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  1. Article ; Online: Caring for COVID's Most Vulnerable Victims: a Safety-Net Hospital Responds.

    Komaromy, Miriam / Harris, Miriam / Koenig, Rob M / Tomanovich, Mary / Ruiz-Mercado, Glorimar / Barocas, Joshua A

    Journal of general internal medicine

    2021  Volume 36, Issue 4, Page(s) 1006–1010

    MeSH term(s) COVID-19 ; Humans ; SARS-CoV-2 ; Safety-net Providers
    Language English
    Publishing date 2021-01-19
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-020-06499-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2205: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Academy of Breastfeeding Medicine Clinical Protocol #21: Breastfeeding in the Setting of Substance Use and Substance Use Disorder (Revised 2023).

    Harris, Miriam / Schiff, Davida M / Saia, Kelley / Muftu, Serra / Standish, Katherine R / Wachman, Elisha M

    Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

    2023  Volume 18, Issue 10, Page(s) 715–733

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Pregnancy ; Female ; Humans ; Breast Feeding/methods ; Substance-Related Disorders ; Mothers ; Lactation ; Clinical Protocols
    Language English
    Publishing date 2023-10-19
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2234680-6
    ISSN 1556-8342 ; 1556-8253
    ISSN (online) 1556-8342
    ISSN 1556-8253
    DOI 10.1089/bfm.2023.29256.abm
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A Case of Phenibut Directed Detoxification Leading to Toxicity During the COVID-19 Pandemic.

    Peterkin, Alyssa F / Abraham, Rohit / Harris, Miriam T H

    Journal of addiction medicine

    2022  Volume 16, Issue 5, Page(s) 602–605

    Abstract: Background: Phenibut is a non-Food and Drug Administration-approved gamma-aminobutyric acid analog marketed in the United States as an anxiolytic, cognitive enhancer, and alcohol withdrawal treatment through online supplement vendors. In this case ... ...

    Abstract Background: Phenibut is a non-Food and Drug Administration-approved gamma-aminobutyric acid analog marketed in the United States as an anxiolytic, cognitive enhancer, and alcohol withdrawal treatment through online supplement vendors. In this case report, we describe a woman's self-directed detoxification with phenibut used to manage withdrawal symptoms from fentanyl and benzodiazepines in March 2020 during the height of the COVID-19 pandemic.
    Case: A 38-year-old woman with severe opioid, benzodiazepine, gabapentin, stimulant use disorders developed altered mental status after oral phenibut ingestion intended to help self-manage opioid and benzodiazepine withdrawal. She chose self-directed detoxification as she feared COVID-19 exposure in detoxification facilities. Her altered mental status drove her to jump out a third-story window causing multiple spinal fractures. After a long hospitalization, she self-directed her discharge home due to concerns about COVID-19. Her premature discharge disrupted opioid and benzodiazepine use disorder treatment plans.
    Conclusion: This case highlights the risks of phenibut use for selfdirected detoxification. With COVID-19 related changes in the drug supply, people may be more likely to use online pharmaceuticals, therefore, substance use assessments should inquire about the online acquisition of new psychoactive drugs. Public health messaging regarding the risks of infectious disease transmission in addiction care settings is needed to guide addiction treatment choices among people who use substances.
    MeSH term(s) Adult ; Analgesics, Opioid/adverse effects ; Benzodiazepines/adverse effects ; COVID-19/epidemiology ; Female ; Fentanyl/adverse effects ; Humans ; Pandemics ; Self Medication/adverse effects ; Substance Withdrawal Syndrome/drug therapy ; Substance Withdrawal Syndrome/epidemiology ; gamma-Aminobutyric Acid/analogs & derivatives ; gamma-Aminobutyric Acid/toxicity
    Chemical Substances Analgesics, Opioid ; Benzodiazepines (12794-10-4) ; gamma-Aminobutyric Acid (56-12-2) ; 4-amino-3-phenylbutyric acid (T2M58D6LA8) ; Fentanyl (UF599785JZ)
    Language English
    Publishing date 2022-02-04
    Publishing country United States
    Document type Case Reports
    ISSN 1935-3227
    ISSN (online) 1935-3227
    DOI 10.1097/ADM.0000000000000966
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Psychedelics and the 'inner healer': Myth or mechanism?

    Peill, Joseph / Marguilho, Miriam / Erritzoe, David / Barba, Tommaso / Greenway, Kyle T / Rosas, Fernando / Timmermann, Christopher / Carhart-Harris, Robin

    Journal of psychopharmacology (Oxford, England)

    2024  , Page(s) 2698811241239206

    Abstract: Background: Reference to an intrinsic healing mechanism or an 'inner healer' is commonplace amongst psychedelic drug-using cultures. The 'inner healer' refers to the belief that psychedelic compounds, plants or concoctions have an intrinsically ... ...

    Abstract Background: Reference to an intrinsic healing mechanism or an 'inner healer' is commonplace amongst psychedelic drug-using cultures. The 'inner healer' refers to the belief that psychedelic compounds, plants or concoctions have an intrinsically regenerative action on the mind and brain, analogous to intrinsic healing mechanisms within the physical body, for example, after sickness or injury.
    Aims: Here, we sought to test and critique this idea by devising a single subjective rating item pertaining to perceived 'inner healing' effects.
    Methods: The item was issued to 59 patients after a single high (25 mg,
    Results: Inner healer scores were higher after the high versus placebo dose of psilocybin (
    Conclusions: The principle of activating inner healing mechanisms via psychedelics is scientifically nascent; however, this study takes a positivist and pragmatic step forward, asking whether it warrants further examination.
    Language English
    Publishing date 2024-04-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639313-5
    ISSN 1461-7285 ; 0269-8811
    ISSN (online) 1461-7285
    ISSN 0269-8811
    DOI 10.1177/02698811241239206
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2311: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Caring for COVID's most vulnerable victims: a safety-net hospital responds.

    Komaromy, Miriam / Harris, Miriam / Koenig, Rob M / Tomanovich, Mary / Ruiz-Mercado, Glorimar / Barocas, Joshua A

    Research square

    2020  

    Abstract: Background: ...

    Abstract Background:
    Keywords covid19
    Language English
    Publishing date 2020-10-26
    Publishing country United States
    Document type Preprint
    DOI 10.21203/rs.3.rs-97328/v1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Inter-library loan at ZB MED

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  6. Article ; Online: The handheld fan for chronic breathlessness

    Joshua Brown / Isobel Miller / Matilda Barnes-Harris / Miriam J. Johnson / Mark Pearson / Tim Luckett / Flavia Swan

    PLoS ONE, Vol 18, Iss

    Clinicians’ experiences and views of implementation in clinical practice

    2023  Volume 11

    Keywords Medicine ; R ; Science ; Q
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: A Descriptive Comparison of Substance Use Services in Recovery and Isolation Sites for People Experiencing Homelessness During the COVID-19 Pandemic, Boston and Toronto.

    Harris, Miriam T H / Young, Samantha / Barocas, Joshua / Bayoumi, Ahmed M / Caudarella, Alexander / Laurence, Gab / Tomanovich, Mary / Komaromy, Miriam

    Public health reports (Washington, D.C. : 1974)

    2021  Volume 136, Issue 5, Page(s) 532–537

    MeSH term(s) Boston/epidemiology ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/mortality ; Canada/epidemiology ; Drug Overdose/epidemiology ; Homeless Persons/statistics & numerical data ; Humans ; Pandemics ; Patient Isolation/organization & administration ; SARS-CoV-2 ; Substance-Related Disorders/diagnosis ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/therapy
    Language English
    Publishing date 2021-07-16
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 120953-x
    ISSN 1468-2877 ; 0033-3549
    ISSN (online) 1468-2877
    ISSN 0033-3549
    DOI 10.1177/00333549211032974
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Un I Zs.150: Show issues Location:
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    Zs.MO 479: Show issues

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  8. Article ; Online: The handheld fan for chronic breathlessness: Clinicians' experiences and views of implementation in clinical practice.

    Brown, Joshua / Miller, Isobel / Barnes-Harris, Matilda / Johnson, Miriam J / Pearson, Mark / Luckett, Tim / Swan, Flavia

    PloS one

    2023  Volume 18, Issue 11, Page(s) e0294748

    Abstract: Introduction: The handheld fan ('fan') is useful for chronic breathlessness management, however little is known about clinicians' implementation of the fan in clinical practice.: Aim: To explore clinicians' experiences and views of fan implementation. ...

    Abstract Introduction: The handheld fan ('fan') is useful for chronic breathlessness management, however little is known about clinicians' implementation of the fan in clinical practice.
    Aim: To explore clinicians' experiences and views of fan implementation.
    Methods: A qualitative approach, using semi-structured interviews. Participants were purposively sampled from clinicians who had completed an on-line fan implementation survey and were willing to participate. A topic guide was developed using the Theoretical Domains Framework (TDF). Data were analysed using an inductive approach informed by the TDF.
    Findings: Twelve clinicians participated (doctors n = 4; nurses n = 4; allied health professionals n = 4) from respiratory and palliative care. Analysis generated three major themes: i) Clinician knowledge and skills in fan implementation, ii) environmental constraints on fan use and iii) clinician beliefs about the consequences of fan use. Implementation by clinicians was positively influenced by having a scientific rationale for fan use presented (mechanism of action). Clinicians believed that the fan relieved breathlessness and did not carry a significant infection risk. Opportunity for fan use varied across healthcare settings; key environmental influences were COVID-19 restrictions, lack of access to resources and funding to provide fans, particularly in acute and respiratory services. Clinicians commonly encountered scepticism among patients and colleagues who felt the fan was an implausible intervention for breathlessness.
    Conclusion: Implementation of the fan is motivated by clinician beliefs about patient-benefit, a scientific rationale to counter clinician and patient scepticism, and access to fans in clinic. Funding to allow patients to be supplied with and taught how to use a fan would support uptake. Research is needed to address concerns about infection risk.
    MeSH term(s) Humans ; Dyspnea/therapy ; Physicians ; Palliative Care ; COVID-19 ; Qualitative Research
    Language English
    Publishing date 2023-11-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0294748
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Longitudinal changes in brain metabolites following pediatric concussion.

    La, Parker L / Walker, Robyn / Bell, Tiffany K / Craig, William / Doan, Quynh / Beauchamp, Miriam H / Zemek, Roger / Yeates, Keith Owen / Harris, Ashley D

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 3242

    Abstract: Concussion is commonly characterized by a cascade of neurometabolic changes following injury. Magnetic Resonance Spectroscopy (MRS) can be used to quantify neurometabolites non-invasively. Longitudinal changes in neurometabolites have rarely been studied ...

    Abstract Concussion is commonly characterized by a cascade of neurometabolic changes following injury. Magnetic Resonance Spectroscopy (MRS) can be used to quantify neurometabolites non-invasively. Longitudinal changes in neurometabolites have rarely been studied in pediatric concussion, and fewer studies consider symptoms. This study examines longitudinal changes of neurometabolites in pediatric concussion and associations between neurometabolites and symptom burden. Participants who presented with concussion or orthopedic injury (OI, comparison group) were recruited. The first timepoint for MRS data collection was at a mean of 12 days post-injury (n = 545). Participants were then randomized to 3 (n = 243) or 6 (n = 215) months for MRS follow-up. Parents completed symptom questionnaires to quantify somatic and cognitive symptoms at multiple timepoints following injury. There were no significant changes in neurometabolites over time in the concussion group and neurometabolite trajectories did not differ between asymptomatic concussion, symptomatic concussion, and OI groups. Cross-sectionally, Choline was significantly lower in those with persistent somatic symptoms compared to OI controls at 3 months post-injury. Lower Choline was also significantly associated with higher somatic symptoms. Although overall neurometabolites do not change over time, choline differences that appear at 3 months and is related to somatic symptoms.
    MeSH term(s) Humans ; Child ; Medically Unexplained Symptoms ; Brain Concussion/diagnosis ; Brain/metabolism ; Magnetic Resonance Spectroscopy/methods ; Choline/metabolism
    Chemical Substances Choline (N91BDP6H0X)
    Language English
    Publishing date 2024-02-08
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-52744-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Bridging Culture and Language: Encouraging Bilingual/Multicultural Individuals to Act as Information Navigators for Their Loved-Ones and Communities during the COVID-19 Pandemic.

    Abdi, Najma / Flores, Miriam / Hara-Hubbard, KeliAnne K / Turner, Anne M / Gudino, Juan / Jafry, Sheharbano / Harris, Jeffrey R / Hannon, Peggy A / Baquero, Barbara / Meischke, Hendrika

    Journal of health communication

    2024  Volume 29, Issue 1, Page(s) 34–48

    Abstract: Linguistically diverse communities face barriers to receiving appropriate health information. COVID-19 exacerbated these health-communication inequities. University of Washington researchers surveyed bilingual staff, students, and medical interpreters - ... ...

    Abstract Linguistically diverse communities face barriers to receiving appropriate health information. COVID-19 exacerbated these health-communication inequities. University of Washington researchers surveyed bilingual staff, students, and medical interpreters - desiring training to become effective communicators of COVID-19 information to their social networks and language communities. In response, the COVID-19 Information Navigator Training was developed and pre-tested with professional networks and members of the target audience. The final training comprised three interactive modules and short quizzes. Evaluation surveys measured Information Navigators' confidence in providing COVID-19 information to their social networks. Surveys included questions on the participants' language or cultural community, the perceived value of the training, and their ability to communicate COVID-19 information. Among 393 participants who enrolled in the training, 284 completed the survey. Significant differences in confidence before and after the course were found in detecting COVID misinformation in the news and social media (pre-course mean: 3.83, post-course mean: 4.63; absolute mean difference was 0.82 points higher in the post-evaluation on the 5-point likert scale, 95% CI: 0.70-0.93,
    MeSH term(s) Humans ; Communication ; COVID-19/epidemiology ; Cultural Diversity ; Language ; Pandemics ; Culturally Appropriate Technology
    Language English
    Publishing date 2024-01-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1427988-5
    ISSN 1087-0415 ; 1081-0730
    ISSN (online) 1087-0415
    ISSN 1081-0730
    DOI 10.1080/10810730.2023.2279670
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5899: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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