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Dr. Andrew Mendenall discusses the treatment of substance use disorders and opioid addiction as chronic diseases and the clinical opportunities for medication assisted treatments (MAT) in the second part of this CareOregon MEDS Ed seminar. This session of CareOregon Pharmacy’s MEDS Ed program focuses on the science and use of medications as best-practice for the treatment of opioid and alcohol use disorders; Distinguishing the barriers and myths about recovery treatment from evidence and effective treatment; Understanding the guidelines for effectively navigating high-risk patient referrals with a special focus on coordination between behavioral health and primary care; planning next steps to support further implementation and improved access of MAT in our network. Watch the rest of this seminar: Part 1: https://youtu.be/sQXRm_RWkSQ Part 2: https://youtu.be/nvq3t0Oxdb8 Part 3: https://youtu.be/DRv8wD_jNdc Part 4: https://youtu.be/d1fi-ynPnhE Part 5: https://youtu.be/BFHtM51ikYc Part 6: https://youtu.be/frkZ5oxVpug Part 7: https://youtu.be/ZTziWgL6_Ss Effective Substance Use Treatment: From Stigma to Tipping Point– A MEDS Ed seminar Recorded on October 12, 2018 at CareOregon, Portland, OR. FEATURED SPEAKERS • Paul Lewis, MD, MPH – Multnomah County Health Officer • Andrew Mendenhall, MD, DABAM, DABFM – Senior Medical Director, • Substance Use Disorder Services – Central City Concern • Alison Noice, MA, CADC III – Deputy Director, CODA • Amy Jo Cook, Community Paramedic – Clackamas Fire District #1 • Dan Hall, Community Paramedic – AMR • Anthony Cheng, MD – OHSU South Waterfront • Stacie Andoniadis, Primary Care Innovations Specialist – CareOregon • Tanya Kapka, MD, MPH – Metro Medical Director; Network and Clinical Support – CareOregon SLIDES “Effective Substance Use Treatment: From Stigma to Tipping Point” (PDF) - http://bit.ly/112718-SUD-MEDS-Ed-Slides PROGRAM DESCRIPTION MEDS Ed is an ongoing education series by CareOregon’s Pharmacy team. It’s geared to health care professionals involved in direct patient care at community clinics. Attendees leave with valuable tools and insights that improve how they can contribute to multi-disciplinary teams. Each three-hour MEDS Ed session examines a disease state that highly impacts patient quality of life, requires complex management, and may lead to increased emergency department visits and inpatient stays. Speakers include pharmacists and clinicians from the community and from CareOregon staff. For more information on MEDS Ed and future sessions: http://www.careoregon.org/providers/programs/MEDS-ed
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Testosterone is often considered the muscle building hormone, and for good reason. In this episode, Patrick breaks down how this hormone influences muscle growth and what you can do about it. » Subscribe to Seeker! http://bit.ly/subscribeseeker » Watch more Human! http://bit.ly/HUMANplaylist » Visit our shop at http://shop.seeker.com To understand how a muscle grows, we need some basic skeletal muscle anatomy. Within each muscle cell are strands of stiff proteins called myofibrils, which contain long proteins called filaments arranged into a parallel pattern that lets them slide back and forth past each other. This sliding mechanism is ultimately what allows our muscles to produce tension. And if we zoom out to the muscle fiber’s surface, we see tiny cells called satellite cells that hang out on the edge of muscle fibers underneath the connective tissue. These things are essentially dormant muscle cells, kind of like muscle stem cells. When our muscles produce a high amount of tension like during resistance exercise, those myofibrils incur a little bit of damage. This produces an inflammatory response at the muscle which then promotes healing. That inflammation also wakes up the satellite cells which prompts them to fuse into the muscle fiber they’re attached to. And each satellite cell has a nucleus with the instructions for making more of those contractile proteins. And increases in muscle size mostly comes from adding these proteins to muscle. #testosterone #muscle #human #physiology #seeker #humanseries Read More: Testosterone — What It Does And Doesn't Do https://www.health.harvard.edu/drugs-and-medications/testosterone--what-it-does-and-doesnt-do “Testosterone's role in bad behavior is largely a myth. What's more, testosterone plays other important roles in health and disease that may surprise you. For example, did you know that testosterone is a key player in prostate cancer? Or, that women need testosterone, too? There's more to testosterone than guys behaving badly.” Skeletal Muscle Overview https://open.oregonstate.education/aandp/chapter/10-2-skeletal-muscle/ “Each skeletal muscle is an organ that consists of various integrated tissues. These tissues include the skeletal muscle fibers, blood vessels, nerve fibers, and connective tissue. Each skeletal muscle has three layers of connective tissue that enclose it, provide structure to the muscle, and compartmentalize the muscle fibers within the muscle.” What are anabolic steroids? https://www.drugabuse.gov/publications/drugfacts/anabolic-steroids “Anabolic steroids are synthetic, or human-made, variations of the male sex hormone testosterone. The proper term for these compounds is anabolic-androgenic steroids. "Anabolic" refers to muscle building, and "androgenic" refers to increased male sex characteristics.” ____________________ This Seeker health series will dive deep into the cellular structures, human systems, and overall anatomy that work together to keep our bodies going. Using the visual structure and quick pacing of Seeker’s Sick series, these human bio-focused episodes will give a new audience an inside look on what’s happening inside all of us. Visit the Seeker website https://www.seeker.com Seeker on Facebook https://www.facebook.com/SeekerMedia/ Focal Point on Facebook https://www.facebook.com/FocalPointShow/ Seeker on Twitter http://twitter.com/seeker
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