keyword
https://read.qxmd.com/read/38435197/a-case-of-tizanidine-withdrawal-and-road-to-recovery
#21
Tomas Escobar Gil, Kevin J McGeorge, Aaron J Jones
This case report highlights the complexities of tizanidine withdrawal in a 68-year-old woman with chronic pain. Tizanidine, a widely used imidazole-derived muscle relaxant, poses challenges due to the absence of standardized withdrawal protocols. The patient's presentation included hypertension and tachycardia following a gradual reduction in her outpatient tizanidine dose. During the de-escalation of tizanidine, the patient experienced withdrawal symptoms, including severe body aches, hypertension, and tachycardia...
February 2024: Curēus
https://read.qxmd.com/read/38426533/a-nationwide-survey-study-of-recovery-community-centers-supporting-people-in-recovery-from-substance-use-disorder
#22
JOURNAL ARTICLE
Bettina B Hoeppner, Hazel V Simpson, Catherine Weerts, Marion J Riggs, Alivia C Williamson, Diadora Finley-Abboud, Lauren A Hoffman, Philip X Rutherford, Patty McCarthy, Julia Ojeda, Amy A Mericle, Vinod Rao, Brandon G Bergman, Akosua B Dankwah, John F Kelly
OBJECTIVE: The medical community has become aware of its role in contributing to the opioid epidemic and must be part of its resolution. Recovery community centers (RCCs) represent a new underused component of recovery support. METHODS: This study performed an online national survey of all RCCs identified in the United States, and used US Census ZIP code tabulation area data to describe the communities they serve. RESULTS: Residents of areas with RCCs were more likely to be Black (16...
March 1, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38425462/the-development-of-a-recovery-coaching-training-curriculum-to-facilitate-linkage-to-and-increase-retention-on-medications-for-opioid-use-disorder
#23
JOURNAL ARTICLE
Trevor Moffitt, Amanda Fallin-Bennett, Laura Fanucchi, Sharon L Walsh, Christopher Cook, Devin Oller, Anna Ross, Molly Gallivan, John Lauckner, Jeremy Byard, Phoebe Wheeler-Crum, Michelle R Lofwall
INTRODUCTION: Medication treatment for opioid use disorder (MOUD) decreases opioid overdose risk and is the standard of care for persons with opioid use disorder (OUD). Recovery coach (RC)-led programs and associated training curriculums to improve outcomes around MOUD are limited. We describe our comprehensive training curriculum including instruction and pedagogy for novel RC-led MOUD linkage and retention programs and report on its feasibility. METHODS–PEDAGOGY AND TRAINING DEVELOPMENT: The Kentucky HEALing (Helping to End Addiction Long-termSM ) Communities Study (HCS) created the Linkage and Retention RC Programs with a local recovery community organization, Voices of Hope-Lexington...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38419101/integrating-substance-use-peer-support-and-screening-brief-intervention-and-referral-to-treatment-services-in-the-emergency-department-a-descriptive-study-of-the-ed-leads-program
#24
JOURNAL ARTICLE
Lynsey Avalone, Monique Lalane, Carla King, Kayna Pfeiffer, Rebecca Linn-Walton, Charles Barron
BACKGROUND: The ED Leads program was introduced to 11 emergency departments (EDs) within New York City public hospitals from 2018 to 2019 to address a need for addiction support services in the ED. The purpose of this study is to (i) describe the ED Leads blended licensed-clinician and peer counselor team model in the ED at three hospitals, (ii) provide a descriptive analysis of patient engagement and referrals to substance use disorder (SUD) care post-intervention, and (iii) highlight potential barriers and facilitators to implementing the model...
February 28, 2024: Addiction Science & Clinical Practice
https://read.qxmd.com/read/38413957/reducing-wait-times-and-avoiding-unnecessary-use-of-high-cost-mental-health-services-through-a-rapid-access-and-stabilization-program-protocol-for-a-program-evaluation-study
#25
JOURNAL ARTICLE
Medard K Adu, Raquel da Luz Dias, Gloria Obuobi-Donkor, Ngozi Ezeanozie, Sanjana Sridharan, Jason Morrison, Patryk Simon, Bryanne Taylor, Monica MacKinnon, Shiloh Gossen, Mahmoud Awara, Mattew White, Reham Shalaby, Belinda Agyapong, Ejemai Eboreime, JianLi Wang, Cindy Feng, Lori Wozney, Prosper Koto, Jordan Warford, Gail Tomblin Murphy, Vincent Israel Opoku Agyapong
BACKGROUND: Emergency psychiatric care, unplanned hospital admissions, and inpatient health care are the costliest forms of mental health care. According to Statistics Canada (2018), almost 18% (5.3 million) of Canadians reported needing mental health support. However, just above half of this figure (56.2%) have reported their needs were fully met. In light of this evidence there is a pressing need to provide accessible mental health services in flexible yet cost-effective ways. To further expand capacity and access to mental health care in the province, Nova Scotia Health has launched a novel mental health initiative for people in need of mental health care without requiring emergency department visits or hospitalization...
February 27, 2024: BMC Health Services Research
https://read.qxmd.com/read/38411964/effect-of-a-co-located-bridging-recovery-initiative-on-hospital-length-of-stay-among-patients-with-opioid-use-disorder-the-bridge-randomized-clinical-trial
#26
RANDOMIZED CONTROLLED TRIAL
David Marcovitz, Mary Lynn Dear, Rebecca Donald, David A Edwards, Kristopher A Kast, Thao D V Le, Mauli V Shah, Jason Ferrell, Cheryl Gatto, Cassandra Hennessy, Reagan Buie, Todd W Rice, William Sullivan, Katie D White, Grace Van Winkle, Rachel Wolf, Christopher J Lindsell
IMPORTANCE: Co-located bridge clinics aim to facilitate a timely transition to outpatient care for inpatients with opioid use disorder (OUD); however, their effect on hospital length of stay (LOS) and postdischarge outcomes remains unclear. OBJECTIVE: To evaluate the effect of a co-located bridge clinic on hospital LOS among inpatients with OUD. DESIGN, SETTING, AND PARTICIPANTS: This parallel-group randomized clinical trial recruited 335 adult inpatients with OUD seen by an addiction consultation service and without an existing outpatient clinician to provide medication for OUD (MOUD) between November 25, 2019, and September 28, 2021, at a tertiary care hospital affiliated with a large academic medical center and its bridge clinic...
February 5, 2024: JAMA Network Open
https://read.qxmd.com/read/38395015/mindfulness-induced-self-transcendence-promotes-universal-love-with-consequent-effects-on-opioid-misuse
#27
JOURNAL ARTICLE
Eric L Garland, Thupten Jinpa
In addition to its health benefits, mindfulness has been theorized in classical contemplative frameworks to elicit self-transcendent experiences as a means of promoting universal love and compassion. Increasing feelings of love may be especially clinically relevant for the treatment of opioid misuse, in that addictive use of opioids dysregulates neurobiological processes implicated in the experience of love. Here we tested these hypotheses in a secondary analysis (n = 187) of data from a randomized clinical trial of Mindfulness-Oriented Recovery Enhancement (MORE) versus supportive psychotherapy for comorbid opioid misuse and chronic pain...
February 7, 2024: Behaviour Research and Therapy
https://read.qxmd.com/read/38394814/learning-with-conviction-exploring-the-relationship-between-criminal-legal-system-involvement-and-substance-use-and-recovery-outcomes-for-students-in-collegiate-recovery-programs
#28
JOURNAL ARTICLE
Noel Vest, Justin S Bell, Alexa Nieder, Rebecca Smith, Thomas Bannard, Sarah Tragesser, Patrick Hibbard, Danielle M Dick
This study examines the association of criminal legal system involvement and age with substance use and academic related outcomes among students involved in collegiate recovery programs in the US. We examined 435 students in collegiate recovery using a national survey of college students. We computed differences between non-system-involved, system-involved with no incarceration history, and formerly incarcerated participants on relevant substance use and recovery-related outcomes. The results provide evidence that there are significant differences between those system-involved and those who are not...
February 13, 2024: Drug and Alcohol Dependence
https://read.qxmd.com/read/38389900/alcohol-use-and-the-pain-system
#29
REVIEW
Michael Vigorito, Sulie L Chang
The World Health Organization's epidemiological data from 2016 revealed that while 57% of the global population aged 15 years or older had abstained from drinking alcohol in the previous year, more than half of the population in the Americas, Europe, and Western Pacific consumed alcohol. The spectrum of alcohol use behavior is broad: low-risk use (sensible and in moderation), at-risk use (e.g., binge drinking), harmful use (misuse) and dependence (alcoholism; addiction; alcohol use disorder). The at-risk use and misuse of alcohol is associated with the transition to dependence, as well as many damaging health outcomes and preventable causes of premature death...
2024: Adv Drug Alcohol Res
https://read.qxmd.com/read/38386531/-selling-their-souls-nurses-understanding-of-addiction-and-recovery-in-acute-hospital-settings
#30
JOURNAL ARTICLE
Sadie Lavelle Cafferkey, Peter Kelly, Catherine Comiskey
BACKGROUND: Nursing disciplines do not currently have a shared understanding of addiction or recovery to address their contribution to their patients' needs. Recent developments of addiction nursing models, alongside an international move to standardise language, is slow to be reflected in nurses' perceptions in acute hospital settings. AIM: To explore nurses' understanding of addiction and recovery in acute general hospitals. METHODS: A qualitative study with semi-structured open-ended questions informed by a prior literature review was undertaken with nurses working in an acute general hospital in Dublin, Ireland...
February 22, 2024: British Journal of Nursing: BJN
https://read.qxmd.com/read/38385062/scales-for-participant-alliance-with-recovery-coach-sparc-initial-development-and-pilot-test
#31
JOURNAL ARTICLE
Amanda Fallin-Bennett, Martha Tillson, J Matthew Webster, Carrie B Oser, Jennifer Edwards Becan, Kevin Knight, Jeremy Byard, Michele Staton
Recovery coaches are individuals with lived experience with recovery from substance use disorder who typically engender a greater sense of trust than found with other types of healthcare providers. However, there currently are no validated tools that measure the connection between recovery coaches and their participants. The purpose of this study was to describe the initial development of the Scales for Participant Alliance with Recovery Coach (SPARC) to measure recovery coach connection or alliance, including initial psychometric analyses...
2024: Addiction Research & Theory
https://read.qxmd.com/read/38384362/what-a-pain-in-the-%C3%A2-back-a-review-of-current-treatment-options-with-a-focus-on-naproxen-sodium
#32
REVIEW
Steven M Weisman, Giovanni Ciavarra, Grant Cooper
Non-specific low back pain (LBP) represents a challenging and prevalent condition that is one of the most common symptoms leading to primary care physician visits. While established guidelines recommend prioritizing non-pharmacological approaches as the primary course of action, pharmacological treatments are advised when non-pharmacological approaches are ineffective or based on patient preference. These guidelines recommend non-steroidal anti-inflammatory drugs (NSAIDs) or skeletal muscle relaxers (SMRs) as the first-line pharmacological options for acute or subacute LBP, while NSAIDs are the exclusive first-line pharmacological option for chronic LBP...
2024: Journal of Pharmacy & Pharmaceutical Sciences: a Publication of the Canadian Society for Pharmaceutical Sciences
https://read.qxmd.com/read/38383917/determination-of-toxic-elements-in-cannabinoid-and-opioid-drugs-and-their-impact-on-addicts-health-a-comparative-study
#33
JOURNAL ARTICLE
Ahsanullah Unar, Oan Muhammad Sahito, Laila Alsawalha, Hassan Imran Afridi, Farid Shokry Ataya, Muhammad Sohail Bashir, Dalia Fouad, Farah Naz Talpur, Naveed Ali
Drug addiction is associated with significant health risks, including cardiovascular complications, cancer, and mental disorders. Illicit drugs, such as cannabinoids and opioids, including prescription medications, are widely consumed and have profound health consequences. Understanding the health effects of the toxic elements in these substances is critical for overdose prevention and effective recovery strategies. This study aimed to determine toxic elements, including arsenic (As), cadmium (Cd), mercury (Hg), and nickel (Ni), in cannabinoid and opioid drugs and in biological samples (whole blood, scalp hair, and serum) from 311 male drug abuse patients aged 15-60 years with a history of drug abuse...
February 22, 2024: Biological Trace Element Research
https://read.qxmd.com/read/38383566/a-mixed-methods-experience-sampling-study-of-a-posttraumatic-growth-model-for-addiction-recovery
#34
JOURNAL ARTICLE
Jason D Runyan, Silas Vermilya, Megan St Pierre, Nathan W Brooks, Avery Fowler, Tia Brewer
Problematic substance use and addiction is a growing crisis in the United States. As a result, identifying factors that effectively promote addiction recovery is, currently, of particular societal importance. Informed by evidence that-while addiction can be perpetuated by stress-related impulsivity and decreased self-regulation-perceived social support is protective against addiction, we test a model for addiction recovery as a form of posttraumatic growth (PTG), focused specifically on close relationships and personal strength-two domains of PTG...
February 21, 2024: Scientific Reports
https://read.qxmd.com/read/38383315/immunotherapeutic-properties-of-dexmedetomidine-on-pain-management-and-cardiovascular-function-in-videolaparoscopic-cholecystectomies-a-randomized-two-arm-double-blinded-placebo-controlled-trial
#35
JOURNAL ARTICLE
Gustavo Nascimento Silva, Virna Guedes Brandão, Marcelo Vaz Perez, Sandoval Lage Sobrinho, João Gabriel de Cerqueira Campos Villardi, Priscilla Mendonça do Sacramento, Luiz Claudio Pereira Ribeiro, Rossano Kepler Alvim Fiorelli
BACKGROUND: Laparoscopy represented one of the most innovative surgical techniques approached in the surgery field. Dexmedetomidine association with general anesthesia promotes the response control to trauma by altering the neuroinflammatory reflex, provides better clinical outcomes in the postoperative period and reduces the excessive use of drugs with risk for addiction. This trial aims to evaluate the potential drug treatment of dexmedetomidine on organic function, with the targets in neuroinflammation, perioperative pain control and blood pressure measurements in a medium-sized surgical model...
February 21, 2024: Surgical Innovation
https://read.qxmd.com/read/38383009/healing-journey-experiences-of-first-nations-individuals-with-recovery-from-opioid-use
#36
JOURNAL ARTICLE
Sharen Madden, Ariel Root, Maria Cindy Suganaqueb, Levi Sofea, Carla Duncan, Janet Gordon, Jenna Poirier, Charles Meekis, Deiter Sainnawap, Ruben Hummelen, Len Kelly
OBJECTIVE: To understand experiences of recovery from opioid use among First Nations individuals living in a small remote community. DESIGN: Qualitative phenomenologic study. SETTING: Northwestern Ontario. PARTICIPANTS: Sixteen First Nations individuals living in a remote community who had participated in or completed the community opioid agonist therapy program. METHODS: Extensive community consultation took place to ensure local acceptance of the study and permission for publication...
February 2024: Canadian Family Physician Médecin de Famille Canadien
https://read.qxmd.com/read/38379336/look-away-now-defensive-processing-and-unrealistic-optimism-by-level-of-alcohol-consumption
#37
JOURNAL ARTICLE
J Morris, H Tattan-Birch, I P Albery, N Heather, A C Moss
OBJECTIVE: Health risk information is insufficient as a means of reducing alcohol use, particularly when it evokes negative emotional states amongst those for whom it is most personally relevant. Appraisal biases, or 'defensive processing', may be employed to mitigate the psychological discomfort posed by such information. Few studies have evaluated the role of defensive processing in people with different levels of alcohol consumption. DESIGN: Online participants ( n  = 597) completed measures of defensive processing of a health risk infographic, perceived susceptibility and severity of alcohol use, efficacy for resisting alcohol use, unrealistic optimism, the Alcohol Use Disorder Identification Test - Consumption (AUDIT-C) and demographics...
February 20, 2024: Psychology & Health
https://read.qxmd.com/read/38353636/the-long-shadow-of-addiction-related-nostalgia-nostalgia-predicts-ambivalence-and-undermines-the-benefits-of-optimism-in-recovery
#38
JOURNAL ARTICLE
Mackenzie Dowson, Michael J A Wohl
Background : Previous research has shown that nostalgia for the pre-addicted self can motivate people living with addiction to engage in behavior change. Objective : Herein, we explored nostalgia for the addictive behavior-labeled addiction-related nostalgia (ARN)-among people in recovery from engaging in addictive behavior. We tested the novel idea that ARN is positively associated with ambivalence about recovery. We also hypothesized that ARN may counteract the positive influence of optimism on individuals' commitment to recovery...
February 14, 2024: Substance Use & Misuse
https://read.qxmd.com/read/38351440/serum-brain-derived-neurotrophic-factor-in-relation-to-craving-and-duration-of-abstinence-in-patients-with-heroin-dependence-a-case-control-study
#39
JOURNAL ARTICLE
Mohamed Arafa, Dalia Ahmed Enaba, Heba Baz, Maged A Gomaa, Sara Abdelnaser Ragab, Mennat-Allah Tarek
BACKGROUND AND OBJECTIVES: Addiction is a chronic disorder that comes with emotional and financial burdens. Several neurobiological factors were correlated to opiate-use disorder which is brain-derived neurotrophic factor (BDNF). BDNF has been found to be involved in long-term potentiation of synaptic strength, a mechanism that is thought to motivate both natural adaption mechanisms as well as the development of addictive behavior. In this study, we aimed to address the relation between BDNF serum level and heroin craving and the effect of duration of abstinence on them...
February 13, 2024: American Journal on Addictions
https://read.qxmd.com/read/38348849/recommendations-on-the-use-of-prehabilitation-i-e-comprehensive-preparation-of-the-patient-for-surgery
#40
JOURNAL ARTICLE
Tomasz Banasiewicz, Jarosław Kobiela, Jarosław Cwaliński, Piotr Spychalski, Patrycja Przybylska, Karolina Kornacka, Dagmara Bogdanowska-Charkiewicz, Magdalena Leyk-Kolańczak, Maciej Borejsza-Wysocki, Dominika Batycka-Stachnik, Rafał Drwiła
Prehabilitation is a comprehensive preparation of a patient for primarily surgical treatments. Its aim is to improve the patient'sgeneral condition so as to reduce the risk of complications and ensure the fastest possible recovery to full health. Thebasic components of prehabilitation include: improvement of nutritional status, appropriate exercises to improve functioning,psychological support, and help in eliminating addictions. Other important aspects of prehabilitation are: increasinghemoglobin levels in patients with anemia, achieving good glycemic control in patients with diabetes, treatment or stabilizationof any concurrent disorders, or specialist treatment associated with a specific procedure (endoprostheses, ostomyprocedure)...
September 15, 2023: Polski Przeglad Chirurgiczny
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