Martin Lawrence - Böcker

The demand for quality control of medical care has increased dramatically in recent years. In response to higher public awareness and political trends, the implementation of audit has swept through general practice in the UK, fuelled by the appearance of improved data collection systems and the greater sophistication of primary care teamwork.This concise yet comprehensive guide to the theory and practice of medical audit in the primary health care setting is edited by two university lecturers who are also practising GP's. It includes contributions from a range of practitioners who have experience of audit in action, and an appreciation of the potential pitfalls involved. This theoretical and practical guide to the challenge of medical audit has proved to be and will continue to be of value to general practitioners, trainees, and all members of the primary health care team.

Cardiovascular disease remains the greatest cause of morbidity and mortality. Over the past 10-15 years many studies have clarified the risks that are important, and the interventions which are effective.This book breaks new ground in both providing clear recommendations on what should be done, and the evidence on which these recommendations are based. It accords with current views that guidelines should be based on evidence, and that the evidence should be clear. The book is split into three sections: the first reviews the risk factors for cardiovascular disease and the clinical effectiveness of reducing them; the second examines methods of implementation in practice; and the final section makes practical recommendations, explicitly based on the evidence in the fist two sections.

Peer review is especially effective in inducing change and improvement in practice in the long term, and is particularly appropriate in the UK and Europe - it is relevant, locally based, simple and educational. The original Dutch book from which this book was developed was well reviewed. The ideas presented in this book are mainstream and challenging and will help to extend the audit debate as well as to further progress in continuing medical education.

Last Resting Place looks at the loss of each of the ten capital ships of the Royal Navy that were sunk during the Second World War. The stories of some of the sinkings are well known and have become deemed simply part of the fortunes of war. Naval war involves battles, and in sea battles, sooner or later, protagonists are sunk.But for some of the capital ship losses the stories of how disaster struck are not quite as straightforward. The sinking of HMS Hood, for instance, has led to questioning the verdict of the official enquiry over many years, even up to the present day. It was concluded at the time that Hood was lost to a lucky hit from Bismarck that drove through the ship and caused a magazine at the stern to catch fire. The inquiry did go through various possibilities in detail but this was the best fit of three alternatives considered and has been left to stand. Yet Hood’s record of numerous dockings for repairs before her last sortie – some of which were heavy – was never even brought up, a surprising omission and the more so since close to the outbreak of war the First Sea Lord had commented: ‘she [Hood] needs a complete and total change of machinery as hers is twenty years old,’ and ‘the likelihood of her being able to steam at speed for any distance must be considered remote.’ Why was mechanical breakdown overlooked? The author’s detective work has brought to light some radical new conclusions.Some other ships such as Ark Royal and Hermes had their wrecks located on the seabed miles away from the official recorded position of their sinking and the loss of Royal Oak in Scapa Flow was an avoidable debacle. Even more contentious was the loss of Glorious, sent to Norway to recover some hopelessly antiquated Gloster Gladiator aircraft and lost on her return when she ran into the German battleships Scharnhorst and Gneisenau. The results of the inquiry into her sinking were later locked away for 100 years, a decision that has led to much speculation about the actual purpose of her mission and what is it about it that is being hidden from public view.In ten chapters the author dissects what happened to these fine ships, how their losses came about and where their wrecks are located; and he looks in detail at theories, causes and conclusions surrounding the sinkings. It is a fascinating compilation for anyone interested in the history of the Royal Navy’s great capital ships and sheds genuine new light on the calamitous destruction of nearly half of them during the War.