At-a-glance - Opioid surveillance: monitoring and responding to the evolving crisis.
This article highlights initiatives undertaken by federal partners to address the opioid crisis in Canada. The need for novel surveillance approaches that improve the collection and harmonization of drug-related data is also discussed. PMID: 30226724 [PubMed - in process]
It’s a skill you may need, especially if you know someone who takes large doses of prescription opioids or abuses such drugs.
Amer J Perinatol DOI: 10.1055/s-0039-1694725 Objective To evaluate temporal trends in opioid use disorder (OUD) during antepartum and postpartum hospitalizations. Study Design This repeated cross-sectional analysis analyzed data from the National (Nationwide) Inpatient Sample. Women aged 15 to 54 years admitted antepartum or postpartum were identified. The presence of OUD was determined based on a diagnosis of opioid abuse, opioid dependence, or opioid overdose. Temporal trends in OUD were evaluated using the Rao–Scott chi-square test. Temporal trends in opioid overdose were additionally evalua...
A letter to the editor in the August 14 New England Journal of Medicine by researchers at the University of Michigan proudly reported on the results of their effort, called the Michigan Surgical Quality Collaborative (MSQC), to reduce the volume of opioids prescribed for postoperative pain. The Collaborative developed a set of guidelines for its participating prescribers.As a result, they found that from January 2017 through May 2018, the mean number of pills prescribed for postoperative pain decreased from 26 (+/-2) pills pre-guideline to 18 (+/ – 3) pills post-guideline. Patient pill consumption also dec...
Methamphetamine is a central nervous system stimulant that induces arousal, a positive mood, cardiac stimulation, and an acute improvement in cognitive domains. Its illicit exploitation is rapidly growing in North America. Typically, extended use of the drug induces organ damage via vasoconstriction and subsequent ischemia. This case specifically discusses hepatic and pancreatic pathology resulting from methamphetamine overdose alongside an unusual discovery of globally necrotic von Meyenburg complexes.
In the wake of dramatic increases, and demographic shifts, in the misuse of heroin and prescription opioids, drug addiction and accidental overdose have been increasingly framed as public health, not criminal justice, matters in the United States. In turn,...
The opioid epidemic in the United States has resulted in over 42,000 U.S. opioid overdose fatalities in 2016 alone. In New York City (NYC) opioid overdoses have reached a record high, increasing from 13.6 overdose deaths/100,000 to 19.9/100,000 from 2015 to 2016. Supervised injection facilities (SIFs) provide a hygienic, safe environment in which pre-obtained drug s can be consumed under clinical supervision to quickly reverse opioid overdoses. While SIFs have been implemented worldwide, none have been implemented to date in the United States.
How is the illicit flow of fentanyl and other synthetic opioids impacting communities across the United States? A recent RAND report examined mortality and seizure data at the state level across several drug classes to better understand the evolution and concentration of overdose fatalities in the United States.
ConclusionsAmong midlife women Veterans with chronic pain, evidence of menopausal symptoms was associated with potentially risky long-term opioid prescription patterns, independent of known risk factors.
Analyst, 2019, Accepted Manuscript DOI: 10.1039/C9AN01087D, PaperChetan Shende, Carl Brouillette, Stuart Farquharson A simple-to-use device to measure drugs in saliva, blood plasma, and whole blood for point-of-care analysis and treatment of overdose patients has been investigated. A rudimentary flow strip has been... The content of this RSS Feed (c) The Royal Society of Chemistry