A5085956924- Opioid Use Disorder Treatment
- Forensic Toxicology and Drug Analysis
- Poisoning and overdose treatments
- Cannabis and Cannabinoid Research
- Coffee research and impacts
- Emergency and Acute Care Studies
- Substance Abuse Treatment and Outcomes
- Agricultural Economics and Practices
- Treatment of Major Depression
- Alkaloids: synthesis and pharmacology
- Electroconvulsive Therapy Studies
- Primary Care and Health Outcomes
- Pain Management and Opioid Use
- Pharmaceutical Practices and Patient Outcomes
- Prenatal Substance Exposure Effects
- Pharmacology and Obesity Treatment
- Eating Disorders and Behaviors
- HIV, Drug Use, Sexual Risk
- Analytical Methods in Pharmaceuticals
- Berberine and alkaloids research
- Cardiac Arrest and Resuscitation
- Alcohol Consumption and Health Effects
- Obesity, Physical Activity, Diet
- Patient Satisfaction in Healthcare
- Chemical synthesis and alkaloids
University of Massachusetts Chan Medical School
2016-2025
UMass Memorial Medical Center
2013-2025
UMass Memorial Health Care
2021-2025
VIT-AP University
2023
Professor Jayashankar Telangana State Agricultural University
2023
Memorial Medical Center
2023
SRM University
2023
Lyndon Baines Johnson Hospital
2018
Memorial Hermann
2018
The University of Texas Health Science Center at Houston
2018
Kratom (Mitragynia speciosa korth) is recognized increasingly as a remedy for opioid withdrawal by individuals who self-treat chronic pain.A patient had abruptly ceased injection hydromorphone abuse self-managed and pain using kratom. After co-administering the herb with modafinil he experienced tonic-clonic seizure, but reported only modest abstinence once kratom administration stopped. We confirmed identity of plant matter ingested identified no contaminants or adulterants. also conducted...
Emergency medicine (EM) has a scientifically derived and commonly accepted description of the domain its clinical practice. That document, "The Model Clinical Practice Medicine" (EM Model), was developed through collaboration six organizations: American Board Medicine (ABEM), administrative organization for project, College Physicians (ACEP), Council Residency Directors (CORD), Residents' Association (EMRA), Review Committee (RRC-EM), Society Academic (SAEM). Development EM based on an...
<h3>Importance</h3> There are limited data to guide screen time recommendations after concussion. <h3>Objective</h3> To determine whether in the first 48 hours concussion has an effect on duration of concussive symptoms. <h3>Design, Setting, and Participants</h3> This randomized clinical trial was conducted pediatric adult emergency departments a tertiary medical center between June 2018 February 2020. Participants included convenience sample patients aged 12 25 years presenting department...
We examined the use of Kratom (Mitragyna sp .), a dietary supplement with mu‐opioid agonist activity, by members cybercommunity who self‐treat chronic pain opioid analgesics from Internet pharmacies. Within one year, an increase in number mentions on http://Drugbuyers.com , Web site that facilitates online purchase analgesics, suggested began managing withdrawal Kratom. This study demonstrates rapidity which information psychoactive substances disseminates through communities and suggests...
Since their introduction in 1987, energy drinks have become increasingly popular and the drink market has grown at record pace into a multibillion-dollar global industry. Young people, students, office workers, athletes, weekend warriors, service members frequently consume drinks. Both health care providers consumers must recognize difference between drinks, traditional beverages ( e.g. , coffee, tea, soft drinks/sodas, juices, or flavored water), sports The research about safety efficacy is...
Bystander naloxone distribution is an important component of public health initiatives to decrease opioid-related deaths. While there evidence supporting programs, the effects increasing availability on behavior people who use drugs have not been adequately delineated. In this study we sought 1) evaluate whether individuals' drug patterns changed due availability; and 2) explore knowledge of, access to, experiences with, perceptions naloxone. We conducted a pilot adults presenting emergency...
Each year, more than 100,000 Americans die from an overdose. Most of these deaths are attributed to high-potency opioids, including fentanyl. People who use drugs face multiple barriers treatment access, knowledge options, and adverse medical experiences. In 2022, Worcester County, Massachusetts saw a sharp increase in overdose deaths. response, our team, based Central developed implemented Opioid Response Specialist (ORS) Program, under the auspices mobile addiction service which has been...
Introduction. This pilot study assessed the prevalence of physiologic and behavioral adverse effects among adolescent (13–17 years) adult (18–25 emergency department patients who reported energy drink and/or caffeinated-only beverage use within 30 days prior to presentation. It was hypothesized that users would report more than those used only traditional caffeinated beverages such as coffee, tea, or soft drinks. Methods. cross-sectional conducted in two urban departments, one pediatric....
This study aimed to understand current patterns of energy drink use and compare the extent usage drinks other commonly used misused substances between adolescent (13-17-years-old) young adult (18-25-years-old) emergency department (ED) patients.During a 6-week period June August 2010, all patients presenting an or pediatric ED were asked complete computer-based, anonymous questionnaire regarding substances. Wilcoxon rank-sum, 2-sample tests binomial proportions, Pearson χ(2) testing,...
Objective: To compare user self-identification of nonpharmaceutical fentanyl exposure with confirmatory urine drug testing in emergency department (ED) patients presenting after heroin overdose.Methods: This was a cross-sectional study adult ED who presented overdose requiring naloxone administration. Participants provided verbal consent which they were asked series questions regarding their knowledge, attitudes and beliefs toward fentanyl. also samples, analyzed using liquid chromatography...
Abstract Objective Little is known about accuracy of provider self‐perception opioid prescribing. We hypothesized that an intervention asking emergency department ( ED ) providers to self‐identify their prescribing practices compared group norms—and subsequently providing them with actual data—would alter future controls. Methods This was a prospective, multicenter randomized trial in which all attending physicians, residents, and advanced practice at four s were randomly assigned either no...