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The term EBM was developed by Sackett and colleagues from the McMaster University (Sackett DL et al. Evidence based medicine. BMJ 1996;312:71-2) as "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients" or in other words, good medical practice based on as much facts as possible for the benefit of your patient. Since 1991 this field has been incooporated into many medical schools around the work, textbooks published and now we see it reaching pediatrics and child health.
This superbly edited book (updates will be regularly posted on www.evidbasedpediatrics.com) is devided into three sections: "Finding, evaluating and applying the evidence"; "Evidence for routine practices: screening/prevention" and finally "Common pediatrics conditions" with a good and comprehensive index.
The steps in the practice of Evidence Based Pediatrics (EBP) are: to evaluate the clinical situation (by history, by examination and laboratory tests), identify information needs and structure clinical questions, search for relevant information from the literature, evaluate the evidence found or identify lack of evidence and finally apply the evidence to your patients.
You will find many useful and structured entries in this book from the issue of the "well child" to the common pediatric problems of otitis media, constipation, short stature or croup.
We believe that this important book should find its way to the desks of the practicing pediatrician, the lecturer in child health and the researcher in pediatrics.
Professor Joav Merrick, MD
Medical director, Division for Mental Retardation, Box 1260, IL-91012 Jerusalem, Israel, email: jmerrick@aquanet.co.il
Mohammed Morad, MD
Family physician, Division for Community Health, Ben Gurion University, Box 653, IL-84105 Beer-Sheva, Israel, email: morad-62@barak-online.net
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While there's a special place in my heart for the 1976 movie, the book is so much better (as is often the case). The universe that the authors created is bigger, more challenging. And the ending is very cool (and TOTALLY different from the movie, which really disappoints in this regard).
Also worth searching out is "Impact 20", a collection of Nolan's early short stories. I believe a small publisher is putting out a collection that contains some of these stories in 2002.
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The journals begin with Mountstuart's boyhood in Uruguay and then move to Oxford and the publication of his first book. We next travel with him to Paris --- where he rubs shoulders with the likes of Hemingway, Picasso and Joyce --- and Spain, where he covers its civil war.
During World War II, Mountstuart becomes a naval intelligence officer and befriends the Duke and Duchess of Windsor (though this eventually turns sour). Following the war, he goes to New York as an art dealer, to Africa as a literature professor, to London and finally to France, where he lives out the rest of his days. All the while, we watch him grow up through his musings and his rich life, which is characterized by friends, family, drugs, lovers, artists, booze, military men, fiends and foes, happiness and sadness, triumphs and personal tragedies. It is, journal entry after entry, the entire makeup of a life fully lived.
Logan Mountstuart is like Forrest Gump in a way. He is able to meet some extraordinary people and be embroiled in a number of important events. But this does not happen because of a goal or a determination to get someplace --- he just happens to be there at the time. Oh! There's Virginia Woolf again. Oh! Jackson Pollack is a charlatan. The Duchess is vindictive! Poor Hemingway, why did he have to shoot himself? Boyd brings all of these people and events into sharp focus, using a fictional character that you swear is real.
Boyd does throw events and people at Mountstuart with a bit too much gusto at times. The writer thinks to himself: How can I make his life a little more interesting right now? The story is beginning to drag. Yes, okay, I'll ship him off to Nigeria during its Civil War. Hmmm, the writer muses, what funny thing can happen to an old man who has traveled the world? Of course, have him fall in with some sort of terrorist cell.
All in all, however, ANY HUMAN HEART is an accomplished piece. It brings together those small, seemingly insignificant details of one's life (breakfasts, vacations, weather reports), puts them up against world events and shows how one's life slowly, perhaps imperceptibly, changes from one day to the next. I'm hungry so I'll end here. Perhaps I'll cook up some scallops and eat them outside. It's bright and sunny but a bit cold. I'll have to wear a hat.
--- Reviewed by Jonathan Shipley
'Any Human Heart' is the memoirs of a fictitious British writer (Logan Mountstuart). As the author dances through the 20th century at an uneven pace (some years are given hardly any reference) we are given a history lesson and travelogue along with our lead character's life story. Logan is not a particularly nice person, especially in his early years when he behaves like a spoiled brat. But as he matures, and the author is extremely talented in portraying this increasing maturity in very subtle ways, I began to feel compassion ... especially when he reflected on his life's successes, failures, and mistakes. I was sorry when I reached the last page.
But all is not wonderful with this book. In a very gimmicky fashion the author has the leading character as a Forrest Gump-like ubiquity amongst the 20th century great and good. He rubs elbows with the likes of Ernest Hemingway, Picasso and the Duke and Duchess of Windsor. All this exploitation of these deceased famous/notorious characters becomes tiresome. William Boyd should realize he is quality writer not needing to resort to such cheap tricks. However while not adding much to the story all these cute entrances/exits of celebrities did not ruin my overall enjoyment with the novel.
Bottom line: well done Mr Boyd.
If you have the time and you are looking for a summer assignment, go to the book store and purchase William Boyd's library. Read them in any order you like. But if you are looking for one excellent example of this writer's genius, then Any Human Heart is a great place to start. I cannot recommend any book more highly.