May 6, 2019

In This Issue
MMA and Leading Medical Associations Hail Ruling in Maine Case Over Medication Assisted Treatment in Jail
Eat, Sleep, Console Update
Tick Aware and Tick Alert - May is Lyme Disease Awareness Month in Maine
Trump Administration Reveals New Refusal Options for Healthcare Personnel
Alfond Leaders Program Seeking More Applicants for Student Debt Relief - Applications Being Accepted Through May 15
Federal Judge Agrees with AMA, Strikes Down Gag Rule
This Week's Public Health Updates from the AMA
Experts Fear Rising Number of Unvaccinated Children Will Lead to More Measles Outbreaks
Free MAT Training at CMMC June 1
Lawrence B. Mutty, M.D., M.P.H., 1934-2019; MMA President 2004-2005
MMA Legislative Call Tuesday, May 7th
Vaccine Vote Drama and Other State House Highlights of the Week
Upcoming Specialty Society Meetings
Cumberland County Physicians: Join the MMA at the Foreside Tavern in Falmouth on Thursday, May 16
Treatment & Prevention of Medical & Mental Health Emergencies -Substances & Gun Violence -May 17 & 18
Quality Counts: Rapid Induction Starting in the ED (RISE) Training, Webinars, ECHO Program
"Trust Me, I’m a (Certified) Doctor: Innovations and Improvements in Maintenance of Certification” - Thursday, May 23
MICIS 2019 Clinical and Legal Opioid Update - May 29 in Brewer, June 5 in Augusta
MaineGeneral Xwaiver Training for Staff - June 3
The Maine Concussion Management Initiative Will Be Offering Training Programs – June 21 and October 29
Assessing and Managing Non-Suicidal Self-Injury and Suicide Risk in Healthcare Settings - 3 Hour CME Training for Healthcare Professionals at MMA on Friday, June 21, 2019
2019 Mary Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer
Maine Independent Clinical Information Service 2019 Presentations
BC/BE Family Medicine or Internal Medicine Physician
BC/BE Family Medicine Physician or Experienced Family Nurse Practitioner
Gastroenterology Lead Physician - Bangor, Maine
Physician for Maine Maritime Academy Summer Training Cruise
Internal Medicine Outpatient Physician
Mid Coast Maine - Adult Psychiatrist and/ Psychiatric NP/PA Opportunity
Family Medicine Opportunity in Beautiful Western Maine
PCHC in need of Pediatrician for Brand New Pediatric Center!
Outpatient Internal Medicine Physician – Bangor, Maine
Opportunities at the VA for Volunteer Physicians
Volunteer Opportunity with Partners for World Health

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This Week's Public Health Updates from the AMA

Cocaine deaths rising in U.S., says CDC

The AP (5/2, Stobbe) reports that overdose deaths related to cocaine rose by over a third between 2016 and 2017 in the U.S., according to Centers for Disease Control and Prevention researchers. The increase “at least partly reflects trends in deaths from heroin, fentanyl and other opioid drugs,” as nearly “three-quarters of the deaths involving cocaine in 2017 were among people who had also taken opioids,” though deaths involving solely cocaine also increased. Some data from the CDC indicate that “deaths from cocaine continued to rise early in 2018 but may have leveled off last summer.”

The findings were published in the CDC’s Morbidity and Mortality Weekly Report.

Men with chronic illnesses may be less likely to seek treatment for erectile dysfunction

Reuters (5/2, Crist) reports researchers found that “men with cancer or other chronic illnesses are less likely to seek treatment for erectile dysfunction, even though sexual health is an important aspect of quality of life.” The findings were published in the International Journal of Impotence Research.

Training program may improve dementia caregivers’ anxiety, depression, study suggests

Reuters (5/2, Carroll) reports a study published in Health Psychology suggests “the stresses and emotional demands of caring for family members with dementia...can be offset by training that helps caregivers focus on the positives of their experience.” Researchers who led a “randomized, controlled trial” involving 170 dementia caregivers “showed that a six-session online training program produced modest improvements in caregiver anxiety and depression,” with participants in the intervention group experiencing “a 7 percent greater drop in depression symptoms and a 9 percent greater drop in anxiety symptoms compared with the control group.”

Girls with infections in childhood at higher risk for developing eating disorders

The New York Times (5/2, Bakalar) reports, “Girls who have serious or repeated infections in childhood are at higher risk for developing eating disorders in adolescence,” researchers concluded after tracking “525,643 girls – every girl born in Denmark from 1989 through 2006” – and recording “all prescriptions that were filled for antibiotics and other anti-infective medications, as well as hospitalizations for infection, through 2012. There were 4,240 diagnoses of eating disorders during that time.” The findings were published online in JAMA Psychiatry.

Antiretroviral treatment prevents sexual transmission of HIV in gay men, study suggests

Reuters (5/2, Kelland) reports a new European study “of nearly 1,000 gay male couples who had sex without condoms – where one partner had HIV and was taking antiretroviral drugs to suppress it – has found the treatment can prevent sexual transmission of the virus.” In an eight-year follow-up, “the study found no cases at all of HIV transmission within couples.” The results “add to an earlier phase of the study which looked at HIV transmission risk for serodifferent heterosexual couples in the same circumstances,” and which also concluded there was “zero risk.”

The findings were published in the Lancet.

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