To compare the efficacy of e-cigarette (e-cig) provision with or without behavioral support (SWITCH IT) delivered via telehealth to reduce harm among smokers with MI who cannot quit smoking and are not ready to pursue cessation treatment, and to examine self-regulation (using e-cigs instead of cigarettes to cope with stress/distress and self-efficacy) as a potential mechanism for behavior change from SWITCH IT

Start Date01 Oct 2024

Sponsor / Collaborator

Dartmouth-Hitchcock Medical Center

[+5]

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01 Nov 2024·Clinics in Liver Disease

Integrated Multidisciplinary Care Model to Manage the Dual Pathology of Alcohol Use Disorder and of Liver Disease

Review

Author: Vatsalya, Vatsalya ; Singal, Ashwani K. ; Agrawal, Ruchita ; Singal, Ashwani K

Alcohol-associated liver disease (ALD) is the most common cause of liver disease and an indication for liver transplantation. Identification of ALD at an earlier stage and treatment of concomitant alcohol use disorder (AUD) could potentially prevent or delay the progression to advanced stages of ALD like alcohol-associated cirrhosis and alcohol-associated hepatitis. However, screening for alcohol use is often not performed and treatment of AUD is rarely administered in ALD patients, due to several barriers at the level of patients, clinicians, and administrative levels.

JAMA Network Open

Lived Experience–Led Research Agenda to Address Early Death in People With a Diagnosis of a Serious Mental Illness

Article

Author: Bright, Nicole ; Storm, Marianne ; Geiger, Pamela ; Walker, Robert ; Nicholson, Joanne ; Morgan, Oscar ; Hill, Julia ; Chefetz, Ilana ; Parks, Joseph ; Rossom, Rebecca ; Kalisa, Joseph ; Lebby, Stephanie ; Daumit, Gail L. ; Pringle, Willie ; Stafford, Elizabeth ; Bohm, Andrew R. ; Gambee, David ; Carney, Tracy ; Wahrenberger, J. Todd ; Cather, Corinne ; Brundrett, Alison ; Butler, Jason A. ; Zisman-Ilani, Yaara ; Ferron, Joelle C. ; Gold, Alisa ; Wright, Maggie ; Solesio, Maria E. ; Deegan, Patricia E. ; Fortuna, Karen L. ; Rhee, Taeho Greg ; Sica, Amie ; MacDonald, Sandi ; Williams, Aaron M. ; Sippel, Lauren M. ; Mestrovic, Tomislav ; Brodey, Denise E. ; Angel, Jessica ; Johnson, Diane ; Pitts, Nakristia ; Rotondi, Armando J. ; Reimann, Brie ; Haragirimana, Claver ; Manion, Ian ; St George, Lisa ; Bradford, Daniel W.

ImportancePeople with serious mental illness (SMI), defined as a diagnosis of schizophrenia spectrum disorder, bipolar disorder, or disabling major depressive disorder) die approximately 10 to 25 years earlier than the general population.ObjectiveTo develop the first-ever lived experience–led research agenda to address early mortality in people with SMI.Evidence ReviewA virtual 2-day roundtable comprising 40 individuals convened on May 24 and May 26, 2022, and used a virtual Delphi method to arrive at expert group consensus. Participants responded to 6 rounds of virtual Delphi discussion via email that prioritized research topics and agreement on recommendations. The roundtable was composed of individuals with lived experience of mental health and/or substance misuse, peer support specialists, recovery coaches, parents and caregivers of people with SMI, researchers and clinician-scientists with and without lived experience, policy makers, and patient-led organizations. Twenty-two of 28 (78.6%) of the authors who provided data represented people with lived experiences. Roundtable members were selected by reviewing the peer-reviewed and gray literature on early mortality and SMI, direct email, and snowball sampling.FindingsThe following recommendations are presented in order of priority as identified by the roundtable participants: (1) improve the empirical understanding of the direct and indirect social and biological contributions of trauma on morbidity and early mortality; (2) advance the role of family, extended families, and informal supporters; (3) recognize the importance of co-occurring disorders and early mortality; (4) redefine clinical education to reduce stigma and support clinicians through technological advancements to improve diagnostic accuracy; (5) examine outcomes meaningful to people with an SMI diagnosis, such as loneliness and sense of belonging, and stigma and their complex relationship with early mortality; (6) advance the science of pharmaceuticals, drug discovery, and choice in medication use; (7) use precision medicine to inform treatment; and (8) redefine the terms system literacy and health literacy.Conclusions and RelevanceThe recommendations of this roundtable are a starting point for changing practice and highlighting lived experience–led research priorities as an option to move the field forward.

Brazilian Journal of Oral Sciences

Evidence based healthcare. What are the limitations of its application and implementation in dentistry

Author: Zbys Fedorowicz ; Hjordis Fedorowicz

The literature does not provide a clear definition of Evidence based Healthcare(EBHC) and there is some uncertainty between authors as to whether the concepts ofEBHC and Evidence-based medicine (EBM) and Evidence-based dentistry (EBD) arecomparable and the terminology is interchangeable. However the most frequently useddefinition of EBHC is: Evidence-based medicine (EBM) “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients”1. The inadequacy of this definition, by apparently excluding the patient from thedecision process, motivated its revision by Sackett2, and its ‘new improved’ version highlights the contemporary view of the patient as a partner in the concept. “the integration of best research evidence with clinical expertise and patients values”2 . Co-incidentally he ‘strengthened’ the contribution of individual clinical skills, possibly to allay any clinician perceived apprehensions of a ‘prescriptive’ slant to the concept. Other authors, Jadad3, have continued to use the 1996 EBM terminology in defining EBHC. Muir Gray4 attempted to differentiate EBM from EBHC, “EBM is the provision of appropriate healthcare for individual patients. Whereas in the UK the responsibility for the health of populations is clearly allocated to health authorities and to management, where the concept of evidence-based healthcare was invented”, and “the development of EBHC was stimulated and facilitated by the NHS R&D programme”. Nevertheless EBHC covers a wider perspective than the term EBM seems to allow. Health care after all is not only ‘medicine’ and the evidence-based concept has interest groups in other disciplines not least of all Dentistry. It would appear that tradition has prevailed and thus the term EBM, and its definition, is more widely used and is often employed where EBHC would seem to be more appropriate. EBHC is generally understood to be a reflective approach in the provision of health care,and combines current best research based evidence with individual clinical expertise and patients values and choice. It does not specifically require the synthesizing of evidence as this may be ‘ready made’ eg: clinical guidelines, guidance and clinical decision aids. However, if the evidence sought after is not available ‘predigested’, the process will entail the searching for, reviewing, and critical appraisal of that evidence. EBHC Braz J Oral Sci. April/June 2005 Vol. 4 Number 13

News (Medical) associated with Seven Counties Services, Inc.

13 Apr 2023

·www.prnewswire.com

Apply Now for the Dr. Charles Noplis Scholarship, a Game-Changer for Medical Students

LOUISVILLE, Ky., April 13, 2023 /PRNewswire/ -- The Dr. Charles Noplis Scholarship for Medical Students is a new opportunity for aspiring medical professionals in the United States. This scholarship was created by Dr. Charles Noplis, a highly skilled psychiatrist with more than ten years of experience in the field. Dr. Noplis earned his Bachelor of Science in Biology from the University of Kentucky, and his medical degree from the University of Louisville School of Medicine. He completed his Residency Program in Psychiatry at the University of Louisville Department of Psychiatry and later earned board certifications in Psychiatry and Addiction Medicine. With a passion for helping others, Dr. Charles Noplis created the scholarship to support students who are currently enrolled in a university or high school students who plan to pursue a medical degree. The scholarship is a one-time award of $1,000, which will be awarded to a deserving student based on an essay competition. This scholarship is open to students across the United States who are interested in pursuing a medical degree. The application process is straightforward and can be found on the official scholarship website. To be eligible for the scholarship, students must be currently enrolled in a university or plan to pursue a medical degree. Dr. Charles Noplis is the CEO and President of Noplis Psychiatry, and he has served as an outpatient provider at Seven Counties Services since the beginning of 2020. He is an active member of professional organizations, including the American Academy of Addiction Psychiatry, the American Psychiatric Association, and the American Society of Addiction Medicine. Dr. Noplis has extensive experience in the field of psychiatry and addiction medicine, and he is committed to helping his patients achieve optimal health and well-being. In summary, the Dr. Charles Noplis Scholarship for Medical Students is an excellent opportunity for students who are passionate about pursuing a medical degree. This scholarship offers financial assistance to students who have a strong drive to learn and succeed in the medical field. The winner of the scholarship will be chosen based on their essay, which should showcase their creativity, passion, and dedication to medicine. For more information about the scholarship, please visit the official Dr. Charles Noplis Scholarship website. SOURCE Dr Charles Noplis Scholarship

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