клиническая медицина (страница 10)

Автор: Dawn Freshwater

Reflective practice has been widely adopted as a successful method for developing nursing. The second edition of Transforming Nursing through Reflective Practice provides a wealth of new insights from practitioners actively involved in reflective practice in nursing research, education, clinical practice and practice development. This invaluable book enables nurses to continually evaluate their own practice in order to inform their approaches to reflection; critique, develop and monitor their professional practice; and thereby improve the quality of their patient care. There is a greater emphasis in the new edition on transforming practice, the research base for reflective practice and grounding the reflective process in clinical practice. * Examines the contribution of reflective practice to nursing * Enables nurses to continually develop their practice and improve patient care * Includes insights from many areas of clinical practice * Explores the role of reflection in clinical supervision and research studies * Examines the role of narrative and reflective dialogue in reflective practice

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Автор: Dunetz Joshua R

Transition metal-catalyzed coupling reactions have a rich history that led to the awarding of the 2010 Nobel Prize in Chemistry to Professors Suzuki, Heck, and Negishi for their pioneering contributions to the field. The coming of age of this active area of research is showcased in this book through case studies in which process chemists from the pharmaceutical industry share their personal experiences developing their own transition metal-catalyzed couplings for the large-scale manufacture of active pharmaceutical ingredients. Authors from Pfizer, Merck, Boehringer-Ingelheim, Novartis, Amgen, GSK, AstraZeneca, and other companies describe the evolution of robust coupling processes from inception through early and late development, including commercial routes where applicable. This book covers a wide range of coupling transformations while capturing the lessons learned from each process. Every case study details the optimization of at least one transition metal-catalyzed coupling while elaborating on issues such as design of experiments, scalability and throughput, product purification, process safety, and waste management. The important issue of metal removal and the different technologies available to accomplish this goal are also addressed. Finally, a section covers novel technologies for cross-coupling with high potential for future applications on a large scale, such as microwave and flow chemistry as well as green cross-couplings performed in water. With Forewords by Stephen L. Buchwald, Massachusetts Institute of Technology, Trevor Laird, Editor of Organic Process Research and Development and Neal G. Anderson, Anderson's Process Solutions LLC.

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Автор: Devaux Philippe

The first and only book devoted entirely to MEMBRANE LIPID ASYMMETRY AND ITS BIOLOGICAL IMPLICATIONS Transmembrane Dynamics of Lipids is comprised of contributions from expert authors from leading research groups that present up-to-date quantitative data on the formation, stability, and biological consequences of the asymmetrical organization of lipids in cell membranes. Incorporating an impressive amount of new, previously uncollected data, the book examines transmembrane asymmetry and movement of lipids in biological membranes, and methods for the measurement of transmembrane lipid motion, emphasizing the role of lipid flippases and discusses biological functions associated with lipid asymmetry. In addition, it draws attention to important new discoveries in the field, such as the correlation between malfunction of lipid flippases and human diseases such as thrombosis and cancer. The book also addresses the manifold methods that are used to measure the rate of transmembrane movement of lipids in biological and model systems. The only guide to new discoveries regarding lipids in cell membranes, Transmembrane Dynamics of Lipids is designed to appeal to biophysicists, biochemists, and cellular and molecular biologists working in the growing field of membrane research.

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Автор: Gail Cardew

There is an urgent need to uncover new therapies that will protect against malaria, as the parasite becomes increasingly resistant to available drugs and this book offers insights into three interrelated aspects of the malaria-infected erythrocyte: * The transport of solutes into and out of the infected cell and the use of specific trafficking pathways in drug targeting * The traffic of proteins produced by the intracellular parasite as an essential process for the biogenesis of transport systems. * The relationship between the transport of drugs into the infected cell and the mode of drug action and drug resistance.

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Автор: Egon Jonsson

What are the most promising strategies to treat alcohol and drug abuse? What are their medical implications? Despite the enormous resources spent on treating alcoholism and drug dependence, there is still no satisfactory evaluation of their effectiveness or of the cost of the different alternatives. Programs designed to treat substance abuse should be built on a foundation of evidence-based knowledge. Yet it is almost impossible to cope with the increasing amount of scientific literature. This book thus represents a guide through the myriads of articles. The most comprehensive scientific review of its kind, it presents the findings from more than 1,600 studies on the effectiveness of different treatments. The work also includes a summary of the methods available to intervene against harmful levels of alcohol, with most of the studies making use of the Diagnostic and Statistical Manual of Mental Disorders (DSM) system. The extensive results are arranged in detailed tables, which may be searched using the accompanying CD-ROM. Also enclosed are a quality checklist and an extensive glossary explaining more than 70 terms. An invaluable tool for medical researchers, clinicians and doctors as well as healthcare providers and insurers, allowing them to save major resources by identifying ineffective treatments and being aware of cost-effective alternatives. With a foreword by Henry R. Kranzler, University of Connecticut, USA.

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Автор: University College London Hospitals

I would definitely recommend this book to all staff with an interest and involvement in intravenous drug therapy. —The Pharmaceutical Journal «There is no doubt that nurses will find this small book useful. It should be available for consultation in any clinical area where drugs are administered to patients by the injectable routes.» —Journal of Clinical Nursing The safe administration of injectable medicines is key to patient safety. The NPSA recognises the use of injectable medicines is a high risk activity and recommends written information about injectables to be available at the point of preparation. The UCL Hospitals Injectable Medicines Administration Guide is a practical, accessible guide covering many important aspects of administering medicines by injection. It provides clear, concise information on the preparation and administration of over 245 injectable medicines for adults, paediatrics and neonates. It is an essential resource for nurses and other healthcare professionals: it provides the key information and advice needed for the safe and effective administration of injectable medicines. The Guide’s introductory section provides a concise yet comprehensive overview of injectable therapy, including the risks and benefits of IV administration, infusion devices, and pharmaceutical aspects of injectable therapy. For each drug the alphabetically tabulated monographs provide: A practical method of preparation and administration via the IV, IM and SC routes, with risk reduction in mind at every step Expert advice from the team of specialist pharmacists at UCLH to ensure safe and pragmatic use of each medicine Monitoring advice for the management of reactions that may occur during administration Y-site and syringe driver compatibility data Minimum infusion volume data for fluid restricted patients Extravasation warnings, pH, sodium content, displacement values, stability and flush data New to this edition: 40 new monographs including recently marketed, unlicensed, rarely used and specialist medicines Detailed advice for the administration of high risk medicines such as heparin, with access to UCLH’s medicine related guidelines at www.wiley.com/go/UCLH A colour-coded NPSA risk assessment for every mode of administration for every medicine, to highlight the safest method of administration A user guide and tutorial to give new readers confidence in using and understanding the Guide Revised chapters on administration methods and devices, aseptic non-touch technique, and latex allergy Fully revised and expanded Y-site compatibility section Spiral binding to allow the book to be left open at the relevant page The Guide is also available electronically at www.uclhguide.com.

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Автор: David Cockshoot

Ultra Medicine: Essential Preparation for Medical Finals provides a one-stop resource for senior medical students preparing for their final exams. The book is divided into four parts. Part 1 contains a random selection of questions, mimicking actual exam questions covering clinical medicine. The assessment includes 120 multiple choice questions (MCQs) and a further 24 extended matching questions (EMQs) for written exam preparation. Detailed, fully explanatory answers are provided in Part 2, making this text a really useful learning resource. This enables you to check and refresh your understanding and is perfect to help you identify the weaker aspects of your knowledge. Part 3 reflects upon the history and examination routines and is neatly divided into the various body systems. The final part contains 50 objective structured clinical examinations (OSCEs) for clinical assessment and provides the best hints and tips for House Officer skills. With the pressure in the run up to exams, this is the perfect buy for anyone who wants to lay their hands, quickly on the most reliable, effective preparation material. Don't delay, buy this today – it's just what you need to give you the final push to get the results you deserve!

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Автор: Otto Chan

A practical guide to the use of ultrasound and how to interpret the scans, aimed specifically at emergency physicians and staff. This is recognised as an essential skill in emergency medicine, and this book will provide the means to learn it, with question led text and many illustrations of real examples. The book will include a CD Rom of video clips, showing normal and abnormal scans, approximating to the real life situation.

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Автор: Chris Higgins

The purpose of this book is to help nurses, midwives and health professionals to better understand how the work of clinical laboratories contributes to patient care. It answers the following questions: Why is this test being ordered on my patient? What sort of sample is required? How is that sample obtained? And most importantly: What is the significance of the test result for my patient? Retaining its accessible and user-friendly style, the aim of this book remains the same: to provide nurses with as much relevant information as possible about the most commonly requested laboratory rests. This is not a book about laboratory technique – its focus is on the clinical significance of test results, and therefore the patient. The third edition is more comprehensive in terms of the number of tests discussed, incorporates colour to aid the accessibility, and includes more paediatric content.

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Автор: Tim Swanwick

Created on behalf of the Association for the Study of Medical Education (ASME), this completely revised and updated new edition of Understanding Medical Education synthesises the latest knowledge, evidence and best practice across the continuum of medical education. Written and edited by an international team, this latest edition continues tocover a wide range of subject matter within five broad areas – Foundations, Teaching and Learning, Assessment and Selection, Research and Evaluation, Faculty and Learners – as well as featuring a wealth of new material including new chapters on the science of learning, knowledge synthesis, and learner support and well-being. The third edition of Understanding Medical Education: Provides a comprehensive and authoritative resource summarising the theoretical and academic bases to modern medical education practice Meets the needs of all newcomers to medical education whether undergraduate or postgraduate, including those studying at certificate, diploma or masters level Offers a global perspective on medical education from leading experts from across the world Providing practical guidance and exploring medical education in all its diversity, Understanding Medical Education continues to be an essential resource for both established educators and all those new to the field.

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Автор: Heaslip Vanessa

The notion of vulnerability is critical to person-centred and high-quality nursing and healthcare practice, and underpins all nursing education. Understanding Vulnerability: a Nursing and Healthcare Approach focuses on vulnerability experienced every day by patients and clients in healthcare, and provides clear and supportive guidance to nurses and other healthcare practitioners on protecting and caring for vulnerable patients. Taking a fresh, critical and reflective perspective that reflects current trends towards the promotion of equality and acknowledges everyone’s vulnerability, this book is essential reading for all nursing and healthcare students, as well as healthcare practitioners who are committed to providing person-centred care. Special features: •One of the first books to address the issue of vulnerability from a nursing and healthcare perspective •Written by a group of experienced professionals, academics and educationalists with both educational and research expertise in the exploration of vulnerability •Includes narratives, perspectives and case studies, illustrating and bringing to life the issues within the book

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Автор: Группа авторов

Insulin pump therapy is now a well-established option for treating diabetes. This method of insulin delivery offers the opportunity for people with diabetes to manage their diabetes confidently and competently to achieve good glycaemic control and a better quality of life. Using Insulin Pumps in Diabetes covers all aspects of insulin pump therapy in a clear and informative style, and is an essential guide for all health professionals involved in caring for people with diabetes using insulin pumps. Using Insulin Pumps in Diabetes explores issues such as the advantages and disadvantages of insulin pump therapy; the experiences of insulin pump users, how to set up an insulin pump service, how to set and adjust insulin doses and optimising glycaemic control. It also includes chapters on insulin pumps in pregnancy, and in babies, toddlers and young children.

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Автор: Boniface Gail

Competence in any profession depends upon an understanding of the theory that underlies it. This concise and practical text for students and practitioners bridges the gap between occupational therapy theory and clinical practice, offering highly practical advice on using theory in practice in a wide range of settings. It considers the nature of professional practice and the need for a sound theoretical basis from which to plan, implement and justify interventions, and investigates the practical use of occupational therapy theory and the issues such use raises in health and social care settings from a European perspective. Every occupational therapy student worldwide needs to know about the underlying theory of their profession and its application to practice. The book particularly debates the nature of the theory of occupational therapy via the introduction of the concept of models of the profession as an umbrella for practice, all of which is brought to life via case studies incorporating expert advice, reflection exercises and assessment and evaluation forms.

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Автор: Yosef Dlugacz D

Value-Based Health Care Linking Finance and Quality Yosef D. Dlugacz Value-Based Health Care? Value-Based Health Care?concisely explains the mandate to successfully link health care quality and finance and describes the tools to implement strategies for organizational success. Yosef Dlugacz provides many illustrative real-world examples of process and outcomes of the value-based approach, taken from a wide range of health care settings. Perfect for students preparing to enter health care management or for practicing health care leaders and professionals, this book is a vital guide to approaches that ensure the health of patients and health care organizations alike. Praise for Value-Based Health Care «Value-Based Health Care provides leaders and quality experts with the much needed roadmap for linking cost and quality. This book will help your organization thrive in today's ultra-competitive environment.» —Patrice L. Spath, health care quality specialist and author of Leading Your Health Care Organization to Excellence and Error Reduction in Health Care: A Systems Approach to Improving Patient Safety «Yosef Dlugacz provides an essential overview of how staff, administrators, and clinicians can create not just a culture but a gestalt of quality health care delivery. . . .given the national debate over access, cost, and quality, the book could not be more timely.» —Theodore J. Joyce, PhD, professor of economics and finance, academic director of the Baruch/Mt. Sinai MBA Program in Health Care Administration, and research associate, National Bureau of Economic Research «Dr. Dlugacz's?case studies and action plans provide great insights and workable solutions to provide safe and effective patient care. It is a welcome resource as we sit on the?advent of health reform.» —Kathy Ciccone, executive director, Quality Institute of the Healthcare Association of New York State

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Автор: Michael Benton

Vertebrate palaeontology is a lively field, with new discoveries reported every week… and not only dinosaurs! This new edition reflects the international scope of vertebrate palaeontology, with a special focus on exciting new finds from China. A key aim is to explain the science. Gone are the days of guesswork. Young researchers use impressive new numerical and imaging methods to explore the tree of life, macroevolution, global change, and functional morphology. The fourth edition is completely revised. The cladistic framework is strengthened, and new functional and developmental spreads are added. Study aids include: key questions, research to be done, and recommendations of further reading and web sites. The book is designed for palaeontology courses in biology and geology departments. It is also aimed at enthusiasts who want to experience the flavour of how the research is done. The book is strongly phylogenetic, and this makes it a source of current data on vertebrate evolution.

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Автор: Brianne Bellwood

Veterinary Technician's Handbook of Laboratory Procedures is a quick-reference guide to conducting common laboratory tests. Carefully designed for fast access, the book covers common laboratory equipment, quality control, blood analysis, urinalysis, parasitology, and cytology. Important information is clearly and succinctly outlined for frequently used lab tests, providing step-by-step procedures, discussions of common errors, and tips and tricks, with more than 200 color images to aid in identification. A companion website offers case studies, crossword puzzles, figures from the book in PowerPoint, and additional figures not found in the printed book at www.wiley.com/go/bellwoodhandbook. Veterinary Technician's Handbook of Laboratory Procedures is an invaluable tool for finding essential information on performing a wide range of laboratory tests.

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Автор: Ryszard B. Pecherski

A complete overview of the topic of viscoplastic flow in metallic solids produced by shear banding  This book presents novel ideas about inelastic deformation and failure of the material in a clear, concise manner. It exposes readers to information that will allow them to acquire the competence and ability to deal with up-to-date manufacturing and failure processes. It also portrays an interdisciplinary and revolutionary understanding of deformation processes in solids. Shear banding's typical mechanism becomes the active cause of viscoplastic flow and not the passive effect.  Viscoplastic Flow in Metallic Solids Produced by Shear Banding  begins with discussing the new physical model of multilevel hierarchy and evolution of micro-shear bands. It then covers the physical motivation and heuristic foundations of theoretical description concerning known results in the literature. It examines the difficulties of applying a direct multiscale integration scheme across the scales. It also presents an extension of the representative volume element (RVE) concept using the general theory of propagating the singular surfaces of the microscopic velocity field sweeping the RVE. It also reveals a new formulation of the description of the shear strain rate generated by the multilevel hierarchy of shear bands in the workflow integration approach, in which information from the simulation at different levels flows. This book:  Presents fresh ideas about inelastic deformation and failure of materials Provides readers with the competence and ability to deal with up-to-date manufacturing and failure processes Sheds light on the interdisciplinary revolution in the recent understanding of deformation processes in solids  Viscoplastic Flow in Metallic Solids Produced by Shear Banding  will appeal to researchers studying physical foundations of inelastic deformation of materials and dealing with numerical simulations of manufacturing processes. It is also an excellent resource for graduate and postgraduate students of material science and mechanical engineering faculties.

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Автор: Группа авторов

This textbook is a dynamic exploration of the relationship between the visual pathway and visual field impairments. Aimed at the practitioner or student of visual fields, the clinical focus of the book is oriented towards differential diagnosis and will assist the reader in identifying the site of a lesion. The emphasis is on detection and interpretation of visual field defects, rather than the background and psychophysics of visual field assessment. Discussion of the normal visual field is included for comparative purposes. The structure of the book traces the visual pathway anatomically from front to back, and is supplemented by information on methodology and programme choice.

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Автор: Smith Joyce

Accurate clinical observations are the key to good patient care and fundamental to nursing practice. Vital Signs for Nurses will support anyone in care delivery to enhance their skills, reflect upon their own practice and assist in their continuing professional development. This practical introductory text explores how to make assessments of heart rate, blood pressure, temperature, pain and nutrition. It also looks at issues of infection control, record-keeping and legal and ethical considerations. With case studies and examples throughout, this text will be invaluable to all healthcare assistants, student nurses, Trainee Assistant Practitioners and students on foundation degrees.

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Автор: Группа авторов

An authoritative book on one of the most fundamental and contentious issues for health care professionals Fully updated to include provisions of the Mental Capacity Act (April 2007); the latest policy on advance directives and the impact of the Human Rights Act on such decisions Provides guidance on the appointment of welfare attorneys to make health care decisions once capacity is lost Discusses recent cases, including Burke, baby MB, and Wyatt Written by medical ethics professionals in consultation with the appropriate medical and legal experts and in agreement with the General Medical Council's guidelines

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Автор: Pamela A. Geller

Praise for Women's Health Psychology «Women's Health Psychology provides an important overview and analysis of key issues affecting women's health and well-being … almost every chapter in this volume touches on the importance of quality of life, not just longevity.... It will serve as a valuable reference for health and mental health providers, researchers, and those in training for professional or research careers.» —from the Foreword by Nancy E. Adler, PhD, Professor of Psychiatry, University of California at San Francisco School of Medicine, Director of the Center for Health and Community Women's Health Psychology is the first comprehensive collection ever published to consider the developmental, reproductive, and sociocultural contexts of health decision-making and behavior for women. It provides current, expert advice to help policy makers, researchers, and clinicians make the best decisions concerning topics including: The Context of Women's Health: history of women's healthcare, employment and women's health, and the effects of intimate partner violence Health Challenges: smoking, alcohol, eating disorders, and sleep Reproductive Health: premenstrual dysphoric disorder, the stress of infertility, psychiatric symptoms and pregnancy, and menopause Disability and Chronic Conditions: women's responses to disability, experiencing cancer, the psychology of Irritable Bowel Syndrome, and rheumatic, heart, and Alzheimer's diseases

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Автор: Kuban Caelan

Praise for Working With Grieving and Traumatized Children and Adolescents «This much-needed book effectively argues for the use of structured activities as the basis for exploring trauma-specific questions in clinical work with traumatized children and adolescents. Numerous examples of children's artwork enhance the book and illustrate the effectiveness of the treatment. The authors' methods have been used successfully for many years and represent a major contribution to the study of trauma that will be welcomed by both students and seasoned practitioners.» —Nancy Boyd Webb, DSW, LICSW, RPT-S Professor of Social Work Emerita, Fordham University, Author: Play Therapy With Children in Crisis «The authors provide a clear theoretical framework and demonstrate practical sensory-based activities so kids can discover and reconnect with their bodies' agency and vitality. Refreshingly, this vehicle creates an emotionally safe journey for the child into the mystery of the experiential, embedded in implicit memory. It's chock-full of invitations to explore self-impressions and worldviews in a way that children feel seen, not assessed.» —Peter A. Levine, PhD, and Maggie Kline, MS, LMFT, Coauthors: Trauma Through a Child's Eyes and Trauma-Proofing Your Kids A structured, sequential, and evidence-based approach for the treatment of children and adolescents experiencing trauma or grief Working With Grieving and Traumatized Children and Adolescents features the Structured Sensory Interventions for Traumatized Children, Adolescents and Parents (SITCAP) intervention model, proven in successfully addressing violent situations such as murder, domestic violence, and physical abuse, as well as non-violent grief- and trauma-inducing situations including divorce, critical injuries, car fatalities, terminal illness, and environmental disasters. Filled with practical and proven activities for use with children and adolescents experiencing trauma and grief, this resource is based on the authors' experience working with all types of traumatic events in school-, agency-, and community-based programs across the country.

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Автор: Rob Ciampa

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