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Sir Donald Irvine asks what further changes have to be made to the culture and regulation of medicine to make it as trustworthy as the public today expects. As President of the General Medical Council between 1995 and 2002, Sir Donald helped shape the changes that followed disasters like the deaths of babies at Bristol and the murders of Dr Harold Shipman. In this frenetic period a new ethos of professionalism emerged, embodying the concept of the autonomous patient and more robust, transparent professional regulation founded on a partnership between the public and doctors. Sir Donald discusses candidly the struggles in the profession and with successive Governments over the key issues. He p...
An integrated survey of best practices for the management of patients with implanted prosthetic devices and an insightful examination of the epidemiological, societal, and policy issues associated with their use. The devices covered range from breast, penile, vascular, and joint prostheses to cochlear, ossicular, and dental implants, and include cerebrospinal fluid shunts, cardiac valves, stents, and pacemakers. For each device, the authors consider its pros and cons, detail the best current strategies to keep implanted patients healthy, and evaluate the latest and most promising new diagnostic tests, Clinical counterpoints from distinguished authorities at major centers in the United States and Europe are offered throughout. Follow-up recommendations are summarized in a standardized format that allows comparative analysis and lays the foundation for controlled clinical trials and the eventual establishment of evidence-based guidelines.
Published to mark the opening of Wellcome Collection, this book examines the history of man's understanding of the human heart from the ancient world to the present. The book provides a richly-illustrated account of changes in our perception of what the heart does and what it means.
Front Lines of Thoracic Surgery collects up-to-date contributions on some of the most debated topics in today's clinical practice of cardiac, aortic, and general thoracic surgery,and anesthesia as viewed by authors personally involved in their evolution. The strong and genuine enthusiasm of the authors was clearly perceptible in all their contributions and I'm sure that will further stimulate the reader to understand their messages. Moreover, the strict adhesion of the authors' original observations and findings to the evidence base proves that facts are the best guarantee of scientific value. This is not a standard textbook where the whole discipline is organically presented, but authors' contributions are simply listed in their pertaining subclasses of Thoracic Surgery. I'm sure that this original and very promising editorial format which has and free availability at its core further increases this book's value and it will be of interest to healthcare professionals and scientists dedicated to this field.
If every system is perfectly designed to get the results it gets, what is wrong with the design of the systems that govern Britain? And how have they resulted in failures in housing, privatisation, outsourcing, education and healthcare? In How Did Britain Come to This? Gwyn Bevan examines a century of varieties of systemic failures in the British state. The book begins and ends by showing how systems of governance explain scandals in NHS hospitals, and the failures and successes of the UK and Germany in responding to Covid-19 before and after vaccines became available. The book compares geographical fault lines and inequalities in Britain with those that have developed in other European coun...
Bridging the gap between theory and practice, this strikingly original analysis of the complex dynamics of high-risk fields demonstrates that teamwork is more important than technical prowess in averting disasters. Thinking Through Crisis narrates critical incidents from initiation to resolution in five elegantly constructed case studies: the USS Greeneville collision, the Hillsborough football crush, the American Airlines flight 587 in-flight break-up, the Bristol Royal Infirmary pediatric fatalities and the US Airways flight 1549 Hudson River landing. Drawing on a variety of theoretical and real-world perspectives, this vivid, well-documented book provides innovative ways to understand risk management, develop new models of crisis decision making, enhance socially responsible leadership and encourage deep questioning of the behavior of individuals and groups in complex systems. Its insights will resonate with professionals in a wide range of fields and with a general audience interested in understanding crises in complex systems.
This book constitutes the thoroughly refereed conference proceedings of the 6th International Symposium on Biomedical Simulation (ISBMS) which was held in Strasbourg, France, in October 2014. Biomedical modeling and simulation are at the center stage of worldwide efforts to understand and replicate the behavior and function of the human organism. Large scale initiatives such as the Physiome Project, Virtual Physiological Human and Blue Brain Project aim to develop advanced computational models that will facilitate the understanding of the integrative function of cells, organs, and organisms, with the ultimate goal of delivering truly personalized medicine. At the same time, progress in modeling, numerical techniques and haptics has enabled more complex and interactive simulations. The 27 revised full papers (including 16 regular and 11 short papers) were carefully selected from 45 submissions and cover topics such as training systems and haptics, physics-based registration, vascular modeling and simulation, image and simulation, modeling, surgical planning, analysis, characterization and validation.
Ideally every patient with eczema should be patch tested and the importance of this investigation is now universally accepted. The simplicity of the technique belies its many pitfalls, the greatest being to lack the knowledge required to select the correct allergens and to interpret the results. The introduction, nearly 20 years ago, of the journal Contact Dermatitis greatly stimulated the reporting of the clinical side of contact dermatitis but a vast amount of laboratory work has also been published in other journals on the mechanisms and theory of these reactions. The literature on the subject is now quite vast and a comprehensive book on the clinical and research aspects of contact derma...
also discussed in detail." --Book Jacket.
Cardiac Surgery remains amongst the most intensive and at-risk surgical procedures. Various factors, such as surgical trauma, and the extracorporeal circulation, induce complex systemic inflammatory responses as well as organ-specific perioperative morbidity and mortality. Despite advancements in surgical techniques and cardiopulmonary bypass (CPB) technologies over the previous decades, Cardiac Surgery continues to be associated with these significantly fatal complications. For example, analysis of the Society of Thoracic Surgeons database of > 600,000 isolated Coronary Artery Bypass Graft (CABG) procedures identified major postoperative complications including stroke, renal failure, re-operations, and prolonged ventilation in 10.3% patients undergoing this procedure, with a failure to rescue rate in 16-22% of cases.