n partnership with the Army Medical Department (AMEDD), RAND researchers have been working to implement clinical practice guidelines in treatment of three common ailments (diabetes, asthma, and low back pain). This report is an evaluation of the diabetes practice guideline demonstration. It documents the extent to which
This report describes the Army Medical Department (AMEDD) Transformation Workshop (ATW) IV, conducted at the RAND Corporation Washington Office in February 2004, and it includes an analysis and discussion of the workshop results. This workshop continued the assessment, begun in ATWs I-III, of the medical risks
In partnership with the Army Medical Department (AMEDD), RAND researchers worked to implement clinical practice guidelines in treatment of three common ailments (asthma, diabetes, and low back pain). This report is an evaluation of the asthma practice guideline demonstration. It documents the extent to which intended actions
The Army Medical Department (AMEDD) Transformation Workshop (ATW) V, which was conducted at the RAND Corporation Washington Office 25-28 May 2004, is described in this report. It includes an analysis and discussion of the workshop results. This workshop continued the assessment, begun in ATWs I-IV, of the
This report summarizes a series of five Army Medical Command Transformational Workshops that were held between 2002 and 2004. The purpose of these workshops was to assess the effect of Future Force doctrine on the ability of the Health Service Support system to deliver medical care on the battlefield and to identify medical issues in the Army’s transformation efforts. The Army Medical C
; the data and assumptions are sound; the findings are useful and advance knowledge; the implications and recommendations follow logically from the findings and are explained thoroughly; the documentation is accurate, understandable, cogent, and temperate in tone; the research demonstrates understanding of related previous studies; and the research is relevant, objective, independent, and balanced. Peer review is conducted by research professionals who
In the 4th edition we have distilled the text to a set of fl ow diagrams with
linked tables. Our aim is to provide the doctor caring for an acutely ill patient
with rapid access to key information, including a balanced interpretation of
current national and international guidelines.
We have substantially broadened the scope of the book to cover all problems
in general medicine likely to be encountered in the emergency department.
Integration of the use of echocardiography, which we believe is as
important in acute medicine as ECG interpretation, is a particular feature of
The process of collecting and analyzing the data is critical in healthcare as it constitutes the basis for categorization of patient health
problems. Data collected in medical practice ranges from free form text to structured text, numerical measurements, recorded
signals, and imaging data.
This book is based upon Medical Physics and Physiological Measurement which we wrote in 1981. That
book had grown in turn out of a booklet which had been used in the Sheffield Department of Medical Physics
and Clinical Engineering for the training of our technical staff. The intention behind our writing had been
to give practical information which would enable the reader to carry out a very wide range of physiological
measurement and treatment techniques which are often grouped under the umbrella titles of medical physics,
clinical engineering and physiological measurement.
This report is based on research conducted by the Johns Hopkins University Evidence-based Practice Center under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-02-0018). The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
This report presents the final results of the evaluation that RAND conducted for the Army Medical Department as part of the demonstration for the low back pain practice guideline, which was conducted in 1999 and 2000.
The science of Medicine is progressive; genius irradiates its onward march. Few other sciences have advanced as rapidly as it has done within the last half century. Hence it has happened that in many of its branches text-books have not kept pace with the knowledge of its leading minds. Such is confessedly the case in the department of Medical Jurisprudence. This very term, Medical Jurisprudence, as now used in colleges, is generally acknowledged to be a misnomer. There is no reason why it should be so used. The leading medical writers and practitioners are sound at present on the...
Military medical personnel are tasked with fulfilling both the benefits mission and the readiness mission of the U.S. Department of Defense (DoD). Currently, most military medical personnel are stationed at military treatment facilities (MTFs) during peacetime, where they maintain their clinical skills by treating beneficiaries of
The for-profit private sector is developing gradually, especially in large cities, and provides
services mainly to urban residents. On the other hand, the non-profit private sector, which is
dominated by international nongovernmental organizations (INGOs) and religious entities,
in common agreement with the Ministry of Health (MoH), implements community health
programmes: prevention, disease control and information, education and communication.
In 2005, there were 145 international NGOs7
and their numbers keep increasing.
In this report, we present and synthesize the findings from these two evaluation components with the goal of providing as complete a picture as possible of variations across facilities in relevant practices, the extent to which the demonstration sites changed their practices, and measurable effects these actions had on utilization of services and medications. This report is the first of three final reports being generated in this project. It will be followed by similar reports from the demonstrations for the asthma and diabetes practice guidelines....
Welcome to the fi rst edition of Handbook of Dermatology: A
Practical Manual, a pocket guide designed for practicing dermatologists,
dermatology residents, medical students, and physicians in other fi elds
who may be interested in dermatology. Written and edited by former
residents and attending physicians in the Division of Dermatology at
Washington University School of Medicine, this book is based on an
in-house resident handbook which has been used by our department for
the past fi ve years.
Medicine is an ever-changing science. As new research and clinical experience
broaden our knowledge, changes in treatment and drug therapy are required. The au-
thor and the publisher of this work have checked with sources believed to be reliable
in their efforts to provide information that is complete and generally in accord with
the standards accepted at the time of publication.
In rereading the foreword for the 4th edition, I noted the statement “There does not appear
to be much pending for the immediate future.” I was wrong. There have been significant changes
in many areas, such as respiratory protection, and dramatic changes in the Clean Air Act which
have made it difficult to use incineration as a means of disposing of hospital, medical, and
infectious waste. Perhaps the most significant change howev er has been in means of
communication, with the explosive growth of the Internet.
Emergency Vascular Surgery – A Practical Guide provides a concise guide to
managing patients with all kinds of emergent vascular problems. It is not intended
to be a “classic” textbook, so the background information given is very
concise. The focus is instead on management and treatment, especially open
The text is written for newcomers to the vascular surgical field, for surgical
trainees, and for all doctors who treat emergent vascular surgical patients in
the emergency department....
Colin Munro MacLeod is recognized as one of the founders of
molecular biology for his research concerning the role of
deoxyribonucleic acid (DNA) in bacteria. Along with his colleagues
Oswald Avery and Maclyn McCarty, MacLeod conducted
experiments on bacterial transformation which
indicated that DNA was the active agent in the genetic transformation
of bacterial cells. His earlier research focused on the
causes of pneumonia and the development of serums to treat