False Positive

False Positive PDF Author: Theodore Dalrymple
Publisher: Encounter Books
ISBN: 1641770473
Category : Medical
Languages : en
Pages : 233

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Book Description
The New England Journal of Medicine is one of the most important general medical journals in the world. Doctors rely on the conclusions it publishes, and most do not have the time to look beyond abstracts to examine methodology or question assumptions. Many of its pronouncements are conveyed by the media to a mass audience, which is likely to take them as authoritative. But is this trust entirely warranted? Theodore Dalrymple, a doctor retired from practice, turned a critical eye upon a full year of the Journal, alert to dubious premises and to what is left unsaid. In False Positive, he demonstrates that many of the papers it publishes reach conclusions that are not only flawed, but obviously flawed. He exposes errors of reasoning and conspicuous omissions apparently undetected by the editors. In some cases, there is reason to suspect actual corruption. When the Journal takes on social questions, its perspective is solidly politically correct. Practically no debate on social issues appears in the printed version, and highly debatable points of view go unchallenged. The Journal reads as if there were only one possible point of view, though the American medical profession (to say nothing of the extensive foreign readership) cannot possibly be in total agreement with the stances taken in its pages. It is thus more megaphone than sounding board. There is indeed much in the New England Journal of Medicine that deserves praise and admiration. But this book should encourage the general reader to take a constructively critical view of medical news and to be wary of the latest medical doctrines.

False Positive

False Positive PDF Author: Theodore Dalrymple
Publisher: Encounter Books
ISBN: 1641770473
Category : Medical
Languages : en
Pages : 233

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Book Description
The New England Journal of Medicine is one of the most important general medical journals in the world. Doctors rely on the conclusions it publishes, and most do not have the time to look beyond abstracts to examine methodology or question assumptions. Many of its pronouncements are conveyed by the media to a mass audience, which is likely to take them as authoritative. But is this trust entirely warranted? Theodore Dalrymple, a doctor retired from practice, turned a critical eye upon a full year of the Journal, alert to dubious premises and to what is left unsaid. In False Positive, he demonstrates that many of the papers it publishes reach conclusions that are not only flawed, but obviously flawed. He exposes errors of reasoning and conspicuous omissions apparently undetected by the editors. In some cases, there is reason to suspect actual corruption. When the Journal takes on social questions, its perspective is solidly politically correct. Practically no debate on social issues appears in the printed version, and highly debatable points of view go unchallenged. The Journal reads as if there were only one possible point of view, though the American medical profession (to say nothing of the extensive foreign readership) cannot possibly be in total agreement with the stances taken in its pages. It is thus more megaphone than sounding board. There is indeed much in the New England Journal of Medicine that deserves praise and admiration. But this book should encourage the general reader to take a constructively critical view of medical news and to be wary of the latest medical doctrines.

In the Wake of the Plague

In the Wake of the Plague PDF Author: Norman F. Cantor
Publisher: Simon and Schuster
ISBN: 1476797749
Category : History
Languages : en
Pages : 256

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Book Description
The Black Death was the fourteenth century's equivalent of a nuclear war. It wiped out one-third of Europe's population, taking millions of lives. The author draws together the most recent scientific discoveries and historical research to pierce the mist and tell the story of the Black Death as a gripping, intimate narrative.

The Plutonium Files

The Plutonium Files PDF Author: Eileen Welsome
Publisher: FriesenPress
ISBN: 1038326915
Category : History
Languages : en
Pages : 707

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Book Description
The Plutonium Files is the shocking exposé of the US government’s medical experiments on unwitting citizens during the Cold War. Americans recoiled when they learned of the brutal experiments conducted by Nazi doctors. But as the world was learning about those horrors, US scientists were injecting eighteen patients in hospital wards with plutonium, a deadly substance used to make the atomic bomb. The patients were given code numbers and went to their graves without knowing what had been done to them. In The Plutonium Files, Pulitzer-Prize winning journalist Eileen Welsome describes how she uncovered the identities of these patients and goes on to chronicle the web of deceit that enabled the experiment to remain largely unknown for fifty years. It’s a searing, cautionary tale about what can happen behind the cloak of secrecy In this new edition, the book returns to the July 16, 1945, Trinity Test in southern New Mexico. Trinity was not only the world’s first atomic bomb, but the world’s first dirty bomb. Survivors and their descendants in the path of the fallout experienced a huge increase in radiation-linked cancers and are still fighting for reparations. The Plutonium Files also traces the murky origins of other radiation experiments. Like the plutonium injectees, the subjects were surreptitiously followed for years. They included children in Massachusetts, pregnant women in Tennessee, and prisoners in Oregon and Washington. “A fierce expose of governmental duplicity and dangerous science ...The literature on the official crimes of the Cold War is large and growing. Welsome’s stunning book adds much to that literature, and it makes for sobering reading.” Kirkus Reviews

AIDS in the Twenty-First Century

AIDS in the Twenty-First Century PDF Author: T. Barnett
Publisher: Springer
ISBN: 0230599206
Category : Social Science
Languages : en
Pages : 425

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Book Description
Essential reading for social and medical scientists and all those interested in infectious diseases and public health, AIDS and the Twenty-First Century examines the social and economic origins and impacts of the HIV/AIDS epidemic. HIV/AIDS is not only a medical problem. It is an indication of the scale of the global crisis in public health. Accessibly written, this book is necessary reading for policymakers, students and all those who are concerned about the relationship between poverty, inequality and infectious diseases.

The Black Death, 1346-1353

The Black Death, 1346-1353 PDF Author: Ole Jørgen Benedictow
Publisher: Boydell Press
ISBN: 1843832143
Category : History
Languages : en
Pages : 452

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Book Description
This study of the Black Death considers the nature of the disease, its origin, spread, mortality and its impact on history.

NEJM Clinical Problem Solving

NEJM Clinical Problem Solving PDF Author: Sanjay Saint
Publisher: McGraw-Hill Professional
ISBN:
Category : Medical
Languages : en
Pages : 308

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Book Description
Expert clinical problem-solving methods and guidance—from the editors and contributors of the New England Journal of Medicine This invaluable resource from the New England Journal of Medicine expertly addresses methods and challenges in clinical diagnosis. Including the peer-reviewed content of the NEJM’s renowned “Clinical Problem Solving” feature, this powerful resource is packed with case discussions from both ambulatory and hospital practice. Each Case Presentation reveals thought-provoking clinical and laboratory clues as the diagnostic considerations begin to emerge. Subsequent clinical detail and discussion and expert analysis add to the diagnostic picture until a final clinical diagnosis is reached. New England Journal of Medicine: Clinical Problem-Solving features: Published cases drawn from the New England Journal of Medicine reflecting actual patient-management situations that physicians experience in their everyday clinical practice Two brand new, never-before-published chapters on medical decision-making skills and methods Wide-ranging coverage of the major considerations in each case, from underlying pathophysiology to signs from the physical examination to lab testing strategies More than 100 full-color illustrations, tables, and algorithms Meticulously selected references that open up avenues for further study And much more! From cover to cover, New England Journal of Medicine: Clinical Problem-Solving presents the best case analysis, diagnostic thought processes, and problem-solving-- direct from master clinicians.

Oath Betrayed

Oath Betrayed PDF Author: Steven Miles
Publisher: Random House
ISBN: 158836562X
Category : History
Languages : en
Pages : 247

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Book Description
“If law be the bedrock of civil society, it can no more undergird torture than it could support slavery or genocide.” –from the Introduction The graphic photographs of U.S. military personnel grinning over abused Arab and Muslim prisoners shocked the world community. That the United States was systematically torturing inmates at prisons run by its military and civilian leaders divided the nation and brought deep shame to many. When Steven H. Miles, an expert in medical ethics and an advocate for human rights, learned of the neglect, mistreatment, and torture of prisoners at Abu Ghraib, Guantánamo Bay, and elsewhere, one of his first thoughts was: “Where were the prison doctors while the abuses were taking place?” In Oath Betrayed, Miles explains the answer to this question. Not only were doctors, nurses, and medics silent while prisoners were abused; physicians and psychologists provided information that helped determine how much and what kind of mistreatment could be delivered to detainees during interrogation. Additionally, these harsh examinations were monitored by health professionals operating under the purview of the U.S. military. Miles has based this book on meticulous research and a wealth of resources, including unprecedented eyewitness accounts from actual victims of prison abuse, and more than thirty-five thousand pages of documentation acquired through provisions of the Freedom of Information Act: army criminal investigations, FBI notes on debriefings of prisoners, autopsy reports, and prisoners’ medical records. These documents tell a story markedly different from the official version of the truth, revealing involvement at every level of government, from Secretary of Defense Donald Rumsfeld to the Pentagon’s senior health officials to prison health-care personnel. Oath Betrayed is not a denunciation of American military policy or of war in general, but of a profound betrayal of traditions that have shaped the medical corps of the United States armed forces and of America’s abdication of its leadership role in international human rights. This book is a vital document that will both open minds and reinvigorate Americans’ understanding of why human rights matter, so that we can reaffirm and fortify the rules for international civil society. “This, quite simply, is the most devastating and detailed investigation into a question that has remained a no-no in the current debate on American torture in George Bush’s war on terror: the role of military physicians, nurses, and other medical personnel. Dr. Miles writes in a white rage, with great justification–but he lets the facts tell the story.” –Seymour M. Hersh, author of Chain of Command “Steven Miles has written exactly the book we require on medical complicity in torture. His admirable combination of scholarship and moral passion does great service to the medical profession and to our country.” –Robert Jay Lifton, M.D., author of The Nazi Doctors: Medical Killing and the Psychology of Genocide, and co-editor of Crimes of War: Iraq From the Hardcover edition.

Toward Precision Medicine

Toward Precision Medicine PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309222222
Category : Medical
Languages : en
Pages : 142

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Book Description
Motivated by the explosion of molecular data on humans-particularly data associated with individual patients-and the sense that there are large, as-yet-untapped opportunities to use this data to improve health outcomes, Toward Precision Medicine explores the feasibility and need for "a new taxonomy of human disease based on molecular biology" and develops a potential framework for creating one. The book says that a new data network that integrates emerging research on the molecular makeup of diseases with clinical data on individual patients could drive the development of a more accurate classification of diseases and ultimately enhance diagnosis and treatment. The "new taxonomy" that emerges would define diseases by their underlying molecular causes and other factors in addition to their traditional physical signs and symptoms. The book adds that the new data network could also improve biomedical research by enabling scientists to access patients' information during treatment while still protecting their rights. This would allow the marriage of molecular research and clinical data at the point of care, as opposed to research information continuing to reside primarily in academia. Toward Precision Medicine notes that moving toward individualized medicine requires that researchers and health care providers have access to very large sets of health- and disease-related data linked to individual patients. These data are also critical for developing the information commons, the knowledge network of disease, and ultimately the new taxonomy.

To Do No Harm

To Do No Harm PDF Author: Julianne M. Morath, RN, MS
Publisher: John Wiley & Sons
ISBN: 0787972657
Category : Medical
Languages : en
Pages : 386

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Book Description
With this important resource, health care leaders from the board room to the point-of-care can learn how to apply the science of safe and best practices from industry to healthcare by changing leadership practices, models of service delivery, and methods of communication.

Making Healthcare Safe

Making Healthcare Safe PDF Author: Lucian L. Leape
Publisher: Springer Nature
ISBN: 3030711234
Category : Medical
Languages : en
Pages : 460

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Book Description
This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.