Heath B. McAnally

Opioid Dependence A Clinical and Epidemiologic Approach - Northern Anesthesia & Pain Medicine, LLC Eagle River, AK, USA: Springer, c2017 - 301 pages

The book begins with a public health/epidemiologic examination of the situation, with a systematic view of the problem based on classic (infectious disease) epidemiologic principles applied to this behavioral health issue. This application is expanded to take into account the fact that unlike most epidemics in our species’ history, a unique factor that must be accounted for in any public health analysis is that the host (opioid-dependent/misusing patient) is generally not under sufficiently strong motivation to avoid the disease. The introduction concludes with a survey of recent containment approaches, categorized epidemiologically by target (agent, vector, host.)
The remainder of the book is organized according to this framework, addressing agent, vector/transmission and host, respectively. Sections Three and Four comprise the major focus of the book, and are dedicated primarily to practical education for primary care providers in preventing opioid use disorder, and overcoming it after the fact.

9783319474977 3319474979 = Common terms and phrases aberrant activity acute pain addiction administration adverse effects agent agonist analgesia analgesic assessment associated behaviors benzodiazepines brain buprenorphine cancer pain Chap chronic non-cancer pain chronic opioid therapy chronic pain chronic pain patients Clin clinical codeine comorbid confer controlled substances discussed disease dopamine dopaminergic dose effects of opioids efficacy endogenous Endomorphin evaluation evidence fentanyl function greater guidelines host hydrocodone hydromorphone hyperalgesia increased individual ligands meta-analysis metabolism methadone models morphine mu-opioid receptor naloxone naltrexone National neurons neuropathic pain Neurosci nociceptive opioid abuse opioid dependence opioid epidemic opioid misuse opioid prescription opioid receptor opioid use disorder opioid-induced outcomes overdose oxycodone oxymorphone pain management Pain Physician PDMP peripheral pharmacokinetics Pharmacol physical placebo population potential prescribing prescription opioid prevention primary psychiatric psychological RCTs recent reduce reported response risk factors significant strategies substance abuse systematic review therapeutic tion tolerance tramadol treatment trials variables

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