Recent outbreaks of foot-and-mouth disease (FMD) and bovine spongiform encephalopathy (BSE) in Europe and Japan set off alarm bells in the United States and other nations, prompting a flurry of new regulations, border controls, inspections, and other activities to prevent incursions of the diseases. The terrorist attacks in New York City and Washington, DC, added a new note of urgency to the alarm. Concerned about additional acts of terror or sabotage in various sectors of the economy, including agriculture, U.S. government and industry officials have begun to reevaluate emergency management plans in response to these threats and to shift the focus of research and planning. More than 200 representatives of government, industry, academia, and nongovernmental organizations gathered at a one-day workshop in Washington, DC, on January 15, 2002, to assess what the United States is doing about emerging animal diseases and related issues and to explore what still needs to be done. Major objectives of the workshop include: (1) elucidating information on the U.S. position with regard to potentially threatening animal diseases; (2) identifying critical problems, barriers, and data gaps; and (3) defining potential future National Academies' activities. Emerging Animal Diseases describes the issues presented and discussed by the workshop participants. This report summary extracts the key technical issues from the presentations and discussions, rather than presenting each session and panel discussion separately. Many issues were touched upon repeatedly by several speakers in different sessions, and this format is intended to allow readers who did not attend the workshop to have a good understanding of the discussions in the context of the entire workshop.
Centuries of scientific advances in agriculture have increased the quantity, quality, and variety of our food supply. Food in the United States is abundant and affordable, incomes are at record levels, nutrition and health knowledge is at an all-time high. Yet many Americans are not eating a proper diet. The result is an obesity epidemic that contributes to rising healthcare costs from increased rates of heart disease, stroke, diabetes, and several cancers. Whether we see food as medicine or as the cause of disease, medical and agricultural research have the potential to come together in innovative ways to help consumers and producers understand and face the challenges of following a healthful diet. More than 100 leaders in agriculture, health research, education policy, and industry convened at the National Academies in June 2003 to share their opinions on what would be a more efficient and effective system for conducting food and health research. Some of their thoughts follow. Participants concluded that no one organization or agency can solve food-related health issues alone-the nation needs better mechanisms for bringing together its agriculture and health-care infrastructures to address food-related health problems. Addressing the obesity issue, in particular, will require a multidisciplinary strategy that includes research on foods, consumer knowledge and behavior, and the economics of food- and health-related activities, including food pricing, health-care costs, and agricultural support programs.
Palliative and End-of-Life Care, 2nd Edition provides clinicians with the guidelines and tools necessary to provide quality, evidenced-based care to patients with life-limiting illness. This text describes the care and management of patients with advanced disease throughout the disease trajectory, extending from diagnosis of advanced disease until death. Four units provide the general principles of palliative and end-of-life care, important concepts, advanced disease management, and clinical practice guidelines. Clinical practice guidelines offer in-depth discussions of the pathophysiology of 19 different symptoms, interventions for specific symptom management (including in-depth rationales), and suggestions for patient and family teaching. Defines dying as a normal, healthy process aided by the support of an interdisciplinary team. Provides in-depth pathophysiology, assessment, and intervention information based upon the disease trajectory. Highlights opportunities for patient and family teaching. Describes psychosocial issues experienced by patients and their families. Reviews uncomplicated and complicated grief and mourning, providing suggestions to help the family after a patient's death. Includes case studies at the end of chapters to reinforce key concepts of compassionate care. New chapters including Advance Care Planning, Ethical Issues, Spiritual Care Across Cultures, Pharmacology, Sleep, and Nutrition. Includes a new appendix on Assessment Tools and Resources for more comprehensive coverage of palliative and end-of-life care.
Highly regarded as the go-to-resource of adolescent medicine for more than 30 years, Neinstein’s Adolescent and Young Adult Health Care remains the #1 choice for those involved in the care of adolescents and young adults. The 6th Edition continues to deliver practical, authoritative guidance on everything from normal development to legal issues, psychosocial care, and special populations. Extensive updates include the addition of young adult health care; a new color design; numerous new chapters; more algorithms, photos, and bulleted text; and fresh perspectives from a new senior editor and two new associate editors. This renowned title is ideal for daily practice or board preparation, and is recommended by the American College of Physicians for their internal medicine library. The 6th Edition is a highly useful resource for pediatricians, family practitioners, gynecologists, internists, house staff, nurse practitioners, PAs, residents, medical students, and fellows, as well as school-based clinics, college health centers, juvenile detention centers, pediatric ERs, and other facilities that serve adolescents and young adults. Features: One of the first texts to incorporate young adults into the scope of adolescent health care. New full-color design and more clinical photos provide visual appeal and clarity. New chapters cover U.S. and world data on the health of adolescents and young adults, potential effects of technology use on youth, and the growing issues regarding transgender adolescents and young adults. New section explores special populations such as foster placement; young adults in the military; homeless, incarcerated, and immigrant youth and young adults; Native American youth, and more. More algorithms and bulleted lists make the text more readable and useful as a quick reference. Evidence based throughout, with numerous references provided for further research. Key topics include psychological issues, ways to develop rapport with teenagers, interviewing, sports medicine, LARC, HPV, substance abuse, and college health. Hundreds of useful websites on nearly every topic, where professionals, teenagers, and parents can find up-to-the-minute information.
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