Author: Julian White
Publisher:
ISBN: 9780730895510
Category : Bites and stings
Languages : en
Pages : 80
Book Description
Snakebite & Spiderbite
Author: Julian White
Publisher:
ISBN: 9780730895510
Category : Bites and stings
Languages : en
Pages : 80
Book Description
Publisher:
ISBN: 9780730895510
Category : Bites and stings
Languages : en
Pages : 80
Book Description
A Clinician's Guide to Australian Venomous Bites and Stings
Author: Julian White
Publisher:
ISBN: 9780646579986
Category : Antivenins
Languages : en
Pages : 330
Book Description
Publisher:
ISBN: 9780646579986
Category : Antivenins
Languages : en
Pages : 330
Book Description
Clinical Toxinology in Australia, Europe, and Americas
Author: Carl-Wilhelm Vogel
Publisher: Springer
ISBN: 9789401774369
Category : Medical
Languages : en
Pages : 605
Book Description
This handbook addresses various topics on clinical toxinology such as the epidemiology and management of snake and insect bites in Australia and different countries in Europe and the Americas. Chapters will be written by experts currently working in the subspecialty, many of whom have first-hand experience in the relevant research fields. In virtually all the topics, appropriate illustrations are provided to simplify comprehension including tables, figures and pictures. Clinical toxinologic conditions are becoming increasingly frequent, more so than is generally recognized. The conditions comprise of clinical aspects such as the diagnosis, management, and prevention of snakebite envenoming, scorpion sting, mushroom toxins, plant toxins, and other natural toxins. Clinical toxinology also deals with the ecology, epidemiology, regional differences, and varieties of fauna accounting for different envenoming manifestations. This reference work, part of the Toxinology handbook series, is designed to keep readers abreast with new knowledge and experience in toxinology regionally and globally. Toxinologists, researchers, scientists, and experts in this field from various working areas considered it necessary to collect all the aspects of clinical toxinology in a single, handy handbook. This can be used by medical students, postgraduate students, general practitioners, specialists in internal medicine, critical care physicians, emergency physicians, and anesthetists worldwide.
Publisher: Springer
ISBN: 9789401774369
Category : Medical
Languages : en
Pages : 605
Book Description
This handbook addresses various topics on clinical toxinology such as the epidemiology and management of snake and insect bites in Australia and different countries in Europe and the Americas. Chapters will be written by experts currently working in the subspecialty, many of whom have first-hand experience in the relevant research fields. In virtually all the topics, appropriate illustrations are provided to simplify comprehension including tables, figures and pictures. Clinical toxinologic conditions are becoming increasingly frequent, more so than is generally recognized. The conditions comprise of clinical aspects such as the diagnosis, management, and prevention of snakebite envenoming, scorpion sting, mushroom toxins, plant toxins, and other natural toxins. Clinical toxinology also deals with the ecology, epidemiology, regional differences, and varieties of fauna accounting for different envenoming manifestations. This reference work, part of the Toxinology handbook series, is designed to keep readers abreast with new knowledge and experience in toxinology regionally and globally. Toxinologists, researchers, scientists, and experts in this field from various working areas considered it necessary to collect all the aspects of clinical toxinology in a single, handy handbook. This can be used by medical students, postgraduate students, general practitioners, specialists in internal medicine, critical care physicians, emergency physicians, and anesthetists worldwide.
Neuroparasitology and Tropical Neurology
Author: Oscar H. Del Brutto
Publisher: Elsevier Inc. Chapters
ISBN: 012807969X
Category : Medical
Languages : en
Pages : 38
Book Description
Cysticercosis, an infection caused by the cystic larvae of the pork tapeworm Taenia solium, is one of the most frequent parasitic infections of the human nervous system (neurocysticercosis). It is endemic in most of Latin America, the sub-Saharan Africa, and vast parts of Asia, including the Indian subcontinent. It has also been increasingly diagnosed in developed countries because of migration of people from endemic zones and exposure in travelers. The life cycle involves the development of the adult tapeworm in the human small intestine (after ingesting infected pork with cysts) and larval infection in pig tissues (after ingesting human stools containing the eggs of the tapeworm). Humans get infected by the fecal-oral route, most often from a direct contact with an asymptomatic Taenia carrier. Most common clinical presentations are seizures (particularly late-onset seizures), chronic headaches, and intracranial hypertension. However, cysticerci can locate anywhere in the human nervous system, thus potentially causing almost any neurological syndrome and making clinical diagnosis a difficult task. Neuroimaging is the main diagnostic tool, and specific serology confirms the diagnosis and helps to define the diagnosis when images are unclear. Factors such as location (extraparenchymal versus intraparenchymal), number, size and evolutive stage of the parasites determine the clinical manifestations, therapeutic approach, and prognosis. Management includes symptomatic drugs (analgesics, antiepileptic drugs, anti-inflammatory agents) and in many cases cysticidal drugs, either albendazole or praziquantel. In recent years, efforts have focused on transmission control and potential elimination in endemic regions.
Publisher: Elsevier Inc. Chapters
ISBN: 012807969X
Category : Medical
Languages : en
Pages : 38
Book Description
Cysticercosis, an infection caused by the cystic larvae of the pork tapeworm Taenia solium, is one of the most frequent parasitic infections of the human nervous system (neurocysticercosis). It is endemic in most of Latin America, the sub-Saharan Africa, and vast parts of Asia, including the Indian subcontinent. It has also been increasingly diagnosed in developed countries because of migration of people from endemic zones and exposure in travelers. The life cycle involves the development of the adult tapeworm in the human small intestine (after ingesting infected pork with cysts) and larval infection in pig tissues (after ingesting human stools containing the eggs of the tapeworm). Humans get infected by the fecal-oral route, most often from a direct contact with an asymptomatic Taenia carrier. Most common clinical presentations are seizures (particularly late-onset seizures), chronic headaches, and intracranial hypertension. However, cysticerci can locate anywhere in the human nervous system, thus potentially causing almost any neurological syndrome and making clinical diagnosis a difficult task. Neuroimaging is the main diagnostic tool, and specific serology confirms the diagnosis and helps to define the diagnosis when images are unclear. Factors such as location (extraparenchymal versus intraparenchymal), number, size and evolutive stage of the parasites determine the clinical manifestations, therapeutic approach, and prognosis. Management includes symptomatic drugs (analgesics, antiepileptic drugs, anti-inflammatory agents) and in many cases cysticidal drugs, either albendazole or praziquantel. In recent years, efforts have focused on transmission control and potential elimination in endemic regions.
Pocket Book of Hospital Care for Children
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241548371
Category : Business & Economics
Languages : en
Pages : 442
Book Description
The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
Publisher: World Health Organization
ISBN: 9241548371
Category : Business & Economics
Languages : en
Pages : 442
Book Description
The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
Neuromuscular Disorders: Management and Treatment E-Book
Author: Tulio E. Bertorini
Publisher: Elsevier Health Sciences
ISBN: 1437736408
Category : Medical
Languages : en
Pages : 469
Book Description
Neuromuscular Disorders presents a multi-disciplinary approach to the management and therapeutic treatment of the full range of neuromuscular disorders and resulting complications. Dr. Tulio Bertorini and a contributing team of the world’s leading authorities in the field provide the latest tools and strategies for minimizing disability and maximizing quality of life. Effectively treat your patients using the latest management tools and targeted therapeutic strategies. Manage all neuromuscular disorders as well as resulting complications through comprehensive coverage of diagnosis and evaluations, treatments, and outcomes. Apply the multi-disciplinary approach of an expert in clinical neuromuscular care and a team of world-renown contributors. Easily refer to tools for diagnosis, treatment algorithms, and drug tables included throughout the text.
Publisher: Elsevier Health Sciences
ISBN: 1437736408
Category : Medical
Languages : en
Pages : 469
Book Description
Neuromuscular Disorders presents a multi-disciplinary approach to the management and therapeutic treatment of the full range of neuromuscular disorders and resulting complications. Dr. Tulio Bertorini and a contributing team of the world’s leading authorities in the field provide the latest tools and strategies for minimizing disability and maximizing quality of life. Effectively treat your patients using the latest management tools and targeted therapeutic strategies. Manage all neuromuscular disorders as well as resulting complications through comprehensive coverage of diagnosis and evaluations, treatments, and outcomes. Apply the multi-disciplinary approach of an expert in clinical neuromuscular care and a team of world-renown contributors. Easily refer to tools for diagnosis, treatment algorithms, and drug tables included throughout the text.
CURRENT Medical Diagnosis and Treatment 2019
Author: Maxine A. Papadakis
Publisher: McGraw Hill Professional
ISBN: 1260117448
Category : Medical
Languages : en
Pages : 1907
Book Description
Know what the experts know and incorporate it into your daily practice with the #1 annual guide to internal medicine INCLUDES 7 ONLINE-ONLY CHAPTERS AT NO ADDITIONAL COST! Visit: www.AccessMedicine.com/CMDT A Doody’s Core Title for 2019! Written by clinicians renowned in their respective fields, CMDT offers the most current insight into epidemiology, symptoms, signs, and treatment for more than 1,000 diseases and disorders. For each topic, you’ll find concise, evidence-based answers to questions about hospital and ambulatory medicine. This streamlined clinical companion is the fastest and easiest way to keep abreast of the latest diagnostic advances, prevention strategies, and cost-effective treatments. Features and content critical to clinical practice: •Strong emphasis on the practical aspects of clinical diagnosis and patient management in all fields of internal medicine •Full review of all internal medicine and primary care topics, including gynecology and obstetrics, dermatology, neurology, ophthalmology, geriatrics, and palliative care •Update of newly emerging infections and their treatments •Specific disease prevention information •Hundreds of medication tables, with indexed trade names and updated prices – plus helpful diagnostic and treatment algorithms •Recent references with PMID numbers •Full-color photographs and illustrations (many new to this edition) HERE ARE SOME OF THE MANY UPDATES AND ADDITIONS: •Revised section on pain management at the end of life •Updated ACC/AHA guidelines for treatment of valvular disease •New ACC/AHA and Hypertension Canada blood pressure guidelines •New FDA approved medications for treatment of breast cancer •New colon cancer screening recommendations from the U.S. Multi-Society Task Force •Acclaimed annual update of HIV/AIDS •New classification of epilepsy •Revised recommendations for treating hepatitis C virus-associated kidney disease •Revised chapter on psychiatric disordersNew FDA approved medication for gastric adenocarcinoma •Updated information about treating spinal muscular atrophy
Publisher: McGraw Hill Professional
ISBN: 1260117448
Category : Medical
Languages : en
Pages : 1907
Book Description
Know what the experts know and incorporate it into your daily practice with the #1 annual guide to internal medicine INCLUDES 7 ONLINE-ONLY CHAPTERS AT NO ADDITIONAL COST! Visit: www.AccessMedicine.com/CMDT A Doody’s Core Title for 2019! Written by clinicians renowned in their respective fields, CMDT offers the most current insight into epidemiology, symptoms, signs, and treatment for more than 1,000 diseases and disorders. For each topic, you’ll find concise, evidence-based answers to questions about hospital and ambulatory medicine. This streamlined clinical companion is the fastest and easiest way to keep abreast of the latest diagnostic advances, prevention strategies, and cost-effective treatments. Features and content critical to clinical practice: •Strong emphasis on the practical aspects of clinical diagnosis and patient management in all fields of internal medicine •Full review of all internal medicine and primary care topics, including gynecology and obstetrics, dermatology, neurology, ophthalmology, geriatrics, and palliative care •Update of newly emerging infections and their treatments •Specific disease prevention information •Hundreds of medication tables, with indexed trade names and updated prices – plus helpful diagnostic and treatment algorithms •Recent references with PMID numbers •Full-color photographs and illustrations (many new to this edition) HERE ARE SOME OF THE MANY UPDATES AND ADDITIONS: •Revised section on pain management at the end of life •Updated ACC/AHA guidelines for treatment of valvular disease •New ACC/AHA and Hypertension Canada blood pressure guidelines •New FDA approved medications for treatment of breast cancer •New colon cancer screening recommendations from the U.S. Multi-Society Task Force •Acclaimed annual update of HIV/AIDS •New classification of epilepsy •Revised recommendations for treating hepatitis C virus-associated kidney disease •Revised chapter on psychiatric disordersNew FDA approved medication for gastric adenocarcinoma •Updated information about treating spinal muscular atrophy
Handbook of Clinical Toxicology of Animal Venoms and Poisons
Author: Julian White
Publisher: CRC Press
ISBN: 9780849344893
Category : Medical
Languages : en
Pages : 50
Book Description
The Handbook of Clinical Toxicology of Animal Venoms is the first concise, one-volume book devoted to this important subject. The editors are internationally recognized authorities in the biology and clinical aspects of venomous and poisonous animals, and the chapter authors are world leaders in their respective fields of toxicology. All aspects of the topic are covered including information on the biology and taxonomy of poisonous animals, their venom or poison, diagnosis, and general treatment principles and specific treatment. The most up-to-date list of available antivenoms is provided. Coverage of venomous and poisonous animals is comprehensive, with thorough discussions on shellfish poisoning, ciguatera, fugu, coelenterates, stingrays, venous fish, blue-ringed octopus, sea-snakes, scorpions, spiders, insects, and gila lizards. Individual chapters focus on snakes and snakebite in Europe, Africa, Asia, Australia, North America, Central America, and South America. Nearly all clinical chapters have been written by clinicians with extensive experience treating the particular type of animal envenoming or poisoning under consideration. No other book brings together such a wealth of information in this field, and no other book provides it in a format useful to clinicians charged with the responsibility of treating envenomed or poisoned patients. The Handbook of Clinical Toxicology of Animal Venoms is an essential addition to all medical libraries, emergency departments, toxicology departments, poison information centers, and invaluable to all professionals working in these fields.
Publisher: CRC Press
ISBN: 9780849344893
Category : Medical
Languages : en
Pages : 50
Book Description
The Handbook of Clinical Toxicology of Animal Venoms is the first concise, one-volume book devoted to this important subject. The editors are internationally recognized authorities in the biology and clinical aspects of venomous and poisonous animals, and the chapter authors are world leaders in their respective fields of toxicology. All aspects of the topic are covered including information on the biology and taxonomy of poisonous animals, their venom or poison, diagnosis, and general treatment principles and specific treatment. The most up-to-date list of available antivenoms is provided. Coverage of venomous and poisonous animals is comprehensive, with thorough discussions on shellfish poisoning, ciguatera, fugu, coelenterates, stingrays, venous fish, blue-ringed octopus, sea-snakes, scorpions, spiders, insects, and gila lizards. Individual chapters focus on snakes and snakebite in Europe, Africa, Asia, Australia, North America, Central America, and South America. Nearly all clinical chapters have been written by clinicians with extensive experience treating the particular type of animal envenoming or poisoning under consideration. No other book brings together such a wealth of information in this field, and no other book provides it in a format useful to clinicians charged with the responsibility of treating envenomed or poisoned patients. The Handbook of Clinical Toxicology of Animal Venoms is an essential addition to all medical libraries, emergency departments, toxicology departments, poison information centers, and invaluable to all professionals working in these fields.
The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Author: David L. Simel
Publisher: McGraw Hill Professional
ISBN: 0071590315
Category : Medical
Languages : en
Pages : 940
Book Description
The ultimate guide to the evidence-based clinical encounter "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine "The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. "This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. "This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine
Publisher: McGraw Hill Professional
ISBN: 0071590315
Category : Medical
Languages : en
Pages : 940
Book Description
The ultimate guide to the evidence-based clinical encounter "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine "The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. "This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. "This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine
CharcoalRemedies.com : the Complete Handbook of Medicinal Charcoal and Its Applications
Author: John Dinsley
Publisher: CharcoalRemedies.com
ISBN: 0973846402
Category : Carbon, Activated
Languages : en
Pages : 155
Book Description
In a day when the fourth leading cause of death in America is due to adverse effects of properly prescribed drugs (Jounal of American Medical Association - July 2000), many are asking, "Are there not safer alternatives?" Yes there are!! Allow me to introduce to you one extraordinary yet simple natural remedy - Activated medicinal charcoal.Charcoal, What is it?We drink water filtered by it; breath are scrubbed with it; eat food purified through it; wear clothes made with it; preserve things in it; go to war with it; enjoy hundreds of dishes cooked by it; we move mountains with it; we make the night sky sparkle with it; grow our food and flowers in it; we take it with us to the bottom of the deepest oceans and out into space; swim in water washed with it; draw our inspirations with it; record man's history dipped in it: and then we call upon it to clean up many of our environmental mistakes. Not least and not last, medicinal charcoal plays an increasingly significant role in maintaining, restoring and enhancing man's level of health. No wonder we naturally warm up to it."I heartily recomment CharcoalRemedies.com The Complete Handbook of Medicinal Charcoal and It's Applications by author John Dinsley. As a physician, as a mother and grandmother, as a public health educator for the past 41 years, I have come to fully trust the efficacy and safety of charcoal as simple yet powerful home remedy. This book serves not only as a reference book of medicinal charcoal facts, but also brings together a hundred and fifty different charcoal experiences of individuals from around the world. People need this book. EVERY FAMILY, every healthcare worker, every traveler abroad, every health conscious individual needs a copy in their home library." --Agatha Thrast, MD (Co-founder Uchee Pines Institute. Medical Examiner for the State of Georgia)
Publisher: CharcoalRemedies.com
ISBN: 0973846402
Category : Carbon, Activated
Languages : en
Pages : 155
Book Description
In a day when the fourth leading cause of death in America is due to adverse effects of properly prescribed drugs (Jounal of American Medical Association - July 2000), many are asking, "Are there not safer alternatives?" Yes there are!! Allow me to introduce to you one extraordinary yet simple natural remedy - Activated medicinal charcoal.Charcoal, What is it?We drink water filtered by it; breath are scrubbed with it; eat food purified through it; wear clothes made with it; preserve things in it; go to war with it; enjoy hundreds of dishes cooked by it; we move mountains with it; we make the night sky sparkle with it; grow our food and flowers in it; we take it with us to the bottom of the deepest oceans and out into space; swim in water washed with it; draw our inspirations with it; record man's history dipped in it: and then we call upon it to clean up many of our environmental mistakes. Not least and not last, medicinal charcoal plays an increasingly significant role in maintaining, restoring and enhancing man's level of health. No wonder we naturally warm up to it."I heartily recomment CharcoalRemedies.com The Complete Handbook of Medicinal Charcoal and It's Applications by author John Dinsley. As a physician, as a mother and grandmother, as a public health educator for the past 41 years, I have come to fully trust the efficacy and safety of charcoal as simple yet powerful home remedy. This book serves not only as a reference book of medicinal charcoal facts, but also brings together a hundred and fifty different charcoal experiences of individuals from around the world. People need this book. EVERY FAMILY, every healthcare worker, every traveler abroad, every health conscious individual needs a copy in their home library." --Agatha Thrast, MD (Co-founder Uchee Pines Institute. Medical Examiner for the State of Georgia)