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Author: Kathryn Fitch Publisher: Rand Corporation ISBN: 9780833029188 Category : History Languages : en Pages : 109
Book Description
Health systems should function in such a way that the amount of inappropriate care is minimized, while at the same time stinting as little as possible on appropriate and necessary care. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the "RAND/UCLA Appropriateness Method" was developed in the 1980s. It has been further developed and refined in North America and, increasingly, in Europe. The rationale behind the method is that randomized clinical trials--the "gold standard" for evidence-based medicine--are generally either not available or cannot provide evidence at a level of detail sufficient to apply to the wide range of patients seen in everyday clinical practice. Although robust scientific evidence about the benefits of many procedures is lacking, physicians must nonetheless make decisions every day about when to use them. Consequently, a method was developed that combined the best available scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history, and test results. This manual presents step-by-step guidelines for conceptualising, designing, and carrying out a study of the appropriateness of medical or surgical procedures (for either diagnosis or treatment) using the RAND/UCLA Appropriateness Method. The manual distills the experience of many researchers in North America and Europe and presents current (as of the year 2000) thinking on the subject. Although the manual is self-contained and complete, the authors do not recommend that those unfamiliar with the RAND/UCLA Appropriateness Method independently conduct an appropriateness study; instead, they suggest "seeing one" before "doing one." To this end, contact information is provided to assist potential users of the method.
Author: Kathryn Fitch Publisher: Rand Corporation ISBN: 9780833029188 Category : History Languages : en Pages : 109
Book Description
Health systems should function in such a way that the amount of inappropriate care is minimized, while at the same time stinting as little as possible on appropriate and necessary care. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the "RAND/UCLA Appropriateness Method" was developed in the 1980s. It has been further developed and refined in North America and, increasingly, in Europe. The rationale behind the method is that randomized clinical trials--the "gold standard" for evidence-based medicine--are generally either not available or cannot provide evidence at a level of detail sufficient to apply to the wide range of patients seen in everyday clinical practice. Although robust scientific evidence about the benefits of many procedures is lacking, physicians must nonetheless make decisions every day about when to use them. Consequently, a method was developed that combined the best available scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history, and test results. This manual presents step-by-step guidelines for conceptualising, designing, and carrying out a study of the appropriateness of medical or surgical procedures (for either diagnosis or treatment) using the RAND/UCLA Appropriateness Method. The manual distills the experience of many researchers in North America and Europe and presents current (as of the year 2000) thinking on the subject. Although the manual is self-contained and complete, the authors do not recommend that those unfamiliar with the RAND/UCLA Appropriateness Method independently conduct an appropriateness study; instead, they suggest "seeing one" before "doing one." To this end, contact information is provided to assist potential users of the method.
Author: Pedro Arezes Publisher: CRC Press ISBN: 1138000477 Category : Technology & Engineering Languages : en Pages : 648
Book Description
Occupational Safety and Hygiene presents selected papers from the International Symposium on Occupational Safety and Hygiene – SHO2013 (Guimarães, Portugal, 14-15 February 2013), which was organized by the Portuguese Society for Occupational Safety and Hygiene (SPOSHO). The contributions from 15 different countries focus on: - Occupational safety - Risk assessment - Safety management - Ergonomics - Management systems - Environmental ergonomics - Physical environments - Construction safety - Human factors The papers included in the book are mainly based on research carried out at universities and other research institutions, but they are also based on practical studies developed by Occupational Health & Safety (OHS) practitioners within their companies. As a result, this book will be useful to get acquainted with the state-of-the-art of the research within the aforementioned domains, as well as with some practical tools and approaches that are currently used by OHS professionals worldwide.
Author: Orlando Guntinas-Lichius Publisher: Thieme ISBN: 3132581542 Category : Medical Languages : en Pages : 1006
Book Description
This authoritative and up-to-date reference is a complete guide to the basic science, diagnosis, testing, and treatment of facial nerve disorders and diseases. An international team of renowned experts, put together and headed by the book's two specialist editors, provide in-depth discussion of facial nerve topography and physiology, as well as the broad spectrum of infectious, inflammatory, acute, chronic, benign, and malignant diseases related to facial nerve dysfunction. The book is filled with practical evidence-based information, guidelines, and algorithms presented in uniformly structured chapters, allowing readers to quickly pinpoint key details for treating a specific disease or disorder. Special Features: Pertinent topics including facial nerve trauma, Lyme disease, postoperative facial nerve palsy, face transplant, adjuvant treatment with botulinum toxin and fillers, facial dystonia and facial spasms, and the psychological and medicolegal aspects of facial nerve care are covered Step-by-step descriptions provided for facial nerve repair and reconstruction, static and dynamic reanimation techniques for adults and children, evaluation and treatment of paralytic eyelids, and more A wealth of clinically relevant information, including tips and tricks, and pitfalls to avoid in everyday practice More than 260 images and 16 videos (accessed through the Thieme MediaCenter) help visualizing and comprehending the content Extensive reference lists at the end of each chapter offer an overview of scientific work on the topic With current perspectives from leading experts, valuable clinical tools and advice, and coherently organized chapters, Facial Nerve Disorders and Diseases: Diagnosis and Management is a single-volume source for the state-of-the-art in facial nerve care. Specialists and residents in otorhinolaryngology, maxillofacial surgery, plastic surgery, neurosurgery, neurology, and rehabilitation medicine will refer to the book time and again in their treatment of patients with facial nerve dysfunction.
Author: Robert Thayer Sataloff Publisher: Plural Publishing ISBN: 1635500176 Category : Medical Languages : en Pages : 257
Book Description
Laryngeal Electromyography, Third Edition is an easy guide and quick reference for laryngologists, neurologists, physiatrists, and others who wish to learn the procedure of laryngeal electromyography in order to evaluate the integrity of the muscles and nerves of the larynx, and to determine the cause of movement disorders of the vocal folds and make a diagnosis. Thoroughly revised since the previous edition, Laryngeal Electromyography provides the latest advances on electromyographic procedure and diagnostics. This third edition includes concise, practical coverage on the details of the procedure and clinical applications.
Author: Bruno J. Vellas Publisher: Karger Medical and Scientific Publishers ISBN: 3805568037 Category : Medical Languages : en Pages : 202
Book Description
This book is the first of a new series which will present the proceedings of the newly established Nestlé Nutrition Workshop Series: Clinical & Performance Programme aimed at adult nutrition. Undernutrition is a common phenomenon in elderly people, and malnutrition reaches significant levels in those being in hospital, nursing homes or home care programs. Consequences of malnutrition often go unrecognised owing to the lack of specific validated instruments to assess nutritional status in frail elderly persons. The Mini Nutritional Assessment (MNA) provides a single, rapid assessment of nutritional status in the elderly of different degrees of independence, allowing the prevalence of protein-energy malnutrition to be determined and to evaluate the efficacy of nutritional intervention and strategies. Easy, quick and economical to perform, it enables staff to check the nutritional status of elderly people when they enter hospitals or institutions and to monitor changes occurring during their stay. Moreover, the MNA is predictive of the cost of care and length of stay in hospital. This publication will be of immense assistance to heads of geriatric teaching units, teachers in nutrition, clinicians general practitioners and dieticians, enabling them to better detect, recognise and start treatment of malnutrition in the elderly.
Author: Malte Erik Wigand Publisher: Thieme ISBN: 3131493917 Category : Medical Languages : en Pages : 239
Book Description
A new edition with up-to-date coverage of the most important concepts in endoscopic sinus surgery Returning in an up-to-date second edition, this book offers expanded coverage of the most important concepts in endoscopic sinus surgery with new insights into the anatomy of the paranasal sinuses. This text covers the basic concepts of intranasal surgery of the paranasal sinuses, endoscopic anatomy, preoperative and postoperative diagnosis, instrumentation, anesthesia and patient positioning. It describes standard and advanced surgical techniques for the nasal cavity, the maxillary antrum, the ethmoid, frontal and sphenoid sinuses, and the anterior base of the skull. Highlights of the second edition: New chapters on managing complications of rhinosinusitis, trauma, malformation, and neoplasms New section on transcranial exposure of the anterior skull and paranasal cavities Detailed presentation of endoscopic and microscopic approaches Extensive discussion of reasons for failed surgery and the principles of revision surgery More than 580 illustrations and new schematic drawings, including images that place special emphasis on anatomical landmarks to help orient the surgeon This book is a must-have reference for ENT surgeons and otolaryngologists seeking to enhance the versatility.
Author: Kathryn Fitch
Author: Kathryn Fitch
Author: 
Author: Pedro Arezes
Author: Richard Paul Spencer
Author: Nancy Bayley
Author: Orlando Guntinas-Lichius
Author: Robert Thayer Sataloff
Author: 
Author: Bruno J. Vellas
Author: Malte Erik Wigand