Journal abstract

Description: 
This study found that specialists and PCPs perceive the quality of their communications with each other differently regarding referral and consultations. Physicians who did not receive timely communications regarding referrals or consultation reported that it impacted their ability to provide high quality care. This highlights the importance of effective referral as a clinical skill, and the need to improve inter-profession communication between primary care physicians and specialists.
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Archives of Internal Medicine (Jan 10, 2011)
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Presently, methadone is the recommended treatment for opioid-dependent pregnant women, but is associated with neonatal abstinence syndrome (NAS). NAS is characterized by opioid withdrawal symptoms in the newborn, which often requires longer hospitalization and treatment. Buprenorphine, FDA-approved in 2002 for the treatment of opioid dependence in non-pregnant individuals, hasn't been extensively studied during pregnancy. Yet, a new study in the New England Journal of Medicine (NEJM) found that buprenorphine offers an alternative to methadone in the treatment of opioid-dependent pregnant women. The study compared buprenorphine to methadone in 131 mothers and their newborns at eight international sites.
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New England Journal of Medicine
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Description: 
Journal abstract that examines whether there's an association of ethnicity and race with treatment response to buprenorphine.
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Brown, et al., Department of Psychiatry, The University of Texas Southwestern Medical Center
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Description: 
A very long-term longitudinal study of heroin addicts. The information presented is excellent, although the experiences of heroin addicts who began using the drug in the late 1960s may be substantially different from the experiences of modern addicts.
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Hser YI, Hoffman V, Grella CE, Anglin MD. Arch Gen Psychiatry. 2001;58(5):503-508.
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This study largely focused on children of parents who abuse alcohol but also contains some information on children of drug users.
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Johnson JL, Leff M.Children of substance abusers: overview of research findings. Pediatrics. 1999;103(suppl 5, pt 2):1085-1099.
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This 2009 article discusses a study of home induction for buprenorphine treatment; the results supported the hypothesis that home induction is a feasible and safe option.
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J Gen Intern Med.
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This abstract discusses a study done on the feasibility of an unobserved buprenorphine induction protocol. The study involved 103 patients who were heroin users and prescription opioid misusers, and discusses safety and rates of complications from induction through follow-up.
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Journal of General Internal Medicine
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This 2007 article study examined the quality of life of heroin-dependent patients being treated with methadone vs. heroin-dependent patients being treated with buprenorphine.
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American Journal of Drug and Alcohol Abuse
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This 2003 study found that buprenorphine and methadone were equally as effective in heroin-dependent patients; however, treatment retention was lower for buprenrophine.
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Addiction
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Description: 
Analyzes the misconceptions that arise from the Health Insurance Portability and Accountability Act and discusses when health care providers should use their professional judgment in deciding whether a disclosure is necessary.
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Journal of the American Medical Association (JAMA) 2005 Apr 13;293(14):1766-71.
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