OBJECTIVE To document the incidence of neonatal abstinence syndrome (NAS) and the rate of narcotic use during pregnancy in northwestern Ontario, where narcotic abuse is a growing social and medical problem. DESIGN Retrospective chart review. SETTING The Sioux Lookout Meno Ya Win Health Centre catchment area in northwestern Ontario. PARTICIPANTS Mothers and neonates for the 482 live births...

Narcotic substitution is now widely used. Morphine can induce a spasm of the sphincter of Oddi but dilation of bile duct has been reported only in an anecdotal case. In June 1995, we observed a first case of dilation of the common bile duct without organic obstacle in a hepatitis C virus (HCV)-infected patient who was under narcotic substitution, suggesting a causal relationship. We conducted a...

Clavicle fractures are common in adults. Recent studies have shown that operative treatment of clavicle fractures has benefits in many situations. However, there is controversy about the indications. Data on social outcomes are limited. A total of 434 patients with 436 clavicle fractures treated both operatively and nonoperatively at a level 1 trauma center were identified. Narcotic use was rec...

Methods Longmont United Hospital (LUH) is a 146 bed institution in Boulder County, Colorado. The intensive care unit is a sixteen-bed combined medical-surgical facility that provides care to any critically ill patient at LUH. Admissions were prospectively studied from January through March of 2015. Patients were evaluated for age, sex, prescription opioid use, and for the type of assisted venti...

It may sound a little nutty, but your friends are partially correct. Nutmeg, a spice commonly used to flavor lattes, sweets, and other foods has also been reported to produce a high that is similar to the one obtained with marijuana. Originating from the Myristica fragans tree in Indonesia, the seed is now grown and used globally, mostly for cooking but sometimes as a narcotic. However, for the...

It may sound a little nutty, but your friends are partially correct. Nutmeg, a spice commonly used to flavor lattes, sweets, and other foods has also been reported to produce a high that is similar to the one obtained with marijuana. Originating from the Myristica fragans tree in Indonesia, the seed is now grown and used globally, mostly for cooking but sometimes as a narcotic. However, for the...

It may sound a little nutty, but your friends are partially correct. Nutmeg, a spice commonly used to flavor lattes, sweets, and other foods has also been reported to produce a high that is similar to the one obtained with marijuana. Originating from the Myristica fragans tree in Indonesia, the seed is now grown and used globally, mostly for cooking but sometimes as a narcotic. However, for the...

BACKGROUND Lack of coordination of care is one of the largest obstacles involved with treating opioid dependence. Physicians also face the challenges of managing comorbidities and dealing with relapse. OBJECTIVE To examine the clinical, economic, and humanistic factors involved in treating opioid dependence. SUMMARY Despite the extensive utilization of narcotic analgesics, pain is often unc...

The effects of ten narcotic analgesics and three barbiturates have been investigated on respiratory rate, respiratory minute volume and blood Pco3 in the unanaesthetized rabbit. Both groups of drugs produced respiratory depression, and whilst the pattern of depression was similar for drugs of the same group, there were three main differences in the pattern of depression between the narcotic ana...

OBJECTIVE To document the management of and outcomes for patients receiving narcotic replacement and tapering with long-acting morphine preparations during pregnancy. DESIGN A prospective cohort study over 18 months. SETTING Northwestern Ontario. PARTICIPANTS All 600 births at Meno Ya Win Health Centre in Sioux Lookout, Ont, from January 1, 2012, to June 30, 2013, including 166 narcotic-e...