Joseph Carpenter
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View article: Disparities in Treatment and Referral After an Opioid Overdose Among Emergency Department Patients
Disparities in Treatment and Referral After an Opioid Overdose Among Emergency Department Patients Open
Importance There is a disproportionately high rate of overdose deaths immediately following an emergency department (ED) visit for opioid overdose. Thus, an improved understanding of disparities in ED treatment and referral is vital. Racia…
View article: P-1417. High Rates of Patient Directed Discharge Associated with Incomplete Treatment and Rehospitalization in People Hospitalized with Serious Injection Related Infections: The CHOICE+ Cohort
P-1417. High Rates of Patient Directed Discharge Associated with Incomplete Treatment and Rehospitalization in People Hospitalized with Serious Injection Related Infections: The CHOICE+ Cohort Open
Background People who inject drugs have high rates of patient directed discharge (PDD). In a cohort of patients hospitalized for serious injection related infections (SIRI), we aimed to assess the factors leading to PDD and the influence o…
View article: P-1418. Risk for Early and Late Readmission for Serious Injection-Related Infections: the CHOICE+ Cohort
P-1418. Risk for Early and Late Readmission for Serious Injection-Related Infections: the CHOICE+ Cohort Open
Background People who inject drugs hospitalized with severe injection-related infections (SIRI) face barriers to antibiotic treatment completion and remain at risk for new infections due to ongoing injection drug use. We explored risk fact…
View article: P-739. Injection-Related Skin Ulcers: a Common and Poorly Addressed Risk Factor for Rehospitalization among People who Inject Drugs in the CHOICE+ Cohort
P-739. Injection-Related Skin Ulcers: a Common and Poorly Addressed Risk Factor for Rehospitalization among People who Inject Drugs in the CHOICE+ Cohort Open
Background Injection-related skin ulcers (IRSU) are a cause of acute bacterial infection among people who inject drugs (PWID). We aimed to measure the prevalence, characteristics, and risk factors for IRSU, and the risk of readmission, amo…
View article: P-1422. Low Use of Oral Antibiotics for People Hospitalized with Serious Injection-Related Infections: the CHOICE+ Cohort
P-1422. Low Use of Oral Antibiotics for People Hospitalized with Serious Injection-Related Infections: the CHOICE+ Cohort Open
Background Oral (PO) antibiotics are a convenient alternative to parenteral antibiotics and decrease the need for inpatient care. Increasing evidence shows PO antibiotics are effective even in severe infections. We aim to assess PO antibio…
View article: 504. Missed opportunities for HIV Prevention and Treatment in People Hospitalized with Serious Injection Related Infections: The CHOICE+ Cohort
504. Missed opportunities for HIV Prevention and Treatment in People Hospitalized with Serious Injection Related Infections: The CHOICE+ Cohort Open
Background Harm reduction for persons who inject drugs (PWID) has many components, including HIV testing and Pre-exposure Prophylaxis (PrEP). However, despite the increasing evidence of effectiveness, PrEP remains highly underutilized in t…
View article: Identification and Health Risks of an Emerging Means of Drug Use in Correctional Facilities
Identification and Health Risks of an Emerging Means of Drug Use in Correctional Facilities Open
Importance Recreational use of drug-soaked paper strips (hereafter, strips) in correctional facilities poses a major public health risk owing to the diverse and potentially severe toxic effects of the substances they contain. Understanding…
View article: Editorial: Urgent injury and violence-related public health threats: the role of social determinants in cross-cutting injury and violence across the lifespan
Editorial: Urgent injury and violence-related public health threats: the role of social determinants in cross-cutting injury and violence across the lifespan Open
Editorial: Urgent injury and violence-related public health threats: the role of social determinants in cross-cutting injury and violence across the lifespan
View article: Death from bongkrekic acid toxicity: first report in North America
Death from bongkrekic acid toxicity: first report in North America Open
Background Bongkrekic acid (BA) is a mitochondrial toxin, produced by the bacteria Burkholderia gladioli pv. cocovenenans during fermentation. Outbreaks of BA poisoning have been reported in China, Indonesia, and Mozambique, but have not b…
View article: Compartment Syndrome Following Snake Envenomation in the United States: A Scoping Review of the Clinical Literature
Compartment Syndrome Following Snake Envenomation in the United States: A Scoping Review of the Clinical Literature Open
Introduction: Local tissue destruction following envenomation from North American snakes, particularly those within the Crotalinae subfamily, has the potential to progress to compartment syndrome. The pathophysiology of venom-induced compa…
View article: Hospitalization is a missed opportunity for HIV screening, pre-exposure prophylaxis, and treatment
Hospitalization is a missed opportunity for HIV screening, pre-exposure prophylaxis, and treatment Open
Background Hospitalization is a “reachable moment” for people who inject drugs (PWID), but preventive care including HIV testing, prevention and treatment is rarely offered within inpatient settings. Methods We conducted a multisite, retro…
View article: Naloxone Use in Novel Potent Opioid and Fentanyl Overdoses in Emergency Department Patients
Naloxone Use in Novel Potent Opioid and Fentanyl Overdoses in Emergency Department Patients Open
Importance Synthetic opioids, such as the fentanyl analogue and nitazene drug class, are among the fastest growing types of opioids being detected in patients in the emergency department (ED) with illicit opioid overdose (OD). However, cli…
View article: The extremely sharp transition between molecular and ionized gas in the Horsehead nebula
The extremely sharp transition between molecular and ionized gas in the Horsehead nebula Open
Massive stars can determine the evolution of molecular clouds by eroding and photo-evaporating their surfaces with strong ultraviolet (UV) radiation fields. Moreover, UV radiation is relevant in setting the thermal gas pressure in star-for…
View article: Undertreatment of opioid use disorder in patients hospitalized with injection drug use-associated infections
Undertreatment of opioid use disorder in patients hospitalized with injection drug use-associated infections Open
Objective: To evaluate the association between medication for opioid use disorder (MOUD) initiation and addiction consultation and outcomes for patients hospitalized with infectious complications of injecting opioids. Method: This was a re…
View article: Use of nonstigmatizing language is associated with improved outcomes in hospitalized people who inject drugs
Use of nonstigmatizing language is associated with improved outcomes in hospitalized people who inject drugs Open
Background Stigma surrounding opioid use disorder (OUD) is a barrier to treatment. The use of stigmatizing language may be evidence of negative views toward patients. Objective We aimed to identify associations between language and clinica…
View article: Compliance to whole bowel irrigation recommendations: a single poison center study
Compliance to whole bowel irrigation recommendations: a single poison center study Open
Introduction: Whole Bowel Irrigation (WBI) is used as a method of gastrointestinal decontamination for poisoned patients and may have low compliance when recommended by poison centers (PC). We set out to determine WBI compliance and analyz…
View article: <i>Veratrum parviflorum</i> poisoning: identification of steroidal alkaloids in patient blood and breast milk
<i>Veratrum parviflorum</i> poisoning: identification of steroidal alkaloids in patient blood and breast milk Open
V. parviflorum toxicity was observed to cause nausea, vomiting, hypotension, bradycardia, abdominal pain, light-headedness, blurred vision, and tingling in the arms. Patients experiencing mild symptoms improved with supportive care, IV flu…
View article: Benzodiazepine use disorder: A cross-sectional study at a tertiary care center in Lebanon
Benzodiazepine use disorder: A cross-sectional study at a tertiary care center in Lebanon Open
Benzodiazepines are medications used for the treatment of multiple conditions including anxiety disorders, insomnia, agitation, and seizures. They are the most prescribed psychiatric medications and the third most misused drugs among adult…
View article: 868. HIV, Opioid Use Disorder, and Injection related Infections: Clinical Outcomes in 4 Academic Hospitals
868. HIV, Opioid Use Disorder, and Injection related Infections: Clinical Outcomes in 4 Academic Hospitals Open
Background Because hospitals are a safety net for persons with injection drug use (IDU), they play a valuable role towards ending the HIV epidemic. The objective of this study is to evaluate the hospital outcomes of persons with HIV (PWH) …