LEADER 04724nam 22006255 450 001 9910300319203321 005 20240430223850.0 010 $a3-319-47497-9 024 7 $a10.1007/978-3-319-47497-7 035 $a(CKB)4100000000882199 035 $a(DE-He213)978-3-319-47497-7 035 $a(MiAaPQ)EBC5097011 035 $z(PPN)258871563 035 $a(PPN)22012728X 035 $a(EXLCZ)994100000000882199 100 $a20171007d2018 u| 0 101 0 $aeng 135 $aurnn#008mamaa 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aOpioid Dependence $eA Clinical and Epidemiologic Approach /$fby Heath B. McAnally 205 $a1st ed. 2018. 210 1$aCham :$cSpringer International Publishing :$cImprint: Springer,$d2018. 215 $a1 online resource (XV, 301 p. 22 illus., 16 illus. in color.) 311 $a3-319-47496-0 320 $aIncludes bibliographical references and index. 327 $aAn Epidemiologic Perspective -- Understanding the Agent, Part I: Opioid Biology and Basic Pharmacology -- Understanding the Agent, Part II: Adverse Effects -- Understanding the Agent, Part III: Specific Drugs -- Attenuating the Agent: Reducing Opioid ?Virulence? -- Best Practices Education, Part I: Pain Physiology, Psychology, and Alternatives to Opioids -- Best Practices Education, Part II : Evidence for and against Opioid Therapy -- Best Practices Education, Part III: Regulatory and Advisory Issues Related to Opioid Therapy for Pain -- Addressing Host Factors: Overview of Dependence and Addiction -- Opioid Dependence Risk Factors and Risk Assessment -- Addressing Host Factors: Primary, Secondary and Tertiary Prevention of Opioid Dependence -- Conclusion. 330 $aThis unique and timely title offers a comprehensive assessment of the previously underappreciated risks and potentially overstated benefits of chronic opioid therapy. It does so by approaching the rampant problem of opioid abuse and addiction ? currently labeled an epidemic in the United States -- from a public health/epidemiologic perspective. That is, following a thorough overview in Part 1 that compares (and contrasts) classic infectious disease epidemiology concepts with the epidemic, the book categorizes our current understanding of basic science and best clinical practices in opioid therapy in terms of Agent (opioid), Vector (prescriber) and Host (patient) factors. The majority of the book, which includes a plethora of instructional case studies, is organized according to these three arenas. Opioid Dependence: A Clinical and Epidemiologic Approach is designed to update all clinicians on opioid basic science, current areas of drug improvement research and development, alternatives to opioid therapy, evidence-based indications for opioid therapy, and clinical strategies for preventing and overcoming opioid dependence. Importantly, an overview of clinical practice guidelines from the American Society of Addiction Medicine, with its biopsychosocial-spiritual ?multidimensional assessment? focus is provided, along with a discussion of medication-assisted treatment, organized by the three currently FDA-approved pharmacotherapeutics (methadone, buprenorphine and naltrexone). Developed for practitioners at every level, this ground-breaking title offers a fresh and novel approach to improving the care and outcomes of patients receiving opioid therapy. 606 $aPsychiatry 606 $aNeurology  606 $aPain medicine 606 $aInternal medicine 606 $aGeneral practice (Medicine) 606 $aPsychiatry$3https://scigraph.springernature.com/ontologies/product-market-codes/H53003 606 $aNeurology$3https://scigraph.springernature.com/ontologies/product-market-codes/H36001 606 $aPain Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H47003 606 $aInternal Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H33002 606 $aGeneral Practice / Family Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H24003 615 0$aPsychiatry. 615 0$aNeurology . 615 0$aPain medicine. 615 0$aInternal medicine. 615 0$aGeneral practice (Medicine). 615 14$aPsychiatry. 615 24$aNeurology. 615 24$aPain Medicine. 615 24$aInternal Medicine. 615 24$aGeneral Practice / Family Medicine. 676 $a616.89 700 $aMcAnally$b Heath B$4aut$4http://id.loc.gov/vocabulary/relators/aut$0787346 906 $aBOOK 912 $a9910300319203321 996 $aOpioid Dependence$91754095 997 $aUNINA