chapter -7.pptx
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The document discusses three probability applications: 1) The probability of having 0, 1, 2, etc. boys before the first girl for a couple planning children. 2) The probability that the first, second, etc. anti-depressant drug tried is effective for a newly diagnosed patient, given a 60% effectiveness rate. 3) The expected number of donors that need to be tested to find a matching kidney donor for transplant, given a 10% probability of a random donor being a match.
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Happy-ending story: How modern technology can cure - Valerie Verveda, Project...
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Askb4Prescribed
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Treatment outcomes perez
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Annotated Research Consent Form
This document is an informed consent form for a clinical trial studying a new drug called NewCure for the treatment of a rare disease in children. The study involves 100 children across 10 medical centers who will receive either NewCure or a placebo over 3 months with 5 clinic visits. Study procedures include medical history interviews, physical exams, blood tests, taking the study drug twice daily for 4 weeks, and completing questionnaires about symptoms before and after treatment. The purpose is to determine if NewCure is safe and effective for treating the rare disease.
J Pediatr Pharmacol Ther 2017 Vol. 22 No. 6 423www.jppt.org .docx
J Pediatr Pharmacol Ther 2017 Vol. 22 No. 6 423www.jppt.org
RESEARCH
JPPT | Clinical Investigation
Off-label Prescribing Trends for ADHD Medications in
Very Young Children
Shannon G. Panther, PharmD; Alice M. Knotts; Tamara Odom-Maryon, PhD; Kenneth Daratha, PhD; Teri Woo, PhD;
and Tracy A. Klein, PhD
OBJECTIVE This study examines off-label medication prescribing use and trends in children on Medicaid
with ADHD with particular focus on the very young (under age 6 years).
METHODS This was an observational cohort study and retrospective analysis of ADHD medication
prescriptions from Oregon Medicaid records (N = 83,190) in 2012. Manufacturer prescribing information was
used to determine off-label designation. Children ages 3 to 18 years at the time of prescription who had
continuous Medicaid enrollment of at least 10 months during the index year of 2012 were included in the
sample frame.
RESULTS Children with ADHD were prescribed off-label medications primarily at the ages of 5 years and
younger. Among children ages 3 to 5 years, 91.4% of prescriptions were off-label. After the age of 5 years,
the percentage of off-label prescriptions dropped notably to 21%, reflecting the increase in availability of
approved medications for the treatment of ADHD starting at age 6 years. In the 3- to 5-year-old age group,
specific off-label and concerning medication-related observations included a high frequency of alpha
agonist (e.g., guanfacine, clonidine) prescribing; the prescribing of untested formulations such as clonidine
patches; prescribing of atomoxetine; and prescribing of large doses of stimulant medications.
CONCLUSIONS Most ADHD drugs prescribed for very young children are off-label, which is concerning
owing to lack of safety and efficacy data in this vulnerable population.
ABBREVIATIONS AAP, American Academy of Pediatrics; ADHD, attention-deficit hyperactivity disorder; FDA,
US Food and Drug Administration; ISMP, Institute for Safe Medication Practices
KEYWORDS attention deficit disorder; drug prescribing; off-label use; preschool child
J Pediatr Pharmacol Ther 2017;22(6):423–429
DOI: 10.5863/1551-6776-22.6.423
Introduction
Attention-deficit/hyperactivity disorder (ADHD) is
currently diagnosed in approximately 11% of United
States children ages 4 to 17 years.1 From 2007 to
2011 the number of children ages 2 to 5 years taking
medication to treat ADHD increased by 2-fold.2 Prac-
tices changed significantly within the last decade to
favor pharmacologic treatment in very young children,
despite a consensus in guidelines recommending
non-pharmacologic therapy as the primary treatment
approach. In 2007, a total of 97,583 children ages 2 to
5 years diagnosed with ADHD were identified as being
untreated or treated without medication, while 51,409
children were identified as taking an ADHD medication,
a ratio of approximately 2:1 in favor of not using medica-
tion.2 By contrast, in 2011, there were 103,562 children .
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Askb4Prescribed
Nearly half of Americans regularly take prescription medications, but many are unsure about side effects, dosages, or interactions with other drugs. The National Council on Patient Information and Education created the "Talk Before You Take" campaign with the FDA to encourage better communication between patients and healthcare providers about medications. The campaign provides 10 key questions patients should ask their doctor or pharmacist about any new prescription to help ensure safe and effective use.
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The document provides guidance for healthcare providers on discussing opioid risks, safety monitoring, and treatment changes with patients. It emphasizes focusing on patient well-being and quality of life rather than just pain elimination. It suggests discussing risks of opioids while treating all patients the same to reduce stigma. It also provides sample language for introducing monitoring, unexpected findings, and treatment changes while maintaining an empathetic and supportive approach.
Treatment outcomes perez
The document discusses adherence to antiretroviral therapy for HIV/AIDS. It defines adherence, current adherence rates, and the importance of adherence for reducing resistance, improving quality of life and virologic suppression. It discusses predictors of adherence, challenges to adherence, strategies for assessing and improving adherence, and presents a case study of improving adherence for a patient through a multidisciplinary approach.
Annotated Research Consent Form
This document is an informed consent form for a clinical trial studying a new drug called NewCure for the treatment of a rare disease in children. The study involves 100 children across 10 medical centers who will receive either NewCure or a placebo over 3 months with 5 clinic visits. Study procedures include medical history interviews, physical exams, blood tests, taking the study drug twice daily for 4 weeks, and completing questionnaires about symptoms before and after treatment. The purpose is to determine if NewCure is safe and effective for treating the rare disease.
J Pediatr Pharmacol Ther 2017 Vol. 22 No. 6 423www.jppt.org .docx
J Pediatr Pharmacol Ther 2017 Vol. 22 No. 6 423www.jppt.org
RESEARCH
JPPT | Clinical Investigation
Off-label Prescribing Trends for ADHD Medications in
Very Young Children
Shannon G. Panther, PharmD; Alice M. Knotts; Tamara Odom-Maryon, PhD; Kenneth Daratha, PhD; Teri Woo, PhD;
and Tracy A. Klein, PhD
OBJECTIVE This study examines off-label medication prescribing use and trends in children on Medicaid
with ADHD with particular focus on the very young (under age 6 years).
METHODS This was an observational cohort study and retrospective analysis of ADHD medication
prescriptions from Oregon Medicaid records (N = 83,190) in 2012. Manufacturer prescribing information was
used to determine off-label designation. Children ages 3 to 18 years at the time of prescription who had
continuous Medicaid enrollment of at least 10 months during the index year of 2012 were included in the
sample frame.
RESULTS Children with ADHD were prescribed off-label medications primarily at the ages of 5 years and
younger. Among children ages 3 to 5 years, 91.4% of prescriptions were off-label. After the age of 5 years,
the percentage of off-label prescriptions dropped notably to 21%, reflecting the increase in availability of
approved medications for the treatment of ADHD starting at age 6 years. In the 3- to 5-year-old age group,
specific off-label and concerning medication-related observations included a high frequency of alpha
agonist (e.g., guanfacine, clonidine) prescribing; the prescribing of untested formulations such as clonidine
patches; prescribing of atomoxetine; and prescribing of large doses of stimulant medications.
CONCLUSIONS Most ADHD drugs prescribed for very young children are off-label, which is concerning
owing to lack of safety and efficacy data in this vulnerable population.
ABBREVIATIONS AAP, American Academy of Pediatrics; ADHD, attention-deficit hyperactivity disorder; FDA,
US Food and Drug Administration; ISMP, Institute for Safe Medication Practices
KEYWORDS attention deficit disorder; drug prescribing; off-label use; preschool child
J Pediatr Pharmacol Ther 2017;22(6):423–429
DOI: 10.5863/1551-6776-22.6.423
Introduction
Attention-deficit/hyperactivity disorder (ADHD) is
currently diagnosed in approximately 11% of United
States children ages 4 to 17 years.1 From 2007 to
2011 the number of children ages 2 to 5 years taking
medication to treat ADHD increased by 2-fold.2 Prac-
tices changed significantly within the last decade to
favor pharmacologic treatment in very young children,
despite a consensus in guidelines recommending
non-pharmacologic therapy as the primary treatment
approach. In 2007, a total of 97,583 children ages 2 to
5 years diagnosed with ADHD were identified as being
untreated or treated without medication, while 51,409
children were identified as taking an ADHD medication,
a ratio of approximately 2:1 in favor of not using medica-
tion.2 By contrast, in 2011, there were 103,562 children .
COT and Adverse Risk Selection
This study examined health insurance claims data from over 10 million patients who were prescribed opioids to evaluate how opioid receipt differed based on preexisting psychiatric conditions and medications. The study found that patients with a variety of psychiatric conditions and those prescribed various psychoactive medications were more likely to receive opioids, particularly long-term opioid therapy. The increased risk for long-term opioid therapy ranged from 1.5 times higher for those previously prescribed ADHD medications, to over 8 times higher for those with prior opioid use disorder diagnoses. The results provide evidence that commercially insured patients with psychiatric conditions receive opioids more than those without such conditions.
Case Pharmacologic Approaches to the Treatment of Insomnia in a.pdf
This case study examines the treatment of insomnia in a 31-year-old male patient. The patient has experienced worsening insomnia for 6 months following the loss of his fiancée. He reports difficulty falling and staying asleep and uses alcohol to help fall asleep. The patient's medical history includes past opioid abuse. The case study involves three decision points to select a pharmacologic treatment for the patient's insomnia, considering relevant patient factors and ethical considerations.
Sheet1ParticipantNo MedsMeds11113214163101441217581161514712158131.docx
Sheet1ParticipantNo MedsMeds1111321416310144121758116151471215813189912101111.
&CIndependent Samples t
Sheet2
Sheet3
Grading Guide: Hypothesis Testing Paper
PSY/315 Version 5
1
Grading Guide
Hypothesis Testing Paper
This assignment is due in Week Five.
Content
60 Percent
Points Earned
X/9
· Describes the selected research issue, problem, or opportunity.
· Formulates a hypothesis statement concerning the selected research issue, problem, or opportunity.
· Determines a population and describes which sampling method would be used to generate the sample.
· Describes how data would be collected, the level of measurement of the data, and which statistical technique would be used to analyze the data, and why.
Comments:
Organization and Development
20 Percent
Points Earned
X/3
· The paper is 1,400 to 1,750 words in length.
· The paper is clear and organized; major points are supported by details, examples, or analysis.
· The tone aligns with the assignment’s purpose and is geared toward the appropriate audience.
· The paper provides relevant and sufficient background on the topic.
· The paper is logical, flows, and reviews the major points.
Comments:
Mechanics and Format
20 Percent
Points Earned
X/3
· The assignment file is presentable and functional.
· Rules of grammar, usage, and punctuation are followed; spelling is correct.
· The paper—including the title page, reference page, tables, and any appendices—is consistent with APA guidelines.
Comments:
Additional Comments:
Total Earned
X/15
Copyright © 2014 by University of Phoenix. All rights reserved.
Running head: DPT for Addiction non DPT Addiction Treatment. 1
DPT for Addiction non DPT Addiction Treatment 2
DPT for Addiction non DPT Addiction Treatment
Angela Breahanna Briggs
PSY/315
May 25, 2015
Richard Avery
Introduction
Drug addiction treatment can be done through drug replacement therapy, or through non-drug therapy. Drug replacement therapy has provided drug addicts with legal access to drugs, which they would otherwise only have accessed illegally. These drugs assist in providing medicated control towards achieving freedom from addiction.
Drug replacement has been used for a long time and has proved effective in several areas. The use of a non-drug placement program has also been effective. Drug addiction treatment programs that do not rely on drug replacement include counselling, group therapy, individual therapy, residential and out-patient therapy. All these programs target the specific needs of every individual.
Hypothesis
This research will seek to test the hypothesis that drug addiction treatment is relatively more effective when it is carried out using medication as opposed to non-medicated treatment. This assertion is based on the findings from a survey that was carried out involving ten individuals. The average score on the no.
Www non12steprehabs org_blog_2014_doctor-shopping
1) Doctor shopping involves patients visiting multiple physicians to obtain prescription drugs illicitly or continue abusing medications. It is a major contributor to the rise in prescription drug overdoses.
2) Rates of doctor shopping vary widely in studies but can be as high as 56% based on definitions. Patients seek multiple prescriptions to build up tolerance or fill the same prescription at different pharmacies to avoid suspicion.
3) Reasons for doctor shopping include psychological dependence on drugs, lack of treatment improvement or understanding, and factors like long wait times or strict physicians that push patients to seek care elsewhere. Monitoring programs and education can help address this problem.
Www non12steprehabs org_blog_2014_rx-addiction-responsibility
The document discusses who is responsible for prescription painkiller addiction in the United States. It argues that while personal responsibility plays a role, healthcare professionals also bear significant responsibility due to overprescribing opioids in the late 1990s and 2000s based on flawed research sponsored by pharmaceutical companies. This led many patients to become dependent on prescription opioids without abusing them. The medical community was distributing dangerous opioids without proper oversight, fueling the epidemic. Changes are needed, including holding doctors accountable for irresponsible prescribing and exploring alternative pain treatments.
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The clinic is instituting new opioid prescribing policies to respond to Oregon's prescription opioid epidemic. The policies include: limiting opioid prescriptions to a maximum of 30% pain relief and 90mg of morphine per day; requiring follow up appointments every 3 months for patients on long term opioids; and avoiding co-prescribing opioids with sedatives or benzodiazepines. The policies aim to reduce overdose risks and offer alternatives to opioids for chronic pain conditions.
Preventing teen abuse of prescriptions and over the
This document discusses preventing teen abuse of prescription and over-the-counter medications. It outlines a mission and goals to educate stakeholders on risk factors for teen abuse and significantly reduce abuse among teens aged 13-19. Objectives include better understanding trends in teen medication abuse, increasing parent-teen communication, and reducing unattended medications. Statistics show increasing rates of teen prescription drug abuse. Efforts to address the issue include prescription drug monitoring programs, take-back initiatives, and educating parents, physicians, and communities. Challenges include getting families, physicians, and authorities adequately involved in prevention.
Gordon Postgrad Med 2014 159-66
This case study describes a 24-year-old woman who presented with exacerbated chronic knee pain and demanded specific opioid medications. Her past history included heroin addiction but reported being sober for 4 years. On examination, her knee showed no changes but she displayed atypical irritable behavior. The physician suspected drug seeking behavior and refused to prescribe opioids given concerns about relapse of addiction. This case highlights the importance of thoroughly evaluating the potential causes of aberrant behavior before making assumptions about addiction or misuse.
miniproposal jen and wilson
This document summarizes a proposed study on the effects of medical marijuana on reducing symptoms of post-traumatic stress disorder (PTSD). The study would utilize a randomized, double-blind experimental design with 200 participants divided into a control group receiving placebo and an experimental group receiving medical marijuana capsules. Participants would be evaluated quarterly for one year using standardized PTSD assessment tools. The goal is to determine if medical marijuana can effectively reduce PTSD symptoms compared to a placebo by analyzing differences in assessment scores between the two groups over time. Limitations include not addressing effectiveness for long-term PTSD or those taking other medications. If significant results are found, it could provide evidence for medical marijuana as an approved PTSD treatment.
Rx15 tt tues_200_1_thau_2gorman
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Poster for the 2018 Society for Teachers of Family Medicine Annual Meeting: A...
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This document outlines new opioid prescribing policies for a clinic in response to Oregon's prescription opioid epidemic. The policies include: limiting opioid prescriptions to no more than 120mg of morphine per day; requiring follow up appointments every 3 months for long term opioid users; and promoting non-opioid alternatives for chronic pain conditions that typically do not respond to opioids. The policies aim to reduce overprescription while maintaining patient safety.
Early rising mentle
This study examined the relationship between early rising and mental health issues in pharmaceutical science students. The author conducted an observational study of 10 students over the 2016-2017 academic year, collecting data on their sleep schedules, breakfast habits, and morning routines. The results showed that students performed best academically when classes started between 11am-9:30am, as this aligned better with their natural body clocks than the traditional 9am start time. Early morning classes were found to impair performance and increase risks of issues like depression, obesity, and drug abuse due to sleep loss and temporal misalignment. The author concludes that starting class later in the day would allow students to study at their most effective times.
Early rising mentle
This study examined the relationship between early rising and mental health issues in pharmaceutical science students. The author conducted an observational study of 10 students over the 2016-2017 academic year, collecting data on their sleep schedules, breakfast habits, and morning routines. The results showed that students performed best academically when classes started between 11am-9:30am, as this aligned better with their natural body clocks than the traditional 9am start time. Early mornings were found to impair performance and increase risks of issues like depression, obesity, and drug abuse due to sleep loss and circadian rhythm misalignment. The author concludes that later class start times would allow students to study at their most effective times.
Prescribing Opioids in the ED
1) The document discusses critical issues in prescribing opioids for adult patients in the emergency department. It provides recommendations on 4 critical questions related to opioid prescribing based on a review of the available medical literature.
2) The first critical question addresses whether prescription drug monitoring programs can help identify patients at high risk for opioid abuse. The recommendation is that PDMPs may help with this.
3) The second critical question discusses whether opioids are more effective than other medications for acute low back pain. The recommendations are to consider non-opioid options first and avoid routine opioid prescribing.
4) The third and fourth critical questions and recommendations address appropriate opioid selection and prescribing considerations on discharge for acute pain patients.
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EBM Connie's section.ppt
The document discusses several challenges with applying evidence-based medicine principles to integrative medicine. It notes that research funding is often limited as private companies primarily fund clinical trials. Integrative treatments also involve individualized and complex interventions that are difficult to study in randomized controlled trials. Placebo effects are influenced by factors like culture and expectations, so placebos may not be truly inert. Complex chronic illnesses also involve multifactorial treatments that are challenging to evaluate with single-intervention trials. The document proposes some solutions like studying complex interventions, using different control groups, and improving how evidence is communicated and applied in clinical practice.
Evidence Based Practice Paper
The document summarizes several studies on the effects of Animal Assisted Activity (AAA) on cancer patients. One study found AAA programs in pediatric oncology hospitals were consistent in having strict safety policies. Another study found AAA decreased fatigue and improved emotional health for cancer patients undergoing radiation treatment. A third study found hospital staff generally had positive views of an AAA program, believing it benefited patients. A final study examined found AAA improved the mood of terminal cancer patients in palliative care. Overall, the studies suggested AAA can have benefits for cancer patients' moods and symptoms.
MedicalResearch.com - Medical Research Interviews Week in Review
MedicalResearch.com publishes exclusive interviews with researchers from major and specialty medical journals.
The Strength of Progesterone
Created for MiT's 2016-2017 Design Challenge on Infant Mortality. Light and colorful theme allows emphasis to be placed on lightly edited photographs & factual information.
Incident opioid abuse and dependence sullivan 2014
This study investigated the association between prescription opioid exposure and risk of opioid use disorder (OUD) among individuals with chronic noncancer pain (CNCP). The study used claims data from 2000-2005 for over 500,000 individuals with a new CNCP diagnosis and no recent opioid use or OUD. The results showed significantly higher rates of OUD among those prescribed opioids compared to those not prescribed opioids. Risk increased with longer duration of therapy and higher daily doses. Chronic opioid therapy, even at low doses, was associated with substantially increased risk of OUD compared to acute therapy or no opioids. Duration of opioid therapy was more important than daily dose in determining OUD risk.
Advanced Biostatistics presentation pptx
This document provides an introduction to biostatistics. It defines statistics as the collection, organization, and analysis of data to draw inferences about a sample population. Biostatistics applies statistical methods to biological and medical data. The document discusses why biostatistics is studied, including that more aspects of medicine and public health are now quantified and biological processes have inherent variation. It also covers types of data, methods of data collection like questionnaires and observation, and considerations for designing questionnaires and conducting interviews.
Regression Analysis.ppt
Regression analysis can be used to analyze the relationship between variables. A scatter plot should first be created to determine if the variables have a linear relationship required for regression analysis. A regression line is fitted to best describe the linear relationship between the variables, with an R-squared value indicating how well it fits the data. Multiple regression allows for analysis of the relationship between a dependent variable and multiple independent variables and their individual contributions to explaining the variance in the dependent variable.
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Sheet1ParticipantNo MedsMeds11113214163101441217581161514712158131.docx
Sheet1ParticipantNo MedsMeds1111321416310144121758116151471215813189912101111.
&CIndependent Samples t
Sheet2
Sheet3
Grading Guide: Hypothesis Testing Paper
PSY/315 Version 5
1
Grading Guide
Hypothesis Testing Paper
This assignment is due in Week Five.
Content
60 Percent
Points Earned
X/9
· Describes the selected research issue, problem, or opportunity.
· Formulates a hypothesis statement concerning the selected research issue, problem, or opportunity.
· Determines a population and describes which sampling method would be used to generate the sample.
· Describes how data would be collected, the level of measurement of the data, and which statistical technique would be used to analyze the data, and why.
Comments:
Organization and Development
20 Percent
Points Earned
X/3
· The paper is 1,400 to 1,750 words in length.
· The paper is clear and organized; major points are supported by details, examples, or analysis.
· The tone aligns with the assignment’s purpose and is geared toward the appropriate audience.
· The paper provides relevant and sufficient background on the topic.
· The paper is logical, flows, and reviews the major points.
Comments:
Mechanics and Format
20 Percent
Points Earned
X/3
· The assignment file is presentable and functional.
· Rules of grammar, usage, and punctuation are followed; spelling is correct.
· The paper—including the title page, reference page, tables, and any appendices—is consistent with APA guidelines.
Comments:
Additional Comments:
Total Earned
X/15
Copyright © 2014 by University of Phoenix. All rights reserved.
Running head: DPT for Addiction non DPT Addiction Treatment. 1
DPT for Addiction non DPT Addiction Treatment 2
DPT for Addiction non DPT Addiction Treatment
Angela Breahanna Briggs
PSY/315
May 25, 2015
Richard Avery
Introduction
Drug addiction treatment can be done through drug replacement therapy, or through non-drug therapy. Drug replacement therapy has provided drug addicts with legal access to drugs, which they would otherwise only have accessed illegally. These drugs assist in providing medicated control towards achieving freedom from addiction.
Drug replacement has been used for a long time and has proved effective in several areas. The use of a non-drug placement program has also been effective. Drug addiction treatment programs that do not rely on drug replacement include counselling, group therapy, individual therapy, residential and out-patient therapy. All these programs target the specific needs of every individual.
Hypothesis
This research will seek to test the hypothesis that drug addiction treatment is relatively more effective when it is carried out using medication as opposed to non-medicated treatment. This assertion is based on the findings from a survey that was carried out involving ten individuals. The average score on the no.
Www non12steprehabs org_blog_2014_doctor-shopping
1) Doctor shopping involves patients visiting multiple physicians to obtain prescription drugs illicitly or continue abusing medications. It is a major contributor to the rise in prescription drug overdoses.
2) Rates of doctor shopping vary widely in studies but can be as high as 56% based on definitions. Patients seek multiple prescriptions to build up tolerance or fill the same prescription at different pharmacies to avoid suspicion.
3) Reasons for doctor shopping include psychological dependence on drugs, lack of treatment improvement or understanding, and factors like long wait times or strict physicians that push patients to seek care elsewhere. Monitoring programs and education can help address this problem.
Www non12steprehabs org_blog_2014_rx-addiction-responsibility
The document discusses who is responsible for prescription painkiller addiction in the United States. It argues that while personal responsibility plays a role, healthcare professionals also bear significant responsibility due to overprescribing opioids in the late 1990s and 2000s based on flawed research sponsored by pharmaceutical companies. This led many patients to become dependent on prescription opioids without abusing them. The medical community was distributing dangerous opioids without proper oversight, fueling the epidemic. Changes are needed, including holding doctors accountable for irresponsible prescribing and exploring alternative pain treatments.
Study on Animal-Assisted Therapy to Launch across Country
A clinical trial studying the effects of animal-assisted therapy on pediatric oncology patients was launched across five children's hospitals in the country. The study measures how therapy animals affect the health-related quality of life of children between ages 3 and 12 newly diagnosed with cancer undergoing chemotherapy. Researchers also plan to study if animal-assisted therapy reduces parents' and guardians' stress and anxiety levels and how the therapy canines' behaviors change over the course of the study.
Responsible Opioid Prescribing for CNP
The clinic is instituting new opioid prescribing policies to respond to Oregon's prescription opioid epidemic. The policies include: limiting opioid prescriptions to a maximum of 30% pain relief and 90mg of morphine per day; requiring follow up appointments every 3 months for patients on long term opioids; and avoiding co-prescribing opioids with sedatives or benzodiazepines. The policies aim to reduce overdose risks and offer alternatives to opioids for chronic pain conditions.
Preventing teen abuse of prescriptions and over the
This document discusses preventing teen abuse of prescription and over-the-counter medications. It outlines a mission and goals to educate stakeholders on risk factors for teen abuse and significantly reduce abuse among teens aged 13-19. Objectives include better understanding trends in teen medication abuse, increasing parent-teen communication, and reducing unattended medications. Statistics show increasing rates of teen prescription drug abuse. Efforts to address the issue include prescription drug monitoring programs, take-back initiatives, and educating parents, physicians, and communities. Challenges include getting families, physicians, and authorities adequately involved in prevention.
Gordon Postgrad Med 2014 159-66
This case study describes a 24-year-old woman who presented with exacerbated chronic knee pain and demanded specific opioid medications. Her past history included heroin addiction but reported being sober for 4 years. On examination, her knee showed no changes but she displayed atypical irritable behavior. The physician suspected drug seeking behavior and refused to prescribe opioids given concerns about relapse of addiction. This case highlights the importance of thoroughly evaluating the potential causes of aberrant behavior before making assumptions about addiction or misuse.
miniproposal jen and wilson
This document summarizes a proposed study on the effects of medical marijuana on reducing symptoms of post-traumatic stress disorder (PTSD). The study would utilize a randomized, double-blind experimental design with 200 participants divided into a control group receiving placebo and an experimental group receiving medical marijuana capsules. Participants would be evaluated quarterly for one year using standardized PTSD assessment tools. The goal is to determine if medical marijuana can effectively reduce PTSD symptoms compared to a placebo by analyzing differences in assessment scores between the two groups over time. Limitations include not addressing effectiveness for long-term PTSD or those taking other medications. If significant results are found, it could provide evidence for medical marijuana as an approved PTSD treatment.
Rx15 tt tues_200_1_thau_2gorman
This document provides a summary of a presentation on translating the science on marijuana into effective public health messages. The presentation aimed to understand the latest science on marijuana use and how to frame prevention messages. It identifies concerns related to marijuana use and legalization such as addiction, impaired driving, and negative impacts on adolescent brain development and academic achievement. The presentation argues for using strong evidence from research to change the discussion on marijuana from complicated to simple and from negative to positive. It provides sample messages focused on how marijuana use could negatively impact things people care about like education, employment, and highway safety.
Poster for the 2018 Society for Teachers of Family Medicine Annual Meeting: A...
Poster for the 2018 Society for Teachers of Family Medicine Annual Meeting: A...Christina Czuhajewski
Presented at the 2018 STFM Annual Meeting, entiteld: Adolescent Views on Prescription and Nonprescription Opioid Use: Findings from the MyVoice Longitudinal Mixed Methods StudyResponsible Opioid Prescribing for Chronic Non-Cancer Pain
This document outlines new opioid prescribing policies for a clinic in response to Oregon's prescription opioid epidemic. The policies include: limiting opioid prescriptions to no more than 120mg of morphine per day; requiring follow up appointments every 3 months for long term opioid users; and promoting non-opioid alternatives for chronic pain conditions that typically do not respond to opioids. The policies aim to reduce overprescription while maintaining patient safety.
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