... process helps the physician develop an appreciation ofthe patient's perception ofthe illness, the patient's expectations of the physician and the health care system, and the financial ... –Harrison's Principles of Internal Medicine, 1950 The practiceofmedicine has changed in significant ways since the first edition of this book appeared in 1950. The advent of molecular biology ... for the biological sciences (the sequencing ofthe human Clinical Skills History-Taking The written history of an illness should include all the facts of medical significance in the life of...
... precision, they often gain an aura of authority regardless ofthe fallibility ofthe tests themselves, the instruments used in the tests, and the individuals performing or interpreting them. Physicians ... significance in the context ofthe patient's condition and other test results. The development of technically improved imaging studies with greater sensitivity and specificity is one ofthe most ... rate, often provide a major clue to the presence of a pathologic process. On the other hand, the physician must learn to evaluate occasional history, should be recorded at the time they are...
... Evidence-based medicine has become an increasingly important part of the routine practiceofmedicine and has led to the publication of a number of practice guidelines. Practice Guidelines Professional ... Chapter 001. ThePracticeofMedicine (Part 3) Principles of Patient Care Evidence-Based Medicine Evidence-based medicine refers to the concept that clinical decisions ... care. Guidelines can also protect conscientious caregivers from inappropriate charges of malpractice and society from the excessive costs associated with the overuse of medical resources. There...
... understanding ofthe mechanisms of gender differences in the course and outcome of certain diseases. For a more complete discussion of women's health, see Chap. 6. Care ofthe Elderly The relative ... of hospitalized patients, and the incidence increases with use of a large number of drugs. No matter what the clinical situation, it is the responsibility ofthe physician to use powerful therapeutic ... proportion of elderly individuals in the populations of developed nations has been growing considerably over the past few decades and will continue to grow. In this regard, thepracticeof medicine...
... by the interplay of genetic and environmental factors. Indeed, we have just begun to scratch the surface of possibilities that the era of genomics will provide to thepracticeof medicine. The ... complete discussion of global issues, see Chap. 2. Medicine on the Internet On the whole, the Internet has had a very positive effect on thepracticeof medicine; a wide range of information is ... travel may be offset by the quality of care at these distant locations. As much as any other factor influencing global aspects of medicine, the Internet has transformed the transfer of medical...
... than they were when the first edition of this book waswritten.Despite all these additions and changes, however, the structure of The Practiceof English Language Teaching remains essentially the ... language because they are attracted to the culture of one ofthe TLCs (see (c) above). They learn the language becausethey want to know more about the people who speak it, the places where itis ... as will other members of the student's community.Another factor affecting the attitude of students is their previousexperiences as language learners. If they were successful then they may...
... in the human-animal relationship and the rise ofthe veterinary regime from the time of animaldomestication and the inception of livestock husbandry up until the present day. The book, therefore, ... century. Similarly, Offringa (1971, 1976, 1981, 1983) traces the emergenceand institutionalisation ofthe veterinary profession in the Netherlands, drawing onsociological theories of professionalisation ... drudgery of tilling the land nor the harvesting of crops. While the spread of agrarianism brought the existence ofdomesticated animals to the attention ofthe hunting peoples living on the periphery...
... markets. The disease remained in the country until 1720. The epizootic of 1744 was the most severe one, causing the death of about one million animals in the course of twenty years. Again, the ... disease started in the province of Hol-land and spread from there to most other regions ofthe country. The mea-sures taken by the authorities did not differ from those taken in the 1713 epizootic. ... the inoculation of infectious matter obtained from the lungs of infected animals into the tails of sound cattle. After experiments with the Willems method by the State Veterinary School, the...
... ofpractice are based upon the principles of ethical practice embodied in the NBCC Code of Ethics. Therefore, these standards should be used in conjunction with the most recent version ofthe ... light of delivery systems existing at the moment rather than at the time the standards were adopted. In addition to following the NBCCđ Code of Ethics pertaining to thepracticeof professional ... the responses ofthe counselor and the client. Asynchronous interaction occurs with a gap in time between the responses ofthe counselor and the client. The selection of a specific form of...
... obstruction ofthe bowels the opening of the abdomen, removal ofthe obstructed portion and uniting the ends ofthe intestine by sutures.After the death of Alexander, Egypt fell into the hands of his ... from the city, then he sketches the career of some ofthe more famous ofthe physicians under the Empire, some of whom must have had incomes neverapproached at any other period in the history of ... dogmasinto the language of Greek thought and finally crystallized them in the philosophy of Aristotle."Whether a plaything ofthe gods or a cog in the wheels ofthe universe this was the problem...