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    Stage-Wise Adaptive Designs

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    An expert introduction to stage-wise adaptive designs in all areas of statistics Stage-Wise Adaptive Designs presents the theory and methodology of stage-wise adaptive design across various areas of study within the field of statistics, from sampling surveys and time series analysis to generalized linear models and decision theory. Providing the necessary background material along with illustrative S-PLUS functions, this book serves as a valuable introduction to the problems of adaptive designs. The author begins with a cohesive introduction to the subject and goes on to concentrate on generalized linear models, followed by stage-wise sampling procedures in sampling surveys. Adaptive forecasting in the area of time series analysis is presented in detail, and two chapters are devoted to applications in clinical trials. Bandits problems are also given a thorough treatment along with sequential detection of change-points, sequential applications in industrial statistics, and software reliability. S-Plus functions are available to accompany particular computations, and all examples can be worked out using R, which is available on the book's related FTP site. In addition, a detailed appendix outlines the use of these software functions, while an extensive bibliography directs readers to further research on the subject matter. Assuming only a basic background in statistical topics, Stage-Wise Adaptive Designs is an excellent supplement to statistics courses at the upper-undergraduate and graduate levels. It also serves as a valuable reference for researchers and practitioners in the fields of statistics and biostatistics.

    ECG at a Glance

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    Highly Commended in the Cardiology category at the British Medical Association Book Awards 2009 This brand new title in the popular at a Glance seriescombines the science behind ECGs with how to use them to guide diagnosis and treatment. These key skills are fundamental for examination of the cardiovascular system and all medical students and specialist nurses are expected to be proficient at ECG interpretation. The at a Glance approach provides a large number of clear diagrams and example ECGs alongside concise text, putting the ECGs into a clinical context, all in easy-to-absorb double-page sections.

    Complications in Cardiothoracic Surgery

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    It is the practical experience gained in the operating room and on the wards dealing with complications and deviations from the typical or average scenario that matures and fully develops a surgeon. The typical textbook demonstrates the “right” or standard way to do things and the implicit assumption is that if these guidelines are followed then the patient and the surgeon's life will be complication free. Good results come from experience and experience is gained by making mistakes. The goal of this book is to minimize the frequency of surgical complications and maximize the outcome when they do occur by allowing the reader to learn from the operative and clinical experience of those who have gone before so that each generation can collectively stand on the shoulders of the preceding generation without the need to learn from one's own complications. This book is therefore designed less to address indications for operations than how to carry them out and provide postoperative care without complications. While the authors of the various chapters address the correct or right way to perform operations and care for patients after surgery, they have also been tasked to address and emphasize specific dos and don'ts for both intraoperative techniques and postoperative care that will reduce the incidence of complications. As some complications, alas, are inevitable, also addressed are the issues of timely recognition and appropriate treatment of complications when they do occur despite best efforts.

    Linguistics, Pragmatics and Psychotherapy

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    This book discusses current theories in linguistics and sociolinguistics as they relate to therapeutic situations, including uses of metaphor, slogans, and proverbs. It shows how people's empathies or feeling of alienation are displayed by the language they choose to describe or discuss events. Dysfunctions as different as depression, drug and alcohol additions, agoraphobia, schizophrenia and bulimia are examined in terms of the language used by clients or patients. It is shown that the way people encode life events influences their self-evaluations, evaluations of others, and their general behaviour, so that therapy becomes a process of learning to retell one's life story. Every chapter contains either actual narratives from clients or therapist/client interviews with thorough linguistic and sociolinguistic analyses of these speech activities. The therapist is shown how to listen and what to listen for in the client's speech, as well as what kinds of questions to ask.

    Consumer-Driven Health Care

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    Professor Herzlinger documents how the consumer-driven health care movement is being implemented and its impact on insurers, providers, new intermediaries, and governments. With additional contributions by health care’s leading strategists, innovators, regulators and scholars, Consumer-Driven Health Care presents a compelling vision of a health care system built to satisfy the people it serves. This comprehensive resource includes the most important thinking on the topic and compelling case studies of consumer-driven health care (CDHC) in action, here and abroad, including new consumer-driven intermediaries for information and support; types of insurance plans; focused factories for delivering health care; personalized drugs and devices; and government roles.

    Rational Diagnosis and Treatment

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    Now in its fourth edition, Rational Diagnosis and Treatment: Evidence-Based Clinical Decision-Making is a unique book to look at evidence-based medicine and the difficulty of applying evidence from group studies to individual patients. The book analyses the successive stages of the decision process and deals with topics such as the examination of the patient, the reliability of clinical data, the logic of diagnosis, the fallacies of uncontrolled therapeutic experience and the need for randomised clinical trials and meta-analyses. It is the main theme of the book that, whenever possible, clinical decisions must be based on the evidence from clinical research, but the authors also explain the pitfalls of such research and the problems involved in applying evidence from groups of patients to the individual patient. For this new edition, the sections on placebo and meta-analysis and on alternative medicine have been thoroughly updated, and there is more focus on insufficient reporting of harms of interventions. The sections on different research designs describe advantages and limitations, and the increased medicalisation and the effects of cancer screening on health people are noted. A section on academic freedom when clinicians collaborate with industry and ghost authors is added. This essential reference work integrates the science and statistical approach of evidence-based medicine with the art and humanism of medical practice; distinguishing between data, sets of data, knowledge and wisdom, and their application. Such an intellectually challenging book is ideal for both medical students and doctors who require theoretical and practical clinical skills to help ensure that they apply theory in practice.

    Medication Management in Care of Older People

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    Medication Management in Care of Older People is an accessible introduction to medication management and its role in the management of older people and their medicines. It addresses key issues in medication management, evaluates professional roles and clinical practice initiatives and explores healthcare policy and prescribing initiatives. This text explores the biology and neurobiology of ageing, pathological conditions such as Parkinson’s and Alzheimer’s disease, medication errors, issues of concordance, long term conditions and the older person, the principles of applied pharmacology and its relationship to older people. Medication Management in Care of Older People will be of interest to health care professionals who either have an interest in medication management and older people, or who are qualified independent or supplementary prescribers, and will enable them to comprehend the principles of applied pharmacology and medication management to enable them to use this knowledge in their daily practice. Illustrates the current issues, concerns and approaches used to manage older people and their medicines. Builds on pertinent current policy and research initiatives including the NSF for Older People and 'Building a Safer NHS for Patients: the role of medication safety' Each chapter features case studies, learning outcomes and implications for practice “I found this book to be interesting and highly relevant to OT practice. I would recommend this book as a learning resource to inform, review and support clinical therapy practice. Occupational Therapists could well appreciate many of the contributory factors relating to medication problems with Older People, using this resource could raise own standards, but also assist with reducing the negative impacts of medication issues on older people.” – Sarah Montgomery, A&E Occupational Therapist and Communications Officer, (COT Specialist Section Older People), London, UK

    Vital Notes for Nurses: Accountability

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    Vital Notes on Accountability is a concise, accessible guide which provides students and newly qualified staff with an understanding of key issues in professional practice. Nurses are accountable for their own practice and require a thorough understanding of their core responsibilities which underpin everyday practice in the health service today. This introductory text in the ‘Vital Notes for Nurses’ series sets out a framework for accountability which consists of four ‘pillars’ – legal, ethical, employment and professional accountability – against which clinical issues can be considered. * Presents legal, ethical, employment and professional issues in an accessible way * Explores accountability, professional regulation, sources of funding and treatment in the health service * Examines complaints, human rights, negligence, consent, and confidentiality * Explores further applications in accountability * Each chapter includes learning objectives, scenarios and case studies

    Using Insulin Pumps in Diabetes

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    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.

    Building the Reflective Healthcare Organisation

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    Healthcare organisations have to manage change in order to evolve and improve care. This book explores the use of reflective practice as a practical tool to examine growth and change and to develop an effective health care organisation.