns and elections, lobbying and advocacy, grass roots politics, fundraising, media and political communications, the role of the parties, political leadership, and the ethical dimensions of public life.
With more than 50 million followers on Twitter and an additional 92 million on Instagram, Kim Kardashian is an American phenomenon. Through ambition, drive, and a masterful use of social media, Kardashian has become a television star, successful businesswoman, and tech entrepreneur with a net worth estimated at close to 150 million dollars. Readers who think they know everything about this pop-culture giant may be surprised to learn how Kardashian turned infamy into fame to become one of the most photographed, talked about, and richest women in the world.
This book defines STS--science, technology, and society--education and discusses current thinking about its conceptual evolution. It synthesizes a broad range of research and thought in the history and philosophy of science and technology, STS studies, and education as they are informed by the the dual perspectives of cognitive and social psychology. A model for STS curriculum development in science, social studies, or technology education is presented with well-chosen examples. The book includes an extensive and invaluable bibliography that will enable students, teachers, and researchers to explore the richness of this emerging field.
For nearly three decades, a series of rapes and murders occurred around Western New York by a nameless, faceless man dubbed “The Bike Path Rapist” by local media. Authorities had his DNA and knew his tendency to use a ligature, but could never capture the elusive criminal. His first known attacks were in the mid-1980s, continuing regularly through 1994. After a twelve-year gap, in September 2006, he returned by strangling and killing a 45-year-old mother along a rural bike path. While investigating the case, Buffalo Homicide Detective and task force member Dennis Delano reviewed unsolved rape cases from the past thirty years. He concluded that the Bike Path Rapist’s span of attacks stretched back even further, into the 1970s. Delano learned that a different man, Anthony Capozzi, had been convicted of two rapes in 1985 and was still imprisoned 22 years later. Members of the task force interviewed Capozzi, who is schizophrenic. Delano and his colleagues believed the wrong man was in jail, but had no hard evidence to secure a release. After working tirelessly on behalf of a convicted man, DNA slides were discovered at a local medical center. Capozzi was exonerated and released before Easter 2007. Bike Path Rapist: A Cop's Firsthand Account of Catching the Killer Who Terrorized a Community will examine the complex and compelling story inside the investigation of a thirty-year string of serial rapes and killings. With detailed information culled from interviews, police reports and insights from Delano and his colleagues on an elite task force that solved the crime, the book will blend the drama of Cold Case and CSI with a behind-the-scenes look at investigative techniques and angles examined by investigators.
THE NEW COLOR OF MEDICINE HUNDREDS OF DIAGRAMS AND CLINICAL PHOTOS INTEGRATED INTO THE TEXT – FOR THE FIRST TIME IN FULL COLOR *This description refers to the single-volume of Harrison's Principles of Internal Medicine, 16/e. The Harrison's name is synonymous with internal medicine. HPIM continues to be the most authoritative and #1 selling medical textbook throughout the world. From its unique section on signs and symptoms through to the most comprehensive coverage of most all conditions seen by physician’s, Harrison's is the internal medicine reference of choice. Harrison's 16th Edition features new, expanded, revised and updated material on the key topics in medical practice today. From the latest research findings to up-to-the-minute advances in diagnostic and treatment methodologies, Harrison's puts the facts you need at your fingertips. The 16th Edition improves on a winning formula with: *State-of-the-art coverage of over 4,700 diseases and disorders—more than any other internal medicine text – in the areas of oncology and hematology; infectious diseases; cardiology; pulmonology; gastroenterology; clinical immunology; rheumatology; endocrinology; and neurology *A brand new full color format—665 full color drawings, 175 clinical and laboratory images, and hundreds of boxes, tables, and algorithms that use color to guide you to the information you need ASAP in everyday patient care *Thorough revision and updates of virtually all chapters *The addition of key new chapters – including extensive new coverage of Critical Care Medicine *145 algorithms for making accurate clinical decisions fast at the point of care *1,160 easy-access tables for immediate access to vital information and formulas *Cardinal manifestations of disease/signs and symptoms in 55 chapters (you’ll find yourself turning to this section over and over again). Here you will find all the major manifestations, such as fever, pain, aches and rash, presented in depth, with a referral that takes you to the disease section for the complete chapter. Stay a step ahead of everyday practice with the most authoritative, comprehensive, and useful guide to the entire spectrum of internal medicine.
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