Sygepleje og paramedicinske fag

Augenübungen mit vielen Variationen ¿ individuell oder in GruppenDie Augen sind durch lange Bildschirmarbeit besonders beansprucht. In diesem Buch werden vielfältige Augenübungen gezeigt, die ein möglichst langes, klares und schmerzfreies Sehen sowie die Regenerationsfähigkeit der Augen fördern. Dabei steht die Ganzheitlichkeit im Mittelpunkt ¿ die Augenübungen werden als Teil einer umfassenden Gesundheitsvorsorge verstanden.Die Übungen stammen aus der Augenheilkunde sowie aus anerkannten komplementären Verfahren der Gesundheitsförderung, Prävention und Rehabilitation. Jede Übung wird Schritt für Schritt erklärt. Zahlreiche Abbildungen verdeutlichen den genauen Ablauf.Die Übungen können als Anleitung an den Patienten weitergegeben werden, so dass der Patient aktiv in den Heilungsprozess involviert wird bzw. vorbeugen kann. Mithilfe der Übungen lassen sich Übungsprogramme individuell für Patienten und für Gesundheitskurse erstellen.Schritt für Schritt und mit Fotos wird durch die Übungen geführt, so dass das Wiederholen zu Hause für den Patienten möglich ist. Plus zum Buch: Die Übungsanleitungen sind als Download verfügbar.Das Buch richtet sich an Augenärzte, Optiker, Heilpraktiker, Physiotherapeuten und Trainer für Yoga, Tai Chi und Gesundheitskurse. Auch für interessierte Laien ist es gut verständlich.

In diesem Praxisbuch finden Sie die notwendigen Informationen rund um das Thema Digitalisierung in der Physiotherapie. Wie kann die ePA meinen Praxisalltag erleichtern? Welche Datenschutzrichtlinien muss ich bei der Videotherapie beachten? Wer übernimmt die Kosten für die Online-Beratung ohne Rezept? Die Experten liefern Ihnen die Antworten!Aus dem Inhalt:Chancen, Grenzen und Gefahren der Digitalisierung in der PhysiotherapieDigitale PraxisorganisationDigitale Therapieangebote wie z. B. Physiocoaching und VideotherapieRechtliche Rahmenbedingungen, Datenschutz und MarketingPlus: Videos via MoreMedia-App veranschaulichen die Umsetzung in die Praxis optimal!Erweitern Sie Ihre Praxis um zeitgemäße Therapieangebote und profitieren Sie von den Vorteilen der Digitalisierung!

This book focuses on energy metabolism and brain functions related to Cortical Spreading Depression of Leao (CSD), an important issue in brain pathophysiology. The first part of the book offers a comprehensive overview of the history and early research on CSD, and then discusses the recent advances in the technology used to map and monitor brain mitochondrial NADH redox state and other physiological functions during CSD. The chapters explore the connection between CSD and mitochondrial function under hypoxia, Ischemia and various drugs treatment, and provide a resource to scientists researching the development of CSD during various brain pathophysiological conditions.  This book is essential to scientists and students working in the field of bioenergetics of the brain and various organs and tissues in the body. The use of this technology is also crucial and applicable in the neuroscience field.

Artificial Intelligence and Machine Learning for Women's Health Issues discusses the applications, challenges, and solutions that machine learning can bring to women's health challenges. The book illustrates advanced, innovative techniques, frameworks, concepts, and methodologies of machine learning which enhance the future healthcare system. This book's primary focus is on women's health issues and machine learning's role in providing solutions to these challenges, providing novel ideas for feasible implementation. It also provides an early-stage analysis for early diagnosis of women's health issues.

Stimuli-Responsive Hydrogels for Ophthalmic Drug Delivery covers fundamental aspects in the preparation of polymeric in-situ, stimuli-responsive hydrogels, including properties, characterization, chemistry, and fabrication of these hydrogels. The book will help the reader select the most appropriate material and design for the desired application. The book goes on to review applications in ophthalmic drug delivery, covering in vitro and in vivo models, animal models, preclinical testing, patents, and more. This is a must-have reference for researchers and academics in the fields of materials science, biomaterials, pharmacology and polymer science, with an interest in clinical aspects of hydrogel design and application.

By reading this book, you'll understand how valuable community nurses have been for our beloved NHS, who have been essential to recover those discharged from hospital and those managing long term conditions to reduce the number of admissions for the severely strained hospitals to face. During the diary entries, the book focuses on the hardships and positivity that came from the recent pandemic, which everyone can relate to in one form or another. The home visits told in George's entries have been transferred into funny, emotional and heart-warming reads for all to see.

This book presents cutting-edge research and developments in the field of biomedical engineering, with a special emphasis on results achieved in Vietnam and neighboring low- and middle-income countries. Covering both fundamental and applied research, and focusing on the theme of ¿Translational Healthcare Technology from Advanced to Low and Middle Income Countries in the Era of Covid and Digital Transformation¿, it reports on the design, fabrication, and application of low-cost and portable medical devices, biosensors, and microfluidic devices, on improved methods for biological data acquisition and analysis, on nanoparticles for biological applications, and on new achievements in biomechanics, tissue engineering, and regeneration. It describes the developments of molecular and cellular biology techniques, neuroengineering techniques, and statistical and computational methods, including artificial intelligence, for biomedical applications. It also discusses strategies to addresssome relevant issues in biomedical education and entrepreneurship. Gathering the proceedings of the 9th International Conference on The Development of Biomedical Engineering in Vietnam, BME 9, held on December 27-29, 2022, in Ho Chi Minh, Vietnam, the book offers important answers to current challenges in the field and a source of inspiration for scientists, engineers, and researchers with various backgrounds working in different research institutes, companies, and countries.

"Sciatica Demystified: Doctor's Secret Guide" is a definitive and compassionate exploration of sciatica, offering a profound understanding of this debilitating condition and equipping readers with the knowledge to overcome its challenges. Delving into the biopsychosocial aspects of pain, this guide provides a comprehensive view of sciatica, from its intricate anatomical origins to its emotional and psychological impact. By uncovering the causes and risk factors, readers gain valuable insights into the diagnosis and medical interventions available, including medications, injections, and surgical options.The book adopts a holistic approach to sciatica management, emphasizing physical therapy, exercise, nutrition, and mind-body techniques. It explores coping strategies for chronic sciatica, offering support networks, adaptive devices, and improved sleep quality. Tailored sections address sciatica during pregnancy, emotional and psychological impacts, and long-term spinal health. Complementary and alternative therapies, including acupuncture, chiropractic care, and massage therapy, are thoroughly examined.Through compelling case studies and success stories, readers witness real-life journeys from pain to recovery, instilling hope and motivation. This guide culminates with key takeaways, a message of hope, and valuable resources for further reading. Authored by a caring doctor, "Sciatica Demystified" is a beacon of knowledge and support for anyone navigating the challenges of sciatica.

This book takes the notions of adaptivity and learning from the realm of engineering into the realm of biology and natural processes. It introduces a Hebbian-LMS algorithm, an integration of unsupervised Hebbian learning and supervised LMS learning in neural networks, as a mathematical representation of a general theory for synaptic learning in the brain, and adaptation and functional control of homeostasis in living systems. Written in a language that is able to address students and scientists with different backgrounds, this book accompanies readers on a unique journey through various homeostatic processes in living organisms, such as body temperature control and synaptic plasticity, explaining how the Hebbian-LMS algorithm can help understand them, and suggesting some open questions for future research. It also analyses cell signalling pathways from an unusual perspective, where hormones and hormone receptors are shown to be regulated via the principles of the Hebbian-LMS algorithm. It further discusses addiction and pain, and various kinds of mood disorders alike, showing how they can be modelled with the Hebbian-LMS algorithm.  For the first time, the Hebbian-LMS algorithm, which has been derived from a combination of Hebbian theory from the neuroscience field and the LMS algorithm from the engineering field of adaptive signal processing, becomes a potent model for understanding how biological regulation works. Thus, this book is breaking new ground in neuroscience by providing scientists with a general theory for how nature does control synaptic learning. It then goes beyond that, showing that the same principles apply to hormone-mediated regulation of physiological processes. In turn, the book tackles in more depth the concept of learning. It covers computer simulations and strategies for training neural networks with the Hebbian-LMS algorithm, demonstrating that the resulting algorithms are able to identify relationships between unknown input patterns. It shows how this can translate in useful ideas to understand human memory and design cognitive structures. All in all, this book offers an absolutely, unique, inspiring reading for biologists, physiologists, and engineers, paving the way for future studies on what we could call the nature's secret learning algorithm.

This book provides a comprehensive presentation of the most frequently used high resolution manufacturing techniques available, as well as the polymeric materials used for each of the techniques. Divided into two parts covering the technologies and materials used and the impact on different research fields and case studies, High Resolution Manufacturing from 2D to 3D/4D Printing: Applications in Engineering and Medicine addresses issues like throughput improvement by volumetric 3D printing and presenting novel applications and case studies. In addition, this book also covers the latest breakthrough developments and innovations to help readers understand the future applications of this technology across various disciplines, including biomedicine, electronics, energy, and photonics.

Denne 8. udgave giver en indføring i forskningsprocessens forskellige faser fra emneafgrænsning over problemformulering og indsamlings- og analysemetoder til formidling.Bogen er en velskrevet og lettilgængelig grundbog på mange uddannelser. Den er båret af en grundholdning om, at forskning ikke kan bedømmes ud fra én gylden standard for den korrekte metode, men at man på mangfoldige måder må undersøge sit emne for at skabe brugbar viden om og til mennesker i samfundslivet.Heraf følger, at kriterier for, hvad der er god kvalitet i forskningen, og hvad der udgør evidens, ikke kan besvares med henvisning til en enkel procedure, som definerer den rette metode. Det gør forskning mere kompliceret, men også mere spændende og udfordrende.I denne 8. udgave har forfatterne opdateret litteraturhenvisningerne samt revideret dele af teksten og tilføjet nye eksempler.Forskning om og med mennesker kan anvendes til såvel selvstudium som grundstamme i metodekurser på forskellige niveauer og som forfriskende læsning – også for den garvede forsker.

This is an increasingly timely book, focusing on issues arising from the impact of COVID-19 on the health care law of the Central and East European countries. It deals with dualism and system of health care law, depicts legal personality in the field of health care, examines property rights and turnover of human tissues, considers moral rights in this field, intellectual ownership in the field of medicine and pharmacy, contracts on health care and contracts on rendering medical services, the legal relationships of transplantology, post-mortem reproduction and donorship, features of family personal property rights in the field of health care, problems of legal regulation of medical workers labour, investigates private legal relationships of surrogate motherhood with foreign element. Special attention is given to the alternative resolution of health care disputes and impact of pandemic on the effective health rights protection. The book is intended for wide auditoria of scholars and practitioners, who engaged in health care rights protection, as well as judges and practicing lawyers, graduate and undergraduate students.

En metodebog for alle, der arbejder kvalitativt med at udforske og forbedre praksis på sundhedsområdet, og den er relevant for mange forskellige fag, fx sygepleje, psykologi, ergoterapi, medicin, fysioterapi, jordemoder- og folkesundhedsvidenskab. Bogen viser, hvordan man tager afsæt i problemer, som de erfares i praksis, og den beskriver trin for trin, hvordan forskere, sundhedsprofessionelle, brugere, studerende og undervisere kan samarbejde om forskningsprocessen og medvirke til at kvalificere praksis.Bogen bygger på traditionen for kritisk psykologisk praksisforskning og går i dybden med planlægning og gennemførelse af forskningsprocessen, anvendelse af kvalitative metoder, analyse af empirisk materiale og omsætning af indsigter til praksisudvikling.Praksisforskning på sundhedsområdet er nødvendig af to grunde. For det første har interessen for at involvere brugere i sundhedsforskning aldrig været større. For det andet er der en tendens til at prioritere tilgange og metoder til brugerinvolvering, som kun i mindre grad reelt lader brugere komme selvstændigt til orde. Denne metodebog formidler et velunderbygget alternativ til samarbejde om praksisrettede forskningsprocesser.Bogen udkommer i bogserien SUNDHED, MENNESKE, SAMFUND, redigeret af professor Klaus Lindgaard Høyer (KU) og lektor Lotte Huniche (SDU), som samler Munksgaards peer review-udgivelser inden for human- og samfundsvidenskabelig sundhedsforskning.

Before she became the legendary "Lady with the Lamp" healing soldiers in the Crimean War, Florence Nightingale shattered conventions as a pioneering nurse and reformer. Her seminal work Notes on Nursing, published in 1860, distills over a decade of her transformative insights and methods. This profound volume remains essential reading for all in the healing professions.Caring for ill bodies and minds requires more than medicine alone, Nightingale admonishes. She illuminates the vital role of nutrition, sanitation, cleanliness, ventilation, warmth, and managing the patient's environment in facilitating healing. Nightingale overturns common neglect of these essentials with keen observations from years studying disease statistics and death rates in hospitals. Her analysis of deficiencies in existing care sparked sweeping reforms that drastically reduced preventable deaths.Far ahead of her time, Nightingale recognized the power of psychology in healing. She insisted nurturing hope and calm in patients is as important as physical care in aiding recovery. Her wisdom reached even to directions for home nursing and architectural design of hospitals. Principles that seem obvious now were revelatory when Notes on Nursing was first published.This landmark work brims with Nightingale's characteristic insight, conviction, and concise style. She marshals irrefutable evidence, pungent examples, and sharp wit to convince both caregivers and families to implement essential reforms. Undoubtedly abrasive to the old guard of her day, Nightingale's deep compassion shines through as she urges priority be given to improving patient outcomes through better care practices.Notes on Nursing exemplifies Florence Nightingale's groundbreaking work elevating nursing to a respected profession and noble calling. This volume captures her visionary ideas and poetic pragmatism that profoundly influenced medicine and society. Two centuries later, it remains powerful and transformative reading.

This book argues that legal theory provides a jumping-off point for the study of controversial topics related to the work of Practicing Healthcare Ethicists (PHEs). Healthcare ethics consultation has had a place in healthcare for many decades yet the nature of the work is not well understood by many of its critics as well as its defenders. PHEs have been described as compromised and ineffectual, politicised and undemocratic, and their promise to offer sound advice has been deemed irredeemably incoherent in the context of value pluralism.Legal theorists have long attended to the relationship between law and morality, and the supposed tension between democracy and the role of an expert judiciary. An appreciation that these debates are not unique to the practice of healthcare ethics can help PHEs to engage critics with a renewed confidence and some fresh approaches to perennial, and hitherto unproductive, arguments.This book will be of great interest to practicing healthcare ethicists, as well as those who rely upon their services (healthcare professionals and healthcare leaders, patients, and their families) as well as academics working in the broader field of bioethics.

The book focuses on biomedical innovations related to the diagnosis and treatment of sleep apnea. The latest diagnostic tools are described, including sleep laboratory equipment, wearables, and even smartphone apps. Innovative medical devices for treatment are also covered, such as CPAP, Auto-PAP, hypoglossal nerve stimulation, phrenic nerve stimulation, acoustic brain stimulation and electrical brain stimulation. This is an ideal book for biomedical engineers, pneumologists, neurologists, cardiologists, physiologists, ENT physicians, pediatrics, and epidemiologists who are interested in learning about the latest technologies in treating and diagnosing sleep apnea.

Depression in New Mothers, Volume 1: Causes, Consequences, and Risk Factors provides a comprehensive, evidence-based approach to understanding symptoms and risk factors of depression, anxiety, and PTSD in perinatal women.

This book discusses the extraction, purification, modification, and processing of biobased materials and their various industrial applications, across biomedical, pharmaceutical, construction, and other industries. It includes contributions from experts on hybrid biopolymers and bio-composites, bioactive and biodegradable materials, bio-inert polymers, natural polymers and composites, and metallic natural materials. Therefore, this encyclopedia is a useful reference for scientists, academicians, research scholars, and technologists. Major challenges of biobased materials are their efficient development, cost-effective, and green & environment friendly production/applications. This encyclopedia answers these challenges to professionals and scientists for proper utilization of biobased materials. It presents the recent practices of biobased materials technology in different scientific and engineering domains. It helps the bounded industrial outcomes to reach the general readership of different domains. This encyclopedia bridges the technological gaps between the industrial and academic professionals and the novice young students/scholars. The interdisciplinarity of this encyclopedia makes it unique for a wide readership.  The topic of biobased materials is currently popular in the scientific community, working in such following areas as Recycled materials, Renewable materials, Materials for efficiency, Materials for waste treatment, Materials for reduction of environmental load, Materials for easy disposal or recycle, Hazardous free materials, Materials for reducing human health impact, Materials for energy efficiency, Materials for green energy, etc. This is a relatively hot topic in materials science and has strong demands for energy, material and money savings, as well as heavy contamination problems, despite that the area of biobased materials belongs to most important fields of modern science & technology, no important encyclopedias have been published in the area of "e;biobased materials"e;

This book examines the current status of mHealth development, regulations and the social background in Japan, South Korea and China, comparing it to the situation in the United States and the European Union and consider solutions to issues surrounding mHealth.The recent progress in mobile technology, represented by smartphones and smart watches, has been remarkable. A service called mobile health (mHealth), which uses such mobile technology to manage health, is also becoming a reality. Although the accuracy of medical devices is not as accurate as those used in medicine, the biometric information such as heart rate and SpO2 can already be monitored over a long period of time. Although the technology is maturing to the point where it can be implemented in society, it remains an unapproved service of medical care in most countries. The development and social implementation of mHealth is most active in the US, but social implementation is gradually progressing in other countries as well. In this book, we will first discuss what kind of global and harmonized regulations are desirable by comparing the regulatory reforms necessary for social implementation of mHealth. In addition, mHealth raises privacy concerns in the US because the usual behavior and biometric information of subjects is utilized by private companies. In addition, it is important to note that the behavior and biometric information of subjects collected by smart devices is automatically analyzed by AI technology, mainly machine learning, which makes the analysis a black box.

-Extraordinary encounters. Unexpected humor. Endless challenges. Life-threatening diseases. Unthinkable trauma.- Welcome to STAT: Crazy Medical Stories as told by the healthcare professionals themselves. From peculiar conditions and mysterious ailments to remarkable recoveries and perplexing medical mysteries, Stat: Crazy Medical Stories, draws from real-life accounts. Each chapter unveils crazy medical cases as narrated by the healthcare professionals themselves. The stories take you on a captivating journey across various disciplines, including general medicine, surgery, psychiatry, and more. Prepare for a rollercoaster of emotions; you'll laugh, cry, and be shocked as you delve into the bizarre and unconventional experiences encountered by our extraordinary healthcare professionals.

-Extraordinary encounters. Unexpected humor. Endless challenges. Life-threatening diseases. Unthinkable trauma.- Welcome to STAT: Crazy Medical Stories as told by the healthcare professionals themselves. From peculiar conditions and mysterious ailments to remarkable recoveries and perplexing medical mysteries, Stat: Crazy Medical Stories, draws from real-life accounts. Each chapter unveils crazy medical cases as narrated by the healthcare professionals themselves. The stories take you on a captivating journey across various disciplines, including general medicine, surgery, psychiatry, and more. Prepare for a rollercoaster of emotions; you'll laugh, cry, and be shocked as you delve into the bizarre and unconventional experiences encountered by our extraordinary healthcare professionals.

-Extraordinary encounters. Unexpected humor. Endless challenges. Life-threatening diseases. Unthinkable trauma.- Welcome to STAT: Crazy Medical Stories as told by the healthcare professionals themselves. From peculiar conditions and mysterious ailments to remarkable recoveries and perplexing medical mysteries, Stat: Crazy Medical Stories, draws from real-life accounts. Each chapter unveils crazy medical cases as narrated by the healthcare professionals themselves. The stories take you on a captivating journey across various disciplines, including general medicine, surgery, psychiatry, and more. Prepare for a rollercoaster of emotions; you'll laugh, cry, and be shocked as you delve into the bizarre and unconventional experiences encountered by our extraordinary healthcare professionals.

 This atlas offers a step-by-step approach to Thoracoscopic surgery for Congenital Pulmonary Malformation (CPAM) in each major lung resection.  This technique is still a matter of debate and is used approxmately by 50% of the surgeons in Europe.   The apprehension of the thoracoscopic approach is complicated firstly by  the small size of the child to whom it is proposed and secondly by the risks of perioperative or postoperative complications. Furthermore, the pulmonary malformations object of this investigation are rare, thus  making this technique difficult to learn and reproduce  The volume - the result of a surgical experience acquired since 2007 in this field -  offers a step-by-step approach to the procedure in each major lung resection and is  illustrated by numerous intraoperative photos, short video clips and even complete resection videos; tips and tricks are presented to facilitate surgery, to make it reproducible and accessible by all surgeons, whether they are young surgeons in training or experienced surgeons. This atlas aims to complement and not to replace the direct observation in the operating room, or the procedure learning by the reader. It offers essential guide for practitioners, trainees and thoracoscopic surgeons interested in CPAM.

Healthcare in the Arabian Gulf and Greater Middle East is the first evidence-based, English-language textbook to provide a comprehensive overview of healthcare in this region, where health systems are rapidly evolving and feature large numbers of expatriate health professionals serving a population with diverse ethnic, social, cultural and environmental needs. This unique book covers relevant research, conditions and appropriate interventions and treatment. Readers will gain an insight into the key health challenges of the region and how to approach them, as well as local healthcare structures and cultural considerations such as Islam and healthcare, culturally competent communication and the role of the family. Written by experienced international and local academics and professionals, this book will be invaluable for students, healthcare professionals and anyone interested in working in this fascinating region. Based on the latest evidence - provides a comprehensive overview of key healthcare challenges in regionFeatures numerous Arabic contributors as well as non-Arabic contributors with experience and expertise in the regionKey strategic, local and individual healthcare approaches - including a generic adaptable toolkitShort case studies and thinking grids for appropriate careDiscussion of social, cultural and environmental perspectives specific to the regionEasy to read and followHighly practical - covers key topics including: Islam and healthcarepain managementpalliative and end of life careculturally competent communicationconsumer-driven healthcarethe family in healthcare in the Arabian gulfcommunicable and non-communicable diseases

This book gathers extended contributions to the workshop on Long-Term Digital Care, LTC-2021, organized by the Universita Politecnica delle Marche (UNIVPM), Ancona, Italy, and the Hochschule Konstanz (HTWG), Germany, in November 2021, and funded by the DAAD Joint Mobility Program. It covers innovative, practice-oriented approaches that are expected to foster digital health care, with a special focus on improving internationalization and accessibility. The book, which  bridges between technological and social disciplines, reports on selected studies with the main goals of: establishing a comparison of Long-Term Digital Care approaches, with focus on exchange and networking processes; defining practical roadmaps for digital social innovation; establishing concepts and methods for process evaluation and sustainability.  It offers a timely snapshot on technologies for patient monitoring and assistant systems, medical data analysis and image processing, digital platforms and advanced diagnostics techniques, and discusses important concepts relating to traceable process evaluation, networking and accessibility.  It aims at informing, yet it is also intended to inspire and foster a stronger collaboration across disciplines, countries, as well as academic and professional institutions.

This book discusses the mechanism and therapeutic strategies of phytochemicals against brain ageing. It discusses the underlying anti-oxidative and anti-inflammatory mechanisms of the phytochemicals and the implications of these compounds in the prevention and treatment of geriatric diseases. It discusses the potential role of the highly complex interactive network between the gut and the brain in neurodegenerative diseases such as Parkinson¿s disease (PD), and Alzheimer¿s disease. The chapters provide insight into the mechanisms involved in brain ageing and the mechanism of actions of the phytochemicals that might be crucial in developing effective new therapies against brain ageing. The chapter also presents the mechanisms of action of phytoconstituents, bioavailabilities, and their effects on neuroinflammation. The chapters also examine the phytochemicals protection of neurons via targeting oxidative stress, mitochondrial dysfunction, neurotrophic factor deficit, apoptosis, and abnormal protein accumulation. This book aims to provide comprehensive and cutting-edge information on the potential neuroprotective role of phytochemicals on the brain and neurological disorders to researchers, neuroscientists, clinical nutritionists, and physicians.

Christian and other nurses in the hostile modern and increasingly secular age may feel helpless in an environment that created the Liverpool Care Pathway (LCP) and continues to foster end of life 'care' through sedation and dehydration. The book aims to enlighten both health professionals and the public alike to their rights of conscience and knowledge of the needs of vulnerable patients whether related to ethical care or guidance and the law which can affect them. Indifference to patients'needs and suffering may be injurious to nurses' health all of whom have a conscience. This must be respected, protected and used as a guide to truly care for the patient's benefit, reqardless of laws and professional pathways which may prove harmful to many vunerable patients. The questioning nurse on ethical issues and dilemmas needs consideration, respect and support when attempting to act as the patient advocate. Managers at all levels need to be aware of the concerns of front line nurses and to be mindful that recruitment and retention are both equally important factors for the quality of patient care and nurse morale and work satisfaction. The NHS was a wonderful creation which is only as good as its staff at all levels. Its managers and government ministers must remember that the more authority invested in them, the more the accountability and transparency expected by both health professionals, their patients and the public.