This edition incorporates current research methodology—including molecular and genetic clinical research—and offers an updated syllabus for conducting a clinical research workshop.Emphasis is on common sense as the main ingredient of good science. The book explains how to choose well-focused research questions and details the steps through all the elements of study design, data collection, quality assurance, and basic grant-writing. All chapters have been thoroughly revised, updated, and made more user-friendly.

    Courageous and life-affirming, this is a mother's final gift to her son. My beautiful son, I so wish that I didn't have to leave you now. But believe me, I tried EVERYTHING I could to stay around for you, and for every moment I could eke out of this life. From the start, it was not a fair fight. My cancer was too big, and too aggressive, and we didn't start on a level playing field. You were fourteen months old and at the beginning I was so full of fierce intention that we could get past this. I would lay you in your cot each night and silently intone from my mind to yours, 'I will do this Freddie, I will gladly take whatever they throw at me if it means we can stay together'. In 2016, beloved broadcaster and journalist Rachael Bland was diagnosed with cancer. Shortly afterwards she made the brave decision to share her story, and she spoke with beautiful poignancy through her blog and podcast, You Me & the Big C. Having been told that she only had a matter of months left to live and writing this in what was sadly her final days, Rachael brings her warmth, courage and humour to the page in this heart-warming and heart-breaking story. Part memoir, part advice, For Freddie beautifully encapsulates the grace and fearlessness in which Rachael lived her life. This is her legacy and an incredible final gift to her son.

    During your first 8 weeks post-op, meal planning is essential to make sure you get the nutrition you need. In The Gastric Sleeve Bariatric Cookbook, Sarah Kent—author of the bestselling Fresh Start Bariatric Cookbook—delivers effective meal plans and recipes specifically tailored for your new lifestyle after VSG.Unlike any other bariatric cookbook on the market, The Gastric Sleeve Bariatric Cookbook approaches your new diet with immediate and long-term dietary needs in mind, to help you get healthier—not just thinner. In the pages of The Gastric Sleeve Bariatric Cookbook you’ll find: 8 weeks of easy meal plans for each of the 4 post-op dietary stages (full liquid, pureed foods, soft foods, general diet) Over 95 protein-packed recipes—many of which yield leftovers for meals later in the week Post-op recipe icons that let you know at which stages you can eat each recipe, providing specific portion information as well Knowing what, when, and how much to eat after VSG doesn’t have to be stressful. The Gastric Sleeve Bariatric Cookbook makes it easy, healthy, and simply delicious to eat well after surgery and beyond.

    Nationally known health expert Jonny Bowden presents small changes anyone can implement up front for big energy—such as what to eat for all-day endurance, when to time a workout for the biggest brain boost, or how working with (or against) natural light cycles can make your sleep restorative or slump-inducing. Energy starts with attitude—you'll learn how to “think” like a high-energy person and use breathing techniques, meditation, and exercise to bust stress, beat fatigue, and boost stamina. You'll also learn how physical factors such as toxins, eating patterns, and nutritional deficiencies can sabotage strength—and how they can be corrected with proper diet and supplements. The 150 Most Effective Ways to Boost Your Energy gives you a complete program to go from exhausted to energized.

    Welshman has had a lifetime filled with exciting encounters with animals. As a lad in Nigeria, he is attacked by soldier ants and terrified by a snake in his treehouse. His treasured companion, Poucher, an African bush dog, prevents him and his mother from being savaged by baboons. Once qualified as a vet Malcolm has to attempt life-saving surgery on his beloved parrot. On a road trip across the Sahara, there is a tussle with a lame camel and the operation on an Ostrich gored by an antelope. Settling back in West Sussex in England, he tackles a cow that’s got stuck in a tree, wily cats and battles with cunning badgers and baby bats. He shares all these fascinating experiences in this gently humorous memoir that will guarantee to tug at the heart strings while bringing a smile to your face. Anyone who loves animals will be enchanted and enthralled.‘A witty take on a young vet’s life that pet lovers will find endearing.’ – Bel Mooney, Daily Mail.‘A joyful read full of animals and fun.’ – Celia Haddon, author and former Daily Telegraph columnist.‘Bursting with exotic creatures and eccentric characters, this touching memoir makes for a spellbinding read where the author’s love of animals shines through.’ – Jenny Itzcovitz, editor of Sixtyplussurfers.co.uk.

    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

    Lisa Sanders, author of the monthly New York Times Magazine column "Diagnosis," the inspiration for the hit Fox TV series House, M.D.The experience of being ill can be like waking up in a foreign country. Life, as you formerly knew it, is on hold while you travel through this other world as unknown as it is unexpected. When I see patients in the hospital or in my office who are suddenly, surprisingly ill, what they really want to know is, ‘What is wrong with me?’ They want a road map that will help them manage their new surroundings. The ability to give this unnerving and unfamiliar place a name, to know it–on some level–restores a measure of control, independent of whether or not that diagnosis comes attached to a cure. Because, even today, a diagnosis is frequently all a good doctor has to offer.A healthy young man suddenly loses his memory–making him unable to remember the events of each passing hour. Two patients diagnosed with Lyme disease improve after antibiotic treatment–only to have their symptoms mysteriously return. A young woman lies dying in the ICU–bleeding, jaundiced, incoherent–and none of her doctors know what is killing her. In Every Patient Tells a Story, Dr. Lisa Sanders takes us bedside to witness the process of solving these and other diagnostic dilemmas, providing a firsthand account of the expertise and intuition that lead a doctor to make the right diagnosis.Never in human history have doctors had the knowledge, the tools, and the skills that they have today to diagnose illness and disease. And yet mistakes are made, diagnoses missed, symptoms or tests misunderstood. In this high-tech world of modern medicine, Sanders shows us that knowledge, while essential, is not sufficient to unravel the complexities of illness. She presents an unflinching look inside the detective story that marks nearly every illness–the diagnosis–revealing the combination of uncertainty and intrigue that doctors face when confronting patients who are sick or dying. Through dramatic stories of patients with baffling symptoms, Sanders portrays the absolute necessity and surprising difficulties of getting the patient’s story, the challenges of the physical exam, the pitfalls of doctor-to-doctor communication, the vagaries of tests, and the near calamity of diagnostic errors. In Every Patient Tells a Story, Dr. Sanders chronicles the real-life drama of doctors solving these difficult medical mysteries that not only illustrate the art and science of diagnosis, but often save the patients’ lives.

    Sometimes, they're wrong. At Chelsea General, surgeons answer for bad outcomes at the Morbidity and Mortality conference, known as M & M. This extraordinary peek behind the curtain into what is considered the most secretive meeting in all of medicine is the back drop for the entire book.Monday Mornings, by Dr. Sanjay Gupta, follows the lives of five surgeons at Chelsea General as they push the limits of their abilities and confront their personal and professional failings, often in front of their peers at M & M. It is on Monday mornings that reflection and introspection occurs, usually in private. It is Monday Mornings that provides a unique look at the real method in which surgeons learn - through their mistakes. It is Monday Mornings when, if you're lucky, you have a chance at redemption.

    Inspired by colourful characters, he tells us tales that run the emotional roller-coaster, from heart-warming to hilarious and thought-provoking to, at times, almost unbelievable. Dr Moss invites us to see something of what really goes on behind the surgery door…

    Cory Franklin. Filled with stories of strange medical cases and unforgettable patients culled from a thirty-year career in medicine, Cook County ICU offers readers a peek into the inner workings of a hospital. Author Dr. Cory Franklin, who headed the hospital’s intensive care unit from the 1970s through the 1990s, shares his most unique and bizarre experiences, including the deadly Chicago heat wave of 1995, treating some of the first AIDS patients in the country before the disease was diagnosed, the nurse with rare Munchausen syndrome, the first surviving ricin victim, and the famous professor whose Parkinson’s disease hid the effects of the wrong medication. Surprising, darkly humorous, heartwarming, and sometimes tragic, these stories provide a big-picture look at how the practice of medicine has changed over the years, making it an enjoyable read for patients, doctors, and anyone with an interest in medicine.

    Now a paramedic field chief, Bomben looks back on thirty years of service in It's Not the Trauma, It's the Drama.The twenty true stories Bomben relates are unique—all told from the point of view of a woman rising through traditionally male ranks. Bomben's tales range from funny to gory, from the dangers paramedics face to the history of a venerable old firehouse. Some, of course, are about saving lives. Others are about simply staying alive.From Bomben's first trauma call—the result of a drag race along city streets gone horribly wrong—to her eventual rise through the ranks, her tales shift seamlessly from humorous encounters to descriptions of injuries human beings shouldn't be able to endure. Through it all, It's Not the Trauma, It's the Drama offers a glimpse of the strain and risk experienced by Chicago Fire Department paramedics every day.

    Leonard Haberman. A malpractice lawsuit ensues, fanned by a politically ambitious senator. Questions arise when it is discovered that the cocaine vaccine specifications are missing along with the head technician who worked closely with the deceased scientist. CBI Agent Ben Locke connects these events with a cold case involving the mysterious death of another scientist and a nefarious plot implicating an organized mob is exposed, placing Haberman and his family at great risk.

    He, alone, masters in one mind the fields of aviation, health care safety, medical malpractice law, organizational sociology, media communication, and, as if that were not enough, the art of fine writing. Only he could have made sophisticated, scientifically disciplined instruction about the nature and roots of safety into a page-turner. Medical care has a ton yet to learn from the decades of progress that have brought aviation to unprecedented levels of safety, and, in instructing us all about those lessons, John Nance is not just a bridge-builder - he is the bridge. This book should be required reading for anyone willing to face the facts about what it will take for health care to be as safe as it truly can be." Donald M. Berwick, MD, MPP President and CEO Institute for Healthcare Improvement (IHI)

    But that picture is vastly incomplete. In this eye-opening book, physician Rishi Manchanda says that our health may depend even more on our social and environmental settings than it does on our most cutting-edge medical care. Manchanda argues that that the future of our health care depends on growing a new generation of health care practitioners. We need doctors who look upstream for the sources of our problems, rather than simply go for quick-hit symptomatic relief. These upstreamists, as he calls them, are doctors and nurses on the frontlines of medicine who see that health (like sickness) is more than a chemical equation that can be balanced with pills and procedures administered within clinic walls. They see that health begins in our everyday lives, in the places where we live, work, eat, and play. If our high-cost, sick-care system is to become a high-value, health care system, the upstreamists will show us the way. (Description taken from TED Library: http://www.ted.com/pages/tedbooks_lib...)

    In his first two books, Dr. Dale Bredesen outlined the revolutionary treatments that are changing what had previously seemed like the inevitable outcome of cognitive decline and dementia. And in these moving narratives, you can hear directly from the first survivors of Alzheimer's themselves--their own amazing stories of hope told in their own words. These first person accounts honestly detail the fear, struggle, and ultimate victory of each patient's journey. They vividly describe what it is like to have Alzheimer's. They also drill down on how each of these patients made the program work for them--the challenges, the workarounds, the encouraging results that are so motivating. Dr. Bredesen includes commentary following each story to help point readers to the tips and tricks that might help them as well.Dr. Bredesen's patients have not just survived; they have thrived to rediscover fulfilling lives, rewarding relationships, and meaningful work. This book will give unprecedented hope to patients and their families.