Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-09-28

Total Pages: 483

ISBN-13: 0309459575

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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.


The Prediction and Control of Organized Crime

The Prediction and Control of Organized Crime

Author: Jennifer Schrock

Publisher: Routledge

Published: 2017-10-24

Total Pages: 179

ISBN-13: 135130318X

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Like most former Soviet republics, Ukraine has experienced a formidable proliferation of crime and corruption as it struggles with economic reform and the establishment of democracy.During the early 90s, Ukraine became one of the primary recipients of foreign assistance from the United States and its crime and corruption situation was increasingly seen as an impediment to economic transition and achieving a more democratic way of life. Thus in 1998, as part of a larger U.S. law enforcement assistance effort in Ukraine, the idea for a research partnership between criminologists and legal scholars in the two countries was born in this volume.The original research papers contained are the products of this ambitious research project. The realities of crime in post-Soviet Ukraine, as well as divergent methodological approaches and communication problems, presented the research partners with enormous challenges. This volume represents the culmination of that collaborative effort, and provides a singular look into the current crime situation in Ukraine, and into the potential global threat presented by Ukrainian organized crime.Contributions include analyses of the prediction and control of organized crime, trafficking in women and children for sexual exploitation, international money laundering, the transnational political criminal nexus of trafficking in women, countermeasures against economic crime and corruption, heroin trafficking, business victimization by organized crime, and understanding and combating organized crime. The Prediction and Control of Organized Crime will be critical reading for security planners, policymakers, and criminal justice officials, as well as comparative criminologists, legal scholars, and political scientists interested in organized crime and political corruption.


Medications for Opioid Use Disorder Save Lives

Medications for Opioid Use Disorder Save Lives

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2019-06-16

Total Pages: 175

ISBN-13: 0309486483

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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.


World Drug Report 2007

World Drug Report 2007

Author: United Nations Office on Drugs and Crime

Publisher: United Nations

Published: 2007-06-27

Total Pages: 282

ISBN-13: 9211554012

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This report offers one of the most comprehensive insights into global trends in international culture, production, seizure and price of illicit drugs. It examines trends in the world's four major markets: opium and heroin, coca and cocaine, cannabis, and amphetamine-type stimulants. This edition provides an in-depth examination of the link between transnational organized crime and drug trafficking. A detailed statistical appendix on production, prices and consumption completes this book, which gives the reader a comprehensive picture of the world's drug problem.


Lies, Damned Lies, and Drug War Statistics, Second Edition

Lies, Damned Lies, and Drug War Statistics, Second Edition

Author: Matthew B. Robinson

Publisher: SUNY Press

Published: 2014-01-01

Total Pages: 330

ISBN-13: 1438448384

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Revised and updated edition that analyses how the Office of National Drug Control Policy employs statistics to misleadingly claim the War on Drugs is a success. First published in 2007, Lies, Damned Lies, and Drug War Statistics critically analyzed claims made by the Office of National Drug Control Policy (ONDCP), the White House agency of accountability in the nation’s drug war since 1989, as found in the six editions of the annual National Drug Control Strategy between 2000 and 2005. In this revised and updated second edition of their critically acclaimed work, Matthew B. Robinson and Renee G. Scherlen examine seven more recent editions (2006–2012) to once again determine if ONDCP accurately and honestly presents information or intentionally distorts evidence to justify continuing the drug war. They uncover the many ways in which ONDCP manipulates statistics and visually presents that information to the public. Their analysis demonstrates a drug war that consistently fails to reduce drug use, drug fatalities, or illnesses associated with drug use; fails to provide treatment for drug-dependent users; and drives up the prices of drugs. They conclude with policy recommendations for reforming ONDCP’s use of statistics, as well as how the nation fights the war on drugs. Praise for the First Edition “Lies, Damned Lies, and Drug War Statistics is surprisingly easy to read, and Robinson and Scherlen have done a huge favor not only to critics of current drug policy by compiling this damning critique of ONDCP claims, but also to anyone interested in how data is compiled, presented, and misused by bureaucrats attempting to guard their domains. It should be required reading for members of Congress.” — Drug War Chronicle Book Review “The authors have performed a valuable service to our democracy with their meticulous analysis of the White House ONDCP public statements and reports. They have pulled the sheet off what appears to be an official policy of deception using clever and sometimes clumsy attempts at statistical manipulation. This document, at last, gives us a map of the truth.” — Mike Gray, author of Drug Crazy: How We Got into This Mess and How We Can Get Out “Robinson and Scherlen make a valuable contribution to documenting how ONDCP fails to live up to basic standards of accountability and consistency.” — Ethan Nadelmann, Executive Director, Drug Policy Alliance


Federal Narcotics Laws and the War on Drugs

Federal Narcotics Laws and the War on Drugs

Author: Thomas C Rowe

Publisher: Routledge

Published: 2013-04-15

Total Pages: 191

ISBN-13: 1135798753

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We’re losing the “war on drugs”—but the fight isn’t over yet Federal Narcotics Laws and the War on Drugs examines our current anti-drug programs and policies, explains why they have failed, and presents a plan to fix them. Author Thomas C. Rowe, who has been educating college students on recreational drug use for nearly 30 years, exposes the truth about anti-drug programs he believes were conceived in ignorance of the drugs themselves and motivated by racial/cultural bias. This powerful book advocates a shift in federal spending to move funds away from the failed elements of the “war on drugs” toward policies with a more realistic chance to succeed—the drug courts, education, and effective treatment. Common myths and misconceptions about drugs have produced anti-drug programs that don’t work, won’t work, and waste millions of dollars. Federal Narcotics Laws and the War on Drugs looks at how—and why—this has happened and what can be done to correct it. The book is divided into “How did we get into this mess?” which details the history of anti-narcotic legislation, how drug agencies evolved, and the role played by Harry Anslinger, Commissioner of the United States Bureau of Narcotics from 1930 to 1962; “What works and what doesn’t work,” which looks at the failure of interdiction efforts and the negative consequences that have resulted with a particular focus on the problems of prisons balanced against the drug court system; and a third section that serves as an overview of various recreational drugs, considers arguments for and against drug legalization, and offers suggestions for more effective methods than our current system allows. Federal Narcotics Laws and the War on Drugs also examines: the creation of the Federal Bureau of Narcotics current regulations and structures current federal sentencing guidelines current state of the courts and the prison system mandatory sentencing and what judges think interdiction for heroin, cocaine and crack cocaine, and marijuana early education efforts the DARE program drug use trends drug treatment models the debate over legalization Federal Narcotics Laws and the War on Drugs also includes several appendices of federal budget figures, cocaine and heroin purity and price, and federal bureau of prisons statistics. This unique book is required reading for anyone concerned about the drug problem in the United States and what is—and isn’t—being done to correct it.


The State of the World's Cities 2004/2005

The State of the World's Cities 2004/2005

Author:

Publisher: UN-HABITAT

Published: 2004

Total Pages: 217

ISBN-13: 9211317053

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As towns and cities expand at unprecedented rates, sustainable urban development is one of the most pressing challenges facing the international community in the 21st century. This publication examines the realities faced by urban populations around the world, focusing on the impact of globalisation and the way cities are governed and planned, on the make-up and density of their population, and on their cultures and economies. Issues considered include: the impact of globalisation on urban culture; urban renewal and cultural strategies; the concept of metropolitanization; socio-economic and cultural impacts of international migration; urban poverty and homelessness, social inequality and exclusion; urban governance, safety and crime trends; contemporary planning strategies and the role of civil society; progress towards attainment of the Millennium Development Goals targets for sanitation and housing. The report highlights the need for a new culture of planning to establish multicultural and inclusive cities, involving civil society as well as public authorities.