Computer animated action movie featuring Marvel Comics superheroes Iron Man (voice of Adrian Pasdar) and Hulk (Fred Tatasciore). When Earth comes under attack from powerful monster Zzzax (Dee Bradley Baker), Iron Man and Hulk combine their unique strengths in the hope of defeating the enemy and saving the world. But can they learn to work as a team despite their differences?

Millions of procedures requiring sedation are performed each year, covering a large array of medical specialties in both inpatient and outpatient settings. This tremendous growth has led to sedation being administered by a wide range of healthcare providers, including non-anesthesiologist physicians, nurses and nurse practitioners. Moderate and Deep Sedation in Clinical Practice is a concise, practical handbook for all medical and surgical professionals who sedate patients. This up-to-date, evidence-based 'how-to' manual instructs these professionals on how to evaluate patients, updates relevant pharmacology, and guides them on legal and quality assurance issues. It contains advice on sedation for specific populations, such as elderly, pediatric, ICU, emergency room, endoscopy, and reproductive technologies. Written and edited by experts in procedural sedation and sedation education, this book will help users develop safer techniques, policies, and procedures. It is essential reading for any healthcare provider administering moderate or deep sedation.

Effective leadership is critical to ensuring safety, efficiency and maximum productivity in the operating room (OR). This practical, evidence-based book unpicks the dynamics of a successful OR environment to underline the key techniques for management of policies, systems, staff members and teams. Fully updated to include recent clinical guidelines, the book provides the 'A-Z' of OR management, including sections on metrics, scheduling, human resource management, leadership principles, economics, quality assurance, recovery and ambulatory practice. New chapters include future healthcare models, emergency preparedness and budgets amongst other topics. Written by authors with unrivalled experience in the field, chapters are laid out in an easy and clinically helpful format to assist learning, and real-life case studies cover seventy-three different clinically relevant pain topics. This book is an essential guide for anyone working in the OR including anaesthesiologists, surgeons, nurses, and administrators.

Substance Abuse and Addiction Research: Methodology, Mechanisms, and Therapeutics is an up-to-date, comprehensive, practical book on research methodologies for substance abuse and addiction that is intended for researchers and consumers of research information at all levels. The book is divided into four major sections, including an Introduction, Research Methodology for clinical trials, animal research and retrospective studies, Mechanisms of Abuse and Addiction, and Investigative Therapeutics: Designing and Measuring Outcomes. It serves a source for addressing all aspects of research design, methods and analysis within the context of the field of opioids, alcohol and other substances. The book covers what is known in the field of quantitative and qualitative research methods, provides future directions, and introduces new models for investigation. It is organized around a translational science framework, with the contents addressing substance use/addiction research in the context of epidemiology, etiology, intervention efficacy and effectiveness, and implementation of evidence-informed interventions.

The recent advances in the clinical practice of anesthesiology have increased the need for a new state-of-the art anesthesia handbook for practicing anesthesiologists, trainees and students. This practical book provides a modern, clinically focused guide for any clinical question related to anesthesia care, presenting comprehensive, yet succinct knowledge from experts in the field. It describes the best practice in a concise yet easily digestible format and features numerous tables and figures, a bulleted points/outline format, and algorithms allowing for rapid assimilation of key information. New techniques and common procedures are also covered in detail. This up-to-date pocketbook is perfect for quick reference in the operating room, providing rapid access to evidence-based clinical content covering the full breadth of the field, including pediatric, obstetric, cardiac and regional anesthesia sections. In addition to daily clinical practice, the book serves also as a convenient companion for board review and recertification exam preparation.

Edited by internationally recognized pain experts, this unique book describes 73 real life clinical cases, each followed by discussion of pathogenesis, work-up, differential diagnosis and treatment options. Cases are divided into seven sub-topics: neurologic disorders, spinal disorders, musculoskeletal pain, visceral pain, headache and facial pain, cancer pain, and special topics such as pain in children and older adults. Discussions follow a question-and-answer format, facilitating learning and also enabling self-testing. Chapters are written by the foremost national and international leaders in the field of pain management, many of whom are pain program directors. Case Studies in Pain Management is an excellent learning source for trainees in pain management and a 'must read' for pain practitioners.

This book is a comprehensive, focused resource on intraoperative neurophysiological monitoring (IOM). This rapidly evolving field has created a demand for an up-to-date book such as this that builds on foundational concepts necessary to the practice of IOM in the context of anatomy and physiology. Each chapter is designed to not only inform the reader, but to also test the reader on the information presented - therefore promoting practical, problem-based learning. Surpassing the quality of its successful predecessor, Principles of Neurophysiological Assessment, Mapping, and Monitoring, Second Edition, is positioned to suit the needs of residents and fellows studying for the IOM certificate programs, physicians and anesthesiologists practicing IOM, and neurotechnologists both experienced and in training.

This book provides a comprehensive review of the challenges, risk stratification, approaches and techniques needed to improve pain control in ambulatory surgery centers (ASCs). It addresses not only the management of acute perioperative pain but also describes modalities that could potentially reduce the risk of evolution of acute pain into chronic pain, in addition to weaning protocols and follow ups with primary surgical specialties and pain physicians as needed. Organized into five sections, the book begins with the foundations of managing ASCs, with specific attention paid to the current opioid epidemic and U.S. policies relating to prescribing opioids to patients. Section two and three then explore facets of multimodal analgesia and non-operating room locations, including the use of ultrasounds, sedation in specific procedures, regional anesthesia, ketamine infusions, and the management of perioperative nausea and intractable pain in outpatient surgery. Section four examines the unique challenges physicians face with certain patient demographics, such as the pediatric population, those suffering from sleep apnea, and those with a history of substance abuse. The book closes with information on discharge considerations, ambulatory surgery protocols, recovery room protocols, and mandatory pain management services. An invaluable reference for all health personnel and allied specialties, Pain Control in Ambulatory Surgery Centers (ASCs) meets the unmet need for a resource that covers optimum pain control in patients undergoing outpatient surgery as well as the urgent ASCs challenges that are presented on an immense scale with national and international impact.

Scholars from across law and internet and media studies examine the human rights implications of today's platform society. Today such companies as Apple, Facebook, Google, Microsoft, and Twitter play an increasingly important role in how users form and express opinions, encounter information, debate, disagree, mobilize, and maintain their privacy. What are the human rights implications of an online domain managed by privately owned platforms? According to the Guiding Principles on Business and Human Rights, adopted by the UN Human Right Council in 2011, businesses have a responsibility to respect human rights and to carry out human rights due diligence. But this goal is dependent on the willingness of states to encode such norms into business regulations and of companies to comply. In this volume, contributors from across law and internet and media studies examine the state of human rights in today's platform society. The contributors consider the "datafication" of society, including the economic model of data extraction and the conceptualization of privacy. They examine online advertising, content moderation, corporate storytelling around human rights, and other platform practices. Finally, they discuss the relationship between human rights law and private actors, addressing such issues as private companies' human rights responsibilities and content regulation. Contributors Anja Bechmann, Fernando Bermejo, Agnes Callamard, Mikkel Flyverbom, Rikke Frank Jorgensen, Molly K. Land, Tarlach McGonagle, Jens-Erik Mai, Joris van Hoboken, Glen Whelan, Jillian C. York, Shoshana Zuboff, Ethan Zuckerman Open access edition published with generous support from Knowledge Unlatched and the Danish Council for Independent Research.

This comprehensive book is written to inform and improve outcomes of patients in need of blood management during surgical procedures. Information is presented in an accessible format, allowing for immediate use in clinical practice. Beginning with an overview of the history of blood transfusions, early chapters present the foundational information needed to comprehend information in later chapters. Nuanced procedures, drugs, and techniques are covered, including new biologicals to assist clotting and blood substitutes. Further discussions focus on potential complications seen in blood transfusions, such as diseases of the coagulation system, pathogen transmissions, and acute lung injuries. Chapters also examine the complexities of treating specific demographics, of which include the geriatric patient and patients suffering from substance abuse. Essentials of Blood Product Management in Anesthesia Practice is an invaluable guide for anesthesiologists, surgeons, trauma physicians, and solid organ transplant providers.

Covering both surgical and non-surgical pain, Acute Pain Management Essentials is a comprehensive, clinically oriented reference for the entire acute pain management team. Edited by Drs. Alan David Kaye and Richard D. Urman, this new title brings together the expertise of contributing authors from anesthesiology, medicine, surgery, and allied health professions to offer an interdisciplinary approach to this complex and fast-changing field. Beginning with an overview of basic principles, it then approaches pain management by organ system, by patient population, and by treatment modality, ending with review of subspecialty considerations and related topics. Examines all types of acute pain, including non-surgical pain that requires non-regional anesthesia management techniques Begins with basic principles of pain management, including anatomy and physiology of acute pain, evaluation and measurement of pain, neurobiology and genetics, preemptive analgesia and surgical pain, running a post-operative pain management service and more Subsequent chapters are organized by Organ Systems, Special Populations, Treatment Modalities, and Subspecialty Considerations Includes related topics such as dental and facial pain, foot and ankle surgery, the primary care setting, nursing considerations, enhanced recovery pathways (ERAS), quality and safety considerations, and more An ideal resource for anesthesiologists who specialize in pain medicine, as well as physicians and fellows from other disciplines who care for patients experiencing surgical or non-surgical pain, as well as PAs, NPs, RNs, and pharmacists Enrich Your eBook Reading Experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.

This issue of Anesthesiology Clinics focuses on Pharmacology. Editor Alan Kaye has assembled an expert team of authors on topics such as: Ketorolac, Oxymorphone and Tapentadol; Anticoagulation and Neuraxial/Peripheral Anesthesia; Pharmacologic Update on Antiemetics: Total parenteral nutrition/enteral nutrition in the ICU, Evolving Concepts; Reversal of Anticoagulants and Anesthesia Considerations; Non-opioids Intravenous or Oral Analgesics for Perioperative Pain Management, Update; Uterotonic Medications and Anesthesia Considerations: oxytocin, misoprostol, methylergonovine, carboprost; Pulmonary Vascular Mediating Drugs, Evolving Concepts; Alpha 2 Modulators and Anesthesia Considerations; Pharmacologic Considerations of Anesthetic Agents in the Obese Patient; Pharmacologic Considerations of Anesthetic Agents in the Geriatric Patient; Pharmacologic Considerations of Anesthetic Agents in the Pediatric Patient; Anesthesia CV Drug Update; Pharmacogenomics: Anesthesia; Pharmacogenomics: Pain; Novel anticoagulants; Novel anesthetic agents; Novel opioids; Pharmacology of Newer Local anesthetics; Pharmacology of Nonsteroidal Antiinflammatory and Steroid Medications. Implications for Anesthesia or Unique Associated Risks; Pharmacology of Octreotide. Implications for Anesthesia and Associated Risks.

When by chance, Cheyanne a street-wise 25 year old transsexual prostitute recently released from prison, meets Evan, a naive young man ambiguous about his sexual identity, the elements are in place for this erotic thriller.The story fueled by newly inherited wealth, greed, abundant use of crystal methamphetamine, sexual appetites without boundaries and even murder will make the reader laugh or at times cry.Join Cheyanne and Evan in their journey from the street sex trade on LA's Santa Monica Boulevard to sex celebrity style in the Hollywood Hills and New York City.Read her story as it might have been told to the author by Cheyanne.For readers actually living in the transgendered world, meet new heroes and heroines.For others who chance upon this book you may gain a new understanding and acceptance of a lifestyle you wondered about.

In anesthesiology, pain medicine, and critical care, practitioners at all levels need help to stay current with the continually evolving drug knowledge-base, and trainees need tools to prepare for in-training and board exams that increasingly test their knowledge of pharmacology. This practical book is aimed at both readerships. It features a unique and practical chapter on the United States Food and Drug Administration (FDA) "black box" warnings that describe what safety precautions should be taken with commonly used drugs. The editors and contributors are pharmacology experts representing a cross-section of clinical specialties and institutions in the United States and include pharmacologists, pharmacists, as well as physicians.

This is a practical guide to the evidence-based diagnosis and management of orofacial pain. It covers common clinical presentations of acute and chronic orofacial pain and summarizes clinically relevant neurobiology. Because diagnosing orofacial pain can be a challenge, the book describes the appropriate history-taking methods, detailed examinations, and relevant tests that will help clinicians to work through the differential diagnosis. Effective medical, surgical, and behavioral approaches are presented, and the importance of a multimodal approach is consistently emphasized throughout the book. The target audience includes pain physicians, anesthesiologists, dentists, neurologists, nurse practitioners, and physician's assistants.

Prove It With Figures displays some of the tools of the social and statistical sciences that have been applied in the courtroom and to the study of questions of legal importance. It explains how researchers can extract the most valuable and reliable data that can conveniently be made available, and how these efforts sometimes go awry. In the tradition of Zeisel's standard work "Say It with Figures," the authors clarify, in non-technical language, some of the basic problems common to all efforts to discern cause-and-effect relationships. Designed as a textbook for law students who seek an appreciation of the power and limits of empirical methods, this is also a useful reference for lawyers, policymakers, and members of the public who would like to improve their critical understanding of the statistics presented to them. The many case histories include analyses of the death penalty, jury selection, employment discrimination, mass torts, and DNA profiling.

First Practical Guide to Integrating Risk Management, Business Continuity Management and Corporate Governance From Two World-Renowned BCM Pioneers Who Have Served on the British Standards Institution (BSI) Team Creating a British and International Standard for Risk Management. The U.S. Department of Homeland Security (DHS) is currently developing disaster preparedness standards for businesses. DHS is incorporating language from the British Standards Institution (BSI) because it "provides a management systems approach to business continuity and integrates risk management disciplines and processes." The two authors of this now classic text in the field have been directly involved in developing those BSI standards. Here they bring you a distillation of their worldwide experience in pioneering the integration of the disciplines of risk management and business continuity. This practical guide is endorsed by: * * * The Business Continuity Institute * * * The Institute for Risk Management * * * Disaster Recovery Institute International It includes numerous helpful features: * * * Chapter objectives, summaries and bibliographies; charts, sample forms, checklists throughout * * * Plentiful case studies, in boxed text, drawn from enterprises around the globe, including the UK, US, Europe, Australia, Asia, etc. * * * Boxed inserts summarizing key concepts * * * Glossy of 150 risk management and business continuity terms * * * Timely topics, including stakeholder management, supplier management, outsourcing, the people factor, technology recovery, and communication, both internally and externally. * * * Wide range of challenges, including supply chain disruptions, media and brand attack, product contamination and product recall, bomb threats, chemical and biological threats, etc. * * * Instructions for designing/executing team exercises with role playing to rehearse scenarios * * * Guidance on how to develop a business continuity plan, including a Business Impact Analysis * * * Ideal for senior undergraduate, MBA, certificate, corporate training programs; in use at 50+ campuses worldwide * * * Instructor Materials on CD, including PowerPoint slides and syllabus for 12-week course with lecture outlines/notes, quizzes, reading assignments, discussion topics, projects * * * Authors with extensive international experience in all aspects of risk management and business continuity, having worked with organizations in a combined total of 50 countries The authors' message is that risk management has become a strategic tool in managing all risk across an organization, and that BCM forms one more important tool in a much wider and coordinated risk management program. They are now complementary disciplines that must be understood and supported by your organization as a whole, including CEO's, directors, non- executive directors, risk managers, continuity managers, internal and external auditors, investment managers, compliance managers, finance directors, human resource managers, project managers, regulators, corporate trainers and other stakeholders. After discussing the relationship between risk management and BCM, the authors take the reader through the business continuity management cycle: how to understand the organization and its culture; continuity strategies; how to develop and implement a business continuity response, including developing a Business Impact Analysis; building and embedding a business continuity culture; testing/exercising a plan, along with benchmarking, maintenance and audit. "This book is a must read for those senior managers, risk managers and continuity managers who have the vision to see both the new opportunities and the new responsibilities of business continuity management." - George J. Mitchell, Chairman, DLA Piper Rudnick Gray Cary; Former Senate Majority Leader and U.S. Senator for Maine.

Prove It With Figures displays some of the tools of the social and statistical sciences that have been applied in the courtroom and to the study of questions of legal importance. It explains how researchers can extract the most valuable and reliable data that can conveniently be made available, and how these efforts sometimes go awry. In the tradition of Zeisel's standard work "Say It with Figures," the authors clarify, in non-technical language, some of the basic problems common to all efforts to discern cause-and-effect relationships. Designed as a textbook for law students who seek an appreciation of the power and limits of empirical methods, this is also a useful reference for lawyers, policymakers, and members of the public who would like to improve their critical understanding of the statistics presented to them. The many case histories include analyses of the death penalty, jury selection, employment discrimination, mass torts, and DNA profiling.

Perioperative Management in Robotic Surgery covers perioperative considerations for robot-assisted surgery (RAS), from preoperative through to postoperative. This is the first extensive, evidence-based, clinical work covering the perioperative management of commonly performed and emerging RAS. Included inside are discussions of surgical procedures, preoperative evaluation, patient selection, common emergencies, complications, pain management and recovery (including same day surgery). There are also reviews of patient management, the basics of various procedures and techniques, useful patient care protocols, as well as an overview of the perioperative issues that are unique to any given RAS procedure. The book is written for anesthesiologists, surgeons, and other perioperative physicians - as well as allied health professionals, nurses, and physician assistants who assist during RAS procedures and help manage patients during the perioperative period.

En años recientes, hemos presenciado cambios considerables en el tratamiento del dolor agudo. Esto ha dado lugar a una reducción del consumo de opioides y a estancias hospitalarias más cortas debido a una serie de estrategias que incluyen técnicas de recuperación mejoradas después de la cirugía y bloqueos nerviosos guiados por ecografía. Fundamentos del tratamiento para el dolor agudo. Un enfoque interdisciplinario es una referencia completa, que abarca tanto el dolor quirúrgico como el no quirúrgico, para todo el equipo de tratamiento del dolor agudo, y que ofrece un enfoque multidisciplinario de este campo complejo y en rápida evolución. Esta 1.ª edición comienza con una visión general de los principios básicos del tratamiento del dolor, incluida anatomía y fisiología del dolor agudo, evaluación y medición del dolor, neurobiología y genética, analgesia preventiva y dolor quirúrgico, y servicio de tratamiento del dolor posoperatorio. A continuación, aborda el tratamiento del dolor por sistema orgánico, por población de pacientes y por modalidad de tratamiento, y finaliza con una revisión de las consideraciones sobre subespecialidades y temas relacionados.

Numerous studies indicate that outcomes for pediatric patients are improved when the anesthesia caregiver has advanced training and knowledge of pediatric anesthesiology. Essentials of Pediatric Anesthesiology is a unique new handbook, providing a clinically relevant and easy-to-read review of all key topics in this important field. Written and edited by leading pediatric anesthesia physicians, each chapter takes a consistent approach, guaranteeing this book is user-friendly and authoritative throughout. Topics include physiology, anatomy, equipment, a comprehensive overview of relevant disease states, and special topics such as regional anesthesia, complications, and anesthesia for remote locations. Numerous diagrams, tables and figures help to organize the information for easy reference. Whether you choose to dip into a particular chapter or read the book cover to cover, Essentials of Pediatric Anesthesiology is a valuable review book for all residents, fellows and clinical practitioners needing to improve or refresh their understanding of pediatric anesthesia management.

This comprehensive book is written to inform and improve outcomes of patients in need of blood management during surgical procedures. Information is presented in an accessible format, allowing for immediate use in clinical practice. Beginning with an overview of the history of blood transfusions, early chapters present the foundational information needed to comprehend information in later chapters. Nuanced procedures, drugs, and techniques are covered, including new biologicals to assist clotting and blood substitutes. Further discussions focus on potential complications seen in blood transfusions, such as diseases of the coagulation system, pathogen transmissions, and acute lung injuries. Chapters also examine the complexities of treating specific demographics, of which include the geriatric patient and patients suffering from substance abuse. Essentials of Blood Product Management in Anesthesia Practice is an invaluable guide for anesthesiologists, surgeons, trauma physicians, and solid organ transplant providers.