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City of Science: The last steps on the moon... for now'Even now, as we mark the 50th anniversary of the final mission, scientists are still studying samples of moon rocks that the Apollo crews brought home with them'
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Availability of medications for opioid use disorder in outpatient and inpatient pharmacies in South Florida: a secret shopper survey - Addiction Science & Clinical PracticeBackground Despite the proven efficacy of medications for opioid use disorder (MOUD) and recent reduction in barriers to prescribers, numerous obstacles exist for patients seeking MOUD. Prior studies have used telephone surveys to investigate pharmacy-related barriers to MOUD. We applied this methodology to evaluate inpatient and outpatient pharmacy barriers to MOUD in South Florida. Methods Randomly selected pharmacies in South Florida (Miami-Dade, Broward, and Palm Beach Counties) were called using a standardized script with a “secret shopper” approach until 200 successful surveys had been completed. The primary outcome was the availability of any buprenorphine products. Second, a list of all 48 acute care hospitals within the aforementioned counties was compiled, and hospitals were contacted by telephone using a second structured script. Results A total of 1374 outpatient pharmacies and 48 inpatient pharmacies were identified. 378 randomly selected outpatient pharmacies were contacted to accrue 200 successful calls (53% success rate). All 48 inpatient pharmacies were contacted to successfully complete 25 inpatient surveys (52%). Of the 200 outpatient pharmacies contacted, 38% had any buprenorphine available. There was a significant difference in buprenorphine availability by county, with Miami-Dade having the least availability and Palm Beach having the most availability (27% vs. 47%, respectively; p = 0.04). Of the 38% with buprenorphine available, 82% had a sufficient supply for a two-week prescription of buprenorphine 8 mg twice daily. Of the pharmacies that did not have buprenorphine, 55% would be willing to order with a median estimated time to receive an order of 2 days (IQR 1.25–3 days). Of the 25 surveyed inpatient pharmacies, 88% reported having buprenorphine on inpatient formulary, and 55% of hospitals had at least one restriction on ordering of buprenorphine beyond federal regulations. Conclusions The results of this study highlight significant pharmac
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'Leggy' England were 'terrible' vs USA as Neville questions 'interesting' Southgate, Foden callGary Neville thinks Trent Alexander-Arnold could have made a difference against the USA... 'Spain, Brazil, France, probably would have Trent Alexander-Arnold and Foden in the starting XI.'
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Lionel Messi and Enzo Fernandez keep Argentina's World Cup hopes aliveDon't count Argentina out just yet! ⚽️ 🇦🇷 Lionel Messi and Enzo Fernandez have kept their FIFAWorldCup hopes alive with a hard-fought 2-0 victory in their must-win group clash against Mexico 🇲🇽
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