Western Judicial Circuit Felony Drug Court
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Palliative Care Case of the Month
PALLIATIVE CARE CASE OF THE MONTH “Treating Non-Infectious Diarrhea” by Robert Arnold, MD Volume 19, No. 98 August, 2019 Case 1: Mr. Jones is a 58-year-old man with short gut Three drugs are used because of their ability to slow down the syndrome. Palliative Care was consulted for goals of care, gut, allowing for more time for absorption of intestinal fluids a however quickly it became clear uncontrolled diarrhea was a decrease of diarrhea. The most well-know is loperamide, a larger priority. He said having to change the bag every few hours synthetic opiate which has minimal absorption. The dosing is 4 completely interfered with his living a normal life. He said, “I’d mg after one’s first bowel movement and then 2 mg after every rather die than have all of this diarrhea.” unformed stool, up to 16 mg (in palliative care patients there is some data for use up to 54 mg).9, 10 Loperamide should be Case 2: A 62-year-old woman with non-small cell lung cancer continued for 12 hours after diarrhea is stopped. Adverse effects is receiving immunotherapy. She has done quite well but is include mostly constipation, abdominal cramps, nausea and distressed by her diarrhea. She tried Lomotil and Imodium but rarely CNS effects like fatigue or dizziness. Cases of torsades de neither worked. When seeing her palliative care doctor, she said, pointes and death have been reported with higher than “It isn’t worth treating my cancer if I can’t live a normal life.” 9 recommended doses. -
Anti-Diarrheal Activity and Brine Shrimp Lethality Bioassay of Methanolic Extract of Cordyline Fruticosa (L.) A
Naher et al. Clinical Phytoscience (2019) 5:15 https://doi.org/10.1186/s40816-019-0109-z ORIGINAL CONTRIBUTION Open Access Anti-diarrheal activity and brine shrimp lethality bioassay of methanolic extract of Cordyline fruticosa (L.) A. Chev. leaves Sharmin Naher1*, Md. Abdullah Aziz1, Mst. Irin Akter2, S. M. Mushiur Rahman1, Sadiur Rahman Sajon1 and Kishor Mazumder1,3 Abstract Background: Cordyline fruticosa (L.) A. Chev. (Asparagaceae) is a plant which is traditionally used for the treatment of cough, bloody cough, diarrhea, dysentery, high fever, difficulties in urine, bloody urine, small pox, madness, skin eruptions, joint pains, rheumatic bone pains, sore throat, neck pain, bleeding hemorrhoids and inflammation in the digestive tract. Therefore, the present work aims to investigate the antidiarrheal and cytotoxic activities of methanolic extract of Cordyline fruticosa leaves in mice and brine shrimp, respectively. Methods: The effects of the methanol extract of Cordyline fruticosa leaves (MCFL) on castor oil-induced diarrhea, magnesium sulphate induced diarrhea and charcoal meal test in mice were investigated. In addition, brine shrimp lethality bioassay method was used to evaluate cytotoxic activity of MCFL. Results: In castor oil induced diarrheal test, MCFL at the dose of 200, 400 and 800 mg/kg body weight significantly (∗P< 0.05, versus control) and dose-dependently reduced the frequency of diarrhea. The frequency of magnesium sulphate-induced diarrhea was significantly reduced by MCFL at the dose of with 800 mg/kg. In the charcoal meal test, the extract at the dose of 400 and 800 mg/kg body weight significantly (∗P< 0.05) reduced the distance travelled by charcoal along the intestinal tract when compare with control. -
Supporting the Drug Court Process: What You Need to Know For
U.S. Department of Justice Office of Justice Programs Bureau of Justice Assistance Supporting the Drug Court Process:What You Need To Know for Effective Decisionmaking MONOGRAPHand Program Evaluation F EBRUARY 2003 SEARCH, The National Consortium for Justice Information and Statistics U.S. Department of Justice Office of Justice Programs 810 Seventh Street NW. Washington, DC 20531 John Ashcroft Attorney General Deborah J. Daniels Assistant Attorney General Richard R. Nedelkoff Director, Bureau of Justice Assistance Office of Justice Programs Home Page www.ojp.usdoj.gov Bureau of Justice Assistance Home Page www.ojp.usdoj.gov/BJA NCJ 197259 This document was prepared by SEARCH,The National Consortium for Justice Information and Statistics, under the Drug Court Training and Technical Assistance Program, under grant number 98–MU–VX–K017, awarded by the Office of Justice Programs, U.S. Department of Justice. The opinions, findings, and conclusions or recommendations expressed in this document are those of the authors and do not necessarily represent the official position or policies of the U.S. Department of Justice. The Bureau of Justice Assistance is a component of the Office of Justice Programs, which also includes the Bureau of Justice Statistics, the National Institute of Justice, the Office of Juvenile Justice and Delinquency Prevention, and the Office for Victims of Crime. Notice n November 2002, the Bureau of Justice Assistance I Bureau of Justice 810 Seventh Street NW. Assistance (BJA) Washington, DC 20531 assumed responsibility Telephone: (202) 616–5001 for administering the Drug Court Grant Fax: (202) 514–6452 Program and the Drug Court Training and E-mail: [email protected] Technical Assistance Program. -
Pharmacy and Poisons (Third and Fourth Schedule Amendment) Order 2017
Q UO N T FA R U T A F E BERMUDA PHARMACY AND POISONS (THIRD AND FOURTH SCHEDULE AMENDMENT) ORDER 2017 BR 111 / 2017 The Minister responsible for health, in exercise of the power conferred by section 48A(1) of the Pharmacy and Poisons Act 1979, makes the following Order: Citation 1 This Order may be cited as the Pharmacy and Poisons (Third and Fourth Schedule Amendment) Order 2017. Repeals and replaces the Third and Fourth Schedule of the Pharmacy and Poisons Act 1979 2 The Third and Fourth Schedules to the Pharmacy and Poisons Act 1979 are repealed and replaced with— “THIRD SCHEDULE (Sections 25(6); 27(1))) DRUGS OBTAINABLE ONLY ON PRESCRIPTION EXCEPT WHERE SPECIFIED IN THE FOURTH SCHEDULE (PART I AND PART II) Note: The following annotations used in this Schedule have the following meanings: md (maximum dose) i.e. the maximum quantity of the substance contained in the amount of a medicinal product which is recommended to be taken or administered at any one time. 1 PHARMACY AND POISONS (THIRD AND FOURTH SCHEDULE AMENDMENT) ORDER 2017 mdd (maximum daily dose) i.e. the maximum quantity of the substance that is contained in the amount of a medicinal product which is recommended to be taken or administered in any period of 24 hours. mg milligram ms (maximum strength) i.e. either or, if so specified, both of the following: (a) the maximum quantity of the substance by weight or volume that is contained in the dosage unit of a medicinal product; or (b) the maximum percentage of the substance contained in a medicinal product calculated in terms of w/w, w/v, v/w, or v/v, as appropriate. -
2008 Idaho Felony Drug Court Outcome Evaluation Report
An Examination of Idaho’s Felony Drug Courts: Findings and Recommendations FINAL REPORT Shelley Johnson Listwan, Ph.D. Institute for the Study and Prevention of Violence Department of Justice Studies Kent State University James Borowiak, M.A. Department of Justice Studies Kent State University & Edward J. Latessa, Ph.D. Center for Criminal Justice Research Division of Criminal Justice University of Cincinnati August 2008 ______________________________________________ This report was supported through a grant from the Idaho Supreme Court & the Substance Abuse and Mental Health Services Administration (CFDA 93.243). Views expressed are those of the authors and do not necessarily reflect the views of either funding agency. Table of Contents Acknowledgements………………………………………………………………………………3 List of Exhibits…………………………………………………………………………………...4 Section I. Overview………………...………………………………………………………10 Section II. Organizational Issues & Needs ………………………………………………..14 Methodology…………………………………………………………………….14 Sample…………………………………………………………………………...14 Court Descriptions……………………………………………………………...16 Results…………………………………………………………………………...23 Summary………………………………………………………………………...39 Section III. Statewide Outcome Evaluation Results……………………………………….41 Methodology…………………………………………………………………….41 Sample…………………………………………………………………………...41 Measures………………………………………………………………………...45 Analysis………………………………………………………………………….47 Results…………………………………………………………………………...47 Summary………………………………………………………………………..74 Section IV. GRPA Data Summary………………………………………………………….77 Methodology…………………………………………………………………….78 -
Retrospective Evaluation of Drug Courts in Clark County (Las Vegas) and Multnomah County (Portland)
The author(s) shown below used Federal funds provided by the U.S. Department of Justice and prepared the following final report: Document Title: From Whether to How Drug Courts Work: Retrospective Evaluation of Drug Courts in Clark County (Las Vegas) and Multnomah County (Portland) Author(s): John S. Goldkamp ; Michael D. White ; Jennifer B. Robinson Document No.: 194124 Date Received: 05/05/2002 Award Number: 98-DC-VX-K001 This report has not been published by the U.S. Department of Justice. To provide better customer service, NCJRS has made this Federally- funded grant final report available electronically in addition to traditional paper copies. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. R CRIME AND JUSTICE RESEARCHINSTITUTE .---- PROPERTY OF National Criminal Justice Reference Service (NCJRS) Box 6000 Rockville, MD 20849-6000 From Whether to How Drug Courts Work: Retrospective Evaluation of Drug Courts in , Clark County (Las Vegas) and Multnomah County (Portland) Phase II Report,fiorn the National Evaluation of Drug Courts (I) Johi S. Goldkamp Temple University Michael D. White University of North Florida Jennifer B. Robinson University of Ottawa c Approved By: Bate: The researc scribed in this report was supported by grant #98-DC-VX-K001 from the National Institute of Justice, United States Department of Justice. The points of view expressed in the document do not represent the official positions of the National Institute of Justice, the local justice agencies in Multnomah County and Clark County, nor the Federal Government. -
DRUG COURT REVIEW Winter 2019
DRUG COURT REVIEW Winter 2019 Rural Treatment Court Programs EDITOR IN CHIEF Julie Marie Baldwin, American University ASSOCIATE EDITORS Leola A. Abraham, American University John M. Eassey, American University EDITORIAL SUPPORT Steve Collins, American University Zephi Francis, American University Preeti P. Menon, American University ADVISORY COMMITTEE Jon D. Berg, Substance Abuse and Mental Health Services Administration Jerry Gardner, Tribal Law and Policy Institute Peggy Fulton Hora, Justice Speakers Institute Preeti Menon, American University Carrie F. Mulford, National Institute on Drug Abuse Roger H. Peters, University of South Florida Noreen Plumage, South Dakota State Court Administrators Office Annie Schachar, Center for Court Innovation Faye S. Taxman, George Mason University Gregory D. Torain, US Department of Justice EDITORIAL OFFICE Justice Programs Office American University 4801 Massachusetts Ave NW, Suite 508 Washington, DC 20016 This publication was supported by Grant No. 2016-DC-BX-K008 awarded by the Bureau of Justice Assistance. The Bureau of Justice Assistance is a component of the Department of Justice’s Office of Justice Programs, which also includes the Bureau of Justice Statistics, the National Institute of Justice, the Office of Juvenile Justice and Delinquency Prevention, the Office of Victims of Crime, and the SMART Office. Points of view or opinions in this document are those of the authors and do not necessarily represent the official position or policies of the US Department of Justice. Drug Court Review Winter 2019 3 Introduction to the Issue on Rural 4 - 7 Treatment Court Programs John M. Eassey The Effect of Disproportionate 8 - 25 Sanctioning on Client Noncompliance Jamie C. Vaske Treatment Needs and Gender 26 - 49 Differences Among Clients Entering a Rural Drug Treatment Court with a Co-occurring Disorder Paige M. -
Drug Court Practitioner
Drug Court Practitioner February 2016 Fact SheetVol. XI, No. 1 Understanding and Detecting Prescription Drug Misuse and Misuse Disorders By Sandra Lapham, MD, MPH, DFASAM Senior Research Scientist, Behavioral Health Research Center of the Southwest, Pacific Institute for Research and Evaluation his fact sheet is designed for court professionals. It describes prescription T drug misuse and provides information on: • The attributes of the most commonly misused and addictive prescription drugs • The extent and consequences of misuse • Side effects and toxicity • Characteristics of those who are most likely to misuse prescription drugs • Signs and symptoms of misuse • Ways to identify and treat those who may have developed a drug use disorder, including a section on medication-assisted treatment of opioid use disorder • Educational and technical assistance resources on this topic from SAMHSA and other organizations Prescription Drug Misuse drug causes (SAMHSA, 2012). This definition and the Most Commonly covers a wide range of behaviors, from using someone else’s medication to address a Misused Drugs legitimate medical need to misusing prescription The Substance Abuse and Mental Health medications to stay awake, get to sleep, calm Services Administration (SAMHSA) defines down, enhance job or athletic performance, or nonmedical prescription drug misuse as the change one’s mood. use of prescription pain relievers, tranquilizers, People who misuse prescription medications stimulants, sedatives, and other prescription may not understand that, although drugs for drugs in a way other than prescribed, such as treating pain and other medical conditions are for perceived medical need or for the feeling the generally safe when taken as prescribed, they Table 1. -
Resource Guide for Drug Court Applicants
U.S. Department of Justice Office of Justice Programs Bureau of Justice Assistance Drug Court Discretionary Grant Program: FY 2010 Enhancing Adult Drug Court Services, Coordination, and Treatment Solicitation Requirements Resource Guide Table of Contents Introduction ............................................................................................................................................................... 1 About the Requirements Resource Guide .......................................................................................................... 1 Assistance with the Proposal .............................................................................................................................. 1 The Drug Court Movement ................................................................................................................................. 1 Partnership with Treatment ................................................................................................................................. 2 Key Components of Drug Courts........................................................................................................................ 2 General Information................................................................................................................................................... 4 Definitions........................................................................................................................................................... 4 Program Provisions ........................................................................................................................................... -
Section B Changed Classes/Guidelines Final
EPHMRA ANATOMICAL CLASSIFICATION GUIDELINES 2019 Section B Changed Classes/Guidelines Final Version Date of issue: 24th December 2018 1 A3 FUNCTIONAL GASTRO-INTESTINAL DISORDER DRUGS R2003 A3A PLAIN ANTISPASMODICS AND ANTICHOLINERGICS R1993 Includes all plain synthetic and natural antispasmodics and anticholinergics. A3B Out of use; can be reused. A3C ANTISPASMODIC/ATARACTIC COMBINATIONS This group includes combinations with tranquillisers, meprobamate and/or barbiturates except when they are indicated for disorders of the autonomic nervous system and neurasthenia, in which case they are classified in N5B4. A3D ANTISPASMODIC/ANALGESIC COMBINATIONS R1997 This group includes combinations with analgesics. Products also containing either tranquillisers or barbiturates and analgesics to be also classified in this group. Antispasmodics indicated exclusively for dysmenorrhoea are classified in G2X1. A3E ANTISPASMODICS COMBINED WITH OTHER PRODUCTS r2011 Includes all other combinations not specified in A3C, A3D and A3F. Combinations of antispasmodics and antacids are classified in A2A3; antispasmodics with antiulcerants are classified in A2B9. Combinations of antispasmodics with antiflatulents are classified here. A3F GASTROPROKINETICS r2013 This group includes products used for dyspepsia and gastro-oesophageal reflux. Compounds included are: alizapride, bromopride, cisapride, clebopride, cinitapride, domperidone, levosulpiride, metoclopramide, trimebutine. Prucalopride is classified in A6A9. Combinations of gastroprokinetics with other substances -
MSIR (Morphine) Medical Facts from Drugs.Com 04/07/2015
MSIR (morphine) medical facts from Drugs.com 04/07/2015 Browse all medications A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Advanced Search Phonetic Search Drugs A-Z Pill Identifier Interactions Checker News Health Professionals Q & A Mednotes Apps Home → Conditions → Pain → MSIR Print Share Sign In or Register MSIR Related Information Availability Pregnancy Category Generic Name: morphine (MOR feen) Prescription only Risk cannot be ruled out Brand Name: AVINza, Kadian, MS Contin CSA Schedule WADA Class High potential for abuse Anti-Doping Classification Overview Side Effects Dosage Interactions More Reviews Average User Rating Reduce Nerve Pain Now Don't Let Neuropathy Symptoms Slow You Down. Get A Free Trial 1 User Review 9.0 Rate it! Now! Manufacturer What is MSIR (morphine)? Purdue Pharma LP Morphine is an opioid pain medication. An opioid is sometimes called a narcotic. Drug Class Morphine is used to treat moderate to severe Narcotic analgesics pain. Short-acting morphine is taken as needed for pain. Related Drugs The extended-release form of this medicine is Chronic Pain for around-the-clock treatment of pain. This tramadol form of morphine is not for use on an as- oxycodone needed basis for pain. Cymbalta Percocet Morphine is not for treating short-term pain just fentanyl after surgery unless you were already taking morphine morphine before the surgery. duloxetine methadone Morphine may also be used for purposes not Dilaudid listed in this medication guide. OxyContin Ultram More... Pain What is the most important information I should know about tramadol MSIR (morphine)? oxycodone naproxen You should not take this medicine if you have severe asthma or breathing problems, a blockage in acetaminophen your stomach or intestines, or a bowel obstruction called paralytic ileus. -
A Theory of Civil Problem-Solving Courts
GW Law Faculty Publications & Other Works Faculty Scholarship 2018 A Theory of Civil Problem-Solving Courts Jessica K. Steinberg George Washington University Law School, [email protected] Follow this and additional works at: https://scholarship.law.gwu.edu/faculty_publications Part of the Law Commons Recommended Citation Steinberg, Jessica, A Theory of Civil Problem-Solving Courts (2). 93 N.Y.U. L. Rev. (forthcoming 2018); GWU Law School Public Law Research Paper No. 2018-32; GWU Legal Studies Research Paper No. 2018-32. Available at SSRN: https://ssrn.com/abstract=3219306 This Article is brought to you for free and open access by the Faculty Scholarship at Scholarly Commons. It has been accepted for inclusion in GW Law Faculty Publications & Other Works by an authorized administrator of Scholarly Commons. For more information, please contact [email protected]. Forthcoming, 93 NYU L. Rev. __ (2018) A THEORY OF CIVIL PROBLEM-SOLVING COURTS JESSICA K. STEINBERG* This Article is the first to develop a problem-solving theory for the civil justice system. Drug courts pioneered the problem-solving model in the 1990s to pursue therapeutic goals as an alternative to “assembly line” jail- based sentencing. This Article explores the potential for migration of the drug court framework into the two most commonly adjudicated private law cases: rental housing and consumer debt. Three structural conditions in the civil courts—systemic lack of counsel, high-volume dockets, and corporate capture of the small claims process—routinely position vulnerable classes of individuals on the losing end of litigation. In the aggregate, these conditions have rendered the civil justice system predictably ineffective in combatting recurring social issues such as substandard housing and unscrupulous debt collection.