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Our response to the skyrocketing cost and nonuniform delivery of medical care has been a call for the rationalizing of medical practice through decision-support techniques. These tools, which include protocols, decision analysis, and expert systems, have generated much debate. Advocates argue that they will make medical practice more rational, more uniform, and more efficient and that they will transform the "art" of medical work into a "science." Critics argue that formal tools cannot and should not supplant humans in most real-life tasks. Marc Berg takes the issues raised by advocates and critics as points of departure for investigation, rather than as positions to choose from. Drawing on insights and methodologies from science and technology studies, he attempts to understand what "rationalizing medical practices" means: what these tools do and how they work in concrete medical practices. Rather than take a stand for or against decision-support techniques, he shows how they transform medical practices and discusses what is gained and what is lost. Berg investigates how new discourses on medical work and its problems are linked to the development of decision-support tools. Studying the construction of several individual technologies, he looks at what medical work consists of and how the new technologies figure in and transform it. Although he focuses on decision-support techniques in the field of medicine, the issues he raises are relevant wherever rationalizing techniques are being debated or constructed. Touching upon broader issues of standardization, universality, localization, and the politics of technology, Berg addresses problems that are central to medical sociology, technology studies, and tool design.

Described as one of the foremost medical editorialists of our time, Sylvan Wcinberg, MD has authored this collection of highly acclaimed essays about the current state of modern American healthcare -- a paradoxical combination of the best and the worst -- hence the title, The Golden Age of Medical Science and the Dark Age of Healthcare Delivery. The last decades of the 20th century have seen spectacular progress in the science of medicine. In the field of cardiology, heart attacks that meant certain death only a short time ago can now be treated, enabling people to live active lives for many years. New discoveries in molecular biology and genetics will soon allow us to diagnose and treat patients in ways that only yesterday were the stuff of science fiction. However, paralleling these brilliant advances, there has been an equally dramatic deterioration in the delivery of healthcare to millions of Americans, caused in large part by the advent of the managed care health insurance industry. In an effort to control rising healthcare costs, the managed care-insurance complex has imposed harsh measures on hospitals, doctors, patients and university medical centers. The results have had a depressing and chilling effect on every aspect of American healthcare. Doctor's autonomy in making medical decisions has been abrogated. Doctor-patient relationships have been shattered. Many patients have lost access to specialists and to the doctors of their choice. Nursing and ancillary staffs and the length of hospital stays have been reduced, often to the detriment of patient care. Relationships between doctors and hospitals have become adversarial. These are the highly charged issues that SylvanWeinberg addresses in this important new addition to the medical literature and to the public dialogue. With his unique ability to cut to the core and frame critical questions, Dr.

Homosexuality and medical science - The relationship between homosexuality and medical science has a long and controversial history, covering many countries and stretching across a wide spectrum of specialities, from psychology to epistemology to genetics. This article seeks to provide a brief summary of this history and a deal with some of the issues regarding homosexuality and medical science.

Institute of Medical and Veterinary Science - The Institute of Medical and Veterinary Science (IMVS) is a public research body located in Adelaide, South Australia, that combines laboratory services, teaching and research.

Health Science Center Brooklyn - The State University of New York Health Science Center at Brooklyn, better known as SUNY Downstate Medical Center, is an academic medical center and is the only one of its kind in the Borough of Brooklyn in New York City. Older than the Brooklyn Bridge, SUNY Downstate was established as the Long Island College Hospital in 1860 and is the oldest hospital-based medical school in the United States.

Cognitive and Brain Science Unit - The Medical Research Council's Cognitive and brain imaging unit is a branch of the larger Medical Research Council. Based in Cambridge, England since its creation during WWII it remains at the forefront of its field.

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Journal of Sport Science - Journal of Sport Science Creatine: The Power Supplement SHIPPING INCLUDED Learn how creatine supplementation affects performance with this authoritative source drawn from the latest research findings. Creatine: The Power Supplement is the first book to provide scientific analysis of creatine supplementation on exercise performance journal of sport science and athlete health journal of sport science and safety. The subject of numerous studies during the 1990s, creatine is a naturally occurring substance necessary for synthesizing phosphocreatine that is used by the muscles during high-intensity exercise. Supplementation programs ...

Journal of Sports Science - Journal of Sports Science Creatine: The Power Supplement SHIPPING INCLUDED Learn how creatine supplementation affects performance with this authoritative source drawn from the latest research findings. Creatine: The Power Supplement is the first book to provide scientific analysis of creatine supplementation on exercise performance journal of sports science and athlete health journal of sports science and safety. The subject of numerous studies during the 1990s, creatine is a naturally occurring substance necessary for synthesizing phosphocreatine that is used by the muscles during high-intensity exercise. Supplementation programs ...

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