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?
Source: Washington Post: To Your Health - Category: Consumer Health News Source Type: news

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Publication date: Available online 18 October 2019Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Jean-Stéphane David, Kenji Inaba
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
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
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
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
Source: Neuroscience Letters - Category: Neuroscience Source Type: research
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...
Source: Physiology and Behavior - Category: Physiology Source Type: research
Publication date: 19 October 2019Source: New Scientist, Volume 244, Issue 3252Author(s): Clare Wilson, Jason Arunn Murugesu
Source: New Scientist - Category: Science Source Type: research
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]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
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]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
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...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research
ConclusionDiagnostic laparoscopy is more accurate than CT scan in evaluating patients with abdominal pain after RYGB.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
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.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
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