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Total 4946 results found since Jan 2013.

New legislation in New Jersey reduced opioid use among trauma patients
CONCLUSION: Overall, opioid consumption was lower in 2018 without negatively affecting the quality of pain management. This suggests that the implementation of the new legislation has successfully reduced inpatient opioid use.PMID:37270420 | DOI:10.5055/jom.2023.0767
Source: Journal of Opioid Management - June 3, 2023 Category: Addiction Authors: Renay Durling-Grover Louis T DiFazio John M Adams Karen Kong Sara S Soliman Daniel Hakakian Keren Kaynan Rolando H Rolandelli Zoltan H Nemeth Source Type: research

Variations of pain medication use for patients with acute extremity pain in an emergency department: A quality improvement project
CONCLUSION: There are patient, prescriber, and environment-specific characteristics that are associated with analgesic selection in an ED. Combination therapy had the greatest reduction in pain regardless of the two medications received.PMID:37270423 | DOI:10.5055/jom.2023.0770
Source: Journal of Opioid Management - June 3, 2023 Category: Addiction Authors: Rachael M Cardinal Frank D'Amico Elizabeth Cassidy Richard Heath Megan Baumgartner Source Type: research

An Appeals Court Gave the Sacklers Legal Immunity. Here ’s What the Ruling Means.
In return for the shield, the billionaire owners of Purdue Pharma are committed to paying up to $6 billion to help compensate communities and individuals for the ravages of the opioid epidemic.
Source: NYT Health - May 31, 2023 Category: Consumer Health News Authors: Jan Hoffman Tags: your-feed-science Suits and Litigation (Civil) OxyContin (Drug) Decisions and Verdicts States (US) Drugs (Pharmaceuticals) Opioids and Opiates Pain-Relieving Drugs Bankruptcies Appeals Courts (US) Purdue Pharma Office of the United S Source Type: news

Correlates of the Veterans Visiting Emergency Departments in Taiwan: A Comparison Before and After the Coronavirus Disease 2019 Pandemic
CONCLUSIONS: The distinctions in ED visits highlighted the individuality of veterans' medical needs. Our findings suggest that the veteran medical system can add to the focus on improving senior-friendly care, fall prevention, quality of life of institutionalized veterans, access for homeless veterans, and care for ambulatory care-sensitive conditions.PMID:37256764 | DOI:10.1093/milmed/usad198
Source: Military Medicine - May 31, 2023 Category: International Medicine & Public Health Authors: Pei-Ying Lin Yen-Han Lee Ren-Siang Wang Tze-Yin Chen Yi-Jing Li Yu-Hsuan Wu Teh-Fu Hsu Yen-Chang Chang Source Type: research

An Analysis of Oxycodone and Hydrocodone Distribution Trends in Delaware, Maryland, and Virginia Between 2006 and 2014
Conclusion In the states of Maryland, Delaware, and Virginia, the distribution of the prescription opioids oxycodone and hydrocodone increased by 57.59%. Daily average dose increased between 2006 and 2010 in all three states, followed by a decline until 2014. Variability in daily average dose by county highlights the relationship between geography and likelihood of receiving high-dose opioids. Increased monitoring at regional health centers and improving substance abuse treatment infrastructure at the county level may be a more efficient strategy in combating the opioid epidemic. Future research is needed to understand the...
Source: Pain Physician - May 30, 2023 Category: Anesthesiology Authors: Conor M Eufemio Joseph D Hagedorn Kenneth L McCall Brian J Piper Source Type: research

Professional Coaching as a Continuing Professional Development Intervention to Address the Physician Distress Epidemic
J Contin Educ Health Prof. 2023 Apr 1;43(2):126-132. doi: 10.1097/CEH.0000000000000450. Epub 2022 Jun 14.ABSTRACTPhysician distress and burnout are reaching epidemic proportions, threatening physicians' capacities to develop and maintain competencies in the face of the increasingly demanding and complex realities of medical practice in today's world. In this article, we suggest that coaching should be considered both a continuing professional development intervention as well as an integral part of a balanced and proactive solution to physician distress and burnout. Unlike other interventions, coaching is intended to help i...
Source: Pain Physician - May 30, 2023 Category: Anesthesiology Authors: Sylvain Boet Cole Etherington Cecile Andreas Manon Denis-LeBlanc Source Type: research

This Molecule Is The Key To Stopping Autoimmune Disease
I’m seeing an epidemic of autoimmune diseases in my practice. My patients come to me when doctor after doctor has ignored their symptoms or given up on them. You see, the problem is that most doctors still don’t understand these diseases. I’m talking about things like lupus… rheumatoid arthritis… fibromyalgia… chronic fatigue syndrome… inflammatory bowel disease… and multiple sclerosis (MS). Of course, there are many more. About 80 conditions affecting organs throughout the body are known as autoimmune disorders. They affect around 50 million Americans. These are all conditions where your immune system beco...
Source: Al Sears, MD Natural Remedies - May 25, 2023 Category: Complementary Medicine Authors: Jacob Tags: Anti-Aging Health Natural Cures Source Type: news

American Health Care Is Broken. Major Hospitals Need to Be Part of the Solution
American health care is broken. And American health care systems must transform radically to lead the repair. Let’s first look at the data: The U.S. now spends more than $4 trillion a year on health care. That’s nearly 20% of gross domestic product. Yet U.S. life expectancy lags literally dozens of other nations—including Portugal, Slovenia, and Turkey—by as much as seven years. If trends continue, we will drop to 64th in the world in life expectancy by 2040, though we will continue to spend significantly more per capita than nearly any other nation. Diagnosing this failure is not difficult. Nearly ...
Source: TIME: Health - May 24, 2023 Category: Consumer Health News Authors: Donald M. Berwick and Michelle A. Williams Tags: Uncategorized freelance health Source Type: news

Inside the Emerging Xylazine Addiction Crisis in the U.S.
Devin Bair, a 42-year-old Pennsylvania resident, had used opioids on-and-off for years, but she never experienced anything like xylazine. She first took it without knowing two years ago when it infiltrated her dealer’s supply, and she unknowingly became addicted to it. Xylazine, a veterinary tranquilizer that isn’t meant for use in humans, is an increasingly common adulterant pervading the U.S. illicit drug supply, but little is known about its effects on the human body or how to treat the intense withdrawal symptoms it causes. Xylazine has taken a stronghold in Philadelphia, a city at the forefront of addictio...
Source: TIME: Health - May 18, 2023 Category: Consumer Health News Authors: Anisha Kohli / Philadelphia Tags: Uncategorized Drugs General Assignment healthscienceclimate Source Type: news

A systematic review of opioid use and multimodal strategies in solid organ transplant recipients and living donors
AbstractThe opioid epidemic has impacted analgesia in the postoperative period for solid organ transplant (SOT) donors and recipients. However, optimal pain management and opioid stewardship strategies have not been identified across this unique population. The purpose of this systematic review was to evaluate the impact of perioperative opioid use and to describe multimodal analgesic strategies to reduce opiate use in SOT recipients and living donors. A systematic review was conducted. Electronic searches were performed in Medline, Embase, Google Scholar, and Web of Science through December 31, 2021. Title and abstracts w...
Source: Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy - May 17, 2023 Category: Drugs & Pharmacology Authors: Heather L. Kutzler, Alicia B. Lichvar, David Quan, Lyndsey J. Bowman, Adam Diamond, Christina Doligalski, Tina Griffin, Jennifer Melaragno, Helen Sweiss, James Fleming Tags: REVIEW Source Type: research

Exploring the correlations between < em > epi < /em > indicators of COVID-19 and the concentration of pharmaceutical compounds in wastewater treatment plants in Northern Portugal
J Hazard Mater Adv. 2023 May;10:100315. doi: 10.1016/j.hazadv.2023.100315. Epub 2023 May 11.ABSTRACTThe COVID-19 pandemic caused by the SARS-CoV-2 virus led to changes in the lifestyle and human behaviour, which resulted in different consumption patterns of some classes of pharmaceuticals including curative, symptom-relieving, and psychotropic drugs. The trends in the consumption of these compounds are related to their concentrations in wastewater systems, since incompletely metabolised drugs (or their metabolites back transformed into the parental form) may be detected and quantified by analytical methods. Pharmaceuticals...
Source: Adv Data - May 16, 2023 Category: Epidemiology Authors: Ana R Silva Daniela P Mesquita M Salom é Duarte Ana R Lado Ribeiro M Fernando R Pereira M Madalena Alves S ílvia Monteiro Ricardo Santos M ónica V Cunha Sandra Jorge Joana Vieira Jo ão Vilaça Lu ísa C Lopes Marta Carvalho Carlos Brito Ant ónio Mart Source Type: research

Congressional Briefing Emphasizes Actions Necessary to Address Substance Use Disorder Crisis
Smita Das, M.D., Ph.D., M.P.H. (pictured at left), chair of APA ’s Council on Addiction Psychiatry, was among a panel of experts who spoke to members of Congress and their staffs on Wednesday about the addiction crisis in this country and what actions Congress can take to address it.“As a psychiatrist who has dedicated my professional career to helping patients, I want to make clear that addiction is a chronic brain disorder, and it can be effectively treated,” Das said during the briefing, which was titled “A National Response to a Deadly Crisis: SUPPORT Full-Spectrum Ad diction Care.”Important steps have been t...
Source: Psychiatr News - May 12, 2023 Category: Psychiatry Tags: addiction APA congressional briefing Council on Addiction Psychiatry integrated care opioid overdose prevention reimbursement Smita Das Support for Patients and Communities Act workforce Source Type: research

Opioid: Plenitude versus pittance
Natl Med J India. 2023 Sep-Oct;35(5):303-307. doi: 10.25259/NMJI_539_20.ABSTRACTThe opioid crisis in the USA and in other developed countries can potentially affect low- and middle-income countries (LMICs). The licit medical use of opioids has two sides. The USA and high-income countries maintain abundant supply for medical prescription. Between 1990 and 2010, the use of opioids for cancer pain relief was overtaken by a dramatic rise in the opioid prescriptions for non-cancer acute or chronic pain. The surge led to the opioid epidemic, recognized as social catastrophe in the USA, Canada and in some countries in Europe. Fro...
Source: Cancer Control - May 11, 2023 Category: Cancer & Oncology Authors: Bidhu Kalyan Mohanti Source Type: research

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