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- ADEM (1)
- Analgesics, opioid/adverse effects (1)
- Autoimmune diseases of the nervous system (1)
- Behavior, addictive/chemically induced (1)
- CNS (1)
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- Demyelinating autoimmune diseases (1)
- Drug overdose/epidemiology (1)
- Encephalomyelitis, acute disseminated (1)
- Immunoglobulins, intravenous (1)
- Inappropriate prescribing (1)
- Leukoencephalitis, acute hemorrhagic (1)
- Opioid-related disorders (1)
- Opioid-related disorders/diagnosis (1)
- SARS-CoV-2, COVID-19, substance-related disorders, telemedicine, patient admission, behavioral medicine (1)
Articles 1 - 3 of 3
Full-Text Articles in Medicine and Health Sciences
The Impact Of Covid-19 On Admission Rates For Individuals With Substance Use Disorders, Devin J. Mcdonald, Linda Zhang, William Brady Dehart
The Impact Of Covid-19 On Admission Rates For Individuals With Substance Use Disorders, Devin J. Mcdonald, Linda Zhang, William Brady Dehart
HCA Healthcare Journal of Medicine
Background: Limited data exist regarding the prevalence of substance use disorders or utilization of mental health care during the COVID-19 pandemic. Our study aims to specifically identify trends in the utilization of behavioral health units (BHU) in those with substance use disorders (SUD).
Methods: Patient electronic health records (EHR) were analyzed from fourteen hospitals principally located in the US mid-Atlantic region. To compare SUD admissions before and after COVID-19 quarantine time periods, patient data from BHUs were collected from two time-periods: February 1st, 2019 to May 31st, 2019, and February 1st, 2020 to May 31st, 2020.
Results: The number of …
The Other Epidemic, Bruce Deighton
The Other Epidemic, Bruce Deighton
HCA Healthcare Journal of Medicine
The epidemic level of opioid abuse in the U.S. population continues to present a major challenge to our society and to the medical profession. Medical education has a significant role in improving screening, diagnosis, appropriate treatment and management of opioid use disorder. Addressing the problem of overprescribing opioids through physician education, surveillance and opioid management has resulted in significant improvement, translating to fewer overdose deaths from prescription opioids. Graduate medical education can increase access to care by training more addiction medicine specialists, and training other physicians to prescribe buprenorphine and provide access to medically assisted care.
Acute Disseminated Encephalomyelitis, Ashan Hatharasinghe, Hossein Akhondi, Don Pepito
Acute Disseminated Encephalomyelitis, Ashan Hatharasinghe, Hossein Akhondi, Don Pepito
HCA Healthcare Journal of Medicine
Introduction: Acute Disseminated Encephalomyelitis (ADEM) is a rare autoimmune demyelinating disorder of the central nervous system. Clinical manifestations include encephalopathy, motor deficits, ataxia, and meningeal signs. In most cases, ADEM is preceded by either vaccination or viral illness. Here, we present a case with neither of the two predisposing elements.
Discussion: A 28-year-old Hispanic female presenting with substance use and suicidal ideation was placed on an involuntary psychiatric hold, started on olanzapine and scheduled for a psychiatric facility transfer. The following day, she was noted to have neurological deficits when ambulating. Computed tomography of the brain showed a right frontal …