Evidence-based care is a well established principle in contemporary healthcare and a world wide health care movement. However, despite the emphasis on promoting evidence-based or effective care without the unnecessary use of technologies and drugs, intervention rates in childbirth are rising rapidly.
Evidence-based Care for Normal Labour and Birth brings to light much of the evidence around what works best for normal birth which has, until now, remained largely hidden and ignored by maternity care professionals. Beginning with the decision about where to have a baby, through all the phases of labour to the immediate post-birth period, it systematically details research and other evidence sources that endorse a low intervention approach. The book:
Using research data, Evidence-based Care for Normal Labour and Birth critiques institutionalised, scientifically managed birth and endorses a more humane midwifery-led model. Packed with up-to-date and relevant information, this controversial book will help all students, practising midwives and doulas keep abreast of the evidence surrounding normal birth and ensure their practice takes full advantage of it.
Breast Care: A Clinical Guidebook for Women's Primary Health Care Providers presents the expertise and protocols of the renowned Breast Diagnostic Center at USC School of Medicine's Department of Obstetrics and Gynecology. A user-friendly reference for the primary care physician, this book details the management of both benign and malignant breast diseases. Topics include: * the clinical examination and instruction for self-exam * mammography for both screening and diagnosis, management of the abnormal mammogram * lactation and breast feeding * diagnosis and treatment of lumps, cysts, fibroadenomas * fine-needle aspiration and ultrasound guided tissue core needle biopsy * evaluation and management of mastalgia * menstrual and hormonal therapy effects on the breast * the cosmetically treated breast * guidelines for follow-up and surveillance An important section on consultation and referrals reviews the roles of the radiologist, oncologist, and surgeon and provides the primary care physician with the information necessary to counsel the patient on the myriad aspects of multidisciplinary treatment planning. The text includes more than 100 illustrations and algorithms -- with 16 in color -- as well as "Practice Guides" which organize the key practice points, signs, and symptoms. This is a must-have handbook for all providers of health care to women.
As noted in the Foreword, this report is the second of several volumes resulting from this study of future health care technology. The purpose of the study, as formulated by the STG, was to analyze future health care technology. Part of the task was to develop an 'early warning system' for health care technology. The primary goal of the project was to develop a list or description of a number of possible and probable future health care technologies, as well as information on their importance. Within the limits of time and money, this has been done. This report is the description of anticipated future health care technologies. However, given the vast number of possible future health care technologies, complete information on the importance of each area could not be developed in any depth for all technology. Therefore, four specific technologies were chosen and were prospectively assessed. These future technologies were examined in more depth, looking particularly at their future health and policy implications. Subsequently, the project was extended to September 1987, and two additional technologies are being assessed.
"In judging myself I shall try to be as harsh as truth, as I want others also to be." - Gandhi "I am not pleading for India to practice nonviolence because it is weak. I want her to practice nonviolence being conscious of her strength and power." - Gandhi Mohandas Karamchand Gandhi, or Mahatma Gandhi as he is more popularly known, was called "Mahatma," or "Great Soul" not only because of his extraordinary achievements as leader of the Indian independence movement, but also because of his beliefs, practices, and principles that demonstrated to the world the depths that one's soul could have. Widely considered the father of India, the preeminent leader of the Indian struggle against British imperialism, and one of the most influential minds of the 20th century, Gandhi emerged to become one of the greatest advocates of peace and nonviolent resistance that the world has known. By leading a life of austerity and integrity, Gandhi became one of those rare leaders who preached through his own practices, motivating millions of people - rich and poor, men and women, adults and children, Hindus, Muslims, and Christians - to follow his principles of freedom and peace. Gandhi saw with his own eyes the negative impact of British colonialism on the Indian economy, culture, and identity, as did millions of other Indians. What made Gandhi unique was the fact that he also saw the enormously negative impact the diversity of the Indian population had on the struggle for Indian independence; divisions were rife between Hindus, Muslims, and dozens of other faiths, and the population was divided into hundreds of different ethnic groups, each with its own traditions and culture, and each unwilling to unite with other groups for the common cause of a free India. The caste system in India, as a long-standing social stratification system that placed severe and often permanent social restrictions on individuals according to which social classes they were born into, also played a large role in dividing Indian society. Gandhi recognized that these divisions were what weakened India's chances to effectively oppose British imperialism and establish independence. As nationalism and independence movements began forming and spreading in the mid and late 1800s, Gandhi was able to unite these various ethnic groups, religious groups, and social groups and lead a unified Indian independence movement. The impact that Gandhi made was lasting, and his legacy can still be seen today. Gandhi was not a theorist or scholar in the traditional sense, and never professed to be one; he prided himself on instead being a reformer and a true activist, for he famously stated that "I am not built for academic writings...Action is my domain." And yet, the action that Gandhi spoke of was not the violent and terror-invoking action that many other resistance movements took elsewhere in the world; Gandhi was guided by strict values, principles, and ideas of peace and nonviolence that remained remarkably enduring throughout his life.
In clear, easy-to-grasp language, the author covers many of the topics that you will need to know in order to win your dream job and be the first in line for a promotion.
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