Download or read book Opioid Use Disorders in Pregnancy written by Tricia E. Wright and published by . This book was released on 2018-05-10 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gain guidance and support when treating the high-risk population of women confronting (or battling) opioid-use disorders during pregnancy.
Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Download or read book Infectious Disease and Pharmacology written by William E. Benitz and published by Elsevier Health Sciences. This book was released on 2018-06-25 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Richard Polin’s Neonatology Questions and Controversies series highlights the most challenging aspects of neonatal care, offering trustworthy guidance on up-to-date diagnostic and treatment options in the field. In each volume, renowned experts address the clinical problems of greatest concern to today’s practitioners, helping you handle difficult practice issues and provide optimal, evidence-based care to every patient. Stay fully up to date in this fast-changing field with Infectious Disease and Pharmacology, an all-new volume in the series. Thorough, up-to-date content on the epidemiology, clinical manifestations, treatment, and outcomes for neonatal-perinatal infections, including necrotizing enterocolitis, neonatal HSV, and congenital Zika virus infection. The latest information on dosing of antibiotics, antivirals, and antifungals. Current coverage of therapies for neonatal gastroesophageal reflux, seizures, neuroprotection, and neonatal abstinence syndrome, as well as pharmacokinetic and pharmacogenetic considerations in neonatal care. Consistent chapter organization to help you find information quickly and easily. The most authoritative advice available from world-class neonatologists who share their knowledge of new trends and developments in neonatal care. Purchase each volume individually, or get the entire 7-volume set! Gastroenterology and Nutrition Hematology, Immunology and Genetics Hemodynamics and Cardiology Infectious Disease and Pharmacology New Volume! Nephrology and Fluid/Electrolyte Physiology Neurology The Newborn Lung
Download or read book Guidelines for the Identification and Management of Substance Use and Substance Use Disorders in Pregnancy written by World Health Organization and published by . This book was released on 2015-04-20 with total page 37 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been developed to enable professionals to assist women who are pregnant, or have recently had a child, and who use alcohol or drugs or who have a substance use disorder, to achieve healthy outcomes for themselves and their fetus or infant. They have been developed in response to requests from organizations, institutions and individuals for technical guidance on the identification and management of alcohol, and other substance use and substance use disorders in pregnant women. They were developed in tandem with the WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy.
Download or read book The Rand UCLA Appropriateness Method User s Manual written by Kathryn Fitch and published by Rand Corporation. This book was released on 2001 with total page 109 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health systems should function in such a way that the amount of inappropriate care is minimized, while at the same time stinting as little as possible on appropriate and necessary care. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the "RAND/UCLA Appropriateness Method" was developed in the 1980s. It has been further developed and refined in North America and, increasingly, in Europe. The rationale behind the method is that randomized clinical trials--the "gold standard" for evidence-based medicine--are generally either not available or cannot provide evidence at a level of detail sufficient to apply to the wide range of patients seen in everyday clinical practice. Although robust scientific evidence about the benefits of many procedures is lacking, physicians must nonetheless make decisions every day about when to use them. Consequently, a method was developed that combined the best available scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history, and test results. This manual presents step-by-step guidelines for conceptualising, designing, and carrying out a study of the appropriateness of medical or surgical procedures (for either diagnosis or treatment) using the RAND/UCLA Appropriateness Method. The manual distills the experience of many researchers in North America and Europe and presents current (as of the year 2000) thinking on the subject. Although the manual is self-contained and complete, the authors do not recommend that those unfamiliar with the RAND/UCLA Appropriateness Method independently conduct an appropriateness study; instead, they suggest "seeing one" before "doing one." To this end, contact information is provided to assist potential users of the method.
Download or read book Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence written by World Health Organization. Department of Mental Health and Substance Abuse and published by World Health Organization. This book was released on 2009 with total page 133 pages. Available in PDF, EPUB and Kindle. Book excerpt: "These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv
- Author : Glen R. Dopp (Jr)
- Publisher :
- Release : 2023
- ISBN :
- Pages : 0 pages
Decreasing Pharmacotherapy and Transforming Care of Infants with Neonatal Opioid Withdrawal Syndrome
Download or read book Decreasing Pharmacotherapy and Transforming Care of Infants with Neonatal Opioid Withdrawal Syndrome written by Glen R. Dopp (Jr) and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Opioid addiction has become an issue throughout the United States. The prevalence ofpharmacotherapy treatment in newborns withdrawing from opioids remains high in theUnited States, and each year millions of funds are spent caring for infants impacted byNeonatal Opiate Withdrawal Syndrome (NOWS). The nurse practitioner (NP) identifiedand implemented a system change for the care and treatment of infants with NOWS alsoknown as Neonatal Abstinence Syndrome (NAS). He also addresses complications withthe current Finnegan Neonatal Abstinence Syndrome assessment tools and treatmentprotocol in a Midwest health care facility. The NP implemented a new system changecalled Eat, Sleep, and Console that included the creation of policies, protocols, andalgorithms; education of clinicians and families; and the formation of communitycollaborations to improve and support families of infants impacted by NOWS. Educationfor staff to break down biases and judgements was also provided and resulted in deliveryof effective, high quality, and culturally congruent care in an improved environment. Thenursing theory utilized to guide this system change was Dr. Leininger's Theory ofCultural Care Diversity and Universality, also known as the Cultural Care Theory. Theimplications of this system change resulted in reduction in pharmacotherapy and lengthof stay for infants suffering from NOWS.Keywo' rds: NOWS, NAS, neonatal abstinence syndrome, drug-addicted newborn,treatment of NAS, neonatal opioid withdrawal syndrome, MAT, suboxone/methadoneprogram, ESC, eat sleep console.
Download or read book Ghosts from the Nursery written by Robin Karr-Morse and published by Open Road + Grove/Atlantic. This book was released on 2007-12-01 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: An “ominous and persuasive” study of when violence starts in child development—and the preventive measures to stop it (The New York Times Book Review). This new, revised edition incorporates significant advances in neurobiological research and includes a new introduction by Dr. Vincent J. Felitti, a leading researcher in the field. When Ghosts from the Nursery: Tracing the Roots of Violence was first published, it was lauded for providing scientific evidence that violence can originate in the womb and become entrenched in a child’s brain by preschool. The authors’ groundbreaking conclusions became even more relevant following the wave of school shootings across the nation including the tragedies at Columbine High School, Sandy Hook Elementary School, and shocking subsequent shootings. Following each of these, media coverage and public debate turned yet again to the usual suspects concerning the causes of violence: widespread availability of guns and lack of mental health services for late-stage treatment. Discussion of the impact of trauma on human life—especially early in life during chemical and structural formation of the brain—is missing from the equation. Karr-Morse and Wiley continue to shift the conversation among parents and policy makers toward more fundamental preventative measures against violence. “Karr-Morse and Wiley boldly raise some tough issues . . . [They] start with a grim question—why are children violent?—and they forge a passionate and cogent argument for focusing our collective energies on infancy and parenthood to stop the cycle of ruined lives.” —The Seattle Times
Download or read book Informing the Development of Standardized Clinical Definitions of Neonatal Abstinence Syndrome and Neonatal Opioid Withdrawal Syndrome written by Laura Johnson Faherty and published by . This book was released on 2021 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: From 2010 to 2017, the United States experienced a significant increase in maternal opioid-related diagnoses and neonatal abstinence syndrome (NAS). NAS is increasingly being referred to as neonatal opioid withdrawal syndrome (NOWS), as opioids are becoming the most common cause of neonatal withdrawal, whether alone or in the presence of other substances. A major challenge in the field is the lack of a standardized clinical definition of NAS. To address this challenge, the authors convened two modified-Delphi expert panels consisting of national experts on substance-exposed mother-infant dyads. Through these online panels, the authors solicited expert opinion to inform the development of clinical definitions of NAS and NOWS for use at the bedside as part of the U.S. Department of Health and Human Services initiative on NAS. To convene the panels, the authors used ExpertLensTM, a previously evaluated platform for conducting iterative online modified-Delphi panels. Participants provided initial responses to study questions about key components of the clinical definition of NAS and NOWS; reviewed how their responses compared to those of other participants; and revised their responses based on group feedback and discussion, if needed. Eighteen experts provided numeric ratings and free-text comments to contextualize their responses. Simple descriptive statistics, including frequency distributions, medians, interquartile ranges, as well as the RAND/UCLA Appropriateness Method Manual's approach to determining consensus in expert panels were used to analyze rating data, and the authors thematically analyzed the experts' free-text comments.
Download or read book How does nonpharmacological care affect newborn infants with neonatal opioid withdrawal syndrome written by Colleen Ovelman and published by RTI Press. This book was released on 2023-07-10 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper summarizes the published Cochrane Review, “Non-pharmacological Care for Opioid Withdrawal in Newborns,” by A. Pahl, L. Young, M. E. Buus-Frank, L. Marcellus, and R. Soll (https://doi.org/10.1002/14651858.CD013217.pub2), and discusses it through a treatment policy and practice lens. The study population in the review included infants born at term (37 weeks’ gestation or greater) and late preterm (34 weeks’ gestation to 37 weeks’ gestation) who had a known or suspected prenatal exposure to opioids or who were exhibiting symptoms consistent with opioid withdrawal in the first 7 days of life. Nonpharmacological interventions included a wide range of care and were broadly categorized as: modification of environmental stimulation, feeding practices, and support of the mother-infant dyad. The review found that randomized controlled trials, identified in searches conducted in October 2019, did not provide enough evidence regarding clinically meaningful outcomes. However, recently published trial data suggest that “Eat, Sleep, Console,” an individualized, trauma-informed, family-centered nonpharmacological approach to care, can reduce the number of days an infant experiencing symptoms consistent with opioid withdrawal requires in-hospital care.
Download or read book Fundamentals of Toxicology written by P.K. Gupta and published by Academic Press. This book was released on 2016-08-26 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fundamentals of Toxicology: Essential Concepts and Applications provides a crisp, easy-to-understand overview of the most important concepts, applications, and ideas needed to learn the basics of toxicology. Written by a pre-eminent toxicologist with over five decades of teaching experience, this comprehensive resource offers the hands-on knowledge needed for a strong foundation in the wide field of toxicology. Fundamentals of Toxicology includes a clear structure divided into five units to assist learning and understanding. The first unit provides extensive coverage on the background of toxicology including commonly used definitions and historical perspective, while following units cover: basic concepts; regulatory requirements and good laboratory practices, including types of toxicology testing and evaluation; toxic agents and adverse effects on health; and analytical, forensic, and diagnostic toxicology. This is an essential book for advanced students in toxicology and across the biomedical sciences, life sciences, and environmental sciences who want to learn the concepts of toxicology, as well as early researchers needing to refresh outside of their specialty. Explains the essential concepts of toxicology in a clear fashion Provides in-depth coverage of testing protocols, common drugs, chemicals, and laboratory-based diagnostic and analytical toxicology Explores the history, foundations, and most recent concepts of toxicology Serves as an essential reference for advanced students in toxicology and across the biomedical, life, and environmental sciences who want to learn the concepts of toxicology
Download or read book Neonatal Opioid Withdrawal Syndrome written by Brenda Louw and published by Taylor & Francis. This book was released on 2024-08-29 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection synthesizes perspectives on Neonatal Opioid Withdrawal Syndrome (NOWS), providing a comprehensive resource for those in speech-language pathology and healthcare providers working within an interprofessional approach to treat and support infants, children, parents, caregivers, and families impacted by NOWS. The volume responds to the growing challenge faced by SLPs and healthcare providers to develop new, evidence- based strategies to meet the needs of the emerging population of infants with NOWS, children prenatally exposed to opioids, their mothers, families and caregivers, in light of the growing opioid crisis in the US. Through a holistic approach, the book features contributions from researcher-clinicians across healthcare professions and from different countries. It brings together research on the impact of NOWS on child neurodevelopment, causes of neurodevelopmental alterations due to NOWS, interprofessional team care to optimize outcomes for this population, feeding, communication, sensory and motor issues, long- term outcomes into adolescence and adulthood, as well as best practices for addressing these. The volume also explores the impact of NOWS on families and effective strategies for supporting them. The Trauma Informed Care approach features throughout. The collection looks ahead to address research gaps toward enhancing evidence-based strategies from a strength- based perspective. This book will be of interest to students and researchers in speech-language pathology, occupational therapy, physical therapy, nursing, pediatric medicine, and other related fields, as well as clinicians and instructors in these same disciplines.
Download or read book Opioids and Their Receptors written by Mariana Spetea and published by MDPI. This book was released on 2020-12-18 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: The interest in opioids such as morphine, the prototypical opioid ligand, has been maintained through the years. The identification of endogenous opioids and their receptors (mu, delta, kappa, and nociceptin), molecular cloning, and the elucidation of the crystal structures of opioid receptors represent key milestones in opioid research. The opioid system modulates numerous pharmacological responses, with therapeutic (i.e., analgesia) and detrimental side effects (i.e., addiction). The medical use and misuse of opioids have dramatically increased, leading to the 21st century opioid crisis. This book presents recent developments in opioid drug discovery, specifically in the medicinal chemistry and pharmacology of new ligands targeting the opioid receptors as effective and safe therapeutics for human diseases. Furthermore, it draws a special attention to advancing concepts and strategies in opioid drug discovery to mitigate opioid liabilities. The diversity among the discussed topics is a testimony to the complexity of the opioid system, which results from the expression, regulation, and functional role of ligands and receptors. The array of multidisciplinary research areas illustrates the rapidly developing basic research and translational activities in opioid drug discovery. This book will serve as a useful reference while also stimulating continued research in the chemistry and pharmacology of opioids and their receptors, with the prospect of developing improved therapies for human diseases, but also improving health and quality of life in general.
Download or read book Avery s Diseases of the Newborn written by H. William Taeusch and published by . This book was released on 1998 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This definitive resource in perinatology and neonatology is now completely revised and updated to incorporate the latest advances in the field. Maintains a clinical focus and provides guidelines for precise diagnosis and effective treatment. Also includes hundreds of case histories to illustrate management. This edition contains new neuromuscular, cardiovascular, genetic, and pulmonary information plus ethics of neonatology. Reorganized and supplemented, the perinatal section includes maternal-fetal medicine and fetal neonatal surgery. Features over 700 illustrations! Spanish version also available, ISBN: 84-8174-433-6
Download or read book Primary Pediatric Care written by Robert A. Hoekelman and published by Mosby Incorporated. This book was released on 2000-10-01 with total page 1936 pages. Available in PDF, EPUB and Kindle. Book excerpt: -- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.
Download or read book Current Therapy in Neonatal Perinatal Medicine 2 written by Nicholas M. Nelson and published by Mosby Incorporated. This book was released on 1990 with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Parenting and Substance Abuse written by Nancy E. Suchman and published by Oxford University Press. This book was released on 2013-03-21 with total page 555 pages. Available in PDF, EPUB and Kindle. Book excerpt: Parenting and Substance Abuse is the first book to report on pioneering efforts to move the treatment of substance-abusing parents forward by embracing their roles and experiences as mothers and fathers directly and continually across the course of treatment.