Diagnoses are often just educated guesses, and prognoses less certain still. There is a significant amount of uncertainty in the daily practice of medicine, resulting in confusion and potentially deadly complications. Dr. Steven Hatch argues that instead of ignoring this uncertainty, we should embrace it. By digging deeply into a number of rancorous controversies, from breast cancer screening to blood pressure management, Hatch shows us how medicine can fail-sometimes spectacularly-when patients and doctors alike place too much faith in modern medical technology. The key to good health might lie in the ability to recognize the hype created by so many medical reports, sense when to push a physician for more testing, or resist a physician's enthusiasm when unnecessary tests or treatments are being offered.
Both humbling and empowering, Snowball in a Blizzard lays bare the inescapable murkiness that permeates the theory and practice of modern medicine. Essential reading for physicians and patients alike, this book shows how, by recognizing rather than denying that uncertainty, we can all make better health decisions.
asking clinical questions
searching for answers
discriminating good from poor information and research
using the answers to make clinical decisions.
This attractive, colour workbook provides a clear explanation ofEBP skills and concepts. Written by internationally respectedauthors, this expanded and updated edition has been developed fromevidence-based practice workshops run by the Centre forEvidence-Based Medicine at the University of Queensland and Oxford,and contains information and exercises to help health professionalslearn how to use EBP in their clinical practice.
This book is composed of seven chapters, and begins with an overview of the elements of clinical radiation oncology. The subsequent chapter deals with the production, interaction, and measurement of radiation. These topics are followed by intensive discussions of dose calculation for external beams and pretreatment procedures of radiation therapy. A chapter looks into the principles, apparatus, and dose calculation in brachytherapy. The final chapters describe the principles and practical applications of treatment planning.
This book will be of value to radiation oncologists.
Improve your family healthcare practice’s efficiencywith cost-effective referral and consultation guidelines.Identify and treat a broader range of disorders, including diabetic foot infections, hypergonadism, and acute liver failure, with 22 new topics in the Diseases & Disorders section.Improve your interpretation of presenting symptoms with 38 new topics and 40 new images in the Differential Diagnosis section, and optimize patient care with more than 250 new figures and tables.Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets, tables, boxes, and algorithms to expedite your search.Expedite insurance reimbursements with current ICD-9 and future ICD-10 insurance billing codes.Access full-color images and more than 90 online-only topics at Expert Consult, as well as EBMs, Suggested Reading, Patient Teaching Guides, and additional algorithms.
This book begins with a clinical illustration of the distinction between the patient’s experience and the psycho-analyst’s experience. The succeeding chapters cover the influence of verbal expression, emotional experience, state of mind, and consciousness in psycho-analysis and transformation. These topics are followed by discussion on the relationship of the “no-thing and the thing, wherein the personality that is capable of tolerating a no-thing can make use of the no-thing, and so is able to make use of the so-called thoughts. The remaining chapters describe a clinical system that would represent the chief clinical systems that can be seen to exist in the analytic situation. These chapters also examine the gap between reality and the personality, which are aspects of life with which analysts are familiar under the guise of resistance. Resistance operates because it is feared that the reality of the object is imminent.
This book will be of value to psycho-analysts, psychologists, and psychiatrists.
In the DSM-IV, personality disorders are classified into three main clusters. Cluster A: paranoid, schizoid and schizotypal personality disorders. These persons often appear odd or eccentric. Cluster B: antisocial and narcissistic personality disorders. These persons are often dramatic, impulsive and emotionally unstable. Cluster C: avoidant, dependent and obsessive-compulsive disorders. These persons are often anxious or phobic.
In a clear and engaging style, How to Read a Paper demystifies evidence-based medicine and explains how to critically appraise published research and also put the findings into practice.
An ideal introduction to evidence-based medicine, How to Read a Paper explains what to look for in different types of papers and how best to evaluate the literature and then implement the findings in an evidence-based, patient-centred way. Helpful checklist summaries of the key points in each chapter provide a useful framework for applying the principles of evidence-based medicine in everyday practice.
This fifth edition has been fully updated with new examples and references to reflect recent developments and current practice. It also includes two new chapters on applying evidence-based medicine with patients and on the common criticisms of evidence-based medicine and responses.
How to Read a Paper is a standard text for medical and nursing schools as well as a friendly guide for everyone wanting to teach or learn the basics of evidence-based medicine.
Comprised of 16 chapters, this book begins with a historical background on bacteriology, followed by a discussion on the biology of bacteria. A classification of bacteria is then presented, and infections caused by bacteria are described. Subsequent chapters focus on body defenses against bacterial infections; killing of bacteria through disinfection and sterilization; antibacterial therapy; and collection of bacteriological specimens as part of bacteriological diagnosis. Infections of the respiratory tract, gastrointestinal tract, and the nervous system are also analyzed. The final chapter is devoted to elementary parasitology.
This monograph is intended for nurses interested in learning more about microbiology and bacteriology.
This text discusses:
undertaking an initial diagnosis of the context and reaching a consensus on the evidence to be implemented;
how to link the research evidence with clinical and patients’ experience and local information in the form of audit data or patient and staff feedback;
the range of diagnostic, consensus building and stakeholder consultation methods that can be helpful;
a description of facilitator roles and facilitation methods, tools and techniques;
some of theories that underpin the PARIHS framework and how these have been integrated to inform a revised version of PARIHS
Including internationally-sourced case study examples to illustrate how the facilitation role and facilitation skills have been applied in a range of different health care settings, this is the ideal text for those interested in leading or facilitating evidence based implementation projects, from the planning stage through to evaluation.
We then review the history of communal living for recovering addicts and alcoholics and provide concrete examples of the Oxford House model, which is a widespread communal living option for over 10,000 recovering persons in the US. The structure and philosophy of Oxford Houses are presented along with recent outcome studies providing support for their effectiveness.
This book was published as a special issue in the Journal of Groups in Addiction and Recovery.
Provide the expectant mother with information and guidance regarding the pregnancy, childbirth and care of the newborn.
Offer a wide range of psychosocial support and identify the need of such support; attention should be paid to the life situation and well-being of the parents and the whole family, as well as factors contributing to or possibly decreasing the quality of life the changes in family relations and resources brought about by the baby. Identify any health risks to the foetus or mother so that any problems can be duly attended to, either at the antenatal clinic or by specialist intervention. Provide routine care of various illnesses and complaints. Identify situations which require specialist health care.
Organized into 15 chapters, this book begins with an overview of the aspects of the study of malignant disease and the experience needed by the radiotherapist to function fully as a clinical oncologist. This text then describes briefly the experiments and discoveries of Marie Curie and Wilhelm Konrad Roentgen. Other chapters consider the fundamental physical principles underlying the use of ionizing radiations. This book discusses as well the aspects of treatment using external beam therapy, the machines used, the method of planning treatment, as well as special features of the treatment. The final chapter deals with the effects of radiation on tumor, the normal cell, the tissue or organ, and on the whole body.
This book is a valuable resource for radiotherapists, epidemiologists, pathologists, clinical oncologists, nurses, and medical students.
This second edition of the book is organized into nine chapters. Several chapters from the first edition were extensive revised. These include Chapter 2 which deals with the tendency to consider all adverse reactions to foods as allergic reactions; Chapter 4 which present additions to the classification of food allergens listed in the first edition; Chapter 5 which focuses on the management of food allergy; and Chapter 9 which examines food allergy in infants.
This book will be interest to medical professionals and others interested in understanding food allergy.
The text first covers the multiple contexts of chronic pain, and then proceeds to tackling the biomedical context. Next, the selection talks about the subjective pain experience, along with the measures of psychological status. Chapter 5 discusses the biophysical measurement, while Chapter 6 covers the behavioral observation methods. The text also details clinical pain interview and the selection and integration of pain measures.
The book will be of great use to students of therapeutics related degrees. The text will also serve health professionals as a reference.
Organized into three sections encompassing four parts, this book begins with an overview of the size, extent, and progress of peripheral nerve lesions. This text then discusses the nature of the simple movement pattern seen in muscle function testing. Other chapters consider the conditions for analytical physiotherapy and determination of the work capacity of the part of the body being tested. This book discusses as well the possible errors and mistakes that might occur during testing and might decrease the validity of the assessment. The final chapter deals with the demand for a better and a more rational method to therapeutic exercise.
This book is a valuable resource for physiotherapists, orthopedic surgeons, physiologists, neurologists, and rheumatologists.
Organized into six chapters, this book begins with an overview of the emotional impact made through scopophilic–exhibitionistic modalities. This text then explains that the social, fighting, and mating rituals of many species involve looking and showing. Other chapters consider the typical connection between the screen function of a memory or remembered fantasy and the screen function of compulsive scopophilic–exhibitionistic reenactment in reducing current anxiety. This book discusses as well the partial instincts of scopophilia and exhibitionism that are present in everyone. The final chapter deals with the concept of psychic masochism that predominates in scopophilic–exhibitionistic suffering.
This book is a valuable resource for psychiatrists, psychoanalysts, and behavioral scientists.
The opening chapter traces the short developmental history and describes the current professional environment of the cognitive-behavioral movement. The chapters that follow represent major contributions by the leading investigators across a number of areas of intervention. Each chapter describes a summary of research in the respective area, a description of the actual intervention procedures with supporting empirical data, and a consideration of the theoretical foundations and potential implications associated with the intervention. The chapter contents vary across three dimensions. First, the interventions range from those that focus on the acquisition of new capacities to those that deal with the control and modification of existing processes. Second, several chapters focus on adult populations, several on child populations, and some on both. Finally, whereas a number of the chapters deal with problems that have been areas of traditional clinical concern, several others explore new and interesting applications for cognitive-behavioral interventions.
The first text of its kind, Translation of Evidence into Nursing and Health Care Practice helps graduate students in Doctor of Nursing Practice (DNP) courses meet the core competency requirements, content, and knowledge of the DNP curriculum. This revolutionary guide focuses particularly on the challenges of translating evidence into practice, one of the DNP course competencies.
Written by nursing faculty who are currently involved in clinical practice and who translate evidence as part of their practice activities, this textbook presents an interdisciplinary application that provides readers with content for both clinical-based and non-clinical based DNP courses. Divided into three main sections, it discusses theoretical and practical challenges to translation of evidence into practice; methods and translation techniques to employ this translation across settings; and related evaluation strategies to demonstrate improvement in practice and clinical care outcomes.Key Topics:
Integration and application of knowledge into practice Leading and evaluating change Leadership strategies for translation Interdisciplinary application across settings Outcomes management for improvement of direct and indirect care Other important features include case studies, suggested activities for application of the content for learning, and an extensive list of references, current web links, and other applicable resources for enhancing graduate student learning.
The book first offers information on the nature of parasitism, characteristics of parasites, relationship of parasites to hosts, physiology and ecology of parasites, infection, transmission and dissemination of parasites, and resistance and immunity to parasitic infections. The text then examines protozoology and helminthology. Discussions focus on the nature and classification of parasitic worms, biology of parasitic worms, pathogenic effects of parasitic worms, and nature and classification of Protozoa.
The manuscript ponders on entomology, malacology, and diagnosis, treatment, and prevention. Topics include classification of mollusks, bionomics and control, nature and classification of Arthropoda of medical and veterinary importance, mosquitoes, bugs, fleas, and mites and ticks.
The publication is a vital reference for researchers interested in parasitology.
Receiving a cancer diagnosis can be terrifying, and the first thing you probably want to know is: How am I going to survive this? Cancer care requires decisions from numerous professionals, delivering treatments that are potentially life-saving, but also potentially dangerous and life-threatening. The chances of cure and survival for any given patient depend on the expertise of the cancer team, and whether procedures are in place to ensure that cancer care is delivered properly. So, how can you make sure you choose the right treatment team and ensure the best chances of survival and long-term health after being diagnosed with cancer?
Taking Charge of Cancer is a different type of book for cancer patients—one that goes beyond the cancer information that is currently available, allowing you to truly take control of your cancer treatment. You’ll learn how to obtain and understand medical records, and why these records are critical to your care. You’ll also find the tools you’ll need to determine if the recommendations made by doctors are in keeping with accepted treatment guidelines. You’ll discover how doctors use evidence to decide which treatments are best, as well as how doctors can become biased in their recommendations. And, most importantly, you’ll be able to evaluate whether surgery, radiation, or chemotherapy make the most sense in your specific case—and whether or not these serious treatments are being delivered effectively and safely according to the highest standards.
Now that you’ve received a cancer diagnosis, it’s time to set a plan in motion for your recovery. This book will help you do just that—every step of the way.
Accompanying the book is the Exploratory Software for Confidence Intervals (ESCI) package, free software that runs under Excel and is accessible at www.thenewstatistics.com. The book’s exercises use ESCI's simulations, which are highly visual and interactive, to engage users and encourage exploration. Working with the simulations strengthens understanding of key statistical ideas. There are also many examples, and detailed guidance to show readers how to analyze their own data using the new statistics, and practical strategies for interpreting the results. A particular strength of the book is its explanation of meta-analysis, using simple diagrams and examples. Understanding meta-analysis is increasingly important, even at undergraduate levels, because medicine, psychology and many other disciplines now use meta-analysis to assemble the evidence needed for evidence-based practice.
The book’s pedagogical program, built on cognitive science principles, reinforces learning:
Boxes provide "evidence-based" advice on the most effective statistical techniques. Numerous examples reinforce learning, and show that many disciplines are using the new statistics. Graphs are tied in with ESCI to make important concepts vividly clear and memorable. Opening overviews and end of chapter take-home messages summarize key points. Exercises encourage exploration, deep understanding, and practical applications.
This highly accessible book is intended as the core text for any course that emphasizes the new statistics, or as a supplementary text for graduate and/or advanced undergraduate courses in statistics and research methods in departments of psychology, education, human development , nursing, and natural, social, and life sciences. Researchers and practitioners interested in understanding the new statistics, and future published research, will also appreciate this book. A basic familiarity with introductory statistics is assumed.
Get expert advice from Dr. Steven McGee, an internationally respected authority in physical examination and assessment, pain management, and education in general internal medicine.
See exactly which studies document the significance of various findings thanks to thousands of up-to-date references.Apply the latest knowledge on hot topics such as the value of physical examination in taking care of the ICU patient, accurately diagnosing the etiology of systolic murmurs, diagnosing osteoarthritis and acute vertigo in the dizzy patient, diagnosing hemorrhagic stroke, and diagnosing pleural effusions.
Implement the most current evidence-based approaches for evaluating stance and gait, Schamroth’s sign (for clubbing), dementia, prediction of falls, hepatopulmonary syndrome, atrial fibrillation, relative bradycardia, tourniquet test (for dengue infections), acute stroke, and pleural effusion.
Assess the pretest probability of disease, given particular signs or symptoms, with new at-a-glance tables.
Make effective decisions thanks to updated content throughout, including new EBM boxes covering over 250 recent studies on physical diagnosis—ensuring that all diagnostic information (i.e., sensitivity, specificity, and likelihood ratios) is up to date.