Introduction Substance abuse in pregnancy is known to have deleterious effects on neonates. These effects differ with respect to the substance ingested and can include neonatal abstinence syndrome (NAS), low birth weight, intrauterine fetal demise, and structural abnormalities such as gastroschisis.
Introduction Opioid dependence remains a very difficult problem facing the state of West Virginia, be it prescription opioids or heroin. Access to care for those struggling with opioid dependence continues to be problematic as well.
Introduction In 2008, 33.9 million retail prescription drugs were filled in West Virginia. (1) West Virginians filled an average of 18.7 prescriptions per capita in 2008 whereas the United States average was only 12 prescriptions per capita. (1) Both fatal and non-fatal prescription drug overdoses represent increasing problems in West Virginia as well. From 1999-2004, […]
In this issue, a report by Chiara et at (1) is one of the first to originate from India on the outcomes of antiretroviral therapy (ART) in HIV-2 and HIV-1/2 dually infected patients. They describe the proportions, baseline characteristics and outcomes of ART in HIV-1, HIV-2 and HIV-1/2-infected individuals managed in an urban referral clinic […]
“Substance abuse affects a broader segment of West Virginia’s citizens and their state and local governments than any other single issue confronting us today”. (1) Governor Joe Manchin III
General approaches to chronic pain syndromes While pain management is not the intended primary focus of outpatient clinics, about one-third of the United States population experiences chronic pain, and pain is the most common reason for patient visits. (1) Providing compassionate and effective control of persistent pain while avoiding inappropriate prescribing of controlled substances remains […]
Alzheimer’s disease (AD), is the most common form of dementia, afflicting an estimated 5.3 million individuals nationwide. (1) Included in this figure are approximately 220,000-640,000 individuals considered to have “Early Onset” or “Young Onset” dementia,” defined as dementia occurring before the age of 65. (2) Alzheimer’s afflicts women more than men. In the Framingham Study, […]