Characteristics of drug use among pregnant women in the United States: opioid and non-opioid illegal drug use - Metz VE, Brown QL, Martins SS, Palamar JJ.

BACKGROUND: The opioid epidemic in the US is affecting pregnant women and their offspring, with rising numbers of maternal and neonatal treatment episodes. The aim of this study was to characterize pregnant drug users in order to inform intervention strate...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

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The US Surgeon General, Dr. Jerome Adams, recently released an advisory on naloxone and opioid overdose. In his advisory, Dr. Adams writes: For patients currently taking high doses of opioids as prescribed for pain, individuals misusing prescription opioids, individuals using illicit opioids such as heroin or fentanyl, health care practitioners, family and friends of people who have an opioid use disorder, and community members who come into contact with people at risk for opioid overdose, knowing how to use naloxone and keeping it within reach can save a life. This was the first surgeon general advisory issued in 13 years...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Addiction Health Source Type: blogs
Conclusion Using the three Cs of risk management strategies—collecting information, communicating, and carefully documenting—when prescribing controlled substances supports quality patient care and can decrease the risk of improper prescribing allegations. Appendix 1. Prescribing Controlled Substances: Informed Consent Some, but not all states have promulgated various requirements and recommendations for components of an informed consent discussion when prescribing controlled substances.  The following is a compilation of current individual state requirements and recommendations for informed consent. ...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue Risk Management Source Type: research
David Bryden is the TB Advocacy Officer at RESULTS Educational Fund, a US-based non-profit working to end global poverty.By David BrydenWASHINGTON DC, Mar 22 2018 (IPS)A good education for every child is an urgent global imperative, but what if entering schools puts children at serious health risks? Tuberculosis (TB), the single biggest infectious disease killer, poses a major risk for young people in countries with high prevalence of TB, and schools are among the places where they are most likely to catch it. A young boy suspected with TB. Credit: The Global Fund to Fight AIDS, TB and MalariaThe United Nations, which comm...
Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Development & Aid Economy & Trade Featured Global Headlines Health Population Poverty & SDGs TerraViva United Nations Source Type: news
See something of interest? Please share our postings with colleagues in your institutions! Spotlight All NNLM MAR funding opportunities are currently closed. In February, we will announce opportunities to apply for projects starting May 15, 2018. Now is the perfect time to start meeting with potential partners and consulting with NNLM MAR staff on health information outreach ideas. Contact us to set up a consultation. It’s Not Too Late to Participate in National Drug and Alcohol Facts Week 2018! Learn more about free materials, activities, and opportunities for your school, public library, or community organization t...
Source: NN/LM Middle Atlantic Region Blog - Category: Databases & Libraries Authors: Tags: Weekly Postings Source Type: news
In today’s health and political discussions, opioid abuse dominates the conversation despite being only part of our country’s substance use epidemic. Prenatal substance use remains an uncontrolled public health problem with high costs to women, children, and society. Part of the problem is the difficulty in measuring the extent of the problem nationwide. Most prenatal substance use prevalence data comes from substance treatment programs and national self-report surveys, likely leading to an underestimation of the total number of prenatal substance users. The 2012 and 2013 National Survey on Drug Use and Health ...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Policy OB/GYN Public Health & Source Type: blogs
This study was based upon a small number of cases and ultrasound detection rather than births. Seven cases of microcephaly were reported above background, but only one of them was a birth; the others were detected by ultrasound. The high rate of ultrasound detection is not consistent with observations by ultrasound of microcephaly in other countries, including Colombia. We use the model for French Polynesia as a reference model for comparison with other data in order to clarify which data is or is not consistent with that model. We note that this rate is about 100 times larger than the minimum reported background rate for ...
Source: PLOS Currents Outbreaks - Category: Epidemiology Authors: Source Type: research
CONCLUSIONS: Intersectoral and social participation experiences studied yielded positive outcomes regarding health status and quality of life in the communities in which such experiences were implemented. PMID: 28935433 [PubMed - as supplied by publisher]
Source: Gaceta Sanitaria - Category: International Medicine & Public Health Tags: Gac Sanit Source Type: research
In response to the growing heroin epidemic in the United States, the National Library of Medicine’s Specialized Information Services has created a portal to provide resources and information on prescribing, overdose, medication-assisted treatment, and recovery. According to the American Society of Addiction Medicine, addiction is defined as: “A primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward an...
Source: Dragonfly - Category: Databases & Libraries Authors: Tags: News from NLM Public Health Source Type: news
DiscussionThe proposed cluster RCT will evaluate whether routinely implementing supervision and accountability procedures and monitoring CHWs ’ over time will improve MCH outcomes over the first 2 years of life.Trial RegistrationClinicalTrials.gov registration#NCT02957799, registered on October 26, 2016.
Source: Trials - Category: Research Source Type: clinical trials
Conclusion and Recommendations More intervention-based clinical trials are needed to provide a strong alternative candidate therapy for management of opiate use disorder. Buprenorphine, although a promising candidate, should be researched more regarding treatment retention and patient satisfaction before any conclusions can be made regarding its standard use for opiate substitution maintenance treatment of pregnant patients with opiate use disorder. Heroin-assisted treatment still cannot be considered in opiate addicts refractory to MMT; more data should be collected regarding efficacy in larger participant populations un...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue General Review buphernorphin heroin methadone opiate opiate addiction treatment withdrawal Source Type: research
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