... reassurance.
–Harrison's Principles of Internal Medicine, 1950
The practiceofmedicine has changed in significant ways since the first
edition of this book appeared in 1950. The advent of molecula
r ... for the biological sciences (the sequencing ofthe human
Clinical Skills
History-Taking
The written history of an illness should include all the facts of medical
significance in the life of ... act of eliciting the history provides the physician with the
opportunity to establish or enh
ance the unique bond that forms the basis for the
ideal patient-
physician relationship. This process...
... aura of authority regardless ofthe fallibility ofthe tests themselves, the
instruments used in the tests, and the individuals performing or interpreting them.
Physicians must weigh the expense ... each of these tests, and
the added cost of unnecessary testing is substantial. A skilled physician must learn
virtue of their impersonal quality, complexity, and apparent precision, they often ...
significance in the context ofthe patient's condition and other test results.
The development of technically improved imaging studies with greater
sensitivity and specificity is one ofthe most...
... Evidence-based medicine has become an increasingly important part of
the routine practiceofmedicine and has led to the publication of a number of
practice guidelines.
Practice Guidelines
Professional ... Chapter 001. ThePracticeofMedicine
(Part 3)
Principles of Patient Care
Evidence-Based Medicine
Evidence-based medicine refers to the concept that clinical decisions are
formally ... This is in sharp contrast to
anecdotal experience, which may often be biased. Unless they are attuned to the
importance of using larger, more objective studies for making decisions, even the...
... understanding ofthe mechanisms of gender differences in the course
and outcome of certain diseases. For a more complete discussion of women's
health, see Chap. 6.
Care ofthe Elderly
The relative ... the patient's subjective view of his or her disability and the response to treatment,
particularly in chronic illness. Thepracticeofmedicine requires consideration and
integration of ... of hospitalized patients, and the incidence increases with use
of a large number of drugs. No matter what the clinical situation, it isthe
responsibility ofthe physician to use powerful therapeutic...
... complete discussion of global issues, see Chap. 2.
Medicine on the Internet
On the whole, the Internet has had a very positive effect on thepracticeof
medicine; a wide range of information is available ... travel may be offset by the quality of care at these distant locations. As much as
any other factor influencing global aspects of medicine, the Internet has
transformed the transfer of medical ...
these advances, we are still in the infancy of understanding and utilizing the
complexities of genomics in the diagnosis, prevention, and treatment of disease.
Our task is complicated by the...
...
that as physicians our lot is that ofthe "perpetual student" and the mosaic of our
knowledge and experiences is eternally unfinished. This concept can be at the
same time exhilarating ... 001. ThePracticeof Medicine
(Part 8)
Medical Ethics and New Technologies
The rapid pace of technological advances has profound implications for
medical applications far beyond their ... colleagues and the Internet.
This is often a difficult task for a busy practitioner; however, such a
commitment to continued learning is an integral part of being a physician and
must be given the highest...
... is thus a theory ofthe global distribution ofthe units ofthe grammar.
The English grammatical rank scale recognized by Systemic Functional Grammar is as follows:
In turn, each unit has their ... metaphor or the way ideas are
expressed rather than on words used.
4 Methodology ofthe study
As the thesis sets its main objective of investigating the characteristics of metaphor in English
poetry ...
studied.
5 Organization ofthe study
The study is composed of three parts.
ã Part 1: Introduction. This part introduces the relevance, the aims, the scope and the
methodology ofthe study.
ã Part...
... than they were when the first edition of this book was
written.
Despite all these additions and changes, however, the structure of The
Practiceof English Language Teaching remains essentially the ... although much of the
content ofthe book can be applied to that slightly different teaching
situation. The book is directed at the teaching of 'general' English: the
teaching of English for ... curriculum
Probably the greatest number of language students in the world do it
because it is on the school curriculum whether they like it or not! For many
of these students English, in particular, is something...
... who, at the end of his days, is trying
to make sense of his death, when he realises that all
the ideas and “isms” to which he had devoted his life
have not given him the happiness he sought. The ... workers.
Acknowledgements
The Editors would like to thank the transla-
tion team ofthe Languages Service ofthe University
of Salamanca for their collaboration in the English
version of this Journal.
References
1 ... experienced,
the influence of spirituality, of surroundings and of
the social networks in which the person participates.
The teaching potential ofthe cinema lies in
the fact that it is a visual process,...
... for the actual production of
movies in HFR, or for showing them. Christie
đ
is working with several film research groups to
examine the use of HFRs in cinema to assist
in the establishment of ... ultra-
realistic movie-going experiences, and resolving some of
the issues that have been problematic for the medium.
Some ofthe biggest movies on the horizon – a pair of Lord
of the Rings ... derisively used to describe film purist
perceptions ofthe cool, sterile visuals they say is brought on by digital.
But the success of Hollywood, Bollywood and big-budget filmmakers
around the...
... time between the responses ofthe counselor and the client.
The selection of a specific form of counseling is based on the needs and preferences ofthe client
within the range of services ... traditional codes of
ethics.
These Internet counseling standards ofpractice are based upon the principles of ethical practice
embodied in the NBCC Code of Ethics. Therefore, these standards ... Technology-Assisted Distance
Counseling
The delivery of technology-assisted distance counseling continues to grow and evolve.
Technology assistance in the form of computer-assisted assessment,...