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The Belmont Report

United States. National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research

Published: 1978

Total Pages: 614


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Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
In July 1863 New York City experienced widespread rioting unparalleled in the history of the nation. Here for the first time is a scholarly analysis of the Draft Riots, dealing with motives and with the reasons for the recurring civil disorders in nineteenth-century New York: the appalling living conditions, the corruption of the civic government, and the geographical and economic factors that led up to the social upheaval.
Growing discontent with the performance of educational institutions is common in the USA today and little is being done to address the real problem - that of the need to reform and restructure the entire educational system. A key issue in this reform is the training and development of leaders in educational administration; as experienced "leaders" retire, so new professionals are called to assume the mantle of the "old hands" and vital new opportunities exist for those willing to take up the challenge.; This vitally practical text is about the selection, preparation and professional development of aspiring school leaders over the course of their careers, concentrating on ways to increase their overall effectiveness - particularly in changing times. It looks at changes that have been made and considers what can be adapted from existing systems in order to make radical improvements for those in leadership positions.; It is intended for use by postgraduate students in education, teacher trainings, heads of education faculties and teachers in leadership positions, school board members and aspirant superintendents.
Vitamins in Animal and Human Nutrition contains concise, up-to-date information on vitamin nutrition for both animals and humans. The author defines these nutrients and describes their fascinating discovery, history and relationship to various diseases and deficiencies. Discussion of vitamins also includes their chemical structure, properties and antagonists; analytical procedures; metabolism; functions; requirements; sources; supplementation and toxicity. Vitamin-like substances, essential fatty acids and vitamin supplementation considerations are also examined. This book will be useful worldwide as a textbook and as an authoritative reference for research and extension specialists, feed manufacturers, teachers, students and others. It provides a well-balanced approach to both animal and clinical human nutrition and compares chemical, metabolic and functional aspects of vitamins and their practical and applied considerations. A unique feature of the book is its description of the implications of vitamin deficiencies and excesses and the conditions that might occur in human and various animal species.