16 research outputs found

    Responses of a wetland ecosystem to the controlled introduction of invasive fish

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136368/1/fwb12900_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136368/2/fwb12900.pd

    A Practical Guide for the Study of Malformed Amphibians and Their Causes

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    Comorbid chronic pain and opioid misuse in youth: Knowns, unknowns, and implications for behavioral treatment

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    Chronic pain and opioid misuse are both common in pediatric populations and associated with a range of negative adverse outcomes that may persist into adulthood. While the association between chronic pain, opioid prescribing, and opioid-related adverse consequences is reasonably well established in adults, the relation in pediatric patients is not well understood and the long-term impact of opioid exposure during childhood is yet to be fully revealed. The present review draws from the available literature on chronic and acute pediatric pain prevalence and treatment, opioid misuse, and adolescent substance use to address knowns and unknowns of co-morbid pediatric chronic pain and opioid misuse. Additionally, gaps in knowledge regarding the prevalence and etiology of co-occurring chronic pain and opioid misuse in youth are identified. Hypothesized, modifiable risk factors associated with both pediatric pain and opioid misuse are considered. Due to a lack of empirically supported integrated treatments for co-morbid chronic pain and opioid misuse in youth, this review examines the evidence base and best practices from both the chronic pain and opioid treatment literature to guide treatment recommendations for these co-morbid conditions in youth. Recommendations are then provided to promote screening and mitigate risk of chronic pain and opioid misuse across a range of pediatric settings. Lastly, a comprehensive agenda to prevent and treat chronic pain and opioid misuse in adolescents and young adults is discussed
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