Publisher´s Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The ultimate guide to the evidence-based clinical encounter A Doody´s Core Title for 2015! ´´This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency.´´--Annals of Internal Medicine ´´The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis - to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination.´´--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY´S REVIEW! ´´Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine´s most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. ´´This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. ´´This extraordinary, one-of-a-kind book is a valuable addition to every medical library.´´--Doody´s Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you´ll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you´ll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES 1. Packed with updated, new, and previously unpublished information from the original JAMA articles 2. Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line 3. Completely updated with all-new literature searches and appraisals supplementing each chapter 4. Full-color format with dynamic clinical illustrations and images 5. Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine 6. More than 50 complete chapters on common and challenging clinical questions and patient presentations 7. Also available: JAM
´´This new edition is brighter, shinier, more complete, more pragmatic, more focused than the previous one, and I wouldn´t have thought it possible to improve on the original. As the field of software architecture has grown over these past decades, there is much more to be said, much more that we know, and much more that we can reflect upon of what´s worked and what hasn´t-and the authors here do all that, and more.´´ -From the Foreword by Grady Booch, IBM Fellow Software architecture-the conceptual glue that holds every phase of a project together for its many stakeholders-is widely recognized as a critical element in modern software development. Practitioners have increasingly discovered that close attention to a software system´s architecture pays valuable dividends. Without an architecture that is appropriate for the problem being solved, a project will stumble along or, most likely, fail. Even with a superb architecture, if that architecture is not well understood or well communicated-in other words, is not well documented-the project cannot be deemed a complete success. This revision of Documenting Software Architectures provides the most complete and current guidance, independent of language or notation, on how to capture an architecture in a commonly understandable form. Drawing on their extensive experience, the authors first help you decide what information to document, and then, with guidelines and examples (in various notations, including UML), show you how to express an architecture so that others can successfully use, maintain, and build a system from it. The book features rules for sound documentation, the goals and strategies of documentation, architectural views and styles, documentation for software interfaces and software behavior, and templates for capturing and organizing information to generate a coherent package. New and improved in this second edition: * Coverage of documentation for new architectural styles, such as service-oriented architectures, multi-tier architectures, and architectures for aspect-oriented systems * Guidance oriented to documentation in an Agile development environment * Deeper treatment of the systematic rationale, reflecting best industrial practices * Improved templates, reflecting years of use and feedback, and more documentation layout options * A new, comprehensive example (available online), featuring documentation of a Web-based service-oriented system
Using new research from the field of psychoneuroimmunolgy, Dr. Pearsall goes beyond the Spartan ´´no pain, no gain´´ philosophy to one most aptly described as ´´no bliss, no benefit´´: if you enjoy it, it´s good for you. Instead of stripping joyful activities from our lives, he encourages us to enjoy them in moderation. The key, he says, is balance. Discover how you can literally let good health ´´happen´´ to you by learning: The purpose and use of one of your most important senses - your pleasure template. The personal, interpersonal, transpersonal, temporal and sensual pleasure paths to health. The difference between rational, healthy hedonism and irrational, unhealthy excess. To laugh, love, and live rather than lap, lift, and lose. The importance of touch, humor, and crying. The power of doing fun-ins instead of work-outs. The simple pleasures of daily living, those that we so often have little time for, are the real purpose and process of life. These are the pleasures we must pursue in order to improve the quality and length of our existence. And these are at the heart of Dr. Pearsall´s humane, revisionist wisdom. The Pleasure Principle: Discovering a New Way to Health is just what the doctor ordered - it and that extra slice of pizza. So enjoy already. PLEASE NOTE: When you purchase this title, the accompanying reference material will be available in your My Library section along with the audio. 1. Language: English. Narrator: Paul Pearsall. Audio sample: http://samples.audible.de/bk/ntgl/000044/bk_ntgl_000044_sample.mp3. Digital audiobook in aax.