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A revolution in American medicine is in full swing, with the race from fee-for-service to fee-for-value at the front line in an epic battle that will transform healthcare delivery for decades to come. In America's Healthcare Transformation, eminent physician leader Robert A. Phillips brings together key thought leaders and trail-blazing practitioners, who provide a wide-ranging exploration of the strategies, innovations, and paradigm shifts that are driving this healthcare transformation. The contributors offer a panoramic look at the dramatic changes happening in the field of medicine, changes that put the patient at the heart of the process. Among other subjects, the essays evaluate innovative high quality and low cost care delivery solutions from around the United States and abroad, describe fundamental approaches to measuring the safety of care and the impact that guidelines have on improving quality of care and outcomes, and make a strong case that insurance reform will fundamentally and irreversibly drive delivery reform. In addition, America's Healthcare Transformation reviews the role of health information technology in creating safer healthcare, provides a primer on the development of a culture of safety, and highlights ground-breaking new ways to train providers in patient safety and quality. Finally, the book looks at reports from Stanford Health Care and Houston Methodist which outline how successful behaviorally based strategies, anchored in values, can energize and empower employees to deliver a superior patient experience. Drawing on the wisdom and vision of today's leading healthcare innovators, America's Healthcare Transformation provides a roadmap to the future of American healthcare. This book is essential reading for all health care providers, health care administrators, and health policy professionals, and it will be an invaluable resource in the effort to improve the practice of medicine and the delivery of healthcare in our communities and nation.
The essays assembled in this volume reflect my long-standing interest in moral philosophy and my conviction that the idea of a medical ethics as something distinct and separate from ethics is an absurdity. Every person who acts is a moral agent. A person who possesses special knowledge and skills and is expected to act in the face of life-threatening circumstances--such as a physician--is someone whose status as moral agent is accordingly greatly enhanced. From the preface by the author.
In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Miller and Truog challenge fundamental doctrines of established medical ethics. They argue that the routine practice of stopping life support technology in hospitals causes the death of patients and that donors of vital organs (hearts, lungs, liver, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. These practices are ethically legitimate but are not compatible with traditional rules of medical ethics that doctors must not intentionally cause the death of their patients and that vital organs can be obtained for transplantation only from dead donors. In this book Miller and Truog undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. They expose the misconception that stopping life support merely allows patients to die from their medical conditions, and they dispute the accuracy of determining death of hospitalized patients on the basis of a diagnosis of "brain death" prior to vital organ donation. After detailing the factual and conceptual errors surrounding current practices of determining death for the purpose of organ donation, the authors develop a novel ethical account of procuring vital organs. In the context of reasonable plans to withdraw life support, still-living patients are not harmed or wronged by organ donation prior to their death, provided that valid consent has been obtained for stopping treatment and for organ donation. Recognizing practical difficulties in facing the truth regarding organ donation, the authors also develop a pragmatic alternative account based on the concept of transparent legal fictions. In sum, Miller and Truog argue that in order to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics.
This genre-defying debut memoir by Betty Trask Prize winner, Samantha Harvey, weaves a tapestry of confessional anguish, flash fiction, cathartic poetry, and feverish observations on politics and psychology in a transcendent search for reality and truth. In 2016, Samantha Harvey began to lose sleep. She tried everything to appease her wakefulness: from medication to therapy, changes in her diet to changes in her living arrangements. Nothing seemed to help. The Shapeless Unease is Harvey's darkly funny and deeply intelligent anatomy of her insomnia, an immersive interior monologue of a year without one of the most basic human needs. Original and profound, and narrated with a lucid breathlessness, this is a startlingly insightful exploration of memory, writing and influence, death and the will to survive, from "this generation's Virginia Woolf" (Telegraph).
Effective health care requires physicians tailor care to patients' individual life contexts, including their financial situation, social support, competing responsibilities, and cognitive abilities. Physicians, however, are poorly prepared to consider patients' lives when planning their care. The result is measurably harmful to individuals and costly to society. Listening for What Matters: Avoiding Contextual Errors in Health Care covers ten years of empirical research based on hundreds of recorded doctor visits by patients and undercover actors alike, which revealed a widespread disregard of patients' individual circumstances and needs resulting in inappropriate care. These medical errors have been largely undocumented and unaddressed by the American healthcare system. This book tells the stories of patients whose care was compromised by inattention to individual context, and introduces novel methods for assessing the magnitude of the problem. It describes how these errors, termed "contextual errors," can be minimized through changes in how doctors are trained, how medicine is practiced and quality measured, and in the ways patients assert their needs during visits. The aim of this book is to open a dialog between patients, physicians, policy makers, and medical educators, about a serious quality problem that has been overlooked and understudied.
Over the past decade, much has been learned about the damaging effects of moderate to severe alcohol use has on tissue nutrient levels and dietary intake. Summarising current research, Nutrition and Alcohol explores the latest data available on the effects of alcohol on the nutritional state of alcohol abusers. It illustrates the combined effects of malnutrition on tissue damage and examines the role of altered nutrition on various alcohol-related diseases. The authors discuss alcohol's effects on nutrient intake and explain the action of nutrients in preventing and treating alcohol-related diseases.
This book reviews the progress made in salivary diagnostics during the past two decades and identifies the likely direction of future endeavors. After an introductory section describing the histological and anatomical features of the salivary glands and salivary function, salivary collection devices and diagnostic platforms are reviewed. The field of "salivaomics" is then considered in detail, covering, for example, proteomics, the peptidome, DNA and RNA analysis, biomarkers, and methods for biomarker discovery. Salivary diagnostics for oral and systemic diseases are thoroughly discussed, and the role of salivary gland tissue engineering for future diagnostics is explored. The book closes by considering legal issues and barriers to salivary diagnostic development. Advances in Salivary Diagnostics will be an informative and stimulating reference for both practitioners and students.
In this publication, description of the basic histology tissues is followed by a description of the histology of the different organs and systems in the human. The subject contents is presented on a relevant clinical level, and students in both medicine and dentistry, as well as related health professions, such as nursing, occupational therapy and physiotherapy, will find it simple and meaningful. The terminology used in the publication correlates with the writing style used as standard in English medical, dental and health care science' schools.
This book is a profound but practical testament to the healing power of balanced living and shows how Ayurveda's ancient principles of health can help you achieve the highest levels of physical, emotional, and spiritual well-being. Cancer survivor Maya Tiwari provides a thorough profile of the seven body types and the foods best suited to each. Her book is the first to include a complete discussion of the personality or psychospiritual attributes of the Ayurvedic body types, as well as food charts, seasonal menus, and recommended daily routines for each type. A chapter on sadhanas focuses on activities of the hearth, home, garden, and community that activate our ""cognitive memory"" of right living. An extensive section of uncomplicated recipes, keyed to the body types, and another on home remedies help provide a painless transition to a healthier and more fulfilling lifestyle.
This title attempts to capture the essence of transformation and trends in the South African health sector. On the one hand, it offers an overview of recent and current developments in the South African health care system; and on the other, of trends in the health status of the South African population. The title retains a strong historical thread, but the focus is generally on the nature of transformation process, gains made and failures encountered.
Integrative Women's Health remains the only in-depth, broad-based reference on integrative women's health written for health professionals. It helps providers address not only women's reproductive health, but also conditions that manifest differently in women than in men, including cardiovascular disease, arthritis, HIV, depression, and cancer. The text presents the best evidence, in a clinically relevant manner, for the safe and effective use of herbs, vitamins, diet, and mind-body strategies alongside conventional medical treatments. As leading educators in integrative medicine, editors Dr. Maizes and Dr. Low Dog demonstrate how clinicians can implement their recommendations in practice, going beyond practical care to examine how to motivate patients, enhance a health history, and understand the spiritual dimensions of healing. In managing the patient, alternative therapies are never seen as substitutes for mainstream medical care, but always "integrated" into the overall regimen, and always subjected to the best available evidence. New to this second edition are chapters on environmental medicine and women's reproduction, thyroid health, and lesbian health.
With its charismatic leader George Custer and its memorable encounters with Plains Indians, including the Battle of the Little Bighorn, the Seventh Cavalry serves as the iconic regiment in the post-Civil War U.S Army. Voluminous written documentation as well as archaeological and osteological research suggest that the soldiers of the Seventh represented a cross section of the men who joined the army as a whole at the time. In Health of the Seventh Cavalry, editors P. Willey and Douglas D. Scott and their co-contributors - experts in history, medicine, human biology, epidemiology, and human osteology - examine the Seventh's medical records to determine the health of the nineteenth-century U.S. Army, and the prevalence and treatment of the numerous conditions that plagued soldiers during the Indian Wars. Building on previous comparisons of archaeological evidence and medical records, Willey and Scott follow multiple lines of inquiry to assess the health of the Seventh, from its organization in 1866 to its 1884 station on the Northern Great Plains. Pairing general overviews of nineteenth- and twentieth-century health care with essays on malaria, injuries, post-traumatic stress disorder, and other specific ailments, Health of the Seventh Cavalry provides fresh insights into the health, disease, and trauma that the regiment experienced over two decades. More than 100 tables, graphs, and maps track the troops' illnesses and diseases by month, season, year, and location, as well as their stress periods, desertions, and deaths. A glossary of medical terms rounds out the volume. As an ideal exemplar of regiments of its time, the Seventh Cavalry affords scholars and enthusiasts a better understanding of nineteenth-century health and medicine. This volume reveals the struggles that the post-Civil War Seventh, and the entire U.S. Army, faced on the battlefield and elsewhere.
"Blackwell Publishing is delighted to announce that this book has
been Highly Commended in the 2004 BMA Medical Book Competition.
Here is the judges' summary of this book: "
""This is a technical book on a technical subject but presented
in a delightful way. There are many books on statistics for doctors
but there are few that are excellent and this is certainly one of
them. Statistics is not an easy subject to teach or write about.
The authors have succeeded in producing a book that is as good as
it can get. For the keen student who does not want a book for
mathematicians, this is an excellent first book on medical
"Essential Medical Statistics" is a classic amongst medical
statisticians. An introductory textbook, it presents statistics
with a clarity and logic that demystifies the subject, while
providing a comprehensive coverage of advanced as well as basic
The second edition of "Essential Medical Statistics" has been
comprehensively revised and updated to include modern statistical
methods and modern approaches to statistical analysis, while
retaining the approachable and non-mathematical style of the first
edition. The book now includes full coverage of the most commonly
used regression models, multiple linear regression, logistic
regression, Poisson regression and Cox regression, as well as a
chapter on general issues in regression modelling. In addition, new
chapters introduce more advanced topics such as meta-analysis,
likelihood, bootstrapping and robust standard errors, and analysis
of clustered data.
Aimed at students of medical statistics, medical researchers,
public health practitioners andpractising clinicians using
statistics in their daily work, the book is designed as both a
teaching and a reference text. The format of the book is clear with
highlighted formulae and worked examples, so that all concepts are
presented in a simple, practical and easy-to-understand way. The
second edition enhances the emphasis on choice of appropriate
methods with new chapters on strategies for analysis and measures
of association and impact.
"Essential Medical Statistics" is supported by a web site at www.blackwellpublishing.com/essentialmedstats. This useful online resource provides statistical datasets to download, as well as sample chapters and future updates.
The NGO HIV/AIDS Code of Practice Project is a joint initiative of: ActionAid International * CARE USA * Global Health Council * GNP+ * Grupo Pela Vidda * Hong Kong AIDS Foundation * ICASO * International Federation of Red Cross & Red Crescent Societies * International Harm Reduction Association * International HIV/AIDS Alliance * World Council of Churches The global momentum to address the devastating impact of HIV/AIDS is greater now than at any other time in the course of the pandemic. With this comes new hope and new challenges.Over the last twenty years, there has been a considerable increase in the number and range of NGOs involved in responding to the multiple challenges presented by HIV/AIDS: NGOs undertaking HIV/AIDS work; NGOs integrating HIV/AIDS-specific interventions within other health programming, such as sexual and reproductive health and NGOs mainstreaming HIV/AIDS within development, human rights, and humanitarian programming. There have also been significant changes in the global funding environment, particularly in ensuring that the lessons learned over the past 20 years are used to guide the allocation of resources in scaling up responses to HIV/AIDS. These changes both support and complicate the process of expanding the scale and impact of NGO programs, so urgently needed. The proliferation of NGOs and programs has, at times, occurred at the expense of accountability and quality programming and has led to fragmentation of the NGO "voice" in the HIV/AIDS response. To address these new challenges, a multi-agency project was set up to develop the Code of Good Practice for NGOs Responding to HIV/AIDS. The project aims to: * support evidence-based programs by outlining the principles and evidence that underscore successful NGO HIV/AIDS work * assist NGOs to improve the quality and cohesiveness of their work on HIV/AIDS and strengthen their accountability to their partners and beneficiary communities* foster greater collaboration between the wide variety of NGOs now involved in responding to HIV/AIDS * renew the NGO voice by enabling NGOs to commit to a shared vision of good practice in their programming and advocacy.Over 160 NGOs around the world are signatories to Renewing Our Voice: Code of Good Practice for NGOs Responding to HIV/AIDS. The principles set out in this Code can be applied to the diversity of HIV/AIDS around the world and provide invaluable guidance for: * organizational planning* the development, implementation, and evaluation of programs, including advocacy programs designed to create and sustain a supportive legislative and policy environment for effective programming and that promote the rights of people living with HIV/AIDS and affected communities * advocacy efforts to ensure effective scaling up of HIV/AIDS programs * allocation of resources.The Code is available as an accessible paperback book, with a summary wall poster included. PDF files of the Code, along with support materials are also available online at www.ifrc.org/what/health/hivaids/code/
SAS programming is a creative and iterative process designed to empower you to make the most of your organization's data. This friendly guide provides you with a repertoire of essential SAS tools for data management, whether you are a new or an infrequent user. Most useful to students and programmers with little or no SAS experience, it takes a no-frills, hands-on tutorial approach to getting started with the software. You will find immediate guidance in navigating, exploring, visualizing, cleaning, formatting, and reporting on data using SAS and JMP. Step-by-step demonstrations, screenshots, handy tips, and practical exercises with solutions equip you to explore, interpret, process and summarize data independently, efficiently and effectively.
In an overpopulated world an alarming number of approximately 230 000 humans are born daily. Africa makes a significant contribution to this gloomy situation. Millions will be doomed to famine unless the frightening birth rate is curbed. For this reason, contraception must be a priority in medical training, research and planning, act well as funding of health services. Contraception: theory and practice is essentially targeted at the health professions, including doctors, students, pharmacists and nurses - especially in family planning clinics. However, anyone seeking information on contraception will also benefit from it. This textbook has been an established reference for many years.
To many people the idea that 'the body' has its own history might sound faintly ridiculous. The body and its experiences are usually seen as something that we share with people from the past. Like 'human nature', it represents the unchanging in a changing world. Bodies just are... But the body does have a history. The way that it moves, feels, breathes, and engages with the world has been viewed very differently across times and cultures. For centuries, 'we' were believed to be composed of souls that were part of the body and inseparable from it. Now we exist in our heads, and our bodies have become the vessels for that uncertain and elusive thing we call our 'true selves'. The way we understand the material structure of the body has also changed radically over the centuries. From the bones to the skin, from the senses to the organs of sexual reproduction, every part of the body has an ever-changing history, dependent on time, culture, and place. This Mortal Coil is an exploration of that history. Peeling away our assumptions about the unchanging nature of the human body, Fay Bound Alberti takes it apart in order to put it back anew, telling the cultural history of our key organs and systems from the inside out, from blood to guts, brains to sex organs. The understanding of the 'modern body' she reveals in the process is far removed from the 'eternal' or timeless object of common assumption. In fact, she argues, its roots go back no further than the sixteenth century at the earliest - and it has only truly existed in its current form since the nineteenth century.
"Presents the latest research on the analysis, metabolism, function, and physicochemical properties of fiber, fiber concentrates, and bioactive isolates--exploring the effect of fiber on chronic disease, cardiovascular health, cancer, and diabetes. Examines food applications and the efficacy and safety of psyllium, sugar beet fiber, pectin, alginate, gum arabic, and rice bran "
Bridge the gap between research and practice with DePoy and Gitlin's Introduction to Research: Understanding and Applying Multiple Strategies, 4th Edition. This completely updated, user-friendly text helps you better understand not only the research process, but also research designs and their applications to the real world of clinical practice. Covering multiple research strategies (including both qualitative and quantitative research), it gives you a balanced approach to various research traditions, addressing the key issues that are emerging in today's health care environment. Case examples provide real-life snapshots of what it is like to participate in different types of research processes, identify research dilemmas relevant to chapter subjects, and alert you to problems you might encounter. Authors make the topics more accessible, so research becomes more relevant - and topics come to life. Covers experimental-type, naturalistic, and mixed method design strategies to improve your ability to compare, contrast, and integrate different methods. Presents complex information clearly in a highly readable, and easy-to-understand, manner. Includes detailed discussions of qualitative and quantitative methodologies, a unique and balanced focus that makes this text more comprehensive than others in its field. NEW! Up-to-date research methods, strategies, and references, like digital sources, visual methods, and geographical analysis, give you the latest information on research in diverse areas of health and human services.
A practical guide for primary health care personnel in the clinical and supportive care of people with HIV/AIDS. This book is a user-friendly, practical guide for medical personnel who treat, care for, or support people with HIV/AIDS at the primary care level. This updated edition addresses many areas including TB, STDs, HIV testing, counselling, treatment, education terminal care, specific needs of women and children, mother to child transmission and risk and injury to health care personnel. Illustrations are used throughout the book to promote a caring, accepting attidue to AIDS. In addition to doctors and primary care nurses, this book is also useful for counsellors, social workers, psychologists, alternative health care professionals and therapists. It also serves as a useful reference guide in clinics and in the training of personnel.
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