"With accompanying software! "

Clinicians manage a lot of data - on assorted bits of paper and in their heads. This book is about better ways to manage and understand large amounts of clinical data. Following on from his ground breaking book, "Evaluating the Processes of Neonatal Intensive Care," Joseph Schulman has produced this eminently readable guide to patient data analysis. He demystifies the technical methodology to make this crucial aspect of good clinical practice understandable and usable for all health care workers.

Computer technology has been relatively slow to transform the daily work of health care, the way it has transformed other professions that work with large amounts of data. Each day, we do our work as we did it the day before, even though current technology offers much better ways.

Here are much better ways to document and learn from the daily work of clinical care. Here are the principles of data management and analysis and detailed examples of how to implement them using computer technology.

To show you that the knowledge is scalable and useful, and to get you off to a running start, the book includes a complete point of care database software application tailored to the neonatal intensive care unit (NICU).

With examples from the NICU and the pediatric ward, this book is aimed specifically at the neonatal and pediatric teams. The accompanying software can be downloaded on to your system or PDA, so that continual record assessment becomes second nature - a skill that will immeasurably improve practice and outcomes for all your patients.

Illustrating the differences between urgent interventions and interventions performed to manage chronic conditions the authors present the chapters in a consistent template for ease of use covering; background, indications, evidence review, device description, procedural techniques, follow-up care, and complications. * Shows the differences between interventions performed to manage chronic conditions and interventions that are truly urgent * Chapters follow a consistent structure from background through indications, evidence review, device description, procedural techniques to follow-up care and complications * More than 40 high definition videos, hosted on companion website www.wiley.com/go/kipshidze/interventionaltherapies, complete with tips and tricks, provide a visual learning tool

This volume discusses current research on glial-neuronal interactions in several neuroendocrine systems. Glial-neuronal bidirectional transmission represents one of the fastest-growing areas of investigation in neuroscience today. Unraveling the interactions and signaling synergy between glial cells and neurons is critical to advancing our understanding of brain function. Consequently, this book summarizes the latest findings on the roles of astrocytes, microglia and tanycytes in the control of synaptic transmission, synaptic plasticity, blood-brain signaling, neuroinflammation and immune signaling. In addition, leading experts in the field discuss how reproductive function, the stress response and energy homeostasis are regulated by glial-neuronal communication. Given its scope, the book is essential reading for undergraduate and graduate students in the neurosciences, as well as postdoctoral fellows and established researchers who are looking for a comprehensive overview of glial-neuronal crosstalk in neuroendocrine systems. This is the eleventh volume in the International Neuroendocrine Federation (INF) Masterclass in Neuroendocrinology series (Volumes 1-7 published by Wiley), which aims to illustrate the highest standards and highlight the latest technologies in basic and clinical research, and aspires to provide inspiration for further exploration into the exciting field of neuroendocrinology.

Selected as a Doody's Core Title for 2022! Concise, portable, and user-friendly, The Washington Manual (TM) Infectious Diseases Subspecialty Consult, Third Edition, provides essential information needed to evaluate patients on a subspecialty consult service. This edition offers state-of-the-art content on the diagnosis, investigation, and treatment of a wide variety of infectious diseases, including coverage of new and emerging pathogens, rapid molecular diagnostics for infectious diseases, and new therapeutic and preventive strategies. Ideal for trainees and practicing physicians who need quick access to current scientific and clinical information in this rapidly changing area, the manual is also useful as a first-line resource for internists and other primary care providers. Content has been thoroughly revised from cover to cover, including two new chapters: Antimicrobial Stewardship and Arboviruses and Hemorrhagic Fevers. A highly templated, bulleted format ensures you can find what you need quickly and easily. Comprehensive coverage includes fever of unknown origin, sexually transmitted infections, opportunistic infections associated with HIV, zoonotic and tickborne infections, protozoal infections, infection prevention, and much more. Text has been organized by organ system to facilitate generating a useful differential diagnosis based on a patient's presentation. Written by faculty and fellows from the Infectious Diseases Division of Internal Medicine at the Washington University School of Medicine in St. Louis. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Well received in its first edition, "Survival Analysis: A Practical Approach" is completely revised to provide an accessible and practical guide to survival analysis techniques in diverse environments.

Illustrated with many authentic examples, the book introduces basic statistical concepts and methods to construct survival curves, later developing them to encompass more specialised and complex models.

During the years since the first edition there have been several new topics that have come to the fore and many new applications. Parallel developments in computer software programmes, used to implement these methodologies, are relied upon throughout the text to bring it up to date.

Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.

The Hitchhiker's Guide to Internal Medicine offers a concise yet thorough overview of both clinical and factual knowledge required of medical students as they journey through their internal medical rotations. Included in this book are all the pertinent information for third year medical students and interns on the ward who are working up patients and preparing for the Step 2 and Step 3 exams. Beyond a simple pocketbook containing the minimal knowledge expected for the boards, the Hitchhiker's Guide to Internal Medicine is also a comprehensive source of practical knowledge needed to evaluate common diagnoses. In addition to lessons on clinical anatomy and physiology, comprised here are succinct work-up and treatment plans for numerous presenting complaints. Internal medical topics covered in this book include: cardiology, nephrology, pulmonology, neurology, oncology, infectious diseases, hematology, endocrinology, gastroenterology, dermatology, and rheumatology. Dr. Atif Qasim is a veteran hitchhiker in the field of internal medicine from the University of Pennsylvania School of Medicine. Here he presents his wealth of clinical pearls in a package of necessary knowledge to keep overwhelmed medical students from getting lost as they trek the steepest part of the learning curve in medicine. Features Special sections with diagnostic algorithms on how to work up the some of the most common medical complaints . Thorough information on diagnostic tests and procedures used in each medical subspecialty.

The fifth edition of Lachman's Case Studies in Anatomy is a thoroughly revised edition of a popular collection of 50 anatomical cases. Each chapter starts with a clinical case presentation, followed by diagnosis and therapy and then an extensive discussion of the anatomy that is relevant to the case. The patient presentations provide the history and physical examination findings in a format consistent with that which the student will utilize in clinical training. Diagnostic and therapeutic procedures that are discussed have been brought up-to-date and are consistent with current medical practice. Cases represent clinical encounters required in clerkship curricula. This should allow students to draw from this book throughout their four years in medical school. The scope of the book has been expanded to include embryological development by including three new cases of developmental abnormalities. Many new figures and have included many diagnostic images including radiographs, CT scans, MRIs and ultrasounds. To help the reader feel confident that the major anatomical points have been mastered, review questions and answers have been added at the end of each unit.

Prepare for success in today's fast-paced, collaborative healthcare environment! Offering expert perspectives from a variety of primary care and nurse practitioners, Primary Care: A Collaborative Practice, 5th Edition helps you diagnose, treat, and manage hundreds of adult disorders. Care recommendations indicate when to consult with physicians or specialists, and when to refer patients to an emergency facility. This edition includes six new chapters, a fresh new design, the latest evidence-based guidelines, and a new emphasis on clinical reasoning. Combining academic and clinical expertise, an author team led by Terry Mahan Buttaro shows NPs how to provide effective, truly interdisciplinary health care. UNIQUE! A collaborative perspective promotes seamless continuity of care, with chapters written by NPs, physicians, PAs, and other primary care providers. Comprehensive, evidence-based content covers every major disorder of adults seen in the outpatient office setting, reflects today's best practices, and includes the knowledge you need for the NP/DNP level of practice. A consistent format in each chapter is used to describe disorders, facilitating easier learning and quick clinical reference. Diagnostics and Differential Diagnosis boxes provide a quick reference for diagnosing disorders and making care management decisions. Complementary and alternative therapies are addressed where supported by solid research evidence. Referral icons highlight situations calling for specialist referral or emergency referral. NEW chapters cover topics including transitional care, risk management, LGBTQ patient care, bullous pemphigoid, pulmonary embolism, and dysphagia. NEW! An emphasis on clinical reasoning helps you develop skills in diagnosis and treatment, with coverage moving away from pathophysiology and toward diagnostic reasoning and disease management - including pharmacologic management. NEW focus on interdisciplinary care underscores the importance of interprofessional education and practice, and includes Interdisciplinary Management features. UPDATED chapters reflect the latest literature and evidence-based treatment guidelines, including new content on the Affordable Care Act as well as new coverage of patient satisfaction metrics, quality metrics, value-based purchasing, pharmacogenetics/genomics, and teen pregnancy and abnormal pregnancy. NEW quick-reference features make it easier to locate important information, through colorful section tabs, bulleted summaries, additional algorithms, a more logical table of contents, an Index to Standardized Treatment Guidelines, and a Reference to Common Laboratory Values.

Angesichts des harten Wettbewerbs wird in Zukunft voraussichtlich ein Drittel aller Krankenhauser schlieen mussen. Allein verstarkte marktwirtschaftliche Optimierung - inklusive des dazugehorigen Marketings - sichert Krankenhausern das Uberleben. Das Buch gibt Antworten auf Fragen wie: Welche Bedurfnisse haben die verschiedenen Anspruchsgruppen? Welche zusatzlichen Leistungen konnen angeboten werden? Leser finden das Handwerkszeug fur die Realisierung einer gelungenen Marktprasenz - von der Analyse, uber die Konzeption bis zur Umsetzung.

Awarded First Prize, in the Primary health care category, at the 2013 BMA Medical Book Awards.Following the familiar, easy-to-use "at a Glance" format, this brand new title provides a highly illustrated introduction to the full range of essential primary care presentations, grouped by system, so you'll know exactly where to find the information you need, and be perfectly equipped to make the most of your GP attachment.

"General Practice at a Glance" Is comprehensively illustrated throughout with over 60 full-page colour illustrationsTakes a symptoms-based approach which mirrors the general practice curriculumOffers 'one-stop' coverage of musculoskeletal, circulatory, respiratory, nervous, reproductive, urinary, endocrine and digestive presentationsHighlights the interrelations between primary and secondary careIncludes sample questions to ask during history taking and examinationFeatures 'red flags' to highlight symptoms or signs which must not be missed

This accessible introduction and revision aid will help all medical students and junior doctors develop an understanding of the nature and structure of primary care, and hit the ground running on the general practice attachment.

The second edition of this pocket book is for use by doctors, senior nurses and other senior health workers who are responsible for the care of young children at the first referral level in developing countries. It presents up-to-date clinical guidelines which are based on a review of the available published evidence by subject experts, for both inpatient and outpatient care in small hospitals where basic laboratory facilities and essential drugs and inexpensive medicines are available. In some settings, these guidelines can be used in the larger health centers where a small number of sick children can be admitted for inpatient care.The guidelines are for use in both inpatient and outpatient care in hospitals with basic laboratory facilities and essential medicines. These guidelines focus on the management of the major causes of childhood mortality in most developing countries, such as newborn problems, pneumonia, diarrhoea, malaria, meningitis, septicaemia, measles and related conditions, severe acute malnutrition and paediatric HIV/AIDS. It also covers common procedures, patient monitoring and supportive care on the wards and some common surgical conditions that can be managed in small hospitals.

This practical handbook aims to give the practising nurse and health-care professional the tools to implement research in the clinical setting. There is no intention here of revisiting the deep theoretical issues related to research; rather the book seeks to offer a clear toolkit on how the research might be implemented. Chris Bassett has drawn together the work of six acknowledged experts in this field.

This book provides an overview of multiple facets of ageing and its evolving dynamics in various Indian states. It elaborates on key dimensions like health, dependence and disability, as well as living arrangements for the elderly. Drawing on information from National Sample Surveys to offer readers a broader and richer understanding of the evolving demographic reality in India, the book addresses a range of detailed policies and programmes for the elderly in India. Given its scope, the book is essential reading for students and researchers in the fields of sociology, demography, economics and development studies. It also offers a valuable reference guide for anyone engaged in planning and policy formulation for social security, welfare of the aged or mainstreaming ageing concerns.

How do electrical activity and calcium signals in neurons influence the secretion of peptide hormones? This volume presents the current state of knowledge regarding the electrical, calcium signaling and synaptic properties of neuroendocrine systems from both vertebrate and invertebrate systems. The contributions span in vivo and in vitro studies that address: state-dependent plasticity, relevance of firing patterns, membrane properties, calcium flux (including dynamic imaging and homeostasis), and molecular mechanisms of exocytosis, including from non-neuronal secretory cells. The chapters focus not only on research results but also on how experiments are conducted using state-of-the-art techniques, and how the resulting data are interpreted. While there are many books on the secretory properties of neurons, this is the first to focus on the distinctive secretory properties of neuroendocrine neurons. Accordingly, it offers an important text for undergraduate and graduate neuroscience students, and will also appeal to established scientists and postdoctoral fellows. This is the eighth volume in the Masterclass in Neuroendocrinology series* - now a co-publication between Springer Nature and the INF (International Neuroendocrine Federation). *Volumes 1-7 published by Wiley

This book presents recent outcomes of the collaborative "Tricorder" project, which brings together partners from industry, research institutes and hospitals to deliver an easy contactless alternative for electrocardiograms (ECG). Featuring contributions investigating the possible applications of laser Doppler vibrometry (LDV) signals for the remote measurement of vital parameters of the heart, the book provides insights into the vision and the history of the "Tricorder" project and the basic differences between the vibrocardiograms and electrocardiograms. It also discusses topics such as signal processing, heartbeat measurement techniques, respiration frequency and oxygen saturation determination, with a particular focus on the diagnostic value of the method presented, e.g., diagnosis of atrial fibrillation and estimation of the oxygen saturation in premature infants. Further, the authors review the advantages and drawbacks of the new method and the specific fields of application. This book will appeal to researchers and industry leaders interested in laser remote sensing for medical applications as well as medical professionals curious about new healthcare technologies.

Offering an authoritative account of the relationship between literature and medicine between approximately 1800 and 1900, this volume brings together leading scholars in the field to provide a valuable overview of how two dynamic fields influenced and shaped each during a period of revolutionary change. During the nineteenth century, medicine was being redefined as a subject in which experimental methodologies could transform the healing art, and was simultaneously branching off into new specialisms and subdivisions. Questions addressed in this volume include the influence of physics on poetry, the role of medical professionalism in fiction, the cultural and literary representation of sanitation, and the interdisciplinary nature of controversy and negligence. Along with its sister publication, Literature and Medicine in the Eighteenth Century, this volume offers a major critical overview of the study of literature and medicine.

This socially conscious, culturally relevant book explores the little-known history and present climate of Black people in the medical field. It reveals the deficiencies in the American healthcare structure that have contributed to the mismanagement of healthcare in the Black population, and examines cross-currents that intersect with the major events in minority medical history. Illustrated across 10 expertly written chapters, this text features a longitudinal timeline with the presentation of evidence-based information drawn from historical, political, and clinical sources. The book begins with an analysis of diseases particularly prevalent in the Black community due to socioeconomic inequalities in available medical care. These diseases include sickle cell anemia, hypertension, heart failure, drug addiction, and HIV/AIDS. Bolstered by profiles of historically well-known Black physicians, stories of success in medical education, and the remarkable impact of Black medical organizations, subsequent chapters address the triumphs and tribulations of the Black medical professional in America. Concluding with an examination of the current health status of Black people in the United States, the book makes a case for future systemic improvements in healthcare delivery to minority communities. A unique, noteworthy reference, Blacks in Medicine: Clinical, Demographic, and Socioeconomic Correlations is written for a broad range of physicians and health providers, as well as professionals in the social sciences and public health.

This book brings together a collection of methods for the successful detection, culture and investigation of H. pylori, and its associated diseases. Chapters guide the reader through overviews on H. pylori infection, protocols for analyzing human clinical samples, and protocols for characterizing H. pylori, its functional components and its interactions with host cells. Written in the highly successful Methods in Molecular Biology series format, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls. Authoritative and cutting-edge, Helicobacter pylori: Methods and Protocols aims to be a useful practical guide to researchers to help further their study in this field.

Neues Berufsbild Honorararzt: AErzte, deren uberwiegende Tatigkeit nicht durch ein festes Angestelltenverhaltnis oder die klassische Niederlassung in der Praxis gekennzeichnet ist, sondern dadurch, dass die Einnahmen durch zeitlich und oertlich befristete, auftrags- oder projektbezogene Anstellungen erzielt werden. Nachdem Honorararzte in anderen Landern schon langer von Bedeutung sind (angloamerikanische Lander, Frankreich, Schweiz), ist diese Tatigkeitsform auch bei deutschen AErzten seit ca. 2007 zunehmend verbreitet. Alles Wissenswerte fur AErzte, die hauptberuflich oder erganzend als Honorararzt tatig sind oder werden wollen: Akquise, Organisation, Recht, Finanzen. Alle wichtigen Informationen fur Deutschland und alle anderen relevanten Lander. Kompakt, handfest, praxisrelevant: Mit Erfahrungsberichten und Zusatzinfos im Internet.

Die radiologische Diagnostik nimmt in der Erkennung, Stadieneinteilung, Therapieplanung und -kontrolle sowie der Nachsorge von Tumorerkrankungen eine zentrale Stellung ein und muss, in Abhangigkeit von der jeweiligen Erkrankung, speziellen Anforderungen gerecht werden. In den von behandelnden Klinikern und onkologisch erfahrenen Radiologen gemeinsam verfassten Kapiteln dieses zweibandigen Werkes werden eingehend sowohl die klinischen Grundlagen und Therapieverfahren als auch die radiologische Diagnostik zur Erkennung des Tumors, Therapieplanung und Nachsorge detailliert dargestellt. Der erste Band behandelt die soliden Tumoren oberhalb des Zwerchfells, bosartige Neubildungen des Binde- und Stutzgewebes sowie des lymphatischen Systems, der zweite Band die Tumoren des Abdomens und des Beckens."

It has never been easy to introduce new concepts and therapeutic in-terventions into surgical practice. When attempting to do so, one is faced with the interagency of traditional dogma, which still in this era of evidence-based medicine tends to dominate the surgical thought pr- ess. This is particularly so in the area of coloproctology, where prejudice and personal opinion often influence objective analysis whenever tradition is challenged. A large body of literature on anorectal prolapse has accumulated over the years; although much is based on personal viewpoint rather than scientific evidence, it has nevertheless been passed down through the generations as ac-cepted wisdom and practice. As a consequence, it is a challenge to change the mindset of a generation of surgeons and to introduce new concepts and novel techniques which at first might appear to be a radical departure from conventional teaching. It is obviously not possible to present the basis for the develop-ment of transanal stapling techniques for anorectal prolapse in this Foreword; this is dealt with in detail elsewhere in this book. The in-terested reader will have the opportunity to share in the new and emerging concepts surrounding anorectal prolapse and to deepen their understanding of the pat- physiology and basis for surgical correction. Although hemorrhoidal disease and external rectal prolapse have been known about for centuries, the understanding of internal rectal prolapse (intussusception) and rectocele has only really advanced with the emergence of radiological imaging tech-niques, such as defecography.

In der Intensivmedizin ist es oft notwendig, rasch erste therapeutische Massnahmen ohne Fehler und Unsicherheiten vorzunehmen. Dieses Buch bietet den Arzten wahrend ihrer intensivmedizinischen Ausbildung eine schnelle und ubersichtliche Hilfe in der kompetenten Betreuung eines breiten Patientenspektrums an einer chirurgischen Intensivstation. Haufige Krankheitsbilder aus Abdominalchirurgie, Thoraxchirurgie, Herzchirurgie, Traumatologie, Geburtshilfe und Innerer Medizin werden behandelt und die pathophysiologischen Vorstellungen erlautert. Daruber hinaus werden grundlegende Kenntnisse in Bezug auf kunstliche Beatmung sowie alternative Techniken vermittelt und die Thematik der parenteralen und enteralen Ernahrung ubersichtlich und praxisnah dargelegt. Krankheitsbildern wie Sepsis mit ihrer Pathophysiologie und damit verbundener Verzahnung von Gerinnung und Inflammation wurde besonderes Augenmerk gewidmet, so dass neue und teils noch in Entwicklung befindliche Therapieansatze beurteilt werden konnen."

Das Koenigreich Westphalen (1807-1813) ist vielfach als ein beschrieben worden, in dem vor allem verwaltungs- und gesellschaftspolitische Modernisierungen mit zum Teil durchaus nachhaltiger Wirkung erfolgt sind. Die Studie untersucht vor diesem Hintergrund das bislang kaum berucksichtigte Medizinalwesen. Nach der Charakterisierung der Ausgangsstellung bei Grundung dieses kunstlichen Staatsgebildes wird die weitere Entwicklung des Gesundheitswesens analysiert. Dabei geht der Autor auch der Frage nach, in wie weit die franzoesischen Verhaltnisse als Anleihe und Orientierung fur eine in Aussicht gestellte Medizinalreform dienten und welche Dringlichkeit medizinische und staatliche Vertreter ihr beimassen. Die Publikation zeigt, welche Intentionen verfolgt wurden und in welchem Masse Modernisierungen im Gesundheitswesen tatsachlich stattgefunden haben. Die Ambivalenz zwischen aktiver Neugestaltung in einigen Bereichen des Gesundheitswesens bei gleichzeitiger Verzoegerung und Verschleppung einer umfassenderen Reform werden im Kontext der politischen und oekonomischen Entwicklung des Koenigreichs gedeutet.