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"Heartpounding suspense," hailed Entertainment Weekly of Peter Clement's first medical thriller, Lethal Practice. Now the former ER physician has done it again--combining his technical expertise with a page-burning plot to create a chillingly plausible novel of suspense. With authentic detail and a surgeon's precision, Clement captures the tense, electrifying atmosphere of a big city hospital turned into a flash point. For in Fatal Medicine, one threat is more dangerous than contagion: the threat of human beings deciding who should live and who should die. . . . Death is a daily, sometimes hourly, occurrence at St. Vincent's Hospital in Buffalo, New York. Now, in his pressure cooker career, Dr. Earl Garnet has broken the cardinal rule of modern medicine: he publicly blames a powerful HMO for practicing "no-fault murder" in the death of an eighteen-month-old baby. The HMO swiftly strikes back, igniting a debilitating boycott of the hospital. But after several accidents nearly cost patients their lives, the true bloodletting begins. A doctor is found sprawled out in the parking lot, his throat cut ear to ear. Blamed for instigating the chaos, Earl Garnet knows that he faces more than a deadly power play. The doctor may have uncovered a conspiracy reaching from the halls of one of the nation's most influential HMOs to a small, experimental clinic in Mexico, where yet another of his patients went for treatment and disappeared. To find answers, Garnet must wade deep into the murky, surreal workings of today's health care industry. Smart, tough, crackling with suspense, and vivid in its hospital setting, this visionary novel instantly places Peter Clement in the distinguished company of Michael Palmer and Robin Cook. Make no mistake: The Procedure is the work of a first-rate physician and an absolutely brilliant storyteller.
Manual of Nursing Procedures and Practice will guide nurses in a variety of settings to provide expertise and efficient patient care. It will also be an iconic resource in coaching and mentoring the novice and practicing nurses to build their competence and confidence.
This text is a revised edition and contains new material documenting the extensive and rapid innovations in the UN Security Council's procedures of the past two decades. It provides insight into the inside workings of the world's pre-eminent body for the maintenance of international peace and security. Grounded in the history and politics of the Council, it describes the ways the Council has responded through its working methods to a changing world. It explains the Council's role in its wider UN Charter context and examines its relations with other UN organs and its own subsidiary bodies.
Complete and comprehensive manual for eliciting, defining, and managing needs and requirements, integration, verification, and validation across the lifecycle The INCOSE Needs and Requirements Manual presents product development and systems engineering practices, activities, and artifacts from the perspective of needs, requirements, verification, and validation across the system lifecycle. Composed of 16 chapters, this book provides practical guidance to help organizations understand the importance of lifecycle concepts, needs, requirements, verification, and validation activities, enabling them to successfully and effectively implement these activities during product development, systems engineering, and project management. The parent handbook published by Wiley, INCOSE Systems Engineering Handbook, divides the system lifecycle into a series of processes, with each process described in terms of a series of activities. This Manual provides more detail needed by practitioners to successfully implement these activities, with guidance and lessons learned from hundreds of years of collective experience of the authors, contributors, and reviewers. For example, while the Handbook mentions the need to define the problem statement, mission, goals, and objectives for a system, the Manual provides detailed guidance on doing so. Sample topics covered in the INCOSE Needs and Requirements Manual include: Defining the problem, opportunity, or threat and defining a mission statement, goals, objectives, and measures. Identifying external and internal stakeholders, eliciting stakeholder needs and requirements, defining drivers and constraints, and assessing risk. Performing lifecycle concept analysis and maturation and defining an integrated set of needs that represents the scope of the project. Transforming the integrated set of needs into well-formed design input requirements. Using attributes to manage needs and requirements across the lifecycle. Continuous integration, verification, and validation across the lifecycle. Moving between levels of the architecture, flow down and allocation of requirements, and budgeting performance, resource, and quality requirements. Defining the system verification and system validation success criteria, method, strategy, and responsible organizations. Planning and executing successful system verification and validation programs. Managing needs, requirements, verification, and validation across the lifecycle. Understanding the importance of an integrated, collaborative project team and effective communication between team members The INCOSE Needs and Requirements Manual is an essential accompanying reference to the INCOSE Systems Engineering Handbook for novice and seasoned system engineers, software engineers, project managers, product developers, tool vendors, course developers, educators, trainers, customers, suppliers, non-SE stakeholders , as well as researchers and students studying systems engineering and systems design.
This handbook provides an invaluable source of information and advice on how to perform common diagnostic tests and surgical procedures. The book uniquely combines both operative day case urology and diagnostic urology into a practical and comprehensive summary of the most common ‘day case’ urological procedures, in a form that is concise and relevant to urological residents, consultants or nurses. This is a handy reference guide for all urologists - whether in the UK, Europe or the US - who find themselves doing 'office' based urology work, i.e. diagnostic work and minor surgical procedures irrespective of what training program they followed.
Once your database system is up and running, you need to keep it functioning smoothly. Designed for the DBA working to maximize the performance of a Sybase server, Sybase ASE 12.5 Performance and Tuning provides a guide to this important process. From benchmarking your system and optimizing stored procedures to indexing and using sp_sysmon to monitor your system, the authors thoroughly explain how to tune your server for maximum performance. Topics include defining performance, understanding the I/O system, using the query optimizer, managing memory, processing queries, application design, deadlocks and locking schemes, performance metrics, auditing features, tips for solving problems that can bog down a system.
This book presents a variety of widely used algorithms, expressing them in a pure functional programming language to make their structure and operation clearer to readers. In the opening chapter the author introduces the specific notations that constitute the variant of Scheme that he uses. The second chapter introduces many of the simpler and more general patterns available in functional programming. The chapters that follow introduce and explain data structures, sorting, combinatorial constructions, graphs, and sublist search. Throughout the book the author presents the algorithms in a purely functional version of the Scheme programming language, which he makes available on his website. The book is supported with exercises, and it is suitable for undergraduate and graduate courses on programming techniques.
Learn the procedures and skills you need to succeed as a medical assistant! Clinical Procedures for Medical Assistants, 9th Edition provides clear, step-by-step instructions for common office procedures such as taking vital signs, collecting and processing lab specimens, preparing patients for examinations, and assisting with office surgeries. Written by expert educator Kathy Bonewit-West, this full-color edition covers the latest competencies and topics in today's medical assisting practice including emergency preparedness and the updated fecal occult blood testing procedure. The Evolve companion website includes videos of 84 procedures described in the book, preparing you to become a competent clinical medical assistant. Over 120 procedures are presented in a clear, illustrated, step-by-step format, with online videos showing 84 of the procedures in action. Chapter outlines and learning objectives prepare you for the skills and concepts you will be learning. What Would You Do? What Would You Not Do? case studies challenge you to apply your knowledge to realistic medical office situations — with a practitioner's response at the end of chapters. Putting It All Into Practice and Memories from Practicum boxes feature real medical assistants sharing personal, on-the-job experiences. Key Terms and Terminology Review help you master medical assisting terminology. Charting examples help you understand the process for charting your own procedures. Patient Teaching boxes prepare you for effective communication, with detailed instructions on how to answer questions and how to explain medical concepts and procedures. Student resources on the Evolve companion website offer a fun way to practice your medical assisting knowledge with animations, games such as Quiz Show and Road to Recovery, drag-and-drop exercises, Apply Your Knowledge exercises, matching exercises, and other interactive activities (blood pressure readings, determining height and weight, drawing up medication), as well as all video procedures and practicum activities. UPDATED fecal occult blood testing procedure includes new video demonstrating this procedure. UPDATED examples of medical assistants using an EHR are demonstrated in the video procedures, showing the use of electronic charting. Updated venipuncture photos show how to perform venipuncture. UPDATED content also includes topics such as the medical record, including HIPAA, electronic medical records, and advanced directives; emergency preparedness; the use of computer technology; medical asepsis; AIDS & hepatitis; latex glove allergies & non-latex gloves; vital signs including temporal artery thermometer, pulse oximetry, and the significance of pulse pressure; pediatrics including immunization information and IM injection theory; the colonoscopy; IV therapy; and the latest CLIA waived tests. All 84 procedure videos are now available on the Evolve companion website for convenient viewing