Critical Concept Mastery Series: Acid-Base Disturbance Cases

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Publisher : McGraw Hill Professional
ISBN 13 : 1260457885
Total Pages : 719 pages
Book Rating : 4.2/5 (64 download)

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Book Synopsis Critical Concept Mastery Series: Acid-Base Disturbance Cases by : Zachary Healy

Download or read book Critical Concept Mastery Series: Acid-Base Disturbance Cases written by Zachary Healy and published by McGraw Hill Professional. This book was released on 2021-09-17 with total page 719 pages. Available in PDF, EPUB and Kindle. Book excerpt: The case-based approach you need to master the difficult topic of acid-base disturbances. Critical Concept Mastery books provide a broad overview of the topic, punctuated with specific cases—the most efficient and effective way of building understanding of the clinical application of medical concepts. Acid-Base Disturbance delivers approximately 75 cases that build and hone your knowledge and skills around double and triple acid-base disturbances. Didactic summaries of the key types and features of acid base disturbances are interspersed throughout the book. • Critical Concept Mastery books provide a broad view of the topic, punctuated with specific cases—the most efficient and effective way of building understanding of the clinical application of medical concepts • Ideal for Internal Medicine Residents, NP/PAs, Emergency Medicine Residents • Rich with tables and rationales explaining both correct and incorrect answers

Critical Concept Mastery Series: Chest Imaging Cases

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Publisher : McGraw Hill Professional
ISBN 13 : 1260457907
Total Pages : 705 pages
Book Rating : 4.2/5 (64 download)

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Book Synopsis Critical Concept Mastery Series: Chest Imaging Cases by : Zachary Healy

Download or read book Critical Concept Mastery Series: Chest Imaging Cases written by Zachary Healy and published by McGraw Hill Professional. This book was released on 2021-09-16 with total page 705 pages. Available in PDF, EPUB and Kindle. Book excerpt: This one-of-a-kind case book provides a “big picture,” case-based look at chest imaging—everything you need to know to hone your skills in interpreting chest imaging. Critical Concept Mastery books provide a broad overview of the topic, punctuated with specific cases—the most efficient and effective way of building understanding of the clinical application of medical concepts. Packed with over 100 photos and illustrations, Chest Imaging Cases offers approximately 50 cases that aid in honing knowledge and skills around advanced chest imaging interpretation. Didactic summaries of the key types and features of associated pulmonary abnormalities are interspersed throughout, building your foundational knowledge of this difficult topic.

Symptom to Diagnosis

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Publisher : McGraw-Hill Medical Publishing
ISBN 13 :
Total Pages : 452 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Symptom to Diagnosis by : Scott D. C. Stern

Download or read book Symptom to Diagnosis written by Scott D. C. Stern and published by McGraw-Hill Medical Publishing. This book was released on 2006 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative introduction to patient encounters utilizes an evidence-based step-by-step process that teaches students how to evaluate, diagnose, and treat patients based on the clinical complaints they present. By applying this approach, students are able to make appropriate judgments about specific diseases and prescribe the most effective therapy. (Product description).

Improvised Medicine: Providing Care in Extreme Environments

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Publisher : McGraw Hill Professional
ISBN 13 : 0071770011
Total Pages : 593 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Improvised Medicine: Providing Care in Extreme Environments by : Kenneth V. Iserson

Download or read book Improvised Medicine: Providing Care in Extreme Environments written by Kenneth V. Iserson and published by McGraw Hill Professional. This book was released on 2012-04-05 with total page 593 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deliver quality healthcare in the most challenging field conditions Full of practical clinical pearls and proven strategies, this indispensible guide shows you how to operate outside your comfort zone and devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable—or when you need to provide care outside of your specialty. Improvised Medicine is a must for anyone who plans to work in global, disaster, or other resource-poor settings. FEATURES: Simple-to-follow directions, diagrams, and illustrations describe practical techniques and the improvised equipment necessary to provide quality care during crises. Contains improvisations in anesthesia and airway management, dentistry, gynecology/obstetrics, infectious disease/laboratory diagnosis, internal medicine, otolaryngology, pediatrics and malnutrition, orthopedics, psychiatry, and surgery. Also includes basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods. LEARN HOW TO: Make an endotracheal tube in seconds Perform digital-oral and blind-nasotracheal intubations Make plaster bandages for splints/casts Give open-drop ether, ketamine drips, and halothane Use subcutaneous/intraperitoneal rehydration/transfusion Make ORS and standard nutrition formulas Clean, disinfect, and sterilize equipment for reuse Warm blood units in seconds inexpensively Take/view stereoscopic x-rays with standard equipment Quickly and easily stop postpartum hemorrhage Fashion surgical equipment from common items Evacuate patients easily for high-rise hospitals Make esophageal and precordial stethoscopes Quickly improvise a saline lock Make ECG electrode/defibrillator pads and ultrasound gel

Lange Critical Care

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Publisher : McGraw Hill Professional
ISBN 13 : 0071817263
Total Pages : 1393 pages
Book Rating : 4.0/5 (718 download)

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Book Synopsis Lange Critical Care by : John M. Oropello

Download or read book Lange Critical Care written by John M. Oropello and published by McGraw Hill Professional. This book was released on 2016-11-22 with total page 1393 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical, concise, and up-to-date reference for the ICU A Doody’s Core Title for 2019! LANGE Critical Care delivers concise, evidenced-based, and highly clinical coverage of the surgical and medical aspects of critical care. The book provides basic fundamentals, applications and insights that will be of lasting value to all ICU physicians, nurses, advanced care providers, and allied personnel who care for the critically ill and injured patients in all ICUs. Noteworthy features include a well-illustrated Clinical Care Procedures section, high-yield summaries of the full spectrum of essential critical care topics, and the inclusion of “Controversies” chapters throughout each section addressing some of the ambiguous aspects of critical care. This timely book also covers the growing scope of critical care provided outside the ICU and the increasing importance of critical care services within the hospital structure. In keeping with the multi-professional nature of critical care delivery, several chapters are authored or coauthored by critical care fellows, ICU nurses, physician assistants, nurse practitioners, and pharmacists. FEATURES: • Includes both the surgical and medical aspects of critical care, making it valuable to the intensivist working in the medical, surgical, or neurological ICU • Utilizes numerous visual elements such as figures, tables, and algorithms • Appendix contains valuable reference material and formulas, including a chapter on bedside statistics • Excellent primer for internal medicine and anesthesiology ICU rotations and great for board examination review

Textbook of Critical Care

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Publisher : W.B. Saunders Company
ISBN 13 :
Total Pages : 1962 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Textbook of Critical Care by : Stephen M. Ayres

Download or read book Textbook of Critical Care written by Stephen M. Ayres and published by W.B. Saunders Company. This book was released on 1995 with total page 1962 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text of critical care is updated and expanded to reflect the current, clinically relevant information. Conveniently compiled under one cover are the views of those authorities who have contributed to the science and art of caring for critically ill patients. It covers the molecular, cellular, physiologic, clinical, ethical and service-delivery aspects of critical care medicine. This revised edition includes a new section on renal/nephrology, as well as new chapters on heat stroke, hypothermia, transfusion therapy, trauma care of the elderly, mediators of multi-organ failure in sepsis, and gene therapy.

Current Emergency Diagnosis & Treatment

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Publisher :
ISBN 13 :
Total Pages : 908 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Current Emergency Diagnosis & Treatment by : John Mills

Download or read book Current Emergency Diagnosis & Treatment written by John Mills and published by . This book was released on 1985 with total page 908 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Case Files Pediatrics, Fifth Edition

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Publisher : McGraw Hill Professional
ISBN 13 : 0071839968
Total Pages : 569 pages
Book Rating : 4.0/5 (718 download)

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Book Synopsis Case Files Pediatrics, Fifth Edition by : Eugene C. Toy

Download or read book Case Files Pediatrics, Fifth Edition written by Eugene C. Toy and published by McGraw Hill Professional. This book was released on 2015-12-06 with total page 569 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sixty high-yield pediatrics cases helps students sharpen their diagnostic and problem-solving skills The Case Files series is an award-winning learning system proven to improve shelf-exam scores and clerkship performance. Unlike other books on the market, this series helps students learn in the context of real patients instead of simply memorizing. Case Files Pediatrics teaches students how to improve their diagnostic and problem-solving skills as they work through sixty high-yield clinical cases. Each case includes a complete discussion, clinical pearls, references, and USMLE-style review questions with answers. The fifth edition has been updated to include a new Case Correlations feature which highlights differential diagnosis and related cases in the book. Updated to reflect the most current high-yield clerkship topics and the latest in medical management and treatment

Medical Management of Vulnerable & Underserved Patients: Principles, Practice, Population

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Publisher : McGraw Hill Professional
ISBN 13 : 0071781390
Total Pages : 473 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Medical Management of Vulnerable & Underserved Patients: Principles, Practice, Population by : Talmadge E. King

Download or read book Medical Management of Vulnerable & Underserved Patients: Principles, Practice, Population written by Talmadge E. King and published by McGraw Hill Professional. This book was released on 2006-08-31 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: No other book on the subject Chronic diseases, especially those associated with poor nutrition, obesity, and addiction have grown to epidemic proportion in many poor and minority populations Covers all essential topics, including Navigating Language Barriers, Understanding Disability, Patient Education, Substance Abusers, the Care of Gay and Lesbian Patients, Reproductive Issues in Poor Women, and much more

Understanding Clinical Research

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Publisher : McGraw Hill Professional
ISBN 13 : 0071792651
Total Pages : 262 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Understanding Clinical Research by : Renato D. Lopes

Download or read book Understanding Clinical Research written by Renato D. Lopes and published by McGraw Hill Professional. This book was released on 2013-05-22 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: A complete guide to understanding and applying clinical research results Ideal for both researchers and healthcare providers Understanding Clinical Research addresses both the operational challenges of clinical trials and the needs of clinicians to comprehend the nuances of research methods to accurately analyze study results. This timely resource covers all aspects of clinical trials--from study design and statistics to regulatory oversight--and it delivers a detailed yet streamlined overview of must-know research topics. The text features an accessible three-part organization that traces the evolution of clinical research and explains the bedrock principles and unique challenges of clinical experimentation and observational research. Reinforcing this content are real-life case examples--drawn from the authors' broad experience--that put chapter concepts into action and contribute to a working knowledge of integral research techniques. FEATURES: The most definitive guide to promoting excellence in clinical research, designed to empower healthcare providers to assess a study's strengths and weaknesses with confidence and apply this knowledge to optimize patient outcomes In-depth coverage of fundamental research methods and protocols from preeminent authorities provides readers with an instructive primer and a springboard for ongoing clinical research education Clear, comprehensive three-part organization: Section One: Evolution of Clinical Research offers a succinct history of clinical trials, drug regulations, and the role of the FDA while covering the impact of information technology and academic research organizations Section Two: Principles of Clinical Experimentation takes you through the typical phases of clinical trials in the development of medical products, from initial human subject research to postapproval surveillance studies Section Three: Observational Research highlights the underlying principles, pitfalls, and methods for case-control studies, cohort studies, registries, and subgroup analyses within randomized trials

Prescription for Excellence: Leadership Lessons for Creating a World Class Customer Experience from UCLA Health System

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Publisher : McGraw Hill Professional
ISBN 13 : 0071773908
Total Pages : 347 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Prescription for Excellence: Leadership Lessons for Creating a World Class Customer Experience from UCLA Health System by : Joseph A. Michelli

Download or read book Prescription for Excellence: Leadership Lessons for Creating a World Class Customer Experience from UCLA Health System written by Joseph A. Michelli and published by McGraw Hill Professional. This book was released on 2011-05-20 with total page 347 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE #1 NEW YORK TIMES AND WALL STREET JOURNAL BESTSELLER! “Like any business, a hospital must be true to its core values in order to succeed. ‘Trickle-down values’ start at the top with the best leadership, so that all the stakeholders understand and carry out the institution’s mission. That is the gift that David F einberg has brought to U CLA. I am in awe of his management skills.” —Lynda Resnick, owner of Pom Wonderful, Fiji Water, Teleflora, and Wonderful Pistachios “With clear purpose, unwavering principles, and steadfast leadership, the people at UCLA have established a new bar, a compelling promise, for what healthcare can and should be.” —David M. Lawrence, M.D., former CEO, Kaiser Permanente “An absorbing and educational account of a large institution’s astonishing transformation. The strong, courageous, and focused leadership of David Feinberg and his outstanding team is evident on every page. A tremendous lesson for all large enterprises.” —William E. Simon, Jr., cochairman, William E. Simon & Sons “Most leadership authors describe how to apply common-sense principles. Michelli is a notable exception. He artfully describes the compelling, uncommon leadership practices that transformed UCLA Health System. The resulting lessons are plentiful and powerful for today’s business leader.” —Lee J. Colan, Ph.D., author of Sticking to It: The Art of Adherence About the Book: Joseph Michelli, author of The Starbucks Experience and The New Gold Standard, is among the world’s top authorities on the principles of creating an organizational culture dedicated to service excellence. In these bestselling books, he examines how leading service companies dominate their respective industries with innovative customerexperience strategies. Now, Michelli turns his attention to one of the most complex, controversial, and critical industries—healthcare. In Prescription for Excellence, Michelli provides an inside look at an organization that has become the envy of its industry—and explains how you can dominate your own industry by using the same approach. UCLA Health System is revered worldwide for its top-tier patient/customer care. Great physicians, nurses, researchers, and staff are only part of the equation; UCLA’s overall success is a result of organization-wide collaboration that is driven by leaders with a shared vision of unyielding excellence. Michelli breaks down UCLA’s approach into five simple principles: Commit to Care Leave No Room for Error Make the Best Better Create the Future Service Serves Us From administrative offices to operating rooms to research centers, continued adherence to these five principles has guided UCLA to financial strength, social significance, and sustainability. The best part is that these principles translate to any industry, so you, too, can achieve similar goals. Michelli gives you the tools to adapt UCLA’s ideas, systems, and leadership principles into your own best practices. Whether it is a healthcare organization, a financial institution, or a neighborhood hair salon, good business begins and ends with customer connection. When all workers in an organization focus on providing quality care for those they serve, success inevitably follows. Business is always personal; UCLA’s leadership ensures that this simple truth drives every UCLA employee, every day. Apply the lessons Michelli spells out in Prescription for Excellence to create a system that ensures that your people take business personally, day in and day out.

Graber and Wilbur's Family Medicine Examination and Board Review, Fourth Edition

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Publisher : McGraw Hill Professional
ISBN 13 : 1259589773
Total Pages : 801 pages
Book Rating : 4.2/5 (595 download)

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Book Synopsis Graber and Wilbur's Family Medicine Examination and Board Review, Fourth Edition by : Mark Graber

Download or read book Graber and Wilbur's Family Medicine Examination and Board Review, Fourth Edition written by Mark Graber and published by McGraw Hill Professional. This book was released on 2016-09-22 with total page 801 pages. Available in PDF, EPUB and Kindle. Book excerpt: The #1 review book for the Family Medicine Board Examination – updated with a new full-color design! The renowned Family Practice Examination and Board Review is now Graber and Wilbur’s Family Medicine Examination & Board Review, the perfect way to prepare for the primary and recertification exam in family medicine and for licensure exams. This engagingly written study guide has been completely updated with a new full-color design and is enhanced by powerful new learning aids, including 50 additional questions to the already comprehensive final exam, and chapter-ending clinical pearls that consolidate high-yield information. You will also, of course, find the humor, wit, and approachable tone that have brought the book legions of enthusiastic – and appreciative – fans. New to this edition! Full color layout Clinical pearls at the end of each chapter to highlight key takeaways 50 brand new final exam questions Numbered cases for easy reference Outstanding features from the previous edition: More than 350 progressive case studies that reflect the realities of clinical practice and prepare you for your exams 29 chapters based on body system and elements of patient care A comprehensive final exam (nearly 200 questions) with answers referenced to pages in the book Detailed answer explanations that describe not only why an answer is correct, but why the other answers are wrong Comprehensive coverage of ALL topics on the boards and recertifying exam Super-effective learning aids such as Quick Quizzes, Helpful Tips, learning objectives, clinical pearls, and more Color photographs of conditions most easily diagnosed by appearance An outstanding refresher for primary care physicians, physician assistants, and nurse practitioners

Tintinalli's Emergency Medicine

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Publisher :
ISBN 13 : 9780071744676
Total Pages : 2120 pages
Book Rating : 4.7/5 (446 download)

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Book Synopsis Tintinalli's Emergency Medicine by : Judith E. Tintinalli

Download or read book Tintinalli's Emergency Medicine written by Judith E. Tintinalli and published by . This book was released on 2011-01-01 with total page 2120 pages. Available in PDF, EPUB and Kindle. Book excerpt: With 418 contributors representing over 120 medical centers from around the world, this book comprehensively covers the entire field of emergency medicine -- from prehospital care, disaster preparedness, and basic resuscitative techniques -- to all the major diseases and disorders encountered in the emergency department. Unquestionably the leading text in the field, this is a true must-have reference for everyone in emergency medicine from residents to practicing physicians. The Seventh Edition is highlighted by a new full-color presentation, a companion DVD with 17 additional chapters, a greater international focus, and innovative new features and content.

Huppert's Notes: Pathophysiology and Clinical Pearls for Internal Medicine

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Publisher : McGraw Hill Professional
ISBN 13 : 1260470083
Total Pages : 465 pages
Book Rating : 4.2/5 (64 download)

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Book Synopsis Huppert's Notes: Pathophysiology and Clinical Pearls for Internal Medicine by : Laura Huppert

Download or read book Huppert's Notes: Pathophysiology and Clinical Pearls for Internal Medicine written by Laura Huppert and published by McGraw Hill Professional. This book was released on 2021-05-31 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bridge the gap between pathophysiology and clinical medicine in a succinct outline of core internal medicine topics! Originally created and road-tested by a resident and then updated by a team of resident authors, Huppert’s Notes succinctly organizes the foundational science covered early in medical school and the clinical approaches encountered in clerkships and beyond. This marriage of pathophysiology and clinical medicine provides a framework for how to approach internal medicine concepts mechanistically, rather than through memorization. You’ll find concise descriptions of common medical conditions with diagnostic and management pearls, as well as high-yield diagrams and tables to emphasize key concepts. Covering all internal medicine subspecialties, each Huppert’s Notes chapter is organized in an intuitive and consistent outline format for rapid access: Anatomy & Physiology Diagnostics Approaches & Chief Complaints Diseases & Pathophysiology Key Medications & Interventions Key Clinical Trials & Publications Space for your personal notes

Performance Improvement for Healthcare: Leading Change with Lean, Six Sigma, and Constraints Management

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Publisher : McGraw Hill Professional
ISBN 13 : 0071761632
Total Pages : 352 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Performance Improvement for Healthcare: Leading Change with Lean, Six Sigma, and Constraints Management by : Bahadir Inozu

Download or read book Performance Improvement for Healthcare: Leading Change with Lean, Six Sigma, and Constraints Management written by Bahadir Inozu and published by McGraw Hill Professional. This book was released on 2011-10-13 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: PROVEN STRATEGIES FOR REVOLUTIONIZING HEALTHCARE SYSTEMS "If I had to sum up this book in one word, the word would be 'brilliant'! This is one of the most insightful books on TOC, not just for healthcare, that I have ever read." --BOB SPROULL, author of The Ultimate Improvement Cycle: Maximizing Profits through the Integration of Lean, Six Sigma, and the Theory of Constraints Performance Improvement for Healthcare: Leading Change with Lean, Six Sigma, and Constraints Management lays out an integrated approach for using three industrially based methods to transform hospital operations in terms of patient outcomes and experience, financial viability, and employee satisfaction. This pioneering guide presents a scalable strategy for managing bottlenecks, eliminating waste, reducing errors, and containing costs in healthcare organizations, as well as sustaining the gains achieved. Real-world case studies illustrate successful performance improvement implementations that have realized breakthrough operational and financial results. COVERAGE INCLUDES: Constraints Management applications in healthcare The NOVACES SystemCPI--an integrated performance improvement deployment approach Three-part assessment--strategic gap analysis, system-level value stream analysis, and system constraint analysis Planning a performance improvement program deployment to ensure timely and consistent execution Applying the right tool to the right problem from a system perspective Sustaining gains achieved by the performance improvement team Defining a path to self-sufficiency

Basic & Clinical Biostatistics: Fifth Edition

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Publisher : McGraw Hill Professional
ISBN 13 : 1260455378
Total Pages : 480 pages
Book Rating : 4.2/5 (64 download)

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Book Synopsis Basic & Clinical Biostatistics: Fifth Edition by : Beth Dawson

Download or read book Basic & Clinical Biostatistics: Fifth Edition written by Beth Dawson and published by McGraw Hill Professional. This book was released on 2019-10-22 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Learn to evaluate and apply statistics in medicine, medical research, and all health-related fields Basic & Clinical Biostatistics provides medical students, researchers, and practitioners with the knowledge needed to develop sound judgment about data applicable to clinical care. This fifth edition has been updated throughout to deliver a comprehensive, timely introduction to biostatistics and epidemiology as applied to medicine, clinical practice, and research. Particular emphasis is on study design and interpretation of results of research. The book features “Presenting Problems” drawn from studies published in the medical literature, end-of-chapter exercises, and a reorganization of content to reflect the way investigators ask research questions. To facilitate learning, each chapter contain a set of key concepts underscoring the important ideas discussed. Features: • Key components include a chapter on survey research and expanded discussion of logistic regression, the Cox model, and other multivariate statistical methods • Extensive examples illustrate statistical methods and design issues • Updated examples using R, an open source statistical software package • Expanded coverage of data visualization, including content on visual perception and discussion of tools such as Tableau, Qlik and MS Power BI • Sampling and power calculations imbedded with discussion of the statistical model • Updated content, examples, and data sets throughout

Understanding Healthcare Delivery Science

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Publisher : McGraw Hill Professional
ISBN 13 : 1260026493
Total Pages : 480 pages
Book Rating : 4.2/5 (6 download)

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Book Synopsis Understanding Healthcare Delivery Science by : Michael Howell

Download or read book Understanding Healthcare Delivery Science written by Michael Howell and published by McGraw Hill Professional. This book was released on 2019-09-27 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new title in the acclaimed Understanding series that focuses on the science of healthcare delivery Over the past decade, the subject of Systems Science has skyrocketed in importance in the healthcare field. With its engaging, clinically relevant style, Understanding Healthcare Delivery Science is the perfect introduction to this timely topic. It covers every aspect of what actually constitutes “best care” and how it can be most efficiently delivered from an operational standpoint. The book is exceptional for two other reasons: numerous case vignettes put the content in a clinically relevant framework, and its comprehensive coverage spans everything from quality and safety to data and policy. Readers will find a valuable opening section that delivers an outstanding introductory discussion of Healthcare Delivery Science Co-author Dr. Michael Howell is a nationally recognized expert on healthcare quality, whose research has been covered by The New York Times, CNN, and Consumer Reports. He has served on national quality- and safety-related national advisory panels for the CDC, Society of Critical Care Medicine, CMS, and others. An active healthcare delivery scientist, Dr. Howell has published more than 90 research articles, editorials, and book chapters on topics related to quality, safety, patient-centeredness, and critical care.