Informing the Development of Standardized Clinical Definitions of Neonatal Abstinence Syndrome and Neonatal Opioid Withdrawal Syndrome

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Publisher :
ISBN 13 :
Total Pages : 38 pages
Book Rating : 4.:/5 (125 download)

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Book Synopsis Informing the Development of Standardized Clinical Definitions of Neonatal Abstinence Syndrome and Neonatal Opioid Withdrawal Syndrome by : Laura Johnson Faherty

Download or read book Informing the Development of Standardized Clinical Definitions of Neonatal Abstinence Syndrome and Neonatal Opioid Withdrawal Syndrome written by Laura Johnson Faherty and published by . This book was released on 2021 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: From 2010 to 2017, the United States experienced a significant increase in maternal opioid-related diagnoses and neonatal abstinence syndrome (NAS). NAS is increasingly being referred to as neonatal opioid withdrawal syndrome (NOWS), as opioids are becoming the most common cause of neonatal withdrawal, whether alone or in the presence of other substances. A major challenge in the field is the lack of a standardized clinical definition of NAS. To address this challenge, the authors convened two modified-Delphi expert panels consisting of national experts on substance-exposed mother-infant dyads. Through these online panels, the authors solicited expert opinion to inform the development of clinical definitions of NAS and NOWS for use at the bedside as part of the U.S. Department of Health and Human Services initiative on NAS. To convene the panels, the authors used ExpertLensTM, a previously evaluated platform for conducting iterative online modified-Delphi panels. Participants provided initial responses to study questions about key components of the clinical definition of NAS and NOWS; reviewed how their responses compared to those of other participants; and revised their responses based on group feedback and discussion, if needed. Eighteen experts provided numeric ratings and free-text comments to contextualize their responses. Simple descriptive statistics, including frequency distributions, medians, interquartile ranges, as well as the RAND/UCLA Appropriateness Method Manual's approach to determining consensus in expert panels were used to analyze rating data, and the authors thematically analyzed the experts' free-text comments.

The Rand/UCLA Appropriateness Method User's Manual

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Publisher : Rand Corporation
ISBN 13 : 9780833029188
Total Pages : 109 pages
Book Rating : 4.0/5 (291 download)

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Book Synopsis The Rand/UCLA Appropriateness Method User's Manual by : Kathryn Fitch

Download or read book The Rand/UCLA Appropriateness Method User's Manual written by Kathryn Fitch and published by Rand Corporation. This book was released on 2001 with total page 109 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health systems should function in such a way that the amount of inappropriate care is minimized, while at the same time stinting as little as possible on appropriate and necessary care. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the "RAND/UCLA Appropriateness Method" was developed in the 1980s. It has been further developed and refined in North America and, increasingly, in Europe. The rationale behind the method is that randomized clinical trials--the "gold standard" for evidence-based medicine--are generally either not available or cannot provide evidence at a level of detail sufficient to apply to the wide range of patients seen in everyday clinical practice. Although robust scientific evidence about the benefits of many procedures is lacking, physicians must nonetheless make decisions every day about when to use them. Consequently, a method was developed that combined the best available scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history, and test results. This manual presents step-by-step guidelines for conceptualising, designing, and carrying out a study of the appropriateness of medical or surgical procedures (for either diagnosis or treatment) using the RAND/UCLA Appropriateness Method. The manual distills the experience of many researchers in North America and Europe and presents current (as of the year 2000) thinking on the subject. Although the manual is self-contained and complete, the authors do not recommend that those unfamiliar with the RAND/UCLA Appropriateness Method independently conduct an appropriateness study; instead, they suggest "seeing one" before "doing one." To this end, contact information is provided to assist potential users of the method.

Medications for Opioid Use Disorder Save Lives

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Publisher : National Academies Press
ISBN 13 : 0309486483
Total Pages : 175 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Medications for Opioid Use Disorder Save Lives by : National Academies of Sciences, Engineering, and Medicine

Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

Guidelines for the Identification and Management of Substance Use and Substance Use Disorders in Pregnancy

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Publisher :
ISBN 13 : 9789241548731
Total Pages : 37 pages
Book Rating : 4.5/5 (487 download)

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Book Synopsis Guidelines for the Identification and Management of Substance Use and Substance Use Disorders in Pregnancy by : World Health Organization

Download or read book Guidelines for the Identification and Management of Substance Use and Substance Use Disorders in Pregnancy written by World Health Organization and published by . This book was released on 2015-04-20 with total page 37 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been developed to enable professionals to assist women who are pregnant, or have recently had a child, and who use alcohol or drugs or who have a substance use disorder, to achieve healthy outcomes for themselves and their fetus or infant. They have been developed in response to requests from organizations, institutions and individuals for technical guidance on the identification and management of alcohol, and other substance use and substance use disorders in pregnant women. They were developed in tandem with the WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy.

Neonatal Opioid Withdrawal Syndrome

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Publisher : Taylor & Francis
ISBN 13 : 1040099513
Total Pages : 238 pages
Book Rating : 4.0/5 (4 download)

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Book Synopsis Neonatal Opioid Withdrawal Syndrome by : Brenda Louw

Download or read book Neonatal Opioid Withdrawal Syndrome written by Brenda Louw and published by Taylor & Francis. This book was released on 2024-08-29 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection synthesizes perspectives on Neonatal Opioid Withdrawal Syndrome (NOWS), providing a comprehensive resource for those in speech-language pathology and healthcare providers working within an interprofessional approach to treat and support infants, children, parents, caregivers, and families impacted by NOWS. The volume responds to the growing challenge faced by SLPs and healthcare providers to develop new, evidence- based strategies to meet the needs of the emerging population of infants with NOWS, children prenatally exposed to opioids, their mothers, families and caregivers, in light of the growing opioid crisis in the US. Through a holistic approach, the book features contributions from researcher-clinicians across healthcare professions and from different countries. It brings together research on the impact of NOWS on child neurodevelopment, causes of neurodevelopmental alterations due to NOWS, interprofessional team care to optimize outcomes for this population, feeding, communication, sensory and motor issues, long- term outcomes into adolescence and adulthood, as well as best practices for addressing these. The volume also explores the impact of NOWS on families and effective strategies for supporting them. The Trauma Informed Care approach features throughout. The collection looks ahead to address research gaps toward enhancing evidence-based strategies from a strength- based perspective. This book will be of interest to students and researchers in speech-language pathology, occupational therapy, physical therapy, nursing, pediatric medicine, and other related fields, as well as clinicians and instructors in these same disciplines.

Opioid-Use Disorders in Pregnancy

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Publisher :
ISBN 13 : 1108400981
Total Pages : 155 pages
Book Rating : 4.1/5 (84 download)

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Book Synopsis Opioid-Use Disorders in Pregnancy by : Tricia E. Wright

Download or read book Opioid-Use Disorders in Pregnancy written by Tricia E. Wright and published by . This book was released on 2018-05-10 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gain guidance and support when treating the high-risk population of women confronting (or battling) opioid-use disorders during pregnancy.

Pain Management and the Opioid Epidemic

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Publisher : National Academies Press
ISBN 13 : 0309459575
Total Pages : 483 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Neonatal Formulary

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Publisher : Oxford University Press
ISBN 13 : 0192577263
Total Pages : 992 pages
Book Rating : 4.1/5 (925 download)

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Book Synopsis Neonatal Formulary by : Sean Ainsworth

Download or read book Neonatal Formulary written by Sean Ainsworth and published by Oxford University Press. This book was released on 2020-03-13 with total page 992 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neonatal Formulary provides comprehensive guidance on the safe use of the drugs prescribed during pregnancy and commonly given to babies during labour and delivery, as well as during lactation and the first year of life. Treating the journey from pregnancy to parenthood as a continuous event, the new edition contains updated information on how the drugs affect both mother and baby. The first part of the book focuses on drug storage, drug licensing, and drug prescribing. In addition, it explains to why the metabolism of drugs differs in premature and sick infants, and why the practice of extrapolating doses from adult studies is unsafe. Patient safety, excipients, and therapies that affect drugs are also covered. Part 2 consists of monographs for over 250 drugs that may find use in the neonatal unit, and possibly outside it. Each monograph is divided into sections covering use, pharmacology, treatment, drug interactions or other administration, information, supply and administration, and references. The monographs are evidence-based and include links to the Cochrane Database of Systematic Reviews, and national guidelines. The third part presents information on additional drugs, and groups of drugs, that are often taken by mothers during pregnancy, labour, or during breast feeding. The drugs discussed in this section all affect the foetus or infant. Containing far more detail than is available in the British National Formulary for Children, and with additional online material featuring updates related to specific drugs and dosing, Neonatal Formulary is an essential guide for neonatologists, neonatal nurses, hospital pharmacists, obstetric staff, advanced nurse practitioners and for all health care professionals caring for pregnant women and their infants in the first year of life.

Federal Regulation of Methadone Treatment

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Publisher : National Academies Press
ISBN 13 : 0309598621
Total Pages : 251 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Federal Regulation of Methadone Treatment by : Committee on Federal Regulation of Methadone Treatment

Download or read book Federal Regulation of Methadone Treatment written by Committee on Federal Regulation of Methadone Treatment and published by National Academies Press. This book was released on 1995-02-01 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: For nearly three decades, methadone hydrochloride has been the primary means of treating opiate addiction. Today, about 115,000 people receive such treatment, and thousands more have benefited from it in the past. Even though methadone's effectiveness has been well established, its use remains controversial, a fact reflected by the extensive regulation of its manufacturing, labeling, distribution, and use. The Food and Drug Administration regulates the safety and effectiveness of methadone, as it does for all drugs, and the Drug Enforcement Administration regulates it as a controlled substance. However, methadone is also subjected to a unique additional tier of regulation that prescribes how and under what circumstances it may be used to treat opiate addiction. Federal Regulation of Methadone Treatment examines current Department of Health and Human Services standards for narcotic addiction treatment and the regulation of methadone treatment programs pursuant to those standards. The book includes an evaluation of the effect of federal regulations on the provision of methadone treatment services and an exploration of options for modifying the regulations to allow optimal clinical practice. The volume also includes an assessment of alternatives to the existing regulations.

Federal Guidelines for Opioid Treatment Programs

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Publisher : Lulu.com
ISBN 13 : 1794763538
Total Pages : 84 pages
Book Rating : 4.7/5 (947 download)

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Book Synopsis Federal Guidelines for Opioid Treatment Programs by : U.S. Department of Health and Human Services

Download or read book Federal Guidelines for Opioid Treatment Programs written by U.S. Department of Health and Human Services and published by Lulu.com. This book was released on 2019-11-23 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Federal Guidelines for Opioid Treatment Programs (Guidelines) describe the Substance Abuse and Mental Health Services Administration's (SAMHSA) expectation of how the federal opioid treatment standards found in Title 42 of the Code of Federal Regulations Part 8 (42 CFR � 8) are to be satisfied by opioid treatment programs (OTPs). Under these federal regulations, OTPs are required to have current valid accreditation status, SAMHSA certification, and Drug Enforcement Administration (DEA) registration before they are able to administer or dispense opioid drugs for the treatment of opioid addiction.

Infectious Disease and Pharmacology

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323568564
Total Pages : 345 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Infectious Disease and Pharmacology by : William E. Benitz

Download or read book Infectious Disease and Pharmacology written by William E. Benitz and published by Elsevier Health Sciences. This book was released on 2018-06-25 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Richard Polin’s Neonatology Questions and Controversies series highlights the most challenging aspects of neonatal care, offering trustworthy guidance on up-to-date diagnostic and treatment options in the field. In each volume, renowned experts address the clinical problems of greatest concern to today’s practitioners, helping you handle difficult practice issues and provide optimal, evidence-based care to every patient. Stay fully up to date in this fast-changing field with Infectious Disease and Pharmacology, an all-new volume in the series. Thorough, up-to-date content on the epidemiology, clinical manifestations, treatment, and outcomes for neonatal-perinatal infections, including necrotizing enterocolitis, neonatal HSV, and congenital Zika virus infection. The latest information on dosing of antibiotics, antivirals, and antifungals. Current coverage of therapies for neonatal gastroesophageal reflux, seizures, neuroprotection, and neonatal abstinence syndrome, as well as pharmacokinetic and pharmacogenetic considerations in neonatal care. Consistent chapter organization to help you find information quickly and easily. The most authoritative advice available from world-class neonatologists who share their knowledge of new trends and developments in neonatal care. Purchase each volume individually, or get the entire 7-volume set! Gastroenterology and Nutrition Hematology, Immunology and Genetics Hemodynamics and Cardiology Infectious Disease and Pharmacology New Volume! Nephrology and Fluid/Electrolyte Physiology Neurology The Newborn Lung

Drug Dependence in Pregnancy

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Publisher :
ISBN 13 :
Total Pages : 132 pages
Book Rating : 4.3/5 (2 download)

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Book Synopsis Drug Dependence in Pregnancy by : National Institute on Drug Abuse. Services Research Branch

Download or read book Drug Dependence in Pregnancy written by National Institute on Drug Abuse. Services Research Branch and published by . This book was released on 1978 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Guidelines for Perinatal Care

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Publisher :
ISBN 13 :
Total Pages : 436 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Guidelines for Perinatal Care by : American Academy of Pediatrics

Download or read book Guidelines for Perinatal Care written by American Academy of Pediatrics and published by . This book was released on 1997 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide has been developed jointly by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, and is designed for use by all personnel involved in the care of pregnant women, their foetuses, and their neonates.

Parenting and Substance Abuse

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Publisher : Oxford University Press
ISBN 13 : 019974310X
Total Pages : 555 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Parenting and Substance Abuse by : Nancy E. Suchman

Download or read book Parenting and Substance Abuse written by Nancy E. Suchman and published by Oxford University Press. This book was released on 2013-03-21 with total page 555 pages. Available in PDF, EPUB and Kindle. Book excerpt: Parenting and Substance Abuse is the first book to report on pioneering efforts to move the treatment of substance-abusing parents forward by embracing their roles and experiences as mothers and fathers directly and continually across the course of treatment.

Medications Development for the Treatment of Pregnant Addicts and Their Infants

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Publisher :
ISBN 13 :
Total Pages : 256 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Medications Development for the Treatment of Pregnant Addicts and Their Infants by :

Download or read book Medications Development for the Treatment of Pregnant Addicts and Their Infants written by and published by . This book was released on 1995 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Fundamentals of Toxicology

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Publisher : Academic Press
ISBN 13 : 0128054034
Total Pages : 424 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Fundamentals of Toxicology by : P.K. Gupta

Download or read book Fundamentals of Toxicology written by P.K. Gupta and published by Academic Press. This book was released on 2016-08-26 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fundamentals of Toxicology: Essential Concepts and Applications provides a crisp, easy-to-understand overview of the most important concepts, applications, and ideas needed to learn the basics of toxicology. Written by a pre-eminent toxicologist with over five decades of teaching experience, this comprehensive resource offers the hands-on knowledge needed for a strong foundation in the wide field of toxicology. Fundamentals of Toxicology includes a clear structure divided into five units to assist learning and understanding. The first unit provides extensive coverage on the background of toxicology including commonly used definitions and historical perspective, while following units cover: basic concepts; regulatory requirements and good laboratory practices, including types of toxicology testing and evaluation; toxic agents and adverse effects on health; and analytical, forensic, and diagnostic toxicology. This is an essential book for advanced students in toxicology and across the biomedical sciences, life sciences, and environmental sciences who want to learn the concepts of toxicology, as well as early researchers needing to refresh outside of their specialty. Explains the essential concepts of toxicology in a clear fashion Provides in-depth coverage of testing protocols, common drugs, chemicals, and laboratory-based diagnostic and analytical toxicology Explores the history, foundations, and most recent concepts of toxicology Serves as an essential reference for advanced students in toxicology and across the biomedical, life, and environmental sciences who want to learn the concepts of toxicology

Methadone Treatment for Opioid Dependence

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Publisher :
ISBN 13 :
Total Pages : 360 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Methadone Treatment for Opioid Dependence by : Eric C. Strain

Download or read book Methadone Treatment for Opioid Dependence written by Eric C. Strain and published by . This book was released on 1999 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Throughout the world, hundreds of thousands of people are addicted to opiates. The human, economic, and societal costs of this addiction are staggering: more than one-quarter of prison inmates are incarcerated for drug offenses and there has been a dramat.