{"title":"Institute Of Medicine","description":"\u003cp\u003eDelve into essential works from the Institute of Medicine, exploring vital topics in health, policy, and medical advancements. Discover insightful analysis and recommendations shaping the future of healthcare.\u003c\/p\u003e","products":[{"product_id":"noise-and-military-service-book-institute-of-medicine-9780309099493","title":"Noise and Military Service","description":"The Institute of Medicine carried out a study mandated by Congress and sponsored by the Department of Veterans Affairs to provide an assessment of several issues related to noise-induced hearing loss and tinnitus associated with service in the Armed Forces since World War II. The resulting book, Noise and Military Service: Implications for Hearing Loss and Tinnitus, presents findings on the presence of hazardous noise in military settings, levels of noise exposure necessary to cause hearing loss or tinnitus, risk factors for noise-induced hearing loss and tinnitus, the timing of the effects of noise exposure on hearing, and the adequacy of military hearing conservation programs and audiometric testing. The book stresses the importance of conducting hearing tests (audiograms) at the beginning and end of military service for all military personnel and recommends several steps aimed at improving the military servicesa (TM) prevention of and surveillance for hearing loss and tinnitus. The book also identifies research needs, emphasizing topics specifically related to military service.","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49506613297425,"sku":"CIN0309099498G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309099498.jpg?v=1768562925"},{"product_id":"science-evolution-and-creationism-book-institute-of-medicine-9780309105866","title":"Science, Evolution, and Creationism","description":"How did life evolve on Earth? The answer to this question can help us understand our past and prepare for our future. Although evolution provides credible and reliable answers, polls show that many people turn away from science, seeking other explanations with which they are more comfortable.   In the book Science, Evolution, and Creationism, a group of experts assembled by the National Academy of Sciences and the Institute of Medicine explain the fundamental methods of science, document the overwhelming evidence in support of biological evolution, and evaluate the alternative perspectives offered by advocates of various kinds of creationism, including \"intelligent design.\" The book explores the many fascinating inquiries being pursued that put the science of evolution to work in preventing and treating human disease, developing new agricultural products, and fostering industrial innovations. The book also presents the scientific and legal reasons for not teaching creationist ideas in public school science classes.   Mindful of school board battles and recent court decisions, Science, Evolution, and Creationism shows that science and religion should be viewed as different ways of understanding the world rather than as frameworks that are in conflict with each other and that the evidence for evolution can be fully compatible with religious faith. For educators, students, teachers, community leaders, legislators, policy makers, and parents who seek to understand the basis of evolutionary science, this publication will be an essential resource.  Table of Contents   Front Matter 1 Evolution and the Nature of Science 2 The Evidence for Biological Evolution 3 Creationist Perspectives 4 Conclusion Frequently Asked Questions Additional Readings Committee Member Biographies Staff and Consultant Biographies Index Photo and Illustration Credits","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49552689529105,"sku":"GOR005197254","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ GOOD \/ SBYB","offer_id":50348544491793,"sku":"CIN0309105862G","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"GB \/ NEW \/ GARDNERS","offer_id":51899690516753,"sku":"NGR9780309105866","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":53161428156689,"sku":"CIN0309105862VG","price":0.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309105862.jpg?v=1772275325"},{"product_id":"crossing-the-quality-chasm-book-institute-of-medicine-9780309072809","title":"Crossing the Quality Chasm","description":"Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: * A set of performance expectations for the 21st century health care system. * A set of 10 new rules to guide patient-clinician relationships. * A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. * Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49569588740369,"sku":"GOR006628877","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"US \/ GOOD \/ SBYB","offer_id":49879495672081,"sku":"CIN0309072808G","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":50324920631569,"sku":"CIN0309072808VG","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"US \/ WELL_READ \/ SBYB","offer_id":50347036344593,"sku":"CIN0309072808A","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309072808.jpg?v=1773316708"},{"product_id":"health-and-behavior-the-interplay-of-biological-behavioral-and-societal-influenc-book-institute-of-medicine-9780309070300","title":"Health and Behavior: The Interplay of Biological, Behavioral, and Societal Influences","description":"Health and Behavior reviews our improved understanding of the complex interplay among biological, psychological, and social influences and explores findings suggested by recent research-including interventions at multiple levels that we can employ to improve human health. The book covers three main areas: * What do biological, behavioral, and social sciences contribute to our understanding of health-including cardiovascular, immune system and brain functioning, behaviors that influence health, the role of social networks and socioeconomic status, and more. * What can we learn from applied research on interventions to improve the health of individuals, families, communities, organizations, and larger populations? * How can we expeditiously translate research findings into application?","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49580057264401,"sku":"GOR013574800","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309070309.jpg?v=1751291409"},{"product_id":"on-being-a-scientist-book-institute-of-medicine-9780309119702","title":"On Being a Scientist","description":"The scientific research enterprise is built on a foundation of trust. Scientists trust that the results reported by others are valid. Society trusts that the results of research reflect an honest attempt by scientists to describe the world accurately and without bias. But this trust will endure only if the scientific community devotes itself to exemplifying and transmitting the values associated with ethical scientific conduct. On Being a Scientist was designed to supplement the informal lessons in ethics provided by research supervisors and mentors. The book describes the ethical foundations of scientific practices and some of the personal and professional issues that researchers encounter in their work. It applies to all forms of research--whether in academic, industrial, or governmental settings-and to all scientific disciplines. This third edition of On Being a Scientist reflects developments since the publication of the original edition in 1989 and a second edition in 1995. A continuing feature of this edition is the inclusion of a number of hypothetical scenarios offering guidance in thinking about and discussing these scenarios. On Being a Scientist is aimed primarily at graduate students and beginning researchers, but its lessons apply to all scientists at all stages of their scientific careers.","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49592048812305,"sku":"GOR008860382","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"GB \/ NEW \/ GARDNERS","offer_id":49725936664849,"sku":"NGR9780309119702","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"US \/ GOOD \/ SBYB","offer_id":50094093369617,"sku":"CIN0309119707G","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":50347033100561,"sku":"CIN0309119707VG","price":0.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309119707.jpg?v=1768559941"},{"product_id":"nanotechnology-in-food-products-book-institute-of-medicine-9780309137720","title":"Nanotechnology in Food Products","description":"In the food industry, scientists are exploring the potential of nanotechnology to enhance the flavor and other sensory characteristics of foods, introduce antibacterial nanostructures into food packaging and encapsulate and deliver nutrients directly into targeted tissues, among other applications. However, as with any new technology, along with the benefits, there is the potential for unanticipated adverse effects. There is still a great deal to learn about any health outcomes related to introducing nanosized materials into foods and food packaging materials. Developing nanotechnology into a safe, effective tool for use in food science and technology will require addressing these and other questions. Assuring consumer confidence will be equally important to the success of this new emerging technology. The Institute of Medicine held a one-day workshop, summarized in this volume, to further explore the use of nanotechnology in food. Specifically, the workshop was organized around three primary topic areas: (1) the application of nanotechnology to food products; (2) the safety and efficacy of nanomaterials in food products; and (3) educating and informing consumers about the applications of nanotechnology to food products.","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49596848636177,"sku":"GOR013023432","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309137721.jpg?v=1768561667"},{"product_id":"preventing-mental-emotional-and-behavioral-disorders-among-young-people-book-institute-of-medicine-9780309126748","title":"Preventing Mental, Emotional, and Behavioral Disorders Among Young People","description":"Mental health and substance use disorders among children, youth, and young adults are major threats to the health and well-being of younger populations which often carryover into adulthood. The costs of treatment for mental health and addictive disorders, which create an enormous burden on the affected individuals, their families, and society, have stimulated increasing interest in prevention practices that can impede the onset or reduce the severity of the disorders. Prevention practices have emerged in a variety of settings, including programs for selected at-risk populations (such as children and youth in the child welfare system), school-based interventions, interventions in primary care settings, and community services designed to address a broad array of mental health needs and populations. Preventing Mental, Emotional, and Behavioral Disorders Among Young People updates a 1994 Institute of Medicine book, Reducing Risks for Mental Disorders, focusing special attention on the research base and program experience with younger populations that have emerged since that time. Researchers, such as those involved in prevention science, mental health, education, substance abuse, juvenile justice, health, child and youth development, as well as policy makers involved in state and local mental health, substance abuse, welfare, education, and justice will depend on this updated information on the status of research and suggested directions for the field of mental health and prevention of disorders.","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49599617007889,"sku":"GOR007705927","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":49891633168657,"sku":"CIN0309126746VG","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ GOOD \/ SBYB","offer_id":50269593370897,"sku":"CIN0309126746G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309126746.jpg?v=1768559808"},{"product_id":"from-molecules-to-minds-book-institute-of-medicine-9780309120920","title":"From Molecules to Minds","description":"Neuroscience has made phenomenal advances over the past 50 years and the pace of discovery continues to accelerate. On June 25, 2008, the Institute of Medicine (IOM) Forum on Neuroscience and Nervous System Disorders hosted more than 70 of the leading neuroscientists in the world, for a workshop titled \"From Molecules to Minds: Challenges for the 21st Century.\" The objective of the workshop was to explore a set of common goals or \"Grand Challenges\" posed by participants that could inspire and rally both the scientific community and the public to consider the possibilities for neuroscience in the 21st century.    The progress of the past in combination with new tools and techniques, such as neuroimaging and molecular biology, has positioned neuroscience on the cusp of even greater transformational progress in our understanding of the brain and how its inner workings result in mental activity.   This workshop summary highlights the important issues and challenges facing the field of neuroscience as presented to those in attendance at the workshop, as well as the subsequent discussion that resulted.   As a result, three overarching Grand Challenges emerged:     How does the brain work and produce mental activity? How does physical activity in the brain give rise to thought, emotion, and behavior? How does the interplay of biology and experience shape our brains and make us who we are today? How do we keep our brains healthy? How do we protect, restore, or enhance the functioning of our brains as we age?  Table of Contents   Front Matter Workshop Summary Appendix A: References  Appendix B: Workshop Agenda Appendix C: Registered Workshop Attendees Appendix D: Biographical Sketches of Invited Speakers, Planning Committee Members, Forum Members, and Staff","brand":"WoB","offers":[{"title":"GB \/ LIKE_NEW \/ INTERNAL","offer_id":49603337748753,"sku":"GOR012665857","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309120926.jpg?v=1768562621"},{"product_id":"cancer-control-opportunities-in-low-and-middle-income-countries-book-institute-of-medicine-9780309103848","title":"Cancer Control Opportunities in Low- and Middle-Income Countries","description":"Cancer is low or absent on the health agendas of low- and middle-income countries (LMCs) despite the fact that more people die from cancer in these countries than from AIDS and malaria combined. International health organizations, bilateral aid agencies, and major foundations—which are instrumental in setting health priorities—also have largely ignored cancer in these countries.  This book identifies feasible, affordable steps for LMCs and their international partners to begin to reduce the cancer burden for current and future generations. Stemming the growth of cigarette smoking tops the list to prevent cancer and all the other major chronic diseases. Other priorities include infant vaccination against the hepatitis B virus to prevent liver cancers and vaccination to prevent cervical cancer. Developing and increasing capacity for cancer screening and treatment of highly curable cancers (including most childhood malignancies) can be accomplished using \"resource-level appropriateness\" as a guide. And there are ways to make inexpensive oral morphine available to ease the pain of the many who will still die from cancer.  Table of Contents   Front Matter Summary 1 Introduction 2 Cancer Causes and Risk Factors and the Elements of Cancer Control 3 The Cancer Burden in Low- and Middle-Income Countries and How It Is Measured 4 Defining Resource-Level-Appropriate Cancer Control 5 Preventing Cancers (and Other Diseases) by Reducing Tobacco Use 6 Compelling Opportunities in Global Cancer Control 7 Palliative Care 8 Cancer Centers in Low- and Middle-Income Countries 9 Advocacy for Cancer Control 10 Expanding the Role of the Global Community in Cancer Control Appendix A Cancer Control in Malaysia and Tanzania Appendix B Acronyms and Abbreviations","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49611481514257,"sku":"GOR012821474","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309103843.jpg?v=1768561052"},{"product_id":"stem-cells-and-the-future-of-regenerative-medicine-book-institute-of-medicine-9780309076302","title":"Stem Cells and the Future of Regenerative Medicine","description":"Recent scientific breakthroughs, celebrity patient advocates, and conflicting religious beliefs have come together to bring the state of stem cell research—specifically embryonic stem cell research—into the political crosshairs. President Bush's watershed policy statement allows federal funding for embryonic stem cell research but only on a limited number of stem cell lines. Millions of Americans could be affected by the continuing political debate among policymakers and the public.  Stem Cells and the Future of Regenerative Medicine provides a deeper exploration of the biological, ethical, and funding questions prompted by the therapeutic potential of undifferentiated human cells. In terms accessible to lay readers, the book summarizes what we know about adult and embryonic stem cells and discusses how to go about the transition from mouse studies to research that has therapeutic implications for people.    Perhaps most important, Stem Cells and the Future of Regenerative Medicine also provides an overview of the moral and ethical problems that arise from the use of embryonic stem cells. This timely book compares the impact of public and private research funding and discusses approaches to appropriate research oversight.   Based on the insights of leading scientists, ethicists, and other authorities, the book offers authoritative recommendations regarding the use of existing stem cell lines versus new lines in research, the important role of the federal government in this field of research, and other fundamental issues.   Table of Contents   Front Matter Executive Summary 1. Project Overview and Definitions 2. Adult Stem Cells 3. Embryonic Stem Cells 4. Opportunities for and Barriers to Progress in Stem Cell Research for Regenerative Medicine 5. Findings and Recommendations References Glossary Appendix A: Committee Biographies Appendix B: Workshop Agenda and Speaker Biographies Index","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49612452790545,"sku":"GOR004725264","price":0.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309076307.jpg?v=1768561235"},{"product_id":"emerging-infections-book-institute-of-medicine-9780309047418","title":"Emerging Infections","description":"The emergence of HIV disease and AIDS, the reemergence of tuberculosis, and the increased opportunity for disease spread through international travel demonstrate the critical importance of global vigilance for infectious diseases.   This volume highlights risk factors for the emergence of microbial threats to health, warns against complacency in public health, and promotes early prevention as a cost-effective and crucial strategy for maintaining public health in the United States and worldwide.   The volume identifies infectious disease threats posed by bacteria and viruses, as well as protozoans, helminths, and fungi. Rich in information, it includes a historical perspective on infectious disease, with focuses on Lyme disease, peptic ulcer, malaria, dengue, and recent increases in tuberculosis.   The panel discusses how \"new\" diseases arise and how \"old\" ones resurge and considers the roles of human demographics and behavior, technology and industry, economic development and land use, international travel and commerce, microbial adaptation and change, and breakdown of public health measures in changing patterns of infectious disease.   Also included are discussions and recommendations on disease surveillance; vaccine, drug, and pesticide development; vector control; public education and behavioral change; research and training; and strengthening of the U.S. public health system.   This volume will be of immediate interest to scientists specializing in all areas of infectious diseases and microbiology, healthy policy specialists, public health officials, physicians, and medical faculty and students, as well as anyone interested in how their health can be threatened by infectious diseases.  Table of Contents   FRONT MATTER EXECUTIVE SUMMARY 1   BACKGROUND 2   FACTORS IN EMERGENCE 3   ADDRESSING THE THREATS REFERENCES APPENDIXES A   TASK FORCES B   CATALOG OF EMERGING INFECTIOUS DISEASE AGENTS C   GLOBAL RESOURCES FOR INFECTIOUS DISEASE SURVEILLANCE D   COMMITTEE AND STAFF BIOGRAPHIES GLOSSARY ACRONYMS AND ABBREVIATIONS INDEX","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49619802915089,"sku":"GOR013105359","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ GOOD \/ SBYB","offer_id":50168786092305,"sku":"CIN0309047412G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309047412.jpg?v=1768561799"},{"product_id":"cognitive-aging-book-institute-of-medicine-9780309368629","title":"Cognitive Aging","description":"For most Americans, staying \"mentally sharp\" as they age is a very high priority. Declines in memory and decision-making abilities may trigger fears of Alzheimer's disease or other neurodegenerative diseases. However, cognitive aging is a natural process that can have both positive and negative effects on cognitive function in older adults - effects that vary widely among individuals. At this point in time, when the older population is rapidly growing in the United States and across the globe, it is important to examine what is known about cognitive aging and to identify and promote actions that individuals, organizations, communities, and society can take to help older adults maintain and improve their cognitive health. Cognitive Aging assesses the public health dimensions of cognitive aging with an emphasis on definitions and terminology, epidemiology and surveillance, prevention and intervention, education of health professionals, and public awareness and education. This report makes specific recommendations for individuals to reduce the risks of cognitive decline with aging. Aging is inevitable, but there are actions that can be taken by individuals, families, communities, and society that may help to prevent or ameliorate the impact of aging on the brain, understand more about its impact, and help older adults live more fully and independent lives. Cognitive aging is not just an individual or a family or a health care system challenge. It is an issue that affects the fabric of society and requires actions by many and varied stakeholders. Cognitive Aging offers clear steps that individuals, families, communities, health care providers and systems, financial organizations, community groups, public health agencies, and others can take to promote cognitive health and to help older adults live fuller and more independent lives. 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This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government—federal, state, and local—at which these functions would best be handled.  Table of Contents   Front Matter Summary and Recommendations 1. The Disarray of Public Health: A Threat to the Health of the Public 2. A Vision of Public Health in America: An Attainable Ideal 3. A History of the Public Health System 4. An Assessment of the Current Public Health System: A Shattered Vision 5. Public Health As A Problem-Solving Activity: Barriers to Effective Action 6. Conclusions and Recommendations Supplementary Statements Appendix A: A Summary of the Public Health System in the United States Appendix B: Biographies of Committee Members Appendix C: Model Standards Appendix D: Site Visits: Site Selection and Methodology Index","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49626066452753,"sku":"GOR013206148","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ GOOD \/ SBYB","offer_id":49984021790993,"sku":"CIN0309038308G","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":51858007752977,"sku":"CIN0309038308VG","price":0.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309038308.jpg?v=1768557824"},{"product_id":"weighing-the-options-book-institute-of-medicine-9780309051316","title":"Weighing the Options","description":"Nearly one out of every three adults in America is obese and tens of millions of people in the United States are dieting at any one time. This has resulted in a weight-loss industry worth billions of dollars a year and growing. What are the long-term results of weight-loss programs? How can people sort through the many programs available and select one that is right for them? Weighing the Options strives to answer these questions. Despite widespread public concern about weight, few studies have examined the long-term results of weight-loss programs. One reason that evaluating obesity management is difficult is that no other treatment depends so much on an individual's own initiative and state of mind. Now, a distinguished group of experts assembled by the Institute of Medicine addresses this compelling issue. Weighing the Options presents criteria for evaluating treatment programs for obesity and explores what these criteria mean--to health care providers, program designers, researchers, and even overweight people seeking help. In presenting its criteria the authors offer a wealth of information about weight loss: how obesity is on the rise, what types of weight-loss programs are available, how to define obesity, how well we maintain weight loss, and what approaches and practices appear to be most successful. Information about weight-loss programs--their clients, staff qualifications, services, and success rates--necessary to make wise program choices is discussed in detail. The book examines how client demographics and characteristics--including health status, knowledge of weight-loss issues, and attitude toward weight and body image--affect which programs clients choose, how successful they are likely to be with their choices, and what this means for outcome measurement. Short- and long-term safety consequences of weight loss are discussed as well as clinical assessment of individual patients. The authors document the health risks of being overweight, summarizing data indicating that even a small weight loss reduces the risk of disease and depression and increases self-esteem. At the same time, weight loss has been associated with some poor outcomes, and the book discusses the implications for program evaluation. Prevention can be even more important than treatment. In Weighing the Options, programs for population groups, efforts targeted to specific groups at high risk for obesity, and prevention of further weight gain in obese individuals get special attention. This book provides detailed guidance on how the weight-loss industry can improve its programs to help people be more successful at long-term weight loss. And it provides consumers with tips on selecting a program that will improve their chances of permanently losing excess weight.","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49627928494353,"sku":"GOR002274352","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ GOOD \/ SBYB","offer_id":50347667620113,"sku":"CIN0309051312G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309051312.jpg?v=1768559693"},{"product_id":"exploring-the-biological-contributions-to-human-health-book-institute-of-medicine-9780309072816","title":"Exploring the Biological Contributions to Human Health","description":"It's obvious why only men develop prostate cancer and why only women get ovarian cancer. But it is not obvious why women are more likely to recover language ability after a stroke than men or why women are more apt to develop autoimmune diseases such as lupus. Sex differences in health throughout the lifespan have been documented. Exploring the Biological Contributions to Human Health begins to snap the pieces of the puzzle into place so that this knowledge can be used to improve health for both sexes. From behavior and cognition to metabolism and response to chemicals and infectious organisms, this book explores the health impact of sex (being male or female, according to reproductive organs and chromosomes) and gender (one's sense of self as male or female in society). Exploring the Biological Contributions to Human Health discusses basic biochemical differences in the cells of males and females and health variability between the sexes from conception throughout life. The book identifies key research needs and opportunities and addresses barriers to research. Exploring the Biological Contributions to Human Health will be important to health policy makers, basic, applied, and clinical researchers, educators, providers, and journalists-while being very accessible to interested lay readers.","brand":"WoB","offers":[{"title":"GB \/ WELL_READ \/ INTERNAL","offer_id":49630060413201,"sku":"GOR013618996","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ GOOD \/ SBYB","offer_id":50346999283985,"sku":"CIN0309072816G","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":52513008845073,"sku":"CIN0309072816VG","price":0.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309072816.jpg?v=1768558749"},{"product_id":"in-her-own-right-book-institute-of-medicine-9780309053273","title":"In Her Own Right","description":"Right to life. Right to choice. Masectomy, lumpectomy. Vitamin therapy, hormone therapy, aromatherapy. Tabloids, op-eds, Phil, Sally, Oprah.   Yesterday, women confided in their doctors about health problems and received private, albeit sometimes paternalistic, attention. Today, women's health issues are headline material. Topics that once raised a blush now raise a blare of conflicting medical news and political advocacy.   Women welcome the new recognition of their health concerns. Now women are less often treated, as the old saw goes, as \"a uterus with a person attached.\"   At the same time, they need help in sorting through the flood of reports on scientific studies, claims of success for new treatments, and just plain myths. The Institute of Medicine (IOM) has responded to this need with In Her Own Right.   Throughout its 25-year history, the IOM has provided authoritative views on fast-moving developments in medicine—bringing accuracy, objectivity, and balance to the hottest controversies.   Talented science writer Beryl Lieff Benderly synthesizes this expertise into a readable overview of women's health.   Why do women live longer than men? Why do more women than men suffer vertebral fractures? Benderly highlights what we know about the health differences between men and women and the mysteries that remain to be solved.   With a frank, conversational approach, Benderly examines women's health across the life span:     Issues of female childhood, adolescence, and sexual maturity, including smoking, eating behavior, teen pregnancy, and more. The host of issues surrounding the reproductive years; contraception, infertility, abortion, pregnancy and birth, AIDS, and mental health. Postmenopausal life and issues of aging, as health choices made decades earlier come home to roost.   Benderly addresses women's experience with the nation's health care establishment and the controversy over the lack of female representation in the world of scientific research.   Much more than a how-to guide, In Her Own Right translates the finest scholarship on topics of women's health into terms that will help any woman ask the right questions and make the right choices. Covering the spectrum from traditional beliefs to cutting-edge research, this book presents the personal insights of leading investigators, along with clear explanations of breakthrough studies written in plain English.  Table of Contents   Front Matter Aniko Gaal Meditation (1979) 1 Why Another Book on Women's Health? Beatrice Whitney Van Ness Summer Sunlight (ca. 1936) 2 Gender Differences in Health Joyce Tenneson Kathy (1985) 3 Roots of Difference Mary Cassatt Sketch of Denise's Daughter (ca. 1905) 4 Health Through the Life Span: The First Two Decades Mary Cassatt The Bath (1891) 5 Health Through the Life Span: The Reproductive Years Gabriele Munter Breakfast of the Birds (1934) 6 Health Through the Life Span: Menopause and Beyond Valentine Henriette Prax The Familty (n.d.) 7 Eating for a Healthy Life Geneve Rixford Sargeant Portrait of Eleanor (1930) 8 Women in the Health Care System Linda Hawkin-Israel Women in Law (1985) 9 Research on Womnen, Women in Research Wendy Fay Dixon Deirdre (1982) 10 Looking Ahead References Index","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49630982832401,"sku":"GOR004577798","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309053277.jpg?v=1768558205"},{"product_id":"community-programs-to-promote-youth-development-book-institute-of-medicine-9780309105903","title":"Community Programs to Promote Youth Development","description":"After-school programs, scout groups, community service activities, religious youth groups, and other community-based activities have long been thought to play a key role in the lives of adolescents. But what do we know about the role of such programs for today's adolescents? How can we ensure that programs are designed to successfully meet young people's developmental needs and help them become healthy, happy, and productive adults? Community Programs to Promote Youth Development explores these questions, focusing on essential elements of adolescent well-being and healthy development. It offers recommendations for policy, practice, and research to ensure that programs are well designed to meet young people's developmental needs. The book also discusses the features of programs that can contribute to a successful transition from adolescence to adulthood. It examines what we know about the current landscape of youth development programs for America's youth, as well as how these programs are meeting their diverse needs. Recognizing the importance of adolescence as a period of transition to adulthood, Community Programs to Promote Youth Development offers authoritative guidance to policy makers, practitioners, researchers, and other key stakeholders on the role of youth development programs to promote the healthy development and well-being of the nation's youth.","brand":"WoB","offers":[{"title":"GB \/ GOOD \/ INTERNAL","offer_id":49636808458513,"sku":"GOR013760067","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"GB \/ NEW \/ GARDNERS","offer_id":49754387087633,"sku":"NGR9780309105903","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":53475949642001,"sku":"CIN0309105900VG","price":0.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309105900.jpg?v=1768560142"},{"product_id":"preventing-childhood-obesity-book-institute-of-medicine-9780309091961","title":"Preventing Childhood Obesity","description":"Given the trajectory toward a healthier childhood, we begin the 21st-century with a shocking development - an epidemic of obesity in children and youth. This book explores the causes of this health problem and the actions needed to initiate, support, and sustain the societal and lifestyle changes that can reverse the trend among our children.","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49637001953553,"sku":"GOR004137591","price":0.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309091969.jpg?v=1772272459"},{"product_id":"prevention-of-micronutrient-deficiencies-book-institute-of-medicine-9780309060295","title":"Prevention of Micronutrient Deficiencies","description":"Micronutrient malnutrition affects approximately 2 billion people worldwide. The adverse effects of micronutrient deficiencies are profound and include premature death, poor health, blindness, growth stunting, mental retardation, learning disabilities, and low work capacity. Preventing Micronutrient Deficiencies provides a conceptual framework based on past experience that will allow funders to tailor programs to existing regional\/country capabilities and to incorporate within these programs the capacity to address multiple strategies (i.e., supplementation\/fortification\/food-based approaches\/public health measures) and multiple micronutrient deficiencies.   The book does not offer recommendations on how to alleviate specific micronutrient deficiencies—such recommendations are already available through the publications of diverse organizations, including the U.S. Agency for International Development, the Micronutrient Initiative, World Bank, United Nations Childrens' Fund, and the World Health Organization. Instead, this volume examines key elements in the design and implementation of micronutrient interventions, including such issues as:   The importance of iron, vitamin A, and iodine to health. Populations at risk for micronutrient deficiency. Options for successful interventions and their cost. The feasibility of involving societal sectors in the planning and implementation of interventions. Characteristics of successful interventions.   The book also contains three in-depth background papers that address the prevention of deficiencies of iron, vitamin A, and iodine.  Table of Contents   FRONT MATTER 1  SUMMARY 2  KEY ELEMENTS IN THE DESIGN AND IMPLEMENTATION OF MICRONUTRIENT INTERVENTIONS BACKGROUND PAPERS 3  PREVENTION OF IRON DEFICIENCY 4  PREVENTION OF VITAMIN A DEFICIENCY 5  PREVENTION OF IODINE DEFICIENCY APPENDIX:  WORKSHOP AGENDA","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49637243519249,"sku":"GOR012794163","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/030906029X.jpg?v=1768558530"},{"product_id":"sleep-disorders-and-sleep-deprivation-book-institute-of-medicine-9780309101110","title":"Sleep Disorders and Sleep Deprivation","description":"Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patients—sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following:     Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment.   This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.  Table of Contents   Front Matter Summary 1 Introduction 2 Sleep Physiology 3 Extent and Health Consequences of Chronic Sleep Loss and Sleep Disorders 4 Functional and Economic Impact of Sleep Loss and Sleep-Related Disorders 5 Improving Awareness, Diagnosis, and Treatment of Sleep Disorders 6 Ensuring Adequate Diagnosis and Treatment: Access, Capacity, and Technology Development 7 Opportunities to Improve Career Development in Somnology 8 Bolstering Somnology and Sleep Disorders Research Programs 9 Building Sleep Programs in Academic Health Centers Appendix A  Study Process  Appendix B  Acronyms Appendix C  Glossary of Major Terms  Appendix D  Congressional Language Establishing the National Center On Sleep Disorders Research  Appendix E  Sleep Disorders Research Advisory Board Membership  Appendix F  National Institutes of Health Sleep-Related Initiatives: 1994-2004  Appendix G  National Institutes of Health Support of Sleep-Related R01 Grants  Appendix H  Summary of NIH Support of Sleep-Related Career  Development Awards Appendix I  Summary of NIH Support of Sleep-Related R13, R25, P, F, T, and U Grants  Appendix  J  Summary of Investment in Sleep-Related Projects at The Top 30 NIH-Funded Institutions   Appendix  K  Biographical Sketches of Committee Members and Staff  Index","brand":"WoB","offers":[{"title":"GB \/ GOOD \/ INTERNAL","offer_id":49639302430993,"sku":"GOR013100509","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ GOOD \/ SBYB","offer_id":50226902663441,"sku":"CIN0309101115G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309101115.jpg?v=1768558208"},{"product_id":"environmental-medicine-book-institute-of-medicine-9780309051408","title":"Environmental Medicine","description":"People are increasingly concerned about potential environmental health hazards and often ask their physicians questions such as: \"Is the tap water safe to drink?\" \"Is it safe to live near power lines?\" Unfortunately, physicians often lack the information and training related to environmental health risks needed to answer such questions. This book discusses six competency based learning objectives for all medical school students, discusses the relevance of environmental health to specific courses and clerkships, and demonstrates how to integrate environmental health into the curriculum through published case studies, some of which are included in one of the book's three appendices. Also included is a guide on where to obtain additional information for treatment, referral, and follow-up for diseases with possible environmental and\/or occupational origins.  Table of Contents   Front Matter Executive Summary 1 Introduction 2 Curriculum Content 3 Implementation Strategies 4 Changing Medical Education 5 Concluding Remarks References Appendixes A: Taking an Exposure History B: Medical School Courses and Clerkships: Access Points for Integrating Environmental Medicine C: Case Studies in Environmental Medicine Case Study 1: Arsenic Toxicity Case Study 2: Seasonal Arsenic Exposure from Burning Chromium-Copper-Arsenate-Treated Wood Case Study 3: Asbestos Toxicity Case Study 4: Benzene Toxicity Case Study 5: Beryllium Toxicity Case Study 6: Cadmium Toxicity Case Study 7: Fetal Death Due to Nonlethal Maternal Carbon Monoxide Poisoning Case Study 8: Carbon Tetrachloride Toxicity Case Study 9: Chlordane Toxicity Case Study 10: Chronic Reactive Airway Disease Following Acute Chlorine Gas Exposure in an Asymptomatic Atopic Patient Case Study 11: Chromium Toxicity Case Study 12: Cyanide Toxicity Case Study 13: Dioxin Toxicity Case Study 14: Ethylene\/Propylene Glycol Toxicity Case Study 15: Formalin Asthma in Hospital Staff Case Study 16: Gasoline Toxicity Case Study 17: Hantavirus Pulmonary Syndrome: A Clinical Description of 17 Patients with a Newly Recognized Disease Case Study 18: Lead Poisoning from Mobilization of Bone Stores During Thyrotoxicosis Case Study 19: Lead Toxicity Case Study 20: Legionaires' Disease: Description of an Epidemic of Pneumonia Case Study 21: Mercury in House Paint as a Cause of Acrodynia: Effect of Therapy with N-Acetyl-D, L-Penixillamine Case Study 22: Mercury Toxicity Case Study 23: Methanol Toxicity Case Study 24: Methylene Chloride Toxicity Case Study 25: Paint Remover Hazard Case Study 26: Fatal Outcome of Methemoglobinemia in an Infant Case Study 27: Nitrate\/Nitrite Toxicity Case Study 28: An Outbreak of Nitrogen Dioxide-Induced Respiratory Illness Among Ice Hockey Players Case Study 29: Pentachlorophenol Toxicity Case Study 30: Aldicarb Poisoning: A Case Report with Prolonged Cholinesterase Inhibition and Improvement After Pralidoxime Therapy Case Study 31: Cholinesterase-Inhibiting Pesticide Toxicity Case Study 32: Infertility in Male Pesticide Workers Case Study 33: Pesticide Food Poisoning from Contaminated Watermelons in California, 1985 Case Study 34: Poisoning of an Urban Family Due to Misapplication of Household Organophosphate and Carbamate Pesticides Case Study 35: Polynuclear Aromatic Hydrocarbon (PAH) Toxicity Case Study 36: Polychlorinated Biphenyl (PCB) Toxicity Case Study 37: Ionizing Radiation Case Study 38: Radon Toxicity Case Study 39: Residential Radon Exposure and Lung Cancer in Sweden Case Study 40: Community Oubreaks of Asthma Associated with Inhalation of Soybean Dust Case Study 41: Tetrachloroethylene Toxicity Case Study 42: Toluene Toxicity Case Study 43: Occupational Asthma Due to Toluene Diisocyanate Among Velcro-like Tape Manufacturers Case Study 44: 1,1,1-Trichloroethane Case Study 45: Trimethyltin Encephalopathy Case Study 46: Trichloroethylene Toxicity Case Study 47: Vinyl Chloride Toxicity Case Study 48: Work-Related Disorders of the Neck and Upper Extremity Case Study 49: Contact Dermatitis in Surgeons from Methylmethacrylate Bone Cement Case Study 50: Skin Lesions and Environmental Exposures: Rash Decisions Case Study 51: Acoustic Trauma Caused by the Telephone: A Report of Two Cases Case Study 52: Behavioral and Audiologic Manifestations of Noise-Induced Hearing Loss Case Study 53: Reproductive and Developmental Hazards Case Study 54: Childhood Asthma and Indoor Enviromental Risk Factors Case Study 55: Populations at Risk From Particulate Air Pollution - United States, 1992 D: Resources: Agencies, Organizations, Services, REferences, and Tables of Environmental Health Hazards E: Committee and Staff Biographies","brand":"WoB","offers":[{"title":"GB \/ GOOD \/ INTERNAL","offer_id":49642728554769,"sku":"GOR012688430","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309051401.jpg?v=1775728273"},{"product_id":"no-time-to-lose-book-institute-of-medicine-9780309071376","title":"No Time to Lose","description":"The United States has spent two productive decades implementing a variety of prevention programs. While these efforts have slowed the rate of infection, challenges remain. The United States must refocus its efforts to contain the spread of HIV and AIDS in a way that would prevent as many new HIV infections as possible. No Time to Lose presents the Institute of Medicinea (TM)s framework for a national prevention strategy.","brand":"WoB","offers":[{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":49646829928721,"sku":"GOR012657752","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309071372.jpg?v=1768557808"},{"product_id":"calling-the-shots-book-institute-of-medicine-9780309070294","title":"Calling the Shots","description":"Calling the Shots examines the basic strategies that finance the national immunization system in the current health care climate. It is a comprehensive volume, rich with data and highlighted examples, that explores:     The evolution of the system in light of changing U.S. demographics, development of new vaccines, and other factors. The effectiveness of public health and health insurance strategies, with special emphasis on the performance of the \"Section 317\" program. The condition of the infrastructure for control and prevention of infectious disease, surveillance of vaccines rates and safety, and efforts to sustain high coverage.   Calling the Shots will be an indispensable resource to those responsible for maintaining our nation's vaccine vigilance.  Table of Contents   Front Matter Executive Summary Introduction Change and Complexity in the National Immunization System Financing Vaccine Purchase and Delivery Building, Monitoring, and Sustaining Immunization Capacity Immunization Finance Policies and Practices Summary Findings, Conclusions, and Recommendations References Appendix A:  Public Health Services Act, Section 317 Appendix B:  Immunization Time-Line Appendix C:  List of Contributors Appendix D:  Overview of State Survey Appendix E:  Overview of Case Studies and Site Visits Appendix F:  Annual Section 317 Awards to States Appendix G:  State Immunization Requirements for School Children Appendix H:  Committee and Staff Biographies Index","brand":"WoB","offers":[{"title":"GB \/ GOOD \/ INTERNAL","offer_id":49647402058001,"sku":"GOR012493690","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309070295.jpg?v=1768558692"},{"product_id":"preserving-public-trust-book-institute-of-medicine-9780309073288","title":"Preserving Public Trust","description":"Amid increasing concern for patient safety and the shutdown of prominent research operations, the need to improve protections for individuals who volunteer to participate in research has become critical. Preserving Public Trust: Accreditation and Human Research Participant Protection Programs considers the possible impact of creating an accreditation system to raise the performance of local protection mechanisms. In the United States, the system for human research participant protections has centered on the Institutional Review Board (IRB); however, this report envisions a broader system with multiple functional elements.  In this context, two draft sets of accreditation standards are reviewed (authored by Public Responsibility in Medicine \u0026amp; Research and the National Committee for Quality Assurance) for their specific content in core areas, as well as their objectivity and validity as measurement tools. The recommendations in the report support the concept of accreditation as a quality improvement strategy, suggesting that the model should be initially pursued through pilot testing of the proposed accreditation programs.   Table of Contents   Front Matter ABSTRACT THE COMMITTEE'S TASK MAJOR FINDINGS RECOMMENDATIONS CONCLUDING REMARKS ORGANIZATION OF THE REPORT A SHORT HISTORY OF HUMAN SUBJECTS PROTECTIONS IN THE UNITED STATES Advisory Committee on Human Radiation Experiments The National Bioethics Advisory Commission Shutdowns of Clinical Research at Academic and VA Medical Centers A CALL FOR ACCOUNTABILITY DEFINITIONS Subject or Participant? What Is a Human Research Participant Protection Program? The Centrality of Informed Consent The Rise of Clinical Trials and Privately Funded Research Nonbiomedical Research Independent IRBs The Role of the Research Participant Research Monitoring Accreditation Versus Certification MODELS OF ACCREDITATION ELEMENTS OF AN ACCREDITATION PROCESS PRIM\u0026amp;R and the Formation of AAHRPP The VA and NCQA Accreditation Process Self-Evaluation External Evaluation APPLYING THE MODELS TO HUMAN RESEARCH OVERSIGHT Identifying, Investigating, and Sanctioning Violations Educating Investigators Improving Research Monitoring WILL ACCREDITATION ENHANCE PERFORMANCE? 3 Standards for Accreditation STANDARDS FOR STANDARDS DEVELOPING MEASURES TO ACCOMPANY STANDARDS NEED FOR STANDARDS TO ENCOMPASS MULTIPLE RESEARCH SETTINGS AND METHODS RELATION OF THE STANDARDS TO THE EXISTING REGULATORY REQUIREMENTS STANDARDS FOR QUALITY IMPROVEMENT AND SELF-STUDY NEED FOR STANDARDS TO ENHANCE THE ROLE OF RESEARCH PARTICIPANTS NEED FOR STANDARDS REGARDING ROLES AND RESPONSIBILITIES OF RESEARCH SPONSORS REVIEW OF AVAILABLE DRAFT STANDARDS PRIM\u0026amp;R Standards NCQA Standards Extent to Which the Standards Can Be Implemented, Measured, and Enforced What Is Missing INTERNATIONAL CONFERENCE ON HARMONISATION GUIDELINE FOR GOOD CLINICAL PRACTICE RECOMMENDATION FOR INITIAL STANDARDS TO BEGIN PILOT TESTING 4 Evaluating HRPPP Pilot Accreditation Programs References Appendixes PRESENTATIONS AND PUBLIC COMMENT LITERATURE REVIEW DRAFT STANDARDS FOR ACCREDITATION INTRODUCTION PRINCIPLES UNDERLYING THE PROTECTION OF HUMANS STUDIED IN RESEARCH GLOSSARY Section 1 - Organizational Responsibilities Section 2 - Institutional Review Boards (IRBs) Section 3 - Investigators and Other Research Personnel PUBLICATIONS CITED IN ACCREDITATION STANDARDS BACKGROUND ORGANIZATION OF THE STANDARDS DEFINITIONS APPENDIX D Committee, Expert Adviser, and Staff Biographies EXPERT ADVISERS LIAISONS STUDY STAFF CONSULTANT Index","brand":"WoB","offers":[{"title":"GB \/ WELL_READ \/ INTERNAL","offer_id":49658986070289,"sku":"GOR012823611","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"GB \/ NEW \/ GARDNERS","offer_id":53247171756305,"sku":"NGR9780309073288","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309073286.jpg?v=1768561817"},{"product_id":"keeping-patients-safe-book-institute-of-medicine-9780309090674","title":"Keeping Patients Safe","description":"Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses? working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform ? monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis ? provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care ? and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.","brand":"WoB","offers":[{"title":"GB \/ GOOD \/ INTERNAL","offer_id":49659408974097,"sku":"GOR013722025","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":50253535641873,"sku":"CIN0309090679VG","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ GOOD \/ SBYB","offer_id":53211164180753,"sku":"CIN0309090679G","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":53389429080337,"sku":"GOR012265569","price":0.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309090679.jpg?v=1751005322"},{"product_id":"global-issues-in-water-sanitation-and-health-book-institute-of-medicine-9780309138727","title":"Global Issues in Water, Sanitation, and Health","description":"As the human population grows--tripling in the past century while, simultaneously, quadrupling its demand for water--Earth's finite freshwater supplies are increasingly strained, and also increasingly contaminated by domestic, agricultural, and industrial wastes. Today, approximately one-third of the world's population lives in areas with scarce water resources. Nearly one billion people currently lack access to an adequate water supply, and more than twice as many lack access to basic sanitation services. It is projected that by 2025 water scarcity will affect nearly two-thirds of all people on the planet. Recognizing that water availability, water quality, and sanitation are fundamental issues underlying infectious disease emergence and spread, the Institute of Medicine held a two-day public workshop, summarized in this volume. Through invited presentations and discussions, participants explored global and local connections between water, sanitation, and health; the spectrum of water-related disease transmission processes as they inform intervention design; lessons learned from water-related disease outbreaks; vulnerabilities in water and sanitation infrastructure in both industrialized and developing countries; and opportunities to improve water and sanitation infrastructure so as to reduce the risk of water-related infectious disease.","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49687822139665,"sku":"CIN0309138728G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309138728.jpg?v=1768560294"},{"product_id":"healthy-resilient-and-sustainable-communities-after-disasters-book-institute-of-medicine-9780309316194","title":"Healthy, Resilient, and Sustainable Communities After Disasters","description":"In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a \"return to normal.\" But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.","brand":"WoB","offers":[{"title":"GB \/ GOOD \/ INTERNAL","offer_id":49724590620945,"sku":"GOR013772820","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309316197.jpg?v=1768560935"},{"product_id":"finding-what-works-in-health-care-book-institute-of-medicine-9780309164252","title":"Finding What Works in Health Care","description":"Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.","brand":"WoB","offers":[{"title":"GB \/ NEW \/ GARDNERS","offer_id":49730138210577,"sku":"NGR9780309164252","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":51829574205713,"sku":"GOR013186566","price":0.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309164257.jpg?v=1768561200"},{"product_id":"to-err-is-human-book-institute-of-medicine-9780309261746","title":"To Err Is Human","description":"Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDS--three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequence--but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agenda--with state and local implications--for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errors--which begs the question, \"How can we learn from our mistakes?\" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health care--it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocates--as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine","brand":"WoB","offers":[{"title":"GB \/ NEW \/ GARDNERS","offer_id":49730567209233,"sku":"NGR9780309261746","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"US \/ GOOD \/ SBYB","offer_id":49865312207121,"sku":"CIN0309261740G","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":50412517097745,"sku":"CIN0309261740VG","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"GB \/ GOOD \/ INTERNAL","offer_id":53617565270289,"sku":"GOR014983171","price":0.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309261740.jpg?v=1772273738"},{"product_id":"certifying-personal-protective-technologies-book-institute-of-medicine-9780309158558","title":"Certifying Personal Protective Technologies","description":"When you purchase a product, you expect it to work. Construction workers on high-rise buildings need to be confident that their safety harnesses will arrest a fall. Firefighters need to know that their gloves and other protective equipment can withstand high temperatures. Healthcare workers administering highly toxic chemotherapy agents need to know that their gloves will withstand penetration. For personal protective technologies (PPT)-- where the major purpose of the product is to protect the wearer against a hazard -- a deficit in product effectiveness can mean injury, illness, or death. Examining the extent to which products meet specific performance or design criteria is the focus of conformity assessment efforts. For PPT conformity assessment, the ultimate goal is preventing worker illness, injury, or death from hazardous working conditions. Certifying Personal Protective Technologies focuses on conformity assessment for occupational PPT -- ensuring that PPT are effective in preventing or reducing hazardous exposures or situations that workers face in their jobs. Because respirators already have an extensive testing and conformity assessment process in place, this book specifically addresses conformity assessment processes for other types of PPT, including eye and face protection, gloves, hearing protectors, and protective clothing.","brand":"WoB","offers":[{"title":"GB \/ NEW \/ GARDNERS","offer_id":49754391773457,"sku":"NGR9780309158558","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309158559.jpg?v=1768558234"},{"product_id":"patient-safety-book-institute-of-medicine-9780309090773","title":"Patient Safety","description":"Americans should be able to count on receiving health care that is safe.     To achieve this, a new health care delivery system is needed — a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure.     Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.     Table of Contents   Front Matter Executive Summary 1 Introduction PART I: BUILDING THE NATIONAL HEALTH INFORMATION INFRASTRUCTURE 2 Components of a National Health Information Infrastructure 3 Federal Leadership and Public-Private Partnerships 4 Health Care Data Standards PART II: ESTABLISHING COMPREHENSIVE PATIENT SAFETY PROGRAMS 5 Comprehensive Patient Safety Programs in Health Care Settings 6 Adverse Event Analysis 7 Near-Miss Analysis PART III: STREAMLINING PATIENT SAFETY REPORTING 8 Patient Safety Reporting Systems and Applications 9 Standardized Reporting Appendix A: Biographies of Committee Members Appendix B: Glossary and Acronym List Appendix C: Examples of Federal, State, and Private Sector Reporting Systems Appendix D: Clinical Domains for Patient Safety Appendix E: Key Capabilities of an Electronic Health Record System: Letter Report Appendix F: Quality Improvement and Proactive Hazard Analysis Models: Deciphering a New Tower of Babel Appendix G: Australian Incident Monitoring System Taxonomy Index","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49759475433745,"sku":"CIN0309090776G","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":50096537141521,"sku":"CIN0309090776VG","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309090776.jpg?v=1751357027"},{"product_id":"speaking-of-health-book-institute-of-medicine-9780309110617","title":"Speaking of Health","description":"We are what we eat. That old expression seems particularly poignant every time we have our blood drawn for a routine physical to check our cholesterol levels. And, it's not just what we eat that affects our health. Whole ranges of behaviors ultimately make a difference in how we feel and how we maintain our health. Lifestyle choices have enormous impact on our health and well being. But, how do we communicate the language of good health so that it is uniformly received-and accepted-by people from different cultures and backgrounds? Take, for example, the case of a 66 year old Latina. She has been told by her doctor that she should have a mammogram. But her sense of fatalism tells her that it is better not to know if anything is wrong. To know that something is wrong will cause her distress and this may well lead to even more health problems. Before she leaves her doctor's office she has decided not to have a mammogram-that is until her doctor points out that having a mammogram is a way to take care of herself so that she can continue to take care of her family. In this way, the decision to have a mammogram feels like a positive step. Public health communicators and health professionals face dilemmas like this every day. Speaking of Health looks at the challenges of delivering important messages to different audiences. Using case studies in the areas of diabetes, mammography, and mass communication campaigns, it examines the ways in which messages must be adapted to the unique informational needs of their audiences if they are to have any real impact. Speaking of Health looks at basic theories of communication and behavior change and focuses on where they apply and where they don't. By suggesting creative strategies and guidelines for speaking to diverse audiences now and in the future, the Institute of Medicine seeks to take health communication into the 21st century. In an age where we are inundated by multiple messages every day, this book will be a critical tool for all who are interested in communicating with diverse communities about health issues.","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49774002143505,"sku":"CIN0309110610G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309110610.jpg?v=1768560710"},{"product_id":"threat-of-pandemic-influenza-book-institute-of-medicine-9780309095044","title":"The Threat of Pandemic Influenza","description":"Public health officials and organizations around the world remain on high alert because of increasing concerns about the prospect of an influenza pandemic, which many experts believe to be inevitable. Moreover, recent problems with the availability and strain-specificity of vaccine for annual flu epidemics in some countries and the rise of pandemic strains of avian flu in disparate geographic regions have alarmed experts about the world's ability to prevent or contain a human pandemic. The workshop summary, The Threat of Pandemic Influenza: Are We Ready? addresses these urgent concerns.  The report describes what steps the United States and other countries have taken thus far to prepare for the next outbreak of \"killer flu.\" It also looks at gaps in readiness, including hospitals' inability to absorb a surge of patients and many nations' incapacity to monitor and detect flu outbreaks. The report points to the need for international agreements to share flu vaccine and antiviral stockpiles to ensure that the 88 percent of nations that cannot manufacture or stockpile these products have access to them. It chronicles the toll of the H5N1 strain of avian flu currently circulating among poultry in many parts of Asia, which now accounts for the culling of millions of birds and the death of at least 50 persons. And it compares the costs of preparations with the costs of illness and death that could arise during an outbreak.   Table of Contents   Front Matter Summary and Assessment 1 The Story of Influenza 2 Today 3 Toward Preparedness: Opportunities and Obstacles 4 Strategies for Controlling Avian Influenza Birds and Mammals 5 Emerging Technical Tools 6 Beyond Biomedical Response Appendix A: Pandemic Influenza: Assessing  Capabilities for Prevention and Response Appendix B: Selected Bibliography Appendix C: The Critical Path to New Medical Products Appendix D: Forum Members, Speakers, and Staff Biographies","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49798131220753,"sku":"CIN0309095042G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309095042.jpg?v=1768558988"},{"product_id":"marijuana-and-medicine-book-institute-of-medicine-9780309071550","title":"Marijuana and Medicine","description":"The medical use of marijuana is surrounded by a cloud of social, political, and religious controversy, which obscures the facts that should be considered in the debate. This book summarizes what we know about marijuana from evidence-based medicine--the harm it may do and the relief it may bring to patients. The book helps the reader understand not only what science has to say about medical marijuana but also the logic behind the scientific conclusions. Marijuana and Medicine addresses the science base and the therapeutic effects of marijuana use for medical conditions such as glaucoma and multiple sclerosis. It covers marijuana's mechanism of action, acute and chronic effects on health and behavior, potential adverse effects, efficacy of different delivery systems, analysis of the data about marijuana as a gateway drug, and the prospects for developing cannabinoid drugs. The book evaluates how well marijuana meets accepted standards for medicine and considers the conclusions of other blue-ribbon panels. Full of useful facts, this volume will be important to anyone interested in informed debate about the medical use of marijuana: advocates and opponents as well as policymakers, regulators, and health care providers.","brand":"WoB","offers":[{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":49798571426065,"sku":"CIN0309071550VG","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ GOOD \/ SBYB","offer_id":51330937159953,"sku":"CIN0309071550G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309071550.jpg?v=1768557955"},{"product_id":"america-s-health-care-safety-net-book-institute-of-medicine-9780309064972","title":"America's Health Care Safety Net","description":"America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety net—with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including:     Components of the safety net—public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the system—rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environment—detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populations—children with special needs, people with serious mental illness, people with HIV\/AIDS, and the homeless.  Table of Contents   Front Matter Executive Summary 1 Background and Overview 2 The Core Safety Net and the Safety Net System 3 Forces Affecting Safety Net Providers in a Changing Health Care Environment 4 How Safety Net Providers Are Adapting to the New Environment 5 The Impact of Change on Vulnerable Populations 6 Safety Net Populations with Special Health and Access Needs 7 Findings and Recommendations Appendix A Committee Biographies Appendix B Workshop Agenda Appendix C Workshop Participants Appendix D California Regional Meeting Agenda Appendix E California Regional Meeting Participants Appendix F New York Regional Meeting Agenda Appendix G New York Regional Meeting Participants Appendix H Rural Conference Call Participants Appendix I Acronyms Index","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49799456981265,"sku":"CIN030906497XG","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/030906497X.jpg?v=1768559770"},{"product_id":"future-of-disability-in-america-book-institute-of-medicine-9780309104722","title":"The Future of Disability in America","description":"The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49799484506385,"sku":"CIN0309104726G","price":0.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309104726.jpg?v=1768561333"},{"product_id":"future-of-emergency-care-book-institute-of-medicine-9780309104685","title":"Future of Emergency Care","description":"In June 2006, the Institute of Medicine (IOM) Committee on the Future of Emergency Care in the U.S. Health System released a series of reports on the state of emergency care. The reports, Emergency Medical Services at the Crossroads; Hospital-Based Emergency Care: At the Breaking Point; and Emergency Care for Children: Growing Pains, identified a number of disturbing problems including overcrowded emergency departments, a lack of coordination among emergency providers, variability in the quality of care provided to patients, workforce shortages, lack of disaster preparedness, a limited research base, and shortcomings in the systems' ability to care for pediatric patients. These problems, while apparent to those who work in the field, are largely hidden from public view, in part because popular fictional television programs frequently depict the emergency care system in fine shape. Despite the lifesaving feats performed every day by emergency departments and ambulance services, the nation's emergency medical system as a whole is overburdened, underfunded, and highly fragmented. The IOM received funding from 14 organizations to conduct a series of dissemination workshops associated with the release of the 2006 reports on the future of emergency care. Three one-day regional dissemination workshops were conducted in Salt Lake City, Utah (September 7, 2006), Chicago, Ilinois (October 27, 2006), and New Orleans, Louisiana (November 2, 2006). Each of the workshops featured focused discussions in two issue areas. The meeting in Salt Lake City focused on pediatric emergency care and care in rural areas; in Chicago it was workforce issues and hospital efficiency; and in New Orleans it was EMS issues and disaster preparedness. A fourth capstone workshop, held in Washington, D.C., provided an opportunity to engage congressional and other federal policy leaders in a discussion of emergency care issue. Future of Emergency Care summarizes the proceedings of the workshops. Each regional workshop began with an overview of the findings and recommendations from the three reports on the future of emergency care. Findings and recommendations from those three reports are also summarized in this report.","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49799492337937,"sku":"CIN0309104688G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309104688.jpg?v=1768563450"},{"product_id":"ranking-vaccines-book-institute-of-medicine-9780309266383","title":"Ranking Vaccines","description":"SMART Vaccines--Strategic Multi-Attribute Ranking Tool for Vaccines--is a prioritization software tool developed by the Institute of Medicine that utilizes decision science and modeling to help inform choices among candidates for new vaccine development. A blueprint for this computer-based guide was presented in the 2012 report Ranking Vaccines: A Prioritization Framework: Phase I. Ranking Vaccines: A Prioritization Software Tool,Phase II extends the proof-of-concept presented in the Phase I report, which was based on multi-attribute utility theory. This report refines a beta version of the model developed in the Phase I report and presents its next iteration, SMART Vaccines 1.0. Ranking Vaccines: Phase II discusses the methods underlying the development, validation, and evaluation of SMART Vaccines 1.0. It also discusses how SMART Vaccines should--and, just as importantly, should not--be used. The report also offers ideas for future enhancements for SMART Vaccines as well as for ideas for expanded uses and considerations and possibilities for the future.","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49800489697553,"sku":"CIN0309266386G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309266386.jpg?v=1768560279"},{"product_id":"science-and-technology-leadership-in-american-government-book-institute-of-medicine-9780309047272","title":"Science and Technology Leadership in American Government","description":"The government of the United States today is deeply involved in activities that have significant scientific and technical (S \u0026amp; T) components that are vitally important for economic productivity and technological competitiveness, national security, an improved environment, better health, and many other purposes. Leadership of the government's role in S \u0026amp; T is exercised by fewer than 100 positions, most of them presidentially appointed and Senate confirmed. Yet there is considerable evidence of increasing difficulty in filling and keeping filled these seemingly prestigious positions. This book by a distinguished panel composed mostly of former presidential appointees delves into the reasons these federal S \u0026amp; T-related positions are vacant, identifies the serious consequences, and recommends a series of changes to reduce the hurdles and disincentives posed by the appointment and confirmation process and to make the positions more attractive to top candidates.","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49801537388817,"sku":"CIN0309047277G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309047277.jpg?v=1768562755"},{"product_id":"clearing-the-smoke-book-institute-of-medicine-9780309072823","title":"Clearing the Smoke","description":"Despite overwhelming evidence of tobacco's harmful effects and pressure from anti-smoking advocates, current surveys show that about one-quarter of all adults in the United States are smokers. This audience is the target for a wave of tobacco products and pharmaceuticals that claim to preserve tobacco pleasure while reducing its toxic effects.   Clearing the Smoke addresses the problems in evaluating whether such products actually do reduce the health risks of tobacco use. Within the context of regulating such products, the committee explores key questions:     Does the use of such products decrease exposure to harmful substances in tobacco? Is decreased exposure associated with decreased harm to health? Are there surrogate indicators of harm that could be measured quickly enough for regulation of these products? What are the public health implications?   This book looks at the types of products that could reduce harm and reviews the available evidence for their impact on various forms of cancer and other major ailments. It also recommends approaches to governing these products and tracking their public health effects.   With an attitude of healthy skepticism, Clearing the Smoke will be important to health policy makers, public health officials, medical practitioners, manufacturers and marketers of \"reduced-harm\" tobacco products, and anyone trying to sort through product claims.  Table of Contents   Front Matter Executive Summary 1 Introduction 2 Principles of Harm Reduction 3 Historical Perspective and Lessons Learned 4 Products for Tobacco Exposure Reduction 5 The Scientific Basis for PREP Assessment 6 Surveillance for the Health and Behavioral Consequences of Exposure Reduction 7 Implementation of a Science-Based Policy of Harm Reduction 8 Principal Conclusions 9 Nicotine Pharmacology 10 Tobacco Smoke and Toxicology 11 Exposure and Biomarker Assessment in Humans 12 Cancer 13 Cardiovascular Disease 14 Nonneoplastic Respiratory Diseases 15 Reproductive and Developmental Effects 16 Other Health Effects A Presentations and Submissions B Committee Biographical Sketches C Time Line of Tobacco Events Index","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49801683239185,"sku":"CIN0309072824G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309072824.jpg?v=1768559751"},{"product_id":"crisis-standards-of-care-book-institute-of-medicine-9780309253468","title":"Crisis Standards of Care","description":"Catastrophic disasters occurring in 2011 in the United States and worldwide--from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand--have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49809591402769,"sku":"CIN0309253462G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309253462.jpg?v=1768559169"},{"product_id":"future-of-nursing-book-institute-of-medicine-9780309483193","title":"The Future of Nursing","description":"The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system.     At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year.   Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles—including limits on nurses' scope of practice—should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care.   In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.","brand":"WoB","offers":[{"title":"US \/ VERY_GOOD \/ SBYB","offer_id":49863276069137,"sku":"CIN0309483190VG","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"US \/ GOOD \/ SBYB","offer_id":50348565561617,"sku":"CIN0309483190G","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"GB \/ NEW \/ GARDNERS","offer_id":50585585352977,"sku":"NGR9780309483193","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309483190.jpg?v=1768559489"},{"product_id":"pathways-of-addiction-book-institute-of-medicine-9780309055338","title":"Pathways of Addiction","description":"Drug abuse persists as one of the most costly and contentious problems on the nation's agenda. Pathways of Addiction meets the need for a clear and thoughtful national research agenda that will yield the greatest benefit from today's limited resources. The committee makes its recommendations within the public health framework and incorporates diverse fields of inquiry and a range of policy positions. It examines both the demand and supply aspects of drug abuse. Pathways of Addiction offers a fact-filled, highly readable examination of drug abuse issues in the United States, describing findings and outlining research needs in the areas of behavioral and neurobiological foundations of drug abuse. The book covers the epidemiology and etiology of drug abuse and discusses several of its most troubling health and social consequences, including HIV, violence, and harm to children. Pathways of Addiction looks at the efficacy of different prevention interventions and the many advances that have been made in treatment research in the past 20 years. The book also examines drug treatment in the criminal justice setting and the effectiveness of drug treatment under managed care. The committee advocates systematic study of the laws by which the nation attempts to control drug use and identifies the research questions most germane to public policy. Pathways of Addiction provides a strategic outline for wise investment of the nation's research resources in drug abuse. This comprehensive and accessible volume will have widespread relevance--to policymakers, researchers, research administrators, foundation decisionmakers, healthcare professionals, faculty and students, and concerned individuals.","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49876699742481,"sku":"CIN0309055334G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309055334.jpg?v=1768562972"},{"product_id":"future-of-nursing-book-institute-of-medicine-9780309158237","title":"The Future of Nursing","description":"The Future of Nursing  explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force.  They also spend the greatest amount of time in delivering patient care as a profession.  Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States.  To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles -- including limits on nurses' scope of practice -- should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. 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Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systems—important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.  Table of Contents   Front Matter Summary Introduction Defining Primary Care The Value of Primary Care The Nature of Primary Care The Delivery of Primary Care The Primary Care Workforce Education and Training for Primary Care Research and Evaluation in Primary Care Implementation Strategy Appendixes A   Site Visits B   Public Hearing C   Workshops D   Mental Health Care in the Primary Care Setting E   Life in the Kaleidodscope:   The Impact of Managed Care on the U.S. Health Care Workforce and a New Model for the Delivery of Primary Care F   Integrating Our Primary Care and Public Health Systems: A Formula for Improving Community and Population Health G   Committee Biographies Index","brand":"WoB","offers":[{"title":"US \/ GOOD \/ SBYB","offer_id":49910524936465,"sku":"CIN0309053994G","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/0309053994.jpg?v=1768558565"},{"product_id":"cancer-care-for-the-whole-patient-book-institute-of-medicine-9780309111072","title":"Cancer Care for the Whole Patient","description":"Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. 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The result is a health care system that deploys its most valuable resource--highly trained personnel--inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. 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