Breast Cancer Screening

Author: Nehmat Houssami
Publisher: Academic Press
ISBN: 0128024941
Format: PDF, Docs
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Breast Cancer Screening: Making Sense of Complex and Evolving Evidence covers broad aspects of breast cancer screening specifically focusing on current evidence, emerging evidence, and issues that will be critical for future breast screening practice such as tailored screening and shared decision-making in breast screening. The scope of the book is relevant to a global audience. This book provides balanced perspectives on this increasingly controversial topic, using scientific evidence to explain the evolution of knowledge relating to breast cancer screening. Breast Cancer Screening covers the key points related to this debate including the context of increasingly complex and conflicting evidence, divergent opinions on the benefits and harms of breast screening, and variability in screening practice and outcomes across settings around the world. Explains complex and evolving evidence on breast screening with a balanced approach Provides balanced information and up-to-date evidence in an increasingly complex area Addresses emerging topical issues such as screening trials of digital breast tomosynthesis, tailored breast screening, and shared decision-making in breast screening Assists academics and researchers in identifying areas needing further research

Evolution in Health and Disease

Author: Stephen C. Stearns
Publisher: OUP Oxford
ISBN: 9780199207466
Format: PDF, ePub, Mobi
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In this fully revised and updated edition, the editors have integrated a completely new set of contributions from the leading researchers in the field to describe the latest research in evolutionary medicine, providing a fresh summary of this rapidly expanding field 10 years after its predecessor was first compiled. It continues to adopt a broad approach to the subject, drawing on medically relevant research from evolutionary genetics, human behavioural ecology, evolutionary microbiology (especially experimental evolution of virulence and resistance), the evolution of aging and degenerative disease, and other aspects of biology or medicine where evolutionary approaches make important contributions. Evolution in Health and Disease describes how evolutionary thinking gives valuable insights and fresh perspectives into human health and disease, establishing evolutionary biology as an essential complementary science for medicine. Integrating evolutionary thought into medical research and practice helps to explain the origins of many medical conditions, including diabetes, obesity, cardiovascular disease, asthma, allergies, other autoimmune diseases, and aging. It also provides life-saving insights into the evolutionary responses of pathogens to antibiotics, vaccinations, and other human interventions. Why do we grow old? How can we stay healthy as we age? The book discusses these and many other fascinating questions, as well as suggesting exciting possibilities for future treatment and research. This research level text is suitable for graduate level students and researchers in the fields of evolutionary (Darwinian) medicine, evolutionary biology, anthropology, developmental biology and genetics. It will also be of relevance and use to medical researchers and doctors.

Rehabilitation Medicine Core Competencies Curriculum

Author: Adrian Cristian
Publisher: Demos Medical Publishing
ISBN: 1936287838
Format: PDF, ePub
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" Built around the six core competencies for physicians practicing rehabilitation medicine as required by the ACGME, Physical Medicine and Rehabilitation Patient-Centered Care: Mastering the Competencies is a unique, self-directed text for residents. Covering all aspects of patient-centered care in the practice of physical medicine and rehabilitation, the book provides a competency-based approach to topics and conditions commonly encountered in this specialty. Thoughtfully organized chapters offer easy-to-access clinical content for all major practice areas, and the bookís competency-based goals and objectives also serve as a clear platform for educating physiatrists in training during their clinical rotations. The first part of the book presents the foundations of the core competencies (medical knowledge, professionalism, patient care, practice-based learning and improvement, system-based practice, and interpersonal and communication skills) with basic principles for application, and also includes chapters on implementing educational milestones, core professional education principles, and building leadership skills. In the second part, experts in the field apply these core competencies to the management of common conditions including stroke, spinal cord and brain injury, amputation and prosthetics, musculoskeletal disorders, multiple sclerosis, and much more. Each of these chapters identifies goals and objectives for each competency and concludes with a representative case study and self-assessment questions with answers and explanations. The book also provides references to key articles and links to internet-based educational materials. Practical tips, how-to and where-to guides, key points, tables, and charts also help to maintain current knowledge and competency in the many areas that comprise the field of PM&R. The book will be a valuable asset to physiatrists in training, program directors, and teaching faculty in rehabilitation medicine training programs, and for continuing professional development. Key Features: ? Addresses core competencies for rehabilitation medicine physicians as required by the ACGME ? Covers all major physiatric practice areas with facts, concepts, goals, and objectives following the competency model ? Grounded in a holistic, patient-centered approach ? Presents sample case studies with discussion points and self-assessment questions with answer key and explanations for each area to track progress and build clinical acumen "

ACR BI RADS Atlas der Mammadiagnostik

Author: American College of Radiology
Publisher: Springer-Verlag
ISBN: 3662488183
Format: PDF, Docs
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Dieses Buch ist die offiziell genehmigte, deutsche Übersetzung des ACR BI-RADS®-Atlas in seiner fünften Auflage. Der ACR BI-RADS®-Atlas ist ein qualitätssicherndes Werkzeug zur Standardisierung des Berichtswesens, der Unklarheiten in der Befundung der Mammadiagnostik wie auch bei den Vorschlägen zum weiteren Vorgehen verringern soll. Er macht die Ergebnisse von Instituten wie auch von einzelnen Befundern vergleichbarer und leichter kontrollierbar und verbessert somit die Versorgungsqualität für die Patientinnen. Inhalt: Der ACR BI-RADS®-Atlas umfasst das Spektrum der in der Praxis etablierten und wissenschaftlich fundierten Bildgebung der Mamma und besteht aus vier Teilen Mammografie, Sonographie der Mamma, Magnetresonanztomografie der Mamma sowie Nachkontrolle und Ergebnisüberwachung, in dem das klinisch relevante Audit und das erweiterte Audit der medizinischen Qualitätskontrolle erläutert werden. Nach einem jeweils einführenden Kapitel zu den drei bildgebenden diagnostischen Methoden folgt ein Atlasteil mit klaren Angaben zu den diagnostischen Kriterien wie Form, Rand, Verkalkungen, Kriterien der Kontrastmittelaufnahme etc., die sich durch klare Definitionen und einheitliche Benennungen auszeichnen. Für jedes Beschreibungskriterium wird hochqualitatives Bildmaterial gezeigt. Danach erläutert jeweils ein Kapitel, wie ein Befund erstellt werden sollte. Ziel ist es, anhand einer klaren und eindeutigen Diktion ohne adjektivische Ausschmückungen die Malignitätswahrscheinlichkeit einer Veränderung einzustufen, die sog. Festlegungskategorien 0-6 nach BI-RADS®, und auf dieser Grundlage ebenso klare Handlungsempfehlungen zur weiteren Aufarbeitung auszusprechen, die vom Vergleich mit Voraufnahmen über weitere bildgebende Diagnostik bis zur Empfehlung der Gewebediagnose mittels Biopsie reichen. Eingehend werden die Unterschiede von Screening- und diagnostischen Kategorisierungen abgehandelt. Der Leser findet jeweils im Kapitel "Hilfestellung" praktischen Rat zur Anwendung der deskriptiven Terminologie der einzelnen Verfahren, zur richtigen Verwendung der BI-RADS® Kategorien und zur Konkordanz von Befund und Handlungsempfehlung, abgeschlossen durch ein Schlusskapitel mit häufig gestellten Fragen und den Antworten darauf. Am Ende der diagnostischen Kapitel stehen komprimierte Formblätter, die dem Leser als Vorlage zu seinem Befundungssystem dienen können. Damit geht dieses Buch weit über den Rahmen eines Atlas hinaus, es ist eine große normative Hilfe für alle Probleme der Screening- und der diagnostischen Bildgebung.

Therapy Dogs in Cancer Care

Author: Dawn A. Marcus
Publisher: Springer Science & Business Media
ISBN: 1461433789
Format: PDF, Mobi
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Dogs that visit patients with cancer have been convincingly shown to reduce stress, loneliness, and mood disturbance that may complicate cancer care. In addition, dogs may provide important motivation for patients to maintain rehabilitation programs that have been shown to reduce cancer risk and improve cancer survival. Outlining all of these issues and many more, Therapy Dogs in Cancer Care: A Valuable Complementary Treatment is a ground-breaking, highly innovative addition to the literature on cancer care. Detailing a comprehensive summary of truly impressive research demonstrating the ability of dogs to serve an important therapeutic role within the cancer arena and in other serious medical conditions, the text provides highly practical advice and very helpful “tips” to ensure that those who wish to employ dogs to assist the cancer patient have the necessary knowledge and “tools” to optimize outcomes. Authored by Dawn A. Marcus, MD, an expert in both pain management and health improvement through human and dog interaction, Therapy Dogs in Cancer Care: A Valuable Complementary Treatment is an extremely well-organized, well-researched, and highly readable book. Providing practical suggestions to effectively incorporate dogs into cancer care, with detailed instructions about requirements for therapy dogs to ensure visits are safe and limit unwanted spread of infection, Therapy Dogs in Cancer Care: A Valuable Complementary Treatment is an invaluable reference that will inform and delight both the clinician desiring a “how-to” text as well as the casual reader.

Breast Cancer

Author: Daniel F. Roses
Publisher: W B Saunders Company
Format: PDF, ePub
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This practical book is designed to provide all members of the health care team with a comprehensive understanding of breast disease. A unique question and answer format explores every topic from molecular biology through diagnosis, therapy, and rehabilitation. Chapter subheadings take the form of questions, with the text directed at answering these critical questions.


Author: Gerd Gigerenzer
Publisher: C. Bertelsmann Verlag
ISBN: 3641119901
Format: PDF, ePub, Mobi
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Der neue Bestseller von Gerd Gigerenzer Erinnern wir uns an die weltweite Angst vor der Schweinegrippe, als Experten eine nie dagewesene Pandemie prognostizierten und Impfstoff für Millionen produziert wurde, der später still und heimlich entsorgt werden musste. Für Gerd Gigerenzer ist dies nur ein Beleg unseres irrationalen Umgangs mit Risiken. Und das gilt für Experten ebenso wie für Laien. An Beispielen aus Medizin, Rechtswesen und Finanzwelt erläutert er, wie die Psychologie des Risikos funktioniert, was sie mit unseren entwicklungsgeschichtlich alten Hirnstrukturen zu tun hat und welche Gefahren damit einhergehen. Dabei analysiert er die ungute Rolle von irreführenden Informationen, die von Medien und Fachleuten verbreitet werden. Doch Risiken und Ungewissheiten richtig einzuschätzen kann und sollte jeder lernen. Diese Risikoschulung erprobt Gigerenzer seit vielen Jahren mit verblüffenden Ergebnissen. Sein Fazit: Schon Kinder können lernen, mit Risiken realistisch umzugehen und sich gegen Panikmache wie Verharmlosung zu immunisieren.