Society of Pain and Palliative Care Pharmacists White Paper on the Role of Opioid Stewardship Pharmacists.

Opioid stewardship is one essential function of pain and palliative care pharmacists and a critical need in the United States. In recent years, this country has been plagued by two public health emergencies: an opioid crisis and the COVID-19 pandemic, which has exacerbated the opioid epidemic through its economic and psychosocial toll. To develop an opioid stewardship program, a systematic approach is needed.

Hospital Opioid Requirements Following Continuation Versus Discontinuation of Buprenorphine for Addiction - A Retrospective Cohort Study.

Evidence guiding inpatient management of buprenorphine is lacking-this retrospective cohort study evaluated the clinical impact of hospital continuation versus discontinuation of buprenorphine at an academic medical center. The primary outcome was inpatient oral morphine equivalents (OME). Secondary outcomes included patient pain levels, functional assessment, and hospital length of stay.

Fractured Care: A Window Into Emergency Transitions in Care for LTC Residents With Complex Health Needs.

For long-term care (LTC) residents, transfers to emergency departments (EDs) can be associated with poor health outcomes. We aimed to describe characteristics of residents transferred, factors related to decisions during transfer, care received in emergency medical services (EMS), ED settings, outcomes on return to LTC, and times of transfer segments along the transition. We prospectively followed 637 transitions to an ED in British Columbia and Alberta, Canada, over a 12-month period.

The Use of Comfort Kits to Optimize Adult Cancer Pain Management.

Background: Pain is one of the most feared of all symptoms for the cancer patient. Some studies estimate that up to 90% of all cancer patients experience pain. Advances in pharmaceuticals and expert provider knowledge have improved pain management overall for the patient with cancer; however, complementary therapies can synergize medications to provide optimal pain relief while decreasing the side effect profile.

Identifying Homeless Medicaid Enrollees Using Enrollment Addresses.

Objective: To design and test the validity of a method to identify homelessness among Medicaid enrollees using mailing address data.

Data Sources/study Setting: Enrollment and claims data on Medicaid expansion enrollees in Hennepin and Ramsey counties who also provided self-reported information on their current housing situation in a psychosocial needs assessment.

Study Design: Construction of address-based indicators and comparison with self-report data.

Soybean proteins GmTic110 and GmPsbP are crucial for chloroplast development and function.

We have identified a viable-yellow and a lethal-yellow chlorophyll-deficient mutant in soybean. Segregation patterns suggested single-gene recessive inheritance for each mutant. The viable- and lethal-yellow plants showed significant reduction of chlorophyll a and b.

Carbon and nitrogen isotope fractionation of amino acids in an avian marine predator, the gentoo penguin (Pygoscelis papua).

Compound-specific stable isotope analysis (CSIA) of amino acids (AA) has rapidly become a powerful tool in studies of food web architecture, resource use, and biogeochemical cycling. However, applications to avian ecology have been limited because no controlled studies have examined the patterns in AA isotope fractionation in birds. We conducted a controlled CSIA feeding experiment on an avian species, the gentoo penguin (Pygoscelis papua), to examine patterns in individual AA carbon and nitrogen stable isotope fractionation between diet (D) and consumer (C) (Δ(13)CC-D and Δ(15)NC-D, respectively).

The Older Persons' Transitions in Care (OPTIC) study: pilot testing of the transition tracking tool.

Background: OPTIC is a mixed method Partnership for Health System Improvement (http://www.cihr-irsc.gc.

Older Persons' Transitions in Care (OPTIC): a study protocol.

Background: Changes in health status, triggered by events such as infections, falls, and geriatric syndromes, are common among nursing home (NH) residents and necessitate transitions between NHs and Emergency Departments (EDs). During transitions, residents frequently experience care that is delayed, unnecessary, not evidence-based, potentially unsafe, and fragmented. Furthermore, a high proportion of residents and their family caregivers report substantial unmet needs during transitions.

When functional capacity and real-world functioning converge: the role of self-efficacy.

Although functional capacity is typically diminished, there is substantial heterogeneity in functional outcomes in schizophrenia. Motivational factors likely play a significant role in bridging the capacity-to-functioning gap. Self-efficacy theory suggests that although some individuals may have the capacity to perform functional behaviors, they may or may not have confidence they can successfully perform these behaviors in real-world settings.

Pattern of mercury allocation into egg components is independent of dietary exposure in Gentoo penguins.

Avian eggs have become one of the most common means of evaluating mercury contamination in aquatic and marine environments and can serve as reliable indicators of dietary mercury exposure. We investigated patterns of mercury deposition into the major components of penguin eggs (shell, membrane, albumen, and yolk) using the Gentoo penguin (Pygoscelis papua) as a model species. Eggs were collected from both wild and captive populations of Gentoo penguins to compare the allocation of mercury into individual egg components of birds feeding at disparate trophic positions as inferred by stable isotope analysis.