America’s addiction crisis, compounded by Covid-19, requires immediate action to save lives

first_imgFirst OpinionAmerica’s addiction crisis, compounded by Covid-19, requires immediate action to save lives linkedin.com/in/paul-earley-m-d-dfasam-b4360445 A nurse holds tabs of buprenorphine, which is used to treat opioid use disorder. Elise Amendola/AP Combination of two drugs can help treat methamphetamine addiction for some, new clinical trial data shows  Paul H. Earley Trump administration will let nearly all doctors prescribe addiction medicine buprenorphine About the Author Reprints There is also a nationwide shortage of clinicians who specialize in addiction medicine. The Office of National Drug Control Policy says that only about 5,000 medical doctors have addiction medicine or addiction psychiatry credentials. One good starting point is immediately enacting legislation to ensure that clinicians who prescribe controlled medications of any kind — not just those for addiction — receive baseline education about treating patients with SUD through health care professional schools, residency programs, or continuing education.Another would be expanding federal programs such as the Loan Repayment Program for SUD Treatment Workforce authorized under the SUPPORT Act, the Mental Health and Substance Use Disorder Workforce Training Demonstration program, and the Practitioner Education program. These programs would bolster the medical workforce and provide the nation with an enormous return on its investment.Remove frustrating barriers to evidence-based addiction treatmentIn addition to training frontline medical workers, the nation must build its capacity and its willingness to deliver evidence-based addiction care. While therapies must be individualized to each patient’s unique needs, treatment practices should be consistent with generally accepted standards of care. The current lack of standardization in addiction treatment, on the one hand, and in health insurance coverage for it, on the other, has made it incredibly difficult for policymakers, payers, patients, and families to identify addiction treatment backed by science and evidence.High-quality addiction care is driven by thorough assessment of an individual’s medical, psychiatric, social, and addiction factors. This assessment then leads to a patient-specific treatment plan that delineates a sufficient intensity and duration of care to produce the best possible outcome. Addiction care should be measured in months or years, not in days or weeks.Yet even where high-quality addiction treatment services that are consistent with nationally recognized standards of care and clinical practice, such as the ASAM Criteria, are available, third-party payer policies that limit coverage or payments can prevent patients from accessing those services.Narrow networks, onerous utilization management policies, limitations on Medicaid coverage for incarcerated individuals, and high cost-sharing requirements are just some of the hurdles that Americans face when attempting to access addiction treatment. Reforming current payment policies and ensuring mental health and addiction parity would dramatically expand access to life-saving treatments.center_img Finally, it is still too difficult for people with opioid use disorder to find clinicians and treatment programs providing FDA-approved medications for their disorder due to stigma and overregulation. Medications including buprenorphine, methadone, and intramuscular naltrexone should be available to all patients, no matter where they seek treatment. To accomplish that, laws and regulations that impose unnecessary restrictions on these medicines must be reformed, including eliminating buprenorphine-specific training requirements and patient limits. Otherwise, future federal investments will continue to be limited in their ability to save lives.Moving forwardAs Congress works with the Biden administration to address Covid-19, prioritizing the U.S.’s national response to the other ongoing epidemic of drug overdoses will be essential. This will require strengthening the medical workforce to prevent and treat addiction and removing the barriers Americans face every day when trying to access evidence-based addiction care.Only if we are willing to take these actions will we begin to stem the tide of overdose deaths that have cut short so many promising lives and devastated a nation.Paul H. Earley is an addiction medicine physician who specializes in the assessment and treatment of health care professionals, and currently serves as president of the American Society of Addiction Medicine. Despite hard-fought progress in recent years, new data from the Centers for Disease Control and Prevention show that drug overdose deaths in the U.S. are now at their highest level ever, soaring to more than 81,000 in the 12-month period between June 2019 and June 2020. At the same time, unprecedented challenges during the Covid-19 pandemic have illuminated existing weaknesses in our health care infrastructure when it comes to preventing and treating addiction.While past presidents and members of Congress have enacted a series of bipartisan bills with important provisions that contributed to a temporary national dip in the overdose death rate, policymakers must now take action to address the remaining structural and financial roadblocks that hinder widespread addiction education and training, access to lifesaving medications, and health insurance coverage for evidence-based addiction care.Strengthen the medical workforce to treat addiction and save livesOne of the biggest barriers to accessing evidence-based addiction treatment in the U.S. is a widespread lack of education and training in addiction medicine. Too few clinicians know how to identify and treat patients with addiction. Only 1 in 4 health care professionals receive training about addiction during medical education, according to a recent survey by Shatterproof, which also shows that a shocking number of physicians believe — incorrectly — that opioid use disorder cannot be treated at all.advertisement Related: With more than 20 million Americans living with substance use disorder (SUD), and an overdose epidemic exploding to record levels, much more must be done train clinicians in addiction medicine and give them incentives to practice it.advertisement By Paul H. Earley Feb. 10, 2021 Reprints Related: Tags addicitionCoronaviruspolicylast_img read more

Mishawaka woman dies after dive at Florida shipwreck

first_img Facebook By Tommie Lee – January 21, 2020 0 570 Facebook Mishawaka woman dies after dive at Florida shipwreck Previous articleOutpost Sports hints at “retirement sale”Next articleAir bag woes force Honda, Toyota to recall 6M vehicles Tommie Lee Google+ Twitter Twitter Google+ WhatsApp IndianaLocalNewsSouth Bend Market Pinterest WhatsApp A scuba depth gauge marks a depth of 52 feet as freediver Roberto Reyes ascends off Aguadilla, Puerto Rico, Sunday, Dec. 1, 2013. Freediving is the fastest growing segment of the diving industry, according to Grant Graves, former president of the U.S. Apnea Association, which oversees the sport. It can take many forms, with some participants wearing weights to help them navigate under water. He said people are drawn to it in part because not much equipment is required and classes have become more available in regions such as the Caribbean. (AP Photo/Ricardo Arduengo) A Mishawaka woman has died after scuba diving off Key West in Florida.The South Bend Tribune reports 59 year-old Rebecca Butler Power experienced distress while performing a dive at a shipwreck at around 100 feet. It happened Thursday morning around 10:30 at the USS General Hoyt S. Vandenberg, a popular shipwreck diving attraction about six miles off the coast of Key West.She was pronounced dead a short time later at a Florida hospital. Her death is the second related to the shipwreck since August. Pinterestlast_img read more

PODCAST: Kristen Tatlock on social media compliance

first_imgWhile social media opens many doors, it can also raise serious compliance hurdles.In this episode of the CUNA News Podcast, Kristen Tatlock, senior compliance manager for Credit Union Service Network, looks at common mistakes credit unions make when using social media, how social media risks are evolving, and some social media do’s and don’ts.“Advertising rules are an area that has failed to evolve as quickly as technology has,” Tatlock says. “At the pace which social media platforms are being developed and as credit unions expand the platforms they use, it’s going to provide exposure for potential violations.“Not only will credit unions need to understand the rules and regulations for advertising their products and services via social media,” she continues, “they have to be aware of the specific rules, regulations, and terms of service that each platform has.” continue reading » ShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblrlast_img read more

Baby sitters accused of putting flea-infested kids in U-Haul

first_img Published: August 4, 2017 12:48 PM EDT Do you see a typo or an error? Let us know. Baby sitters accused of putting flea-infested kids in U-Haul Author: Associated Press center_img CLEVELAND (AP) Two city workers thought something was amiss when they saw five children getting into the back of a U-Haul truck at a gas station. They stopped the driver from leaving and called 911.Elyria police and firefighters arrived Wednesday afternoon and found the children, ranging in age from 2 to 15, soaked with sweat, infested with lice and covered with flea and bedbug bites.A woman who described herself as the children’s godmother was in the back of the U-Haul being driven by a 55-year-old man. Her fiance was a passenger in the truck’s cab.The woman, 25-year-old Jamie Adkins, explained to officers that she had been caring for the four younger children the last two weeks and that they had left Cleveland early that morning to travel to a flea market in Amherst, a city in Lorain County near Elyria. Adkins said she had called the children’s mother, who hadn’t seen them for two weeks, and had told her where they were going and how they’d be getting there.Adkins told police the mother said she hoped the kids “would have fun.”The 2-year-old, a boy, was taken to an Elyria medical center and then flown to a children’s hospital in Cleveland to be treated for heat exhaustion.Elyria is about 30 miles west of downtown Cleveland.Adkins and the U-Haul driver, 55-year-old Brian Dekam, both Cleveland residents, were taken into custody and charged with multiple counts of child endangering. They were eventually released for medical reasons, police said. Court records don’t indicate whether they have attorneys.The four older children, ages 3, 4, 6 and 15, have been placed in foster care in Cuyahoga County, which includes Cleveland. The 2-year-old also will be placed in county custody after leaving the hospital.Elyria police Capt. Chris Constantino on Friday called the two city workers heroes for having “intervened in the right way.” He said the 2-year-old was bright red, nonresponsive and in “serious medical duress” on a day when temperatures rose above 80 degrees.“If they hadn’t taken action, it could have been tragic,” Constantino said. SHARElast_img read more

Massillon Jackson Reaches State Final Four with 9-2 Win over Mentor

first_img Related Topics Matt Medley Matt Medley is co-editor at NEO Sports Insiders, covers the Cleveland Cavaliers, Cleveland Indians and high school sports in Northeast Ohio.Follow @MedleyHoops on Twitter for live updates from games.center_img Massillon Jackson earned a trip to Columbus with a 9-2 victory over Mentor in the Canton Regional Final at Thurman Munson Stium on Saturday, May 27.The game was a textbook example of how the Bears (28-2) got to this point: The top of the order set the table. The middle of the order brought them home.Jackson received contributions up and down the lineup. The Bears played stellar defense, including a few spectacular plays from behind home plate and benefited from another dominant outing on the mound.As for the top of the order, senior leadoff man Cade Mottice scored the first run of the day, when his twin brother Jake Mottice drove him in with an RBI single in the top of the first.Jake went on to go 3-for-3 with a double, two singles, a walk, two runs batted in and two runs scored.The senior had been scuffling the past few games, but credited his turnaround to a two-run triple from the day before in the regional semifinal against Walsh Jesuit.“I’ve been struggling lately in the Playoffs and I just wanted to do something to help my team,” the No. 3 hitter said.“I made some adjustments at the plate and I was locked in. That (triple) was my slump-buster. It got me going and made me have confidence in myself.”Jackson coach Bill Gamble was glad to see him get back on track.“He was struggling a little yesterday and through the district tournament, but he lasered one and you just saw it come back, like he just found it again and got going. It only takes one at bat and we know that.”Kyle Nicolas came through with the second clutch hit of the day, plating a two-run single to score Dillon Dingler and J. Mottice in the top of the third, extending the lead to 3-0.Nicolas (7-0) is known more for his arm, as the hard-throwing right hander owns a 0.50 ERA and is committed to play college ball at Ball State, but hitting cleanup in a lineup as impressive as Jackson’s tells you all you need to know about how complete his game is.The senior went on to score after hitting the two-run single, as Nicolas and Trey Wright attempted a double steal. Wright was thrown out at second, but Nicolas scored to make it 4-0.Nicolas finished the day 2-for-3 with 3 RBI and now owns a batting average above .350 with 20 RBI on the season.He struck out nine in a complete game shutout in the regional semifinal against Walsh Jesuit and Gamble is still undecided on how the Bears will use their pitching rotation for Friday’s state semifinal – whether to go with Nicolas or sophomore Yianni Skeriotis, who’s been phenomenal all year and continued his dominant season in the regional final.Skeriotis (8-0) worked six innings and did not allow an earned run until the sixth, receiving some great defense behind him for the vast majority of the day.A few of those plays came from Dingler, a senior catcher, who will play college ball at The Ohio State University.In the bottom of the third, Dingler ended the inning with a snap throw to first base, catching a runner off guard.B4: @dillondingler17 shows why he’s considered one of, if not the top catch and throw guys in the state as he ends the Cardinal 3rd pic.twitter.com/apbbb8jG54— PBR Ohio (@PBR_Ohio) May 27, 2017Those types of plays are not uncommon in Dingler’s game and it would be the first of more to come on the day.“That dude’s just a flat out stud,” Jake Mottice said after the game.“Nothing he does surprises me at all.”“I like keeping active behind the plate,” Dingler said.“I don’t know if I get a little bored or what, but I like to throw it around.”Mentor’s offense had another opportunity in the bottom of the fourth, when junior outfielder Will LaGanke and senior Nick Smith hit back-to-back singles to start the inning off.Jackson stifled the rally, as Skeriotis induced a groundball to shortstop Josh Romans, who started off the 6-4-3 double play to get two outs, and the right-hander went on to finish out the inning unscathed.Jackson’s middle infield combination features Romans and Wright, a freshman and a sophomore, respectively, and with sophomore standout Skeriotis on the mound, the underclassmen of the Bears were on display in the regional final – not something that would necessarily be expected out of a powerhouse program.“It’s great and I also think it’s a credit to the seniors we have for accepting them,” Coach Gamble said.“We can only run nine guys out there, ten with a DH, but that’s been the ownership of the seniors and the team. Guys like Jack White going to the back end of the pen. Cooper Pastorious going from a third starter to the pen, now. It’s just trusting those guys, believing in them and that’s elevating their own games, too.”In the top of the fifth, Dingler started the inning off with a bunt single. He stole second, advanced to third on a passed ball and J. Mottice drove him in with an RBI single.Nicolas followed up Mottice with an RBI groundout to make it 6-0.Mentor was able to get on the board in the bottom of the fifth, when Kyle Karchefsky reached base on an error and was batted in by Tommy Klepcyk.Klepcyk attempted to stretch a single into a double and right on cue, Dingler gunned him out at second.It took a great play and strong throw from senior right fielder Nick Harrison to set Dingler up for the chance to make the throw from home.The Cardinals kept the Bears off the board in the sixth and Mentor’s offense started to chip away at Skeriotis, as LaGanke mashed a double, Smith moved him over to third with a sac fly, and Tommy Noll delivered an RBI single to make it a 6-2 game.Mentor couldn’t add onto that rally, as once again, Dingler caught a runner on a back-pick at first base.Right after shutting a rally down from behind the plate, Dingler started another one of his own at the plate with his third single of the day to lead off the seventh. He finished the day with three runs and two stolen bases.Jackson would score three more runs in the inning, two of which came across courtesy of another underclassmen, junior outfielder Davis Graham, who plated a two-run single.Wright also hit his second single of the day, going 2-for-2 with a walk.Jackson’s offense finished with nine runs on 14 hits, as seven different players recorded hits on the day.“Our bats have come alive the past couple games,” Dingler said.“That’s also due to Coach helping us get better at-bats. We’re barreling the fastball and doing a lot of strategic things to get guys in scoring position.”Skeriotis’ day came to an end after six innings and it was another big game performance for the young player.“He’s way beyond his years,” his catcher said.“He pitched like he was a senior. He spotted well, controlled well, threw with some velocity and overall, to give up two runs, he pitched great.”Senior Ben Warren finished off the game out of the bullpen, a role in which he has excelled all season, and set the side down in order to end it, prompting his teammates to mob him on the field in celebration of the regional [email protected] wins the Regional Championship 9-2 over @CardsBaseball15 pic.twitter.com/G5D3FOHYGz— PBR Ohio (@PBR_Ohio) May 27, 2017Coach Gamble also received a Gatorade shower from his players shortly after the game ended.While the Bears are obviously thrilled to reach the Final Four, especially after being eliminated in the 2016 regional semifinals by Stow, the team is well-aware of how much work remains.“We used last year as a learning tool and learned from it,” Jake Mottice said.“We fixed our problems and have stuck to our plans.”Nicolas feels his team will head to Columbus with a workman-like attitude.“It’s an awesome feeling to know that you’re a final four team, but we have to act like it’s a business trip,” the senior said.“It’s going to be fun, but we can’t get caught up in the fun. We can have fun after we win two games.”Nicolas and Dingler were both key players on Jackson’s 2017 State Championship basketball team and are leaders on the diamond, with a chance at bringing the school another State Championship.The first baseball state championship in school history came in 2014. The Bears have won 107 of 122 games since the start of that 2014 season and are 57-3 over the last two years.Jackson takes on Lakota West on Friday, June 2 at 4 pm at Huntington Park in Columbus, followed by Strongsville vs. Olentangy Orange.last_img read more

BLUES SET FOR BATTLE WITH GAELS FRIDAY NIGHT

first_imgFourth-year team captain Jordan Figueira has picked up right where he left off last season. The two-time OUA all-star currently leads the OUA with 11.14 assists per set after averaging 9.94 through the 2018-19 season. The Blues men are 2-0 to start the season and take on the OUA defending champion Gaels (2-2) in their 2019 home opener. The two teams met in last year’s OUA semifinal, with the Gaels squeaking out a narrow 3-1 win. The women start the action at 6 p.m., with the men to follow at 8 p.m. The matches will also be streamed live on OUA.tv. Story Links Second-year left side hitter Evan Falardeau leads the Blues and ranks third in the OUA, averaging four kills and 4.4 points per set in the early goings of the season. Fifth-year veteran Chris Towe registered 13.5 points in Toronto’s 3-2 season-opening win over Ryerson and is coming off a seventh-place finish at the 2019 NORCECA beach volleyball continental tour this past weekend in the Dominican Republic. The University of Toronto Varsity Blues men’s and women’s volleyball teams take on the Queen’s Gaels in our Under Armour Games of the Week this Friday, November 8 at Goldring Centre for High Performance Sport.center_img For more information, scores and highlights on your favourite U of T athletes and teams, please visit www.varsityblues.ca. Don’t forget to follow us on Twitter, Instagram and Facebook for the latest and greatest in Varsity Blues intercollegiate athletics. Four-time U SPORTS all-Canadian Alina Dormann sits second in the province, averaging 3.55 kills and 4.0 points per game from the right side. Veteran left side hitters Brianna Patrick and Caleigh Cruickshank are both averaging 2.8 kills per set and lead the team with nine and 10 serving aces, respectively. It will be a battle of nationally-ranked opponents as the No. 5 Varsity Blues women play host to the No. 9 Gaels. The Blues (2-1) and Gaels (2-2) are currently tied for second place in the OUA East division, with U of T holding a game in hand.  Print Friendly Versionlast_img read more

Are National ID Cards Going to Snuggle Up With OpenID?

first_imgWhy Tech Companies Need Simpler Terms of Servic… Top Reasons to Go With Managed WordPress Hosting marshall kirkpatrick Related Posts Tags:#Analysis#web center_img 8 Best WordPress Hosting Solutions on the Market A Web Developer’s New Best Friend is the AI Wai… The REAL ID Act of 2005 is said by some to pave the way for a United States National ID Card and has come under heavy criticism from a wide range of people in the US. Some recent developments indicate that a National ID card could be tied to the federated authentication standard called OpenID. At the most basic level, this would mean that you could sign in with your National ID card to all the websites where today you can login with a Yahoo! or AIM or other OpenID. Hmmm…The government of Estonia has already implemented a National ID system there that serves as an OpenID and now OpenID vendor TrustBearer is explicitly targeting the “national and government ID card” market. Were National ID cards and OpenID to become closely associated, there could be some very adverse consequences in terms of basic liberties – or it could end up just being very bad PR for OpenID. Below are some thoughts from a few players in the OpenID community.The PossibilitiesI asked Scott Kveton, Chair of the OpenID Foundation, what he thought of the two systems working together. “To tie an OpenID to a national id card,” he said, “would allow you to prove a person was a person. If you could assert [online] things like ‘yes, I am a US citizen’ or ‘i am over 18’ – that would be insane for all kinds of different on-line services.” Insane is right, Scott, that would be insanely awful. It is true that “single sign on” is just the very beginning of what Open ID makes possible, but tying it to instruments of citizenship does not bode well for privacy of citizens or the participation of non-citizens.In addition to chairing the foundation, Kveton now works at OpenID provider Vidoop, a company made up largely of engineers with military backgrounds.The PitfallsPaul Trevithick, Technology Lead at The Higgins Project, is not excited about the idea. He explains that you should only disclose as much identity as is needed for a given transaction. The IRS, a dating site and other contexts like banking or blogging each deserve a different, “non-coralatable ID”. REAL ID is fully coralatable, Trevithick says. It should be noted that The Higgins Project is in the business of managing multiple IDs, so one single ID wouldn’t serve their interests.Identity consultant Kaliya Hamlin emphasized in response to the discussion that “there needs to be a broader conversation, that’s why we need organizations like Identity Commons that can support technical and social conversations.” Hamlin argued that Estonians are in a different cultural context because Europeans trust their governments much more than people in the US do.None the less, Kveton argues that “there will be National ID some day and if we’re going to tie it to something, it should be to something that is managed by the commons (like OpenID).”Sounds like a bad idea to me. I think the benefit of Federated Identity, available through a wide variety of vendors, is that it defeats exactly the kinds of centralization and risk that National ID represents. I think the OpenID community should move away from National ID as quickly as possible.What do you think? last_img read more

NBA: Paul Pierce to join ESPN as full-time analyst

first_imgDon’t miss out on the latest news and information. ‘A complete lie:’ Drilon refutes ‘blabbermouth’ Salo’s claims LATEST STORIES MOST READ Ethel Booba on hotel’s clarification that ‘kikiam’ is ‘chicken sausage’: ‘Kung di pa pansinin, baka isipin nila ok lang’ Perez uncorks 28 as Lyceum goes up 15-0 Robredo: True leaders perform well despite having ‘uninspiring’ boss PLAY LIST 02:49Robredo: True leaders perform well despite having ‘uninspiring’ boss02:42PH underwater hockey team aims to make waves in SEA Games01:44Philippines marks anniversary of massacre with calls for justice01:19Fire erupts in Barangay Tatalon in Quezon City01:07Trump talks impeachment while meeting NCAA athletes02:49World-class track facilities installed at NCC for SEA Games Winter storm threatens to scramble Thanksgiving travel plans Pierce’s new venture, meanwhile, mirrors his former Celtic teammate Kevin Garnett, who also transitioned to broadcast commentary after retiring from the sport.His number 34 jersey will also be immortalized in a retirement ceremony sometime this season.  Khristian Ibarrola /raSports Related Videospowered by AdSparcRead Next No more menthol cigarettes: New ban on tobacco, vape flavors Argentine bishop appears at court hearing on abuse charges Hotel says PH coach apologized for ‘kikiam for breakfast’ claim Jordan delivers on promise: 2 Cobra choppers now in PH Trump to designate Mexican drug cartels as terrorist groups As confirmed by the sports network in a statement, the 10-time All-Star and Celtics legend will regularly appear in the “NBA Countdown’’ and “The Jump” segments starting next month.“I always had fun doing guest coverage with ESPN, so it is exciting to officially join the teams at NBA Countdown and The Jump,” said Pierce, who served as a guest on both segments during the 2017-18 regular season and playoffs.FEATURED STORIESSPORTSSEA Games: Biñan football stadium stands out in preparedness, completionSPORTSPrivate companies step in to help SEA Games hostingSPORTSBoxers Pacquiao, Petecio torchbearers for SEA Games opening“I love hoops, my whole life has been about the game, so this feels like a natural evolution in my career and I can’t wait for the season to get started,” he added.Pierce’s toughness and bravado as a basketball player translated well into the microphone, as his often candid and opinionated commentaries drew rave reviews from viewers. Paul Pierce  AFP/GETTY IMAGES FILE PHOTOLooks like it didn’t take long for Paul Pierce to find a new gig outside of basketball.After 19 remarkable seasons in the NBA, “The Truth” is set to join ESPN’s crew of on-screen NBA analysts and personalities.ADVERTISEMENT View commentslast_img read more

Cong leader DK Shivakumars daughter appears before ED

first_imgNew Delhi: Karnataka Congress leader D K Shivakumar’s daughter Aishwarya appeared before the Enforcement Directorate here on Thursday in connection with its money-laundering probe against him, officials said. They said the 22-year-old management graduate will be questioned and her statement will be recorded under the Prevention of Money Laundering Act (PMLA). She is also expected to be confronted with documents and statements made by Shivakumar with regard to a trip to Singapore he made with his daughter in 2017, the officials said. Also Read – Uddhav bats for ‘Sena CM’Aishwarya is a trustee in an education trust floated by her father. The trust, holding assets and businesses worth crores, operates a number of engineering and other colleges and Aishwarya is the main person behind them, they said. The Congress leader and former Karnataka Cabinet minister was arrested by the ED on September 3 and is in the agency’s custody. The central agency in September last year registered a money-laundering case against Shivakumar, Haumanthaiah, an employee at the Karnataka Bhavan in New Delhi, and others.last_img read more