In helping Memorial Medical Center build a culture of ownership, Carol Jean Hawtrey with the help of Florence Nightingale create a roadmap that every hospital can follow to create a more positive and productive workplace and a build a sustainable source of competitive advantage. In the form of a business parable, the story shows readers why the invisible architecture of core values, corporate culture, and emotional climate is more important than bricks and mortar for creating patient, physician and employee loyalty, and describes eight essential characteristics of a culture of ownership. Dozens of practical strategies for fostering a more positive and productive organization are woven into the story.

    He is frustrated, confused, baffled and, quite frequently, very funny. He is also a GP. These are his confessions.A woman troubled by pornographic dreams about Tom Jones. An 80-year-old man who can't remember why he's come to see the doctor. A woman with a common cold demanding (but not receiving) antibiotics. A man with a sore knee. A young woman who has been trying to conceive for a while but now finds herself pregnant and isn't sure she wants to go through with it. A 7-year-old boy with 'tummy aches' that don't really exist.These are his patients.Confessions of a GP is a witty insight into the life of a family doctor. Funny and moving in equal measure it will change the way you look at your GP next time you pop in with the sniffles.

    The germ revolution came after two decades of scientific virtuosity, outstanding feats of intellectual courage and bitter personal rivalries, doctors at last recognised that infectious diseases are caused by mircoscopic organisms.

    It contains accounts by Richard 'The Iceman' Kuklinski, the contract killer who claimed to have murdered over 200 people in a career lasting 43 years.

    As body armor and advanced trauma care helped save the lives—if not the limbs—of American soldiers fighting in Afghanistan and Iraq, Walter Reed quickly became the world leader in amputee rehabilitation. But no matter the injury, physical therapy began the moment the soldiers emerged from surgery. Days at Walter Reed were intense, chaotic, consuming, and heartbreaking, but they were also filled with camaraderie and humor. Working in a glassed-in fishbowl gymnasium, Levine, her colleagues, and their combat-injured patients were on display at every moment to tour groups, politicians, and celebrities. Some would shudder openly at the sight—but inside the glass and out of earshot, the PTs and the patients cracked jokes, played pranks, and compared stumps. With dazzling storytelling, Run, Don’t Walk introduces a motley array of oddball characters including:  Jim, a retired lieutenant-colonel who stays up late at night baking cake after cake, and the militant dietitian who is always after him; a surgeon who only speaks in farm analogies; a therapy dog gone rogue; —and Levine’s toughest patient, the wild, defiant Cosmo, who comes in with one leg amputated and his other leg shattered. Entertaining, engrossing, and ultimately inspiring, Run, Don’t Walk is a fascinating look into a hidden world.

    With this practical, how-to handbook, you'll examine each aspect of the psychiatric interview in detail. Your journey begins with the general principles essential to effective interviewing including techniques for approaching threatening topics, improving patient recall, and dealing with challenging patients. The sections that follow show you how to obtain the psychiatric history, interview for diagnosis, and interview for treatment.The Practical Guides in Psychiatry series provides quick, concise information for professionals on the front lines of mental health care. Written in an easy-to-read, conversational style, these invaluable resources take you through each step of the psychiatric care process, delivering fast facts and helpful strategies that help you provide effective and compassionate care to your patients."Make" The Psychiatric Interview "your bridge to understanding."Useful appendices include data forms, patient education handouts, and other frequently referenced information in a format that's easy to photocopy. Handy pocket cards that accompany the book provide a portable, quick-reference to often needed facts."NEW to the Second Edition..."Updated chapters on the major psychiatric disorders to help you refine your diagnostic skills. New chapters on Techniques for the Malingering Patient and Assessing Attention-Deficit Hyperactivity Disorder. New Clinical Vignettes let you see the basic components of the psychiatric interview in action.When you're at the forefront of mental health care, let this practical handbook show you how to make the most of the psychiatric interview. Order your copy today."

    This book--newly revised in 1995--systematically describes each of the primary characteristics of the tongue (body color, shape and coating) and their significance in the clinic. It traces the historical development of tongue diagnosis and its relationship to externally- contracted disorders and the eight principals. Featured in this revised edition are 59 color plates and accompanying case histories from the author's own practice. Other aspects of tongue diagnosis newly described in this edition include the integration of tongue and pulse diagnosis; the use of the tongue in diagnosing emotional problems; tongue diagnosis and herbal treatment; the tongue in prognosis; and special considerations regarding tongue diagnosis in children.

    That's more than die from motor vehicle accidents, breast cancer, or AIDS--three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems.To Err Is Human breaks the silence that has surrounded medical errors and their consequence--but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agenda--with state and local implications--for reducing medical errors and improving patient safety through the design of a safer health system.This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes.Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errors--which begs the question, "How can we learn from our mistakes?"Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care.To Err Is Human asserts that the problem is not bad people in health care--it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocates--as well as patients themselves.First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

    A writer may accomplish all this while sympathising heartily, as I do, with Ireland and her people.” A Concise History of Ireland by P. W. Joyce is a seminal work covering the history of the nation from ancient times through to the political turmoil of the nineteenth century. Joyce provides a detailed look at the customs and culture of ancient Ireland, its language, literature, art, and religion. Before the first Anglo-Norman invasion in 1169, Ireland was ruled by high kings who variously ruled all or parts of Ireland. The struggle for power between these kings resulted in many conflicts and produced such famous Irish war-kings as Brian Boru, Malachi and Dermot MacMurrogh. The book tracks the development of religion in Ireland from the pagan beliefs of ancient Ireland to the coming of St Patrick and the spread of Christianity. It also follows the religious effects of centuries of plantations and the religious divides that emerged as a result. Joyce examines the development of Anglo-Irish relations spanning from 1169, through to the Plantations of the sixteenth and seventeenth centuries to the rebellions of the nineteenth century. A Concise History of Ireland is a fascinating account at the complex history of this small country. P. W. Joyce was an Irish historian and writer who specialized in creating histories of localities all throughout Ireland. As a result of his efforts, he became one of the most important Irish cultural figures of the late 19th century, producing works about the languages, music, literature, folklore, and the background of the names of places all throughout Ireland. This work was published in 1893 and he passed away in 1914.

    In bulleted lists, tables, and algorithms, Pocket Medicine provides key clinical information about common problems in cardiology, pulmonology, gastroenterology, nephrology, hematology-oncology, infectious diseases, endocrinology, rheumatology, and neurology.The six-ring binder resembles the familiar "pocket brain" notebook that most students and interns carry and allows users to add notes. This Third Edition is fully updated, has tabs to help readers locate organ systems, and has more cross-referencing in the index. It also has pockets in the front and the back of the book to accommodate the reader's own notes.

    In Heart 411, two renowned experts, heart surgeon Marc Gillinov and cardiologist Steven Nissen, tackle the questions their patients have raised over their decades of practice: Can the stress of my job really lead to a heart attack? How does exercise help my heart, and what is the right amount and type of exercise? What are the most important tests for my heart, and when do I need them? How do symptoms and treatments differ among men, women, and children?Backed by decades of clinical experience and up-to-the-minute research, yet written in the accessible, down-to-earth tone of your trusted family doctor, Heart 411 cuts through the confusion to give you the knowledge and tools you need to live a long and heart-healthy life.

    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.

    But things didn't turn out that way. For a start, we turned out to have far fewer genes than originally thought - just over 20,000, the same sort of number as a fruit fly or worm. What's more, the proportionof DNA consisting of genes coding for proteins was a mere 2%. So, was the rest of the genome accumulated 'junk'?Things have changed since those early heady days of the Human Genome Project. But the emerging picture is if anything far more exciting. In this book, John Parrington explains the key features that are coming to light - some, such as the results of the international ENCODE programme, still much debated and controversial in their scope. He gives an outline of the deeper genome, involving layers of regulatory elements controlling and coordinating the switching on and off of genes; the impact ofits 3D geometry; the discovery of a variety of new RNAs playing critical roles; the epigenetic changes influenced by the environment and life experiences that can make identical twins different and be passed on to the next generation; and the clues coming out of comparisons with the genomes ofNeanderthals as well as that of chimps about the development our species. We are learning more about ourselves, and about the genetic aspects of many diseases. But in its complexity, flexibility, and ability to respond to environmental cues, the human genome is proving to be far more subtle than we ever imagined.

    The author of The Lives of a Cell and The Medusa and the Snail now raises challenging questions about some of the major issues of our time—AIDS, drug abuse, and aging.With extraordinary perception, author Lewis Thomas discusses topics such as evolutionary biology, the development of language, the therapeutic aspects of medicine, and his love for his profession.

    Our beginners guide contains all the essential information you need in order to succeed. It covers the basic techniques, well illustrated with over a hundred images, and explains everything you need to know in an understandable way. Bonsai Empire is the world's most visited Bonsai website and has provided beginners with quality information for over a decade. We have developed this guide to help you get a taste of this fascinating and living art, and hope you'll enjoy it as much as we do! This book includes: - Over 100 stunning images - Over 80 pages - Explanations of the basic techniques - Care guides on the 10 most popular tree species - Background on the history, definition and styles Walter Pall: "Now here is the ultimate book to lead beginners. I am happy to have been able to contribute to this" Mauro Stemberger "Very clear" and "With great quality drawings and pics"