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 : 58. 91 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 : 59. 65 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.

Abc Of Clinical Reasoning

Author : Nicola Cooper
ISBN : 9781119059080
Genre : Medical
File Size : 62. 61 MB
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Being a good clinician is not just about knowledge – how doctors and other healthcare professionals think, reason and make decisions is arguably their most critical skill. While medical schools and postgraduate training programmes teach and assess the knowledge and skills required to practice as a doctor, few offer comprehensive training in clinical reasoning or decision making. This is important because studies suggest that diagnostic error is common and results in significant harm to patients – and errors in reasoning account for the majority of diagnostic errors. The ABC of Clinical Reasoning covers core elements of the thinking and decision making associated with clinical practice – from what clinical reasoning is, what it involves and how to teach it. Informed by the latest advances in cognitive psychology, education and studies of expertise, the ABC covers: Evidence-based history and examination Use and interpretation of diagnostic tests How doctors think – models of clinical reasoning Cognitive and affective biases Metacognition and cognitive de-biasing strategies Patient-centred evidence based medicine Teaching clinical reasoning From an international team of authors, the ABC of Clinical Reasoning is essential reading for all students, medical professionals and other clinicians involved in diagnosis, in order to improve their decision-making skills and provide better patient care.

Ageing And Technology

Author : Emma Domínguez-Rué
ISBN : 9783839429570
Genre : Social Science
File Size : 57. 58 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.

The Song Of The Lark

Author : Willa Cather
ISBN : HARVARD:32044036502136
Genre : Chicago (Ill.)
File Size : 35. 10 MB
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Security Planning

Author : Susan Lincke
ISBN : 9783319160276
Genre : Computers
File Size : 66. 99 MB
Format : PDF
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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.

Ulysses Annotated

Author : James Joyce
ISBN : 9783736813762
Genre : Fiction
File Size : 31. 56 MB
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Ulysses (1922) is a novel by the Irish author James Joyce. It was first serialised in parts in the American journal The Little Review from March 1918 to December 1920, and then published in its entirety by Sylvia Beach on 2 February 1922, in Paris. Joyce's technical innovations in the art of the novel... he used a complex network of symbolic parallels drawn from the mythology, history, and literature, and created a unique language of invented words, puns, and allusions. One of the most important works of Modernist literature, it has been called "a demonstration and summation of the entire movement". "Before Joyce, no writer of fiction had so foregrounded the process of thinking." Written over a seven-year period from 1914 to 1921. No book has ever been more eagerly and curiously awaited by the strange little inner circle of book-lovers and littérateurs than James Joyce's "Ulysses".

Influence Rev

Author : Robert B. Cialdini
ISBN : 9780688128166
Genre : Business & Economics
File Size : 66. 38 MB
Format : PDF, Kindle
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Influence, the classic book on persuasion, explains the psychology of why people say "yes"-and how to apply these understandings. Dr. Robert Cialdini is the seminal expert in the rapidly expanding field of influence and persuasion. His thirty-five years of rigorous, evidence-based research along with a three-year program of study on what moves people to change behavior has resulted in this highly acclaimed book. You'll learn the six universal principles, how to use them to become a skilled persuader-and how to defend yourself against them. Perfect for people in all walks of life, the principles of Influence will move you toward profound personal change and act as a driving force for your success.

The First Immortal

Author : James L. Halperin
ISBN : UVA:X004296026
Genre : Fiction
File Size : 26. 50 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

Rosacea

Author : Frank Powell
ISBN : 9781420072594
Genre : Medical
File Size : 80. 25 MB
Format : PDF
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This new guide provides physicians with the most current treatments to help alleviate the problems of facial redness in rosacea. Covering the structure and function of normal skin, this book also provides the basis for understanding the abnormalities that occur in these disorders and describes the different conditions that can result in facial redness. The physiological underpinnings of rosacea are not clear; this new book demystifies this disease and provides physicians with a better understanding and the ability to improve patient outcomes. With more than 10% of the patient population diagnosed with rosacea, this new, up-to-date guide on the topic is a critical addition to any physician’s library.

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