Décision médicale ou la quête de l'explicite

Décision médicale ou la quête de l'explicite PDF Author: Alain François Junod
Publisher: Medecine & Hygiene
ISBN: 9782880492014
Category :
Languages : fr
Pages : 333

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Book Description
A partir de situations tirées de la pratique courante, ce livre fait le tour des connaissances actuelles sur le raisonnement clinique, aborde les conditions nécessaires pour évaluer une probabilité diagnostique et dissèque les éléments impliqués dans une décision médicale. II insiste sur le rôle majeur des symptômes et signes cliniques dans la démarche diagnostique et dans l'évaluation de la prévalence de la maladie. Un recueil substantiel de scores à visée diagnostique est présenté à cet effet. En partant de modèles d'arbres décisionnels, dépouillés ou progressivement plus complexes, les différentes composantes de la décision, dont, entre autres, la qualité de vie et sa mesure, sont analysées dans une perspective clinique. Une importante compilation de scores pronostiques est mise à disposition à titre d'aide à la décision. La dernière partie, la plus novatrice, aborde les nombreux facteurs qui modulent ou parasitent la décision médicale, qu'il s'agisse de la personnalité du médecin, de sa spécialité, de son sexe, de son âge ou de ses représentations; des assurances et de leurs contraintes ; d'Evidence-Based Medicine et des recommandations pour la pratique clinique, sans oublier le patient, sa problématique et son désir de participer à la décision. Abondamment illustré et référencé, ce livre est destiné à l'ensemble de médecins praticiens et hospitaliers qui s'interrogent sur les fondement des décisions qu'ils prennent quotidiennement, ainsi qu'à tous ceux qui participent à la formation des étudiants et internes.

Décision médicale ou la quête de l'explicite

Décision médicale ou la quête de l'explicite PDF Author: Alain François Junod
Publisher: Medecine & Hygiene
ISBN: 9782880492014
Category :
Languages : fr
Pages : 333

Get Book Here

Book Description
A partir de situations tirées de la pratique courante, ce livre fait le tour des connaissances actuelles sur le raisonnement clinique, aborde les conditions nécessaires pour évaluer une probabilité diagnostique et dissèque les éléments impliqués dans une décision médicale. II insiste sur le rôle majeur des symptômes et signes cliniques dans la démarche diagnostique et dans l'évaluation de la prévalence de la maladie. Un recueil substantiel de scores à visée diagnostique est présenté à cet effet. En partant de modèles d'arbres décisionnels, dépouillés ou progressivement plus complexes, les différentes composantes de la décision, dont, entre autres, la qualité de vie et sa mesure, sont analysées dans une perspective clinique. Une importante compilation de scores pronostiques est mise à disposition à titre d'aide à la décision. La dernière partie, la plus novatrice, aborde les nombreux facteurs qui modulent ou parasitent la décision médicale, qu'il s'agisse de la personnalité du médecin, de sa spécialité, de son sexe, de son âge ou de ses représentations; des assurances et de leurs contraintes ; d'Evidence-Based Medicine et des recommandations pour la pratique clinique, sans oublier le patient, sa problématique et son désir de participer à la décision. Abondamment illustré et référencé, ce livre est destiné à l'ensemble de médecins praticiens et hospitaliers qui s'interrogent sur les fondement des décisions qu'ils prennent quotidiennement, ainsi qu'à tous ceux qui participent à la formation des étudiants et internes.

Cancer on Trial

Cancer on Trial PDF Author: Peter Keating
Publisher: University of Chicago Press
ISBN: 022614304X
Category : Medical
Languages : en
Pages : 475

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Book Description
There were no medical oncologists until a few decades ago. In the early 1960s, not only were there no such specialists, many practitioners regarded the treatment of terminally-ill cancer patients with heroic courses of chemotherapy as highly questionable. Physicians loath to assign patients randomly to competing treatments also expressed their outright opposition to the randomized clinical trials that were then relatively rare. And yet today these trials form the basis of medical oncology. How did such a spectacular change occur? How did medical oncology move from a non-entity and in some regards a reviled practice to the central position it now occupies in modern medicine? Cancer on Trial answers these questions by exploring how practitioners established a new style of practice, at the center of which lies the cancer clinical trial.

The Patient Will See You Now

The Patient Will See You Now PDF Author: Eric Topol
Publisher: Basic Books
ISBN: 0465094473
Category : Medical
Languages : en
Pages : 386

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Book Description
The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.

L'Union medicale du Canada

L'Union medicale du Canada PDF Author:
Publisher:
ISBN:
Category : Medicine
Languages : fr
Pages : 938

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Book Description


Body and Spirit in the Middle Ages

Body and Spirit in the Middle Ages PDF Author: Gaia Gubbini
Publisher: Walter de Gruyter GmbH & Co KG
ISBN: 3110615983
Category : Literary Criticism
Languages : en
Pages : 312

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Book Description
A crucial question throughout the Middle Ages, the relationship between body and spirit cannot be understood without an interdisciplinary approach – combining literature, philosophy and medicine. Gathering contributions by leading international scholars from these disciplines, the collected volume explores themes such as lovesickness, the five senses, the role of memory and passions, in order to shed new light on the complex nature of the medieval Self.

British Medicine in an Age of Reform

British Medicine in an Age of Reform PDF Author:
Publisher: Routledge
ISBN: 1134935315
Category :
Languages : en
Pages : 267

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Book Description


Current List of Medical Literature

Current List of Medical Literature PDF Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 786

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Book Description
Includes section, "Recent book acquisitions" (varies: Recent United States publications) formerly published separately by the U.S. Army Medical Library.

My Only Son

My Only Son PDF Author: Christopher J. Gambino
Publisher: Nicole Productions, Inc.
ISBN: 0975908502
Category :
Languages : en
Pages : 395

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Book Description
"My only Son," is the story of Vinny Denucci, the son of Sonny Denucci, the head of a New York organized crime family and the" Boss of Bosses" of the (5) Mafia families of New York. The story begins when Vinny is fourteen (14), a naive, intelligent good- natured boy, who does not fully understand what his father does for a living. Vinny has dreams of becoming a lawyer when he reaches adulthood. Sonny is a ruthless crime lord, who wants his only son to be his successor as head of the crime family. Felicia, Vinny's mother, is a strong willed individual who has grown tired of living the life of a crime boss" wife, and wants her son, with whom she is extremely close, to follow his dreams to a life outside the family. Sonny is so outraged and threatened by Felicia's interference with his plans for Vinny that he takes Felicia's life, and with the help of a crooked New York Detective, is able to cover up his horrible crime. With Felicia out of the way, Sonny drags Vinny into the life he and Felicia so vehemently wanted him to avoid. This story, through its many twists and turns, traces the life of Vinny as he is initiated into the family, becomes a" mobster," and eventually winds up in prison. While Vinny is in prison his grandmother Gina, Felicia's mother, is approached by an FBI Agent Rick Carr, who tells her that Felicia's death was not natural, as had been reported, and that he suspects Sonny was involved with her death. Once Gina relates this information to Vinny upon his release from prison, he makes the life altering decision to work with the FBI to try to bring down his Father's empire, in order to avenge his beloved mother's death. The story culminates in a heart stoppingconfrontation between Vinny and Sonny that will have the viewers on the edge of their seats.

Nazi Medicine and the Nuremberg Trials

Nazi Medicine and the Nuremberg Trials PDF Author: P. Weindling
Publisher: Springer
ISBN: 0230506054
Category : History
Languages : en
Pages : 490

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Book Description
This book offers a radically new and definitive reappraisal of Allied responses to Nazi human experiments and the origins of informed consent. It places the victims and Allied Medical Intelligence officers at centre stage, while providing a full reconstruction of policies on war crimes and trials related to Nazi medical atrocities and genocide.

Philosophy manual: a South-South perspective

Philosophy manual: a South-South perspective PDF Author: Chanthalangsy, Phinith
Publisher: UNESCO Publishing
ISBN: 9231010069
Category : Philosophy
Languages : en
Pages : 236

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Book Description