snowball in a blizzard the tricky problem of uncertainty in medicine

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Snowball In A Blizzard

Author : Steven Hatch
ISBN : 9780465098576
Genre : Medical
File Size : 66. 81 MB
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There’s a running joke among radiologists: finding a tumor in a mammogram is akin to finding a snowball in a blizzard. A bit of medical gallows humor, this simile illustrates the difficulties of finding signals (the snowball) against a background of noise (the blizzard). Doctors are faced with similar difficulties every day when sifting through piles of data from blood tests to X-rays to endless lists of patient symptoms. Diagnoses are often just educated guesses, and prognoses less certain still. There is a significant amount of uncertainty in the daily practice of medicine, resulting in confusion and potentially deadly complications. Dr. Steven Hatch argues that instead of ignoring this uncertainty, we should embrace it. By digging deeply into a number of rancorous controversies, from breast cancer screening to blood pressure management, Hatch shows us how medicine can fail—sometimes spectacularly—when patients and doctors alike place too much faith in modern medical technology. The key to good health might lie in the ability to recognize the hype created by so many medical reports, sense when to push a physician for more testing, or resist a physician’s enthusiasm when unnecessary tests or treatments are being offered. Both humbling and empowering, Snowball in a Blizzard lays bare the inescapable murkiness that permeates the theory and practice of modern medicine. Essential reading for physicians and patients alike, this book shows how, by recognizing rather than denying that uncertainty, we can all make better health decisions.

Mapping Uncertainty In Medicine

Author : Avril Danczak
ISBN : 0850844053
Genre :
File Size : 56. 6 MB
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Uncertainty is the norm in medical practice, yet often gives rise to distress in clinicians, who fear they will make shameful or guilt inducing errors. This book offers a succinct method to clinicians for classifying uncertainty and finding the right skills to manage different types of uncertainty successfully.

The Song Of The Lark

Author : Willa Cather
ISBN : HARVARD:32044036502136
Genre : Chicago (Ill.)
File Size : 77. 70 MB
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The First Immortal

Author : James L. Halperin
ISBN : UVA:X004296026
Genre : Fiction
File Size : 63. 40 MB
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When physician Benjamin Smith wakes up eighty-three years in the future--in the year 2071--after a cryonic sleep, he finds that although humankind has mastered cloning and eternal youth, emotional and ethical predicaments are still prevalent

Security Planning

Author : Susan Lincke
ISBN : 9783319160276
Genre : Computers
File Size : 55. 37 MB
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This book guides readers through building an IT security plan. Offering a template, it helps readers to prioritize risks, conform to regulation, plan their defense and secure proprietary/confidential information. The process is documented in the supplemental online security workbook. Security Planning is designed for the busy IT practitioner, who does not have time to become a security expert, but needs a security plan now. It also serves to educate the reader of a broader set of concepts related to the security environment through the Introductory Concepts and Advanced sections. The book serves entry level cyber-security courses through those in advanced security planning. Exercises range from easier questions to the challenging case study. This is the first text with an optional semester-long case study: Students plan security for a doctor’s office, which must adhere to HIPAA regulation. For software engineering-oriented students, a chapter on secure software development introduces security extensions to UML and use cases (with case study). The text also adopts the NSA’s Center of Academic Excellence (CAE) revamped 2014 plan, addressing five mandatory and 15 Optional Knowledge Units, as well as many ACM Information Assurance and Security core and elective requirements for Computer Science.

The St Martin S Guide To Writing

Author : Rise B. Axelrod
ISBN : 9780312536121
Genre : Language Arts & Disciplines
File Size : 68. 47 MB
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This textbook provides instruction in college level rhetoric and writing. It offers readings, a research manual, a handbook and supports a range of approaches to teaching and learning, including collaboration, visual rhetoric, personal writing, writing about literature, writing in the community and the workplace, field research, portfolios, oral presentations, essay exams, and ESL. It contains step-by-step guides to writing specific kinds of essays -- remembering events, writing profiles, explaining a concept, finding common ground, arguing a position, proposing a solution, justifying an evaluation, speculating about causes, and interpreting stories. Because so much college writing requires strong argumentation skills, four of the assignment chapters focus on argumentative writing, and a separate strategies chapter covers theses, reasons and support, counterarguments, and logical fallacies. Three full chapters on research give students useful strategies not only for conducting field, library, and Internet research, but also for evaluating sources; deciding whether to quote, paraphrase, or summarize; avoiding plagiarism; and documenting sources. The authors have included 39 readings by well-known authors and various "fresh" voices, including 12 students, providing well-written examples of the different types of essays and papers that students might be asked to complete.

The California Landlord S Law Book

Author : David Brown
ISBN : 9781413323634
Genre : Business & Economics
File Size : 50. 94 MB
Format : PDF
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No resource, in print or online, gives such detailed and practical information to California landlords and property managers, who are subject to a large number of detailed state, local, and federal laws and regulations. The 40+ forms are designed for every common situation, from tenancy terminations to notices to enter to required disclosures—all of which are subject to legal requirements.

Ageing And Technology

Author : Emma Domínguez-Rué
ISBN : 9783839429570
Genre : Social Science
File Size : 72. 49 MB
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The booming increase of the senior population has become a social phenomenon and a challenge to our societies, and technological advances have undoubtedly contributed to improve the lives of elderly citizens in numerous aspects. In current debates on technology, however, the »human factor« is often largely ignored. The ageing individual is rather seen as a malfunctioning machine whose deficiencies must be diagnosed or as a set of limitations to be overcome by means of technological devices. This volume aims at focusing on the perspective of human beings deriving from the development and use of technology: this change of perspective - taking the human being and not technology first - may help us to become more sensitive to the ambivalences involved in the interaction between humans and technology, as well as to adapt technologies to the people that created the need for its existence, thus contributing to improve the quality of life of senior citizens.

Ulysses Modern Classics Series

Author : James Joyce
ISBN : 9788026849841
Genre : Fiction
File Size : 49. 50 MB
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This carefully crafted ebook: “ULYSSES (Modern Classics Series)” is formatted for your eReader with a functional and detailed table of contents. Ulysses is a modernist novel by Irish writer James Joyce. It is considered to be one of the most important works of modernist literature, and has been called "a demonstration and summation of the entire movement". Ulysses chronicles the peripatetic appointments and encounters of Leopold Bloom in Dublin in the course of an ordinary day, 16 June 1904. Ulysses is the Latinised name of Odysseus, the hero of Homer's epic poem Odyssey, and the novel establishes a series of parallels between its characters and events and those of the poem (the correspondence of Leopold Bloom to Odysseus, Molly Bloom to Penelope, and Stephen Dedalus to Telemachus). Joyce divided Ulysses into 18 chapters or "episodes". At first glance much of the book may appear unstructured and chaotic; Joyce once said that he had "put in so many enigmas and puzzles that it will keep the professors busy for centuries arguing over what I meant", which would earn the novel "immortality". James Joyce (1882-1941) was an Irish novelist and poet, considered to be one of the most influential writers in the modernist avant-garde of the early 20th century. Joyce is best known for Ulysses, the short-story collection Dubliners, and the novels A Portrait of the Artist as a Young Man and Finnegans Wake.

Neurological Differential Diagnosis

Author : John Patten
ISBN : 3540662847
Genre :
File Size : 41. 64 MB
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