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The threat of domestic terrorism today looms larger than ever. Bombings at the World Trade Center and Oklahoma City's Federal Building, as well as nerve gas attacks in Japan, have made it tragically obvious that American civilians must be ready for terrorist attacks. What do we need to know to help emergency and medical personnel prepare for these attacks? Chemical and Biological Terrorism identifies the R&D efforts needed to implement recommendations in key areas: pre-incident intelligence, detection and identification of chemical and biological agents, protective clothing and equipment, early recognition that a population has been covertly exposed to a pathogen, mass casualty decontamination and triage, use of vaccines and pharmaceuticals, and the psychological effects of terror. Specific objectives for computer software development are also identified. The book addresses the differences between a biological and chemical attack, the distinct challenges to the military and civilian medical communities, and other broader issues. This book will be of critical interest to anyone involved in civilian preparedness for terrorist attack: planners, administrators, responders, medical professionals, public health and emergency personnel, and technology designers and engineers.
This new book uses the unique vignette format of the Pearls Series" to explore a variety of issues that arise in the everyday practice of toxicology. The authors present individual case scenarios, physical findings, lab data, and clinical photographs of actual cases and challenge readers to formulate a diagnosis and treatment strategy based on the information provided. The correct diagnosis and a discussion of the findings follow each case presentation. Offers actual case studies in toxicology that challenge readers to formulate their own diagnoses. Reveals the actual diagnosis for each case with discussions of the relevant disorders. Distills 3-4 clinical pearls for each case-helping readers to avoid complications and achieve optimal outcomes and pitfalls. Uses illustrations to emphasize important points.
In 1989, the charismatic Joshua Boger left Merck, then America's most admired business, to found a drug company that would challenge industry giants and transform health care. Journalist Barry Werth described the company's tumultuous early days during the AIDS crisis in The Billion-Dollar Molecule, a celebrated classic of science and business journalism. Now he returns to tell the story of Vertex's bold endurance and eventual success. The pharmaceutical business is America's toughest and one of its most profitable. It's riskier and more rigorous at just about every stage than any other business, from the towering biological uncertainties inherent in its mission to treat disease; to the 30-to-1 failure rate in bringing out a successful medicine; to the multibillion-dollar cost of ramping up a successful product; to operating in the world's most regulated industry, matched only by nuclear power. Werth captures the full scope of Vertex's 25-year drive to deliver breakthrough medicines.--From publisher description.
This volume offers in-depth coverage of all important aspects of human paraquat poisoning, providing recent information on everything from the basic science of liquid peroxidation, to recent recommendations for prevention, diagnosis, prognosis and treatment. Perspectives from developed and developing countries are given. This work is intended for: medical and clinical toxicologists, organic, medicinal, agricultural and herbicide chemists; poison information specialists; public health, regulatory compliance and risk management officers; sanitarians; industrial hygienists; ecologists; and graduate-level and continuing-education students in these disciplines.
Poisoning is a far more serious health problem in the U.S. than has generally been recognized. It is estimated that more than 4 million poisoning episodes occur annually, with approximately 300,000 cases leading to hospitalization. The field of poison prevention provides some of the most celebrated examples of successful public health interventions, yet surprisingly the current poison control "system" is little more than a loose network of poison control centers, poorly integrated into the larger spheres of public health. To increase their effectiveness, efforts to reduce poisoning need to be linked to a national agenda for public health promotion and injury prevention. Forging a Poison Prevention and Control System recommends a future poison control system with a strong public health infrastructure, a national system of regional poison control centers, federal funding to support core poison control activities, and a national poison information system to track major poisoning epidemics and possible acts of bioterrorism. This framework provides a complete "system" that could offer the best poison prevention and patient care services to meet the needs of the nation in the 21st century.