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When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."
Dr. Kay Scarpetta plunges into the murky depths of a ship graveyard to recover the very human remains of Ted Eddings, an investigative reporter. Together with her niece Lucy and police captain Pete Marino, Scarpetta will follow the scents of death and violence to the heart of sinister darkness. *San Francisco Chronicle
The death of a child is a special sorrow. No matter the circumstances, a childâ€™s death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify â€œmedicine with a heart.â€ At worst, familiesâ€™ encounters with the health care system will leave them with enduring painful memories, anger, and regrets. When Children Die examines what we know about the needs of these children and their families, the extent to which such needs areâ€"and are notâ€"being met, and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving child patients in treatment decisions, communicating with parents, strengthening the organization and delivery of services, developing support programs for bereaved families, improving public and private insurance, training health professionals, and more. It argues that taking these steps will improve the care of children who survive as well as those who do notâ€"and will likewise help all families who suffer with their seriously ill or injured child. Featuring illustrative case histories, the book discusses patterns of childhood death and explores the basic elements of physical, emotional, spiritual, and practical care for children and families experiencing a childâ€™s life-threatening illness or injury.
Significant changes have taken place in the policy landscape surrounding cannabis legalization, production, and use. During the past 20 years, 25 states and the District of Columbia have legalized cannabis and/or cannabidiol (a component of cannabis) for medical conditions or retail sales at the state level and 4 states have legalized both the medical and recreational use of cannabis. These landmark changes in policy have impacted cannabis use patterns and perceived levels of risk. However, despite this changing landscape, evidence regarding the short- and long-term health effects of cannabis use remains elusive. While a myriad of studies have examined cannabis use in all its various forms, often these research conclusions are not appropriately synthesized, translated for, or communicated to policy makers, health care providers, state health officials, or other stakeholders who have been charged with influencing and enacting policies, procedures, and laws related to cannabis use. Unlike other controlled substances such as alcohol or tobacco, no accepted standards for safe use or appropriate dose are available to help guide individuals as they make choices regarding the issues of if, when, where, and how to use cannabis safely and, in regard to therapeutic uses, effectively. Shifting public sentiment, conflicting and impeded scientific research, and legislative battles have fueled the debate about what, if any, harms or benefits can be attributed to the use of cannabis or its derivatives, and this lack of aggregated knowledge has broad public health implications. The Health Effects of Cannabis and Cannabinoids provides a comprehensive review of scientific evidence related to the health effects and potential therapeutic benefits of cannabis. This report provides a research agendaâ€"outlining gaps in current knowledge and opportunities for providing additional insight into these issuesâ€"that summarizes and prioritizes pressing research needs.
The Principal Cause of Death is the next entry in Mark Richard Zubro's Tom and Scott series. When gay high School teacher Tom Mason is accused of murdering the school principal, Tom and his partner, Scott Carpenter, need to catch the real murderer and clear Tom's name. Kirkus Reviews raves, "The school politics are dead-on" in this fourth installment in Zubro's Lamda Literary Award-winning series.
During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages -- cancer and cardiovascular disease -- available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which -- unlike randomized controlled trials -- are subject to many biases.
From the physician behind the wildly popular NutritionFacts website, How Not to Die reveals the groundbreaking scientific evidence behind the only diet that can prevent and reverse many of the causes of disease-related death. The vast majority of premature deaths can be prevented through simple changes in diet and lifestyle. In How Not to Die, Dr. Michael Greger, the internationally-renowned nutrition expert, physician, and founder of NutritionFacts.org, examines the fifteen top causes of premature death in America-heart disease, various cancers, diabetes, Parkinson's, high blood pressure, and more-and explains how nutritional and lifestyle interventions can sometimes trump prescription pills and other pharmaceutical and surgical approaches, freeing us to live healthier lives. The simple truth is that most doctors are good at treating acute illnesses but bad at preventing chronic disease. The fifteen leading causes of death claim the lives of 1.6 million Americans annually. This doesn't have to be the case. By following Dr. Greger's advice, all of it backed up by strong scientific evidence, you will learn which foods to eat and which lifestyle changes to make to live longer. History of prostate cancer in your family? Put down that glass of milk and add flaxseed to your diet whenever you can. Have high blood pressure? Hibiscus tea can work better than a leading hypertensive drug-and without the side effects. Fighting off liver disease? Drinking coffee can reduce liver inflammation. Battling breast cancer? Consuming soy is associated with prolonged survival. Worried about heart disease (the number 1 killer in the United States)? Switch to a whole-food, plant-based diet, which has been repeatedly shown not just to prevent the disease but often stop it in its tracks. In addition to showing what to eat to help treat the top fifteen causes of death, How Not to Die includes Dr. Greger's Daily Dozen -a checklist of the twelve foods we should consume every day.Full of practical, actionable advice and surprising, cutting edge nutritional science, these doctor's orders are just what we need to live longer, healthier lives.
As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.
Presents leading cause of death data using alternative age classifications. Rankings are shown separately for white, black, and Hispanic males and females. Ranking procedures include effects of age aggregation on ranking and effects of alternative age aggregations. Tables cover: deaths and death rates for the 10 leading causes of death; list of 72 selected causes of death; ranking of diseases of heart by alternative age groupings (AAG); ranking of HIV infection by AAG; and the effect of different age aggregations on ranking of malignant neoplasms, accidents, cerebrovascular diseases, diabetes, suicide, homicide, and more.
The Ukraine faced two very different kinds of health crises during the twentieth century. First, in the 1930s and 1940s, famine, war and political upheaval caused massive population losses. Previous evaluations of overall losses have given an idea of the scale of these catastrophes but do not distinguish between crisis mortality, birth shortfall and loss through emigration. Based on a painstaking work of reconstitution, this study is the first to provide a detailed estimation of the hecatomb in terms of number of deaths and life expectancy. The famine of 1933 was alone responsible for the deaths of 2.6 million Ukrainians and reduced male and female life expectancies to 7 and 11 years respectively. Once the crises of the 1930s and 1940s were over, the earlier trend in health resumed and mortality declined steadily until the 1960s. At this point, however, a new type of crisis appeared that caused a sustained reversal in the existing trends. Life expectancy for women stopped increasing altogether, while that for men began a relentless year on year regression. Notwithstanding the confusing picture created by the fluctuations of the 1980s and 1990s, the long-term trend is to further deterioration. To understand the factors involved, this study analyses in detail the combined effects of different causes of death at different ages.
This new edition of Health at a Glance presents the most recent comparable data on the health status of populations and health system performance in OECD countries.
FACE IT. WE CAN GO ANYTIME. BUT IN SO MANY DIFFERENT WAYS! Death becomes you, and it's just another fact of life explored in Cause of Death, a revealing abundance of startling data, false perceptions, bizarre fallacies, and some totally unexpected statistics about how, why, when, and where we all bite the dust, check out, buy the farm, kick the bucket, and all those other euphemisms for perishing after falling out of bed (roughly 1,800 fitful sleepers a year). It also answers questions most people never even consider (but should): Do crocodiles kill more people than alligators? Are we more prone to commit suicide or murder? How many still die from leprosy? Does salmonella have anything to do with salmon? Can the condition of your toenails predict your mortality? What's the connection between kitty litter and brain damage? Has irony ever killed anyone?* Disease, accidents, occupational hazards, poisons, plagues, infections, murder, fauna and fungi, insect bites, war, and even bison. What's the most popular killer of the decade? The rarest? How many deaths per year by age? Gender? Location? Time of day? Stupidity? All this and more in a book you really shouldn't be living without. * Yes! While experimenting with the safe preservation of food in snow, Sir Francis Bacon caught a cold and died.
Measuring the Risks and Causes of Premature Death is the summary of two workshops conducted by The Committee on Population of the National Research Council at the National Academies to address the data sources, science and future research needs to understand the causes of premature mortality in the United States. The workshops reviewed previous work in the field in light of new data generated as part of the work of the NRC Panel on Understanding Divergent Trends in Longevity in High-Income Countries (NRC, 2011) and the NRC/IOM Panel on Understanding Cross-National Differences Among High-Income Countries (NRC/IOM, 2013). The workshop presentations considered the state of the science of measuring the determinants of the causes of premature death, assessed the availability and quality of data sources, and charted future courses of action to improve the understanding of the causes of premature death. Presenters shared their approaches to and results of measuring premature mortality and specific risk factors, with a particular focus on those factors most amenable to improvement through public health policy. This report summarizes the presentations and discussion of both workshops.
Even though slightly over half of the U.S. population is female, medical research historically has neglected the health needs of women. However, over the past two decades, there have been major changes in government support of women's health research--in policies, regulations, and the organization of research efforts. To assess the impact of these changes, Congress directed the Department of Health and Human Services (HHS) to ask the IOM to examine what has been learned from that research and how well it has been put into practice as well as communicated to both providers and women. Women's Health Research finds that women's health research has contributed to significant progress over the past 20 years in lessening the burden of disease and reducing deaths from some conditions, while other conditions have seen only moderate change or even little or no change. Gaps remain, both in research areas and in the application of results to benefit women in general and across multiple population groups. Given the many and significant roles women play in our society, maintaining support for women's health research and enhancing its impact are not only in the interest of women, they are in the interest of us all.
Presents final 1997 data on U.S. deaths and death rates according to demographic and medical characteristics such as age, sex, race, Hispanic origin, marital status, educational attainment, injury at work, State of residence, and cause of death. Trends and patterns in general mortality, life expectancy, and infant and maternal mortality are also described. The report concludes that the overall improvements in general mortality and life expectancy in 1997 continue the long-term downward trend in U.S. mortality. The trend in U.S. infant mortality has steadily declined over the past four decades.
Interventions that delay aging are expected to improve health. In the current US National Institute on Agings Interventions Testing Program (ITP) the immunosuppressive drug rapamycin was found to increase the maximum life span in mice. These mice started receiving this treatment at an age corresponding to 60 years in humans. Rapamycin targets the same mechanism which was critically involved in the life span extension previously seen in certain mutants of worms flies and mice. The maximum life span was increased in some of these mutants by more than 250 percent, suggesting 1) that the maximum life span is limited by a common mechanism of death, and 2) that humans may possibly gain a few more decades beyond 120 years by interfering in this mechanism. As rapamycin has important adverse effects, this books looks into the underlying mechanisms and describes several natural interventions likely to decrease the rate of aging without using pharmacological drugs
When Mrs Sophie Easterberg is found dead on her bedroom floor in the picturesque village of Five Meadows, it is apparent she has been murdered. The obvious suspect is Dave Lucas, an ex-borstal boy recently employed by her, who has since disappeared. Detective-Superintendent Simon Manton of Scotland Yard is despatched to take charge of the case. He soon tracks Lucas down. But is he guilty? And, even if he is, would a jury convict him?
Dr Geoffrey Garrett was for over 30 years a Home Office pathologist. This is his personal memoir, in conjunction with crime journalist Andrew Nott, of many infamous, unusual and heartbreaking cases and a fascinating history of his professional life, giving a unique insight into a pathologist's work. Beginning with a no-holds-barred account of the basic methodology of a post-mortem examination, the book chronicles many memorable cases, including: The discovery of a preserved body on the Yorkshire moors later identified as the first victim of the Moors Murderers The murders of three policemen plus the apprehension of a murderer who turned out to be a policeman's son An examination of sex crimes The Moss: a seminal piece on Manchester's 'Bronx' - Dr Garrett reveals life in the ghetto, the drug gangs and how they operate How a man's face, burned beyond recognition, was reconstructed to help solve a murder Plus examples of many other baffling crimes which were resolved on the pathologist's table.
Since the COVID-19 pandemic started to gain space on the front page of the Mainstream Media and then prompted the “closure” of entire countries, following medieval ways to fight epidemics, as exposed by Donald G. McNeil Jr, on his article published by the New York Times in February 28, 2020 titled: “To Take on the Coronavirus, Go Medieval on It”, several phenomena caught my attention. Acting in my role as Gig Economy driver, delivering food in this small and nice town named Huntersville (57K Inhabitants and me: Legal Alien), in North Carolina, United States, was able, first hand to witness different approaches people and companies use to face this pandemic, like: · Use of face masks of any kind, everywhere, everyday=? · Compulsive hoarding of Toilet Paper=? · Installation of small plexiglass dividers or huge plastic curtains on customer service areas=? · The Olympic walking, as pictured by Trevor Noah, Host of the Daily Show, renamed because of the quarantine: “The Daily Social Distancing Show”, mocking people performing pirouettes to avoid being even near other human beings=? · People asking their FOOD to be delivered at the mat of their front doors=? · Closing Doors and forcing people to walk in/out through arbitrary design patterns in stores=? · Washing hands= OK These and other crazy behaviors published by news and people made me think: How was it in other Pandemics, on Part One will try to bring light on those past behaviors. On Part Two will browse facts and most amazing behaviors on this actual Pandemic and on Part Three will work on the question: Was this epidemic, with epicenter in Communist Governed China, convenient for other Governments around the globe?
All Vi Akiak wanted when she came to Spokane was to earn her medical degree, get a job in the medical examiner’s office, and keep her biggest secret safe. She didn’t plan her attraction to Kate Renard, the beautiful K9 search and rescue handler who lived next door, and she really didn’t plan on chasing a serial killer. Kate is delighted when Vi moves in next door. She’s attractive, fascinating, and best of all, she likes dogs. When dead bodies start turning up in forested recreational areas around Spokane, Vi and Kate must work together to find the killer before they end up the next targets. In the race for survival, they discover that love may be the biggest risk of all.
When 17 year old, Fuji Takahata is announced to have committed suicide, his best friend Bradley Crawford, knows he didn’t commit suicide, but was murdered. Brad, along with his girlfriend Carter Denmark , and school psychic, Paige Smathen, try to prove he was murdered, while trying to stay alive themselves.
Dr. Kay Scarpetta plunges into the murky depths of a ship graveyard to recover the very human remains of Ted Eddings, an investigative reporter. Together with her niece Lucy and police captain Pete Marino, Scarpetta will follow the scents of death and violence to the heart of sinister darkness. *San Francisco Chronicle
DCI Grace Macallan’s career has hit a serious roadblock. When a covert police operation in Northern Ireland goes badly wrong, she’s faced with a painful decision – lie to save a young officer's career or tell the truth and ruin her own reputation. For Grace, there can be only one answer. Reassigned to the newly formed Lothian & Borders Major Crime Team, Grace Macallan is forced to rebuild her career and her reputation. But when a brutal attack on a prostitute turns into a series of murders, the Major Crime Team is under serious pressure. The tabloid headlines are lurid and the team badly needs a result. With a new life to build in a new city, a new boss as smooth as an 18-year-old malt and a very high profile lawyer as the chief suspect, Grace soon begins to wonder if telling the truth is always the right thing to do. What people are saying about Cause of Death: "A first-rate police procedural by someone who evidently knows what he’s talking about." HANIA ALLEN "Audacious, Ritchie's street talk sizzles with wit and invention. Cause Of Death is engaging, eventful and original." M.P. WRIGHT Revised edition – previously published as Noble Cause
BOOK THREE IN THE SHIRES MYSTERIES - A GRIPPING NEW WHODUNNIT SET IN THE ENGLISH COUNTRYSIDE. All is not well in the village. The local meadows have been the pride of Bishops Well for hundreds of years, but now they are facing the sharp blades of developers. The landowner is a rich and reclusive author who is happy to see them destroyed, but the villagers - including Sam Dee and Maggie Kaye - are fighting back. Until, that is, someone decides to silence one of their number permanently. As Maggie and Sam soon discover, there is more than a quick buck to be made in the developers' plans. There are age-old secrets and personal vendettas that could have deadly repercussions in Bishops Well today. With Sam's legal expertise and Maggie's... well, Maggie-ness, they delve into the past, determined to unearth the truth. And, as sparks begin to fly, could there finally be something more between this sleuthing duo? A GRIPPING NEW COSY CRIME SERIES, FOR FANS OF BETTY ROWLANDS, FAITH MARTIN AND JOY ELLIS. What readers are saying about Anna Legat: 'Brilliant. I didn't want to put it down!' 'It's a rare author who can keep me guessing until the end - and the ending was a shocker' 'Plenty of twists and turns' 'A brilliantly complex spaghetti of unrelated sub-plots to challenge any armchair sleuth' 'I thoroughly enjoyed this book, reading it cover to cover in a weekend' 'I shall look out for more from Ms Legat'
Spontaneous combustion and exhumation, drug mules and devil worshippers, a gruesome killing beneath the Palmerston North Airport control tower, a mysterious death in a historic homestead, a first-hand dissection of the infamous Mark Lundy case ... In The Cause of Death, provincial pathologist Dr Cynric Temple-Camp lifts the lid on the most unusual stories of death and murder he's encountered during his 30-year career.
A New York Times Bestseller A Wall Street Journal Bestseller A New York Times Notable Book of 2020 A New York Times Book Review Editors’ Choice Shortlisted for the Financial Times and McKinsey Business Book of the Year A New Statesman Book to Read From economist Anne Case and Nobel Prize winner Angus Deaton, a groundbreaking account of how the flaws in capitalism are fatal for America's working class Deaths of despair from suicide, drug overdose, and alcoholism are rising dramatically in the United States, claiming hundreds of thousands of American lives. Anne Case and Angus Deaton explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class. As the college educated become healthier and wealthier, adults without a degree are literally dying from pain and despair. Case and Deaton tie the crisis to the weakening position of labor, the growing power of corporations, and a rapacious health-care sector that redistributes working-class wages into the pockets of the wealthy. This critically important book paints a troubling portrait of the American dream in decline, and provides solutions that can rein in capitalism's excesses and make it work for everyone.
“A succinct, disturbing report on the prevalence of malpractice in modern medicine. ….An imperative analysis that begs for discussion by industry watchdogs and consumers alike.” —Kirkus Reviews “Brilliant...scholarly. A reading of Killer Care makes an immediate personal investment in our own safer patient-centered care logical and worthwhile. ...Killer Care is strongly advised.” —T. Michael White, M.D., former VP and clinical professor of medicine, University of Pittsburgh Medical Center; author, Unsafe to Safe “In Killer Care, James Lieber uncovers systemic failures and lack of safeguards in patient safety. His wake-up call not only informs, but provides specific and actionable recommendations for patients and their families. His analysis also points to system fixes that will make being a patient safer for all of us.” —Barbara Mittleman, M.D.; former director, Program on Private-Public Partnerships, Office of Science Policy, National institutes of Health (2006-2012) Each year in the U.S., a quarter of a million deaths are attributable to medical error. If the number shocks, on some level you already knew it was so. Everyone knows someone—perhaps it was yourself—who has suffered miserable treatment in American hospitals, part of the most elaborate, most extensive and expensive health care system in the world. But it is perhaps the most inefficient. Misdiagnoses, wrong prescriptions, operating on the wrong patient, even operating on the wrong limb (and amputating it): these are the consequences of rampant carelessness, overwork, ignorance, and hospitals trying to get the most out of their caregivers and the most money out of their patients. What are we to do? Killer Care lays out the very real danger each of us faces whenever we enter a hospital. But more than that, it spells out what we can do to mitigate that risk. The book is also the story of the remarkable heroes fighting this plague of medical errors—patients and their families, but also doctors and nurses. Starting about twenty years ago, a number of victims and even some perpetrators of these errors began a social movement that offers us vital protections when we are most vulnerable: they have begun a cultural shift that is transforming every facet of health care.
This book chronicles the journey of discovery by a man who went on a quest to solve a mystery. Did his grandmother die the way he was told she had, or was she murdered? The rumor had plagued his family for almost four decades. Could the unthinkable be true, that his own grandfather might have been involved with the mysterious death of his grandmother? Along the way in his multiyear odyssey, the author discovers his family roots, his family tree, and the disturbing secrets long buried by his family. He vividly portrays the life and culture of Paducah, Kentucky, East St. Louis, Illinois, and Okeechobee, Florida, in the 1910s through the 1970s. He displays a culture and dialect of a strong breed of people that lived in rural western Kentucky in the early 1900s. He discovers extreme violence, knife fights, gunfights, bigamy, racism, thievery, bootlegging, and long-lost siblings. He discovers secrets within military and government files, unknown mental illnesses, wife-beatings, and murders. He discovers his grandfather’s World War II emprise, and the surprises it revealed. He uncovers the secrets of Freemasonry, and how it may have been involved in his grandmother’s death. He uncovers many lies from many people, and lawlessness by some in his family. The story includes attempts at a belated exhumation and autopsy to finally solve the mystery once and for all. He finally brings together all the evidence, pieces of a bizarre mystery, never before assembled by his family, to solve the enigma of his grandmother’s death. This book details the emotional pendulum experienced by a grandson on a journey to solve a riddle, and being repeatedly shocked and dumbfounded by what he found. Anne Carayon: “Great entertaining narrative! The mystery thickens as you go along! The historical and sociological backgrounds have transformed a personal sad story into a page of American Middle West history. It is also a description of what man can do to achieve his egotistical goals. That’s universal and timeless.” Deborah Schadt: “How brave it was of Dwain Tucker to put so much thought, time, and energy into looking for something he didn’t want to find! His intention to uncover evidence to disprove a family murder rumor led him to the discovery of numerous family secrets, both good and bad. “Many in Dwain Tucker’s family learned everything they knew from the school of hard knocks, and he was so honest in his portrayal of the ‘colorful’ characters in his family. His attempt at imitating the dialect used by the people of that place and time is both humorous and accurate. “Dwain has my admiration, appreciation, and gratitude for preserving a part of the Tucker family history—that if not for his perseverance would have otherwise been forever lost.”
This edited collection of articles addresses aspects of medical care in which human error is associated with unanticipated adverse outcomes. For the purposes of this book, human error encompasses mismanagement of medical care due to: * inadequacies or ambiguity in the design of a medical device or institutional setting for the delivery of medical care; * inappropriate responses to antagonistic environmental conditions such as crowding and excessive clutter in institutional settings, extremes in weather, or lack of power and water in a home or field setting; * cognitive errors of omission and commission precipitated by inadequate information and/or situational factors -- stress, fatigue, excessive cognitive workload. The first to address the subject of human error in medicine, this book considers the topic from a problem oriented, systems perspective; that is, human error is considered not as the source of the problem, but as a flag indicating that a problem exists. The focus is on the identification of the factors within the system in which an error occurs that contribute to the problem of human error. As those factors are identified, efforts to alleviate them can be instituted and reduce the likelihood of error in medical care. Human error occurs in all aspects of human activity and can have particularly grave consequences when it occurs in medicine. Nearly everyone at some point in life will be the recipient of medical care and has the possibility of experiencing the consequences of medical error. The consideration of human error in medicine is important because of the number of people that are affected, the problems incurred by such error, and the societal impact of such problems. The cost of those consequences to the individuals involved in medical error, both in the health care providers' concern and the patients' emotional and physical pain, the cost of care to alleviate the consequences of the error, and the cost to society in dollars and in lost personal contributions, mandates consideration of ways to reduce the likelihood of human error in medicine. The chapters were written by leaders in a variety of fields, including psychology, medicine, engineering, cognitive science, human factors, gerontology, and nursing. Their experience was gained through actual hands-on provision of medical care and/or research into factors contributing to error in such care. Because of the experience of the chapter authors, their systematic consideration of the issues in this book affords the reader an insightful, applied approach to human error in medicine -- an approach fortified by academic discipline.
The screech of rubber against asphalt. And then the crash: a violent two-car collision resulting in a twisted mass of metal, plastic, and glass-and worse, the deaths of both drivers. Accident reconstruction is but one phase of road traffic fatality (RTF) cases. Even as police officers draw their last diagram, interview their last witness, and reconstruct their final scenario, a different team of investigators works diligently on solving another puzzle: determining how the victims actually died. Investigation of Road Traffic Fatalities: An Atlas covers the issues that face medical examiners and coroners in determining the nature and extent of RTF injuries as well as the cause, manner, and circumstances of death. Also ideal for medicolegal death investigators and law enforcement personnel who work with medical examiners and coroners during RTF investigations, this Atlas covers everything from "Typical road traffic fatality injuries" to "Injuries caused by safety/restraint devices" and "Autopsy and toxicology testing." For anyone involved in RTF probes, Investigation of Road Traffic Fatalities: An Atlas is essential reading.
This report presents preliminary U.S. data on deaths, death rates, life expectancy, leading causes of death, and infant mortality for 2008 by selected characteristics such as age, sex, race, and Hispanic origin. Data in this report are based on death records comprising more than 99 percent of the demographic and medical files for all deaths in the U.S. in 2008. The records are weighted to independent control counts for 2008. For certain causes of death such as unintentional injuries, homicides, suicides, drug-induced deaths, and sudden infant death syndrome, preliminary and final data may differ because of the truncated nature of the preliminary file. Comparisons are made with 2007 final data. Tables. This is a print on demand report.
Helen Vardon finds herself in a predicament after overhearing her father and a man named Otway arguing about funds that have gone missing from a trust. Believing that it’s the only way to save her father from going to prison, Helen agrees to marry Otway, who’s many years her senior. But their matrimony precipitates a series of events that culminates with Helen being suspected of murder. The only man who can crack this quandary is Dr. John Thorndyke—expert in both forensics and strange cases. Helen Vardon’s Confession is the 8th book in the Dr. Thorndyke Mysteries, but you may enjoy reading the series in any order. This ebook features a new introduction from Otto Penzler and has been professionally proofread to ensure accuracy and readability on all devices.
In recent years there have been alarming reports of rapid decreases in life expectancy in the New Independent States (former members of the Soviet Union). To help assess priorities for health policy, the Committee on Population organized two workshops--the first on adult mortality and disability, the second on adult health priorities and policies. Participants included demographers, epidemiologists, public health specialists, economists, and policymakers from the NIS countries, the United States, and Western Europe. This volume consists of selected papers presented at the workshops. They assess the reliability of data on mortality, morbidity, and disability; analyze regional patterns and trends in mortality rates and causes of death; review evidence about major determinants of adult mortality; and discuss implications for health policy.
This work covers various important issues in life table construction and use. It. includes a non-technical overview, compares various methods of decomposing the difference in life expectancies, discusses the finding of suitable indicators and models, and deals with age, period, and cohort effects in mortality.
A hard-nosed cop tears into the criminal shadow world of the Lower East Side On the streets of downtown Manhattan, there is no better disguise than the vacant stare and limp slouch of the junkie. Masquerading as an addict, Johnny Katanos goes undetected as he slithers up the fire escape towards the biggest heroin operation in the city of New York. He disables the alarms, distracts the guards, kills the Dobermans, and is waiting with a grenade when Ronald Jefferson Chadwick, drug kingpin, returns with a suitcase full of cash. A few minutes later, the money is gone, Chadwick is dead, and the factory has been reduced to a fireball. Though the New York Police Department rarely investigates a dealer’s death, a Russian-made grenade appearing downtown is cause for fear. The case falls to Stanley Moodrow, a beefy detective who knows that in an investigation like this, there’s no time to go by the book.
It’s a startling reality that more American children are victims—and perpetrators—of violence than those of any other developed country. Yet unlike the other nations, the United States has yet to ratify the United Nations Convention on the Rights of the Child. Compelling, readable, and interdisciplinary, A Child’s Right to a Healthy Environment provides an abundance of skilled observation, important findings, and keen insights to place children’s well-being in the vanguard of human rights concerns, both in the United States and globally. Within this volume, authors examine the impediments to the crucial goals of justice, safety, dignity, well-being, and meaning in children’s lives, factors as varied as socioeconomic stressors, alienated, disengaged parents, and corrosive moral lessons from the media. The complex role of religious institutions in promoting and, in many cases, curtailing children’s rights is analyzed, as are international efforts by advocates and policymakers to address major threats to children’s development, including: War and natural disasters. Environmental toxins (e.g., malaria and lead poisoning). The child obesity epidemic. Gun violence. Child slavery and trafficking. Toxic elements in contemporary culture. A Child’s Right to a Healthy Environment is a powerful call to action for researchers and professionals in developmental, clinical child, school, and educational psychology as well as psychiatry, pediatrics, social work, general and special education, sociology, and other fields tasked with improving children’s lives.
After reviewing the available evidence from this extensive case study, the author concludes that these conducted energy weapons are excluded as the cause of death in 182 of the 212 cases. In only two cases did the evidence tend to confirm the weapon was either a cause of death or a significant contributing factor. While arguing that the TASER electronic control devices are safe less-lethal weapons, the author also cautions that they are not completely effective.
This sixth edition of A Dictionary of Epidemiology -- the most updated since its inception -- reflects the profound substantive and methodological changes that have come to characterize epidemiology and its associated disciplines. Sponsored by the International Epidemiological Association, this book remains the essential reference for anyone studying or working in epidemiology, biostatistics, public health, medicine, or the growing number health sciences in which epidemiologic competency is now required. More than just a dictionary, this text is an essential guidebook to the state of the science. It offers the most current, authoritative definitions of terms central to biomedical and public health literature -- everything from confounding and incidence rate to epigenetic inheritance and Number Needed to Treat. As epidemiology continues to change and grow, A Dictionary of Epidemiology will remain its book of record.