Assuntos
Poluentes Ocupacionais do Ar , Anestesiologia/estatística & dados numéricos , Fentanila , Exposição Ocupacional/efeitos adversos , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Transtornos Relacionados ao Uso de Opioides/psicologia , Inabilitação do Médico/psicologia , Inabilitação do Médico/estatística & dados numéricos , Poluentes Ocupacionais do Ar/análise , Anestésicos Inalatórios/análise , Anestésicos Intravenosos/análise , Testes Respiratórios , Estudos Transversais , Fentanila/análise , Inquéritos Epidemiológicos , Humanos , Propofol/análise , Fatores de RiscoAssuntos
Comportamento Compulsivo/induzido quimicamente , Transtornos Disruptivos, de Controle do Impulso e da Conduta/induzido quimicamente , Agonistas de Dopamina/efeitos adversos , Antiparkinsonianos/efeitos adversos , Carbidopa/efeitos adversos , Cocaína/efeitos adversos , Transtornos Relacionados ao Uso de Cocaína/psicologia , Agonistas de Dopamina/administração & dosagem , Humanos , Doença de Parkinson/tratamento farmacológicoAssuntos
Aborto Espontâneo/induzido quimicamente , Cafeína/toxicidade , Feminino , Humanos , GravidezRESUMO
Methadone is a potent synthetic opioid used for treatment of opioid dependence and chronic pain. Florida Department of Law Enforcement data were analyzed to examine trends in deaths related to or caused by methadone and/or heroin between 2001-2006. Results demonstrated that mortalities associated with methadone use increased steadily as mortalities associated with heroin decreased steadily. Though useful in the treatment of opioid dependence and chronic pain, methadone possesses high abuse potential and documented mortality risks. Treatment with methadone, for both pain and opioid dependence, should be preceded by an abuse liability evaluation. Attempts to minimize diversion should be implemented.
Assuntos
Analgésicos Opioides/efeitos adversos , Dependência de Heroína/mortalidade , Metadona/efeitos adversos , Transtornos Relacionados ao Uso de Opioides/mortalidade , Causas de Morte/tendências , Médicos Legistas , Bases de Dados Factuais , Overdose de Drogas/mortalidade , Florida/epidemiologia , Medicina Legal/estatística & dados numéricos , Humanos , Estudos RetrospectivosRESUMO
The history of cocaine misuse includes a destructive epidemic during the 1980s. While recent surveys suggest cocaine use is stable or decreasing, we have observed increasing trends of cocaine-related death through analysis of medical examiner data collected by the Florida Department of Law Enforcement (FDLE). Florida's per capita cocaine-related death rates nearly doubled from 2001 to 2005. Electronic collection of data such as that collected by the FDLE nationally and in real-time would greatly advance understanding of drug-use patterns and consequences. For example, results from Florida suggest that high school and college students, and members of higher socioeconomic status, appear to be at increased risk of cocaine abuse. Public health interventions are necessary to prevent another full-fledged epidemic.
Assuntos
Transtornos Relacionados ao Uso de Cocaína/mortalidade , Morte Súbita/epidemiologia , Surtos de Doenças , Florida/epidemiologia , HumanosAssuntos
Analgésicos Opioides/uso terapêutico , Dor Lombar/tratamento farmacológico , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Doença Crônica , Ensaios Clínicos como Assunto/normas , Prescrições de Medicamentos/estatística & dados numéricos , Humanos , Prevalência , Estados Unidos/epidemiologiaAssuntos
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Abuso de Maconha/diagnóstico , Adolescente , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Estimulantes do Sistema Nervoso Central/efeitos adversos , Criança , Comorbidade , Diagnóstico Diferencial , Diagnóstico Duplo (Psiquiatria) , Humanos , Abuso de Maconha/epidemiologia , Abuso de Maconha/psicologia , Reprodutibilidade dos Testes , Projetos de Pesquisa/normas , Projetos de Pesquisa/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/psicologiaRESUMO
Smoking is a leading cause of morbidity and premature mortality in the United States. The relationship between tobacco smoking and several forms of cancer, heart disease, stroke, chronic lung disease, and other medical diseases is well recognized and accepted. Recent epidemiological studies are now focusing on the link between tobacco use and psychiatric diseases. Experts now suggest that in the differential diagnosis of "smoker," depression, alcohol dependence, and schizophrenia are highest on the list. Studies are also focusing on the role of secondhand tobacco exposure, either in utero or during childhood, in the risk of dual disorders. Prenatal exposure may alter gene expression and change the risk for a variety of life-long psychiatric diseases, e.g., ADD/ADHD, antisocial personality disorders, substance use disorders, and major depression. Considerable time and effort have been devoted to studying the link between smoking and depression and also schizophrenia. We will focus on less well-studied areas in tobacco use and psychiatric dual disorders (including eating disorders), prenatal and early childhood secondhand smoke (SHS) exposure, and the relationship to the genesis of these dual disorders.