Medications for Opioid Use Disorder Save Lives PDF Download

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309486483
Category : Medical
Languages : en
Pages : 175

View

Book Description
The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030937202X
Category : Medical
Languages : en
Pages : 291

View

Book Description
Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.

Author: Arissa H Oh
Publisher: Stanford University Press
ISBN: 0804795339
Category : History
Languages : en
Pages : 318

View

Book Description
“The important . . . largely unknown story of American adoption of Korean children since the Korean War . . . with remarkably extensive research and great verve.” —Charles K. Armstrong, Columbia University Arissa Oh argues that international adoption began in the aftermath of the Korean War. First established as an emergency measure through which to evacuate mixed-race “GI babies,” it became a mechanism through which the Korean government exported its unwanted children: the poor, the disabled, or those lacking Korean fathers. Focusing on the legal, social, and political systems at work, To Save the Children of Korea shows how the growth of Korean adoption from the 1950s to the 1980s occurred within the context of the neocolonial US-Korea relationship, and was facilitated by crucial congruencies in American and Korean racial thought, government policies, and nationalisms. Korean adoption served as a kind of template as international adoption began, in the late 1960s, to expand to new sending and receiving countries. Ultimately, Oh demonstrates that although Korea was not the first place that Americans adopted from internationally, it was the place where organized, systematic international adoption was born. “Absolutely fascinating.” —Giulia Miller, Times Higher Education “ Gracefully written. . . . Oh shows us how domestic politics and desires are intertwined with geopolitical relationships and aims.” —Naoko Shibusawa, Brown University “Poignant, wide-ranging analysis and research.” —Kevin Y. Kim, Canadian Journal of History “Illuminates how the spheres of ‘public’ and ‘private,’ ‘domestic’ and ‘political’ are deeply imbricated and complicate American ideologies about family, nation, and race.” —Kira A. Donnell, Adoption & Culture

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309164257
Category : Medical
Languages : en
Pages : 267

View

Book Description
Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.

Author: Susan Reverby
Publisher: Univ of North Carolina Press
ISBN: 080783310X
Category : Social Science
Languages : en
Pages : 414

View

Book Description
The forty-year "Tuskegee" Syphilis Study has become the American metaphor for medical racism, government malfeasance, and physician arrogance. The subject of histories, films, rumors, and political slogans, it received an official federal apology f

Author: Adel Elmoselhi
Publisher: McGraw Hill Professional
ISBN: 0071791558
Category : Medical
Languages : en
Pages : 317

View

Book Description
An innovative, cardiology-specific text that blends basic science with the fundamentals of clinical medicine A Doody’s Core Title for 2022! Cardiology: An Integrated Approach to Disease skillfully bridges the gap between the science and practice of medicine. This beautifully illustrated book seamlessly integrates the core elements of cell biology, anatomy, physiology, pharmacology, and pathology with clinical medicine. It is the perfect companion for medical students transitioning to their clinical years, as well as for practicing physicians who need a user-friendly update on the basic science underlying the practice of clinical medicine. Full-color design includes approximately 340 images and 40 tables Cases teach students how to apply principles to real-world patient situations The latest developments in the field are incorporated throughout the text End-of-chapter case-based questions with detailed explanations reinforce important concepts and assess understanding of the material

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309124999
Category : Computers
Languages : en
Pages : 334

View

Book Description
In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.

Author: Eric Klinenberg
Publisher: University of Chicago Press
ISBN: 022627621X
Category : Nature
Languages : en
Pages : 342

View

Book Description
The “compelling” story behind the 1995 Chicago weather disaster that killed hundreds—and what it revealed about our broken society (Boston Globe). On July 13, 1995, Chicagoans awoke to a blistering day in which the temperature would reach 106 degrees. The heat index—how the temperature actually feels on the body—would hit 126. When the heat wave broke a week later, city streets had buckled; records for electrical use were shattered; and power grids had failed, leaving residents without electricity for up to two days. By July 20, over seven hundred people had perished—twenty times the number of those struck down by Hurricane Andrew in 1992. Heat waves kill more Americans than all other natural disasters combined. Until now, no one could explain either the overwhelming number or the heartbreaking manner of the deaths resulting from the 1995 Chicago heat wave. Meteorologists and medical scientists have been unable to account for the scale of the trauma, and political officials have puzzled over the sources of the city’s vulnerability. In Heat Wave, Eric Klinenberg takes us inside the anatomy of the metropolis to conduct what he calls a “social autopsy,” examining the social, political, and institutional organs of the city that made this urban disaster so much worse than it ought to have been. He investigates why some neighborhoods experienced greater mortality than others, how city government responded, and how journalists, scientists, and public officials reported and explained these events. Through years of fieldwork, interviews, and research, he uncovers the surprising and unsettling forms of social breakdown that contributed to this human catastrophe as hundreds died alone behind locked doors and sealed windows, out of contact with friends, family, community groups, and public agencies. As this incisive and gripping account demonstrates, the widening cracks in the social foundations of American cities made visible by the 1995 heat wave remain in play in America’s cities today—and we ignore them at our peril. Includes photos and a new preface on meeting the challenges of climate change in urban centers “Heat Wave is not so much a book about weather, as it is about the calamitous consequences of forgetting our fellow citizens. . . . A provocative, fascinating book, one that applies to much more than weather disasters.” —Chicago Sun-Times “It’s hard to put down Heat Wave without believing you’ve just read a tale of slow murder by public policy.” —Salon “A classic. I can’t recommend it enough.” —Chris Hayes

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309459575
Category : Medical
Languages : en
Pages : 483

View

Book Description
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.

Author: Bernard R. Berelson
Publisher: University of Chicago Press
ISBN: 0226043509
Category : Political Science
Languages : en
Pages : 415

View

Book Description
Voting is an examination of the factors that make people vote the way they do. Based on the famous Elmira Study, carried out by a team of skilled social scientists during the 1948 presidential campaign, it shows how voting is affected by social class, religious background, family loyalties, on-the-job relationships, local pressure groups, mass communication media, and other factors. Still highly relevant, Voting is one of the most frequently cited books in the field of voting behavior.