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济南哪个医院治痛风治的好医院
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发布时间: 2025-05-25 16:24:46北京青年报社官方账号
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  济南哪个医院治痛风治的好医院   

If you aren’t on this medication, chances are you know someone who is. It’s used to treat everything from pain to mood disorders and can be just what the doctor ordered for many.But now, there is mounting research uncovering misuse of and even a black market for this popular prescription.We’re talking about gabapentin. It’s approved for some types of seizures and nerve pain.Doctors also use it off-label to treat everything from insomnia to migraines to anxiety. Sixty-four million prescriptions of it were sold in the U.S. in 2016, up more than 60 percent from four years earlier.The thing is, experts say there is growing evidence it’s being abused, too. It’s even being sold on the streets under the name “Johnnys.” Dr. Joseph Insler, an addiction psychiatrist, says he’s seeing it all too often.“Sometimes, I've even experienced patients ask me for their “Johnnys” and then they'll, maybe, catch themselves and say, ‘No, no, no. I mean gabapentin',” he says.Why is this prescription being misused?“I think that some individuals may say that they use it to get high, and others may say they use it and get a drowsy effect. So, we're talking about the euphoria versus sedation, “ says Rachel Vickers Smith, Ph.D.Dr Vickers Smith wrote her dissertation on gabapentin abuse when studying drug abusers in Appalachia.“We found a nearly 3000 percent increase from 2008 to about 2014 in individuals reporting gabapentin abuse for the purposes of getting high,” she says.We wanted to see for ourselves, so we searched online. We easily found people talking about taking “Johnnys”, or gabapentin, to get high. There were also threads of people trying to spread awareness about the abuse.Experts say gabapentin is typically misused by substance abusers who mix it with other drugs.But, Dr. Insler says it’s also possible for people with legitimate prescriptions to misuse, too.He says, “If somebody’s taking excessively high doses or needing early refills” or if their mood changes, family members or clinicians should see these signs as red flags.A growing body of research shows the problem of abuse, especially among substance abusers is clear.  But some experts also worry about the number of prescriptions being handed out.A recent New England Journal of Medicine letter warned that “clinicians who are desperate for alternatives to opioids” are “increasingly prescribing gabapentin” and that “evidence suggests that some patients misuse, abuse or divert gabapentin.”Dr Rachel Vickers Smith says, “ I think that's why it's really important to get out the message,” about abuse, in general.Gabapentin is not a controlled substance or scheduled drug on the Federal level.We reached out to several government agencies. There was little information on potential abuse although the National Institute on Drug Abuse pointed us to existing research and the DEA says it is beginning to receive calls.Dr Vickers Smith says, “ I don't think that gabapentin abuse is on the CDC, DEA’s, NIDA’s radar, in part because we had this opioid epidemic.”All experts we talked to stress that this is NOT the next opioid epidemic, but they believe gabapentin abuse is something to watch closely and believe more research is needed.We contacted two of the manufacturers of gabapentin, including Pfizer, which told us, “Gabapentin is an important treatment option for their approved indications”. 3416

  济南哪个医院治痛风治的好医院   

IKEA is ending the publication of its iconic catalog after 70 years.The Swedish retailer cited the reason for ending it was due to consumers shopping online.IKEA said last year, their online retail sales increased by 45% worldwide, and they saw 4 billion users on its website."For both customers and co-workers, the IKEA Catalog is a publication that brings a lot of emotions, memories, and joy. For 70 years, it has been one of our most unique and iconic products, which has inspired billions of people across the world," said Konrad Grüss, Managing Director, Inter IKEA Systems B.V in a press release. "Turning the page with our beloved catalog is, in fact, a natural process since media consumption and customer behaviors have changed. To reach and interact with many people, we will keep inspiring with our home furnishing solutions in new ways."IKEA said they are transforming as a company and will focus more on "being more digital and accessible" by improving their digital services and launching new apps.“We are not starting from scratch. We have been transforming many aspects of how to reach and interact with our customers, and the work continues to find new ways to amplify unique IKEA home furnishing knowledge, products, and solutions in the best possible way - to inspire the many people through new ways, channels, and formats,” said Grüss.The company first released its catalog in 1951 in Sweden. At its peak in 2016, IKEA distributed 200 million copies in 69 different versions and 32 languages.In fall 2021, the company said a book would be released that'll be filled with "great home furnishing inspiration and knowledge." 1651

  济南哪个医院治痛风治的好医院   

House Judiciary Chairman Bob Goodlatte has issued subpoenas for former FBI Director James Comey and former Attorney General Loretta Lynch.Goodlatte, a Virginia Republican who is retiring, is requesting private depositions from Comey on December 3 and Lynch on December 4. House Republicans have been investigating FBI actions in the 2016 campaign, but that probe will end when Democrats take over the committee in January.Comey, who has previously rejected the committee's request for him to appear privately before the GOP-led inquiry, reiterated his position soon after the subpoenas became public."Happy Thanksgiving. Got a subpoena from House Republicans. I'm still happy to sit in the light and answer all questions. But I will resist a 'closed door' thing because I've seen enough of their selective leaking and distortion. Let's have a hearing and invite everyone to see," Comey tweeted.David Kelly, an attorney for Comey, said Thursday that his client will fight the order in court."While the authority for congressional subpoenas is broad, it does not cover the right to misuse closed hearings as a political stunt to promote political as opposed to legislative agendas," Kelly said.Lynch has not yet commented publicly about the subpoenas.After the House Judiciary Committee signaled earlier this month their intention to subpoena Comey and Lynch, Rep. Jerry Nadler, the Democrat who is expected to chair the panel next year, criticized the move as "unfortunate.""Months ago, Director Comey and Attorney General Lynch both indicated their willingness to answer the Chairman's questions voluntarily. My understanding is that the Republicans have had no contact with either the director or the attorney general since," Nadler said last week.Deputy Attorney General Rod Rosenstein remains another potential witness hanging over the GOP-led investigation. Conservatives on the panels demanded that Rosenstein appear to answer their questions about his reported remarks about wearing a wire to record the President and efforts to recruit Cabinet members to invoke the 25th Amendment to remove Trump from office. A scheduled meeting with Rosenstein last month was postponed and has not been rescheduled. 2215

  

HUD Secretary Ben Carson said on Friday that he was “desperately ill” during his recent bout with the coronavirus.Carson said that he took an experimental treatment like the one given to President Donald Trump last month. Carson said he was cleared to take the treatment by Trump, which Carson said “saved his life.”“I have several co-morbidities and after a brief period when I only experienced minor discomfort, the symptoms accelerated and I became desperately ill,” Carson said. “President Trump was following my condition and cleared me for the monoclonal antibody therapy that he had previously received, which I am convinced saved my life.”There are several monoclonal antibody treatments that are in the experimental phase of testing and have not been given an emergency use authorization by the FDA. It’s unclear which exact drug Carson was given.Carson was among a large number of White House staffers and contacts of Trump who have become ill with the coronavirus in the last seven weeks. In addition to Carson and Trump, former New Jersey Gov. Chris Christie was among those in contact with Trump to be hospitalized with the coronavirus.“I am hopeful that we can stop playing politics with medicine and instead combine our efforts and goodwill for the good of all people,” Carson said. “While I am blessed to have the best medical care in the world (and I am convinced it saved my life), we must prioritize getting comparable treatments and care to everyone as soon as possible.” 1499

  

Imagine applying for the top colleges in the United States hoping to get accepted to at least one.Well, that was the least of Mekhi Johnson's worries when applying for colleges this year. The Baltimore senior said that at six years old he heard a story on the radio about a student who was accepted to all of the Ivy League schools and knew that was his goal."I'm going to do that one day," said Johnson.And on 'Ivy Decision Day' he learned that he finally made it a reality. Johnson, who attends the Gilman School in Batlimore, serves as the President of the Diversity Council, a member of the school's acapella group, school band, and an avid volunteer, all while being a National Merit Scholarship Program Commended Student with a 98.1 average.More than 280,000 applicants applied to Ivy League schools last year. Out of that number, less than five of them were able to achieve acceptance by all eight colleges. Johnson is not only a 'goal getter' but he's the first Gilman student to achieve this distinction of acceptance.   1072

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