Gerard, PhD, its chief learning officer, candidly describe the triumphs and stumbles of a seven-year journey to lean healthcare, an effort that continues today and that has slashed medical errors, improved patient outcomes, raised staff morale, and saved $27 million dollars in costs without layoffs. Find out:> How lean techniques of value-stream-mapping and rapid improvement events cut the average “door-to-balloon” time for heart attack patients at two hospitals from 90 minutes to 37.> What ThedaCare leaders did to replace medicine’s “shame and blame” culture with a lean culture based on continuous improvement and respect for people.> How the lean principle of “building in quality at the source” broke down divisions among medical specialties allowing teams to develop patient care plans faster.> Why traditional modern management is the single biggest impediment to lean healthcare.> How the plan-do-study-act cycle coupled with rapid improvement events cut the wait time at a robotic radiosurgery unit from 26 days to six.> How the lean concept of “one piece flow” saved time in treating ischemic stroke patients, increasing the number of patients receiving a CT scan within 25 minutes from 51% to 89%.> How senior leaders at other healthcare organizations can begin their own lean transformations using a nine-step action plan based on what ThedaCare did — and what it would do differently.Toussaint and Gerard prove that lean healthcare does not mean less care. On the Mend shows that when care is truly re-designed around patients, waste and errors are eliminated, quality improves, costs come down, and healthcare professionals have more time to spend with patients, who get even better care.

    Beginning with an introduction to the diagnostic interview, the Pocket Guide addresses the goals of the interview, provides an efficient structure for learning how to conduct one, reviews the screening questions, and then tackles the ways in which DSM-5T, with its updated approaches to diagnosis and classification, impacts the interview going forward. Significant revisions from DSM-IV-TRr to DSM-5T are reviewed. The final chapter, the core of the guide, walks the reader through a complete diagnostic exam that includes the follow-up questions for each of the DSM-5T disorder classes. The book is useful for beginners learning the format and flow of the diagnostic interview and for seasoned clinicians conducting an interview consistent with the significant revisions reflected in DSM-5T. Not intended to replace DSM-5T itself or psychiatric interview texts, The Pocket Guide to the DSM-5T Diagnostic Exam is a pragmatic and concise resource for diagnosing a person in mental distress while establishing a therapeutic relationship.

    The recipes in this cookbook can help you enjoy flavorful meals while losing up to a pound a day on the "HCG Phase" The HCG Diet Gourmet Cookbook features delicious soups and salads, chicken, beef, and seafood entrees, and sweet desserts and beverages. Enjoy these easy and delicious recipes and add variety, spice, and a touch of gourmet to your weight loss journey.

    But there was nothing inherently special about them! They only knew to abide by an ancient rule of nature. Nature, in turn, rewarded them with strength, agility, and health.Your lifelong health is largely determined by what goes on inside your body at the microscopic level. Every meal you eat, beverage you drink, and moment of exertion or rest impacts your internal machinery. With the right intake of food, regular exercise, and an occasional break from both, your body begins to experience autophagy. And that is what this book is going show you!This book will teach you about: What is Autophagy and how it works How to age slower and be vigorous throughout your life Which foods make you live longer and build muscle How to promote health and longevity with intermittent fasting the various ways to fast the weight loss effects of fasting How to use autophagic processes to delay or prevent signs of aging Autophagy mistakes to avoid This manual is for everyone who values their life and health. It is for who is young and old alike who value healthy living and would like to keep their bodies and immune systems resilient to all forms of disease attack. The teachings of this manual are your ticket to a long, good life, without the fear of your body failing you any time soon. Buy this book right now and invest in your own health. You don’t have a second to lose! Just Click on “Buy now button” And Start Your Journey Toward a Healthier You Today!

    Cohen show us that the antidote to our ever-growing rates of obesity and chronic diseases, such as heart disease and diabetes, lies not in our medical care system or in more health education but rather in how our environment affects our behavior.

    Army Ranger Chuck Holton shows how God oversees our training and gives each of us specific skills to accomplish the mission He has for us in this great spiritual war.The rigor of becoming an Airborne Ranger is exceeded only by the challenge of being one--but those who join their ranks find fulfillment in something bigger than themselves. In the same way, pursuing God's objectives energizes our everyday lives.In this riveting book, you will be issued potent spiritual ammunition for your daily battles from the perspective of a seasoned Special Operations soldier. Life is combat. From the instant the alarm clock signals the beginning of your day, you're jumping into a zone of uncertainty and your survival depends on having a clear focus. Your objective: Get on mission as an elite soldier and become part of something bigger than yourself. God will lead you through the danger zone of today's insecurity, equipping you to make a difference.

    Highlights of this edition include a brief glossary of key neuroanatomical structures and disease states; addition of an icon to more clearly identify the Clinical Correlations sections; an appendicized table of common neurological lesions; expanded figure legends that identify clinically relevant anatomical relationships; an improved, expanded index; and modified text and figure legends to comply with Terminologia Anatomica.A companion Website will offer bonus USMLE-style questions.

    

    It covers nearly seventy years of practice from World War II to the present day.The extraordinary situations described here are the result of more than 1,000 years of hands-on bedside knowledge. The vignettes contain wisdom and insight gained the hard way, from long experience in the trenches (sometimes in actual trenches) performing tasks that range from the most humble to the most skilled.These true stories run the gamut from birth to death. They deal with everything from war, ER, ICU, to childbirth, pediatrics, adult care, surgery, home and homeless healthcare, the psych ward, oncology, the nursing home, and finally hospice.The sacrifice and service of these nurses--their courage, kindness, and determination--is breathtaking.If you've ever wanted to know what goes on behind the scenes of a hospital--you've come to the right place.

    Duc Vuong returns with his latest weight loss surgery guide, this time for Gastric Sleeve patients. Written in an easy-to-understand manner, he explains some of the anatomical and surgical aspects of this newer surgical procedure, while providing practical strategies on how to be successful long-term. Anatomical drawings are provided for reference. He delves into some of the most elusive topics that plague weight loss surgery patients, such as weight loss plateaus, social eating, and long-term follow-up testing requirements. Maintaining the quiz and answer format of his previous books, this book is a must read for all weight loss surgery patients who are looking to maximize their weight loss surgery tool. See also www.ultimategastricsleeve.com

    The extravagant house, the luxury cars, but she has a controlling husband who only gives his doting wife a measly 20 bucks a day! Despite the smile she paints on her face daily… Underneath the polite grin a fire is smoldering. That fire ignites into a five alarm inferno when she finds out her prosperous mate’s filthy little secrets. Trina is a business woman who has her eyes on the all mighty dollar. But she should have kept one eye on her lazy ass boyfriend who seems to be allergic to a job application. She’s put up with a lot of s*#! from him. But the buck stops here-her boyfriend’s free ride halts when his dark lies come to light. These two females are different; yet have several things in common. They both have boys…not men. They’re top notch women who are fed up and pissed. And now it’s time to get even! It’s time to make these men bow down! It’s time to make them drown in their own salty tears! The moment has arrived to bring the pain! You may ask yourself is all that necessary? And the answer is…Hell Yeah! Because MEN ARE BITCHES TOO!

    The skeleton, muscles and joints are covered with descriptions of differences between female and male anatomy.This is a reproduction of a 1852 British publication and may contain non-standard spellings and characters. The work has been proof-read and edited to remove typographical errors and reformat the text for the Kindle. All images have been cleaned and resized.

    For patients to achieve maximum benefits of this surgical correction, they need understand and manage many important details both before and in the first year after surgery.This comprehensive guide explains everything from the preoperative decision-making process to the surgery itself, how to prepare your home for post-surgery rehabilitation, and a week by week description of how to rehabilitate yourself following your TKA. The road to recovery is laid out clearly in this book in such detail that there are no surprises. It concentrates extensively on postoperative rehabilitation, which is vital to the success of a TKA, and as important as the surgery itself.This book contains 145 exercises, 190 illustrations and photos, and questions and answers at the end of each chapter. It empowers patients with the knowledge they need to take charge of their own rehabilitation program.

    Selected and with an introduction by author Tobias Wolff, these stories are some of Chekhov's most powerful and memorable works. Includes The Kiss and Dreams.Included stories:At SeaEnemiesIn the CartNeighborsA Gentleman FriendPeasant WomenThe BishopDreamsIn ExileA Doctor's VisitGusevHeartacheThe KissThe Lady With the pet DogThe Man in a ShellGooseberriesAbout LoveIn the RavineThe Student

    Jon C. Thompson presents the latest data in thoroughly updated diagnostic and treatment algorithms for all conditions while preserving the popular at-a-glance table format from the previous edition. You'll get even more art from the Netter Collection as well as new radiologic images that visually demonstrate the key clinical correlations and applications of anatomical imaging. For a fast, memorable review of orthopaedic anatomy, this is a must-have.Maintains the popular at-a-glance table format that makes finding essential information quick and convenient.Contains useful clinical information on disorders, trauma, history, physical exam, radiology, surgical approaches, and minor procedures in every chapter.Lists key information on bones, joints, muscles, and nerves in tables correlate to each Netter image.Highlights key material in different colors-pearls in green and warnings in red-for easy reference. Features both plain film and advanced radiographic (CT and MRI) images, along with cross-sectional anatomic plates for an even more thorough visual representation of the material.Includes additional common surgical approaches to give you a broader understanding of techniques.Incorporates reorganized Complicated Arthology tables for large joints, such as the shoulder, knee, and hip, for increased clarity and to incorporate new artwork and additional clinical correlations.Reflects new data and current diagnostic and treatment techniques through updates to the Disorders and Fractures sections and the Physical Exam and Anatomic tables in each chapter.Presents the very latest developments in the field through thoroughly updated diagnostic and treatment algorithms for all clinical conditions.