Can exercise help conquer addiction?
As an athlete, I think regularly about the potential health benefits of exercise for my patients. Every week, I treat patients hospitalized at Brigham and Women’s Hospital with significant medical problems that are a direct result of severe addiction, ranging from seizures and strokes to heart valve and joint infections. I also care for outpatients at the Brigham and Women’s Faulkner Hospital Addiction Recovery Program. In both settings, I provide medication-assisted treatment (MAT) such as buprenorphine-naloxone for opioid use disorder, and extended-release naltrexone for both alcohol use disorder and opioid use disorder. I work closely with therapists and social workers who offer our patients counseling and referrals to additional programs. I frequently discuss mutual-help groups such as Alcoholics Anonymous and SMART Recovery with patients. I use motivational interviewing techniques to help enhance motivation and guide patients towards their recovery goals. Suffice to say, I am a psychiatrist interested in pulling out all of the stops when it comes to treating addiction. Despite increased national attention and numerous interventions to tackle the opioid epidemic, recent statistics are still alarming. Drug overdose deaths involving synthetic opioids increased by 87% annually from 2013 to 2016. This dramatic increase is attributed mainly to the illicit manufacturing of fentanyl, an opioid approximately 100 times more potent than morphine. In Massachusetts, where...
Authors: Ashrafi MR, Amanat M, Garshasbi M, Kameli R, Nilipour Y, Heidari M, Rezaei Z, Tavasoli AR Abstract Introduction: Leukodystrophies constitute heterogenous group of rare heritable disorders primarily affecting the white matter of central nervous system. These conditions are often under-appreciated among physicians. The first clinical manifestations of leukodystrophies are often nonspecific and can occur in different ages from neonatal to late adulthood periods. The diagnosis is, therefore, challenging in most cases.Area covered: Herein, the authors discuss different aspects of leukodystrophies. The authors used...
Publication date: Available online 13 December 2019Source: Brain, Behavior, and ImmunityAuthor(s): F. Scott Hall, Dayanidhi Raman, Amit K. Tiwari
Publication date: 14–20 December 2019Source: The Lancet, Volume 394, Issue 10215Author(s): Basu Dev Pandey, Anthony Costello
Publication date: 14–20 December 2019Source: The Lancet, Volume 394, Issue 10215Author(s): Mohammed A Mamun, Jannatul Mawa Misti, Mark D Griffiths, David Gozal
Publication date: 14–20 December 2019Source: The Lancet, Volume 394, Issue 10215Author(s): Virginia Berridge
Publication date: Available online 12 December 2019Source: Journal of the Formosan Medical AssociationAuthor(s): I Chun Ma, Wei Hung Chang, Chen-Long Wu, Chih-Hao LinBackgroundFew studies have explored the field experiences and risk factors related to post-traumatic stress disorder (PTSD) among disaster rescue workers.MethodsA 6.4-magnitude earthquake struck southern Taiwan on February 6, 2016. A standardized, paper-based, self-administered survey questionnaire including demographic information, field experiences and the Post-Traumatic Stress Disorder Checklist (PCL) was conducted among emergency medical technicians (EMTs)...
ConclusionThe present study reports a variant subgroup GII-a PEDV HM2017 strain in China and characterize its pathogenicity. PEDV strain HM2017 of subgroup GII-a presents a promising vaccine candidate for the control of PED outbreaks in China.
Publication date: Available online 13 December 2019Source: Journal of Hospital InfectionAuthor(s): Helena C. Maltezou, Xanthi Dedoukou, Elpida Pavi, Maria Thoeodoridou, Kostas AthanasakisSummaryMeasles represents an occupational risk for healthcare personnel (HCP). A total of 117 cases of measles among HCP were notified in Greece during 2017-2018. We were able to contact 46 of them. Most of those contacted had a serious clinical course with complications, necessitating hospitalization in 67% of cases. All HCP reported absenteeism, for a mean duration of 21.2 working days (range: 3-60 days); 54.3% of HCP reported being at w...
ConclusionThis case report is the first one to present an invasive pulmonary mucormycosis infection after acute liver failure in an adult patient. The clinical course of this disease is highly lethal, even in immunocompetent adults.
St. Vincent Healthcare, Billings MT, Sheila White, acetaminophen, hydrocodone, steal opioids, addiction, tampering,
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