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Buch. Zustand: Neu. Neuware -As health care costs soar there is increasing interest in examining what society and, particularly, patients receive in return for these expenditures. Optimizing Health brings together the best thinking from both sides of the Atlantic to explore these issues. It employs disciplinary perspectives from economics, ethics, philosophy, psychology, clinical practice, and epidemiology to explore various ways that value for patients have and can be determined. It concludes with a discussion of changes required in practice, research, and health care systems to maximize the outcomes received from the provision of medical care services from the patient¿s perspective.The first section of the book provides theoretical perspectives from economics and systems thinking that help us to focus on how one might determine the value of medical care for patients. The next section considers the ethical and philosophical dilemmas that face developed countries in distributing medical care. How is justice served and evidence-based medicine employed to increase the value of medical care for patients The section on psychology deals with measuring outcomes from the patient¿s perspective and involving patients in medical decision making. Measuring quality of life and gaining valid quality of life information when patients cannot respond for themselves are important topics covered by these chapters. Other chapters consider ways that patients can become more involved in medical decision making with the expectation that this will increase the value of medical care for patients.A major section of the book about clinical practice discusses problems that can reduce the value to patients of medical care. These include overdiagnosis, aggressive treatments that do not result in better patient outcomes, findings that earlier diagnosis does not always result in better outcomes, and the extent of medical error in treatment.The final sections deal withcost-effectiveness analyses and applications of clinical epidemiology. The chapters include a number of original investigations and applications of new methodologies. All-in-all, the volume is must reading for practitioners, policy makers, and researchers who want to find in one place the state-of-the-art thinking and future directions of valuing medical care from the patient¿s perspective.Springer Verlag GmbH, Tiergartenstr. 17, 69121 Heidelberg 336 pp. Englisch.

Buch. Zustand: Neu. Neuware -Thirty-threeyears have passed since the rst edition of Astrophysical Concepts - peared. During this time astrophysics has undergone major revolutions. We have gained new perspectives on the Universe with the aid of powerful gamma-ray,- ray, and infrared telescopes, whose sensitivitiescould not have been imagined three decades earlier. We have become expert at snaring neutrinos to gain insight on - clear processes at work in the Sun and supernovae. We have direct evidence for the existence of neutron stars and gravitationalwaves, and persuasive arguments for the detection of black holes on scales of individual stars as well as galactic nuclei. Primordial uctuations, remnants from the rst moments in the expansion of the Universe have revealed themselves in the faint ripples marking the microwave sky. These ripples also document the rst appearance of dark matter now known to have dominatedthe formationand evolutionof all cosmic structure. And dark energy has gradually had to be acknowledged to be the dominant factor driving the expansion of the Universe today.Springer Verlag GmbH, Tiergartenstr. 17, 69121 Heidelberg 736 pp. Englisch.

Buch. Zustand: Neu. Neuware -As both an early disciple of and influence on Freud, Wilhelm Stekel enjoyed a unique position within the analytic movement. More recently, he has been notable more for his ostracism from Freud¿s sphere and little else. The Self-Marginalization of Wilhelm Stekel brings a fresh perspective on Stekel, revealing the complex, symbiotic bond between mentor and follower in its many social, interpersonal, and psychological forms.In addition to shedding light on a famous outsider, this biography is set in a dual context of the formative years of psychoanalysis and Freud¿s relationships with his colleagues: comparisons and contrasts abound with Adler, Jung, and other, revered exiles from Freudian circles. At the same time, each chapter defines and identifies a particular aspect of the marginalization process, including self-marginalization, the relationship of marginals to the mainstream, and the value of marginalization in the construction of identity. In all, this book will providean in-depth look into the social history of psychoanalysis - an informed re-thinking of Stekel¿s contributions as theorist and cliniciana new view of marginalization as differentiated from similar social phenomenapreviously unpublished correspondence between Freud and Stekel - a new translation of Stekel¿s 1926 essay, 'On the History of the Analytical Movement'The Self-Marginalization of Wilhelm Stekel peels back layers of history to create a singular addition to our knowledge of the origins of psychoanalysis. Psychologists, social scientists, and readers interested in the history of science will find this book an illuminating glimpse into the lives and legacies of the first psychoanalysts.Springer Verlag GmbH, Tiergartenstr. 17, 69121 Heidelberg 244 pp. Englisch.

Buch. Zustand: Neu. Neuware -This book deals with the acceleration and storage of polarized proton beams in cyclic accelerators. Polarized proton beams with hundreds of GeV are, for example, essential for resolving the ¿spin crisis,¿ i.e., for understanding the angular momentum distribution inside nucleons. Experience with the Relativistic Heavy Ion Collider at the Brookhaven NationalLaboratory(RHICatBNL)hasshownthatpolarizationat205GeV can be obtained, and tests at the pre-accelerating Alternating Gradient S- chrotron(AGS)haveshownthatatleastupto24GeV,thebeampolarization canbequiteundisturbedwhentheacceleratoriswelladjusted,exceptats- cial energies where resonances occur. In particular, it has not been necessary to study closely the variation of the protons¿ spin directions across the phase space of the beam. However, at very high energies such as in RHIC, TEVA- TRON, HERA-p, LHC, or a future VLHC, new phenomena can occur that can lead to a signi cantly diminished beam polarization. For these high energies, it is necessary to look in more detail at the spin motion at each point in phase space, and for this the invariant spin eld provestobeausefultool.This eldgivesrisetoanadiabaticinvariantofsp- orbit motion, and it de nes the maximum time-average polarization that is usable in a particle physics experiment. Furthermore, the invariant spin eld allows the amplitude dependent spin tune to be de ned and computed and thereby opens the way to a clear evaluation of the e ects of higher-order spin orbit resonances. In particular, the strengths and the depolarizing e ects of these resonances can only be determined once the amplitude-dependent spin tune has been computed.Springer Verlag GmbH, Tiergartenstr. 17, 69121 Heidelberg 192 pp. Englisch.

Buch. Zustand: Neu. Neuware -This volume is a collection of a variety of brain proteins and peptides whose structures and functions are relatively well known. Each chapter provides a succinct and up-to-date summary of a protein or peptide as well as a review of the individual's contributions to the field. The volume explores the progress that has been made in the field over the past few years and provides insight into the field today.Springer Verlag GmbH, Tiergartenstr. 17, 69121 Heidelberg 696 pp. Englisch.

Buch. Zustand: Neu. Neuware -Controlling the performance of structures and components of all sizes and shapes through the use of engineered coatings has long been a key strategy in materials processing and technological design. The ever-increasing sophistication of en- neered coatings and the rapid trend toward producing increasingly smaller devices with greater demands on their fabrication, properties and performance have led to signi cant progress in the science and technology of coatings, particularly in the last decade or two. Nanostructured coatings constitute a major area of sci- ti c exploration and technological pursuit in this development. Withcharacteristic structural length scales on the order of a few nanometers to tens of nanometers, nanostructured coatings provide potential opportunities to enhance dramatically performance by offering, in many situations, extraordinary strength and hardness, unprecedented resistance to damage from tribological contact, and improvements in a number of functional properties. At the same time, there are critical issues and challenges in optimizing these properties with aw tolerance, interfacial adhesion and other nonmechanical considerations, depending on the coating systems and applications. Nanostructured coatings demand study in a highly interdisciplinary research arena which encompasses: surface and interface science study of defects modern characterization methodologies cutting-edge experimental developments to deposit,synthesize, conso- date, observe as well as chemically and mechanically probe materials at the atomic and molecular length scales state-of-the-art computational simulation techniques for developing - sightsintomaterialbehaviourattheatomicscalewhichcannotbeobtained in some cases from experiments alone The interdisclipinarynature of the subject has made it a rich playing eld for scienti c innovation and technological progress.Springer Verlag GmbH, Tiergartenstr. 17, 69121 Heidelberg 676 pp. Englisch.

Buch. Zustand: Neu. Henselmann, C. (illustrator). Neuware -Chassin¿s Operative Strategy in Colon and Rectal Surgery is a succinct analysis of surgical procedures for colorectal disorders. Spanning from well-established legacy procedures to the most up-to-date minimally invasive approach, this brilliantly illustrated atlas particularly discusses the theoretical basis of the operations as well as the strategies crucial to evading common pitfalls. Educed from Chassin¿s Operative Strategy in General Surgery, this installment includes step-by-step depictions of twenty-eight (28) operative procedures in colorectal surgerySpringer Verlag GmbH, Tiergartenstr. 17, 69121 Heidelberg 300 pp. Englisch.

Buch. Zustand: Neu. Neuware -Healthcare practitioners and managers increasingly find themselves in clinical situations where they have to think fast and process myriad diagnostic test results, medications and past treatment responses in order to make decisions. Effective problem solving in the clinical environment or classroom simulated lab depends on a healthcare professional's immediate access to fresh information. Unable to consult a library for information, the healthcare practitioner must learn to effectively manage knowledge while thinking on their toes.Knowledge Management (KM) holds the key to this dilemma in the healthcare environment. KM places value on the tacit knowledge that individuals hold within an institution and often makes use of IT to free up the collective wisdom of individuals within an organization. Healthcare Knowledge Management: Issues, Advances and Successes will explore the nature of KM within contemporary healthcare institutions and associated organizations. It will provide readers with an understanding of approaches to the critical nature and use of knowledge by investigating healthcare-based KM systems. Designed to demystify the KM process and demonstrate its applicability in healthcare, this text offers contemporary and clinically-relevant lessons for future organizational implementations.The editors of this book have assembled a group of international contributors that reflects the diversity of KM applications in the healthcare sector. While many KM texts suffer from pitching theoretical issues at too technical a level, Healthcare Knowledge Management approaches the topic from the more versatile 'twin' perspectives of both academia and commerce. This unique text is integrative in nature ¿ a practical guide to managing and developing KM that is underpinned by theory and research.Springer Verlag GmbH, Tiergartenstr. 17, 69121 Heidelberg 312 pp. Englisch.

Buch. Zustand: Neu. This item is printed on demand - Print on Demand Titel. Neuware -Reviews of Environmental Contamination and Toxicology attempts to provide concise, critical reviews of timely advances, philosophy and significant areas of accomplished or needed endeavor in the total field of xenobiotics, in any segment of the environment, as well as toxicological implications.Springer Verlag GmbH, Tiergartenstr. 17, 69121 Heidelberg 240 pp. Englisch.