The New England Journal of Medicine; Volume 154

The New England Journal of Medicine; Volume 154 PDF Author: Massachusetts Medical Society
Publisher: Legare Street Press
ISBN: 9781021524331
Category :
Languages : en
Pages : 0

Book Description
Stay up-to-date with the latest advances in medical research and practice with the New England Journal of Medicine. Established in 1812, this prestigious journal is one of the most widely read and cited medical publications in the world. It features original research articles, review articles, case reports, and commentaries on a wide range of topics in medicine and health. Whether you are a physician, researcher, or student, the New England Journal of Medicine is an indispensable source of information and inspiration. This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

Improving Diagnosis in Health Care

Improving Diagnosis in Health Care PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309377722
Category : Medical
Languages : en
Pages : 473

Book Description
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Reinventing Clinical Decision Support

Reinventing Clinical Decision Support PDF Author: Paul Cerrato
Publisher: Taylor & Francis
ISBN: 1000055558
Category : Business & Economics
Languages : en
Pages : 164

Book Description
This book takes an in-depth look at the emerging technologies that are transforming the way clinicians manage patients, while at the same time emphasizing that the best practitioners use both artificial and human intelligence to make decisions. AI and machine learning are explored at length, with plain clinical English explanations of convolutional neural networks, back propagation, and digital image analysis. Real-world examples of how these tools are being employed are also discussed, including their value in diagnosing diabetic retinopathy, melanoma, breast cancer, cancer metastasis, and colorectal cancer, as well as in managing severe sepsis. With all the enthusiasm about AI and machine learning, it was also necessary to outline some of criticisms, obstacles, and limitations of these new tools. Among the criticisms discussed: the relative lack of hard scientific evidence supporting some of the latest algorithms and the so-called black box problem. A chapter on data analytics takes a deep dive into new ways to conduct subgroup analysis and how it’s forcing healthcare executives to rethink the way they apply the results of large clinical trials to everyday medical practice. This re-evaluation is slowly affecting the way diabetes, heart disease, hypertension, and cancer are treated. The research discussed also suggests that data analytics will impact emergency medicine, medication management, and healthcare costs. An examination of the diagnostic reasoning process itself looks at how diagnostic errors are measured, what technological and cognitive errors are to blame, and what solutions are most likely to improve the process. It explores Type 1 and Type 2 reasoning methods; cognitive mistakes like availability bias, affective bias, and anchoring; and potential solutions such as the Human Diagnosis Project. Finally, the book explores the role of systems biology and precision medicine in clinical decision support and provides several case studies of how next generation AI is transforming patient care.

Principles of Biostatistics

Principles of Biostatistics PDF Author: Marcello Pagano
Publisher: CRC Press
ISBN: 1000587428
Category : Medical
Languages : en
Pages : 621

Book Description
Principles of Biostatistics, Third Edition is a concepts-based introduction to statistical procedures that prepares public health, medical, and life sciences students to conduct and evaluate research. With an engaging writing style and helpful graphics, the emphasis is on concepts over formulas or rote memorization. Throughout the book, the authors use practical, interesting examples with real data to bring the material to life. Thoroughly revised and updated, this third edition includes a new chapter introducing the basic principles of Study Design, as well as new sections on sample size calculations for two-sample tests on means and proportions, the Kruskal-Wallis test, and the Cox proportional hazards model. Key Features: Includes a new chapter on the basic principles of study design. Additional review exercises have been added to each chapter. Datasets and Stata and R code are available on the book’s website. The book is divided into three parts. The first five chapters deal with collections of numbers and ways in which to summarize, explore, and explain them. The next two chapters focus on probability and introduce the tools needed for the subsequent investigation of uncertainty. It is only in the eighth chapter and thereafter that the authors distinguish between populations and samples and begin to investigate the inherent variability introduced by sampling, thus progressing to inference. Postponing the slightly more difficult concepts until a solid foundation has been established makes it easier for the reader to comprehend them.

Medical Errors

Medical Errors PDF Author: United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 224

Book Description


106-2 Hearing: Medical Errors: Understanding Adverse Drug Events, S. Hrg. 106-492, February 1, 2000

106-2 Hearing: Medical Errors: Understanding Adverse Drug Events, S. Hrg. 106-492, February 1, 2000 PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 250

Book Description


Endometriosis

Endometriosis PDF Author: Tasuku Harada
Publisher: Springer
ISBN: 4431544216
Category : Medical
Languages : en
Pages : 477

Book Description
Endometriosis is one of the most common gynecological diseases, causing pelvic pain, infertility, and cancer. The condition reduces the quality of life for the estimated 10% of menstruating women who are affected by it. This book provides a clear insight into the pathogenesis and pathophysiology of endometriosis—essential information for clinicians intending to successfully treat the condition. The first part covers a range of topics including stem cells, NK cells, macrophages, inflammation, cytokines, epigenetics, prostaglandin, sex steroids, aromatase, apoptosis, nerve fibers, and malignant transformation to aid in understanding the pathogenesis and pathophysiology of the disease. The second part provides useful tools for therapy, specifically, notable recent techniques in prevention, imaging, biomarkers, medical treatments, surgical treatments, prevention of recurrence, and infertility treatments. Each chapter was written by an expert in the field, with nearly 40 researchers and clinicians contributing to the work. This book will be highly useful to clinicians as well as to research scientists who are interested in this enigmatic disease.

Model Rules of Professional Conduct

Model Rules of Professional Conduct PDF Author: American Bar Association. House of Delegates
Publisher: American Bar Association
ISBN: 9781590318737
Category : Law
Languages : en
Pages : 216

Book Description
The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.

Rapport mondial sur les drogues 2016

Rapport mondial sur les drogues 2016 PDF Author: United Nations Office on Drugs and Crime
Publisher: United Nations
ISBN: 9210039866
Category : Political Science
Languages : en
Pages :

Book Description
Le Rapport sur les drogues dans le monde 2016, qui donne un aperçu des principaux développements sur les marchés de la drogue, des itinéraires de trafic et des effets de l'usage de drogue sur la santé, préconise l'adoption d'approches globales, équilibrées et intégrées fondées sur les droits. Le rapport de cette année donne un aperçu de l’impact général des drogues sur la santé et le bien-être des individus, mais aussi des personnes qui les entourent - familles et communautés. Cela peut inclure des conséquences néfastes telles que l’infection à VIH, ainsi que des menaces de violence, particulièrement répandues chez les femmes et les enfants. Il aborde les questions de genre, de marginalisation, de stigmatisation, de violence et de droits de l'homme, en examinant comment les stratégies de lutte contre la drogue peuvent répondre aux préoccupations environnementales telles que la déforestation et la pollution. Il examine l'utilisation du "réseau obscur" et des nouvelles technologies pour s'engager dans le trafic de drogue, ainsi que l'utilisation qui peut être faite des profits illicites tirés de ce trafic pour financer le terrorisme et l'extrémisme violent. Ce rapport, ainsi que toute l'expertise et l'expérience de terrain acquises par l'Agence face aux nombreux aspects du problème mondial de la drogue, est à la disposition des États Membres pour les aider à répondre à cet appel à l'action.

Evaluation of Biomarkers and Surrogate Endpoints in Chronic Disease

Evaluation of Biomarkers and Surrogate Endpoints in Chronic Disease PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309157277
Category : Medical
Languages : en
Pages : 335

Book Description
Many people naturally assume that the claims made for foods and nutritional supplements have the same degree of scientific grounding as those for medication, but that is not always the case. The IOM recommends that the FDA adopt a consistent scientific framework for biomarker evaluation in order to achieve a rigorous and transparent process.