Observing And Diagnosing America

This book is an attempt to focus attention of Americans to the problem they pose for themselves and other immigrants in their midst. Also, the book highlights the alienation usually felt by naturalized citizens of the United States. Naturalized citizens and legal immigrants should be made to feel welcome both naturally and psychologically. Besides, early immigrants who had emigrated here from other parts of the world built the country. They just happened to be Europeans. It also highlights cycle of vicious behaviors on innocent population. No one is qualified to question anyone’s background. And no one is qualified enough to question the loyalty of another citizen just because they arrived here earlier. It is the contribution to progress and advancement of the nation, which should be the yardstick of love and loyalty. So also should payment of taxes and improvement and participation in civic duties. Overt pressure of questioning other citizens’ accents and fluency in the English language is a sore note of discord for all races inhabiting this free land. Unfortunately, this and other attitudes drove the early settlers or immigrants to the near annihilation of the original dwellers––the Cherokee and other American Indians. Racist attitudes that were the bases of the founding of this modern American nation must be discarded. Until all immigrants come to grip with the situation at hand and start treating one another with respect, and this coupled with the recognition of Native Americans rights and aspirations, the fabrics holding the nation together would sooner break apart at the seam.

Observing and Diagnosing America is an attempt to focus the attention of Americans to the problem they pose for themselves and other immigrants in their midst, it highlights the alienation usually felt by naturalized citizens of the United States and the cycle of vicious behaviors toward an innocent population. The book shows that the racist attitudes that were the bases of the founding of the American nation must be discarded, making all immigrants welcome both naturally and psychologically and eliminating discord between races in the country. Unless immigrants come to grip with the situation at hand and start treating one another with respect, the fabrics holding the nation together may break apart at the seams.

This issue of Emergency Medicine Clinics focuses on Observation Medicine in the ED. Editors R. Gentry Wilkseron and Christopher Baugh have assembled an expert team of authors on topics such as: History and Principles of Observation Medicine; Observation Unit Design and Establishing an Observation Unit; Care of the Patient with Chest Pain in an Observation Unit; Care of Cardiovascular Conditions in an Observation Unit; Care of Gastrointestinal Conditions in an Observation Unit; Care of Metabolic / Endocrine Conditions in an Observation Unit; Care of Neurologic Conditions in an Observation Unit; Care of Respiratory Conditions in an Observation Unit; Care of Infectious Conditions in an Observation Unit; Care of Traumatic Conditions in an Observation Unit; Care of Extremes of Age in an Observation Unit.

Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Social anxiety disorder is persistent fear of (or anxiety about) one or more social situations that is out of proportion to the actual threat posed by the situation and can be severely detrimental to quality of life. Only a minority of people with social anxiety disorder receive help. Effective treatments do exist and this book aims to increase identification and assessment to encourage more people to access interventions. Covers adults, children and young people and compares the effects of pharmacological and psychological interventions. Commissioned by the National Institute for Health and Clinical Excellence (NICE). The CD-ROM contains all of the evidence on which the recommendations are based, presented as profile tables (that analyse quality of data) and forest plots (plus, info on using/interpreting forest plots). This material is not available in print anywhere else.

This issue, edited by Drs. Peter Liu and Richard Abramson, will comprehensively review imaging of the hepatobiliary system. Articles will include: Hepatic MRI Techniques, Optimization, and Artifacts, MR Contrast Agents for Liver Imaging, Focal Liver Lesion Characterization in Noncirrhotic Patients: An MR Approach, MRI in Cirrhosis and Hepatocellular Carcinoma, Understanding LI-RADS: A Primer for Practical Use, MRI of the Liver after Locoregional and Systemic Therapy, Diffusion Weighted Imaging of the Liver: Techniques and Applications, Hepatic Iron and Fat Quantification Techniques, Perfusion Imaging in Liver MRI, MR Elastography, Treatment Planning Before Hepatobiliary Surgery: Clinical and Imaging Considerations, MRI/MRCP of Benign and Malignant Biliary Conditions, and more!

In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize