Drug Awareness May 9, 2007 7:00 Pm
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Emergencies in Paediatrics and Neonatology Published and Forthcoming Titles in the Emergencies in … Series
OXFORD MEDICAL PUBLICATIONS Emergencies in Paediatrics and Neonatology Published and forthcoming titles in the Emergencies in … series: Emergencies in Adult Nursing Edited by Philip Downing Emergencies in Anaesthesia Edited by Keith Allman, Andrew McIndoe, and Iain H. Wilson Emergencies in Cardiology Edited by Saul G. Myerson, Robin P. Choudhury, and Andrew Mitchell Emergencies in Children’s and Young People’s Nursing Edited by E.A. Glasper, Gill McEwing, and Jim Richardson Emergencies in Clinical Surgery Edited by Chris Callaghan, Chris Watson and Andrew Bradley Emergencies in Critical Care, 2e Edited by Martin Beed, Richard Sherman, and Ravi Mahajan Emergencies in Gastroenterology and Hepatology Marcus Harbord and Daniel Marks Emergencies in Mental Health Nursing Edited by Patrick Callaghan Emergencies in Obstetrics and Gynaecology Edited by S. Arulkumaran Emergencies in Oncology Edited by Martin Scott-Brown, Roy A.J. Spence, and Patrick G. Johnston Emergencies in Paediatrics and Neonatology, 2e Edited by Stuart Crisp and Jo Rainbow Emergencies in Palliative and Supportive Care Edited by David Currow and Katherine Clark Emergencies in Primary Care Chantal Simon, Karen O’Reilly, John Buckmaster, and Robin Proctor Emergencies in Psychiatry, 2e Basant Puri and Ian Treasaden Emergencies in Radiology Edited by Richard Graham and Ferdia Gallagher Emergencies in Respiratory Medicine Edited by Robert Parker, Catherine Thomas, and Lesley Bennett Emergencies in Sports Medicine Edited by Julian Redhead and Jonathan Gordon Head, Neck and Dental -
Sectional Survey of Staff Physicians, Residents and Medical Students
Open access Original research BMJ Open: first published as 10.1136/bmjopen-2020-044240 on 26 March 2021. Downloaded from Influence of language skills on the choice of terms used to describe lung sounds in a language other than English: a cross-sectional survey of staff physicians, residents and medical students Abraham Bohadana , Hava Azulai, Amir Jarjoui, George Kalak, Ariel Rokach, Gabriel Izbicki To cite: Bohadana A, Azulai H, ABSTRACT Strengths and limitations of this study Jarjoui A, et al. Influence of Introduction The value of chest auscultation would be language skills on the choice enhanced by the use of a standardised terminology. To ► To our knowledge, this is the first study to examine of terms used to describe lung that end, the recommended English terminology must sounds in a language other than the transfer to language other than English of the be transferred to a language other than English (LOTE) English: a cross-sectional survey recommended lung sound terminology in English. without distortion. of staff physicians, residents and ► True sound classification was validated by computer- Objective To examine the transfer to Hebrew—taken as medical students. BMJ Open based sound analysis. 2021;11:e044240. doi:10.1136/ a model of LOTE—of the recommended terminology in ► Participants were from the same hospital—which English. bmjopen-2020-044240 tends to limit the study generalisability—but had Design/setting Cross- sectional study; university- based Prepublication history and different clinical and educational background. ► hospital. supplemental material for this ► Use of more complex sounds (eg, rhonchus and Participants 143 caregivers, including 31 staff paper is available online. -
Synthetic Drugs: Overview and Issues for Congress
Synthetic Drugs: Overview and Issues for Congress Lisa N. Sacco Analyst in Illicit Drugs and Crime Policy Kristin Finklea Specialist in Domestic Security May 3, 2016 Congressional Research Service 7-5700 www.crs.gov R42066 Synthetic Drugs: Overview and Issues for Congress Summary Synthetic drugs, as opposed to natural drugs, are chemically produced in a laboratory. Their chemical structure can be either identical to or different from naturally occurring drugs, and their effects are designed to mimic or even enhance those of natural drugs. When produced clandestinely, they are not typically controlled pharmaceutical substances intended for legitimate medical use. Designer drugs are a form of synthetic drugs. They contain slightly modified molecular structures of illegal or controlled substances, and they are modified in order to circumvent existing drug laws. While the issue of synthetic drugs and their abuse is not new, Congress has demonstrated a renewed concern with the issue. From 2009 to 2011, synthetic drug abuse was reported to have dramatically increased. During this time period, calls to poison control centers for incidents relating to harmful effects of synthetic cannabinoids (such as “K2” and “Spice”) and stimulants (such as “bath salts”) increased at what some considered to be an alarming rate. The number of hospital emergency department visits involving synthetic cannabinoids more than doubled from 2010 to 2011. In 2012 and 2013, however, the number of calls to poison control centers for incidents relating to harmful effects of synthetic cannabinoids and synthetic stimulants decreased. Calls regarding bath salts have declined each year since 2011, while calls regarding synthetic cannabinoids have increased since the drops in 2012 and 2013. -
ASAM National Practice Guideline for the Treatment of Opioid Use Disorder: 2020 Focused Update
The ASAM NATIONAL The ASAM National Practice Guideline 2020 Focused Update Guideline 2020 Focused National Practice The ASAM PRACTICE GUIDELINE For the Treatment of Opioid Use Disorder 2020 Focused Update Adopted by the ASAM Board of Directors December 18, 2019. © Copyright 2020. American Society of Addiction Medicine, Inc. All rights reserved. Permission to make digital or hard copies of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for commercial, advertising or promotional purposes, and that copies bear this notice and the full citation on the fi rst page. Republication, systematic reproduction, posting in electronic form on servers, redistribution to lists, or other uses of this material, require prior specifi c written permission or license from the Society. American Society of Addiction Medicine 11400 Rockville Pike, Suite 200 Rockville, MD 20852 Phone: (301) 656-3920 Fax (301) 656-3815 E-mail: [email protected] www.asam.org CLINICAL PRACTICE GUIDELINE The ASAM National Practice Guideline for the Treatment of Opioid Use Disorder: 2020 Focused Update 2020 Focused Update Guideline Committee members Kyle Kampman, MD, Chair (alpha order): Daniel Langleben, MD Chinazo Cunningham, MD, MS, FASAM Ben Nordstrom, MD, PhD Mark J. Edlund, MD, PhD David Oslin, MD Marc Fishman, MD, DFASAM George Woody, MD Adam J. Gordon, MD, MPH, FACP, DFASAM Tricia Wright, MD, MS Hendre´e E. Jones, PhD Stephen Wyatt, DO Kyle M. Kampman, MD, FASAM, Chair 2015 ASAM Quality Improvement Council (alpha order): Daniel Langleben, MD John Femino, MD, FASAM Marjorie Meyer, MD Margaret Jarvis, MD, FASAM, Chair Sandra Springer, MD, FASAM Margaret Kotz, DO, FASAM George Woody, MD Sandrine Pirard, MD, MPH, PhD Tricia E. -
SUBLOCADE Education Brochure | SUBLOCADE® (Buprenorphine Extended-Release) Injection, for Subcutaneous Use (CIII) KEEP MOVING TOWARDS RECOVERY with Once-Monthly
SUBLOCADE® (buprenorphine extended-release) injection, for subcutaneous use (CIII) is a prescription medicine used to treat adults with moderate to severe addiction (dependence) to opioid drugs (prescription or illegal) who have received an oral transmucosal (used under the tongue or inside the cheek) buprenorphine-containing medicine at a dose that controls withdrawal symptoms for at least 7 days. SUBLOCADE is part of a complete treatment plan that should include counseling. SUBLOCADE Education Brochure | SUBLOCADE® (buprenorphine extended-release) injection, for subcutaneous use (CIII) KEEP MOVING TOWARDS RECOVERY with once-monthly Individuals depicted are models used for illustrative purposes only. IMPORTANT SAFETY INFORMATION Because of the serious risk of potential harm or death from self-injecting SUBLOCADE into a vein (intravenously), it is only available through a restricted program called the SUBLOCADE REMS Program. • SUBLOCADE is not available in retail pharmacies. • Your SUBLOCADE injection will only be given to you by a certified healthcare provider. Please see SUBLOCADE full Prescribing Information including BOXED WARNING and Medication Guide at sublocade.com, or included in the back of this brochure. Opioid addiction may be an overwhelming problem. But don’t give up. There are different ways to tackle it. Living with opioid addiction can be a struggle. But it’s important Opioid addiction is actually a disease called Opioid Use Disorder Medication-assisted treatment (MAT), which combines to understand that even when someone tries again and again (OUD), and it involves compulsive drug seeking and use, despite medication and counseling, is an option that can help manage to quit, it’s not a sign of weakness or failure. -
The Health Bulletin [Serial]
HEALTH SCIENCES LIBRARY OF THE UNIVERSITY OF NORTH CAROLINA This book must not be token from the Library building. Form No. 471 NOTICE TO READER.— When you finish reading this magazine place a one-cent stamp on this notice, hand same to »ny postal em- ployee and it will be placed in the hands of our soldiers or sailors atihe front. NO WRAPPING— NO ADDRESS. Thl5 BulkliAwillbe 5er\t free to qimj citizen of the State uporxreguest j as second-clasa Entered matter at Postoffice at Raleigh, N. C, under Act of July 16, 1894. Published monthly at the office ef the Secretary of the Board, Raleigh, N. O. Vol..XXXIII APRIL, 1918 No. 1 HOGS OR FOLKS, WHICH? seepages ONLY THE PEOPLE CAN LOOSE THE BONDS TABLE OF CONTENTS Hogs or Folks, Which ? 3 Physician Found Guilty 13 Sentekced to Prison oe Steriliza- More Intelligent Excitement tion 3 Needed 13 Soldiers and Tobacco 4 Paste This on Your Mirror 14 Popular Mistakes 4 What Vaccination Will Do 14 State Death Rate 5 Low Know How to Live 15 Three Things to Do 5 Spring Fever and Bran ... 16 Tanlac—The Master Medicine .... 5 Wheat Large Scars and Sore Arms Unneces- First Aid Instructions 17 sary 6 How to Stop Worrying 18 Cancer Not Inherited 7 Gasoline as an Emergency Medicine 19 School Epidemics 8 Don't Stand so Much 19 Where Ignorance is Crimin.a.l 9 Safe Guide to Healthful Eating. 19 Play is the Thing 10 Saving Mothers 20 How an Epidemic Developed 11 Why Register a Baby? 21 Sex Hygiene 12 Avoid Early Handicaps 21 Typhoid Bacillus Carries foe Over Why Nurse Your Baby ? 21 Forty Years 12 Have Early Diagnosis 22 Open-Air Schools 12 Symptoms of Tuberculosis 24 MEMBERS OF THE NORTH CAROLINA STATE BOARD OF HEALTH J. -
CBL Changes School Structure
aw rint May/June 2018 Volume 17, Issue 3 Pharmacy CBL changes school structure BY HOPE ROGERS deserts Staff Writer abound For over a century, American students take seven classes per school systems have run on the year and spend at least 120 hours BY JONATHAN ZHANAY basis of strict time allotments; in each class. Staff Writer right now in Illinois, a student Payton social studies teacher The closing of pharmacies must spend approximately 180 Joshua Wiggins pointed out that in many low-income neighbor- days in school, and a Chicago CBL “requires teachers to facili- hoods throughout Chicago is Public Schools student is required tate learning rather than dictate having a detrimental effect on to spend seven or more hours at learning.” CBL in theory trans- people who rely on medical ser- school on most days. This struc- forms the classroom environment vices from their local pharma- ture may soon change because of so that students are more aware of cies. Illinois’ decision to test out a new the expectations set for them and The recent closings of CVS curriculum style called Competen- they have space for individualized stores, the most common phar- cy-Based Learning (CBL). learning. Photo by Michael Haran macy brand in Chicago, are Payton was one of several Payton administration does not Classes will be reimagined to prioritize function over form. Will Pay- making even affordable medi- schools in the state — and one of expect to fully implement CBL ton need traditional textbooks? cation far less accessible, and only six Chicago Public Schools, programming until the fall of revisions to be able to prove com- students arriving or leaving school as both retail and independent as of the initial stage of the pilot 2019 or 2020, but CBL coordina- petency in the long term. -
Ecstasy and Club Drugs
Ecstasy and Club Drugs The term “club drug” refers to drugs being used by youth and young adults at all-night dance parties such as “raves” or “trances,” dance clubs and bars. MDMA (Ecstasy), GHB, Rohypnol, Ketamine, Methamphetamine, and LSD are among the drugs referred to as “club drugs.” “Raves” are a form of dance and recreation that is held in a clandestine location with fast-paced, high-volume music, a variety of high-tech entertainment and usually the use of “club drugs.” Ecstasy Ecstasy or MDMA (methylenedioxymethamphetamine) is a stimulant that combines the properties of methamphetamine or “speed” with mind-altering or hallucinogenic properties. It is considered to be the most commonly used club (or “designer” drug). Ecstasy is an illegal drug (it was declared illegal by the federal government in 1985) 90% of which is manufactured in the Netherlands and Belgium. In its most common form, Ecstasy is a small tablet that is impressed with any one of a number of logos intended to attract young people. It can also be in capsule or powder form and can be injected. Among the street names for Ecstasy are Adam, X-TC, Clarity, Essence, Stacy, Lover’s Speed, Eve, etc. The Ecstasy high can last from 6 to 24 hours, with the average “trip” lasting only about 3-4 hours. Users of Ecstasy report that it causes mood changed and loosens their inhibitions; they become more outgoing, empathetic and affectionate. For this reason, Ecstasy has been called the “hug drug.” It also suppresses the need to eat, drink or sleep, enabling users to endure parties that can last for two or three days. -
Investigation of Respiratory Disease Chapter 4.2 (B)
4.1 THE CLINICAL PRESENTATION OF CHEST DISEASES 347 Table 1 Modified Borg Scale∗ Chapter 4.1 Number Verbal description 10 Severe The clinical presentation of chest 9 diseases 8 Moderately severe 7 D. J. Lane 6 5 Moderate 4 The predominant symptoms of chest diseases are cough, breath- 3 lessness, chest pain and haemoptysis. 2 Slight 1 0 None ∗Modified from Borg, G.A.V. (1982). Psychological basis of perceived exertion. Cough Medical Science of Sports and Exercise, 14, 377–81. The cough reflex is initiated by stimulation of receptors in the larynx and major airways, by mechanical or chemical irritants. The afferent fibres run in branches of the superior laryngeal nerve and vagus. Haemoptysis A dry cough, short and repeated, is heard in tracheobronchitis A definite cause is only found in some 50 per cent of cases and it is and early pneumonia. In laryngitis the sound is hoarse and harsh. important to be sure that the blood does truly come from the lungs In abductor paralysis of the vocal cords it is prolonged and and not from the nose or gastrointestinal tract. Haemoptysis is a blowing. Weakness of thoracic muscles lessens the expulsive force classical presenting feature of tuberculosis, carcinoma, and bronchi- and cough may be suppressed when there is severe thoracic or ectasis, but there are many other causes, for instance Goodpasture’s upper abdominal pain. Cough with expectoration in the morning syndrome, mitral valve disease, coagulation defects, or even endo- is characteristic of chronic bronchitis and large volumes of yellow metriosis. It is rare in pulmonary embolism, when it reflects infarction sputum throughout the day suggests bronchiectasis. -
Appendix D: Important Facts About Alcohol and Drugs
APPENDICES APPENDIX D. IMPORTANT FACTS ABOUT ALCOHOL AND DRUGS Appendix D outlines important facts about the following substances: $ Alcohol $ Cocaine $ GHB (gamma-hydroxybutyric acid) $ Heroin $ Inhalants $ Ketamine $ LSD (lysergic acid diethylamide) $ Marijuana (Cannabis) $ MDMA (Ecstasy) $ Mescaline (Peyote) $ Methamphetamine $ Over-the-counter Cough/Cold Medicines (Dextromethorphan or DXM) $ PCP (Phencyclidine) $ Prescription Opioids $ Prescription Sedatives (Tranquilizers, Depressants) $ Prescription Stimulants $ Psilocybin $ Rohypnol® (Flunitrazepam) $ Salvia $ Steroids (Anabolic) $ Synthetic Cannabinoids (“K2”/”Spice”) $ Synthetic Cathinones (“Bath Salts”) PAGE | 53 Sources cited in this Appendix are: $ Drug Enforcement Administration’s Drug Facts Sheets1 $ Inhalant Addiction Treatment’s Dangers of Mixing Inhalants with Alcohol and Other Drugs2 $ National Institute on Alcohol Abuse and Alcoholism’s (NIAAA’s) Alcohol’s Effects on the Body3 $ National Institute on Drug Abuse’s (NIDA’s) Commonly Abused Drugs4 $ NIDA’s Treatment for Alcohol Problems: Finding and Getting Help5 $ National Institutes of Health (NIH) National Library of Medicine’s Alcohol Withdrawal6 $ Rohypnol® Abuse Treatment FAQs7 $ Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Keeping Youth Drug Free8 $ SAMHSA’s Center for Behavioral Health Statistics and Quality’s (CBHSQ’s) Results from the 2015 National Survey on Drug Use and Health: Detailed Tables9 The substances that are considered controlled substances under the Controlled Substances Act (CSA) are divided into five schedules. An updated and complete list of the schedules is published annually in Title 21 Code of Federal Regulations (C.F.R.) §§ 1308.11 through 1308.15.10 Substances are placed in their respective schedules based on whether they have a currently accepted medical use in treatment in the United States, their relative abuse potential, and likelihood of causing dependence when abused. -
Neuronal Dynamics of Grapheme-Color Synesthesia A
Neuronal Dynamics of Grapheme-Color Synesthesia A Thesis Presented to The Interdivisional Committee for Biology and Psychology Reed College In Partial Fulfillment of the Requirements for the Degree Bachelor of Arts Christian Joseph Graulty May 2015 Approved for the Committee (Biology & Psychology) Enriqueta Canseco-Gonzalez Preface This is an ad hoc Biology-Psychology thesis, and consequently the introduction incorporates concepts from both disciplines. It also provides a considerable amount of information on the phenomenon of synesthesia in general. For the reader who would like to focus specifically on the experimental section of this document, I include a “Background Summary” section that should allow anyone to understand the study without needing to read the full introduction. Rather, if you start at section 1.4, findings from previous studies and the overall aim of this research should be fairly straightforward. I do not have synesthesia myself, but I have always been interested in it. Sensory systems are the only portals through which our conscious selves can gain information about the external world. But more and more, neuroscience research shows that our senses are unreliable narrators, merely secondary sources providing us with pre- processed results as opposed to completely raw data. This is a very good thing. It makes our sensory systems more efficient for survival- fast processing is what saves you from being run over or eaten every day. But the minor cost of this efficient processing is that we are doomed to a life of visual illusions and existential crises in which we wonder whether we’re all in The Matrix, or everything is just a dream. -
"Prometheus": Music-Kinetic Art Experiments in the USSR Author(S): Bulat M
Leonardo The Fire of "Prometheus": Music-Kinetic Art Experiments in the USSR Author(s): Bulat M. Galeyev Reviewed work(s): Source: Leonardo, Vol. 21, No. 4 (1988), pp. 383-396 Published by: The MIT Press Stable URL: http://www.jstor.org/stable/1578701 . Accessed: 15/03/2012 08:55 Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact [email protected]. The MIT Press and Leonardo are collaborating with JSTOR to digitize, preserve and extend access to Leonardo. http://www.jstor.org The Fire of Prometheus: Music-Kinetic Art Experiments in the USSR Bulat M. Galeyev Abstract-In this article, the authordiscusses the principalSoviet experimentsin music-kinetic art. As can be judged from the available literature, most of these experimentsstill remain 'blank spaces' for Westernreaders. This article testifies to the existence of long-standingtraditions that have inspiredthe Soviet school of music-kinetic art and have contributedto its original features. Perhaps the results have not always been as successful or as extensive as one would want them to be, but the prospects for future developments look promising, if only on the basis of the theoretical foundationsthat were laid in Russia itself in the beginningof this century.To provide a context for his discussionof music-kinetic art consideredin this review,the authorhas included an article (see Appendix)in which he examines the history of the idea of 'seeing music' in Russia in previous centuries.