000 04025nam a22004815i 4500
001 978-3-319-01671-9
003 DE-He213
005 20140220082509.0
007 cr nn 008mamaa
008 131021s2014 gw | s |||| 0|eng d
020 _a9783319016719
_9978-3-319-01671-9
024 7 _a10.1007/978-3-319-01671-9
_2doi
050 4 _aR1
072 7 _aMB
_2bicssc
072 7 _aMED000000
_2bisacsh
082 0 4 _a610
_223
100 1 _aMiettinen, O.S.
_eauthor.
245 1 0 _aToward Scientific Medicine
_h[electronic resource] /
_cby O.S. Miettinen.
264 1 _aCham :
_bSpringer International Publishing :
_bImprint: Springer,
_c2014.
300 _aXVII, 183 p.
_bonline resource.
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
347 _atext file
_bPDF
_2rda
505 0 _aForeword. Preface. Acknowledgments. On medicine’s bonds with science. Part I The knowledge-base of medicine at present -- The daunting needs for knowledge -- The necessary forms of the knowledge -- The knowledge according to its source. Part II  Whither from here?- Needed innovations of the knowledge culture. Part III  Medical science for scientific medicine -- Original research for scientific diagnosis -- Original research for scientific etiognosis -- Original research for scientific prognosis -- Derivative research for scientific gnosis -- From gnostic research to gnostic knowledge. Epilogue. Index of persons. Glossary.
520 _aScientific 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.
650 0 _aMedicine.
650 0 _aMedical ethics.
650 0 _aMedical Education.
650 0 _aScience
_xStudy and teaching.
650 1 4 _aMedicine & Public Health.
650 2 4 _aMedicine/Public Health, general.
650 2 4 _aTheory of Medicine/Bioethics.
650 2 4 _aMedical Education.
650 2 4 _aScience Education.
650 2 4 _aBiomedicine general.
710 2 _aSpringerLink (Online service)
773 0 _tSpringer eBooks
776 0 8 _iPrinted edition:
_z9783319016702
856 4 0 _uhttp://dx.doi.org/10.1007/978-3-319-01671-9
912 _aZDB-2-SME
999 _c92712
_d92712