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.


Meeting Accreditation Standards: A Pharmacy Preparation Guide

Meeting Accreditation Standards: A Pharmacy Preparation Guide

Author: John P Uselton

Publisher: ASHP

Published: 2019-12-31

Total Pages: 757

ISBN-13: 1585284475

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Meeting Accreditation Standards: A Pharmacy Preparation Guide is the only book to cover all the latest major accreditation standards. Highlights include: Major changes including revised survey processes and streamlined standards to emphasize CMS’s focus on safety and improving the quality of patient care New chapters for the fourth accreditation organization CIHQ, Antimicrobial Stewardship, and Pain Management Addresses the standards and requirements effective from July 2019 to the extent that they are known Contains the most up-to-date medication management (MM) standards and requirements and the medication-related 2019 NPSGs and their requirements


As Texas Goes...: How the Lone Star State Hijacked the American Agenda

As Texas Goes...: How the Lone Star State Hijacked the American Agenda

Author: Gail Collins

Publisher: W. W. Norton & Company

Published: 2012-06-04

Total Pages: 462

ISBN-13: 0871404753

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“Gail Collins is the funniest serious political commentator in America. Reading As Texas Goes… is pure pleasure from page one.” —Rachel Maddow A Kirkus Reviews Best Book of the Year (Nonfiction) As Texas Goes . . . provides a trenchant yet often hilarious look into American politics and the disproportional influence of Texas, which has become the model for not just the Tea Party but also the Republican Party. Now with an expanded introduction and a new concluding chapter that will assess the influence of the Texas way of thinking on the 2012 election, Collins shows how the presidential race devolved into a clash between the so-called “empty places” and the crowded places that became a central theme in her book. The expanded edition will also feature more examples of the Texas style, such as Governor Rick Perry’s nearsighted refusal to accept federal Medicaid funding as well as the proposed ban on teaching “critical thinking” in the classroom. As Texas Goes . . . will prove to be even more relevant to American politics by the dawn of a new political era in January 2013.


Countering the Problem of Falsified and Substandard Drugs

Countering the Problem of Falsified and Substandard Drugs

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2013-06-20

Total Pages: 377

ISBN-13: 0309269393

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The adulteration and fraudulent manufacture of medicines is an old problem, vastly aggravated by modern manufacturing and trade. In the last decade, impotent antimicrobial drugs have compromised the treatment of many deadly diseases in poor countries. More recently, negligent production at a Massachusetts compounding pharmacy sickened hundreds of Americans. While the national drugs regulatory authority (hereafter, the regulatory authority) is responsible for the safety of a country's drug supply, no single country can entirely guarantee this today. The once common use of the term counterfeit to describe any drug that is not what it claims to be is at the heart of the argument. In a narrow, legal sense a counterfeit drug is one that infringes on a registered trademark. The lay meaning is much broader, including any drug made with intentional deceit. Some generic drug companies and civil society groups object to calling bad medicines counterfeit, seeing it as the deliberate conflation of public health and intellectual property concerns. Countering the Problem of Falsified and Substandard Drugs accepts the narrow meaning of counterfeit, and, because the nuances of trademark infringement must be dealt with by courts, case by case, the report does not discuss the problem of counterfeit medicines.


The Texas Railroad Commission

The Texas Railroad Commission

Author: William R. Childs

Publisher: Texas A&M University Press

Published: 2005

Total Pages: 350

ISBN-13: 9781585444526

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Before OPEC took center stage, one state agency in Texas was widely believed to set oil prices for the world. The Texas Railroad Commission (TRC) evolved from its founding in 1891 to a multi-divisional regulatory commission that oversaw not only railroads but also a number of other industries central to the modern American economy: petroleum production, natural gas utilities, and motor carriers (buses and trucks). William R. Childs's unprecedented study of the TRC from its founding until the mid-twentieth century extends our knowledge of commission-style regulation. It focuses on the interplay between business and regulators, between state and national regulatory commissions, and among the three branches of government through a process of "pragmatic federalism." Drawing on extensive primary research, Childs demonstrates that the alleged power of regulatory commissions has been more constrained than most observers have recognized. As he shows, the myth of power was devised by the agency itself as part of building a civil religion of Texas oil. Together, the myth and the civil religion enabled the TRC to convince Texas oil operators to follow production controls and thus stabilized the American oil industry by the 1940s. The result of this fascinating study is a more nuanced understanding of federalism and of regulation, the forces shaping it, and its outcomes.