Verhalen uit het Erasmus MC, veranderen in zorg, wetenschap en onderwijs is niet zomaar een titel van dit boek, maar vooral het vervolg van een beweging die vier jaar geleden werd ingezet door het Erasmus MC. Toen startte het Rotterdamse universitair medisch centrum met een nieuwe strategische visie Koers 013 met kernwoorden als verbinding, samen, dialoog en openheid. Een nieuwe visie op omgaan en samenwerking met patiënten en studenten, tussen de medewerkers onderling en met professionals en organisaties buiten het Erasmus MC. Initiatiefnemers van het eerste uur zijn Hans Büller, voorzitter van de raad van bestuur, Theo Lankamp, regisseur van Koers 013, en Hennie Koeken, strategisch communicatieadviseur. Vele kwartiermakers, ambassadeurs en andere professionals hebben zich achter het gedachtegoed geschaard en zich met hen verbonden. Het doel is helder. Met open vizier kennis en ervaringen delen en als betrokkenen met elkaar de dialoog aangaan over wat er beter kan in de patiëntenzorg, de wetenschap en het medische onderwijs, de kerntaken van een universitair medisch centrum. In dit boek vertellen patiënten, studenten, professionals en externe relaties, onder wie huisartsen en zorgverzekeraars, openhartig over hun ervaringen in en met het Erasmus MC, over wat Koers 013 met ze doet, over hun inspiraties, hun worstelingen, wat beter zou kunnen, wat goed gaat, wat niet meer mag gebeuren en hoe het in de toekomst kan zijn. Een boek vol persoonlijke verhalen en op elke bladzijde de hoop op verandering en de wil hier een bijdrage aan te leveren. Door open, eerlijke dialoog en verbinding komt de gezondheidszorg in beweging. Dit boek is het begin.

'Silent Victories' takes a unique approach in its exploration of ten major public health issues addressed in the 20th century: for each issue, leading scientists in the field trace the discoveries, practices and programs that reduced morbidity and mortality from disease and injury.

Palliative care is undergoing a period of rapid change, both in perceptible ways such as legislation, policy, and clinical guidelines, but also in its philosophy and ethics. There is ambiguity surrounding even the definitions used, ranging from palliative care, to supportive care, to end of life care. Randall and Downie propose that the uncertainties in the current thinking on end of life care may change the two ethical (and legal) principles on which modern medical care has been built -that practitioners must obtain the informed consent of the patient for treatment, and that practitioners must seek the best health interests of their patients. They will examine a wide range of issues, themes and contradictions prevalent in modern palliative/end of life care. These include: choice, assisted suicide, roles and values, responsibility, rights, Advance Care Plans, withdrawal and withholding of treatment, advocacy, the Mental Capacity Act, best interests, definitions, and the newDepartment of Health End of Life Care Strategy. This Palliative care is undergoing a period of rapid change in perceptible ways through legislation, policy, and clinical guidelines, but also in its philosophy and ethics. End of Life Choices: Consensus and Controversies examines a wide range of issues, themes and contradictions prevalent in modern palliative/end of life care. These include: choice, assisted suicide, roles and values, responsibility, rights, Advance Care Plans, withdrawal andwithholding of treatment, advocacy, the Mental Capacity Act, best interests, definitions, and the new Department of Health End of Life Care Strategy. Split into two sections, End of Life Choices: Consensus and Controversies provides guidance through the ethical minefield that has developed for doctors and nurses who care for patients towards the end of life. The first section discusses some of the issues of end of life care as they are still widely encountered by GPs, nurses and hospitalclinicians. It presents a mainly consensus view on patient choice, consent, life-prolonging treatment and symptom relief, including sedation. The second section discusses some current controversies, such as advance care planning, preferred place of care and death, physician assisted suicide, and extended ideas of 'best interests', including the idea that there are therapeutic duties to the relatives of patients. Additional online resources outline the common ethical theories and the vocabularyused in ethical theory which will be useful for readers who are taking part in training courses. The authors hope that this book will provide a guide through the complexity of clinical situations and current regulations, and also stimulate informed debate on current controversial issues. It will be of use to all those involved in care of the terminally ill, both specialists and those outside the current palliative care domain, as well as policy makers, researchers and ethicists.

The Foundations of Epidemiology is an introductory level text intended for a broad range of courses in epidemiology, including those in medical schools, schools of public health, dental schools, schools of nursing, and other professional schools. Minimal familiarity with statistics is assumed in the book, although the text is not intended as a primary introduction to statistics; an appendix provides the necessary overview of statistics necessary to understand epidemiologic concepts, including sampling, significance testing, confidence intervals, correlation and linear regression, relative risks and attributable fractions, the life table, and Cohen's Kappa statistic. Basic epidemiologic concepts, such as rates and ratios, age adjustment, incubation periods, investigation of an outbreak time-place-and person, agent-value, inter- and intra-observer variability, odds ratios, randomized trials, and cohort and case-control study designs are illustrated using examples from a variety of conditions, including asthma, food poisoning, coronary heart disease, measles, stroke, lung cancer, ovarian cancer, breast cancer, venous thrombosis, histoplasmosis, lyme disease, and AIDS. The text consists of 13 chapters, each of which includes study problems and solutions. A discussion of the uses of epidemiology in clinical settings includes a guide to the critical review of medical and related literature.

Arguing that environmental change and justice requires us each to become the change we seek, Shrader-Frechette offers many concrete proposals for reform, many of which are based on American Public Health Association recommendations.

Population Health is an integrated book that makes use of principles and concepts from the fields of epidemiology, demography, sociology, and anthropology. It arose from a graduate course on the principles of epidemiology that the author taught over the past decade. It is organized around the key objectives of measuring the health status of populations, assessing population health risks and inferring causation, and planning and evaluating population health interventions. The text emphasizes basic concepts and methods and makes use of case studies, exercises, and boxes to introduce students to the full range of population health issues seen in the literature. It is designed for use in introductory/intermediate courses in epidemiology, public health, and health policy and management.

The gut is an intricate and powerful system naturally designed to protect and heal the body every moment of every day. And yet for far too many of us this remarkable system is in disrepair, which leads to all kinds of health problems, from extra weight, chronic pain, and allergies to heart disease, inflammation, autoimmune disorders, and depression. In Clean Gut, Dr. Alejandro Junger explains how instead of treating symptoms as they arise, we can preemptively attack disease before it takes root in the gut. No matter your current state of wellness, the Clean Gut program will put an end to everyday ailments, reverse chronic disease, and help you achieve true, long-lasting health.