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.

    

    After a lifetime of obesity, following this way of eating began as a desperate plan to lose weight and evolved into a journey to manage my health and not just my weight. While I enjoy eating the best foods of my life and losing weight, I also have come to appreciate that my overall health has improved. I no longer need any of the four medications that I was on before I started keto. I no longer wait in the car or at the hotel while my family hikes. Now I’m the one who suggests that we go for walk or go kayaking or play at the pool. My husband and I have been on a ketogenic diet since June 2013, yet one of our physicians still asks whether this “diet” is sustainable in spite of our having lost a combined 180 lbs! Moreover, my husband's blood pressure has gone from the verge of needing medication to being low normal. Still, the physician asks if we can sustain it long term. In fact, more than one medical professional has told me that this way of eating is “too difficult to follow” or “too restrictive”. One of the goals of this cookbook is to prove that notion wrong. This cookbook has the "everyday" recipes that my family and I have enjoyed on our very own journey to health. There are some low carb “treat”, but the majority of the recipes in this book are the simple recipes that have become part of our day to day lives. There are delicious, filling breakfasts that will keep your tummy happy when it’s tired of scrambled eggs and bacon and hearty sides that will never make you feel deprived. This is “diet” food that you will be proud to share at any potluck and your “carbivore” friends will expect you to share! I snuck in a few very low carb treats for birthdays, holidays, or special occasions because these are the foods with which we have also celebrated on our journey. It is my sincere wish that these recipes can help you sustain a very low carb diet as a delicious life style. You can learn more about my journey from my YouTube channel, Cooking Keto with Kristie at https://www.youtube.com/channel/UCFGt... . You can also follow my Facebook page, Simply Keto or my website at www.cookingketowithkristie.com

    This informative and indispensable reference reviews fundamental information about fluids, electrolytes, and acid-base balance; identifies electrolyte, fluid, acid, and base imbalances; describes imbalances in major health problems and their consequences; and explains how to treat those imbalances—all in an easy-to-understand, comprehensive, enjoyable format.

    Forty-four million Americans suffer from low bone mass, and osteoporosis is responsible for more than 1.5 million fractures annually. Drugs and surgeries can alleviate pain, but study after study has shown that exercise is the best treatment, specifically low-impact, bone-strengthening exercises—hence, yoga.In this comprehensive and thoroughly illustrated guide, Loren Fishman and Ellen Saltonstall, who between them have seven decades of clinical experience, help readers understand osteoporosis and give a spectrum of exercises for beginners and experts. Classical yoga poses, as well as physiologically sound adapted poses, are presented with easy-to-follow instructions and photographs. The authors welcome readers of all ages and levels of experience into the healing and strengthening practice of yoga.

    For good. Quitting sugar in the real world is hard. Sugar is everywhere and your friends think you’re mad for not eating cake. You’ve done the 8 week detox plan and part of you still craves chocolate so much that you develop a mild twitch when you see a brightly coloured wrapper on the shelves in front of you. Deeply addictive, sugar is everywhere. Even added to the most unlikely foods, the majority of us exceed the recommended daily intake without even realising it. Instead of teaching you how to cook fake cake, or pretending that quinoa really is an exciting grain that will revolutionise your view on salads, this book guides you through the myths about sugar in our food and through the realities of addiction. The 9 step action plan then helps you make the change and really stick to it. Even if you’re not quite ready to eliminate all sugar from your life, this book contains practical tips to help you shop wisely, create good habits and sustain better lifestyle choices.

    This edition includes the most current advice on:· The new genomic classification of breast cancer and its importance in treatment planning· Cancer gene testing, which determines if a woman will benefit from chemotherapy· New developments in breast cancer treatments with new targeted agents· The continued importance of getting a second opinion: why it’s important, what questions to ask, and how to decide which team of doctors is best for you.Conscious of the rapidly evolving spectrum of treatment options, Dr. John Link outlines the latest findings and professional wisdom for patients in pursuit of the most effective treatment plan for them. The Breast Cancer Survival Manual continues to be a must-have for any woman seeking accurate and accessible information about managing breast cancer today.

    The text covers the neuroanatomy that medical and other healthcare students need, with expanded coverage of neurophysiology and inclusion of clinical content providing real-life application of neuroanatomy and neurophysiologic concepts to clinical neurologic disorders. Its readability and enhanced full-color illustrations make it a favorite among both students and faculty.Provides a single-author approach for a more consistent, readable text.Contains summary statement headings to help you find what you're looking for within the text.Provides an outline introducing each chapter to help students organize and stay focused as they learn.Includes appealing four-color, computerized three-dimensional images of the brain and brain structures fully integrated with the text.Complements an Electronic Image Bank that is also available separately.Includes more coverage of neurobiology and neurophysiology.Gives more clinical content, including many images depicting neurologic disorders.Features an expanded section on higher cortical function.Features an expanded section on learning and memory.Contains a new chapter on the development, maintenance, and repair of neural connections-an explosive area of research in neuroscience.Supplies a glossary of key terms.Replaces many of the older figures with new, computer-generated illustrations.

    Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In Powerful Medicines, he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced.This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans.In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nation’s drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls?Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industry’s own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible. This is a passionate and provocative call for action as well as a compelling work of clear-headed science.From the Hardcover edition.

    The entire process is explained in simple, easy to understand terms, so you can create a great blog without any technical knowledge. First, you will learn the basic process of WordPress blogging, which is the free software your blog will be built with. Once that is done, you will move on to customization of your new blog. The book then ends with chapters on promoting your blog and blogging for profit. In addition, the author offers additional support and updates through his website, free of charge.

    

     This book will give you a comprehensive overview of the Canadian history. Author James Weber did the research and compiled this huge list of events that changed the course of this nation forever. Some of them include: - Prehistoric hunters cross over into North America from Asia (30,000 - 10,000 BC) - The Inuit people begin to move into what are now the Northwest Territories (2000 BC) - Leif Ericsson leads Viking expedition to the new World (C.1000 AD) - Martin Frobisher sails to the Hudson Bay (1576) - Samuel de Champlain establishes a French colony (1608) - Treaty of Saint-Germain-en-Laye returns Québec to France (1632) - Treaty of Utrecht (1713) - Great Britain founds Halifax (1749) - The USA invades British colonies (1812-14) - The provinces of Alberta and Saskatchewan are created (1905) - World War II (1939-45) - The St Lawrence Seaway Opens (1959) - The Québec referendum on sovereignty is narrowly defeated (1995) - Canada declines to enter the War in Iraq (2003) and many many more The book includes pictures and explanations to every event, making this the perfect resource for students and anyone wanting to broaden their knowledge in histoy. Download your copy now! Tags: history, world history, history books, history of the world, human history, world history textbook, history books for kids, earth history, geographic history, earth history kindle, human history, history books for kids age 9 12, history of the world part 1, canadian history nonfiction, history books for kids age 7-9, history books for young readers, history books for children, canadian history books, history books for kindle, canadian history encyclopedia, canadian history, canadian history books, canadian history for dummies, canadian history textbook, canada history books, canada history, canada

    In this pocket version of his bestselling Life Without Diabetes, Professor Roy Taylor offers a brilliantly concise explanation of what happens to us when we get type 2 and how we can escape it.Taylor's research has demonstrated that type 2 is caused by just one factor - too much internal fat in the liver and pancreas - and that to reverse it you need to strip this harmful internal fat out with rapid weight loss.In simple, accessible language, Taylor takes you through the three steps of his clinically proven Newcastle weight loss plan and shows how to incorporate the programme into your life.Complete with FAQs and inspirational tips from his trial participants, this is an essential read for anyone who has been given a diagnosis of type 2 diabetes or pre-diabetes and wants to understand their condition and transform their outcomes.

    You don't have to do any math. And there's nothing to give up so there's no guilt. The best thing about Water with Lemon is that it delivers a compelling story with characters we can all relate to. Unlike preachy diet books filled with structured plans, this book models the emotional challenge of turning knowing into doing. It's good common sense, not new fad nonsense. It's the story of diet-free, guilt-free weight loss.

    Its organization and thoroughness are unsurpassed, putting it above similar review books. Students who thoroughly read this book should have no trouble successfully completing their psychiatry clerkship and passing the shelf exam. As course director for the core psychiatry clerkship at my institution, I will recommend this book to students."--Doody's Review Service"First Aid for the Psychiatry Clerkship" gives you the core information needed to impress on the wards and pass the psychiatry clerkship exam. Written by students who know what it takes to succeed, and based on the national guidelines for the psychiatry clerkship, the book is filled with mnemonics, ward and exam tips, tables, clinical images, algorithms, and newly added mini-cases.Features Completely revised based on the psychiatry clerkship's core competencies Written by medical students who passed and reviewed by faculty for accuracy NEW integrated mini-cases illustrate classic patient presentations and/or commonly tested scenarios NEW illustrations and management algorithms Updated throughout with enhanced sections on medications, depression/anxiety, and child psychiatry Helps students hone in on the most important concepts for the clerkship and the examThe content you need to ace the clerkship: Section I: How to Succeed in the Psychiatry Clerkship Section II: High-Yield Facts; Examination and Diagnosis; Psychotic Disorders; Mood Disorders; Anxiety and Adjustment Disorders; Personality Disorders; Substance-Related Disorders; Cognitive Disorders; Geriatric Disorders; Psychiatric Disorders in Children; Dissociative Disorders; Somataform and Factitious Disorders; Impulse Control Disorders; Eating Disordes; Disorders; Sleep Disorders; Sexual Disorders; Psychtherapies; Psychopharmacology; Legal Issues; Section III: Awards and Opportunities.