Prescribing by Numbers

Prescribing by Numbers

Author: Jeremy A. Greene

Publisher: JHU Press

Published: 2007-02-15

Total Pages: 337

ISBN-13: 0801884772

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Physician-historian Jeremy A. Greene examines the mechanisms by which drugs and chronic disease categories define one another within medical research, clinical practice, and pharmaceutical marketing, and he explores how this interaction has profoundly altered the experience, politics, ethics, and economy of health in late-twentieth-century America.


Prescribing by Numbers

Prescribing by Numbers

Author: Jeremy A. Greene

Publisher: JHU Press

Published: 2007-02-15

Total Pages: 337

ISBN-13: 0801892090

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Winner, 2009 Rachel Carson Prize, Society for the Social Studies of ScienceWinner, 2012 Edward Kremers Award, American Institute of the History of Pharmacy The second half of the twentieth century witnessed the emergence of a new model of chronic disease—diagnosed on the basis of numerical deviations rather than symptoms and treated on a preventive basis before any overt signs of illness develop—that arose in concert with a set of safe, effective, and highly marketable prescription drugs. In Prescribing by Numbers, physician-historian Jeremy A. Greene examines the mechanisms by which drugs and chronic disease categories define one another within medical research, clinical practice, and pharmaceutical marketing, and he explores how this interaction has profoundly altered the experience, politics, ethics, and economy of health in late-twentieth-century America. Prescribing by Numbers highlights the complex historical role of pharmaceuticals in the transformation of disease categories. Greene narrates the expanding definition of the three principal cardiovascular risk factors—hypertension, diabetes, and high cholesterol—each intersecting with the career of a particular pharmaceutical agent. Drawing on documents from corporate archives and contemporary pharmaceutical marketing literature in concert with the clinical literature and the records of researchers, clinicians, and public health advocates, Greene produces a fascinating account of the expansion of the pharmaceutical treatment of chronic disease over the past fifty years. While acknowledging the influence of pharmaceutical marketing on physicians, Greene avoids demonizing drug companies. Rather, his provocative and comprehensive analysis sheds light on the increasing presence of the subjectively healthy but highly medicated individual in the American medical landscape, suggesting how historical analysis can help to address the problems inherent in the program of pharmaceutical prevention.


Clinical Pharmacology for Prescribing

Clinical Pharmacology for Prescribing

Author: Stevan R. Emmett

Publisher: Oxford University Press, USA

Published: 2019

Total Pages: 753

ISBN-13: 0199694931

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Linking disease processes to pharmacological interventions, Clinical Pharmacology for Prescribing gives a sound basis for evidence based prescribing.


Prescribed

Prescribed

Author: Jeremy A. Greene

Publisher: JHU Press

Published: 2012-05-14

Total Pages: 343

ISBN-13: 1421405067

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The first authoritative look at the history of the prescription itself, Prescribed is a groundbreaking book that subtly explores the politics of therapeutic authority and the relations between knowledge and practice in modern medicine.


Generic

Generic

Author: Jeremy A. Greene

Publisher: JHU Press

Published: 2014-10-27

Total Pages: 375

ISBN-13: 1421414945

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The turbulent history of generic pharmaceuticals raises powerful questions about similarity and difference in modern medicine. Generic drugs are now familiar objects in clinics, drugstores, and households around the world. We like to think of these tablets, capsules, patches, and ointments as interchangeable with their brand-name counterparts: why pay more for the same? And yet they are not quite the same. They differ in price, in place of origin, in color, shape, and size, in the dyes, binders, fillers, and coatings used, and in a host of other ways. Claims of generic equivalence, as physician-historian Jeremy Greene reveals in this gripping narrative, are never based on being identical to the original drug in all respects, but in being the same in all ways that matter. How do we know what parts of a pill really matter? Decisions about which differences are significant and which are trivial in the world of therapeutics are not resolved by simple chemical or biological assays alone. As Greene reveals in this fascinating account, questions of therapeutic similarity and difference are also always questions of pharmacology and physiology, of economics and politics, of morality and belief. Generic is the first book to chronicle the social, political, and cultural history of generic drugs in America. It narrates the evolution of the generic drug industry from a set of mid-twentieth-century "schlock houses" and "counterfeiters" into an agile and surprisingly powerful set of multinational corporations in the early twenty-first century. The substitution of bioequivalent generic drugs for more expensive brand-name products is a rare success story in a field of failed attempts to deliver equivalent value in health care for a lower price. Greene’s history sheds light on the controversies shadowing the success of generics: problems with the generalizability of medical knowledge, the fragile role of science in public policy, and the increasing role of industry, marketing, and consumer logics in late-twentieth-century and early twenty-first century health care.


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.


Prescribing Skills Workbook

Prescribing Skills Workbook

Author: Daniel Norton

Publisher: JP Medical Ltd

Published: 2014-05-30

Total Pages: 377

ISBN-13: 1907816860

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Prescribing medications safely is a cornerstone of clinical practice but students receive little or no teaching in the practicalities of prescribing. Instead they are often left to learn on the ward, which inevitably leaves gaps in their knowledge. Unsurprisingly, prescribing errors among junior doctors are common and can cause significant harm to patients. This is a cause for concern with the GMC, and a potential solution - in the form of a national exam - has been proposed. Prescribing Skills Workbook is designed to help students and junior doctors bridge the gap between understanding the science of pharmacology and accurately writing a prescription on a patient's drug chart. The workbook format offers an ideal way to practice by completing a series of realistic, life-size charts in response to a clinical scenario. The book features 45 exercises, each one carefully chosen to test the reader's grasp of a key principle such as management of the patient on warfarin. Each exercise begins with a short scenario; next, the reader is invited to complete a chart based on the details in the case; then follows an answer section containing a correctly completed chart together with a summary of the main clinical and educational aspects of the exercise. Key Points A unique resource for medical students and foundation doctors to improve their understanding of the principles of safe prescribing and practice the physical act of filling out a drug chart correctly 45 blank' hospital charts replicate the experience of completing a realistic, life-size prescription, with 45 corresponding charts filled out correctly to enable the reader to compare, identify and rectify errors DRUGCHARTS checklist provides systematic framework for accurate prescribing by highlighting the key items to consider in each case Key points boxes highlight the main learning objectives in each exercise Short introductory chapter includes tips for safe prescribing


Subjective Refraction and Prescribing Glasses

Subjective Refraction and Prescribing Glasses

Author: Richard Kolker

Publisher: CRC Press

Published: 2024-06-01

Total Pages: 144

ISBN-13: 1040135420

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Basic refraction is a foundational part of ophthalmology, and yet beginning ophthalmology residents and ophthalmic technicians are often left on their own to learn the finer points. Despite being core skills, the techniques and practical aspects of subjective refraction and prescribing glasses are often developed by trial and error, if they are developed at all. Subjective Refraction and Prescribing Glasses: The Number One (or Number Two) Guide to Practical Techniques and Principles, Third Edition is designed as a complete guide to those essential skills, offering everything from basic terminology to tips, tricks, and best practices. This updated Third Edition has been expanded in every section with thoughtful, practical advice, and has case scenarios, in a question and answer format, of situations encountered with real-world patients. It is the most comprehensive review of clinical subjective refraction to date. Drs. Richard Kolker and Andrew Kolker together have nearly 50 years of experience in the practice of ophthalmology and bring both the fresh eyes of a beginning ophthalmologist and the experience of a seasoned veteran to this Third Edition. While new residents and technicians will appreciate the thorough explanation of refractive fundamentals, even expert ophthalmologists will appreciate the practical tips that may have never occurred to them. Included are: Very clear, easy-to-read, practical explanations of the subjective refraction process Basic practical optics to explain the steps of subjective refraction The Jackson Cross Cylinder made easy to understand and use Plus and mInus cylinder methods discussed separately and color coded for quick identification An Appendix with a primer on retinoscopy and how to use the manual lensometer The art of subjective refraction and prescribing glasses Subjective Refraction and Prescribing Glasses: The Number One (or Number Two) Guide to Practical Techniques and Principles, Third Edition is the definitive guide to the often neglected skills involved in clinical subjective refraction. Residents and technicians will find it a critical guide in their learning process, but even seasoned ophthalmologists can benefit from the tips and tricks enclosed within.


The Maudsley Prescribing Guidelines in Psychiatry

The Maudsley Prescribing Guidelines in Psychiatry

Author: David M. Taylor

Publisher: John Wiley & Sons

Published: 2018-07-16

Total Pages: 878

ISBN-13: 1119442605

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The revised 13th edition of the essential reference for the prescribing of drugs for patients with mental health disorders The revised and updated 13th edition of The Maudsley Prescribing Guidelines in Psychiatry provides up-to-date information, expert guidance on prescribing practice in mental health, including drug choice, treatment of adverse effects and how to augment or switch medications. The text covers a wide range of topics including pharmacological interventions for schizophrenia, bipolar disorder, depression and anxiety, and many other less common conditions. There is advice on prescribing in children and adolescents, in substance misuse and in special patient groups. This world-renowned guide has been written in concise terms by an expert team of psychiatrists and specialist pharmacists. The Guidelines help with complex prescribing problems and include information on prescribing psychotropic medications outside their licensed indications as well as potential interactions with other medications and substances such as alcohol, tobacco and caffeine. In addition, each of the book’s 165 sections features a full reference list so that evidence on which guidance is based can be readily accessed. This important text: Is the world’s leading clinical resource for evidence-based prescribing in day-to-day clinical practice and for formulating prescribing policy Includes referenced information on topics such as transferring from one medication to another, prescribing psychotropic medications during pregnancy or breastfeeding, and treating patients with comorbid physical conditions, including impaired renal or hepatic function. Presents guidance on complex clinical problems that may not be encountered routinely Written for psychiatrists, neuropharmacologists, pharmacists and clinical psychologists as well as nurses and medical trainees, The Maudsley Prescribing Guidelines in Psychiatry are the established reference source for ensuring the safe and effective use of medications for patients presenting with mental health problems.


Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence

Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence

Author: World Health Organization. Department of Mental Health and Substance Abuse

Publisher: World Health Organization

Published: 2009

Total Pages: 133

ISBN-13: 9241547545

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"These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv