News

Highlighted Article:<br /> Why Health Care Needs More Women and Nurse Leaders

A recent blog post from the Institute of Healthcare Improvement (IHI) shares an interview with IHI President Emerita and Senior Fellow Maureen Bisognano addressing healthcare leadership by women and by nurses.

This interview discusses the changes happening to bring nurses and women into more healthcare leadership roles, including both the benefits and challenges of this shift.

To learn more, check out the highlighted article of the month!
Bisognano, M. (2019, August 6). Why healthcare needs more women and nurse leaders. Improvement Blog. Institute for Healthcare Improvement.


08/16/2019

Highlighted Opioid Article: <br /> Opioid Settlements Spark Debate on How to Spend the Money

As large drug companies begin to make settlement payments in relation to the opioid crisis, how should that money be spent?

A recent NC Health News article discusses questions occurring in states that have been awarded settlements, such as how much money should be required to go towards opioid-related efforts.

By comparing the current opioid crisis to past settlements from tobacco companies regarding smoking, the article highlights the problems governments may face when spending this money.

To learn more, check out our highlighted article!
Vestal, C. (2019, August 19). Opioid settlements spark debate on how to spend the money. North Carolina Health News.


08/20/2019

August ABOG Articles are Posted

There will be more forthcoming and we will post those as they are released.
08/15/2019

August Opioid Article of the Month: <br /> Prevalence and Risk Factors Associated With Long-term Opioid Use After Injury Among Previously Opioid-Free Workers

What influences opioid-free workers to develop long-term opioid use after injuries?

A recent JAMA Network Open takes on this question, studying a cohort of injured workers to determine which factors carried the highest risk of long-term use.

The study identifies the number of days' supply in the initial opioid prescription as one of the key risk factors.

To learn more, check out the August Opioid Article of the Month!
Durand Z, Nechuta S, Krishnaswami S, Hurwitz EL, McPheeters M. Prevalence and Risk Factors Associated With Long-term Opioid Use After Injury Among Previously Opioid-Free Workers. JAMA Netw Open. Published online July 17, 20192(7):e197222. doi:10.1001/jamanetworkopen.2019.7222

See past Opioid Articles of the Month here.


08/01/2019

Highlighted Article:<br /> Care of the Transgender Patient

What do healthcare providers need to know in order to offer appropriate and culturally competent care to the transgender population?

A recent article in the Annals of Internal Medicine answers this question, discussing the health disparities faced by transgender persons, defining key terminology, and suggesting approaches and treatment options that healthcare providers can use when providing care to transgender patients.

To learn more, check out the highlighted article of the month!
Safer JD, Tangpricha V. Care of the Transgender Patient. Ann Intern Med. 2019;171:ITC1–ITC16. doi: 10.7326/AITC201907020!
Request the article via the ADL

Freely available FierceHealthcare summary of the article:
Finnegan, J. (2019, July 2). ACP issues guide to help primary care doctors care for transgender patients. FierceHealthcare.


07/15/2019

July Opioid Article of the Month: <br /> Leveraging Medicaid To Combat The Opioid Epidemic: <br /> How Leader States And Health Plans Deliver Evidence-Based Treatment

The July Opioid Article of the Month looks at the different strategies states across the US have used in their efforts to reduce opioid use.

This Health Affairs blog post looks at the many aspects of reducing opioid use, looking beyond initial prescribing limits to describe support for medication-assisted treatment, methods of integrating treatment with payment structures, and clinic-level changes to make opioid treatment more accessible.

The article also reviews successful strategies to reduce opioid use in states that have transitioned to Medicaid Managed Care, combining the two initiatives for increased effectiveness.

To learn more, check out the July Opioid Article of the Month!

“Leveraging Medicaid To Combat The Opioid Epidemic: How Leader States And Health Plans Deliver Evidence-Based Treatment," Health Affairs Blog, June 24, 2019. DOI: 10.1377/hblog20190619.49397

See past Opioid Articles of the Month here.


07/01/2019

Highlighted Resource:<br /> Effective Communication For Healthcare Teams:<br /> Addressing Health Literacy, Limited English Proficiency and Cultural Differences

How can healthcare providers communicate with patients about important information without understanding a patient’s comprehension?

This CDC online course takes on question, offering three CE-accredited modules on health literacy, cultural compentency, and patients with limited English proficiency.

To learn more about these topics, check out this CDC course!

Centers for Disease Control and Prevention. (2019). Effective Communication for Healthcare Teams. TRAIN.
Note: to access the course, registration for a free TRAIN account is required.


05/19/2019

June Opioid Article of the Month: <br /> Virtual Reality as Therapy for Pain

A recent article in the New York Times considers the possibilities offered by some non-opioid methods for treating pain.

The article describes how virtual reality therapies, in combination with other nonpharmacological treatments, are being tested with patients who have chronic pain.

To learn more, check out the June Opioid Article of the Month!

Virtual Reality as Therapy for Pain. New York Times (Online). New York: New York Times Company; 2019.

See past Opioid Articles of the Month here.


06/01/2019

May Opioid Article of the Month: <br /> News Media Reporting On Medication Treatment For Opioid Use Disorder Amid The Opioid Epidemic

The May Opioid Article of the Month delves into the question of how the US news media has presented stories about opioid use disorder (OUD) treatments.

This study from Health Affairs analyzes local news reporting about OUD treatments, tracking changes in news coverage against the geographic rate of high opioid overdoses and comparing positive versus negative perspectives.

To learn more, check out the May Opioid Article of the Month!

Kennedy-Hendricks, A., Levin, J., Stone, E., McGinty, E. E., Gollust, S. E., & Barry, C. L. (2019). News Media Reporting On Medication Treatment For Opioid Use Disorder Amid The Opioid Epidemic. Health Affairs, 38(4), 643-651.

If you would like to request a copy of this article, please contact your librarian.

See past Opioid Articles of the Month here.


05/01/2019

May is Mental Health Awareness Month

Join us in increasing awareness. Please visit our new Behavioral Collection among Clinical Staff and our newly updated Mental Health Resource Collecion
05/17/2019

Highlighted Article:<br /> Trends in Emergency Department Use by Rural and Urban Populations in the United States

Rural emergency departments have faced increasing utilization over the last decade, according to a recent article in JAMA Network Open.

This article analyzes visits in rural and urban areas, concluding that in spite of the US’s average decrease in ED visits, rural regions of the country have become more dependent on EDs as a source of healthcare.

To learn more about this trend, check out this JAMA article.

Greenwood-Ericksen MB, Kocher K. Trends in Emergency Department Use by Rural and Urban Populations in the United States. JAMA Network Open. 2019;2(4):e191919.


04/15/2019

April Opioid Article of the Month: <br /> Denying Access to Medications to Treat Opioid Addiction is Denying Appropriate Medical Treatment

A recent report from the National Academy of Sciences tackles the problem of treatments for opioid use disorder.

This report explains both the value of the evidence-based treatments and the barriers people frequently encounter in accessing those treatments.

A news article about the report puts it into the current context of the opioid crisis.

To learn more, check out the April Opioid Articles of the Month!

Committee on Medication-Assisted Treatment for Opioid Use Disorder. (2019). Medications for opioid use disorder save lives. National Academies of Sciences Engineering and Medicine.

Reed, T. (2019, March 21). National academies: denying access to medications to treat opioid addiction is denying appropriate medical treatment. FierceHealthcare.


04/01/2019

Highlighted Article:<br /> Coordinating Community Planning for Transportation and Health

A recent article from the JAMA Forum highlights the way transportation challenges and mobility barriers affect healthcare.

The article describes the different approaches being taken to reduce these problems at the federal, state, and community levels.

To learn more, check out this JAMA article:

Koh, H.K. & Rosenberg, J.T. (2019, February 21). JAMA forum: coordinating community planning for transportation and health. The JAMA Forum.


03/18/2019

March Opioid Article of the Month: <br /> Opioid Prescribing Trends and the Physician’s Role in Responding to the Public Health Crisis

Several new articles in JAMA Internal Medicine examine the impact that physicians’ prescribing habits can have on the opioid crisis.

The first study looks at prescribing patterns across the demographic groups most affected by the opioid crisis, while the second study examines recent changes in opioid prescribing since 2015.

Both articles are highlighted in the a JAMA Internal Medicine commentary that describes how the data is connected in the opioid landscape.

To learn more, check out the March Opioid Article of the Month!

Adams, J. M., & Giroir, B. P. Opioid Prescribing Trends and the Physician’s Role in Responding to the Public Health Crisis. JAMA Internal Medicine.

See past Opioid Articles of the Month here.


03/01/2019

Highlighted Article:<br /> High-Need, High-Cost Patients Offer Solutions for Improving Their Care and Reducing Costs

A recent NEJM Catalyst article takes on the question of improving healthcare by asking patients directly.

The article reports the results of a survey of high-need, high-cost patients, sharing their views on how systems could keep them healthier and out of the ER.

To learn more, check out the NEJM article!

Das, L.T., Abranson, E.L., & Kaushal, R. (2019). High-need, high-cost patients offer solutions for improving their care and reducing costs. NEJM Catalyst.
https://catalyst.nejm.org/high-need-high-cost-patients-solutions/


02/15/2019

February Opioid Articles of the Month<br /> Five Highlighted Articles

With the expansion of opioid research, policies, and work, there have been many recent strong publications on the topic.

For a one-time event, your ADL librarians have expanded the Opioid Article of the month to include five articles for February.

These articles cover work being done in the Charlotte and Mountain regions, the validity of evidence used to determine opioid policy, differing trends in intentional and unintentional poisoning deaths, and treatments for opioid use in substance use treatment facilities.

To learn more, check out all five of February’s Opioid Articles of the Month!

See past Opioid Articles of the Month here.


02/01/2019

January Opioid Article of the Month:<br /> Consequences of the Opioid Epidemic:<br /> Decade of Research Shows Spike in Drug Use-Associated Infective Endocarditis

The January Opioid Article of the Month highlights a newly published study investigating the impact of the opioid crisis on cases of infective endocarditis in North Carolina.

This serious heart condition can be caused by drug injections, and the article shows the connection between the spike in drug-use associated infective endocarditis and the opioid epidemic.

To learn more, check out the January Opioid Article of the Month!

Ward, A. (2018, December 4). Consequences of the opioid epidemic: decade of research shows spike in drug use-associated infective endocarditis. Contagion Live. Retrieved from https://www.contagionlive.com/news/consequences-of-the-opioid-epidemic-decade-of-research-shows-spike-in-drug-useassociated-infective-endocarditis

See past Opioid Articles of the Month here.


01/01/2019

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 http://www.ncmedicaljournal.com/content/79/3/166.full

See past Opioid Articles of the Month here.


12/01/2018

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


11/01/2018

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.


11/01/2018

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.
10/02/2018

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 https://www.nytimes.com/2018/08/15/upshot/opioids-overdose-deaths-rising-fentanyl.html.


09/06/2018

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.

Retrieved from: http://www.annfammed.org/content/15/4/359.long


08/01/2018

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.
07/05/2018

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.
06/05/2018

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.
04/29/2018

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.
04/03/2018

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.
06/27/2017

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.
06/09/2017

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

< a href="https://library.ncahec.net/specialCollection?scID=1108">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


07/13/2016

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
06/23/2016

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. http://support.ebsco.com/support_news/detail.php?id=992&page=1 http://www.elabs10.com/functions/message_view.html?mid=4298555&mlid=191901&siteid=2010003005&uid=eb79ea2638 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.
06/14/2016

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."
04/12/2016