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1

Liu, Yingna, Olesya Baker, Jeremiah D. Schuur, and Scott G. Weiner. "Effects of Rescheduling Hydrocodone on Opioid Prescribing in Ohio." Pain Medicine 21, no. 9 (2019): 1863–70. http://dx.doi.org/10.1093/pm/pnz210.

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Abstract Background We quantified opioid prescribing after the 2014 rescheduling of hydrocodone from schedule III to II in the United States using a state-wide prescription database and studied trends three years before and after the policy change, focusing on certain specialties. Methods We used Ohio’s state prescription drug monitoring program database, which includes all filled schedule II and III prescriptions regardless of payer or pharmacy, to conduct an interrupted time series analysis of the nine most prescribed opioids: hydrocodone, oxycodone, tramadol, codeine, and others. We analyze
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Matson, Steven C., Cathleen Bentley, Vicki Hughes Dughman, and Andrea E. Bonny. "Receipt of Prescribed Controlled Substances by Adolescents and Young Adults Prior to Presenting for Opiate Dependence Treatment." Journal of Addiction 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/680705.

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Purpose. The objective of this study was to document the number of controlled substance prescriptions filled by adolescents and young adult patients in the 2 years prior to presentation for opiate dependence treatment.Methods. Opiate-dependent youth () presenting to our Medication-Assisted Treatment for Addiction program from January 1, 2008 to June 30, 2010 were identified via electronic medical record. Subjects were further classified based on their opiate use as dependent to heroin-only, prescription (Rx) opiate-only, or combined heroin + Rx opiate only. The Ohio Automated Rx Reporting Syst
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Weiner, Scott G., Shih-Chuan Chou, Cindy Y. Chang, et al. "Prescription and Prescriber Specialty Characteristics of Initial Opioid Prescriptions Associated with Chronic Use." Pain Medicine 21, no. 12 (2020): 3669–78. http://dx.doi.org/10.1093/pm/pnaa293.

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Abstract Objective This study evaluated the characteristics of opioid prescriptions, including prescriber specialty, given to opioid-naïve patients and their association with chronic use. Design Cross-sectional analysis of the Ohio prescription drug monitoring program from January 2010 to November 2017. Setting Ohio, USA. Subjects Patients who had no opioid prescriptions from 2010 to 2012 and a first-time prescription from January 2013 to November 2016. Methods Chronic use was defined as at least six opioid prescriptions in one year and either one or more years between the first and last presc
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Glogovac, Georgina, Jamal Fitts, Jordan Henning, Tonya L. Dixon, and Richard T. Laughlin. "Patterns in Opioid Prescription for Patients Operatively Treated for Ankle Fractures Following Implementation of 2017 Ohio Opioid Prescriber Law." Foot & Ankle Orthopaedics 4, no. 4 (2019): 247301141989107. http://dx.doi.org/10.1177/2473011419891078.

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Background: The purpose of this study was to report patterns of opioid prescription for patients treated operatively for ankle fractures after implementation of the 2017 Ohio Opioid Prescriber Law in comparison to the previous year. Methods: A total of 144 patients operatively treated for isolated ankle fractures during two 6-month periods, January 2017 to July 2017 (pre-law) and January 2018 to July 2018 (post-law), were retrospectively identified. Preoperative and postoperative patient narcotic use was reviewed using a legal prescriber database. Total number of prescriptions, quantity of pil
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Traynor, Kate. "Ohio health center tests healthy food prescriptions." American Journal of Health-System Pharmacy 76, no. 19 (2019): 1455–56. http://dx.doi.org/10.1093/ajhp/zxz176.

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Glogovac, Georgina, Jamal Fitts, Jordan Henning, Tonya Dixon, and Richard T. Laughlin. "Patterns in Opioid Prescription for Patients Operatively Treated for Ankle Fractures Following Implementation of 2017 Ohio Opioid Prescriber Law." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0018. http://dx.doi.org/10.1177/2473011419s00186.

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Category: Ankle, Trauma Introduction/Purpose: The use of prescription opioids has risen sharply over the last few decades as pain management has become increasingly recognized as an essential aspect of patient care. In August 2017, Ohio implemented a law limiting the quantity of opioid medications a provider could prescribe for the treatment of acute pain. Specifically, a prescriber may not prescribe more than 7 days of opioids in the first prescription for an acute pain episode and the total morphine equivalent dose (MED) cannot exceed an average of 30 MEDs a day. The purpose of this study is
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Weiner, Scott G., Olesya Baker, Ann F. Rodgers, et al. "Opioid Prescriptions by Specialty in Ohio, 2010–2014." Pain Medicine 19, no. 5 (2017): 978–89. http://dx.doi.org/10.1093/pm/pnx027.

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8

Miller, Alicia S. "Pharmacy Issues: Clinical Screenings and Discharge Prescriptions." Hospital Pharmacy 36, no. 12 (2001): 1290–93. http://dx.doi.org/10.1177/001857870103601210.

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This continuing feature will inform readers about the process of implementing, maintaining, and supporting computerized prescriber order entry (CPOE) at the Ohio State University Medical Center. (By “prescribers,” we refer to health care professionals authorized to prescribe medications by their states.) Practical information on what worked and what failed will be provided, along with current updates on the status of CPOE at the Medical Center.
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Kamaci, Saygin, Erdi Ozdemir, Christopher Utz, and Angelo Colosimo. "Mandatory Prescription Limits and Opioid Use After Anterior Cruciate Ligament Reconstruction." Orthopaedic Journal of Sports Medicine 9, no. 9 (2021): 232596712110275. http://dx.doi.org/10.1177/23259671211027546.

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Background: Because of the need for perioperative pain management, orthopaedic surgeons play an important role in opioid use. Purpose/Hypothesis: To evaluate the impact of opioid-limiting legislation on postoperative opioid use and pain-related complications after anterior cruciate ligament reconstruction (ACLR). The hypothesis was that the opioid-limiting legislation would reduce postoperative opioid use after ACLR. Study Design: Cohort study; level of evidence, 3. Methods: We retrospectively reviewed patients who underwent ACLR 1 year before and 1 year after Ohio's opioid-limiting legislatio
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Creary, Susan E., Deena J. Chisolm, Sharon K. Wrona, and Jennifer N. Cooper. "Opioid Prescription Filling Trends Among Children with Sickle Cell Disease After the Release of State-Issued Guidelines on Pain Management." Pain Medicine 21, no. 10 (2020): 2583–92. http://dx.doi.org/10.1093/pm/pnaa002.

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Abstract Objective To assess the impact of Ohio’s 2012, 2013, and 2016 opioid prescribing guidelines on opioid and nonsteroidal anti-inflammatory drug (NSAID) prescription filling and health care utilization for pain among children with sickle cell disease (SCD). Design Quasi-experimental retrospective cohort study. Setting Ohio Medicaid claims data from August 2011 to August 2016. Subjects Medicaid beneficiaries under age 19 years with SCD. Methods Interrupted time series analyses comparing population-level rates of opioids and NSAID prescriptions filled, standardized amounts of opioids dispe
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McKnight, Erin R., Andrea E. Bonny, Hannah L. H. Lange, et al. "Statewide opioid prescriptions and the prevalence of adolescent opioid misuse in Ohio." American Journal of Drug and Alcohol Abuse 43, no. 3 (2016): 299–305. http://dx.doi.org/10.1080/00952990.2016.1216999.

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Weiner, S. G., A. F. Rodgers, O. Baker, C. Garner, and J. D. Schuur. "316 Pill Counts in Opioid Prescriptions by Specialty in Ohio, 2012-2014." Annals of Emergency Medicine 66, no. 4 (2015): S114. http://dx.doi.org/10.1016/j.annemergmed.2015.07.352.

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13

Armstrong, Megan, Jonathan I. Groner, Julie Samora, et al. "Impact of opioid law on prescriptions and satisfaction of pediatric burn and orthopedic patients: An epidemiologic study." PLOS ONE 18, no. 11 (2023): e0294279. http://dx.doi.org/10.1371/journal.pone.0294279.

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Objectives The objective of this study was to determine the reduction in prescribed opioid pain dosage units to pediatric patients experiencing acute pain and to assess patient satisfaction with pain control 90-day post discharge following the 2017 Ohio opioid prescribing cap law. Methods The retrospective chart review included 960 pediatric (age 0–18 years) burn injury and knee arthroscopy patients treated between August 1, 2015-August 31, 2019. Prospectively, legal guardians completed a survey for a convenience sample of 50 patients. Opioid medications (days and morphine milligram equivalent
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Strony, John T., Yazdan Raji, Jason G. Ina, et al. "Effects of Opioid-Limiting Legislation and Increased Provider Awareness on Postoperative Opioid Use and Complications After Hip Arthroscopy." Orthopaedic Journal of Sports Medicine 11, no. 5 (2023): 232596712311623. http://dx.doi.org/10.1177/23259671231162340.

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Background: On August 31, 2017, Ohio passed legislation that regulates how opioids can be prescribed postoperatively. Studies have shown that such legislation is successful in reducing the morphine milligram equivalents (MMEs) prescribed after certain orthopaedic procedures. Purpose: (1) To determine if the opioid prescription–limiting legislation in Ohio reduced the cumulative MMEs prescribed after hip arthroscopy without significantly affecting the rates of emergency department (ED) visits, hospital readmissions, and reoperations within 90 days postoperatively, and (2) to assess risk factors
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15

Weiner, Scott G., Olesya Baker, Sabrina J. Poon, et al. "The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio." Annals of Emergency Medicine 70, no. 6 (2017): 799–808. http://dx.doi.org/10.1016/j.annemergmed.2017.03.057.

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Hoge, Connor G., Robert N. Matar, Colin D. F. Cotton, Michael G. Rubeiz, Tonya L. Dixon, and Richard T. Laughlin. "Effect of Opioid Limiting Legislation on Postoperative Opioid Utilization in Patients Treated for Ankle Fractures." Foot & Ankle Orthopaedics 5, no. 4 (2020): 247301142093950. http://dx.doi.org/10.1177/2473011420939501.

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Background: The state of Ohio implemented legislation in August of 2017 limiting the quantity of opioids a provider could prescribe. The purpose of this study was to identify if implementation of legislation affected opioid and nonopioid utilization in patients operatively treated for ankle fractures in the initial 90-day postoperative period after controlling for injury severity and preoperative narcotic usage. Methods: A retrospective review of 144 patients treated for isolated ankle fractures in a pre-law group (January 2017–July 2017; n = 73) and post-law group (January 2018–July 2018; n =
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Ramey, Lara K., David K. Byers, and Eli DeLille. "2069. A Unique Approach to Outpatient Antibiotic Stewardship in Rural Southern Ohio." Open Forum Infectious Diseases 6, Supplement_2 (2019): S697—S698. http://dx.doi.org/10.1093/ofid/ofz360.1749.

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Abstract Background A five county rural community in southern Ohio was identified as having significantly higher than average rates of antibiotic use. The hospital system serving this area, Southern Ohio Medical Center (SOMC), began initial efforts in antimicrobial stewardship focusing on inpatient prescribing. However, most antimicrobial consumption occurs in the outpatient setting. Early attempts to improve antibiotic prescribing focused on only provider education and resulted in little change. Providers felt they were performing well, or their patients were more complex and prescribing the
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Gasoyan, Hamlet, Faiz Anwer, Jeffrey D. Kovach, et al. "Disparities in Time to First Prescription Fill for Lenalidomide in Patients with Newly Diagnosed Multiple Myeloma." Blood 144, Supplement 1 (2024): 5032. https://doi.org/10.1182/blood-2024-201654.

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Background: The complex process of obtaining lenalidomide, including the risk evaluation and mitigation strategy (REMS) program requirements for patients and providers to complete mandatory surveys (before a prescription can be ordered), insurance prior authorization process, navigating patient support programs to help pay for out-of-pocket costs, and dispensing only via specialty pharmacies, can lead to delays in treatment initiation for multiple myeloma. This study aimed to quantify the time from first prescription order to fill for lenalidomide and corticosteroids and measure disparities in
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Reed, Erica E., Emily Feyes, Dubraska Diaz-Campos, Thomas Wittum, Rikki Horne, and Kurt Stevenson. "1086. Antimicrobial Stewardship: From Bedside to Man’s Best Friend." Open Forum Infectious Diseases 6, Supplement_2 (2019): S386. http://dx.doi.org/10.1093/ofid/ofz360.950.

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Abstract Background Antimicrobial stewardship plays an integral role in ensuring appropriate antimicrobial use in the inpatient hospital setting and is now required by The Joint Commission. Although it is well established that antimicrobial misuse and overuse has societal and ecological implications, the same regulations do not yet apply to our veterinary and agricultural counterparts. Methods At The Ohio State University Wexner Medical Center (OSUWMC), the Antimicrobial Stewardship Program (ASP) was created in 2007. A partnership was formed with The Ohio State University Veterinary Medical Ce
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Hudson, Tanner, Fehmi Berkay, Arjun Minhas, et al. "The influence of guidelines on opioid prescribing practices after pediatric anterior cruciate ligament reconstruction." Journal of Opioid Management 20, no. 4 (2024): 311–17. http://dx.doi.org/10.5055/jom.0856.

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Objective: To report opioid prescription patterns after pediatric anterior cruciate ligament reconstruction (ACLR) and identify if the implementation of the opioid prescribing guidelines (OPGs) modified these patterns. Design: A retrospective chart review. Setting: Level 1 Pediatric Trauma Center. Patients: Pediatric patients who underwent primary ACLR at a single pediatric hospital system between the years 2016 and 2018 were included. Patients were excluded if they did not receive an opioid prescription from an orthopedic provider at the time of discharge or if they underwent an additional op
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Smock, Carissa, Sheryl Charfield, Lynn Falletta, Jeffrey Hallam, and Sonia Allemagno. "Exploration of provider exercise prescriptions and exercise referrals to place or professional: A pilot survey research study." Ohio Journal of Public Health 1, no. 1 (2018): 19–23. http://dx.doi.org/10.46709/3409.016.

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Background: Physical inactivity contributes to roughly $28 billion in annual US health care expenditures, although few US-based providers write exercise prescriptions (EPs). Little research has explored the practice of provider referrals to places for exercise as part of an EP or part of general exercise counseling, despite the known relationship between place and health. The purpose of this pilot study, conducted with Northeast Ohio-based providers, was to assess a new instrument designed to explore provider practices related to EP and referral to place and professional. Methods: The 88-item
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Hanson, Brendan, Sherry Steele Cooper, Taryn Tegarden, et al. "The impact of emergency responder musculoskeletal injuries in the State of Ohio." Work 68, no. 4 (2021): 1001–8. http://dx.doi.org/10.3233/wor-205065.

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BACKGROUND: Emergency personnel operate in environments that put them at higher risk of injury to the musculoskeletal system. These injuries result in lost workdays, medical costs, and decreased productivity, all which impact emergency response systems. OBJECTIVE: This study serves to assess the causes, costs, and disability of common work-related musculoskeletal injuries within the police, emergency medical service (EMS) workers, and firefighters of Ohio based on data from the OBWC (Ohio Bureau of Workers’ Compensation). METHODS: Our dataset included all OBWC injury claims involving a shoulde
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Winkelman, Robert D., Michael D. Kavanagh, Joseph E. Tanenbaum, et al. "The change in postoperative opioid prescribing after lumbar decompression surgery following state-level opioid prescribing reform." Journal of Neurosurgery: Spine 35, no. 3 (2021): 275–83. http://dx.doi.org/10.3171/2020.11.spine201046.

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OBJECTIVE On August 31, 2017, the state of Ohio implemented legislation limiting the dosage and duration of opioid prescriptions. Despite the widespread adoption of such restrictions, few studies have investigated the effects of these reforms on opioid prescribing and patient outcomes. In the present study, the authors aimed to evaluate the effect of recent state-level reform on opioid prescribing, patient-reported outcomes (PROs), and postoperative emergency department (ED) visits and hospital readmissions after elective lumbar decompression surgery. METHODS This study was a retrospective coh
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Ash, Nathan, Jedediah Tuten, Wayne Bohenek, and Brian Latham. "A comprehensive approach to addressing the opioid epidemic in a large health system." American Journal of Health-System Pharmacy 78, no. 4 (2021): 320–26. http://dx.doi.org/10.1093/ajhp/zxaa388.

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Abstract Purpose To describe the implementation of a comprehensive program to address the opioid epidemic in a large health system and to assess the effect of the program on opioid prescribing. Summary Mercy Health is a nonprofit, Catholic health system that employs over 1,400 providers and operates 23 hospitals in Ohio and Kentucky, 2 states that have experienced large numbers of overdoses. As a good community partner, the health system developed a comprehensive plan to address the opioid crisis. A system-wide Opioid Steering Committee was established to implement and manage the program. The
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Wilson, Brigid, Taissa Bej, Sunah Song, et al. "Outpatient Antibiotic Use for Common Infectious Diagnoses: Patterns in Telehealth During the Emergence of COVID-19." Antimicrobial Stewardship & Healthcare Epidemiology 1, S1 (2021): s35—s36. http://dx.doi.org/10.1017/ash.2021.65.

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Background: The influence of increased use of telehealth during the emergence of COVID-19 on antibiotic prescriptions in outpatient settings is unknown. The VA Northeast Ohio Healthcare System has 13 community-based outpatient clinics (CBOCs) that provide primary and preventive care. We assessed changes in antibiotic prescriptions that occurred as care shifted from in-person to telehealth visits. Methods: Using VHA administrative databases, we identified all primary care CBOC visits between January 1, 2019, and December 31, 2020, that included a diagnosis for an acute respiratory infection (AR
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Smock, Carissa, Sheryl Chatfield, Lynn Falletta, Jeffrey S. Hallam, and Sonia Alemagno. "Exploration of provider exercise prescriptions and exercise referrals to place or professional: A pilot survey research study." Ohio Journal of Public Health 1, no. 1 (2018): 19–23. http://dx.doi.org/10.18061/ojph.v1i1.9046.

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Background: Physical inactivity contributes to roughly $28 billion in annual US health care expenditures, although few US-based providers write exercise prescriptions (EPs). Little research has explored the practice of provider referrals to places for exercise as part of an EP or part of general exercise counseling, despite the known relationship between place and health. The purpose of this pilot study, conducted with Northeast Ohio-based providers, was to assess a new instrument designed to explore provider practices related to EP and referral to place and professional.Methods: The 88-item s
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Akpoji, Ukwen, Brigid Wilson, Tayoot Chengsupanimit, et al. "In veteran outpatients, antibiotics remain significant risk factor for community-acquired Clostridiodes difficile infection." Antimicrobial Stewardship & Healthcare Epidemiology 2, S1 (2022): s26—s27. http://dx.doi.org/10.1017/ash.2022.104.

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Background: An estimated 30% of antibiotic prescriptions in outpatient settings may be inappropriate. Antibiotic exposure increases an individual’s risk of Clostridioides difficile infection (CDI). To assess the prevalence of community-acquired CDI (CA-CDI) among patients without recent hospitalization and to examine the influence of outpatient antibiotic exposure on the risk of acquiring CA-CDI in this population, we examined a 2-year cohort of patients seen in primary care clinics at VA community-based outpatient clinics (CBOCs) associated with a large VA medical center. Methods: All primary
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Moore, Mikaela D., Andrew Schamess, Nita Williams, Ying Huang, Gifty Menka, and Payal C. Desai. "Home Based Primary Care for Patients with Sickle Cell Disease." Blood 132, Supplement 1 (2018): 4721. http://dx.doi.org/10.1182/blood-2018-99-120040.

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Abstract Background: Sickle cell disease (SCD) is characterized by sickled red blood cells that can cause severely painful vaso-occlusive crises. These crises can cause damage to multiple organs and bring about additional chronic disease, such as avascular necrosis, leg ulcers, pulmonary hypertension, and renal failure. While there are options for disease modification, these are not effective if patients (pts) cannot attend regular doctor visits for their condition to be monitored and for medications to be adjusted. Obstacles to obtaining outpatient primary care include physical disability, en
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Thompson, Erin L., P. S. S. Rao, Christopher Hayes, and Catherine Purtill. "Dispensing Naloxone Without a Prescription: Survey Evaluation of Ohio Pharmacists." Journal of Pharmacy Practice 32, no. 4 (2018): 412–21. http://dx.doi.org/10.1177/0897190018759225.

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Background: The Centers for Disease Control and Prevention (CDC) reports a 200% escalation in the rate of opioid overdose deaths in the United States. Unfortunately, Ohio has been deemed the epicenter of the nation’s opioid epidemic. In 2015, Ohio passed a bill that permits a pharmacist to distribute naloxone without a prescription. Objectives: This survey was aimed to discover pharmacists’ knowledge of naloxone and Ohio law, perceived barriers that may prohibit naloxone dispensing, and Ohio pharmacists’ general confidence, comfort, perception, and experience dispensing naloxone per physician
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Geise, Regann, and Mary F. Powers. "Roles of Pharmacy Technicians in Preventing Prescription Drug Abuse." Journal of Pharmacy Technology 36, no. 5 (2020): 211–17. http://dx.doi.org/10.1177/8755122520939640.

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Objective: To provide and identify potential roles and strategies for pharmacy technicians to identify and prevent drug abuse within the pharmacy. Data Sources: Related materials were searched via PubMed and Google Scholar from 2000 to present using search terms: “pharmacy,” “technicians,” “prescription,” “drug,” and “abuse.” Articles describing statistics, warning signs, and prevention strategies for pharmacies were identified through databases and organizations’ sites. Portions of the Ohio Administrative Code on OARRS (Ohio Automated Rx Reporting System), and Pennsylvania prescription drug m
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Kuthy, Raymond A., and Dennis J. McTigue. "Fluoride Prescription Practices of Ohio Physicians." Journal of Public Health Dentistry 47, no. 4 (1987): 172–76. http://dx.doi.org/10.1111/j.1752-7325.1987.tb02000.x.

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Barr, Amy, and Mark Bennett. "Precision Planting for sh2 Sweet Corn Stand Establishment." HortScience 33, no. 3 (1998): 535e—536. http://dx.doi.org/10.21273/hortsci.33.3.535e.

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The impact of soil type and planting depths on the emergence of three hybrids of shrunken 2 sweet corn with varying seed vigor was investigated. Two field trials were completed (planted on 18 Sept. 1996 and 6 May 1997) in a field containing Crosby and Kokomo soil types in Columbus, Ohio. Three sh2 hybrids (`Starship', `Skyline', and `Confection') were planted at 1.3-, 2.5-, and 5.1-cm depths with six replications on each of the two soils in the fall study. The same hybrids were planted the following spring with an adjustment to 2-, 4-, and 6-cm planting depths over the same soil types, and the
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Buerki, Robert A. "Prescription for Death: The 1925 Ohio State Poisoning Case." History of Pharmacy and Pharmaceuticals 64, no. 1 (2022): 89–103. http://dx.doi.org/10.3368/hopp.64.1.89.

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Kauffman, Ross M., and Keith F. Durkin. "Impact of Emotional Distress on Prescription Opioid Abuse in a Rural Juvenile Drug Court Sample." Ohio Journal of Public Health 2, no. 2 (2019): 37–43. http://dx.doi.org/10.18061/ojph.v2i2.9033.

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Background: Ohio is at the epicenter of the opioid epidemic, and the current crisis disproportionately burdens rural areas. The Self-Medication Hypothesis and work examining adverse childhood experiences posit that drug use may be understood as a coping strategy to address emotional distress.Methods: Juvenile drug court participants in a Northwest Ohio county were administered a standardized biopsychosocial assessment. Intake interviews from January 2010 and November 2018 were used to evaluate the relationship between emotional distress reported using the Emotional Problem Scale (EPS) and life
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Grasch, Jennifer L., Maged M. Costantine, Devra D. Doan Mast, et al. "Noninvasive Bioelectronic Treatment of Postcesarean Pain." JAMA Network Open 6, no. 10 (2023): e2338188. http://dx.doi.org/10.1001/jamanetworkopen.2023.38188.

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ImportanceImproved strategies are needed to decrease opioid use after cesarean delivery but still adequately control postoperative pain. Although transcutaneous electrical stimulation devices have proven effective for pain control after other surgical procedures, they have not been tested as part of a multimodal analgesic protocol after cesarean delivery, the most common surgical procedure in the United States.ObjectiveTo determine whether treatment with a noninvasive high-frequency electrical stimulation device decreases opioid use and pain after cesarean delivery.Design, Setting, and Partici
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Silverstein, William K., Yulia Lin, Christoffer Dharma, Ruth Croxford, and Matthew Cheung. "Appropriateness of B12 Administration in a Real-World Population." Blood 132, Supplement 1 (2018): 2227. http://dx.doi.org/10.1182/blood-2018-99-110264.

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Abstract Introduction B12 deficiency can lead to multiple complications, including severe pancytopenia, spinal cord demyelination, and cognitive dysfunction. Randomized controlled trials have demonstrated oral B12 supplementation is as effective as parenteral B12 administration in improving hematologic abnormalities and raising B12 levels. Despite this evidence base, a high proportion of patients continue to receive intramuscular (IM) B12. We assessed the prevalence of inappropriate B12 supplementation in a large population-based cohort. Methods We undertook a population-based, retrospective c
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Lawrence, Amy, Jennifer N. Cooper, Katherine J. Deans, Peter C. Minneci, Sharon K. Wrona, and Deena J. Chisolm. "Effects of the FDA Codeine Safety Investigation on Racial and Geographic Disparities in Opioid Prescribing after Pediatric Tonsillectomy and/or Adenoidectomy." Global Pediatric Health 8 (January 2021): 2333794X2098744. http://dx.doi.org/10.1177/2333794x20987444.

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Objective. Our objective was to examine the impact of the U.S. FDA’s 2013 black box warning against codeine on codeine and other opioid prescription filling after pediatric tonsillectomy and/or adenoidectomy (T/A) overall and by child race and provider urbanity/rurality. Methods. Patients ≤ 18 who underwent T/A in 8/2011 to 8/2016 were identified in Ohio Medicaid claims. Interrupted time series analyses were used to evaluate the impact of the FDA warning on codeine or other opioid prescription filling post-T/A. Results. In August 2011, codeine prescription filling was lower among black than wh
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Inciardi, James A., Hilary L. Surratt, Steven P. Kurtz, and John J. Burke. "The Diversion of Prescription Drugs by Health Care Workers in Cincinnati, Ohio." Substance Use & Misuse 41, no. 2 (2006): 255–64. http://dx.doi.org/10.1080/10826080500391829.

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Rzetelny, PhD, Adam, Diana Meske, PhD, Parag Patel, MD, FACOG, FASAM, and Steven Passik, PhD. "Tapentadol is the least common opioid found in admission urine drug-test results at an intensive outpatient opioid-use disorder treatment program in Ohio: A brief report." Journal of Opioid Management 17, no. 1 (2021): 13–17. http://dx.doi.org/10.5055/jom.2021.0610.

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Background: Previous data suggest that tapentadol, an atypical opioid with a putative dual mechanism of action, has relatively low rates of abuse. A better understanding of the rates of abuse among different prescription opioids may help clinicians when considering their potential risks and benefits. The results of urine drug tests (UDTs) may provide a unique opportunity to help answer this question.Method: To investigate different rates of prescription-opioid abuse in this retrospective study, we examined urine drug test results from patients seeking treatment at four facilities of an opioid-
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O'Neil, Sean, Andrew Thomas, Ryan Pettit-Mee, et al. "Exercise Prescription Techniques in Cardiac Rehabilitation Centers in Midwest States." Journal of Clinical Exercise Physiology 7, no. 1 (2018): 8–14. http://dx.doi.org/10.31189/2165-6193-7.1.8.

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ABSTRACT Introduction: Cardiac rehabilitation (CR) is a primary prescribed treatment for a variety of cardiovascular disease states, including: coronary artery disease, percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG), myocardial infarction (MI), and heart failure. For this reason, exercise prescription guidelines for cardiac patients have been established. However, it is unclear how these guidelines are being administered at cardiac rehabilitation centers. The purpose of this study is to assess current exercise prescription techniques at cardiac rehabilitation cli
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Winstanley, Erin L., Joe Gay, Lisa Roberts, et al. "Prescription Drug Abuse as a Public Health Problem in Ohio: A Case Report." Public Health Nursing 29, no. 6 (2012): 553–62. http://dx.doi.org/10.1111/j.1525-1446.2012.01043.x.

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Falck, Russel, R. W. Nahhas, Raminta Daniulaityte, and R. G. Carlson. "Personality characteristics of young adult, non-medical prescription opioid users in Central Ohio." Drug and Alcohol Dependence 140 (July 2014): e56-e57. http://dx.doi.org/10.1016/j.drugalcdep.2014.02.174.

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Kim, Uriel, Johnie Rose, and Siran Koroukian. "3371 The Devil is in the Details: Unbalanced Gains in Healthcare Access and Affordability in the Health Insurance Exchanges." Journal of Clinical and Translational Science 3, s1 (2019): 128. http://dx.doi.org/10.1017/cts.2019.291.

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OBJECTIVES/SPECIFIC AIMS: Evaluate how access and affordability has changed before and after the implementation HIEs in three subpopulations. The subpopulations are individuals who are currently insured through the HIE but were previously: 1. Insured through Employment-based insurance (PEBI subpopulation) 2. Insured through Private Insurance (PPI subpopulation) and 3. Uninsured (PU subpopulation). The three access and affordability measures are: Outcome measure 1. Did not fill a prescription in the past year due to cost Outcome measure 2. Could not get needed medical exam in the past year due
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Adams, Rachel, John Corrigan, Grant Ritter, Zoe Pringle, and Sharon Reif. "Examining the Association of Disability Status with Prescription-Opioid Use and Alcohol Use Behaviors Among Adults in Ohio." Archives of Physical Medicine and Rehabilitation 102, no. 10 (2021): e17-e18. http://dx.doi.org/10.1016/j.apmr.2021.07.441.

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Choudhary, Palak J., Preeti P. Nair, Devashree Shukla, Annette M. Bhambal, Anshika Khare, and Roopali Patel. "Understanding the Burden: Oral Health Impact Profile in Oral Lichen Planus with and Without Systemic Diseases – A Cross-Sectional Study." Journal of Indian Academy of Oral Medicine and Radiology 37, no. 1 (2025): 56–60. https://doi.org/10.4103/jiaomr.jiaomr_270_24.

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Background: Oral health-related quality of life (OHRQoL) is vital to overall well-being. Oral lichen planus (OLP), a benign immune-mediated disorder, causes chronic inflammation and often leads to significant yet undiagnosed burdens such as depression, systemic illnesses, and reduced quality of life. Objectives: This study compared oral health impact profile (OHIP) scores in OLP patients in the presence and absence of systemic illnesses to evaluate the effect of illness severity on OHRQoL. Methods: This hospital-based cross-sectional study included 252 adults (≥18 years) with clinically and hi
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Koroukian, S. M., C. Owusu, E. Madigan, and M. Diaz. "Polypharmacy in elders with cancer: An analysis of the Ohio medicaid population." Journal of Clinical Oncology 25, no. 18_suppl (2007): 19550. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.19550.

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19550 Background: Polypharmacy in the elderly complicates therapy, increases cost of treatment and is a challenge to healthcare agencies. However, the impact of polypharmacy on the care of the older cancer patient has been poorly described. The objective of this study was to characterize the use of pharmacy drugs in the month preceding cancer diagnosis among Ohio Medicaid beneficiaries 65 years of age or older, and diagnosed with incident breast, prostate, or colorectal cancer during the study period 1997–2001. Methods: Medicaid beneficiaries were identified by linking data from the Ohio Cance
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Bischof, Jason J., Peter Chai, Yassir Mohamed, et al. "MyTPill: study protocol for a cross-over randomised controlled trial comparing novel strategies to monitor antiretroviral adherence among HIV+ prescription opioid users." BMJ Open 13, no. 1 (2023): e062805. http://dx.doi.org/10.1136/bmjopen-2022-062805.

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IntroductionAdherence to HIV antiretroviral therapy (ART) remains the cornerstone of HIV treatment. For individuals with suboptimal adherence, electronic adherence monitoring (EAM) technologies have become an important component of multimodal adherence support strategies. Most EAM technologies detect pillbox opening, and therefore, assume but cannot verify actual ingestion of oral medication. In contrast, a digital pill system (ID-capsule manufactured by etectRX, here named My/Treatment/Pill) measures directly ingestion of medications. Identifying the superior method to measure ART adherence w
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Shireman, Theresa I., Pamela C. Heaton, Wendy E. Gay, Robert J. Cluxton, and Charles J. Moomaw. "Relationship between Asthma Drug Therapy Patterns and Healthcare Utilization." Annals of Pharmacotherapy 36, no. 4 (2002): 557–64. http://dx.doi.org/10.1345/aph.1a067.

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BACKGROUND AND OBJECTIVE: Asthma drug therapy problems contribute significantly to preventable hospitalizations and increased healthcare use in asthmatics. Since asthma patients often require >1 medication for control of symptoms, concurrent asthma drug therapies may be important in predicting excessive healthcare utilization. The purpose of this study was to link inappropriate asthma drug therapy patterns and selected patient demographics to healthcare utilization. METHODS: This study was a retrospective, cross-sectional analysis of Ohio Medicaid medical, institutional, and prescription cl
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Hattab, Zaid, Edel Doherty, Andrew M. Ryan, and Stephen O’Neill. "Heterogeneity within the Oregon Health Insurance Experiment: An application of causal forests." PLOS ONE 19, no. 1 (2024): e0297205. http://dx.doi.org/10.1371/journal.pone.0297205.

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Existing evidence regarding the effects of Medicaid expansion, largely focused on aggregate effects, suggests health insurance impacts some health, healthcare utilization, and financial hardship outcomes. In this study we apply causal forest and instrumental forest methods to data from the Oregon Health Insurance Experiment (OHIE), to explore heterogeneity in the uptake of health insurance, and in the effects of (a) lottery selection and (b) health insurance on a range of health-related outcomes. The findings of this study suggest that the impact of winning the lottery on the health insurance
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Fischer, Aren, Michel Cloutier, Jason Goodfield, Richard Borrelli, Dawn Marvin, and Alison Dziarmaga. "The Direct Economic Burden of Gout in an Elderly Canadian Population." Journal of Rheumatology 44, no. 1 (2016): 95–101. http://dx.doi.org/10.3899/jrheum.160300.

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Objective.To estimate the direct healthcare cost and resource use from the public payer perspective between patients with incident gout and matched gout-free patients in Ontario.Methods.Patients with incident gout aged ≥ 66 with uninterrupted Ontario Health Insurance Plan (OHIP) coverage in the 1-year baseline period were included in the study. Patients with gout were indexed at first gout diagnosis or prescription over the study period April 1, 2008, to March 31, 2014. Gout-free patients with no gout diagnosis within history were matched (up to 5:1) to each patient with gout. Linked medical r
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