Health has been conceptualized by world and national health organizations (WHO, CDC, Healthy People 2010) as more than the absence of disease. It involves a focus on physical, psychosocial, and functional aspects of life as well as the prevention of future illnesses. At this point in the development of quality health care for cancer survivors, there is sufficient knowledge and expert opinion to push efforts forward to improve the health of cancer survivors. Clearly there is more research in the most prevalent forms of cancers (e.g., breast cancer) than others that provide us with guidance on how to optimize their health, but there are data on other forms of cancers that can also better inform practice. There may also be general care practices that can cut across cancer types. There has been an emergence of epidemiological and clinical research in cancer survivors that can form the basis for a revolution in the quality and nature of health care that survivors receive. This book not only provides the reader with diverse perspectives and data but also integrates this information so it can serve as the foundation necessary to improve and maintain the health of cancer survivors. Reporting of symptoms to health care providers is a complex, multi-determined problem influenced not only by the pathophysiology but also, as we have learned over the years through pain research, by societal, cultural, and biobehavioral factors. This book will consider this important aspect of follow-up for millions of cancer survivors because of the strong reliance on symptom reporting for clinical decision making. In order for us to generate meaningful and effective treatment, we need to better understand the symptom experience in cancer survivors. This book provides much information that will assist us to better understand and manage this complicated end point. The presenting problems need to be articulated and "conceptualized" as clearly as possible by both parties so appropriate actions can be taken. Since health care costs are a major concern for patients, payers, and providers, this area will also be addressed in all the relevant sections. In taking an interdisciplinary perspective, this book illustrates the importance of a team approach to the improvement of health care and associated health, well-being, and functioning in cancer survivors. The 17 chapters cover critical topics of which physicians and providers of all types must be aware in order to provide the most comprehensive and responsive care for cancer survivors. All of the clinical care chapters include case studies to illustrate the real-world application of these approaches in cancer survivors. Information about sources of referral both within and outside the traditional health care communities will be provided in tabular form. There is no other text that provides both an overview of the problems and their challenges, case illustrations of direct application, and the reality of reimbursement for such care. The editors hope that there may be no need for the clinician or the survivor to adapt to a "new normal" if the presenting problems are understood and handled from an interdisciplinary perspective as outlined here.

Since adapting the principles of the Toyota Production System to health care in 2002, Virginia Mason Health System has made enormous leaps forward in quality, safety, patient experience of care, and affordability. It has achieved world-class levels of patient satisfaction and has been honored as one of the safest hospitals in the country. A Leadership Journey in Health Care: Virginia Mason's Story supplies an inside look at process improvement from the world leader in applying Lean methods to health care. It presents key lessons learned as well as the best practices developed at Virginia Mason during its 12-year process improvement journey. Just as important, Virginia Mason's culture of leadership at all levels sets it apart from others in the health care universe. Describing why it's critical for leadership to be actively involved in any process improvement initiative, the book illustrates exactly what leadership looks like at all levels within Virginia Mason. In the book, bestselling author Charles Kenney introduces breakthrough new work at Virginia Mason that most health care audiences have yet to read about. He details the reasons why governance has played such a big role in Virginia Mason's success and discusses a game-changing initiative concerning respect for people. After reading this book, you will better understand the active leadership style that has propelled Virginia Mason's success. By following the best practices and lessons learned, you will be prepared to teach, coach, and encourage your team to achieve streamlined and standardized work, sustained improvements, and increased patient satisfaction. Foreword by Carolyn Corvi, Virginia Mason Health System/Virginia Mason Medical Center Boards of Directors; Retired Vice President and General Manager, Boeing Commercial Airplanes

Health care is everywhere under tremendous pressure with regard to efficiency, safety, and economic viability - to say nothing of having to meet various political agendas - and has responded by eagerly adopting techniques that have been useful in other industries, such as quality management, lean production, and high reliability. This has on the whole been met with limited success because health care as a non-trivial and multifaceted system differs significantly from most traditional industries. In order to allow health care systems to perform as expected and required, it is necessary to have concepts and methods that are able to cope with this complexity. Resilience engineering provides that capacity because its focus is on a system's overall ability to sustain required operations under both expected and unexpected conditions rather than on individual features or qualities. Resilience engineering's unique approach emphasises the usefulness of performance variability, and that successes and failures have the same aetiology. This book contains contributions from acknowledged international experts in health care, organisational studies and patient safety, as well as resilience engineering. Whereas current safety approaches primarily aim to reduce or eliminate the number of things that go wrong, Resilient Health Care aims to increase and improve the number of things that go right. Just as the WHO argues that health is more than the absence of illness, so does Resilient Health Care argue that safety is more than the absence of risk and accidents. This can be achieved by making use of the concrete experiences of resilience engineering, both conceptually (ways of thinking) and practically (ways of acting).

Comprehensive skills in management, administration, and leadership are essential for occupational therapy assistants (OTA) in their daily interactions with their clients in various health care environments. Inside Management and Administration for the OTA: Leadership and Application Skills, Dr. Karen Jacobs has gathered an expert team of 11 contributors of clinicians, academicians, administrators, managers, and graduate students to address each of the ACOTE Standards with a focus on evidence-based literature and examples of the leadership and management skills needed as an OTA. What you will learn from Management and Administration for the OTA: Contexts and Health Care-the potential impact of policy issues as they relate to the practice of occupational therapy Leadership and Advocacy-two important roles that OTAs need to assume to be agents of change Credentialing-introduces the national requirements for credentialing and for licensure, certification or registration under state laws Reimbursement-the various reimbursement systems requirements that affect the practice of occupational therapy Marketing and Promoting-The role of the OTA to promote the distinct value of occupational therapy to the public, as well as other professionals, service providers, consumers, third-party payers, and regulatory bodies Documentation and Quality Improvement-to ensure the OTA provides the highest quality of occupational therapy services Supervision-to understand the important relationship between the OTA, the OT, and nonprofessional personnel Fieldwork-to understand the role, criteria, and components of the OTA in fieldwork education Communication Skills-define health literacy and discuss how to use this concept to better understand the client, the client's health environment, and the client's occupations and health activities Ethics-explore the components of ethics that impact the delivery of occupational therapy and the foundational skills and knowledge needed by the OTA to maintain high standards of responsible, ethical practice Scholarship and Scholarly Practice-assists the OTA with how to articulate the importance of how scholarly activities and the evidence-based literature contribute to the distinct value and advancement of occupational therapy The chapters of Management and Administration for the OTA: Leadership and Application Skills also includes 5 key vocabulary terms and their definitions, case examples relevant to the content, website resources, and multiple choice review questions. Instructors in educational settings can visit www.efacultylounge.com for additional materials to be used for teaching in the classroom. Straightforward, comprehensive, and user-friendly, Management and Administration for the OTA: Leadership and Application Skills will provide OTA students and clinicians with an essential resource for their future success.

Growing literature around the benefits ofanimal-assisted intervention (AAI) spurs health care professionals andadministrators to start new programs. Yet the trend also raises questions ofhow best to begin and run successful AAI programs-under what circumstances,with what staff, and within what guidelines. Animal-Assisted Interventions in Health Care Settings: A BestPractices Manual for Establishing New Programs succinctly outlines how best to develop, implement, run, andevaluate AAI programs. Drawing on extensive professional experiences andresearch from more than fifteen years leading the Center for Human-AnimalInteraction in the Virginia Commonwealth University School of Medicine, theauthors discuss both best practices and best reasons for establishing AAIprograms. For thorough consideration, the text explores benefits from a varietyof perspectives, including how AAI can improve patient experience, provideadditional career development for staff, and contribute favorably toorganizational culture as well as to the reputation of the facility in thesurrounding community. Developed for administrators as well as forvolunteers and staff, Animal-AssistedInterventions in Health Care Settings includes practical, case-basedexamples for easy comprehension and offers user-friendly templates that can beadapted to develop practice-specific training, evaluation, and proceduremanuals.

Appointment Planning in Outpatient Clinics and Diagnostic Facilities provides a concise overview of the medical and mathematical aspects of appointment planning in healthcare. This SpringerBrief specifically focuses on outpatient clinics and diagnostic facilities. It begins by introducing the topic from a medical perspective, discussing the kinds of clinics and facilities that are out there, while exploring the appointment systems they use and the problems they face. Next, the mathematical aspects of appointment planning are examined, including Markov decision modelling, queueing theory, etc. Subsequently the book addresses implementation issues that may arise, whether they be technical, medical or cultural. Finally Appointment Planning in Outpatient Clinics and Diagnostic Facilities provides an outlook on the appointment systems of the future and what they will require as a consequence of current and future developments in the medical sector.

Written for virtually every professional and leader in the health care field, as well as students who are preparing for careers in health services delivery, this book presents a framework for developing a patient safety program, shows how best to examine events that do occur, and reveals how to ensure that appropriate corrective and preventative actions are reviewed for effectiveness. The book covers a comprehensive selection of topics including * The link between patient safety and legal and regulatory compliance * The role of accreditation and standard-setting organizations in patient safety * Failure modes and effect analysis * Voluntary and regulatory oversight of medical error * Evidence-based outcomes and standards of care * Creation and preservation of reports, data, and device evidence in medical error situations * Claims management when dealing with patient safety events * Full disclosure * Patient safety in human research * Managing confidentiality in the face of litigation * Managing patient safety compliance through accountability-based credentialing for health care professionals * Planning for the future

This edited volume captures and communicates the best thinking on how to improve healthcare by improving the delivery of services -- providing care when and where it is needed most -- through application of state-of-the-art scheduling systems. Over 12 chapters, the authors cover aspects of setting appointments, allocating healthcare resources, and planning to ensure that capacity matches needs for care. A central theme of the book is increasing healthcare efficiency so that both the cost of care is reduced and more patients have access to care. This can be accomplished through reduction of idle time, lessening the time needed to provide services and matching resources to the needs where they can have the greatest possible impact on health. Within their chapters, authors address: (1) Use of scheduling to improve healthcare efficiency. (2) Objectives, constraints and mathematical formulations. (3) Key methods and techniques for creating schedules. (4) Recent developments that improve the available problem solving methods. (5) Actual applications, demonstrating how the methods can be used. (6) Future directions in which the field of research is heading. Collectively, the chapters provide a comprehensive state-of-the-art review of models and methods for scheduling the delivery of patient care for all parts of the healthcare system. Chapter topics include setting appointments for ambulatory care and outpatient procedures, surgical scheduling, nurse scheduling, bed management and allocation, medical supply logistics and routing and scheduling for home healthcare.

The negative consequences of natural hazard events are staggering and growing. Governments are acting to increase community resilience, reduce losses, and facilitate recovery, but these actions do not always yield anticipated consequences. This book is a compelling interdisciplinary analysis of California s efforts to ensure that acute care hospitals survive earthquakes and continue to function in the aftermath. The book weaves together several threads essential to understanding the effectiveness of public policies intended to reduce the consequences of natural hazard events: public policy design and administration, the hazard mitigation investment decision made by targeted organizations, and contextual dynamics.

""A terrific study of shortfalls in the implementation of risk-reduction policy -- highly readable, full of insights, and very policy relevant." "Peter J. May, Donald R. Matthews Distinguished Professor of American Politics, University of Washington, Seattle USA

""This is an exceptional book by three of the leading hazard mitigation researchers and must reading for both scholars and practitioners in the field."" William A. Anderson, National Research Council, National Academy of Sciences."

A visit to a physician these days is cold: physicians spend most of their time typing at computers, making minimal eye contact. Appointments generally last only a few minutes, with scarce time for the doctor to connect to a patient's story, or explain how and why different procedures and treatments might be undertaken. As a result, errors abound: indeed, misdiagnosis is the fourth-leading cause of death in the United States, trailing only heart disease, cancer, and stroke. This is because, despite having access to more resources than ever, doctors are vulnerable not just to the economic demand to see more patients, but to distraction, burnout, data overload, and their own intrinsic biases. Physicians are simply overmatched. As Eric Topol argues in Deep Medicine, artificial intelligence can help. Natural-language processing could automatically record notes from our doctor visits; virtual psychiatrists could better predict the risk of suicide or other mental health issues for vulnerable patients; deep-learning software will make every physician a master diagnostician; and we could even use smartphone apps to take our own medical "selfies" for skin exams and receive immediate analysis. . On top of that, the virtual smartphone assistants of today--Alexa, Siri, Cortana--could analyze our daily health data to reduce the need for doctor visits and trips to the emergency room, and support for people suffering from asthma, epilepsy, and heart disease. By integrating tools like these into their daily medical practice, doctors would be able to spend less time collecting and cataloging information, and more time providing thorough, intimate, and meaningful care for their patients, as no machine can. Artificial intelligence can also help remedy the debilitating cost of healthcare, both for individuals and the economy writ large. The medical sector now absorbs 20 percent of the US gross domestic product--it is largest sector by dollars and jobs. And it's very inefficient. Take the cost of medical scans: There are over 20 million medical scans performed in the US every day, and an MRI, for example, costs hundreds to thousands of dollars. AI could process 260 million medical scans (more than 2 weeks' worth) in less than 24 hours for a cost of only $1000. We pay billions and billions of dollars for the same work today. The American health care system needs a serious reboot, and artificial intelligence is just the thing to press the restart button. As innovative as it is hopeful, Deep Medicine ultimately shows us how we can leverage artificial intelligence for better care at lower costs with more empathy, for the benefit of patients and physicians alike.

The thoroughly revised and updated fourth edition of "Foodservice Manual for Health Care Institutions" offers a review of the management and operation of health care foodservice departments. This edition of the book--which has become the standard in the field of institutional and health care foodservice--contains the most current data on the successful management of daily operations and includes information on a wide range of topics such as leadership, quality control, human resource management, product selection and purchasing, environmental issues, and financial management.

This new edition also contains information on the practical operation of the foodservice department that has been greatly expanded and updated to help institutions better meet the needs of the customer and comply with the regulatory agencies' standards.

Topics covered include: Leadership and Management SkillsMarketing and Revenue-Generating ServicesQuality Management and ImprovementPlanning and Decision MakingOrganization and Time ManagementTeam BuildingEffective CommunicationHuman Resource ManagementManagement Information SystemsFinancial ManagementEnvironmental Issues and SustainabilityMicrobial, Chemical, and Physical HazardsHACCP, Food Regulations, Environmental Sanitation, and Pest ControlSafety, Security, and Emergency PreparednessMenu PlanningProduct SelectionPurchasingReceiving, Storage, and Inventory ControlFood ProductionFood Distribution and ServiceFacility DesignEquipment Selection and Maintenance

Learning objectives, summary, key terms, and discussion questions included in each chapter help reinforce important topics and concepts. Forms, charts, checklists, formulas, policies, techniques, and references provide invaluable resources for operating in the ever-changing and challenging environment of the foodservice industry.

Medical Applications of Microcomputers deals with microcomputer applications in a wide area of clinical medicine. Recent developments are discussed in several clinical specialties including medicine, surgery, urology, anaesthesia and oncology. Topics include the storage of analysis of clinical audit data, the display of processing of data from direct physiological measurements and computers in control of therapy. The authors draw on their practical experience and knowledge of specific areas to which they have applied modern microcomputer techniques and give detailed descriptions of the means by which the problems that may be encountered may be overcome. Those wishing to implement their own computer systems will find this book a useful further source of ideas and techniques which add to those described in the earlier volume "Microcomputers in Medicine" by the same editors.

This book is based on the proceedings of the fourth Medical Microcomputer Workshop held at the Middlesex Hospital Medical School on 3-5 September 1986. The workshop was attended by clinicians and computer scientists with an interest in applying computer technology to current medical practice. The problems ranged from audit and patient management through to the more complex applications of data analysis obtained from current diagnos tic techniques. The choice of microcomputers has never been greater with low cost making them readily available. A single microcomputer has limita tions in clinical practice and the use of networks for multi-user tasks has expanded its capability but increased the complexity both in terms of hardware and the software needed to run it. Although comprehensive commercial packages are available, none of these are entirely suitable for medical applications without modification. Many of the chapters presented in this book describe the problems encountered and the solutions achieved by configuring and modifying applications software.

"Silent Ischemia, Current Concepts and Management" contains the proceedings of a conference held in Rottach-Egern, West Germany, March 5 to 7, 1987. We are most grateful to the authors for the effort to provide manuscripts before the meeting, to the sponsor, Bayer AG, for their generous support and to the publishers for their efficient collaboration, all of which have made the appearance of this book possible. When discussing silent myocardial ischemia, the first question is: "why is it silent?". To approach this question, a deeper look has to be taken into the pathophysiology of cardiac pain and the excitatory and inhibitory mechanisms involved. It has to be borne in mind that - in contradiction to what the poets have told us so beautifully for many centuries - the heart is a visceral and not a sensitive organ. If asymptomatic ischemia did not carry prognostic significance comparable to the symp tomatic manifestations of ischemia, then the problem of silent ischemia would be very academic and without consequences for treatment. Therefore studies on prognosis of silent ischemia are of great importance, as their results should indicate how aggressively patients are to be managed.

In Part I, the impact of an integro-differential operator on parity logic engines (PLEs) as a tool for scientific modeling from scratch is presented. Part II outlines the fuzzy structural modeling approach for building new linear and nonlinear dynamical causal forecasting systems in terms of fuzzy cognitive maps (FCMs). Part III introduces the new type of autogenetic algorithms (AGAs) to the field of evolutionary computing. Altogether, these PLEs, FCMs, and AGAs may serve as conceptual and computational power tools.

Blood transfusion is considered a life-saving therapy since ancient times, but, at the same time, a high-risk procedure. Nowadays the common perception is that infection is the greatest risk, even if the blood has never been safer from this point of view. Currently, the residual risk of transfusion must be related mainly to immunological mechanisms underlying to AB0 and minor blood systems, to compatibility of blood transfused and to development of irregular antibodies in transfused patients. "Transfusion Medicine and Patient Safety" aims to provide the basic of immunohematology to readers and to analyze the transfusional process highlighting the most critical points, thus more exposed to errors. Screening on blood and blood components for infectious diseases along with the surveillance action on emerging viruses results in the drastic reduction of post-transfusion infection, together with the potential to further increase the level of security from infection through the inactivation of blood components. The text also describes the major diagnostic systems and organizational models that modern technology provides us with a correct immunohematological diagnosis and an appropriate trasfusional therapy.

Despite its high cost, the US healthcare system produces relatively short life spans, and is wasteful, inefficient and has serious safety and quality issues. While other industries have surmounted similar challenges by transforming themselves through information technology, healthcare lags behind. Major reasons are that our approaches to care delivery and financial incentives were designed for a bygone era. Beyond that the technology offered to practitioners has often been overly expensive, poorly designed, overly proprietary, hard to implement and difficult to use. Spurred by a unique, one-time Federal stimulus and the new mobile, wireless and cloud technologies now available, this landscape is rapidly changing. To succeed going forward practitioners, and those interested in entering the field, need to understand the new driving forces and have a basic understanding of contemporary clinical informatics. Practitioners, in particular, need to understand the alternative technologies and approaches available for their use in individual patient care and more continuous management of their chronic disease patients. To efficiently meet these needs, this book provides an introduction to the rationale for care transformation through clinical informatics; its application to patient care outside of hospitals; and a look at its future. Key points are illustrated throughout by actual examples of open source and commercial health IT products and services. While written with practitioners and students entering the field of clinical informatics in mind, the book eschews technical terminology and is easily accessible by the lay reader not proficient in clinical medicine or information technology."

This volume marks the end of an eight-year program of research on population issues, launched in 1990 by the Netherlands Organization for Scientific Research: The NWO Priority Program on Population Issues. Initiatives for this program of research were taken over ten years ago by Hans Van Ginkel-who became the first program chair - and Dirk Van De Kaa. The Dutch community of population scientists is deeply indebted to them for their early efforts. At the time, the program carried the name "Between Individual Development and Social Solidarity: Pop ulation and Society in a Period of Transition. " The goals of the Priority Program were threefold: To reduce the fragmentation of research on population issues; to increase collabora tion among population researchers with different disciplinary back grounds; and to strengthen the position of population studies in Dutch academe and in international forums. Looking back over eight years of programed research, we can safely say that the Priority Program has given an enormous impetus to population research in the Netherlands - as this volume attests. This program of research could not have been carried out success fully without the valuable contributions and constructive input of a large group of scientists. The scope and the focus of the Priority Program were defined by a preparatory committee chaired by Gerard Frinking."

This document was commissioned by the Facility Guidelines Institute as the sole reference for acoustics in health care facilities. It was written by the Health Care Acoustics Working Group, a permanent committee of the Acoustics Research Council (ARC), comprised of members of leading professional societies in acoustics, noise control engineering, acoustical consulting and related professions. ARC organized the health care Working Group in 2004-5 drawing its members from ten constituencies that range from medicine to law, public policy, architecture, design and engineering in order to provide constructive, guidance on sound and vibration based on research and best practices. "Sound and Vibration 2.0" has been adopted as the sole reference standard for acoustics in health care facilities by: the 2010 FGI/ASHE "Guidelines for the Design and Construction of Healthcare Facilities" (used in 60 countries); the US Green Building Council s "LEED for Healthcare" (used in 87 countries); The Green Guide for Health Care V2.2; and the International Code Council's IGCC (2011).

Sound and vibration are topics of increasing prominence in the design, construction, and operation of healthcare facilities. A satisfactory acoustical environment in a healthcare facility is now viewed as an essential component of effective healthcare.

Sensible acoustical and privacy planning in the early design stages of a healthcare facility project can be solved effectively and affordably with a few strokes of the designer's pencil. The recommended minimum design requirements presented in this work are therefore intended to aid designers in achieving satisfactory acoustical and privacy environments in healthcare facilities. This handbook includes comprehensive, practical, and measureable guidelines for all aspects of acoustics in the design, construction, and evaluation of all types of healthcare facilities, including large general hospitals, specialized patient care facilities, and ambulatory patient care facilities.

Intensive care medicine is one of the fastest growing services provided by hospitals and perhaps one of the most expensive. Yet in response to the global financial crisis of the last few years, healthcare funding is slowing or decreasing throughout the world.

How we manage health care resources in the intensive care unit (ICU) now and in a future that promises only greater cost constraints is the subject of this book, the third in an informal series of volumes providing a global perspective on difficult issues arising in the ICU.

Taking 12 developed countries as their focus, leading experts provide a country-by-country analysis of current ICU resource allocation. A second group of experts use the chapters as a departure point to analyze current ICU resource allocation at the level of the global medical village. The process is repeated, but with an eye toward the future - first country by country, then at the global level - that takes into account initiatives and reforms now underway.

A fictional healthcare plan, the "Fair & Equitable Healthcare Plan," is put forth to address weaknesses in existing approaches, and healthcare experts and ethicists are invited to respond to its often provocative provisions.

Itself structured as a dialogue, the book is an excellent way to start or to continue serious discussion about the allocation of ICU healthcare resources now and in the years ahead.

"

At the 1975 Winter Conference on Brain Research a series of workshops were held to discuss the role of the sensory environment in the etiology and therapy of brain dysfunction. The participants represented a broad range of disciplines ranging from basic neuro science through human development psychology. They were linked by a common belief that the role of the sensory environment in brain dysfunction had received insufficient attention. Each had made contributions to this question in their own respective disciplines and it was hoped that this meeting would provide an opportunity for cross fertilization and synthesis. From these workshops this book evolved. Its production would have been impossible without the help of many people. Anna Taylor's flexibility allowed the holding of a larger than normal workshop, while the authors bore up well under editorial pressure to meet deadlines. Linda Coleman and Phyllis Straw provided excellent support from Plenum while Therese Linden gave editorial assistance. Valarie Munden, Rosemary Schmele, and Estelle Hoffman did an excellent job of typing. RNW was supported by a Fellowship from the Foundations' Fund for Research in Psychiatry. As always, our families provided continuous support and encouragement. To all these people and more we say thank you. Roger N. Walsh M.D., B.Med.Sc., Dip.Psychol., Ph.D. William T. Greenough, Ph.D."

Tentative estimates suggest that one in ten patients suffers from an adverse event in hospital. In Germany, approx. 1.8 million out of approx. 18 million inpatients suffer from adverse events; 50 percent of these cases are estimated to be avoidable. In the US, nearly 100,000 people die from the consequences of mistreatment. The intensive care units record 1.7 medical errors per patient and day. The most affected disciplines are the operative disciplines, particularly general surgery. Medical errors mainly occur when the indication for surgery is being made, during surgery and post-surgery. Suspicious oncological diagnostic results and post-operative complications are also often ignored. This book deals with complications and typical medical errors in surgery. It shows solutions and ways of dealing effectively with these errors and how to establish an efficient security management system.

In den letzten Jahren hat sich der Workshop "Bildverarbeitung fur die Medizin" durch erfolgreiche Veranstaltungen etabliert. Ziel ist auch 2012 wieder die Darstellung aktueller Forschungsergebnisse und die Vertiefung der Gesprache zwischen Wissenschaftlern, Industrie und Anwendern. Die Beitrage dieses Bandes - einige davon in englischer Sprache - umfassen alle Bereiche der medizinischen Bildverarbeitung, insbesondere Algorithmen, Hard- und Softwaresysteme sowie deren klinische Anwendung, u.a.: Bildgebung und -akquisition, Sichtbares Licht, Endoskopie, Mikroskopie, Visualisierung und Animation, Patientenindividuelle Simulation und Planung, Computerunterstutzte Diagnose, Biomechanische Modellierung, Computergestutzte Operationsplanung, Bildverarbeitung in der Telemedizin, Bildgestutzte Roboter und Chirurgische Simulatoren."

After many years of relative neglect, the importance of study of factors governing blood flow has at last achieved recognition; in this volume are documented many of the techniques, and the basic scientific and clinical observations, which have helped to open up understanding of this highly important aspect of human physiology and pathology in recent years. The text is logically divided into five sections beginning with blood cell deformability, then moving on to theoretical consideration of blood rheology, followed by accounts of the interrelationships between rheology, blood flow and vascular occlusion. The final two sections deal with blood rheology in clinical practice and therapeutic aspects of the study of blood flow. As regards blood cell deformability (Section A), the basic problem is set out by Kiesewetter and colleagues in the first paragraph of chapter 1 (p. 3), in which they point out that whereas human erythrocytes at rest have a diameter of approxi mately 7. 5 /-tm, nutritive capillaries have diameters ranging from 3-5 /-tm, and chapters in section A give an account of the ways in which the red cell can undergo deformation to permit capillary perfusion and the maintenance of the microcirculation."

How to be a Nurse or Midwife Leader is an indispensable guide for all nurses and midwives who wish to develop and improve their practice as leaders. Written in collaboration with the NHS Leadership Academy, this practical book draws on the real experience of over 10,000 nurses and midwives to bring leadership dilemmas to life in specific situations. Key learning features include: * How to develop your self-awareness * How to develop your personal impact and presence * How to survive and thrive * How to get your message across * How to get the best out of others * How to work with and lead other professionals and patients * How to have courageous conversations * How to balance conflicting demands and needs Containing exercises and reflective questions to help apply theory to leadership practice, How to be a Nurse or Midwife Leader is an ideal companion for all nurses and midwives, whether you are newly qualified, or stepping into a team leader role.