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Opioids

Unintended Consequences Are the Result of Decreasing Opioid Prescriptions Written by Health Care Providers

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Medicine

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Length of Opioid Prescription, Number of Refills Spell Highest Risk for Misuse After Surgery

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With opioid overdoses now a leading cause of nonintentional death in the United States, data show most of these deaths can be traced back to an initial prescription opioid. A new study led by investigators at Beth Israel Deaconess Medical Center (BIDMC) and Harvard Medical School (HMS) sheds light on the possible link between physicians’ opioid prescription patterns and subsequent abuse.

Medicine

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Emergency Medicine, opioid abuse, Opioid Epidemic, Prescription Drug Abuse, Behavioral Economics, health incentives, nudges, Penn Medicine, Perelman School of Medicine at the University of Pennsylvania, electronic medical record (EMR), Addiction

Default Setting in Electronic Medical Records “Nudged” Emergency Department Physicians to Limit Opioid Prescriptions to 10 Tablets

For patients who have never been prescribed opioids, larger numbers of tablets given with the initial prescription is associated with long-term use and more tablets leftover that could be diverted for misuse or abuse. Implementing a default option for a lower quantity of tablets in the electronic medical records (EMR) discharge orders may help combat the issue by “nudging” physicians to prescribe smaller quantities consistent with prescribing guidelines Penn Medicine researchers show in a new study published this week in the Journal of General Internal Medicine.

Medicine

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Opioid, Opioids, Telemedicine, Medical Marijuana, Medicine, Regulation, medical board, state medical boards, Physician

FSMB Survey: Opioid Prescribing, Telemedicine among Most Important Regulatory Topics for State Medical Boards

The Federation of State Medical Boards (FSMB) announced that resources related to opioid prescribing and telemedicine are currently the most important regulatory issues to state medical boards. The announcement comes after analyzing responses from 51 state medical boards as part of the FSMB’s 2017 annual survey to its member boards.

Medicine

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american association for clinical chemistry, Aacc, Laboratory Medicine, Drug Testing, laboratory testing, urine drug testing, Opioid Epidemic, opioid overdoses , Opioid Addiction, pre

AACC Releases Practice Guidelines for Using Laboratory Drug Tests to Combat Opioid Addiction, Overdoses

WASHINGTON – AACC has issued a new guideline detailing how healthcare providers can use laboratory tests to manage treatment of pain and prevent prescription drug overdoses. Especially relevant in light of the worsening opioid epidemic, the guideline emphasizes increased collaboration between clinicians and laboratory experts as well as the use of more precise drug tests as key to identifying pain patients who are abusing their opioid prescriptions.

Medicine

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Cocaine Abuse

Mount Sinai Researchers Identify Protein Involved in Cocaine Addiction

Mount Sinai researchers have identified a protein produced by the immune system—granulocyte-colony stimulating factor (G-CSF)—that could be responsible for the development of cocaine addiction.

Life

Social and Behavioral Sciences

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Cocaine, Pregnancy, Parenting

How Does Mothers’ Cocaine Use During Pregnancy Affect Boys and Girls Differently?

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Teens whose mothers used cocaine during pregnancy are more likely to have aggression and attention problems—known predictors of later drug use and sexual risk-taking. With a new three-year, $840,000 grant from the National Institutes of Health (NIH), researchers at Case Western Reserve University now hope to learn how and when these issues may develop differently in boys and girls—and how best to address behavioral problems caused directly and indirectly by in utero cocaine exposure.

Medicine

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Michael A. Kelly, M.D., Hackensack Meridian Health, Hackensack University Medical Center, Opioid Abuse Epidemic, opioid after surgery, opioid alternatives

Hackensack University Medical Center Participates in National Conference on Pharmaceutical and Chemical Diversion

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Michael A. Kelly, M.D., chair, Department of Orthopaedic Surgery and Sports Medicine and chair, Department of Physical Medicine and Rehabilitation at Hackensack Meridian Health Hackensack University Medical Center, was a featured presenter at the Drug Enforcement Administration (DEA), Diversion Control Division, 23rd National Conference on Pharmaceutical and Chemical Diversion

Medicine

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Suicide, Drug Overdose, Opioid Abuse Epidemic, suicide accounting

New Study Led by Public Health Researcher Finds ‘Suicides by Drugs’ Profoundly Undercounted in the United States

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According to the Centers for Disease Control and Prevention, the suicide rate in the United States increased by 34 percent between 2000 and 2016. While that rate seems high, a team of researchers led by a West Virginia University faculty member believes it is seriously underestimated.

Medicine

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CDUHR, Drug Use, Drug Abuse, Sex, Alcohol, Marijuana, MDMA, Molly, Ecstasy

Young Adults Report Differing Sexual Effects From Alcohol, Marijuana, and Ecstasy

Alcohol, marijuana, and ecstasy each have very different sexual effects, from attraction and desire to sensitivity to sexual dysfunction, finds a study by the Center for Drug Use and HIV/HCV Research (CDUHR) at NYU Meyers College of Nursing.







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