Cut the Threads

Author: ROBIN. ROUGHLY
Publisher:
ISBN: 1912175983
Release Date: 2018-02-22
Genre:

When the mutilated remains of local hard man, Tam Whitlow, are found tied to a chair, in a dilapidated building, Marnie Hammond and the team believe the murder could be gang-related. Whitlow worked for Jimmy Rae, a man who hides behind the facade of local businessman but whose empire has been built on fear and extortion. However, it appears that someone is trying to take over from Rae, someone who is willing to commit horrific killings to achieve their goal. Meanwhile, Tom Conway is looking for his oldest friend, John Hall, who is missing along with his young daughter, Rowan. As Conway starts to ask questions he finds himself in grave danger. Is there a link between the missing man and the spate of murders? Will Tom or Marnie discover the truth before it is too late? As the body count rises, Marnie realises that there is someone in the shadows, someone who will never rest until they have had their revenge.

Keep You Near

Author: Robin Roughley
Publisher:
ISBN: 1912175053
Release Date: 2017-03-09
Genre: Fiction


Pain Management and the Opioid Epidemic

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 9780309459549
Release Date: 2017-10-28
Genre: Medical

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Conflict of Interest in Medical Research Education and Practice

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309145442
Release Date: 2009-09-16
Genre: Medical

Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.

The Oracle of Dating

Author: Allison van Diepen
Publisher: Harlequin
ISBN: 9781426854866
Release Date: 2010-05-01
Genre: Young Adult Fiction

For five bucks, the Oracle of Dating will tell you: * How to flirt * If that cute guy you're crushing on likes you, too * Whether your new romance will last through lunch period * And much more What she won't tell you? Who she is. No one at Kayla's school knows she's the famous Oracle of Dating— the anonymous queen of dating advice. She doesn't even have a boyfriend. Two relationship disasters were enough to make Kayla focus on everyone else's love life. But then her advice backfires on her own best friend. And Kayla starts to seriously obsess about Jared Stewart—the very cute, very mysterious new guy in school. Suddenly, the teen queen of advice needs her own oracle of dating—and she knows just where to find one….

Opioid Dependence

Author: Heath B. McAnally
Publisher: Springer
ISBN: 9783319474977
Release Date: 2017-10-07
Genre: Medical

The book begins with a public health/epidemiologic examination of the situation, with a systematic view of the problem based on classic (infectious disease) epidemiologic principles applied to this behavioral health issue. This application is expanded to take into account the fact that unlike most epidemics in our species’ history, a unique factor that must be accounted for in any public health analysis is that the host (opioid-dependent/misusing patient) is generally not under sufficiently strong motivation to avoid the disease. The introduction concludes with a survey of recent containment approaches, categorized epidemiologically by target (agent, vector, host.) The remainder of the book is organized according to this framework, addressing agent, vector/transmission and host, respectively. Sections Three and Four comprise the major focus of the book, and are dedicated primarily to practical education for primary care providers in preventing opioid use disorder, and overcoming it after the fact.

Medical Fitness and Resilience

Author: Regina A. Shih
Publisher: Rand Corporation
ISBN: 9780833078988
Release Date: 2013-10-03
Genre: Medical

This report is one of a series designed to support Air Force leaders in promoting resilience among its Airmen, civilian employees, and Air Force families. It examines the relationship between medical fitness and resilience, using key constructs found in the scientific literature, which address preventive care, the presence and management of injuries and chronic conditions, and facilitators and barriers to access of appropriate health care.

Combined Estrogen progestogen Contraceptives and Combined Estrogen progestogen Menopausal Therapy

Author: IARC Working Group on the Evaluation of Carcinogenic Risks to Humans
Publisher: World Health Organization
ISBN: 9789283212911
Release Date: 2007
Genre: Medical

Oral contraceptives for family planning worldwide have revolutionised the reproductive lives of millions of women since their introduction in the 1960s. Later on, a variety of side-effects including cardiovascular diseases was recognised. In response to these concerns, new generations of combined oral contraceptives were developed that featured lower dose of estrogen and newer, more potent progestogens. The effectiveness and ease of use of combined hormonal contraceptives suggest that they will continue to be used to a significant extent in the future. This ninety-first volume of IARC Monographs contains evaluations of the carcinogenic hazard to humans of combined estrogen-progestogen contraceptives and combined estrogen-progestogen menopausal therapy. The hormonal drugs reviewed in this volume involve co-administration of an estrogen and a progestogen. Studies that did not provide information on the use of combined estrogen-progestogen agents are not reviewed. It should also be noted that this volume reviews only studies that are publicly available and therefore does not include pharmaceutical test results that are not in the public domain. The evaluations developed in this volume identify specific forms of cancer for which the risk is increased or decreased by combined estrogen-progestogen contraceptives and provide information that will help address the health concerns and well-being of hundred of millions of women worldwide.

Returning Home from Iraq and Afghanistan

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309152852
Release Date: 2010-03-31
Genre: Medical

Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.

Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309301763
Release Date: 2014-06-17
Genre: Medical

Posttraumatic stress disorder (PTSD) is one of the signature injuries of the U.S. conflicts in Afghanistan and Iraq, but it affects veterans of all eras. It is estimated that 7-20% of service members and veterans who served in Operation Enduring Freedom and Operation Iraqi Freedom may have the disorder. PTSD is characterized by a combination of mental health symptoms - re-experiencing of a traumatic event, avoidance of trauma-associated stimuli, adverse alterations in thoughts and mood, and hyperarousal - that last at least 1 month and impair functioning. PTSD can be lifelong and pervade all aspects of a service member's or veteran's life, including mental and physical health, family and social relationships, and employment. It is often concurrent with other health problems, such as depression, traumatic brain injury, chronic pain, substance abuse disorder, and intimate partner violence. The Department of Defense (DoD) and the Department of Veterans Affairs (VA) provide a spectrum of programs and services to screen for, diagnose, treat for, and rehabilitate service members and veterans who have or are at risk for PTSD. The 2010 National Defense Authorization Act asked the Institute of Medicine to assess those PTSD programs and services in two phases. The Phase 1 study, Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Initial Assessment, focused on data gathering. Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations Final Assessment is the report of the second phase of the study. This report analyzes the data received in Phase 1 specifically to determine the rates of success for each program or method. Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations Final Assessment considers what a successful PTSD management system is and whether and how such a system is being implemented by DoD and VA. This includes an assessment of what care is given and to whom, how effectiveness is measured, what types of mental health care providers are available, what influences whether a service member or veteran seeks care, and what are the costs associated with that care. This report focuses on the opportunities and challenges that DoD and VA face in developing, implementing, and evaluating services and programs in the context of achieving a high-performing system to care for service members and veterans who have PTSD. The report also identifies where gaps or new emphases might be addressed to improve prevention of, screening for, diagnosis of, and treatment and rehabilitation for the disorder. The findings and recommendations of Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Final Assessment will encourage DoD and VA to increase their efforts in moving toward a high-performing, comprehensive, integrated PTSD management strategy that addresses the needs of current and future service members, veterans, and their families.

Sleep Deprivation and Disease

Author: Matt T. Bianchi
Publisher: Springer Science & Business Media
ISBN: 9781461490876
Release Date: 2013-10-28
Genre: Medical

The cognitive and behavioral implications of sleep deprivation have been noted in the medical literature for many years. In addition, emerging research continues to demonstrate the contribution of sleep deprivation to some of the most common and costly health conditions today. Sleep Deprivation and Disease provides clinically relevant scientific information to help clinicians, public health professionals, and researchers recognize the ramifications of sleep deprivation across a broad spectrum of health topics. This timely reference covers sleep physiology, experimental approaches to sleep deprivation and measurement of its consequences, as well as health and operational consequences of sleep deprivation. Clinical challenges and areas of uncertainty are also presented in order to encourage future advancements in sleep medicine and help patients avoid the outcomes associated with the myriad causes of sleep deprivation.

Behavioral Emergencies for the Emergency Physician

Author: Leslie S. Zun
Publisher: Cambridge University Press
ISBN: 9781107018488
Release Date: 2013-03-21
Genre: Medical

This comprehensive, go-to volume features cutting edge discussion of the emergency department management of mental health patients.

Advances in Intervertebral Disc Disease in Dogs and Cats

Author: James Fingeroth
Publisher: John Wiley & Sons
ISBN: 9780470959596
Release Date: 2015-02-23
Genre: Medical

Advances in Intervertebral Disc Disease in Dogs and Cats defines our present knowledge of this common clinical problem, compiling information related to the canine and feline intervertebral disc into a single resource. As a comprehensive, focused work, the book is an authoritative reference for understanding and treating disc disease, providing a sound scientific and clinical basis for decision making. Offering an objective synthesis of the current literature, the book supplies guidance on the approach to a potential disc rupture, surgical and medical strategies, and management of the patient. Offering a complete understanding of intervertebral disc disease, the book describes and discusses the controversies and issues surrounding this topic, acknowledging the gaps in our knowledge. Advances in Intervertebral Disc Disease in Dogs and Cats presents up-to-date, reliable information on this common condition for veterinary surgeons and general practitioners. Key features Describes the current knowledge of disc disease in dogs and cats Provides a state-of-the-art, complete resource focused entirely on this common clinical problem Gives an objective picture of the controversies around intervertebral disc disease in canine and feline patients Presents evidence-based and clinically relevant information for understanding and treating intervertebral disc disease Offers clear clinical recommendations grounded in the current literature Part of the Advances in Veterinary Surgery series copublished with the ACVS Foundation

Management of rare adult tumours

Author: Romain Bosc
Publisher: Springer Science & Business Media
ISBN: 2287922466
Release Date: 2011-02-02
Genre: Medical

Why a book dedicated to rare cancer management? Given the large variety of rare cancers,they take up a significant part of our daily practice. Therefore, we owe it to our patients with rare tumours that we use the knowledge gained in the treatment of the more common cancers to provide them with a better future. This knowledge comes from recent developments in molecular diagnostics, systemic treatments with new drugs and targeted therapies together with advanced technologies in the areas of radiology and radiation therapy. Our authors have analysed the literature and recommend treatments for rare cancers based on results from past studies. We hope that this book will be an aid to those treating rare cancer cases about which, up to now, little has been published, and will reassure our patients that they have not been forgotten.

The Evidence Base for Diabetes Care

Author: William Herman
Publisher: John Wiley & Sons
ISBN: 9780470682814
Release Date: 2009-12-22
Genre: Medical

Now in its second edition, The Evidence Base for Diabetes Care has been fully revised and updated to incorporate new evidence from clinical trials. The aim of the book remains the same – to provide treatment recommendations based on the latest research and ensure patients with diabetes receive the best possible care. Designed to be user-friendly, the evidence is displayed in clear tables with accompanying critiques including grading of evidence where appropriate. As well as summarizing the current evidence available for diabetes prevention and care, the contributors highlight areas where evidence is lacking and where studies are underway. This book is an invaluable source of evidence-based information distilled into guidance for clinical practice.