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Architect of Courage
In June 2011, September was weeks away, and the full dread of the approaching anniversary hadn't yet settled on New York City's residents. But from One Police Plaza to the FBI's grim headquarters in Washington, D.C., the top brass harbor a rumbling in the gut. Each person who works for them down the line shares their unease, from every rookie cop walking the beat to the lowliest surveillance specialist. And Archer Landis is about to get caught up in their fixation. Landis is not one of his city's guardians, and a different sort of electricity runs under his skin on this warm Thursday evening. A highly successful Manhattan architect-a man you'd say has his life totally, enviably, in order-Lan...
Sherlock Holmes Mystery Magazine #28
Sherlock Holmes Mystery Magazine returns after a brief hiatus with a selection of fiction and nonfiction for the discerning mystery reader. This issue's stories include: LH’s LEGACY, by Rochelle Campbell ROOKER, by Laird Long PENNWOOD AVENUE, by Sanford Zane Meschkow ABOVE SUSPICION, by Victoria Weisfeld IDYLLWILD, by Michael Hemmingson MOTIVE, by Marc Bilgrey THE CURIOUS CASE OF ARTHUR CONAN DOYLE, by Gary Lovisi THE DAYTIME SERIAL KILLER, by Dan Andriacco THE MYSTERY OF THE PAUL HENRY, by Michael Penncavage THE PROBLEM OF THE VANISHING BULLET, by Lee Enderlin THE ADVENTURE OF THE BERYL CORONET, by Sir Arthur Conan Doyle Nonfiction includes: THREE BUCKET MYSTERIES, by Eugene D. Goodwin THREE CHEERS FOR DR WATSON, by Janice Law
Black Cat Weekly #43
Welcome to Black Cat Weekly #43. If this isn’t the best issue we had to date, it’s pretty darn close. Lots of great tales are packed into this one—including not one, but two mystery novels (by Edwin Balmer and Nicholas Carter), three shorter mysteries (including a major new novelet by Robert Lopresti, a great reprint by Victoria Weisfeld, and a solve-it-yourself puzzler from Hal Charles). On the science fiction side, we have an amazing set of stories by Daniel Marcus, Isaac Asimov, George O. Smith, Murray Leinster, and Robert Silverberg. It’s hard to get better than that. Oh, wait—we also have an interview with Robert Varley, courtesy of Darrell Schweitzer. This is another one of h...
The Future of Home Health Care
Individuals with disabilities, chronic conditions, and functional impairments need a range of services and supports to keep living independently. However, there often is not a strong link between medical care provided in the home and the necessary social services and supports for independent living. Home health agencies and others are rising to the challenges of meeting the needs and demands of these populations to stay at home by exploring alternative models of care and payment approaches, the best use of their workforces, and technologies that can enhance independent living. All of these challenges and opportunities lead to the consideration of how home health care fits into the future hea...
International Regulatory Harmonization Amid Globalization of Drug Development
The past several decades have been a time of rapid globalization in the development, manufacture, marketing, and distribution of medical products and technologies. Increasingly, research on the safety and effectiveness of new drugs is being conducted in countries with little experience in regulation of medical product development. Demand has been increasing for globally harmonized, science-based standards for the development and evaluation of the safety, quality, and efficacy of medical products. Consistency of such standards could improve the efficiency and clarity of the drug development and evaluation process and, ultimately, promote and enhance product quality and the public health. To explore the need and prospects for greater international regulatory harmonization for drug development, the IOM Forum on Drug Discovery, Development, and Translation hosted a workshop on February 13-14, 2013. Discussions at the workshop helped identify principles, potential approaches, and strategies to advance the development or evolution of more harmonized regulatory standards. This document summarizes the workshop.
Public Engagement and Clinical Trials
Clinical trials provide essential information needed to turn basic medical research findings into patient treatments. New treatments must be studied in large numbers of humans to find out whether they are effective and to assess any harm that may arise from treatment. There is growing recognition among many stakeholders that the U.S. clinical trials enterprise is unable to keep pace with the national demand for research results. The IOM, along with the Mount Sinai School of Medicine, held a workshop June 27-28, 2011, to engage stakeholders and experts in a discussion about possible solutions to improve public engagement in clinical trials.
Relieving Pain in America
Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goal...
Introduction to Evidence-Based Practice in Nursing and Health Care
The Second Edition of this best-selling text has been completely revised and updated with new insights, evidence, and references throughout every chapter. There are two new chapters -- Evidence-Based Regulation and Evidence-Based Leadership -- that expand on concepts and examine the framework of evidence-based management.
