Rational diagnosis and treatment : evidence-based clinical decision-making /
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Author / Creator: | Wulff, Henrik R. |
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Edition: | 3rd ed. |
Imprint: | Oxford ; Malden, MA, USA : Blackwell Science, 2000. |
Description: | viii, 221 p. : ill. |
Language: | English |
Subject: | |
Format: | Print Book |
URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/4262244 |
Table of Contents:
- Preface
- Introduction
- 1. The Foundation of Clinical Decisions
- The clinical decision process
- Clinical data
- Scales of measurement
- Taking the history
- The physical examination
- Paraclinical findings
- Global assessments
- 2. The Reliability and Relevance of Clinical Data
- Clinical data on an interval scale
- Clinical data on an ordinal scale
- Clinical data on a binary scale
- The statistical concept of normality
- The concept of disease
- Interpretation and relevance
- 3. The Disease Classification
- The historical perspective
- The theoretical perspective
- The practical perspective
- 4. Diagnosis
- The diagnostic universe
- Diagnosis of diseases with an accessible defining criterion
- Diagnosis of diseases with a concealed defining criterion
- Syndrome diagnosis
- Three patients
- Diagnosis in practice
- 5. Uncontrolled Experience
- Uncontrolled experience in a pre-scientific era
- The numerical method
- The era of laboratory research
- The spontaneous course of the disease
- Imprecision of clinical data and regression towards the mean
- Run of luck
- Bias
- The placebo effect
- The need for controlled experience
- Alternative medicine: scientific and pseudoscientific thinking
- 6. The Randomized Clinical Trial
- Selection of patients
- Randomization
- Choice of treatment in the control group
- Principles of blinding
- Cross-over trials
- The choice of outcome measures
- The statistical analysis
- Meta-analysis
- From trials to clinical practice
- 7. Medicine and the Humanities
- The four components of clinical reasoning
- The empathic-hermeneutic component
- The ethical component
- Clinical research ethics
- 8. Critical Reading of Medical Journals
- Logical analysis of medical papers
- Descriptive statics
- Estimation
- Testing hypotheses
- Sample size calculations
- Dr N and Dr R
- Statistical tests
- Correlation analysis
- Life table analysis
- References
- Index