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North Carolina Medical Journal

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https://www.readbyqxmd.com/read/29735630/running-the-numbers-county-level-dynamics-of-heroin-mortality-in-north-carolina
#1
Alexander H Gunn, Bryce Bartlett, Grace Feng, Matthew Gayed, Katie Kanter, Erica Onuoha, Madeline Thornton, Andrew Muzyk, Nicole Schramm-Sapyta
No abstract text is available yet for this article.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735629/harm-reduction-strategies-for-the-opiod-crisis
#2
Tessie Castillo
In order to reduce disease transmission and overdose death resulting from the opioid crisis, North Carolina has recently adopted several harm reduction programs, including community based naloxone distribution and syringe exchange. Additionally, discussions are taking place about safe injection facilities as a way to further reduce the harm of opioids.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735628/public-safety-is-public-health-public-health-is-public-safety-adult-correction-s-response-to-the-opioid-epidemic-in-north-carolina
#3
Joseph H Prater, Sonya Brown
No abstract text is available yet for this article.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735627/community-resource-court-a-model-for-accountability-and-recovery-same-people-different-outcomes
#4
Judge Joseph Buckner
Combining recovery for individuals with mental illness who have come into the criminal justice system with holding them accountable for their actions is the goal of Community Resource Court. This court is a template for obtaining better outcomes for certain individuals, their families, and communities in a cost-effective, destigmatizing manner. It mandates therapeutic engagement and individual accountability.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735626/opioid-use-disorder-treatment-recovery
#5
Smith Worth, Kenny House
The current opioid epidemic is devastating to the lives of individuals, families, and communities, but there are effective treatment approaches available. Treatment that combines proven medications with behavioral therapies and other supports is giving many in North Carolina the opportunity to engage in successful recovery.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735625/how-did-we-get-here-heroin-and-fentanyl-trafficking-trends-a-law-enforcement-perspective
#6
Leslie Cooley Dismukes
Illicit heroin and fentanyl are infecting North Carolina's communities, and causing an increasing number of overdose deaths. These trends in drug trafficking and opioid misuse represent a dramatic shift, necessitating a new and coordinated law enforcement response. The North Carolina Attorney General's Office is committed to working toward increased enforcement, prevention, and treatment to address this epidemic.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735624/how-north-carolina-hospitals-health-systems-and-care-providers-are-uniting-to-fight-the-opioid-epidemic
#7
Jai Kumar, Larry Greenblatt
No abstract text is available yet for this article.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735623/reducing-the-oversupply-of-prescription-opioids
#8
Sara McEwen, Steven Prakken
Prescribers have played an important role in the development of the opioid epidemic. Efforts to reduce the oversupply of prescription opioids are underway in the form of guidelines and legislation. Such efforts must be part of a larger public health approach that supports best practices and access to addiction treatment.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735622/meeting-opioid-users-where-they-are-a-service-referral-approach-to-law-enforcement
#9
Lars Paul
No abstract text is available yet for this article.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735621/fighting-the-opioid-epidemic-in-north-carolina-with-leadership-compassion-and-creativity-community-approaches
#10
Lisa Macon Harrison, Fred McClure
Our state's motto is "Esse quam videri - To be rather than to seem." North Carolina struggles with insufficient systems to adequately address the opioid crisis we are experiencing. However, progress is happening. Leaders are making a difference across organizations, partnerships, and communities large and small. Where there is a will, North Carolina people are finding creative solutions to address the opioid crisis and its underlying health issues. We cannot wait. We cannot seem. We cannot be afraid...
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735620/adverse-childhood-experiences-aces-an-important-element-of-a-comprehensive-approach-to-the-opioid-crisis
#11
Elizabeth Cuervo Tilson
Adverse childhood experiences (ACEs) are traumatic life events that are linked to more than 40 poor adult health outcomes. Up to two-thirds of drug use problems may be traced back to ACEs [1]. Investing in the resiliency of our children is an important component of a comprehensive approach to the opioid epidemic.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735619/stabilizing-the-mother-infant-dyad-for-better-outcomes-from-ob-to-fm-caring-for-patients-with-perinatal-opioid-use-disorder-through-the-4th-trimester
#12
Melinda Ramage, Bayla Ostrach, Blake Fagan, Carol C Coulson
No abstract text is available yet for this article.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735618/addiction-is-a-chronic-medical-illness
#13
Eric D Morse
Addiction is a chronic medical illness and needs to be viewed as such. For too long addiction has been viewed as episodic and has been treated in a 28-day inpatient rehab or 12-week outpatient program. That fact may explain why treatment outcomes for medication-assisted treatment (MAT) are better than short treatment episodes.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735617/the-opioid-epidemic-in-nc-progress-challenges-and-opportunities
#14
Susan M Kansagra, Mandy K Cohen
Like many states, North Carolina faces an opioid crisis that has rapidly intensified in recent years. Addressing this epidemic requires interventions such as judicious prescribing of opioids, community based prevention efforts, broader naloxone distribution, law enforcement efforts to curb drug trafficking, and harm reduction efforts like safe syringe programs. Expanding access to treatment and recovery services, as well as affordable health insurance for individuals with substance use disorder or at risk for developing a disorder, is also critical...
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735616/how-we-got-here
#15
Peter J Morris
No abstract text is available yet for this article.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735615/facilitators-and-barriers-to-naloxone-kit-use-among-opioid-dependent-patients-enrolled-in-medication-assisted-therapy-clinics-in-north-carolina
#16
Prasana Khatiwoda, Rae Jean Proeschold-Bell, Christina S Meade, Lawrence P Park, Scott Proescholdbell
BACKGROUND Naloxone-an opioid antagonist that reverses the effects of opioids-is increasingly being distributed in non-medical settings. We sought to identify the facilitators of, and barriers to, opioid users using naloxone kits in North Carolina. METHODS In 2015, we administered a 15-item survey to a convenience sample of 100 treatment seekers at 4 methadone/buprenorphine Medication Assisted Therapy (MAT) clinics in North Carolina. RESULTS Seventy-four percent of participants reported having ever gotten a naloxone kit; this percentage was higher for females (81%) than males (63%) ( P = ...
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735614/emergency-providers-opioid-prescribing-behaviors-among-medicare-part-d-beneficiaries-in-north-carolina-2013-2014-medication-utilization-and-costs
#17
Brittany Williams, Geoffrey Mospan, Rebecca Seabock, Chris Gillette, Michelle DeGeeter
BACKGROUND This study sought to quantify utilization and costs associated with opioid prescribing by emergency providers for Medicare Part D beneficiaries in North Carolina and the United States from 2013 to 2014. METHODS This was a retrospective examination of the Medicare Provider Utilization and Payment Data: Part D Prescriber datasets from 2013-2014. The main variables of interest were total number of prescription claims and total Medicare Part D medication costs for opioid analgesic medications. Generalized estimating equations were used to analyze the data...
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29735613/tar-heel-footprints-in-health-care-sean-mchugh
#18
Maggie A Bailey
No abstract text is available yet for this article.
May 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29563316/north-carolina-child-health-report-card-2018-special-focus-financial-security-opportunity-and-health
#19
(no author information available yet)
No abstract text is available yet for this article.
March 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29563315/spotlight-on-the-safety-net-investing-in-community-based-upstream-solutions
#20
Sharon Hirsch
No abstract text is available yet for this article.
March 2018: North Carolina Medical Journal
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