Opioid crisis in rural areas may be tackled through telemedicine
GILES COUNTY, Va. — Robert Devereaux is a family physician in this southwest corner of Virginia, where problems around prescription opioid use far outstrip the capacity of psychiatrists and addiction specialists available to treat them. When he found crushed fragments of painkiller pills inside the nose of an older patient with chronic back pain, the […]Related:CDC whistleblower claims agency has been using wrong Zika testThat horrible morning sickness you’re having? It’s actually a good sign for the baby.The hot hype and cold reality of cryotherapy. Does it freeze your pains away?
Publication date: Available online 18 October 2019Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Jean-Stéphane David, Kenji Inaba
Publication date: Available online 18 October 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Onur Koyuncu, Sedat Hakimoğlu, Sibel Tugce Polat, Merve Yazıcı Kara
ConclusionsCB1R was widely distributed in multiple hypothalamic nuclei. The expression of CB1R was augmented only when mice were treated with HFD and nicotine in combination. These data suggest that the exposure to nicotine may provoke an enhanced endocannabinoid response in diet-induced obesity.Graphical abstract
Publication date: Available online 18 October 2019Source: Physiology &BehaviorAuthor(s): Roy La Touche, Alejandro Losana-Ferrer, Eva Pascual-Vaquerizo, Luis Suso-Martí, Alba Paris-Alemany, Jorge Chamorro-Sánchez, Ferran Cuenca-MartínezAbstractThe main aim of the present study was to evaluate the presence of differences in motor, somatosensory and laterality recognise variables between individuals with unilateral chewing (UC) versus bilateral chewing (BC). A cross-sectional study with a nonprobabilistic sample was conducted. Seventy asymptomatic individuals were grouped as UC or BC to assess differe...
Publication date: 19 October 2019Source: New Scientist, Volume 244, Issue 3252Author(s): Clare Wilson, Jason Arunn Murugesu
Conclusion: A combination of laparoscopic reduction and nonsutured PEG gastropexy is a safe and effective alternative treatment for high-risk patients (with significant morbidity and mortality) with symptomatic PHs. Most patients (80%) returned to normal oral intake postprocedure and were discharged home within 3 d. PMID: 31624456 [PubMed - in process]
Discussion: The incidence of rhabdomyosarcoma arising from endometriosis is exceedingly rare. The accuracy of diagnosing endometriosis and ruling out neoplasm requires coordinated efforts of a multidisciplinary team, involving radiologists, pathologists, oncologists, and gynecologic surgeons. PMID: 31624455 [PubMed - in process]
Publication date: Available online 18 October 2019Source: Preventive MedicineAuthor(s): Jack E. Henningfield, Judy B. Ashworth, Karen K. Gerlach, Bernie Simone, Sidney H. SchnollAbstractPain and addiction are complex disorders with many commonalities. Beneficial outcomes for both disorders can be achieved through similar principles such as individualized medication selection and dosing, comprehensive multi-modal therapies, and judicious modification of treatment as indicated by the patient's status. This is implicit in the term “medication assisted treatment” (MAT) for opioid use disorders (OUD), and is equally...
ConclusionDiagnostic laparoscopy is more accurate than CT scan in evaluating patients with abdominal pain after RYGB.
ConclusionStudents entering surgical residency from US medical schools have variable exposures to opioid related educational content and many students feel their medical education inadequately prepared them for prescribing postoperative opioids.