keyword
MENU ▼
Read by QxMD icon Read
search

Opioid Epidemic

keyword
https://www.readbyqxmd.com/read/29778260/treatment-of-chronic-hepatitis-c-in-patients-receiving-opioid-agonist-therapy-a-review-of-best-practice
#1
REVIEW
Brianna L Norton, Matthew J Akiyama, Philippe J Zamor, Alain H Litwin
Injection drug use is the most common transmission route for hepatitis C. High rates of infection are observed among individuals on opioid agonist therapy. Although people who inject drugs carry the highest burden, few have initiated treatment. We present a comprehensive review of the evidence on the efficacy of HCV medications, drug-drug interactions, and barriers to and models of care. Studies have demonstrated comparable efficacy for individuals who are on opioid agonist therapy compared with those who are not...
June 2018: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/29777871/pain-therapeutics-from-cone-snail-venoms-from-ziconotide-to-novel-non-opioid-pathways
#2
Helena Safavi-Hemami, Shane E Brogan, Baldomero M Olivera
There have been numerous attempts to develop non-opioid drugs for severe pain, but the vast majority of these efforts have failed. A notable exception is Ziconotide (Prialt®), approved by the FDA in 2004. In this review, we summarize the present status of Ziconotide as a therapeutic drug and introduce a wider framework: the potential of venom peptides from cone snails as a resource providing a continuous pipeline for the discovery of non-opioid pain therapeutics. An auxiliary theme that we hope to develop is that these venoms, already a validated starting point for non-opioid drug leads, should also provide an opportunity for identifying novel molecular targets for future pain drugs...
May 16, 2018: Journal of Proteomics
https://www.readbyqxmd.com/read/29771763/recognizing-diagnosing-and-preventing-child-maltreatment-an-update-for-pediatric-clinicians
#3
Fiona Danaher, Andrea Vandeven, Aine Blanchard, Alice W Newton
PURPOSE OF REVIEW: Despite an increasing understanding of the impact of emotional trauma and physical abuse on children, clinicians and hospitals still sometimes miss the diagnosis of abuse. The literature in 2017 focused on creating standardized approaches to recognition and diagnosis of physical abuse and occult injury, including using the electronic medical record to provide triggers for consultation of the hospital Child Protection Program. The American College of Radiology updated their standardized approach to the evaluation of physical abuse in the child, and other authors gave us screening tools for commercial exploitation, as well as guidance about how to recognize risks for emotional abuse in families...
May 15, 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/29762153/increased-mortality-and-reoperation-rates-after-treatment-for-septic-arthritis-of-the-knee-in-people-who-inject-drugs-nationwide-inpatient-sample-2000-2013
#4
David Hyung Won Oh, Alysse Gail Wurcel, David Joseph Tybor, Deirdre Burke, Mariano E Menendez, Matthew Joseph Salzler
BACKGROUND: The United States has a growing opioid epidemic impacting all aspects of health care including orthopaedic surgery. Septic arthritis of the knee is a condition commonly encountered by orthopaedic surgeons related to opioid and injection drug use (IDU). Changes in the frequency of hospitalizations for IDU-related septic arthritis and differences in septic arthritis patient outcomes according to IDU status in the setting of the burgeoning opioid epidemic are unknown. QUESTIONS/PURPOSES: (1) What proportion of patients with septic arthritis of the knee use injection drugs? (2) Are there any differences in complications, reoperations, length of stay, and leaving against medical advice among patients with septic arthritis of the knee with and without IDU? (3) What are the age and racial trends in IDU-related septic arthritis of the knee from 2000 to 2013? METHODS: The Healthcare Cost and Utilization Project, Nationwide Inpatient Sample database of years 2000 to 2013 was utilized for patients between ages 15 and 64 years with a principal discharge diagnosis of native septic arthritis of the lower leg, the vast majority of which represents the knee...
May 14, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29754672/trends-and-outcomes-of-cardiac-transplantation-from-donors-dying-of-drug-intoxication
#5
Haider J Warraich, Di Lu, Stacy Cobb, Lauren B Cooper, Adam DeVore, Chetan B Patel, Paul B Rosenberg, Jacob N Schroder, Mani A Daneshmand, Carmelo A Milano, Adrian F Hernandez, Joseph G Rogers, Robert J Mentz
BACKGROUND: Deaths from drug intoxication have increased in the United States but outcomes of recipients of orthotopic heart transplantation (OHT) from these donors are not well characterized. METHODS: We performed a retrospective analysis of the United Network for Organ Sharing's STAR database between January 2000 and March 2014 and assessed mortality and retransplantation using adjusted Cox models by mechanism of donor death. RESULTS: Of the 31,660 OHTs from 2000 to 2014, 1233 (3...
May 2018: American Heart Journal
https://www.readbyqxmd.com/read/29754032/opioid-related-mortality-in-rural-america-geographic-heterogeneity-and-intervention-strategies
#6
Khary K Rigg, Shannon M Monnat, Melody N Chavez
Over the last two decades, opioid-related mortality rates have increased dramatically to become a serious public health concern in the United States. Opioid-related mortality has reached epidemic levels in certain rural areas of the U.S., such as Appalachia, New England, and the Mountain West, while remaining relatively low in others, such as the Delta South and Great Plains. Explanations for geographic variation in opioid mortality are unclear, contributing to ineffective policies and interventions. The goal of this article is to summarize the existing literature on the opioid epidemic in the rural U...
May 10, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29752698/opioid-use-among-those-who-have-criminal-justice-experience-harm-reduction-strategies-to-lessen-hiv-risk
#7
REVIEW
Lauren Brinkley-Rubinstein, David Cloud, Ernest Drucker, Nickolas Zaller
PURPOSE OF REVIEW: We reviewed the HIV and opioid literature relevant to harm reduction strategies for those with criminal justice experience. RECENT FINDINGS: Opioid use in the United States has risen at an alarming rate recently. This has led to increased numbers of people who inject drugs, placing new populations at risk for HIV, including those who have criminal justice experience. In recent years, there has been a gradual decrease in the number of individuals under the supervision of the criminal justice system...
May 11, 2018: Current HIV/AIDS Reports
https://www.readbyqxmd.com/read/29752610/acupuncture-and-the-opioid-epidemic-in-america
#8
Chang-Zhen Gong, Wei Liu
The opioid epidemic has become a signifificant public health crisis in the United States of America. This crisis has elicited a response at high levels of governmental and health care organizations including the American College of Physicians, the Food and Drug Administration, the Joint Commission, the National Academies of Science, Engineering and Medicine, the National Association of Attorneys General, and the White House. In various ways, these organizations have recognized that acupuncture can play an important role in dealing with the opioid epidemic...
May 2018: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/29746919/opioid-medication-use-in-the-surgical-patient-an-assessment-of-prescribing-patterns-and-utilization
#9
Wen Hui Tan, Jennifer Yu, Sara Feaman, Jared M McAllister, Lindsey G Kahan, Mary A Quasebarth, Jeffrey A Blatnik, J Christopher Eagon, Michael M Awad, L Michael Brunt
BACKGROUND: With the epidemic of prescription opioid abuse in the United States, rates of opioid-related unintentional deaths have risen dramatically. However, little data exists comparing postoperative opioid prescriptions with patient use. We sought to better elucidate this relationship in surgical patients. STUDY DESIGN: A prospective cohort study was conducted of narcotic-naïve patients undergoing open and laparoscopic abdominal procedures on a minimally invasive surgery service...
May 7, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29741667/the-impact-of-opioid-epidemic-trends-on-hospitalized-inflammatory-bowel-disease-patients
#10
Shirley Cohen-Mekelburg, Russell Rosenblatt, Stephanie Gold, Robert Burakoff, Akbar Waljee, Sameer Saini, Bruce R Schackman, Ellen Scherl, Carl Crawford
Background and Aims: Opioid use disorder (OUD) has become a public health crisis among patients with chronic disease. Inflammatory bowel disease (IBD) patients are high risk for OUD because they suffer from chronic relapsing-remitting pain.  We aimed to describe the prevalence and trends in OUD-related diagnoses among hospitalized IBD patients. Methods: A retrospective study was performed using weighted Nationwide Inpatient Sample data from 2005-2014. Adult IBD hospital visits and OUD-related diagnoses were identified using a previously published schema...
May 7, 2018: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/29740734/syringe-decriminalization-advocacy-in-red-states-lessons-from-the-north-carolina-harm-reduction-coalition
#11
REVIEW
David H Cloud, Tessie Castillo, Lauren Brinkley-Rubinstein, Manisha Dubey, Robert Childs
PURPOSE OF REVIEW: Syringe access programs (SAPs) are cornerstone harm reduction interventions for combatting the national opioid epidemic. The goal of this paper is to describe effective advocacy strategies for enacting syringe decriminalization legislation to foster the expansion of SAPs in high-need areas amidst political opposition. RECENT FINDINGS: Decades or research shows that SAPs prevent the transmission of HIV among people who inject drugs (PWID) and are a cost-effective tool for linking PWID to medical care, health education, and social services...
May 8, 2018: Current HIV/AIDS Reports
https://www.readbyqxmd.com/read/29740351/pain-therapy-guided-by-purpose-and-perspective-in-light-of-the-opioid-epidemic
#12
REVIEW
Amie L Severino, Arash Shadfar, Joshua K Hakimian, Oliver Crane, Ganeev Singh, Keith Heinzerling, Wendy M Walwyn
Prescription opioid misuse is an ongoing and escalating epidemic. Although these pharmacological agents are highly effective analgesics prescribed for different types of pain, opioids also induce euphoria, leading to increasing diversion and misuse. Opioid use and related mortalities have developed in spite of initial claims that OxyContin, one of the first opioids prescribed in the USA, was not addictive in the presence of pain. These claims allayed the fears of clinicians and contributed to an increase in the number of prescriptions, quantity of drugs manufactured, and the unforeseen diversion of these drugs for non-medical uses...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29738347/gaps-in-the-substance-use-disorder-treatment-referral-process-provider-perceptions
#13
Claire E Blevins, Nishi Rawat, Michael D Stein
OBJECTIVES: The demand for substance use disorder treatment is increasing, fueled by the opioid epidemic and the Affordable Care Act mandate to treat substance use disorders. The increased demand for treatment, however, is not being met by a corresponding increase in access to or availability of treatment. This report focuses specifically on the treatment referral process, which we have identified as 1 of the key barriers to timely and effective treatment. Difficulties in referral to substance use disorder treatment are examined through the lens of providers who make referrals (ie, referral source) and individuals who work in substance use disorder facilities (ie, referral recipient)...
May 7, 2018: Journal of Addiction Medicine
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
#14
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/29735626/opioid-use-disorder-treatment-recovery
#15
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
#16
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
#17
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
#18
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/29735621/fighting-the-opioid-epidemic-in-north-carolina-with-leadership-compassion-and-creativity-community-approaches
#19
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
#20
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
keyword
keyword
92999
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"