Marijuana legalization is a controversial and multifaceted issue that is now the subject of serious debate. In May 2014, Vermont Governor Peter Shumlin signed a bill requiring the Secretary of Administration to produce a report about various consequences of legalizing marijuana. This resulting report provides a foundation for thinking about the various consequences of different policy options while being explicit about the uncertainties involved.
Many patients referred for an epilepsy evaluation actually suffer from one of many conditions that can imitate it. Imitators of epilepsy are a diverse group that involve consideration of many areas of internal medicine, neurology, and psychiatry. The most important imitators of epileptic seizures are dizziness, vertigo, syncope, complicated migraine; and somewhat less frequently sleep disorders, transient cerebral ischemia, paroxysmal movement disorders, endocrine or metabolic dysfunction, delirium, psychiatric conditions or transient global amnesia. Clearly under-recognized are hyperventilation episodes, panic attacks, and other psychogenic and psychiatric paroxysmal disorders that may simulate epileptic seizures. This volume provides a comprehensive review of the differential diagnosis of seizures: how do the imitators of epilepsy present clinically, what are their particular distinguishing historical features, and what tests are helpful with diagnosis? Expanding beyond the first edition, this second edition is divided into four sections. The first deals with an introduction and approach diagnosing spells, the electroencephalography of epilepsy and its imitators, and specialized tests of diagnosis such as measurement of serum prolactin. There are chapters on epileptic seizures that do not look like typical epileptic seizures, and conversely, apparent epileptic seizures that are not. A second section approaches imitators of epileptic seizures along age-based lines; i.e., what sorts of spells are likely to beset infants, children, or the elderly? A third section addresses individual imitators of epilepsy, ranging from the common to the rare, from dizziness and faintness to startle disease, arranged according to whether they might simulate partial, generalized, or both types of epileptic seizures. The volume finishes off with hyperventilation syndrome, psychogenic seizures (with or without epilepsy), and panic disorders. Most chapters review the basic definitions and physiology of the respective imitator, followed by the clinical characteristics. Emphasis is given to those features that may differentiate it from an epileptic event, but also mark it for what it is, and give possible criteria for an alternate diagnosis. Case vignettes are used to illustrate particular aspects, along with tables that compare and contrast phenotypically similar conditions. Based on their extensive clinical experience, the authors provide a personal perspective on diagnosis and treatment.
Workflow Management is a diverse and rich technology and is now being applied over an ever increasing number of industries. The competitive advantages of applying workflow technology are beginning to emerge as organizations focus on leveraging market opportunities from their business processes. Workflow Handbook Edited by Peter Lawrence The Workflow Handbook has been designed as a one-stop source for organizations seeking or already committed to implementing workflow systems as part of their IT strategy. Part I introduces key concepts and sets out the business case for workflow technology. How workflow systems have been put into operation and with what success is documented in a series of case studies across a broad spectrum of industries. Technical standards are provided in Part II and the last section provides a comprehensive listing of workflow resources including a directory of vendors. The pace of development in workflow technology is swift. The industry's standards-setting body, the Workflow Management Coalition, have provided the most up-to-date, authoritative point of reference for those implementing workflow in 1997. Visit our Website! http://www.wiley.com/compbooks/ Visit the Workflow Management Coalition http://www.aiai.ed.ac.uk/wfmc
The #1 text in Sports Medicine! This cornerstone textbook has been updated with the latest research and developments. Brukner & Khan's world-leading title provides an authoritative foundation for clinicians and students. This complete practical guide to physiotherapy and musculoskeletal medicine covers all aspects of diagnosis and contemporary management of sports-related injuries. The fifth edition has been expanded to accommodate a much higher level of evidence-based content and reflects the huge amount of new research and significant changes in thinking since the previous edition was published. The contributing editors are an international compilation of globally recognised experts within their fields. This is essential reading for sports medicine physicians, physical therapists and physical therapy students. Topics in Volume Two Include: •Exercise and health •Exercise and disease •Environment •Harassment and abuse •Special groups •Maximising athletic performance •Nutrition for performance
Colorado. Washington. Oregon. Colorado. Since 2012 nine states and DC have legalized cannabis, with more states to follow. Already a $9.7 billion dollar industry creating hundreds of thousands of new jobs, legal cannabis is not only one of the fastest growing industries, but it is changing the dynamics of American society.Through interviews and fieldwork, Peter M. Birkeland shines a sociological lens on the relevant issues of legal cannabis and investigates the most pressing issues. Who are the cannabis industry participants? What are the costs in running a marijuana business and how much money is generated? Who are the users of cannabis in this newly legal market? What are the challenges in creating a regulatory framework? What has happened to crime, teenage use, and the black market? Birkeland's book provides a documentary-like account of the emerging cannabis industry in Colorado, the first jurisdiction in the world to legalize cannabis cultivation, manufacturing, and retail sales.Birkeland worked with cannabis business owners, interviewed regulators, policy-makers (including Governor Hickenlooper), industry participants, and opponents to legalization. He attended tradeshows, symposiums, meet-ups, penetrated the black market, and visited communities that have embraced cannabis sales. Through his firsthand experience, interviews and research, Birkeland traces the evolution of the cannabis industry from strictly illegal to legal, and he documents the challenges operators, regulators, and consumers face in the quest to carry out sales of a federally illegal product.Is cannabis legalization a short-lived social experiment, or is it ushering a new era of herbal medicine and recreational use that will transform society? The author uncovers the realities of the newly legal cannabis industry in Colorado, a litmus test for other states considering legalizing cannabis.
Peter Cornwell tells the story of the greatest air battle of the Second World War when six nations were locked in combat over north-western Europe for a traumatic six weeks in 1940. He describes the day-to-day events as the battle unfolds, and details the losses suffered by all six nations involved: Britain, France, Holland, Belgium, Germany and, rather belatedly, Italy. As far as RAF fighter squadrons in France were concerned, it was an all-Hurricane show, yet it was the Blenheim and Battle crews who suffered the brunt of the casualties. Every aircraft lost or damaged through enemy action while operating in France is listed together with the fate of the crews. The RAF lost more than a thousand aircraft of all types over the Western Front during the six-week battle, the French Air Force 1,400, but Luftwaffe losses were even higher at over 1,800 aircraft.
Illegal psychoactive substances and illicit prescription drugs are currently used on a daily basis all over the world. Affecting public health and social welfare, illicit drug use is linked to disease, disability, and social problems. Faced with an increase in usage, national and global policymakers are turning to addiction science for guidance on how to create evidence-based drug policy. Drug Policy and the Public Good is an objective analytical basis on which to build global drug policies. It presents the accumulated scientific knowledge on drug use in relation to policy development on a national and international level. By also revealing new epidemiological data on the global dimensions of drug misuse, it questions existing regulations and highlights the growing need for evidence-based, realistic, and coordinated drug policy. A critical review of cumulative scientific evidence, Drug Policy and the Public Good discusses four areas of drug policy; primary prevention programs in schools and other settings; supply reduction programs, including legal enforcement and drug interdiction; treatment interventions and harm reduction approaches; and control of the legal market through prescription drug regimes. In addition, it analyses the current state of global drug policy, and advocates improvements in the drafting of public health policy. Drug Policy and the Public Good is a global source of information and inspiration for policymakers involved in public health and social welfare. Presenting new research on illicit and prescription drug use, it is also an essential tool for academics, and a significant contribution to the translation of addiction research into effective drug policy.
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