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Condition: Substance Abuse Disorders
Infectious Disease: Epidemics

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Total 252 results found since Jan 2013.

As cannabis laws relax, neuroscientist warns of its dangers for developing brain
One morning in June, barely 5 months after the first dispensary for recreational cannabis opened in New York state, neuroscientist Yasmin Hurd spoke via Zoom to an audience of educators and specialists who work with or run programs for children. The session’s organizers, alarmed by how many children in their South Bronx community were now getting their hands on cannabis, had sought Hurd’s expertise on the drug’s effects. Hurd put up a slide of the human brain, its bumps and grooves tinged blue, green, yellow, and red to indicate the distribution of the receptors to which tetrahydrocannabinol (THC), the psychoact...
Source: Science of Aging Knowledge Environment - August 31, 2023 Category: Geriatrics Source Type: research

An Analysis of Oxycodone and Hydrocodone Distribution Trends in Delaware, Maryland, and Virginia Between 2006 and 2014
Conclusion In the states of Maryland, Delaware, and Virginia, the distribution of the prescription opioids oxycodone and hydrocodone increased by 57.59%. Daily average dose increased between 2006 and 2010 in all three states, followed by a decline until 2014. Variability in daily average dose by county highlights the relationship between geography and likelihood of receiving high-dose opioids. Increased monitoring at regional health centers and improving substance abuse treatment infrastructure at the county level may be a more efficient strategy in combating the opioid epidemic. Future research is needed to understand the...
Source: Pain Physician - May 30, 2023 Category: Anesthesiology Authors: Conor M Eufemio Joseph D Hagedorn Kenneth L McCall Brian J Piper Source Type: research

American Health Care Is Broken. Major Hospitals Need to Be Part of the Solution
American health care is broken. And American health care systems must transform radically to lead the repair. Let’s first look at the data: The U.S. now spends more than $4 trillion a year on health care. That’s nearly 20% of gross domestic product. Yet U.S. life expectancy lags literally dozens of other nations—including Portugal, Slovenia, and Turkey—by as much as seven years. If trends continue, we will drop to 64th in the world in life expectancy by 2040, though we will continue to spend significantly more per capita than nearly any other nation. Diagnosing this failure is not difficult. Nearly ...
Source: TIME: Health - May 24, 2023 Category: Consumer Health News Authors: Donald M. Berwick and Michelle A. Williams Tags: Uncategorized freelance health Source Type: news

Opioid and cannabis co-use: The role of opioid use to cope with negative affect
The opioid epidemic is a significant public health concern, particularly among adults with chronic pain. There are high rates of cannabis co-use among these individuals and co-use is related to worse opioid-related outcomes. Yet, little work has examined mechanisms underlying this relationship. In line with affective processing models of substance use, it is possible that those who use multiple substances do so in a maladaptive attempt to cope with psychological distress.
Source: Journal of Substance Abuse Treatment - January 5, 2023 Category: Addiction Authors: Julia D. Buckner, Caroline R. Scherzer, Andrew H. Rogers, Michael J. Zvolensky Source Type: research

Beyond the Basics: How Should We Manage Acute Pain in Hospitalized Patients with OUD?
Case A 23-year-old male with opioid use disorder (OUD) with intravenous use is hospitalized with a fever and several weeks of back pain. He is diagnosed with methicillin-resistant Staphylococcus aureus bacteremia and osteomyelitis of the cervical spine. He desires medication treatment for OUD (MOUD) but is afraid of inadequate pain management while hospitalized. During previous admissions, untreated pain and withdrawal led to in-hospital substance use.  Brief overview of issue The opioid epidemic is increasing hospitalizations and inpatient mortality related to OUD.1 Patients with injection use can experience painful, lif...
Source: The Hospitalist - November 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Clinical Guidelines Key Clinical Questions Pain Source Type: research

Opioid Use Disorder Increases Readmissions After Cardiac Surgery: A Call to Action
CONCLUSIONS: Cardiac surgery patients with OUD are subject to multiple readmissions but are rarely provided adequate addiction management during their index admission. Greater emphasis on multidisciplinary management is necessary to limit costs and morbidity associated with readmission/reoperation.PMID:35283099 | DOI:10.1016/j.athoracsur.2022.02.045
Source: The Annals of Thoracic Surgery - March 14, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Krish C Dewan Guangjin Zhou Siran M Koroukian Gosta Petterson Faisal Bakaeen Eric E Roselli Lars G Svensson A Marc Gillinov Douglas Johnston Edward G Soltesz Source Type: research

HealthCare educational differences in pain management, adverse childhood experiences and their relationship to substance use disorder education
In order to assist the State of Ohio in the United States in addressing the opioid epidemic, the Ohio Attorney General appointed experts in a variety of academic disciplines to the Scientific Committee on Opio...
Source: Substance Abuse Treatment, Prevention, and Policy - February 7, 2022 Category: Addiction Authors: Myriam Shaw Ojeda, Aleda M. H. Chen, Tessa Miracle, Elizabeth Delaney, Caroline E. Freiermuth and Jon E. Sprague Tags: Research Source Type: research

Fentanyl and COVID-19 May Have Made the Opioid Epidemic Even Deadlier
The recent surge in drug overdose deaths shocked even some of the most jaded observers of American addiction: 100,306 dead from April 2020 to April 2021, the first time the toll topped six figures in a 12-month period, according to provisional data from the National Center for Health Statistics. New data released yesterday by the U.S. Centers for Disease Control and Prevention (CDC) point to one potential culprit: illegally manufactured fentanyl, a synthetic opioid that can be 50 times more potent than heroin. When used legally, with a doctor’s prescription, this class of drugs is meant to help people experiencing se...
Source: TIME: Health - December 15, 2021 Category: Consumer Health News Authors: Tara Law Tags: Uncategorized Addiction healthscienceclimate Source Type: news

Narcotic Free Cervical Endocrine Surgery: A Shift in Paradigm
Background and Objective: The opioid epidemic has stimulated initiatives to reduce the number of unnecessary narcotic prescriptions. We adopted an opt-in prescription system for patients undergoing ambulatory cervical endocrine surgery (CES). We hypothesized that empowering patients to decide whether or not to receive narcotics for pain control would result in fewer unnecessary opioid prescriptions. Methods: We enrolled all patients scheduled for outpatient CES between July 2017 and June 2018 in a narcotic opt-in program. Patient demographics, procedure characteristics, and postoperative pain scores were collect...
Source: Annals of Surgery - July 15, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

UC Davis Train-the-Trainer Primary Care Pain Management Fellowship: Addressing the Pain Management Education Gap
Problem Primary care providers are responsible for the majority of pain care and opioid prescribing, but they are often inadequately trained. Training current providers to address the crisis of excessive opioid prescribing and inadequate pain management is a substantial workforce problem that requires urgent action. This educational need is vast and requires a staged solution to amplify its effect. Approach The University of California, Davis Train-the-Trainer (T3) Primary Care Pain Management Fellowship targets the most pressing topics related to pain management, including prescription drug abuse, responsible o...
Source: Academic Medicine - February 1, 2021 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research

Confronting the opioid crisis with consumer health information: a look at East Tennessee.
Conclusions: From 2005 to 2014, there were few requests about mental health, pain, and substance abuse. However, once the library moved into the hospital and there was an increase in awareness of opioid addiction, requests on those topics increased. Most of the requests were about pain, with the height occurring in 2017, during which year the public health emergency to fight the epidemic was declared. Additionally, 2017 was the year the hospital implemented visitor limitations for patients with infections associated with intravenous drug use, which might explain the drastic drop in substance abuse information requests in 2...
Source: Journal of the Medical Library Association : JMLA - January 13, 2021 Category: Databases & Libraries Tags: J Med Libr Assoc Source Type: research

Confronting the opioid crisis with consumer health information: a look at East Tennessee
CONCLUSIONS: From 2005 to 2014, there were few requests about mental health, pain, and substance abuse. However, once the library moved into the hospital and there was an increase in awareness of opioid addiction, requests on those topics increased. Most of the requests were about pain, with the height occurring in 2017, during which year the public health emergency to fight the epidemic was declared. Additionally, 2017 was the year the hospital implemented visitor limitations for patients with infections associated with intravenous drug use, which might explain the drastic drop in substance abuse information requests in 2...
Source: J Med Libr Assoc AND... - January 11, 2021 Category: Databases & Libraries Authors: Kelsey Leonard Grabeel Jenny C Moore Source Type: research