The purpose of this book is to make R readily accessible, on a hands-on level, to all future epidemiologists for research, data processing, and presentation. The book is essentially about learning R with an emphasis on applications to epidemiology, public health, and preventive medicine. The book is systematically organized into seven chapters, each with a number of main sections covering the spectrum of applicable R codes for biostatistical applications in epidemiology and public health. It first introduces interactional relationships among medicine, preventive medicine, public health, epidemiology, and biostatistics in general, as well as special concepts that have been (and are being) developed to address quantitative problems in epidemiology and public health in particular. A review of the basic elements in the theory of probability is presented to introduce or reinforce readers’ ability to handle this important basic concept. Then, the book covers simple data handling using R programming and presents the graphics capabilities available in R. Following these initial forays into R, the book gives an overview of the theory of probability and mathematical statistics, which is necessary because both of these areas have become integral parts of biostatistical applications in epidemiology. Finally, the book shows how R may be effectively used to handle classical problems in case-control studies and cohort investigations in epidemiology. Similarly, survival analysis, the backbone of much epidemiologic research, finds excellent support in the R environment.
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This book provides clinicians from multiple disciplines the opportunity to examine key topics that can be practically considered for implementation into practice. It provides information from a wide variety of viewpoints that will enable individual team members to forge interdisciplinary approaches to care, assess current programs, develop strategies to improve the quality of care, and tailor new models of care for patients in need of palliative care services. The book spans all aspects of the clinical and compassionate care of patients, families, and caregivers. Written by experts from all clinical disciplines, including medical and surgical physicians, mental health professionals, nurses, therapists, and chaplains, it shows great respect for and gives voice to affected families and their babies. It addresses the multidimensional aspects of perinatal and neonatal palliative care. Encompassing the perspectives of neonatologists, maternal-fetal medicine and other physicians, neonatal and perinatal nurse practitioners, midwives, nurses in all sectors of perinatal care, and child life specialists, chaplains, social workers, genetic counselors, lactation consultants, and others, the book underscores the unique aspects of perinatal and neonatal palliative care, with a focus on improving quality of life, as well as comfort at the end of life. It describes healthcare for neonates and pregnant mothers, care and support of the family, planning and decision making, and effective support for grief and bereavement. It addresses all palliative and neonatal palliative care settings, including home care, and covers elements of comfort care, such as pain medication and oxygen. The book focuses on the prenatal period after diagnosis of the expected baby’s life-threatening condition. These include such topics as care of the mother, delivering devastating news, and advance care planning.
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Mental health/behavioral disorders have been increasing over recent decades and now affect approximately one out of five children and adolescents, creating a major public health epidemic. With the
COVID-19 pandemic, further increases in mental health problems are anticipated. Unfortunately, many children today who are suffering with mental health disorders do not have protective factors to buffer them from developing serious mental illness. Further, fewer than 50% of affected children and teens receive any treatment; even fewer receive the best evidence-based treatments. Primary care providers are ideally suited to screen for, identify and manage common mental health disorders in children and teens because of established relationships with their families and a practice setting which lessens stigma. Academic programs that prepare healthcare providers also have been slow to integrate in-depth content on the assessment and management of common mental health disorders in children and teens. Thus, primary care providers often report not having the knowledge and skills believed necessary to appropriately and accurately identify and manage common child and adolescent mental health disorders. The third edition of this book has been strengthened with new chapters, evidence-based programs, updated educational materials for families, and resources to assist interprofessional clinicians in being more effective in screening, identifying, managing, and preventing common mental health disorders in children and teens. A major feature of the book is that it delivers the best "nuts and bolts" evidence-based content in a format that is user-friendly and contains screening tools and evidence-based interventions that can be readily used in practice.