The authors have extensive experience both managing data analysts and conducting their own data analyses, and have carefully observed what produces coherent results and what fails to produce useful insights into data. This book is a distillation of their experience in a format that is applicable to both practitioners and managers in data science.

    

    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.

    

    A clear, concise writing style and just the right dose of humor explain the role of epidemiology in measuring disease in a community, estimating risks, and influencing public policy and ethical concerns. Line diagrams, cartoons, and review questions with answers reinforce the text.The smart way to study!Elsevier titles with STUDENT CONSULT will help you master difficult concepts and study more efficiently in print and online! Perform rapid searches. Integrate bonus content from other disciplines. Download text to your handheld device. And a lot more. Each STUDENT CONSULT title comes with full text online, a unique image library, case studies, USMLE style questions, and online note-taking to enhance your learning experience.Your purchase of this book entitles you to access www.studentconsult.com at no extra charge. This innovative web site offers you... Access to the complete text and illustrations of this book. Integration links to bonus content in other STUDENT CONSULT titles.Content clipping for your handheld.An interactive community center with a wealth of additional resources. The more STUDENT CONSULT titles you buy, the more resources you can access online! Look for the STUDENT CONSULT logo on your favorite Elsevier textbooks!

    And yet many couples find themselves too time-starved and intimacy-shy to enjoy it to the full. Loving Sex helps couples to overcome these barriers with advice from a renowned sexual health counselor.Loving Sex offers a friendly, frank exploration of what sex means as part of a loving relationship, and how you and your partner can experience it to its full potential. Free from unrealistic media representations of perfect bodies and porn-star practices, Loving Sex shows you the positions that work, helps resolve common problems without blame or embarrassment, and explains just how important sex can be to long-term loving happiness.Each of the 11 chapters explores a different aspect of sexuality, from the anatomy and physicality of arousal and orgasm, to the psychology of lust, love, and partnership. Candid explanations of sexual practices and positions are supported by photography and illustrations, allowing couples to relish foreplay, explore new positions and techniques, and experiment with exotic practices, from dressing up to Tantra. The final chapters offer tips on safer sex, and explore the ways in which an enduring sexual relationship can be the foundation for a lifetime of loving intimacy.

    Tim Ferriss saved her life. This story will save yours," Annette Bosworth, MD. In ANYWAY YOU CAN, Dr Bosworth shares her ‘accidental’ discovery of ketosis and its wide array of health benefits as she supplemented her mom’s chemotherapy with ketones. Her story of courage, faith, and tenacity helps young and old achieve better physical, mental, and emotional health through ketosis. Dr Bosworth inspires patients to become stewards of their own health through her leadership skills, public speaking and “sticky teachable moments.” When patients ask how to turn around their chronic health problem, she answers “Fight it ANYWAY YOU CAN. Ketones for Life.”

    Most of us will never find ourselves on a psychiatrist's couch and yet our lives would be perilous if we did not make space for our mental health. In this space, we can hold up a mirror and acknowledge our search for meaning. By going to the room, life becomes more resourceful and rewarding. In showing up there, we show up for life itself.'Jim Lucey has been working for more than 25 years with patients suffering from mental health problems. When people at their most vulnerable present to his room at St Patrick's University Hospital, Dublin, they reveal their fears, traumas, and very real human predicaments. Most of the assessments described in this book took place in this room. While the patients' stories are diverse, one common theme emerges - that of recovery. The psychiatrist and patients show us that recovery is possible, if we can find a way to engage.Many of us find it difficult to speak of the mind, and care of the mind requires an ability to listen and to reflect. This inspiring book will give you many moments of reflection as you journey with Jim's patients towards recovery, and will restore your faith in the human experience.'Using the art of clinical storytelling, Professor Lucey allows us to enter his room - an extraordinary space where theory informs practice and practice informs theory ... In My Room provides valuable insights that will benefit every human being interested in better understanding mental health. This is a beautiful book that should be read out loud at times, shared with others, and openly discussed' Charlotte R. Shore, RN, BSN, Newton Wellesley Hospital, USA and David A. Shore, PhD, Harvard University

    In this book you will see how commonly performed operations can be found to be useless or even harmful when properly evaluated. That these claims come from an experienced, practicing orthopedic surgeon who performs many of these operations himself, makes the unsettling argument particularly compelling. Of course no surgeon is recommending invasive surgery in bad faith, but Ian Harris argues that the evidence for the success for many common operations, including knee arthroscopies, back fusion or cardiac stenting, become current accepted practice without full examination of the evidence.

    Bedlam follows the dramatic stories of the hospital staff and the patients themselves, whose stories break hearts as much as they fascinate.

    The original intermittent fasting plan: easy to follow, effective, and science-basedThe Alternate-Day Diet is based on scientific and clinical studies that show how restricting calories only every other day activates a gene called SIRT1?the ?skinny? gene?which results in reduced inflammation, improved insulin resistance, better cellular energy production, and releasing fat cells from around the organs to promote weight loss.This easy-to-follow two step plan will enable readers to enjoy these remarkable and measurable benefits:? Lose fat easily and quickly without deprivation, discomfort, or stress? Improve fat metabolism and avoid regaining lost fat? Slow the aging process? Find relief from symptoms of asthma, heart disease, Type 2 diabetes, autoimmune and inflammatory diseases, and menopause-related hot flashes

    Its world-class authors provide guidance on all aspects of Bayesian data analysis and include examples of real statistical analyses, based on their own research, that demonstrate how to solve complicated problems. Changes in the new edition include:Stronger focus on MCMC Revision of the computational advice in Part III New chapters on nonlinear models and decision analysis Several additional applied examples from the authors' recent research Additional chapters on current models for Bayesian data analysis such as nonlinear models, generalized linear mixed models, and more Reorganization of chapters 6 and 7 on model checking and data collectionBayesian computation is currently at a stage where there are many reasonable ways to compute any given posterior distribution. However, the best approach is not always clear ahead of time. Reflecting this, the new edition offers a more pluralistic presentation, giving advice on performing computations from many perspectives while making clear the importance of being aware that there are different ways to implement any given iterative simulation computation. The new approach, additional examples, and updated information make Bayesian Data Analysis an excellent introductory text and a reference that working scientists will use throughout their professional life.

    

    Injuries of this type are generally too minor to warrant splinting, casting, or medication and often do not prevent participation in physical activities. They do, however, produce noticeable discomfort and, over time, frequently lead to more severe injuries.In Trigger Point Self-Care Manual Donna Finando presents methods for the healing and prevention of musculature injuries. She identifies the causes of and remedies for areas of muscular tightness and restriction and details many self-care techniques, including precise self-massage, stretching, and the use of wet heat and/or ice. In the fully illustrated reference section, organized by body part, she identifies the pain associated with trigger points in each muscle of the body and provides instructions for palpating, treating, and stretching the muscle in order to release it.

    When Dr Ben Goldacre saw someone on daytime TV dipping her feet in an 'Aqua Detox' footbath, releasing her toxins into the water, turning it brown, he thought he'd try the same at home. 'Like some kind of Johnny Ball cum Witchfinder General', using his girlfriend's Barbie doll, he gently passed an electrical current through the warm salt water. It turned brown. In his words: 'before my very eyes, the world's first Detox Barbie was sat, with her feet in a pool of brown sludge, purged of a weekend's immorality.' Dr Ben Goldacre is the author of the Bad Science column in the Guardian. His book is about all the 'bad science' we are constantly bombarded with in the media and in advertising. At a time when science is used to prove everything and nothing, everyone has their own 'bad science' moments from the useless pie-chart on the back of cereal packets to the use of the word 'visibly' in cosmetics ads.