Global Health: ‘ Opiophobia ’ Has Left Africa in Agony

Uganda has a strategy for giving scarce morphine to patients in pain. But many poor nations won ’ t emulate its effort because officials fear an opioid epidemic.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Pain-Relieving Drugs Hospice Care Morphine Acquired Immune Deficiency Syndrome Cancer Uganda Source Type: news

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This article analyzes these complex issues and proposes strategies to help clinicians improve patient care through education and responsible prescribing.
Source: Journal of the American Academy of Physician Assistants - Category: Primary Care Tags: Special Article Source Type: research
Sarasota County Public Hospital District, known as the Sarasota Memorial Healthcare System, has filed a civil action lawsuit against several major distributors and manufacturers to put an end to opioid abuse. The hospital system alleges the defendants used a coordinated strategy to shift the way in which doctors and patients think about pain and encourage the use of opioids to treat not just those who suffer from acute post-surgical pain and end-stage cancer pain, but the masses who suffer from…
Source: bizjournals.com Health Care:Physician Practices headlines - Category: American Health Authors: Source Type: news
This article reviews pharmacological principles and research strategies aiming at novel opioids with reduced side effects. Basic mechanisms underlying pain, opioid analgesia and other opioid actions are outlined. To illustrate the clinical situation and medical needs, plasticity of opioid receptors, intracellular signaling pathways, endogenous and exogenous opioid receptor ligands, central and peripheral sites of analgesic and side effects are discussed. Expert opinion: The epidemic of opioid misuse has taught us that there is a lack of fundamental knowledge about the characteristics and management of chronic pain, that co...
Source: Expert Opinion on Investigational Drugs - Category: Drugs & Pharmacology Tags: Expert Opin Investig Drugs Source Type: research
Two public health crises, the epidemics of chronic pain and of opioid misuse, are creating challenges for cancer pain management.
Source: CancerNetwork - Category: Cancer & Oncology Authors: Source Type: news
Research in Occupational Stress and Well-being, Page 157-186. Abstract Acute and chronic pain affects more Americans than heart disease, diabetes, and cancer combined. Conservative estimates suggest the total economic cost of pain in the United States is $600 billion, and more than half of this cost is due to lost productivity, such as absenteeism, presenteeism, and turnover. In addition, an escalating opioid epidemic in the United States and abroad spurred by a lack of safe and effective pain management has magnified challenges to address pain in the workforce, particularly the military. Thus, it is imperative to investig...
Source: Research in Occupational Stress and Well Being - Category: Occupational Health Authors: Source Type: research
In this study, we analyzed FGF21 levels and alterations in the expression of genes encoding components of the FGF21-responsive molecular machinery in adipose tissue from aged individuals so as to ascertain whether altered FGF21 responsiveness that develops with aging jeopardizes human health and/or accelerates metabolic disturbances associated with aging. We studied a cohort of 28 healthy elderly individuals (≥70 years) with no overt signs of metabolic or other pathologies and compared them with a cohort of 35 young healthy controls (≤40 years). Serum FGF21 levels were significantly increased in elderly indiv...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
July 23, 2018A simple procedure is lowering the risk for thousands of couples in  Tanzania.Twenty-one-year-old Khadija Butemi was doing her morning chores when she heard an announcement through a loudspeaker passing by on the nearby country road.There was a campaign going on, it said, for men who wanted to undergo voluntary medical male circumcision (VMMC). She immediately thought of her husband, a 22-year-old fisherman, who was down by the lake fishing.The couple lives with their two-year-old daughter in Nansio, a remote village on the island of Ukerewe, Tanzania. VMMC isn ’t routinely offered in the area, and ...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Source Type: news
The numerous oral-related diseases that we as healthcare providers are expected to manage present with varying degrees of pain. From the acute painful process such as an abscessed tooth or post-orthognathic surgical pain to more chronic conditions (ie. oral cancer or temporomandibular joint osteoarthritis) all require the clinician to not only treat the underlying disease process but provide appropriate pain control. Pain is an important symptom as it is very often the initial reason that a patient seeks medical/dental attention.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Source Type: research
The numerous oral-related diseases that we, as health care providers, are expected to manage present with varying degrees of pain. From the acute painful processes (e.g., an abscessed tooth or post-orthognathic surgical pain) to the more chronic conditions (i.e., oral cancer or temporomandibular joint osteoarthritis), all require the clinician to not only treat the underlying disease process but also provide appropriate pain control. Pain is an important symptom because it is very often the initial reason that a patient seeks medical/dental attention.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Source Type: research
Publication date: Available online 23 June 2018Source: Integrative Medicine ResearchAuthor(s): Mohamed K.M. Khalil, Sulaiman Al-Eidi, Meshary Al-Qaed, Saud AlSanadAbstractSaudi Arabia is witnessing a healthcare transformation to face the challenges of the increased burden of noncommunicable diseases and to maintain the quality of healthcare services. However, in Saudi Arabia, where low back and neck pain, depressive disorders, migraine, diabetes, and anxiety disorders cause the most disability, a broader way of integrative health approach is needed to foster healthy lives and promote well-being for all ages. In the presenc...
Source: Integrative Medicine Research - Category: Complementary Medicine Source Type: research
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