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Sperimentazione clinica

Come implementare l'assistenza sanitaria basata sull'evidenza

Trisha Greenhalgh

editore: Il Pensiero Scientifico

pagine: 368

Il volume, scritto in modo stimolante e diretto, fa chiarezza sul panorama complesso e confuso dell'implementazione della scienza, sul ruolo dell'impatto della ricerca e su come evitare la dispersione della ricerca, spiegando come applicare con successo l'assistenza sanitaria basata sull'evidenza nella pratica per renderla sicura ed efficace.
28,00 23,80

On Rounds: 1000 Internal Medicine Pearls

Lewis Landsberg

editore: Lippincott Williams and Wilkins

pagine: 240

Clinical judgment is a critical aspect - perhaps the most critical aspect - of efficient, accurate, and cost-effective patient care. Focusing on essential clinical skills, On Rounds: 1000 Internal Medicine Pearls helps clinicians in training and in practice to identify the critical findings that will simplify complex clinical problems and lead to an accurate diagnosis. One thousand easy-to-remember clinical aphorisms, or "pearls," help you distinguish the important findings from the incidental, pointing out the distinctive features amidst the mass of data that is accumulated in the evaluation of a sick patient, and leading to the development of mature clinical judgment.*Go "on rounds" with one of the most respected educators in internal medicine and learn from his nearly 50 years of clinical experience.*Focus on the areas that are often a source of confusion for students, trainees, and even seasoned practitioners.*Learn each pearl in a relevant clinical context, with tables, clinical images, and physiology information, where appropriate.*Recognize "black pearls:" statements that, although widely believed, are demonstrably false.* Improve your clinical judgment skills whether you're a resident or an experienced clinician.*Carry these pocket-sized pearls with you for quick reference.Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like:*Complete content with enhanced navigation *Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web*Cross-linked pages, references, and more for easy navigation*Highlighting tool for easier reference of key content throughout the text* Ability to take and share notes with friends and colleagues*Quick reference tabbing to save your favorite content for future use
47,00 39,95

La ricerca qualitativa. Una risorsa per i professionisti della salute

Loredana Sasso, Annamaria Bagnasco
e altri

editore: Edra

pagine: 208

Per far crescere la qualità della formazione del personale infermieristico deve crescere il livello della ricerca nell'ambito delle professioni sanitarie. È necessario individuare nuove modalità nella raccolta e nella elaborazione dei dati che superino la sola analisi quantitativa. La ricerca qualitativa è oggi di grande attualità perché mette al centro i bisogni della persona assistita. Il volume illustra sia i principi generali della ricerca qualitativa che i tre metodi di riferimento (grounded theory, ricerca etnografica, ricerca fenomenologica) con un continuo rimando all'attività di pianificazione e agli obiettivi professionali della nuova generazione di infermieri.
19,00 16,15

Introduction to Reaserch

Understanding and applying Multiple Strategies

Elizabeth DePoy

editore: Elsevier

pagine: 364

Bridge the gap between research and practice with DePoy and Gitlin's Introduction to Research: Understanding and Applying Multiple Strategies, 4th Edition. This completely updated, user-friendly text helps you better understand not only the research process, but also research designs and their applications to the real world of clinical practice. Covering multiple research strategies (including both qualitative and quantitative research), it gives you a balanced approach to various research traditions, addressing the key issues that are emerging in today's health care environment.
56,00 47,60

Studying a Study and Testing a Test

Reading Evidence-based Health Research

Richard K. Riegelman

editore: Lippincott Williams and Wilkins

pagine: 340

Ideal for clinical students including medical, nursing, pharmacy, dental, physician assistant and more! Evidence-based information plays a critical role in clinical practice decisions. Secondary sources are often unreliable; it's up to the student, then, to critically assess peer-reviewed research literature. Using a highly structured yet accessible method, this best-selling text teaches students to critically analyze research from primary sources. Step-by-step approach- learn to recognize a meaningful study, clues to potential study flaws, and ways to apply solid evidence in clinical practice. Simple 6-point framework- learn to evaluate studies in terms of the author's trademark mnemonic device, M.A.A.R.I.E. (Methods, Assignment, Assessment, Results, Interpretation and Extrapolation). Unique Learning Aids - question checklists, real-world scenarious, flaw-catching exercises and more help to make complex concepts easy to grasp. New! New chapters cover safety, prediction and decision rules, and translating research into practice. "Learn More" boxes illustrate key concepts. Clinically oriented "Mini-Studies" demonstrate what can go wrong and how to get it right. Research topics include ethics, the role of Institutional Review Boards (IRBs), and advances in randomized controlled trials and observational studies. FREE Online Support! (with the purchase of the book) For Students: interactive Q&A for every chapter; M.A.A.R.I.E. framework and flaw-catching exercises; chapter objectives; and, flash Card interactive glossary. For Faculty: All of the student resources plus: instructor's guide with "tips on teaching" based on Dr. Riegelman's 30+ years of teaching from the text; syllabus suggestions for applying the text in semester-long courses, mini-courses, and as part of Journal Clubs; and, powerpoints designed to assist lectures Class-tested exam questions for each chapter.
67,00 56,95

Davidson's 100 Clinical Cases

John A. A. Hunter, Mark Strachan
e altri

editore: Churchill Livingstone

pagine: 392

"Davidson's 100 Clinical Cases" was awarded First Prize in Medicine in the 2009 British Medical Association Medical Book Awards. This book reflects the real world in which doctors practise medicine. The selection of clinical problems guides the reader, step by step, through the correct path in the maze between the presenting complaint of a patient and the final diagnosis. The text emphasises the value of interpreting available clinical and investigative information in a logical way before considering a definitive diagnosis.
27,00 22,95

Evidence-based clinical practice. La pratica clinico-assistenziale basata su prove di efficacia

editore: McGraw-Hill Education

pagine: 480

L'elemento più innovativo di questa seconda edizione è rappresentato proprio dal titolo, infatti si è voluto estendere a tutte le professioni sanitarie, e non più solo all'infermiere, l'esercizio di una pratica clinica basata su prove di efficacia. Il testo anche in questa nuova veste si propone come "guida operativa", infatti l''EBCP è un processo per mezzo del quale i professionisti sanitari assumono le decisioni cliniche utilizzando le migliori ricerche disponibili, la loro esperienza clinica e le preferenze del paziente. Tutti gli argomenti sia di metodologia e sia di pratica sono stati aggiornati dal team Centro Studi EBN di Bologna, che sono noti su tutto il territorio nazionale come i massimi esperti del settore, andando quindi ad eliminare argomenti obsoleti (cenni sulla nascita di internet, sintesi e chiavi di ricerca, aiuti e link) e andando a implementare argomenti come gli studi sperimentali o introducendo nuovi argomenti come la ricerca qualitativa. Inoltre in questa seconda edizione, il testo di arricchisce di nuovi collaboratori (statisti, logopedisti, fisioterapisti), questo per orientare il volume non solo agli infermieri, ma a tutte gli operatori delle professioni sanitarie.
41,00 36,90

Evidence-based Medicine

How to Practice and Teach it

Paul P. Glasziou, R. Brian Haynes
e altri

editore: Churchill Livingstone

pagine: 312

"Evidence Based Medicine" provides a clear explanation of the central questions: how to ask answerable clinical questions; how to translate them into effective searches for the best evidence; how to critically appraise that evidence for its validity and importance; and, how to integrate it with patients' values and preferences.
40,00 34,00

Clinical Trials

What Patients and Volunteers Need to Know

Lorna Speid

editore: Oxford University Press Inc

pagine: 208

Every year, hundreds of thousands of healthy volunteers and patients worldwide undertake the journey through the maze that can be clinical trials. Research participants take part in clinical trials for a variety of reasons. The healthy volunteers may be seeking extra money to pay off college tuition, or they may know someone who is suffering and would potentially benefit from the results of the trial. The patient who is terminally ill might participate in a clinical trial simply as a last hope for a cure. Whatever the goals, though, most participants will experience the same sense of bewilderment as they encounter the jargon and medical terminology that they will hear and have to read about and understand during the course of the clinical trial. Clinical Trials: What Patients and Volunteers Need to Know demystifies the entire process, focusing on the process of drug development, and the clinical trial itself. Writing from a lifetime of experience, the author provides important questions to ask those running a clinical trial, key definitions and terms for a participant to know and understand, as well as anecdotes illustrating the clinical trial process. The author also grapples with the idea of "informed consent," providing mechanisms for patients and volunteers to feel fully informed before signing up for the trial. A vital resource for those who are considering enrolling in a clinical trial, or for the parents, friends, or relatives of those involved in a clinical trial, this book takes away the mystery and allows the participant to enter a clinical trial feeling both informed and confident.
18,00 15,30

Clinical Medicine for the MRCP PACES

Bilal Iqbal, Deborah Bowman
e altri

editore: Oxford University Press

pagine: 360

Volume 2 of a two volume MRCP text, this book includes cases which mimic the style and approach of the MRCP PACES exam. Clinical Medicine for MRCP PACES will equip the candidate attempting the MRCP examination with the skills and knowledge necessary for success, and will also provide an overview of evidence-based medicine for competency-based training. Throughout this and Volume 1, the authors explore all aspects of the candidate's performance, from clinical examination, to presentation, communication and medical ethics and up-to-date clinical evidence. Volume 2 includes 75 cases and covers Stations 2 and 4: Station 2 covers history taking skills; Station 4 covers communication skills and ethics. This book follows a structured approach to history taking and communication issues, which not only facilitates learning and understanding, but is also required for other workplace based assessments. This book will continue with the theme of Volume 1, in providing candidates with an accurate, authoritative, evidence-based companion for both the MRCP examination, and postgraduate training in the MMC era. Visit our website for details of our range of titles for MRCP and more in the Oxford Specialty Training series at www.oup.com/uk/medicine/ost
63,00 53,55

A Clinical Trials Manual from the Duke Clinical Research Institute

Lessons from a Horse Named Jim

Kate Davis, Margaret Liu

editore: Wiley-Blackwell (an imprint of John Wiley & Sons Ltd)

pagine: 424

"The publication of the second edition of this manual comes at an important juncture in the history of clinical research. As advances in information technology make it possible to link individuals and groups in diverse locations in jointly seeking the answers to pressing global health problems, it is critically important to remain vigilant about moral and ethical safeguards for every patient enrolled in a trial. Those who study this manual will be well aware of how to ensure patient safety along with fiscal responsibility, trial efficiency, and research integrity." -Robert Harrington, Professor of Medicine, Director, Duke Clinical Research Institute, Durham, North Carolina, USA The Duke Clinical Research Institute (DCRI) is one of the world's leading academic clinical research organizations; its mission is to develop and share knowledge that improves the care of patients around the world through innovative clinical research. This concise handbook provides a practical "nuts and bolts" approach to the process of conducting clinical trials, identifying methods and techniques that can be replicated at other institutions and medical practices. Designed for investigators, research coordinators, CRO personnel, students, and others who have a desire to learn about clinical trials, this manual begins with an overview of the historical framework of clinical research, and leads the reader through a discussion of safety concerns and resulting regulations. Topics include Good Clinical Practice, informed consent, management of subject safety and data, as well as monitoring and reporting adverse events. Updated to reflect recent regulatory and clinical developments, the manual reviews the conduct of clinical trials research in an increasingly global context. This new edition has been further expanded to include:* In-depth information on conducting clinical trials of medical devices and biologics* The role and responsibilities of Institutional Review Boards, and* Recent developments regarding subject privacy concerns and regulations. Ethical documents such as the Belmont Report and the Declaration of Helsinki are reviewed in relation to all aspects of clinical research, with a discussion of how researchers should apply the principles outlined in these important documents. This graphically appealing and eminently readable manual also provides sample forms and worksheets to facilitate data management and regulatory record retention; these can be modified and adapted for use at investigative sites.
54,00 45,90

Decision Making in Medicine

An Algorithmic Approach

Harry L. Greene, Stuart B. Mushlin

editore: Mosby

pagine: 768

This popular reference facilitates diagnostic and therapeutic decision making for a wide range of common and often complex problems faced in outpatient and inpatient medicine. Comprehensive algorithmic decision trees guide you through more than 245 disorders organized by sign, symptom, problem, or laboratory abnormality. The brief text accompanying each algorithm explains the key steps of the decision making process, giving you the clear, clinical guidelines you need to successfully manage even your toughest cases.
80,00 68,00

Research Methods for Clinical Therapists

Applied Project Design and Analysis

Carolyn M. Hicks

editore: Churchill Livingstone

pagine: 408

Struggling to do a project or dissertation, evaluate published research or conduct your own research? Help is at hand with this 5th edition of "Research Methods for Clinical Therapists", which explains, in a clear and simple manner, how to evaluate existing research and how to conduct your own research. Aimed at undergraduate and postgraduate students, as well as the practising health care professional, the focus of the text is the design and analysis of experimental studies. These are vital to the effectiveness studies that are central to the work of the healthcare professional. Specific examples from different areas of healthcare are used to explain the core research concepts and relate them to clinical situations. Statistical theory and jargon are kept to a minimum.
58,00 49,30

Evidence-based Diagnosis

Michael A. Kohn, Thomas B. Newman

editore: Cambridge University Press

pagine: 312

Evidence-Based Diagnosis explains diagnostic, screening, and prognostic tests in clinical medicine. The authors' approach is based on many years of experience teaching physicians in a clinical research training program. Although needing only a minimum of mathematics, the quantitative discussions in this book are deeper and more rigorous than in most introductory texts. The book includes numerous worked examples and 60 problems (with answers) based on real clinical situations and journal articles. This book is a great choice for anyone looking to select, develop, or apply medical tests. Topics covered include: the diagnostic process; test reliability and accuracy; testing and treatment thresholds; critical appraisal of studies of diagnostic, screening and prognostic tests; test independence and methods of combining tests; quantifying treatment benefits using randomized trials and observational studies; Bayesian interpretation of P values and confidence intervals; challenges for evidence-based diagnosis; likelihood ratios and ROC curves.
39,00 33,15

Textbook of Clinical Trials

David Machin, Simon Day
e altri

editore: Wiley-Blackwell (an imprint of John Wiley & Sons Ltd)

pagine: 784

Now published in its Second Edition, the Textbook of Clinical Trials offers detailed coverage of trial methodology in diverse areas of medicine in a single comprehensive volume. Praise for the First Edition: "...very useful as an introduction to clinical research, or for those planning specific studies within therapeutic or disease areas." BRITISH JOURNAL OF SURGERY, Vol. 92, No. 2, February 2005 The book's main concept is to describe the impact of clinical trials on the practice of medicine. It separates the information by therapeutic area because the impact of clinical trials, the problems encountered, and the numbers of trials in existence vary tremendously from specialty to specialty. The sections provide a background to the disease area and general clinical trial methodology before concentrating on particular problems experienced in that area. Specific examples are used throughout to address these issues. The Textbook of Clinical Trials, Second Edition: * Highlights the various ways clinical trials have influenced the practice of medicine in many therapeutic areas * Describes the challenges posed by those conducting clinical trials over a range of medical specialities and allied fields * Additional therapeutic areas are included in this Second Edition to fill gaps in the First Edition as the number and complexity of trials increases in this rapidly developing area * Newly covered or updated in the Second Edition: general surgery, plastic surgery, aesthetic surgery, palliative care, primary care, anaesthesia and pain, transfusion, wound healing, maternal and perinatal health, early termination, organ transplants, ophthalmology, epilepsy, infectious disease, neuro-oncology, adrenal, thyroid and urological cancers, as well as a chapter on the Cochrane network An invaluable resource for pharmaceutical companies, the Textbook of Clinical Trials, Second Edition appeals to those working in contract research organizations, medical departments and in the area of public health and health science alike.
410,00 348,50

Medical Writing

A Prescription for Clarity

Martin B. Edwards, Neville W. Goodman

editore: Cambridge University Press

pagine: 268

Effective communication is the ultimate, but often daunting, purpose of any piece of medical research. Medical Writing: A Prescription for Clarity provides practical information enabling first drafts to be turned into clear, simple, unambiguous text, without loss of individuality. Written by a medical consultant and an experienced medical editor, it is sympathetic to the problems and needs of medical writers. Like the preceding two editions, this expanded third edition deals with the basic craft of writing for publication, from spelling and grammar to choosing the best word or phrase. Whether writing a simple clinical report or thesis, wanting to supervise others, or wanting just to develop greater skill in effective writing, this book is the ideal guide and reference. Clear, simple and precise, and illustrated with apt cartoons, this is an invaluable handbook.
36,00 30,60

NEJM Clinical Problem Solving

Caren G Solomon, Jeffrey M. Drazen
e altri

editore: McGraw-Hill Medical

pagine: 304

Expert clinical problem-solving methods and guidance--from the editors and contributors of The New England Journal of Medicine This invaluable resource from the New England Journal of Medicine expertly addresses methods and challenges in clinical diagnosis. Including the peer-reviewed content of the NEJM's renowned "Clinical Problem Solving" feature, this powerful resource is packed with case discussions from both ambulatory and hospital practice. Each Case Presentation reveals thought-provoking clinical and laboratory clues as the diagnostic considerations begin to emerge. Subsequent clinical detail and discussion and expert analysis add to the diagnostic picture until a final clinical diagnosis is reached. New England Journal of Medicine: Clinical Problem-Solving features: Published cases drawn from the New England Journal of Medicine reflecting actual patient-management situations that physicians experience in their everyday clinical practice Two brand new, never-before-published chapters on medical decision-making skills and methods Wide-ranging coverage of the major considerations in each case, from underlying pathophysiology to signs from the physical examination to lab testing strategies More than 100 full-color illustrations, tables, and algorithms Meticulously selected references that open up avenues for further study And much more! From cover to cover, New England Journal of Medicine: Clinical Problem-Solving presents the best case analysis, diagnostic thought processes, and problem-solving - direct from master clinicians.
44,00 37,40

Medicina basata sulle evidenze e centrata sul paziente

Luigi Pagliaro

editore: Il Pensiero Scientifico

pagine: 318

45,00

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