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http://dx.doi.org/10.1164/rccm.202401-0042ED | DOI Listing |
Background Underutilization of medications for opioid use disorder (MOUD), which reflects the limited number of patients initiating treatment and being retained in treatment, remains a persistent barrier to addressing the opioid epidemic. Using an adapted PRISM (Practical, Robust Implementation and Sustainability Model) framework, this study describes multi-level barriers and facilitators to expanding MOUD as part of the HEALing (Helping to End Addiction Long-term®) Communities Study in Kentucky (HCS-KY). Methods Cross-sectional small group and individual semi-structured interviews were conducted with 60 employees representing 30 MOUD agencies in eight Kentucky counties from December 2022 to June 2023.
View Article and Find Full Text PDFMedicine (Baltimore)
December 2024
Department of Obstetrics and Gynecology, Taixing People's Hospital, Taixing, China.
The timing of amniotomy after the Foley balloon catheter removal is crucial for successful labor induction. This study aimed to assess the effects of the Bishop score on the timing of amniotomy in patients undergoing labor induction after the Foley balloon catheter removal. This was a retrospective cohort study based on electronic medical records.
View Article and Find Full Text PDFCureus
November 2024
Research Unit, Hospital San Juan de Dios, Costa Rican Social Security Health Fund (CCSS), San José, CRI.
Background Aplastic anemia (AA) is a rare and heterogeneous hematological disorder defined as pancytopenia with hypocellular bone marrow in the absence of abnormal infiltration or medullary fibrosis. Various causes of AA have been identified, such as autoimmune factors, bone marrow injuries, viral infections, and genetic disorders. The symptoms of AA are directly linked to pancytopenia and the most common are fatigue, recurrent infections, and bleeding problems.
View Article and Find Full Text PDFRespir Med
December 2024
Department of Occupational Medicine, Chang Gung Memorial Hospital Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taiwan; Master of Science Degree Program in Innovation for Smart Medicine, Chang Gung University, Taiwan. Electronic address:
Background: Indium, a rare heavy metal, extensively used in flat panel display manufacturing, poses potential respiratory health risks to workers. Preserved ratio impaired spirometry (PRISm), a term describing nonobstructive lung function abnormalities, is associated with adverse health outcomes. Despite known risks, the relationship between serum indium levels and PRISm remains underexplored.
View Article and Find Full Text PDFKlin Monbl Augenheilkd
December 2024
Glaucoma drainage devices (GDD) are used for patients with secondary glaucoma, such as uveitic or neovascular glaucoma, which is uncontrolled under local therapy. They are also used in patients with conjunctival scarring, for example after a previous vitrectomy or after unsuccessful previous glaucoma surgery, such as trabeculectomy. They are also a treatment option for congenital glaucoma, aphakic glaucoma or for the treatment of iridocorneoendothelial syndromes.
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