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Stopping Epidemics At The Source: Applying Lessons From Cholera To The Opioid Crisis

On September 8, 1854, acting on the advice of Dr. John Snow, London municipal authorities removed the pump handle from the Broad Street well in an effort to halt a major outbreak of cholera. Although an anesthesiologist by profession, Snow had methodically mapped the homes of new cases of cholera. He found that many clustered around the Broad Street pump. Snow’s findings, still regarded as a classic example of epidemiology, established the principle: “that the most important information to have about any communicable disease is its mode of communication.” Dr. Snow did not establish the biologic mechanism of cholera or devise an effective treatment for those stricken with the disease; instead, his research indicated that the disease was transmitted through contaminated water. His methods demonstrated how the root cause of an emerging public health problem could be determined through epidemiological observation. It was later determined that a cholera-contaminated diaper had been washed near the pump. We Need to Change How We Manage Pain Today, our nation faces a different kind of epidemic — a rising toll of hospitalizations and deaths from opioid abuse. The Department of Defense (DoD) and Veterans Health Administration (VA) have been aware of problems with excessive use of opioids in patient management for more than a decade. This recognition, in part, was driven by the last 17 years of armed conflict and the health care challenges this has wrought on in...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Featured Public Health Quality Department of Veterans Affairs military health care Opioid Addiction opioid epidemic Source Type: blogs

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Conclusion: Despite the many applications for lasers in Orthodontics, they are still underused by Brazilian practitioners. However, it is quite likely that this demand will increase over the next years - following the trend in the USA, where laser therapies are more widely used.
Source: Dental Press Journal of Orthodontics - Category: Dentistry Source Type: research
Conclusions In this study, we detected a relationship between duration of the disease, level of perceived stress and quality of life. The longer the disease lasts, the higher it tends to catastrophize. This may influence development or increase of the anxiety and depression and may decrease patients ’ quality of life.
Source: Journal of Applied Oral Science - Category: Dentistry Source Type: research
By MARGALIT GUR-ARIE The Commonwealth of Kentucky, best known for its weirdly colored grass, fine bourbon and equestrian pageantry, is about to be destroyed by the Trump administration. Many will suffer and perhaps die because Kentucky obtained a Medicaid waiver to impose additional and often insurmountable hardships on poor people receiving their free health care from the State. Since all I need to know, I learned on Twitter, allow me to share with you some illuminating insights from the Twitterati. The evil Republican Governor of Kentucky, Matt Bevin, is salivating at the prospect off changing Medicaid as we know it, whi...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: blogs
A century after one of history's most catastrophic outbreaks killed tens of millions, scientists are rethinking how to guard against a deadly repeat
Source: Health News: CBSNews.com - Category: Consumer Health News Source Type: news
CONCLUSIONS: Large-scale implementation of ERP continues to face mainly lack of trust and communication. Solutions exist and are based particularly on team work and interdisciplinary collaboration. PMID: 29334849 [PubMed - as supplied by publisher]
Source: Acta Chirurgica Belgica - Category: Surgery Tags: Acta Chir Belg Source Type: research
Authors: Giannasio B, Giacomelli E, Dorigo W, Fargion AT, Chiti E, Pratesi C Abstract AIM OF THE STUDY: To evaluate the effects of spinal or locoregional anaesthesia versus local tumescent anesthesia during traditional surgical treatment of saphenous reflux, in terms of pain and postoperative functional recovery. MATERIALS AND METHODS: From January to December 2014, 195 consecutive interventions of stripping of the greater saphenous vein for valvular incompetence were performed. In 114 cases spinal or locoregional anaesthesia was performed (group 1), in the remaining 81 cases local anaesthesia with the tumescen...
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
CONCLUSION: On time diagnosis of pancreatic trauma, especially in polytrauma patients, continues to remain a challenge for trauma surgeons. Main pancreatic duct injury is an important prognostic factor and the major one determining therapeutic approaches. Adequate surgical approaches decrease morbidity and mortality in pancreatic trauma. KEY WORDS: Delayed diagnosis, Distal pancreatectomy, Pancreatic blunt trauma. PMID: 29339584 [PubMed - in process]
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
Authors: Dalhoff K, Abele-Horn M, Andreas S, Deja M, Ewig S, Gastmeier P, Gatermann S, Gerlach H, Grabein B, Heußel CP, Höffken G, Kolditz M, Kramme E, Kühl H, Lange C, Mayer K, Nachtigall I, Panning M, Pletz M, Rath PM, Rohde G, Rosseau S, Schaaf B, Schreiter D, Schütte H, Seifert H, Spies C, Welte T, Unter Mitwirkung der folgenden Wissenschaftlichen Fachgesellschaften und Institutionen: Deutsche Gesellschaft für Chirurgie, Deutsche Gesellschaft für Innere Medizin e. V., Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin, Deutsche Sepsis-Gesellschaft e. V., ...
Source: Pneumologie - Category: Respiratory Medicine Tags: Pneumologie Source Type: research
Governors are calling on President Trump and Congress to do more to fight an opioid epidemic that's killing 90 Americans a day
Source: ABC News: Health - Category: Consumer Health News Tags: Health Source Type: news
Widespread flu cases are causing challenges for hospitals and medical clinics around the state. It's a flu outbreak that has many hospitals over capacity, caused a rash of workplace absences and even led one Birmingham-based company to accelerate the opening of a new clinic. Jefferson County Department of Health Officer Mark Wilson said area emergency departments and outpatient clinics saw a high volume of patients with flu or flu-like symptoms. “This is not a pandemic flu situation, but it…
Source: bizjournals.com Health Care:Physician Practices headlines - Category: American Health Authors: Source Type: news
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