December Opioid Article of the Month:<br /> Adverse Childhood Experiences (ACEs):<br /> An Important Element of a Comprehensive Approach to the Opioid Crisis

December’s opioid article of the month discusses the connection between the opioid crisis and childhood trauma.

Written by Dr. Betsey Tilson, the State Health Director of North Carolina, this article uses local data about Adverse Childhood Experiences (ACEs) and opioid addiction to identify both risk factors for substance abuse and points when intervention could be effective.

To learn more, check out the new opioid article of the month!

Tilson, E. C. (05/2018). Adverse childhood experiences (ACEs): An important element of a comprehensive approach to the opioid crisis.
North Carolina Medical Society

See past Opioid Articles of the Month here.


ABPN Pilot Project Articles Now Available Through ADL

In October 2018 the American Board of Psychiatry and Neurology released the reading list for the MOC III pilot project. This project will require the ABPN diplomates to read articles from a set list and answer questions.

We are pleased to announce that we are making these articles easily available through the AHEC Digital Library. American Board of Psychiatry and Neurology Pilot Project Articles


Why Opioid Addiction Will Persist Until Physicians Have a Panoramic View of Opioid Exposure

The November opioid article of the month puts the issue of hospital opioid use into the broader context of the addiction epidemic.

This blog post from Health Affairs uses research articles, statistics, and anecdotes to make the case for why hospital opioid use is a critical factor to consider.

To learn more, check out the new opioid article of the month!


Mehra, M. (2018, October 4). Why opioid addiction will persist until physicians have a panoramic view of opioid exposure.


October Article of the Month: Opportunities to Prevent Overdose Deaths Involving Prescription and Illicit Opioids, 11 States, July 2016–June 2017

October’s opioid article of the month highlights an attempt to figure out how people who fatally overdose on opioids are combining prescription and illegal drugs. This report from the Centers for Disease Control and Prevention (CDC) uses medical examiner and coroner data to analyze specific drugs and other substances used by people who died of opioid overdoses. To learn more about the patterns shown in this data, check out the ADL’s opioid article of the month!

Opportunities to Prevent Overdose Deaths Involving Prescription and Illicit Opioids, 11 States, July 2016–June2017.
Mattson CL, O’Donnell J, Kariisa M, Seth P, Scholl L, Gladden RM. MMWR Morb Mortal Wkly Rep 2018;67:945–951.

September Opioid Article of the Month

The September opioid article of the month highlights a New York Times news article about recently released opioid statistics. The article discusses the increase in deaths shown in the CDC’s data on opioid use and overdoses, pointing to potential reasons for the increase and showing the points for future success.

To learn more, check out the September opioid article of the month:

Sanger-Katz, M. (2018, August 15). Bleak new estimates in drug epidemic: a record 72,000 overdose deaths in 2017


Barriers rural physicians face prescribing buprenorphine for opioid use disorder

The August opioid article of the month addresses an issue of particular interest to rural communities – the question of why some physicians who are authorized to prescribe opioid addiction treatments still aren’t doing so.

The article describes a research study surveying this unique population of providers, discussing the barriers that these physicians report facing that make it difficult for them to prescribe addiction treatments.

To learn why these rural physicians aren’t prescribing addiction treatments, check out this month’s article:

Andrilla, C. H. A., Coulthard, C., & Larson, E. H. (2017). Barriers rural physicians face prescribing buprenorphine for opioid use disorder. The Annals of Family Medicine, 15(4), 359-362.

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Possible Access Issues due to recent storms

If you are experiencing problems accessing resources due to the recent storm, please 08/18/2018

Suicide: a silent contributor to opioid-overdose deaths.

This blog post draws attention to one of the most often overlooked aspects of the opioid crisis – the issue of suicide via deliberate overdose. The article explains why this is an important question that should not be ignored, discussing both the relevant statistics and the gaps in the research.

To learn more about how suicide and opioid addiction are interrelated, read the July opioid article of the month.

Oquendo, M.A. & Volkow, N.D. (2018, April 26). Suicide: a silent contributor to opioid-overdose deaths. New England Journal of Medicine 2018; 378:1567-1569.

Meeting Opioid Users Where They Are A Service Referral Approach to Law Enforcement

This month’s opioid article addresses the overlap between the clinical and law enforcement sides of the opioid crisis. This commentary provides insight into the challenges that law enforcement can face when dealing with people suffering from substance abuse, and describes one example of a solution through the Fayetteville Police Department’s program partnering law enforcement with medical, behavioral, and social support connections. To learn more, read the June opioid of the month article.

The Other Opioid Crisis: Hospital Shortages Lead To Patient Pain, Medical Errors

The Other Opioid Crisis: Hospital Shortages Lead To Patient Pain, Medical Errors The May opioid article of the month discusses one of the lesser-known side effects of the opioid crisis – the hospital shortages of these drugs for patients who have a genuine need. The article describes the ways that doctors and nurses have tried to address these shortages, highlighting the risks involved with these measures and drawing a connection to an increased number of medical errors. To learn more about opioid shortages, check out the full article.Bartolone, P. (2018, March 16). The other opioid crisis: hospital shortages lead to patient pain, medical errors. Kaiser Health News.

NEJM's Controlling the Swing of the Opioid Pendulum: challenge chronic pain or opioid addiction

The New England Journal of Medicine’s recent Perspective article,“ Controlling the Swing of the Opioid Pendulum, takes on the question of personal challenges that physicians can face when treating patients with chronic pain or opioid addiction. This article shows one physician’s answer, both highlighting unexpected problems and proposing potential solutions.

SAMHSA guide: Words that Matter, explains some simple ways to reduce substance abuse stigma by language choices.

In the March Opioid Article of the Month, a SAMHSA guide explains some simple ways to reduce substance abuse stigma by language choices. The words that healthcare providers use to discuss this condition with patients can have a significant impact on the patient-provider relationship and the patient’s health outcomes. Check out the full article to learn why words matter.

ADL Discontinuing Support For IE 10 and Older

On August 9th, ADL will no longer support access from Internet Explorer versions 10 or older. Prior to that time, please update your version of Internet Explorer, or access the site from Firefox or Chrome.

New Resources Added to the Opioid Dependency Guide

NLM has created some saved searches on the opioid dependency topic - we have linked them in our Opioid Guide. Take a few minutes to check the guide for this and other resources.

New resource guide to the Zika Virus Disease and North Carolina's readiness

< a href="">Resource Guide to the Zika Virus and North Carolina Readiness Zika Virus Disease is caused by a flavivirus that spreads to people primarily through the bite of an infected Aedes species mosquito. It can also be transmitted from a pregnant mother to her fetus during pregnancy or around the time of birth, and possibly through sexual contact. Zika Virus Disease is usually mild and short-term, with the most common symptoms being fever, rash, joint pain, and conjunctivitis (red eyes). 4 out of 5 of those infected do not experience noticeable symptoms, and very few become sick enough to go to the hospital. Very rare cases may result in Guillain-Barre syndrome or other serious outcomes. There have been recent reports of a serious birth defect of the brain called microcephaly (a condition in which a baby’s head and brain are significantly smaller than typical) and other poor pregnancy outcomes in babies of mothers who were infected with Zika virus early in pregnancy.

Please check out our guide for much important information about this virus and North Carolina's readiness


Average price of medical journals?

Ever wondered overall about the price of medical journals? Well Library Journal has and every year they conduct a journals survey. In 2015 the average price for medical journals was $1,694 per title. Please visit the article Whole Lotta Shakin’ Goin’ On | Periodicals Price Survey 2015
In 2016 that increased to $1801 (a 6% increase) please read the 2016 survey
Fracking the Ecosystem | Periodicals Price Survey 2016

Ebsco Heads-Up! Beginning in July 2017 (yes folks 2017) Ebsco will no longer support IE 8.0 OR 9.0

“Beginning in July 2017, [Ebsco] will no longer support Internet Explorer 8.0 or 9.0 due to security risks.To avoid any service interruptions, please make all recommended browser updates before July 2017.” Here are a couple of links to Ebsco support explaining minimum browser requirements. I know for many of you in hospitals, may have no control over your browser so I wanted to give you as much ahead notice as possible.

The ADL now links to an Open Access diabetes journal, BMJ Open Diabetes Research and Care

BMJ Open Diabetes Research & Care "is a high-quality source for basic and clinical research regarding type 1 and type 2 diabetes, and associated complications. A rapid review process — and continuous online updates — ensure the publication of timely research."