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Toward Scientific Medicine
Miettinen, O.
1ª Edición Noviembre 2013
Inglés
Tapa dura
183 pags
600 gr
null x null x null cm
ISBN 9783319016702
Editorial SPRINGER
LIBRO IMPRESO
-5%
51,99 €49,39 €IVA incluido
49,99 €47,49 €IVA no incluido
Recíbelo en un plazo de
2 - 3 semanas
Description
· A unique guide for the development of ever more scientific medicine
· Scientific medicine is presented as being knowledge-based, not thinking-
or evidence-based
· The mantra of knowledge-based medicine leads to an innovative delineation
of the nature of it
· Regarding the requisite research, correspondingly, a novel feature
is objects design in it
Scientific medicine in Miettinen’s conception of it is very different
from the two ideas about it that came to eminence in the 20th century. To him,
medicine is scientific to the extent that it has a rational theoretical framework
and a knowledge-base from medical science. He delineates the nature of that
theoretical framework and of the research to develop the requisite knowledge
for application in such a framework. The knowledge ultimately needed is about
diagnostic, etiognostic, and prognostic probabilities, and it necessarily is
to be codified in the form of probability functions, embedded in practice-guiding
expert systems.
In these terms, today’s medicine still is mostly pre-scientific, and major
innovations are needed within and around medicine for healthcare to get to be
in tune with reasonable expectations about it in this Information Age. Thus,
while the leading cause of litigation for medical malpractice in the U.S. is
failure to expeditiously and correctly diagnose the probability of myocardial
infarction in a hospital’s emergency room, this book shows that a typical
modern textbook of cardiology, just as one of medicine at large, imparts no
knowledge about the diagnostic probabilities needed in this, and that the prevailing
type of diagnostic research will not produce the requisite knowledge. If the
diagnostic pursuits in an ER would be guided by an emergency-room diagnostic
expert system, this would guarantee expert diagnoses by all ER doctors.
Academic leaders of medicine and medical researchers concerned to advance the knowledge-base of medicine will find a wealth of stimulus for thinking about the deficiencies of the prevailing knowledge culture in and surrounding medicine, and about the directions of the needed progress toward genuinely scientific medicine.
Table of contents
Foreword. Preface. Acknowledgments. On medicine’s bonds with science. Part I The knowledge-base of medicine at present. 1 The daunting needs for knowledge. 2 the necessary forms of the knowledge. 3 the knowledge according to its source. Part II Whither from here? 4 needed innovations of the knowledge culture. Part III Medical science for scientific medicine. 5 Original research for scientific diagnosis. 6 original research for scientific etiognosis. 7 original research for scientific prognosis. 8 Derivative research for scientific gnosis. 9 From gnostic research to gnostic knowledge. Epilogue. Index of persons. Glossary.
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