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Development and evaluation of a pre-clerkship spiral curriculum: data from three medical school classes
We describe the implementation of a formal Spiral Curriculum that periodically revisits material from previous blocks. Learners were surveyed on receptivity to the curriculum across three graduating classes at a single medical school. Medical school graduate classes of 2020, 2021, and 2022 were surveyed at the end of their pre-clerkship years (2018-2020). The class of 2022 actually received the Spiraled Curriculum intervention, for which the authors created 500 board exam style multiple-choice questions, periodically administered via mandatory in-class sessions ranging from 10 to 20 questions reviewing content from previou...
Source: Medical Education Online - January 16, 2023 Category: Universities & Medical Training Authors: Anthony J Maltagliati Joshua H Paree Kadian L McIntosh Kevin F Moynahan Todd W Vanderah Source Type: research

Dr Junkie. The Doctor Addict in Bulgakov’s Morphine: What are the Lessons for Contemporary Medical Practice?
Abstract Historical, cultural and professional factors have contributed to stigma and secrecy regarding addiction in the medical profession and there are calls to improve education in this area. This paper argues that physician-penned literature plays an important role in raising awareness of substance misuse in the medical profession. Bulgakov’s short story Morphine documents the decline of Dr Polyakov and illustrates a number of salient professional issues such as self-medication, abuse of authority and risks to patients. Physician-penned literature such as Morphine is of value in medical education as it offe...
Source: Journal of Medical Humanities - November 12, 2015 Category: Medical Ethics Source Type: research

Fellow Versus Resident: Graduate Medical Education and Patient Outcomes After Anterior Cervical Diskectomy and Fusion Surgery.
This study shows that patient health-related outcomes are similar in ACDF cases that were fellow-assisted versus resident-assisted. However, fellow-assisted ACDF cases were associated with more blood loss and longer surgery time. PMID: 31365356 [PubMed - as supplied by publisher]
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 2, 2019 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Counties in California sue manufacturers of opioid analgesics
This week, two counties in California sues five manufacturers of opioid analgesics, accusing them of carrying out a “campaign of deception” to boost sales of their products. According to a report in the Los Angeles Times: In sweeping language reminiscent of the legal attack against the tobacco industry, the lawsuit alleges the drug companies have reaped blockbuster profits by manipulating doctors into believing the benefits of narcotic painkillers outweighed the risks, despite “a wealth of scientific evidence to the contrary.” The effort “opened the floodgates” for such drugs and “...
Source: The Poison Review - May 25, 2014 Category: Toxicology Authors: Leon Tags: Medical lawsuit opiates opioid analgesics pain as fifth vital sign Source Type: news

Oxymorphone, incredible mosquito videos, and more: Weekly Web Review in Toxicology
http://www.youtube.com/watch?v=RLIYuXlUS3k It ain’t tox, but . . .: The must-see video’s of the week were included in a fascinating post by Ed Yong on the National Geographic site. They illustrate what happens on a microscopic level as a mosquito stings and searches for blood vessels. The clip above shows the surprisingly complex proboscis probing for its next meal. In the clip below, it strikes pay dirt. One wonders if the mosquito would have more success using ultrasound: http://www.youtube.com/watch?v=MbXSPacvuak ER visits and prescription stimulants: The Drug Abuse Warning Network (DAWN) reported this wee...
Source: The Poison Review - August 10, 2013 Category: Toxicology Authors: Leon Tags: Medical adderall mosquito nebulized naloxone opana oxymorphone Ritalin Source Type: news

Modelling the potential impact of abuse-deterrent opioids on medical resource utilization.
Conclusion: Agonist/antagonist abuse-deterrent opioid technology is associated with higher annual medical cost savings and more avoided events than physical/chemical barrier technology. Total net savings are dependent upon the abuse-deterrent opioid price relative to non-abuse-deterrent opioids. PMID: 31314616 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - July 19, 2019 Category: Health Management Tags: J Med Econ Source Type: research

Medical marijuana could save my daughter's life | Margaret Storey
My child doesn't want to get high, she wants to get better. She can't do that while weed remains criminalized in most of the USMy 10-year-old daughter has big blue eyes and is a serious fan of the Chicago Blackhawks. She loves music, fairy tales, and driving under city streetlights at night. She also cannot walk, talk or feed herself, thanks to the uncontrolled seizures that have resisted all attempts at treatment since she was three months old. Every day, she is at risk of SUDEP, or Sudden Unexpected Death in Epilepsy.Just in the last year, something truly promising has appeared on the horizon for her and other children w...
Source: Guardian Unlimited Science - January 25, 2014 Category: Science Authors: Margaret Storey Tags: Comment theguardian.com United States Children Health Medical research Drugs Epilepsy Drugs policy Medicine Comment is free Source Type: news

Advanced Pain Medical Group in San Fernando Valley Now Offering...
The top pain management clinic in San Fernando and Simi Valley, Advanced Pain Medical Group, is now offering intrathecal morphine pain pumps. The revolutionary treatment is extremely effective for...(PRWeb January 05, 2015)Read the full story at http://www.prweb.com/releases/intrathecal-pain-pumps/advanced-pain-medical/prweb12422558.htm
Source: PRWeb: Medical Pharmaceuticals - January 6, 2015 Category: Pharmaceuticals Source Type: news

Medical Marijuana Research
What we are learning.I have reported here Medical Marijuana research and its therapeutic value for treating pain. The specifics posts feature publications that reference use of our Pain and Inflammation Research Markers. These include: J. Desroches, J.-F. Bouchard, L. Gendron, P. Beaulieu. Involvement of cannabinoid receptors in peripheral and spinal morphine analgesia ☆ Neuroscience, Volume 261, 7 March 2014, Pages 23–42.http://dx.doi.org/10.1016/j.neuroscience.2013.12.030.Iryna A. Khasabova,Sergey Khasabov, Justin Paz, Catherine Harding-Rose, Donald A. Simone, and Virginia S. Seybold. Cannabinoid Type-1 Receptor Redu...
Source: Neuromics - August 12, 2015 Category: Neuroscience Tags: 5HT Antibodies 5HT2AR Antibody Cognition Medical Marijuana Memory Pain Source Type: news

Reciprocal Evolution of Opiate Science from Medical and Cultural Perspectives.
Authors: Stefano GB, Pilonis N, Ptacek R, Kream RM Abstract Over the course of human history, it has been common to use plants for medicinal purposes, such as for providing relief from particular maladies and self-medication. Opium represents one longstanding remedy that has been used to address a range of medical conditions, alleviating discomfort often in ways that have proven pleasurable. Opium is a combination of compounds obtained from the mature fruit of opium poppy, papaver somniferum. Morphine and its biosynthetic precursors thebaine and codeine constitute the main bioactive opiate alkaloids contained in op...
Source: Medical Science Monitor - June 14, 2017 Category: Research Tags: Med Sci Monit Source Type: research

Study: Doctors Who Prescribe More Opioids Make More Money
This study suggests that conflicts of interest with the pharmaceutical industry may influence oncologists in high-stakes treatment decisions for patients with cancer,” the authors concluded. Some studies have looked at whether the amount of money a doctor receives makes a difference. Studies by researchers at Yale University, the George Washington University Milken Institute of Public Health and Harvard Medical School have all found that the more money physicians are paid by pharmaceutical companies, the more likely they are to prescribe certain drugs. Dr. Patrice Harris, a spokeswoman for the American Medical Associ...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - March 12, 2018 Category: Consumer Health News Authors: Health – CBS Boston Tags: Health News Local TV opioid crisis opioids Source Type: news

Cannabis-based medicines and medical cannabis for adults with cancer pain
CONCLUSIONS: There is moderate-certainty evidence that oromucosal nabiximols and THC are ineffective in relieving moderate-to-severe opioid-refractory cancer pain. There is low-certainty evidence that nabilone is ineffective in reducing pain associated with (radio-) chemotherapy in people with head and neck cancer and non-small cell lung cancer. There is low-certainty evidence that a single dose of synthetic THC analogues is not superior to a single low-dose morphine equivalent in reducing moderate-to-severe cancer pain. There is low-certainty evidence that CBD does not add value to specialist palliative care alone in the ...
Source: Cochrane Database of Systematic Reviews - June 7, 2023 Category: General Medicine Authors: Winfried H äuser Patrick Welsch Lukas Radbruch Emma Fisher Rae Frances Bell R Andrew Moore Source Type: research