This comprehensive text on the pharmacological, medical, and legal aspects of drug abuse has been thoroughly updated for the Fourth Edition, and a new chapter on club drugs added. The chapter on medical effects was completely rewritten to focus on infections that develop in i.v. drug abusers, and information on the international regulation of drug use was added to the chapter on drug abuse and the law. The book is written at a level appropriate for upper level undergraduate students, graduate or medical students, and drug counselors. All major drugs of abuse are covered: tobacco, opioids, central stimulants (including cocaine, amphetamine, and caffeine), alcohol and other sedatives, marijuana, club drugs (MDMA, GHB, and ketamine), hallucinogens, and volatile solvents. For each type the authors discuss history and culture, the characteristic patterns of use, subjective and physiological effects, mechanisms of pharmacological action, and toxic effects. Epidemiological aspects are discussed as well as pharmacological treatment possibilities where applicable.
It went on to take part in every significant battle in the war in the East from 1861 to 1864. In remarkable detail, Wright describes the fighting at Bull Run, the Peninsula Campaign, Antietam, Fredericksburg, Gettysburg, the New York draft riots, and Bristoe Station. The most grueling battle for the First was Gettysburg. Detached from the main body of its regiment, Company F missed the bloody fighting on July 2 when the First lost 82 percent of its men in a suicidal attack. But the next day, Company F and the remnant of the First helped stop Pickett's Charge. The First's sacrifice inspired Gen.
“Tares among the Wheat” By “H. Melvin James” This second volume concludes the two established primary framed story-lines that traverse the entirety of the novel. Herein, mysteries of mysticism, religion, and ancient legend, as introduced in the previous book, are granted explanation and plausibility. As the story lines converge toward simultaneous conclusion at the end of the novel, other mysteries arise and are resolved. Events and experiences described in this volume include extremes of sorrow, horror, joy, and romance. In this saga, as in life, there are those who meet more suffering than comfort, but the balance of the aggregate, inevitably and eventually, tilts toward triumph, justice, peace, and contentment. Redemption, as in reality, is both compromised and realized. Episodes herein expose the cruelty of humanity as the torments of warriors and the crimes of civilians. Ultimately however, the unconquerable collective of human decency, determination, and faith prevails. Senseless murders punctuate the merciless decade of the horrific Dust Bowl and the Great Depression. In this volume those murders, as well as other crimes, fraud, assault, and theft, are brought to the justice of mortals, while the non-statutory transgressions of greed, power, vanity, and selfishness are left to the infallible and certain justice of the Almighty. Surprises for the reader, pleasing and teasing, are unveiled in this volume. These story lines also reclaim the obvious axiom, our predecessors often do not succeed for themselves, in their own lifetimes, but they plant the fields of wheat for their descendants to reap the harvest, and since no soul takes anything from this earth in his departing, is not one’s legacy the only true tangible success?
Superstition, mysticism, and religion weave like tangled vines through the tales of Amelia’s newly discovered ancestry. As a widow struggling to sustain herself and her ten-year-old son, Amy’s modest life is tragically disrupted when a dubious lawyer determines her late mother, adopted at birth, was the estranged daughter of the recently deceased Lexington McClary. Although the net worth of the once enormous estate is petty, Amy decides to travel several hundred miles to attend the funeral, in the hope of at least learning a semblance of her newfound ancestry. After the interment, alone in the secluded rural cemetery, Amy trips and bashes her head against a tombstone, suffering a coma and complications requiring medical care and convalescence for several months. While precariously recovering, Amy is visited in the depth of nights by a mysterious woman who tells stories of Amy’s maternal grandparents, their families, and acquaintances. The tales of her ancestors reach back nearly a century and include their immigration from Ireland to New York City and their migration westward to Indian Territory. Poignant remembrances of her own life and the altered world into which she regains consciousness portray the unconquerable but elusive human spirit, confronting failure in the wake of triumph, tragedy dispelling romance, madness shaming war of its glory, and the cruelty of murder in defiance of reason.
Since the 1980s legislators and courts have responded in a variety of ways to the onset of the AIDS pandemic. Some responses have been sensitive to the needs of those with HIV, seeking to guarantee heightened levels of confidentiality or freedom from discrimination. Others have sought to use the law as a tool to limit the spread of HIV, for example by imposing liability for its transmission or restricting the freedoms of those who are HIV-positive. Elsewhere, doctors and researchers have grappled with the legal and ethical problems surrounding testing for a condition which many people may not want to be aware of, and with the conflicts which can arise between respect for individual autonomy and the promotion of public health. More recently, treatments for HIV have developed to the extent that for many HIV is a chronic disease rather than an inevitably fatal condition. Such treatments, however, pose new challenges: they are expensive and as such are not widely available in those parts of the globe where HIV infection is most widespread. This has caused tensions over issues such as asylum, immigration and deportation, and the protection of intellectual property rights which may bar such treatments from being available where the need is most acute. This book examines and evaluate these issues in comparative perspective. It draws on legal responses to other sexually transmitted infections (and contagious diseases) but concentrates on HIV and AIDS.
This softcover manual covers all procedures and techniques necessary for certification in critical care from the internal medicine, anesthesiology, and surgical critical care certification exam. Each procedure or monitoring technique discusses indications/contraindications, equipment, anatomy, techniques, postprocedure care, and complications. Specific nursing indications are indicated where appropriate.
Today, the standards for assessing the different types of damages vary greatly from state to state. Tort reform nationally has had a significant impact on tort damages. In addition, many states have codified the law concerning claims for damages arising from medical malpractice, consumer rights, wrongful death, and products liability. Proving and Defending Damage Claims: A Fifty-State Guide is the one reference that will help you accurately assess and pursue damages-- from drafting or defending a complaint to arguing damages at trial. This unique resource will help you present the strongest possible case on behalf of your client. You'll gain instant access to: Fifty-state surveys that provide quick and reliable answers to questions about recoverable damages. Analysis to help you calculate recoverable damages for particular causes of action. Reliable insights into the framework of punitive damages, including their availability and limitations. And much more! ; Proving and Defending Damage Claims: A Fifty-State Guide enables you to quickly and accurately assess damages in all fifty states. This essential resource analyzes damages connected with specific causes of action, including: Medical Malpractice Products Liability Personal injury Wrongful Death Equitable Remedies Property Loss Environmental Torts Consumer Protection
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