Public Health

New Street Drug W-18 Is Probably Not An Opioid

Although many have been describing the new street drug W-18 as an opioid, and although illegal drug manufacturers have been using it as a fentanyl substitute, recent news suggests that it is most likely not an opioid. What Is W-18? W-18 was originally found in drug products in Sweden in 2014 and later in Canada in 2015. Fake OxyContin pills are usually laced with the opioid fentanyl, but in a recent drug bust in Calgary they were instead laced with W-18, an analgesic. These pills are sometimes referred to as “beans” and/or “shady 80s.” It is presumed that, since there …

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A Response to President Obama’s Health Care Reform Article

President Obama recently published an article discussing the Affordable Care Act (2010) in the Journal of the American Medical Association (JAMA). This publication is monumental for being the first medical article ever to be published in a journal by a president. It is a useful resource for members of the public, especially researchers, who want to gain a better understanding of the president’s perspectives and the progress made with health care reform.   Accomplishments of the Affordable Care Act In this article, President Obama stated that health care reform is necessary because, at the rate health care costs are increasing, …

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Tools for Tobacco Cessation

Cigarette smoking and nicotine addiction lead to 400,000 deaths annually, despite the fact that the detrimental consequences of smoking are widely known and accepted. While smoking rates have declined considerably since the Surgeon General first announced its health hazards in 1964, still about 21% of the American public continues to smoke. Nicotine addiction is one that is particularly important to treat because it often leads to other addictions and its use has a tremendous impact on health.   Why Quit Smoking? Smoking has been linked to multiple diseases and can worsen many health conditions. Smoking tobacco is responsible for causing …

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Does Ecstasy Cause Susceptibility to Infection?

There has been much debate on whether or not ecstasy, also known as methylenedioxymethamphetamine (MDMA), is capable of causing susceptibility to infection. The evidence of infection is suggestive, but not entirely conclusive. Researchers have been studying the immune cell responses of rodents exposed to ecstasy. In these experiments, there seems to be a reduction in the capabilities of two immune responses: one that is genetically encoded and another that adapts to evolving pathogens (the adaptive immune response).   How the Immune System Works T cells, for example, are a group of cells involved in the adaptive immune response that seem …

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Fentanyl Patches: Pain Relief Leading to Unintentional Opioid Drug Overuse and Addiction

The increased access to and overuse of painkillers seen in today’s opioid epidemic was the result of past drug policy changes. In the late 1990s, the laws governing the prescription of opioids became relaxed, giving access to populations besides cancer patients with chronic pain. In 2000, the Joint Commission on Accreditation of Healthcare Organizations introduced new pain management standards, and at the same time many physicians were advocating for changes in practice to increase the use of opioids to treat chronic pain. The opioid drug epidemic was highlighted by the Centers for Disease Control in 2015, but it was actually …

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Opioid Outreach Program Could Alleviate Crime

The Community Outreach Addiction Team (COAT) hires individuals in opioid addiction recovery. Their job is to encourage active users to seek treatment and provide a relatable point of reference for those reluctant to stop using. This program is still experimental and currently only in place in Maryland, but if it proves to be effective in the fight against opioid abuse and drug-related crimes then others around the country are likely to establish similar platforms. Read more here: http://www.wmdt.com/news/more-local-news/UPDATE-Opioid-outreach-program-could-alleviate-crime/38897486

Should Others Tell Us if We Are in Pain?

The perception of pain is a complex issue that has prompted a wide variety of research investigations. In light of the new, stricter opioid guidelines, and because there is no way to objectively rank pain at this time, healthcare professionals are prescribing opioids conservatively and sometimes to a fault. Anti-opioid campaigns have unfortunately shifted the focus from patient care to regulation adherence. Those individuals suffering with pain, especially chronic pain, are unable to provide evidence of their ailment and often go untreated as a result. Physicians need to take time to listen to and thoroughly assess each patient before deciding …

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New Advice for Treating Chronic Pain With Opioids

Physicians and patients alike have been concerned by the seemingly restrictive opioid prescription guidelines issued recently by the Center for Disease Control and Prevention (CDC). The argument is that the guidelines limit access to prescription painkillers and actually hurt patients who need opioids to stay functional. Authors have been quick to argue back, stating that they acknowledge opioid effectiveness in certain instances, but that they don’t want physicians to see them as their first or only option for treating pain. Opioids have been shown to be ineffective for most types of chronic pain and can actually cause more, generalized pain …

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Doctors Can Do More to Fight Addiction

Physicians are being asked to change their practices and their mentalities regarding prescription painkillers. Opioids have revolutionized the way we treat pain in America, but they have also brought on a plethora of dangers and negative consequences. Doctors need to consider each patient’s addiction risk factors and medical needs thoroughly before pulling out the prescription pad. Monitoring and follow-up care should be required for every patient, and access to anti-addiction medication (such as Buprenorphine) must be made available to all who need it. Until physicians make these changes, the opioid endemic is going to continue. Read more here: http://www.bloombergview.com/articles/2016-03-31/doctors-can-do-more-to-fight-addiction

HHS Releases National Pain Strategy

The Department of Health and Human Services has issued a plan to lessen the prevalence and encumbrance of chronic pain in the United States. The report addresses necessary improvements in the realms of education, prevention, and overall treatment. For example, medical students receive an astoundingly low level of education about pain and prescriber precautions, so curriculums are slowly being implemented to fix this deficit in knowledge. The Department is also issuing recommendations on prevention strategies, such as workplace regulations to avoid injury. Of course, one of the biggest issues facing the chronic pain community is the misuse of opioids, which …

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