Literature Review

What to know about the federal government’s big changes to marijuana rules coming soonCannabis Business Executive (CBE); 2/5/24It could come today. Or in a few weeks. Maybe within the next month.Whenever it happens, rescheduling marijuana under the Controlled Substances Act – which regulates what drugs are considered illegal and just how illegal they are – would be the biggest step the federal government has taken toward marijuana legalization since it was first outlawed nearly 100 years ago.

Cancer is the leading cause of death in HIV-positive individualsManaged Healthcare Executive, by Logan Lutton; 1/17/24In those with human immunodeficiency virus (HIV), there is a 10-fold higher cancer risk than in the general population, according to the annual Cancer Facts and Figures report from the American Cancer Society published today. Because HIV compromises the immune system, it increases the risk of infections like human papillomavirus (HPV) that can lead to cervical cancer. Ten cancers are associated with HIV. These include non-Hodgkin lymphoma, cervical, liver, anal, and lung cancers.Access to care is another barrier for the community. There are still nine states where it is legal for healthcare professionals to refuse to care for LGBTQ+ patients: Alabama, Arkansas, Florida, Illinois, Mississippi, Montana, Ohio, South Carolina, and Tennessee. The patients in these states account for an estimated 20% of the entire LGBTQ+ population.

Debate over psychedelic therapy returns to Missouri General AssemblyMissouri Independent, by Rebecca Rivas; 1/30/24Republican lawmakers are once again pushing legislation that would require Missouri to conduct a clinical study on using psilocybin, more commonly referred to  as “magic mushrooms,” to treat depression, substance use or as part end-of-life care. 

Strategies for positive change in opioid prescribingPharmacy Times; 2/1/24This is a video synopsis/summary of a Practice Pearls featuring Ryan Haumschild, PharmD, MS, MBA, CPEL; Megan Mitchell, PharmD, MS; Stephanie Abel, PharmD, BCPS; and Jennifer Grate, CPhT. Haumschild discusses the importance of positive change in opioid stewardship. 

I was my grandmother's caretaker before moving to the US to follow my dreams. She died 6 months later and I still feel guiltyBusiness Insider, by Erma Kershaw; 2/4/24... Grieving while living in a different country has been incredibly difficult. The moment I learned she'd died will stay with me forever. ... While my grandmother's passing didn't come as a surprise, the time since then has still been the most challenging period of my life. Grief is already a hard process for several reasons, but living 3,000 miles away from your loved ones makes it even harder. 

A pathophysiological approach for selecting medications to treat nociceptive and neuropathic pain in servicemembersMil Med, by Khan Thi Nguyen, Daniel W Beauchamp, Reginald B O'Hara; 1/31/24The prevalence of chronic pain of service members (SMs) in the U.S. is estimated to be higher (roughly 31-44%) compared to that of civilian population (26%). This higher prevalence is likely due to the high physical demands related combat and training injuries that are not immediately resolved and worsen over time. Mental Health America reports that chronic pain can lead to other mental health conditions such as severe anxiety, depression, bipolar disorder, and post-traumatic stress disorder.

Covenant Health revives Clinical Pastoral Education programKCBD11 NewsChannel; 2/1/24Covenant Health is excited to announce the return of its Clinical Pastoral Education (CPE) Program after a brief pause due to the COVID-19 pandemic. Clinical Pastoral Education is interfaith professional education for ministry. It brings theological students and ministers of all faiths (pastors, priests, rabbis, imams and others) into supervised encounter with persons in crisis.

Alabama agencies get new resources for dementia care amid 'great void' in servicesAlabama Reflector, by Alander Rocha; 1/31/24In a meeting of the Interagency Council for the Prevention of Elder Abuse on Tuesday, Alabama Department of Senior Services (ADSS) Commissioner Jean W. Brown said the department is “awash in money to just go where we’ve never gone before in dementia services and dementia care.” ... According to the Centers for Disease Control and Prevention, Alabama in 2021 had the second highest mortality rate from Alzheimer’s disease, behind only Mississippi, at 46.8 per 100,000 people. 

Odds for dementia nearly triple in the year after a strokeHealth Day, by Ernie Mundell; 2/1/24A person's odds for a dementia diagnosis nearly triple in the first year after a stroke, new research shows. This post-stroke spike in dementia risk does subside with time, but it never returns to pre-stroke levels, the same report found. "Our findings reinforce the importance of monitoring people with stroke for cognitive decline," said lead researcher Dr. Raed Joundi. 

What the mental health crisis may be missing: Spirituality as a tool Forbes, by Nicole F. Roberts; 1/31/24 It is estimated that approximately one in four people globally will experience mental illness during their lives, with about one billion individuals facing mental health disorders at any given time ... [such as] anxiety, depression, loneliness or some other diagnosable illness. ... Despite most people believing in both science and a form of spirituality there are fundamental differences in how and why people seek the care they do, and how and why they adhere to recommended treatment plans as they do. And much of those decisions is based on beliefs.

Timely dementia diagnosis, specialized long-term care limited for members of minority groups: studyMcKnights Senior Living, by Kimberly Bonvissuto; 2/1/24Researchers from University of California-Davis Health and Oregon Health & Science University said that members of minority groups fall victim to systemic oppression that leads to a higher risk of hospitalization and more aggressive life-sustaining treatment in end-of-life care. Their research, published in Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, analyzed 71 studies between 2000 and 2022 that examined healthcare access and quality for people living with dementia and their caregivers.

See how 5 families balance care and comfort in pediatric palliative careNational Geographic, by Taylor Sisk, photographs by Lynn Johnson; 2/1/24This medical team chooses to help families of children in palliative care prioritize quality of Life over taxing procedures and treatments. Our photo essay offers a glimpse of how they make the most out of life. ... [Interviews and photos are with the] Division of Palliative Medicine and Supportive Care at UPMC Children’s Hospital of Pittsburgh. ... The goal of this pediatric hospice program is clear: Put family first.Editor's Note: Note this source, National Geographic. Where do these photos and stories "take" you? I am grateful for Hospice of Louisville's (now, Hosparus) first hospice pediatric program in the U.S. I served on our Pediatric Care team for 4 years, and was forever, profoundly changed by knowing these children and their families.

Breakthroughs in Alzheimer's research give cause for optimismKiplinger, by Elaine Silvestrini; 1/29/24... Finding a cure or even an effective treatment has been difficult. Now, after billions of dollars in research and more than 100 drug failures, advocates are celebrating breakthroughs, including drugs that for the first time treat the underlying causes of the disease. Experts are optimistic that we may be on the precipice of significant changes in how the disease is treated and potentially even prevented.