Скачать бесплатно Heath B. McAnally - Opioid Dependence. A Clinical and Epidemiologic Approach. pdf

The physician’s oath begins with a commitment to risk reduction—primum non nocere. The physician’s responsibility also includes the fundamental duty to relieve suffering whenever possible. Opioids are a powerful and dangerous tool in the therapeutic armamentarium. Much like the homesteader’s chainsaw or the miner’s dynamite in the Last Frontier where I reside, opioids can accomplish much in the short term, although untrained and indiscriminate use invites disaster. As with most decisions in medicine, opioid therapy involves ongoing risk-bene fit ratio analysis. 
At the beginning of the twenty- first century, we are in a position to better evaluate previously underappreciated risks and potentially overstated bene fits (of chronic 
opioid therapy).
This book is intended to “bring the practitioner up to speed” on:
•  Opioid basic science
•  Current areas of drug improvement research and development
•  Alternatives to opioid therapy
•  Evidence-based indications for opioid therapy
•  Evidence-based indications against opioid therapy
•  Clinical strategies for preventing and overcoming opioid dependence

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